Journal — fauci_diary
1,031 entries over 25 years, 6 months, 2000-02-05 – 2025-08-25.
Showing the first 500 of 1,031. The rest are reachable individually — search within this package or browse the page text.
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Feb 24, 2071
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Jun 19, 2037 full ¥, 2037 Aug TO, AU? Show ce: Ohare perdkeneed bey bree Chobe ee Leen = eyciiebe of: pbb eer plaid bee ccoer Had a wonderful trip to Seattle where I received the honorary "Hutch" award from the Fred Hutchinson Cancer Research center and the Seattle Mariners baseball organization. I did a fireside chat at the Medical Center with Larry Corey and then threw out the first pitch that evening for the Mariners and New York Yankees baseball game. In contrast to the disastrous pitch at the Washington Nationals game two years ago, this was a perfect pitch to the manager of the Mariners, Scott Servais, who served as the catcher. Sat in the "owner's box" at the stadium and watched the game. Had a great conversation with Eddie Vedder (lead vocalist and guitarist for the rock band Pearl Jam.) and his wife Jill. Eddie reminds me a lot of Bono. One of the things that was striking about the evening at the ball game was that when they announced me as receiving the award with giant pictures of me on the photocam, I received a prolonged standing ovation from 45,000 people in the stands. Yet, the far right as exemplified by the newspaper The Washington Examiner put on YouTube the headline "Fauci booed at Mariners game. They put the microphone next to about five or six people out of 45,000 who were booing and saying I should go to jail and they completely ignored the 45,000 people that gave me a prolonged standing ovation. This is so exemplary of the distortion of reality by the far right. Monkeypox continues to surge:
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Feb. 5, 2000 - Spenty the day on the Hill as part of the President's Coronavirus Task Force led by Alex Azar and Mick Mulvany to brief first the Senators in the Dirksen Building led by Lamar Alexander and Patty Murray and then the House led by Rosa DeLauro and Tom Cole in the Capitol Visitor's Center. Also, spent time in the SCIF planning for tomorrow when we may be briefing the POTUS again. 25,000 cases/479 deaths. President was acquitted today by the Senate on a partisan vote. Much print press about every aspect of nCoV, particularly the controversy about asymptomatic transmission. In the Washington Post today, Nancy Pelosi, when asked whether she feels the administration is doing a good job, said the following: Post - Feb. 5, 2020: Exiting the briefing, House Speaker Nancy Pelosi (D-Calif.) praised Anthony Fauci, director of the National Institute of Allergy and Infectious Diseases who is also on the administration task force, saying she had worked with him for years. Fauci was among those briefing lawmakers on Wednesday. "He has confidence in what is happening at CDC, so again, my confidence is in him," Pelosi said. "I think we have to be appropriately alert but not fearmongering on this, and I think that's the right tempo." Asked about Azar's leadership, Pelosi said: "I don't know that much about Azar but I know Fauci. All I know about Azar is he used to work for a pharmaceutical company. I don't know that much about his experience with disease but Dr. Fauci is a doctor, and this is his life's work." PRESS: KCBS Radio - San Francisco; MSNBC; Radio Free Asia (TV); Wed MD; Washington Post
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Jan. 28, 2019 - Big day at White House. Major discussions at Deputies on how to handle the 200 US Citizens (diplomats and families and others) who are being airevaculted form Wuhan. They are on a plane from China to Alaska to California. Concern about whethernor not to quarantine them for 14 days when we did not and do not quarantine Chinese who pass screening on entry. Marty Cetron had argued that the American were very recently in the "hot zone" whereas the chines who are coming in now are not really coming from Wuhan since Wuhan has been shut down by the Chinese. Also, political concern of what it looks like to quarantine or "imprision" US citizen versus what happens if we let them in and they start infecting people. Finally decide to do a sft verion of bringin them in to a military airbase - the March Air reserve Base in Riverside County. CA, and consider them all not a low risk. They are either medium or high risk based on their exposure. They all will be tested (nasal swab PCR) and detained at the base for up to 72 hours until the tests come back and then released. The "high" risk people majr get more intense investigation Discussed for hours in the Situation Room. The meeting was chaired by Mick Mulvaney and most Deputies were present together with Matt Pottinger, Kellyanne Conway, Ken Cucinelli, Dr. Navarro, Biegun, Blair, Eisenberg, Szabat, Lidell, Foret (CBP)John Wilson, John Mark (?). Chinese scientists are saying that the epidemic is much worse than is being reported. Dr. Yuan say that 50% of the infections are asymptomatic. However, this is confusing people since he does not say what percent of these are spreading while asymptomatic. A lot of confusion and misinformation while the outbreak accelerates. Azar wanted the POTUS to be briefed by me in the Oval office after the Sit Room, but a fluke prevented this. Brian Harrison called me into a side room for a few questions and Azar was looking for me and could not find me and so he and Redfield went to the Oval without me. Innocent screwup. Press conference with Azar - multiple media reporting with several clips of me; Lou Dobbs FOX; Marc Siegal FOX; CBS This Morning;
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Feb. 3, 2019 - Task Force meeting daily. Repatriated people from Wuhan 150 tested negative; no positives thus far. Cases = 17,205 with 361 deaths; 26 countries have 180 international cases and within that there are 20 human to human transmission transmissions with no sustained transmission yet. Complicated issue with border crossings of Chinese at Canada and Mexico. Many come over, but screening capabilities are not like we have at airport. Travis AFB, Miramar, Lackland AFB are landing destinations for US Citizens coming from Wuhan so that we can implememnt institutional quarantines and medical care if needed. Spoke with George Gao tonight in China. George is the Director General of the Chinese Centers for Disease Control and Prevention. He confirmed that infected people can be asymptomatic and that asymptomatic people can transmit. This is important since the recent NEJM paper that said that a Chinese woman who went from Shanghai to Germany and infected a business associate while she was asymptomatic was in fact mildly are hearing the symptomatic and so the NEJM paper is incorrect. However, the fact is still true. Also, George was very sensitive and understandably defensive since he was the one who said early on that there was no human to human transmission and that the original 27 cases in the wet market reported on December 31, 2019 were animal to human when actually human to human transmission was occurring weeks before. The Wuhan health officials did not tell him this and he thus gave out false information. This lapse likely allowed the outbreak to take hold since Wuhan went about their business with 40,000 pot luck festivals without social distancing. Failure of HIV vaccine trial HVTN-702 (Uhambo) conducted in South Africa >5000 participants showed no efficacy at all. DSMB stopped trial due to futility PRESS: WTOP Radio; CNBC; TRT Turkish TV (x2); CGTN Chinese TV; On camera interview with Jennifer Ashton in VRC - ABC News; Lou Dobbs FOX News.
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Dec. 30, 2019 -- Ratchford and in Surgery Dr. James Hamilton Black. Als wanted me to put on my calendar for June 13, 2020 a ceremony at where they are dedicating a building to They want me there as their guest. Also, Jon laPook was interviewed on CBS Morning News and mentioned me several times since he e-mail me over the weekend to prep him for his interview on Universal Flu vaccine and HIV vaccines.
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Dec 31, 2019 Mar 11 Apr 30 Jun 19 Aug 8
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Jan 1, 2020 Mar 11 Apr 30 Jun 19 Aug 8 Sep 27
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Jan 1, 2020 Mar 11 Apr 30 Jun 19 Aug 8 Sep 27 Nov 16 Jan5 Feb14,2021 ( Times TV; NPR -- "Science Friday" with Cases continue to come down globally: Media trying to show discrepancies in the Biden team response. CDC and Walensky under criticism for their recent guidelines for opening schools since they are really quite confusing. They say open the schools but the guidelines show that 85-90% of the country is in the "red" zone and therefore, should hold off on opening. I believe that this is typical CDC confusion and lack of clear crisp guidelines no matter who is CDC Director. Also, the are pitting (a little) what I am saying against what VP Harris is saying. VP saying that we have to "start from scratch" in the vaccine roll out and I have been saying that some things were done well such as the mechanism for shipping vaccines. I reconcile this by saying that the mechanisms for getting doses into people's arms were in bad shape when the Biden team came in. The press are accepting this. Briefed (together with Francis Collins, Rochelle, and Janet Woodcock) the House and Senate Caucuses on COVID-19 variants PRESS: CNN with Jim Sciutto; LA Times TV; NPR - "Science Friday" with Ira Flatow; New York Post: -- 27,600,000/486,400 New Daily Confirmed COVID-19 Cases In the U.S. a0 o = ra SB. tee oe tes, ors "Op Ob, & <= oy i, fi, a fe, he: Shy, f ie, Ft, te, Lp, Si ee Ph a earn %y a Ree a, te Phe te Sy 'Sy "ey tf #24. 2020/2021 Everything you need to know about Fauci-ing, the new COVID dating trend
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Jan. 2, 2020 -- Met in my office with Dr. Olivier Tshiani who was and is a main player in our PALM trial in DRC. Also present were Cliff lane, Rick Davey and Lori Dodd. Olivier was right there on site when the Mai Mai burned the ETUs at Katwa and Butembo and his car was stoned as he was travelling at night from the ETU to his compound where he was living in Butembo. He related stories of the very difficult security issues while doing the PALM study. He is areal hero. He had also previously spent 5 years in Nancy Sullivan's lab. Here at VRC. Did TV interview with Cox TV this year's influenza situation. Interviewed by Samantha Manning
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Jan. 3, 2020 -- Influenza is heavy in the media. Did an interview with Elizabeth Cohen of CNN for her Blog. Also, did a live radio interview with John Catsimatidis for his "Cats Roundtable" from NYC. Also, yesterday the US via a precise drone strike in Iraq outside of Baghdad airport killed the leader of the Iranian Quds Force General Quassim Souleimani. There has been over the past few days attacks on the US Embassy by Iranian backed Iraqi militia as a result of the fact that the US armed forces attacked and killed 25 Iranian backed Iraqi inilitia who had killed a USA contractor and wounded several USA soldiers in Iraq. This will certainly lead to major escalation of tension and even retaliation from Iran. Also 44 unusual cases of pneumonia in Wuhan, China opver the past couple of days. Etiology still unknown. Said to be a "viral pneumonia' of unknown etiology. Flu ruled out. Cases linked to a seafood market. No human-to-human transmission documented at this time. 1, China. Day on the influenza season e match is OK for HIN1, u as well as interview with > references to our lam Radio Breakfast Show about anti-vaxx movement. n Reilly of Axios
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Jan. 4, 2020 - 20,680 cases and 27 deaths. No sign of diminishing. We are hearing the obvious conflicting opinions of the benefit or harm of travel restrictions. A lot of interest in the revealing that the NEJM paper claiming in one Chinese to German transmission that it was symptomatic transmission, when it probably was not. I quoted that paper (now flawed) in the WH presser. One death in Hong Kong (total of 2 with Phillippines for non-China deaths) 20,680/426 - 2% mortality Continuing to evacuate USC from Wuhan. 4 individuals from Hubei Province under quarantine (2 LAX, 1 ORD, 1 NY) Chinese officials criticizing USA for travel restrictions. WHO also adding muted criticism. Got urgent e-mail from Lindsey Baden from NEJM to review in 2 hours a pape from Germany showing that an asymptomatic person can harbor replication competent virus in nasal passages. State of the Union address tonight and vote on conviction after impeachment tomorrow - weird! PRESS: Bloomberg Radio;Vox print; Marc Siegal Doctor Radio - Sirius; NPR - "All Things Considered"- Richard Harris; Good Morning America - ABC; Yahoo Finance TV; NY Times - Roni Caryn Rabin; Reuters print; Israeli TV - i24 LIVE; Picture in Washington Post; BBC Radio interview 020:
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Jan. 6, 2020 - Chris and I went to a book party for our friend Ruth Marcus (Washington Post columnist), fo her book "Supreme Ambition" about Justice Brett Kavanaugh. Party at the home of David and Katherine Bradley at 2211 30th Street, NW. Elegant home. Super A list at party: Senator Mark Warner, Kellyanne Conway, Andrea Mitchell, David Ignatius, David Frum, Zeke Emanuel, etc., etc. Rafe Sagalyn is Ruth's agent and was there. Also, ran into Sylvia Burwell. Really great to see her. Realized how much I miss working with her. Nice evening.
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Jan. 7, 2020 - Just because of the sudden preduction of 1-3 inches of snow, OPM shut down the USG at 1:00 PM and everyone rushed to get off campus at the same time that Walter Reed personnel are trying to leave. This has created a total nightmare traffic jam on campus. It is taking almost 1 hour to get off campus from time you get in your car. Did TV interview with Canadian TV (CTV) on the viral outbreak in Wuhan, China. Did interview (print) with HealthDay on the influenza season
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Jan. 10, 2020 (Friday)- Infleunza is hot and heavy. Vaccine match is OK for H1N1, but not so good for B and H3N2. Did WUSA local TV on flu as well as interview with Elizabeth Cohen of CNN that went on her blog with multiple references to our conversation. Appeared on Voice of America to discuss the new Wuhan virus documented to be a novel coronavirus. Interesting that ovewr the past several years we have had 3 emerging novel coronaviruses that have caused serious disease in humans: SARS, MERS, and now the Wuhan virus. Chinese publish sequence of the virus on public data base
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Jan. 11, 2020 (Saturday) - Barney Graham ordersd the constructs using credit cards.
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Jan. 13, 2020 - Went to a function at the National Cathedral where David Rubenstein was interview in the naïve (similar to my interview a few years ago) by the Dean of the Cathedral in association with David's book - "The American Story". David was his usual hilarious self.
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Jan. 14, 2020 - Barney Graham's team starts work on GMP vaccine in collaboration with Moderna Did taped interview for the Islam Radio Breakfast Show about anti-vaxx movement. Very good interview. Also, did another interview with Eileen Reilly of Axios ewsHour segment on Ebola with considerable Apparently, CDC is upset because I am saying that this is on a course to be as bad a year as 2017-2018 and 2014-2015. In fact, the flu infection "numbers" are exactly on tract with those years. However, there are less total deaths and hospitalizations. This is due to the fact that Influenza B has predominated early that this hits kids more severely. Since the elderly account for most of the deaths and hospitalizations, the total of these are down; however for this time compared to other years, the number of pediatric deaths is way up. And so it depends what you mean by a 'bad' season. I say it is a bad season and CDC says no. There was a discussion between Azar and Nancy Messonnier of CDC about this and about my statements, but no one thought of getting me on the conference call. Not good. Typical CDC!
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Jan. 15, 2020 - Did interview on WTOP Radio on the number of pediatric flu deaths. I explained the issue of predominance of Influenza B and children and the poor match of the vaccine to circulating virus with Influenza B Victoria.
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Jan. 16, 2020 - The situation in Wuhan, China continues. Now have 2 deaths and 2 cases in Thailand and 1 in Japan. Was in on a PCC meeting via the NIH SCIF with the NSC chaired by Anthony Ruggiero. CDC and DHS have decided to do entry screening at 3 USA airport in people coming directly and indirectly from Wuhan: Kennedy in NYC, LAX, and SFO. Tomorrow night at 10:00 PM a 747 from Wuhan will arrive at Kennedy and will be the first to get screened. nCoV_PCC_SOC_FIN AL.docx I appeared this evening on a PBS NewsHour segment on Ebola with considerable exposure in the piece.
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Jan. 17, 2020 - appeared on radio with NPR "Here and Now" on the pediatric Influenza B situation. Influenza B predominating yet the Victoria B in the vaccine is only a 58% match and so children are getting a double whammy with B predominating early in the year and continuing and the vaccine is not well matched. In this regard, there are more pediatric deaths (39) thus far at this point in the season compared to most other years. The infection slope is high for all infections yet the total deaths and hospitalization are not that high, likely because there is little H3N2 and that is the virus that affects the elderly the most and the elderly accound for most of the hospitalizations and deaths. Jennifer Ashton of ABC World News Tonight called me in a panic about 15 minutes before she is to go on the air about the Wuhan virus (2019nCoV). She wanted to get my take on the airport screening and the potential seriousness of the situation. I emphasized that we need to take this seriously and the airport screening is entirely appropriate. We are now doing entry screening at JFK, LAX and SFO of flights from Wuhan. There are a couple of direct flights per week from Wuhan to JFK and SFO nt onal at 10:00 PM to be shown rea yany, which is the most influential political ng News and for FOX 5 Local TV , to 3 with 6 deaths. 1 O'Reilly for Axios
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Jan. 18, 2020 - Situation starting toheaten up re: 2019nCoV. There are now 17 more cases in Wuhan and the LSTMH has estimated that there may actually be several hundreds of cases that have not yet been recognized. It is starting to look like there is some low grade close contact transmission person to person. I appeared on CNN Newsroom with Fredricka Whitfield to discuss the 2019 nCoV situation and the recent screening at 3 airports.
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Jan. 19, 2020 - Things evolving rapidly with the 2019 nCoV. Now there are 198 confirmed cases, all in China except for 2 in Thailand and 1 in Japan. Cases now in Guangdong Province with suspected cases in Beijing and Shanghai. Did TV interview (pre-taped) for CNN International at 10:00 PM to be shown internationally through the night and tomorrow,
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Jan. 20, 2020 - Now there are >220 cases of n-CoV with a travel case in South Korea and 14 transmissions to health care providers. Clearly, this is a rapidly expanding situation with no question about person-to-person transmission. Did print interview for Caixin Media Company, which is the most influential political and business news organization in China. Also did interview for CBS Evening News and for FOX 5 Local TV Also, conversation with Elizabeth Cohen of CNN. Problem with her is that she tends to dramatize things, which can get me in trouble not matter how many caveats I give her.
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Jan. 21, 2020 - n-CoV situation continues to evolve. Now 298 cases with 6 deaths. Very fluid. Did ointerview with Eileen O'Reilly for Axios Interview with Chinese Radio Free Asia CDC announced today that the first case of n-CoV has been identified in Seattle. A 35 year old otherwise healthy Chinese man visited Wuhan, came to USA on January 15 (before airport screening), developed sxs on Jan. 16, tested on Jan. 19, test sent to CDC and positive on Jan. 20. He walked into a clinical with fever and respiratory sxs and was smart enough to mention that he just came from Wuhan. Other press today - VOA News; WSJ with Betsy MacKay; WCBS Radio; TV NewsMAX; TV FOX Business with Lou Dodd; Biocentury with Steve Usdin; Bloomberg Law with Jeannie Baumann; Washington Times; Time Magazine (Alice Park) We are having daily PCCs with Anthony Ruggierro. He is his usual prickly self. >=mented.
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Jan. 22, 2020 - Now 400 cases and 9 deaths. Chicago ORD and Atl airports added to entry screening with JFK, LAX, and SFO. Soon to funnel all flights with people from Wuhan (indirect) through these 5 airports. Another PCC with Anthony being hostile that the orgs (CDC, DHS, CBP) have not worked out how to get 100% of people coming from Wuhan screened. We are in Phase 1 (Screening at JFK, LAX, SFO). We are almost fully ready for Phase 2 (add ORD and ATL). Phase 3 is to funnel people who originate at Wuhan and want to go to USA through one of the 5 airports. Phase 4 is to screen individuals coming from many cities in China. Big argument between CDC (Redfield) and CBP/DHS regarding have 5 versus 12 USA airports do the screening. Marty Cetron was trying to explain how difficult doing 12 USA airports would be since CDC does not have staff in a few of these cities. To complicate it all, while we were in the PCC, China announced that it is cutting off all public transportation (air, ferries, train, buses, out of Wuhan City) Essentially a quarantine of the entire city of 11 million people except for absolute emergencies. This complicates the USA airport screening strategy since people will not be able to get out of Wuhan and to the USA easily. May try other means. Some confusion about what the best way to prevent establishment of infection in the USA. Anthony (with his attitude) is making matters worse. Phase I--Current Posture • Description: Foreign nationals who have been in China within 14 days prior to their actual or attempted entry into the United States are ineligible for admission under Section 212 (f) of the Immigration and Nationality Act (INA). Departments and agencies may exercise certain exemptions. Any person, but specifically U.S. citizens and legal permanent residents (LPRs) who have been: (1) in Hubei province within the past 14 days may be subject to 14 day mandatory quarantine; and (2) in China (outside Hubei province) within the past 14 days may be subject to screening and self-isolation for 14 days. All direct and indirect flights from China are funneled to 11 airports with enhanced CDC medical screening. CDC is coordinating with state and local health care clinicians to identify domestic cases, isolate cases, and conduct appropriate contact tracing. o Triggers: Already being implemented. • Objectives: (1) Contain the outbreak at its source, (2) minimize domestic importation of additional cases, (3) limit potential for domestic epidemic, and (4) prepare the domestic response mechanisms. • Messaging: Daily HHS and CDC briefings and on camera task force briefings as appropriate. On the interview below (FOX Business with David Asman) one of the panel asked me to comment of a clip he played where Trump said that everything is under control. Xi Jinping told him everything is under control. I had to answer that we are taking this very smaller cities -- seriously and that Americans should not be frightened or worry, but we are taking it seriously. Let us see if this pits me against the POTUS. 552 cases - 17 Deaths Cases now in Hong Kong and Macao WTOP Radio on Seattle case; The Morning Goods (local radio talk show); TRT World Turkish TV; Reuters TV; Fox Business (Cavuto); Bloomberg print; FOX Business with David Asman; Italian TV (Mediaset); Taped CNN in the VRC talking about the vaccine; Hong Kong Phoenix TV; Univision TV (SpanishAmerican TV); Bloomberg TV Asia; 24 NEWS Israeli TV over the phone
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Jan. 23, 2020 - China shuts down public transportation in 3 additional smaller cities - Huanggang, Ezhou and Chibi. After 2nd Advisory Committee meeting WHO still does not declare PHEIC. Very controversial decision. They are getting some criticism about this. On several of the media that I did (see below) I was asked my opinion of this. I said I did not want to outguess the WHO and demurred. Press still heavy. Did FOX Business TV (Varney and Company); FOX News (Sandra Smith); CBS Radio;Shanghai Media TV via Skype; Politico (Sarah Owermohle); Shanghai Media TV; Science News print; CNN Newsroom (clip shown by Sanjay Gupta); FOX News Rundown (Radio); COX Media TV; John Catsimatidis Radio Show - Cats Roundtable; CNBC Asia Squawk Box; BBC radio; FOX Business News (Lou Dobbs);Canadian Broadcasting System (Kelly Crowe).
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January 23, 2020 - Global - 97,000,000/2,000,000; USA - 24,700,000/413,000 PRESS: Vaccine Town Hall with Ebro Darden & Kizzy Corbett; MSNBC with Alex Witt; Interview with Donald McNeil for the New York Times on my experience with the Trump administration; MSNBC "Politics Nation" with Rev. Al Sharpton; Stat: The 10 Biden officials to watch on the Covid-19 response By R A C H E L C O H R S @rachelcohrs J A N U A R Y 2 1 , 2 0 2 1 ; USA -- 25,000,000/4 16,000 as -25,000,000/418,000 25,200,000/420,000 ff. She and I did a PSA
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Jan. 24, 2020 - More cities shut down by the Chinese. Now >800 cases and 26 deaths. State Department issued Level 4 (no travel at all) for Wuhan. Had meeting at EEOB381 (Anthony's office) to discuss the evolving siautaion with 2019-nCoV. Derek Kan (Deputy Director, OMB) was there with other OMB folks to determine what the budgetary needs would be for our response. I will put together some budget numbers. I was supposed to be on this coming weekend (it is now Friday) This Week With George Stephanopoulos and Face the Nation; however, these were bumped because of impeachment trial that is onging. Call from Lena Sun (Washington Post) trying to verify (I said I knew nothing of this) that people in the USG were saying that the Chinese got to Tedros to convince him not to declare a PHEIC since it would harm their reputation. I told her that was nonsense and I probably stopped her from writing the story. She said since I am in all the important meetings that I would know. CNBC Squawk Box; CBS Radio New York; Massive press interactions prior to and after my briefing of the Senators; Clip of me on CBS This Morning from the briefing
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Jan. 25, 2020 - now more than1400 cases and 42 deaths. President Xi Jinping essentially sutting down the entire country. Schools closing in Beijing. Suspicion that the Chinese are telling us everything that is going on in China. Why are the Chinese reacting so dramatically by essentially shutting down the entire country? State Department evacuating all USA personnel from consulate in WUHAN New York Times interview; CNN International
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Jan. 26, 2020 - GAME ON!!! Things are changing rapidly. Dr. Ma Xiaowei, the Chinese Minister of Health gave a press statement saying that the incubationperiod of nCoV is 1 to 14 days and that the virus is being transmitted when people are asymptomatic! This has enormous implications for how we handle people from Wuhan (like our diplomats who are now on the way back from WUHAN, having been ordered to evaculate). Should we quarantine them. I am very skeptical about the Chinese interprepation of their data. I spoke with Mike Ryan (WHO) from Geneva and he and Tedros are going to Wuhan soon. Mike is very skeptical that aymptomatic spread is present or at worst is a major driver of spread. Mike Osterholm also feels this way. I spoke with Nancy Messonnier and Bob Redfield this AM to coordinate our responses. Bob and I feel (and I told Elizabeth Cohen this) that we should be allowed to send our CDC epidemiologists to China to work with them so that we see the data first hand since we will base important response activities and strategies based on whether this is true. It would require our quarantining for a period of time even asymptomatic people who arrive from Wuhan. It now appears using epi data and genomic data that the first infection was in early December and was not connected to the market. The infections spread among people weeks before the Chinese reported that they were dealing with a new infection and that gave the virus time to establish itself in multigenerational (sustained) spread. Remember, early on the Chinese were saying that there is no human to human transmission and all the original 27 cases were from the market. Now we know the market was not the source, it was the amplifier. Having said that, somewhere the virus jumped from animals to humans. There is complete chaos in China now with president Xi Jinping declaring an emergency situation. The Chinese are building within days 1000 and 1300 bed hospitals and flying in hundreds of medical personnel from military. They have shut down travel within most of the country and have called off many Lunar New Year events. Schools closed at least until mid-February. Running out of supplies such as PPE. Had 8:00 PM call with Anthony Ruggiero, Phil Ferro, and Bob Redfield about the evolving situation. The deputiers and White House are pushing to close the borders for any traffic from China. Bob and I are against that. Anthony said that he heard that I wa in favor of that. Will have 11:00 AM meeting tomorrow from SCIF with Deputy National Security Advisor Matthew Pottinger regarding possibly closing borders from China entry. iltiple important non-corona-virus CNN phone interview with Elizabeth Cohen; CBC Canadian TV; CNN with Fredricka Whitfield (cancelled because of tragic accidental death of Kob Bryant in helicopter crash in LA); NewsHour from UK
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January 26, 2020 - Global - 99,000,000/2,100,000; USA - 25,200,000/420,000 VP Harris visited NIH for her booster shot with Husband Greg Emhoff. She and I did a PSA together. Had moving conversation with Moncef Slaoui who felt that the Biden people were discrediting and bad-mouthing OWS that Moncef led. In fact, Moncef did a fabulous job in getting 2 vaccines (Moderna and Pfizer) approved (EUA) that are highly efficacious with other candidates (Janssen, AZ, Novavax) not far behind. He feels badly for the OWS team and for himself. I told him that he has done a fabulous and historic job in what he accomplished. I told him that to me and many others, he is a hero. He was very touched by the conversation. e Got on my usual Tuesday evening Zoom call with health officials throughout the country (Hosted by David Barr) and asked question of what the problem was with doses of vaccine. Was it that we had doses but could not logistically get them into the arms of people OR was it that the demand far outstripped the supply. Overwhelmingly they said that there was not enough supply. Group was: Sharon Balter (LA), Jeff Duchin (Seattle), Jennifer Avegno (NOLA), Allison Arwady (Chicago), La Quandra Nesbitt (DC), Marci Layton (NYC) PRESS: FOX America's Newsroom with Dana Perino and Bill Hemmer; NBC TV Special with Richard Engel; fue ---- THE WASHINGTON POS? DRAWING BOARD CLAY JONES Global USA about the development of the Moderna
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Jan. 27, 2020 - Packed day today. Council and multiple important non-corona-virus meetings. Busy day - two meeting with White House via SCIF. First at 11:00 AM led by Deputy Director NSC Matt Pottinger who still wants to stop all incoming from China. Bob Redfield, Phil Ferro, Mart Cetron, Peter Marks etc. Second White House meeting via SCIF was on same subject withMick Mulvaney Chairing and visit to meeting by VP Pence. Still discussing the pros and cons of shutting off China. I tried to squeeze in my opinion, but it was touch since I was remote. I briefed Azar beforehand by phone as to the down side (historically) in shutting out a country. Also at the meeting were Joe Grogan, Matt Pottinger, Alex Azar, DHS Multiple print media including Washington Post, Maggie Fox, Los Angeles; NPR Morning Edition with Rachel Martin; WTOP radio; John LaPook with CBS - taped interview to run with face to face interview tomorrow with Norah O'Donnell; VOA; CNN International; Bret Baier FOX; WTOP again; Sean Hannity (FOX);
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January 27, 2020 - Global USA Really good relations developing with the WH Comms team led by Jen Psaki and particularly Courtney Rowe. Dramatic difference from Trump WH Comms Did "Fireside Chat" with NEJM - Eric Rubin and Lindsey Baden • 315 cases of the B.1.1.7 lineage (UK) in 28 states; RSA lineage B.1.351 is worrisome as it is evading mAbs and diminishing neutralizing caoacity of Abs from vaccines. Very important historical review in USA Today about the development of the Moderna vaccine: USA Today: Luck, foresight and science: How an unheralded team developed a COVID-19 vaccine in record time https://bit.ly/36i7ffM PRESS: White House Press Conference with Walensky, Fauci, Slavitt, and Zients; The Hill TV with Steve Clemons; Fox America Reports TV with John Roberts and Sandra Smith; PBS South Florida Town Hall; CNN Town Hall with Sanjay Gupta and Anderson Cooper - on with Rochelle Walensky; Daily Beast: Dr. Fauci Shoots Down Fox News Host Bill Hemmer's Trump Questions 'READY TO MOVE ON' "It just seems like there's this aggressiveness toward the Trump administration," Fox News anchor Bill Hemmer pressed. Dr. Anthony Fauci wasn't having it. 5,500,000/428,000 ) results of their trials: Global USA Article in The Atlantic by Peter Nicholas - will clearly cause a stir: How Anthony Fauci Got Through the 'Bullshit' The new White House chief medical adviser reflects on the last year working for the Trump administration. Peter Nicholas FOX News: Fox News pundit Steve Hilton pushed a ridiculous conspiracy theory that Dr. Fauci is behind the coronavirus
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January 28, 2020 - Global - 100,200,000/2,200,000; USA - 25,500,000/428,000 Tedros called me up and aske me to help him connect with the Biden people, i.e. Sec Becerra, Jeff Zients, the VP, etc. Stewart Simonson willing to help me since I am ultra busy. Had confidential conversation with the Janssen people - Paul Stoffels et al about the Ad26 vaccine data. Not that great. 77% VE in USA and ~50% in RSA. Will get more details later. Data better against severe disease but this will be a messaging problem. Novavax and Janssen came out with their embargoed (until tomorrow) results of their trials: Novavax phase 3 in UK - 90% VE; Phase 2b in RSA - 50% VE. Janssen phase 3 in USA/RSA/Brazil - 72% VE at 28 days (a 1 dose vaccine); 85% VE against severe disease; 57% VE in mod/severe disease in RSA at 28 days and 88% VE with severe disease in RSA Much press activity and emphasis on the fact that antigenic variation has clinical consequences. Also, with both vaccines, good news for the global supply PRESS: Good Morning America (ABC) with George Stephanopoulos; NPR Morning Edition with Sarah McCammon;
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Jan. 29, 2020 - Got a call this AM from Lou Dobbs who told me that President Trump will be calling me. Lou spoke with the POTUS andf told him that I was the "smartest person" around and he should speak with me. Amazing day today! Bob Kadlec, Bob Redfield, Karin King (State), Ken Cuccinelli (DHS), Jonathan Fritz (State) briefed the House members led by Nancy Pelosi who was her usual self with me (big hug, kiss and telling everyone how great I am - little embarrassing. Diane DeGette did the same thing. At the Deputies Meeting in the Situation Room (4:00 to 5:15 PM) - big surprise. Mick Mulvaney led the meeting and after about 1 hour the President came in and the first thing he said as he looked at me was: "Anthony, you are really a famous guy. My good friend Lou Dobbs (see above) told me that you were the one of the smartest, knowledgeable and outstanding persons he knows. He then stayed for 20 minutes and asked most of his questions of me. I was surprised and very pleased and the Deputies were clearly stunned and impressed. When Trump finally left, he said: "Anthony, are we OK?" I said: "We are good". He smiled and as he walked out of the room, he said "Thanks, again, Anthony. We are counting on you". The arrival of the US passengers at March base was a total success. They arrived on a Kalitta Air Boeing 747.(NPR) The passenegers were extatic to be home. The real issue now is how do we get out the 200,000 US citizens who are in China if they want to leave. It will be a logistical challenge. Cases 7700 with 170 deaths Clips of HHS press conference showing on different TV networks; NPR "On Point";
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January 29, 2020 - Global USA • Fireside Chat with NYC Health Commissioner David Chokshi Confirmed Cases (Thousands) ay am 2m 1" 25,900,000/435,2000 New Confirmed COVID-19 Cases in the U.S. 2020/2021 Day ee ety Mowing Avirage = eed Day Mowing Average Met with Jeff Zients and Team to discuss what to do with 2nd dose of vaccine, i.e. hold it back completely, hold it back 90%?? PRESS: Did press conference at NIH for the release of the Janssen data; Did White House press conference for COVID-19 in general; PBS NewsHour with Judy Woodruff; NBC Nightly News with Lester Holt; WUSA TV with Gabe Cohen; New York Press Club Fireside Chat with Steve Scott; Filming with Sanjay Gupta for CNN Documentary;
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Jan. 30, 2020 - Another amazing and difficult day. Briefed the House Energy and Commerce Committee members in Rayburn 2123. All my friends kept saying I was a national hero and they "....felt safe in my arms (Eschoo)". Testifying with me were Bob redfield, Bob Kadlec and denise Hinton (FDA). The chaos: We had 2 PCCS led by Ruggiero and one Deputies lead by Mick Mulvaney with the usal cast of characters. Case in point. Mart Cetron who was listening in on the WHO call said that the epidemic was accelerating that this is was clear that the incubation period was shorter (2-5 days than was previously felt and that asymptomatic transmission was occurring. Thus, it was agreed to present to the POTUS a revised plan for containment: The 200 people at March Base would be quarantines for 15 days. Anyone coming in from Wuhan would be quarantined for 15 days. Anyone from any part of China would be voluntarily isolated for 15 days with monitoring by public health officials (State/Local). Azar would declare a Public Health Emergency and the State Department level alert would be level 4. The number of cases today are: 9480 with 213 deaths. It is increasing by about 25% per day. In 1 month it has surpassed SARS for 1 year (8000). WHO Declares a PHEIC Politico (Dan Diamond) is coming out with an article bashing badly Azar. HHS COMS had me speak to Dan and I greatly praised Azar. The POTUS announced the Coronavirus Task Force today (see below): Members of the President's Coronavirus Task Force: Secretary Alex Azar, Department of Health and Human Services Robert O'Brien, Assistant to the President for National Security Affairs Dr. Robert Redfield, Director of the Centers for Disease Control and Prevention Dr. Anthony Fauci, Director of the National Institute of Allergy and Infectious Diseases at the National Institutes of Health Deputy Secretary Stephen Biegun, Department of State ysHour; Ken Cuccinelli, Acting Deputy Secretary, Department of Homeland Security Joel Szabat, Acting Under Secretary for Policy, Department of Transportation Matthew Pottinger, Assistant to the President and Deputy National Security Advisor Rob Blair, Assistant to the President and Senior Advisor to the Chief of Staff Joseph Grogan, Assistant to the President and Director of the Domestic Policy Council Christopher Liddell, Assistant to the President and Deputy Chief of Staff for Policy Coordination Derek Kan, Executive Associate Director, Office of Management and Budget PRESS: FOX - "Fox and Friends"; ABC TV local; NBC TV local; PBS NewsHour; WTOP radio X2
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Jan. 31, 2020 - Another truly amazing day. Sequested in the White House essentially all day working out a proposal to put before the POTUS that would restrict travel from China. The proposal was driven largely by CDC (Marty Cetron) who felt that given the volume of people coning in from China by direct and even more importantly indirect flights it would be logistically impossible to effectively screen people at many, many airports and the diversion of people from their place of origin to selective airports would further complicate things. Also, the cases continue to sharply rise with 12000 cases and 259 deaths. Also, a NEJM report from Germany indicated that a Chinese woman came from Shanghai visited a colleague in Stockdorf Bavaria. She infected him when she had no sxs, returned to China and got sik on the plane. The german man then got sick and infected 2 other Germans. This would have bn the first truly documented case of transmission from an asymptomatic person, thus, adding to the concern about the accuracy of screening at airports. In addition, the WHO declared a PHEIC yesterday prompting Azar to declare a Public Health Emergency here in the USA. I disagreed with the latter since there were only 7 infections (6 travel) at the time. All this led to the conclusion of travel restriction. This was late in the afternoon - around 1:30-2:00 PM. The entire task force (above) plus Kellyanne Conway, Jessica Zitto (WH Coms) and a variety oof senior WH officials gatherd in the Roosevelt Room to hammer out how we would present this to the POTUS. The policy decision was: 1) Ban travel to the USA of all non-citizens who have been to China within the past 14 days. If you were in China, you need to go somewhere else (Paris, UK, etc.) until 14 days pass from the time you were in China. 2) If you are a citizen and were in the Hubei Province (includes Wuhan) and you return to USA, you are institutionally quarantined for 14 days. 3) If you come from any other part of China other than Hubei, you have voluntary isolation for 14 days. We wanted to present this to the POTUS befor the Stock Market closed so that we do not look like we held off to avoid bad effects. We went into the Oval Office at about 3:00 PM. We had been scheduled to go in at 2:30 PM but things backed up. Presentation was made to the POTUS by Azar, Bob Redfield and me. Trump as he did a couple of ddays ago posed many questions to me making sure that I thought it was a good idea. I said this was an imperfect process, but the best choice we have right now. He questioned me about what the difference was between this and flu. He somewhat brashly suggested even more stringent restrictions and was dyswaded by Kellyanne. She clearly has influence over the POTUS. Potus agreed and we immediately went out to the WH Press Briefing room that was packed. Azar led the presentation, but many questions were ansered by me. Interesting that impeachment was going on and the senate did not get the 4 GOP votes to allow witnesses to be called. This also dominated the news. We thought this would get us on the Sunday Talk Shows, but impeachment bumped us. White House is now fully convinced that I be the science/health spokesperson for the USG. Bob Redfield just does not come across very weel. He takes forever to say something and it is usually wondering. This drives the WH and HHS comms people crazy and so they are putting me out on all the requests. When I got back to my office, got call from Jeremy Farrar who sounded very concerned and conferenced me in with Kristian Anderson, an evolutionary biologist from Scripps. They had also been talking with Eddie Holmes, another evolutionary biologistfrom Sidney Australia. There have been conspiracy theories that the virus was given GOF by inserted mutations and deliberately or accidentally released in Wuhan. One theory was written by Indian investigators that HIV sequences were inserted by a Chinese person in Canada and released in Wuhan. Everyone thinks that is crazy, but the Farrar phone call was different. The people on the phone felt that the mutations around the furine cleavage site of the spike protein could not have occurred naturally since it would require an evolutionary "jump that they found nowhere in bat isolates. They bring up the possibility that this could have been deliberately inserted and either accidentally released or deliberately released by a crazy person in the lab, the former being the most likely. Jeremy was calling me for advice. I suggest that we get a larger group of qualified evolutionary biologists/virologists together under the auspices of a convening body and carefully look at this. We agreed to convene by phone the next day. I called Brian Harrison and Garrett Grigsby who arranged for a call with Azar to decide what to do. 1 several other Azar did not like the idea of WHO as convener because he feels (somewhat unfairly, I believe) that Tedros would immediately tell the Chinese and they would crush the attempt and/or think we are attacking them. We decided to have a 2-pronged approach strongly suggested by Kadlec who felt we had security responsibilities to investigate this ourselves. He would do this through OSTP and NAS. Meanwhile I would pursue a multinational approach with Jeremy. I decided to now bring in Francis. PRESS: The Today Show NBC; Lou Dobbs Fox; many print
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Feb. 1, 2020 - Conference call at 2:00 PM with Jeremy, Francis and several other scientists gathered by Jeremy (see below). Participants in the Feb., 2020 call included: • Francis Collins, Director of the U.S. National Institutes of Health, U.S.; • Anthony Fauci, Director of the U.S. National Institute of Allergy and Infectious Diseases, U.S.; • Jeremy Farrar, Director of the Wellcome Trust; • Patrick Vallance, U.K. Chief Scientific Adviser and Head of the Government Science and Engineering; • Kristian Anderson, Director of Infectious Disease Genomics, Scripps Research Translational Institute, CA, U.S.; • Christian Drosten, Director of Human Virology at the German Center for Infection Research at Charité - Universitätsmedizin, Germany; • Edward Holmes, Professor of Viral Evolution at University of Sydney; • Andrew Rambaut, Professor of Molecular Evolution, University of Edinburgh's Institute of Evolutionary Biology, U.K.; • Ron Fouchier, Deputy Head of Department of Viroscience, Erasmus Medical Center, NL; • Robert Garry, Professor of Virology, Tulane University School of Medicine, Louisana, U.S. ; • Mike Ferguson, Professor of Life Sciences at University of Dundee, U.K.; and • M.P.G. Koopmans, Head of Department of ViroScience, Erasmus Medical Center, NL. There was not total agreement about the likelihood of deliberate insertion. Ron Fouchier said he was sure that this could occur naturally and we should not waste our time and divert effort to pursue this. This is expected of him since he was the original GOF person with Yoshi Kawaoka. Also, Christian Drosten was with Ron; the rest felt that deliberate insertion was possible and given the fact that Dr. Zheng-Li Shi at the University of Wuhan has been working for years in GOF in coronaviruses to allow adaptation of the spike protein to bind to the human ACE2 receptor, we could not let this go. We decided to have Jeremy with Francis to contact Tedros with Stewart Simonson's help (I arranged this) to see if Tedros would convene experts. Meanwhile, the DHS and DOT and FAA are working hard on the logistics of diverting plans to selected airports that are associated with the capability of screening with questions and quarantining or moving to voluntary isolation. Airports are: LAX, SFO, Seattle, ATL, ORD, Hawaii, Newark, IAD, Detroit, DFW JFK, and Seattle PRESS: CNN (truck came to my house since I was so busy with wall-to-wall conference calls and hundreds of e-mails.;
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Feb. 2, 2020 - Call from Sylvia Burwell asking for clarification of the new policy regarding AU students who are returning fom China. Apparently, the policy is not up on the CDC website. Had daily Task Force call. Discussed the difficult logistics of airport funneling and quarantine/isolation at land crossings with Canada and Mexico. Cases now 14,551 and 304 deaths Now 3 aditional cases in USA = 11 Kansas City Chiefs beat SF 49ers - Patrick Mahomes stars abd comes back from 10 point deficit in the 4th quarter. PRESS: MSNBC; Fox Local TV; NBC Nightly News; CNN with Anna Cabrera
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Feb. 6, 2020 - Cases continue to soare with 28,018/563. Another packed day mostly at HHS and White House. Conspiracy theories still abound. The NAS group with OSTP met (see above) and decided that there was no clear evidence of malfeasance, but it should be looked into (see attachement below): NASEM Response to OSTP re Coronavi HO. Got good Briefed the Asia/East Asia Ambassadors on nCoV in Room EEOB-350. Then had long meeting of Coronavirus Task Force is Sit Room of WH chaired by Mick Mulvany at 4:00- 4:45PM when the core group of Task Force were called to Oval Office to brief POTUS. When we walked in the POTUS was not yet in the room. When he walked in with Melania, the first thing he did was say""Anthony, come here and say hello to Melania". Then, to my embarrassment in front of everyone (Kellyanne, Mick, Bob O'Brien and many in Cabinet) he told Melania that I was the smartest person in the world. We then sat down and briefed him and Melania. He asked what he could do and we said that since he would be calling Chinese President Xi Jinping late this evening, he could ask him to approve the WHO delegation of scientists that include CDC and NIH people. He did what he did last time and directed most of the questions to me, again ending with asking me if I thought that we were on the right track. During the task Force meeting, the issues came up of cruise ships (one in Yokohama, Japan, and one in New Jersey/New York) that had infected Chinese from Wuhan on them and discussion of how to handle quarantine for the rest of the passengers. PRESS: India TV; Podcast with Newt Gingrich; Podcast with Howard Buchner at JAMA (well-received by NYT and WSJ reporters.
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Feb. 7, 2020 - Started with 7:00 AM with a multi-party call hosted by WHO. Got good information. See below. 31,211/637. 61 infections on Japanese cruise ship. Chinese are starting to see a slight downtrend in cases. Perhaps we are turning things around in China? I warn on the call that we need to give developing countries the resources to do contact tracing and isolation or else as we decrease China, another country will become like China. Also, need serologies to determine extent of asymptomatic and minimally symptomatic infection so that we can determine the true case fatality rate among other things. Cancelled trip to Florida for Chris's birthday. So sorry. PRESS: Press conference at HHS with Azar, Redfield, Cuccinnelli, Biegun, Szabat; CNN; interviewed with: USA Today, Bloomberg Law (Jeannie Beaumann), Arizona republic, NY Times (Denise Grady), Bloomberg News (Bob Langreth; WJLA TV ABC7 (Local); CNN with Lou Dobbs.
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Feb. 8, 2020 - Numbers today: 34,867/724. First USCit died in Wuhan. Much press about this and the cruise ships in Japan and Bayonne. Infections and quarantine of the Japan ship (61 so far, including some USCits. 10 people under quarantine from airport screening at the 11 airports. People on Japanese ship getting cabin fever with v the quarantine quarantine. People on Bayonne ship have all been released and the Chinese nationals on the ship are going home. Tom Frieden called me this AM and we discussed various aspects of the outbreak. He and I are on the same page in thinking tht this is acting like a bad influenza in its transmissibility and that the denominator is much greater than 34,867 (above) making the case fatality rate (CFR) more like 0.2-0.3 % rather than 2.0%. PRESS: FOX and Friends; WTOP Radio; MSNBC
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Feb. 9, 2020 - Sunday, but it goes on. 37,593/814. People on the Japanese cruise ship are being released from quarantine. Outbreak still raging in China. Still only 12 cases in USA (9 travel from Wuhan and 2 spouses of 2 of the 9). Briefed the Governors at the Governors convention at the DC Convention Center PRESS: CNN International (good interview)
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Feb. 10, 2020 - 40,625/910. Outbreak still progressing. I will list below the quarantine centers associated with the various funneled airports: JB Pearl Harbor-Hickam, Hawaii (HNL) Great Lakes Training Center Navy Base, Illinois (ORD) Naval Air Station Joint Reserve Base, Texas (DFW) March ARB, California (LAX) Travis AFB, California (SFO) Dobbins ARB, Georgia (ATL) Fort Hamilton, New York (JFK) Naval Base Kitsap, Washington (SEA) Joint Base Anacostia, Washington DC (IAD) Joint Base McGuire-Dix-Lakehurst, New Jersey (EWR) Fort Custer Training Center, Michigan (DTW) The Department of Defense already has quarantine centers at Fort Carson in Colorado, Travis Air Force Base and Marine Corps Air Station Miramar in California, and Lackland Air Force Base in Texas. Ken Cucinnelli sends e-mail to Task Force saying that we should be much more aggressive in "mitigation" right now and not wait until outbreak in USA occurs. This triggers calls at HHS since it might look like HHS is not doing things correctly. Had a vigorous Task Force call at 4:00 PM to discuss merssaging and the fact that we need to prepare for mitigation. Ken Cuccinelli wants to prepare families and businesses to how they would respond to an outbreak. I pushed back saying that my experience with anthrax and the "duct tape" incident made me feel that this would inspire unnecessary panic or ridicule. We should prepare more forward-looking at the state and local health levels, not the family level. Infections on the Japanese Cruise ship up to 136. Sick people taken off and rest quarantined on ship. Question raised whether aerosol spread through ventilation system similar to spread of SARS in 2004 in Amoy Garden Apartment Complex in Hong Kong. 97 people die in China yesterday - most for a single day. CDC wants the airlines give them the contact information of passangers so that they can be tracked. Bob Redfield having trouble clearly articulating the process of converting from containment to mitigation. He is a good guy, but Bob is Bob. Azar/HHS/and WH are all putting me out there to explain things within our group and to the press. Bob seems OK and modestly wants to learn. I like him. PRESS: CNN (Jim Sciutto); Diane Rehm Podcast; Sean Hannity Radio Show; CNN International.
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Feb. 11, 2020 - 13th American infected (San Diego). One of the people airevacuated by State to Miramar from Wuhan. Minimal sxs. 43,138/1018 Bob Kadlec offers the Japanese help in providing remdesivir in a compassionate use protocol to the people on the Diamond Princess cruise ship in Yokohama. >=mented. of cases Now 131 people infected and the rest are quarantined. I offer Cliff Lane to help with the protocol. A PCC document that I just read is proposing that even in Phase IV (see below) we should continue INA 212 (f) travel restrictions. I disagree with this since travel restrictions are to delay the entry of disease into your country. Once you have sustained transmission in your country, it is a waste of resources to try to keep out travelers. I cannot be on the PCC call this AM (on a panel at the Aspen Institute in DC) and so I called Bob Redfield and asked him to respresent me and my reservations about this: Phases of U.S. Government Response to the 2019 Novel Coronavirus (2019-nCoV) Phase I--Current Posture • Description: Foreign nationals who have been in China within 14 days prior to their actual or attempted entry into the United States are ineligible for admission under Section 212 (f) of the Immigration and Nationality Act (INA). Departments and agencies may exercise certain exemptions. Any person, but specifically U.S. citizens and legal permanent residents (LPRs) who have been: (1) in Hubei province within the past 14 days may be subject to 14 day mandatory quarantine; and (2) in China (outside Hubei province) within the past 14 days may be subject to screening and self-isolation for 14 days. All direct and indirect flights from China are funneled to 11 airports with enhanced CDC medical screening. CDC is coordinating with state and local health care clinicians to identify domestic cases, isolate cases, and conduct appropriate contact tracing. o Triggers: Already being implemented. • Objectives: (1) Contain the outbreak at its source, (2) minimize domestic importation of additional cases, (3) limit potential for domestic epidemic, and (4) prepare the domestic response mechanisms. • Messaging: Daily HHS and CDC briefings and on camera task force briefings as appropriate. Phase II--Aggressive Containment • Description: Expand the scope of the travel ban to account for additional states or territories. Apply quarantine measures above to people not covered by the travel ban, including U.S. persons, but who have traveled to these additional states or territories within the time frames described above. All direct and indirect flights from these additional states or territories will be funneled to the 11 airports with enhanced CDC medical screening. Consider reducing the number of airports to concentrate screening resources. CDC further coordinates with state and local health care clinicians to identify domestic cases, isolate cases, and conduct appropriate contact tracing. o Triggers: Sustained human to human transmission and exportation of cases without nexus to China. o China - domestic • Objectives: (1) Limit the outbreak to the source and additional outbreak areas, (2) minimize importation of additional cases, (3) limit potential for domestic epidemic, (4) additional preparation of the domestic response mechanisms and in some cases executing those plans, and (5) begin outreach to state and local authorities to prepare for Phase III and Phase IV. • Messaging: XYZ. • Specific Department and Agency Activities: XYZ. Phase III--Partial Mitigation • Description: Travel restrictions put in place by active INA 212(f) proclamations remain in place. Those not covered by any active travel bans, including U.S. persons from identified countries are allowed to travel to their final destination and may then be subject to self-isolation for 14 days, as coordinated by state and local authorities. Individuals who travel to the affected domestic areas or live in those areas may be subject to self-isolation for 14 days, as coordinated by state and local authorities. o Triggers: Sustained human to human transmission without nexus to China in two or more domestic locations. • Objectives: (1) Implement the national response, (2) reacting to the first domestic epicenters, and (3) mitigating and minimizing the impact of the disease. • Messaging: XYZ. • Specific Department and Agency Activities: XYZ. Phase IV--Mitigation • Description: Travel restrictions put in place by active INA 212(f) proclamations remain in place. Limit non-essential domestic travel, cancel public gatherings, social distancing, execute private sector and government continuity of operations. o Triggers: Wide-spread domestic human to human transmission, could be in cities or regional. • Objectives: (1) Preserve the functioning of critical infrastructure and mitigate impact to the economy and functioning of society, and (2) support community responses to the extent possible to mitigate illness, suffering, and death. • Messaging: XYZ. • Specific Department and Agency Activities: XYZ. WHO officially names the 2019-nCoV as "COVID19". Was on Panel at Aspen Institute chaired by Helen Branswell and with Nancy Messonnier and Ron Klain as co-panelists. Reminisced with Ron about the Ebole-White House days PRESS: NPR Radio 1A (Todd Zwillick); WTOP Radio; Press at the Aspen Institute (2300 N Street); FOX News (Lou Dobbs) ot using just lab
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Feb. 12, 2020 - 45,172/1115 Individual reports are coming out about various clinical characteristics. Unreviewed report now of virus in saliva of infected people. Let us see what kind of reponse that gets. Very busy day today with 4 Congressionald briefings! Also, complicated by wake of Eric Scorce today and funeral tomorrow. Much stress. First we briefed House members at Rayburn led by Rosa DeLauro, Nita Lowey and Tom Cole. Then we went to the Senate Dirksen to brief senators led by Lamar Alexander. Then to Capitol Visitors center to brief House members led by Eliot Engel. Then to Majority hosue leader Steny Hoyer's office to brief members. Steny was profuse in his praise for me, which was a little embarrassing On my way out of White House from the 4:00 to 5:00 PM Task Force meeting, ran into Larry Kudlow, who has become my new best friend. He joked about how many years I have been doing this and he has been following my career. His main question was when is this COVID19 going to crash the economy, i.e. when does he need to start worrying about it. It told him that we are OK for now but this could change rapidly if we start seing sustained person-to-person transmission. He asked me to keep him informed when in my opinion things are starting to go bad Having our second big multipeson conference call this AM with Mike Ryan, Tedros and WHO, Bruce Aylward (Canadian) called from China. He is part of WHO multi-national advance team in China. Still no invitation for US representation from China to be part of group. Azar getting very angry and blaming Tedros for not pushing with China to get us on the group. Azar feels that Tedros in bowing to Xi Jinping who does not want USA. Tough situation since Tedros and WHO depends greatly on China and often bows to them. PRESS: WTOP Radio; Bloomberg TV (by phone;
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Feb. 13, 2020 - 60,349/1369 Sharp increase in that they are not using just lab test for DX; they are using chest x-rays and CT scans of lung. Meeting at White House with Chairs and Ranking members of big 4 committees with Anne Schuket, General Paul Friedrichs, Bob Kadlec in Roosevelt Room. Kevin McCarthy, Steve Scalise, Greg Walden. Chaired by Mick Mulvaney. Also, Eric Ueland of WH Lewg there. Good questions. Many compliments PRESS: CBS This Morning (for showing tomorrow); FOX News (Lou Dobbs)
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Feb. 14, 2020 - 64,460/1384 Making plans to deal with Americans on Princess Diamond Cruise ship in Yokohama harbor. Cliff flying to Japan to help design a clinical trial to treat infected people with remdesivir. Then he is off to China as part of the WHO-sponsored delegation. Azar, Redfield, Kadlec and I briefed the entire Cabinet on a teleconference this AM PRESS: FOX Business; Spectrum News TV; Fox News with Dana perino;CBS This Morning ; CNBC
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Feb. 15, 2020 - 67,178/1527. Had White House Task Force conference call at 12:00 noon (Saturday). Big issue was the plan to get Americans off the Diamond Princess in Yokohama harbor. State will charter planes to get them to Lackland and Travis AF bases. Sick people will stay in Japanese hospitals. Uninfected and people whoise status is not clear will be flown out with the proper PPE for those who are thought to be at roisk of being infected. Also, discussed on the call the persistent problem of cruise ships in general, which could derail all polasn for containment since they scatter people from all over the world to all over the world. Important conference call chaired by Bob Kadlec with the ASPR and CDC people who are on the ground with the Diamond Princess Cruise ship in Yokohama. The conditions apper to be dreadful with major transmission on the boat. Many crew members getting infected. Japanese are not adhering to the required PPE. It seems that they are unaware of the potential transmissibility of the virus. The CDC people say the ship is like an "incubator" for the virus. One called it a cesspool of virus. This conversation makes it clear that we need to get US citizens off that ship. James Lawlor (Nebraska) and Michael Callahan (Mass. General) were on the call. PRESS: FOX News with Molly Line;
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Feb. 16, 2020 - 69,275/1670 (Sunday) Big discussion on phone with Kadlec, Anne Schuchat and Kevin (ASPR) on whether to remove a person from the evacuation plane who recently showed to be positive. Original plan was that anyone who was infected would not board plane evacuating people from the Diamond Princess. Now Kadlec and Kevin want to board them since people on the bus waiting to board have already been exposed on the bus to several people who are infected. Washington Post story by Jasmeen Abutaleb has me defending Azar against slurs against him (covertly by administration officials). I also say that w need to be fair to the POTUS (see below): "In fairness to the president, someone told him something that has a basis in reality. ... There is some validity in saying respiratory viruses like flu and coronavirus are seasonal," Fauci said. "The only thing is when you're dealing with a pandemic-type virus that is brand new, there's no way of knowing what's going to happen when the weather gets warm." Some officials have complained that Trump's comments about the virus emanate from his briefings with Azar, who they say has been overly controlling in the response and has told other doctors not to get too far into the details of the virus and the outbreak with Trump. Azar is disliked by many in the White House, four administration officials say. Fauci, however, said Azar has brought medical professionals with him to nearly every briefing and insisted they be part of Oval Office meetings. Azar "always defers to the scientists. That's the reason why whenever we're in the Situation room and the president would like some briefing, Alex always takes me and (CDC director) Bob Redfield in with him," Fauci said. "He always wants us to give the straight scientific information to the president." PRESS: Face the Nation (Margaret Brennan); nond Princess.
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Feb. 17, 2020 - 71,438/1775. 454 infected on Diamond Princess cruise ship. Heated discussion last evening (see above) with Bob Kadlec, Will Walters (State Med), Anne Schuchat, Kevin (ASPR) about whether to board people on the evacuation 747 plane who were originally scheduled to come home as "uninfected" after they just found out that 14 of them are in fact infected. The written agreement is that no documented infected people should get on the evac plane. Walters, Kevin and to some extent Bob Kadlec (he was complicit) insisted that since they were already on the bus, we should allow them on the plane. They said that we would not know what to do with them if they stayed since we could not leave them on the ship and the Japanese did not have facilities to take care of them (I do not believe the latter). Anne Schuchat vehemently argued that they should not be allowed to board since the public and written agreement was that they would be put on a plane WITHOUT infected people and this would be breaking that agreement. Nonetheless, Walters pushed and Kadlec (ASPR) caved and went along. Of note, later on (today) Walters said that he checked with me and I was OK with the boarding - a lie! On the call today Azar was upset since the entire Cabinet was questioning why we let them board and when he asked our stance, he heard that we (HHS) disagreed. He was upset that we did not speak with one voice and this looked bad. On the call today, I told him that State (Walters) was going to do what he wanted to do anyway no matter what we said. Of note, on these issues in foreign countries, State has the last word. Several of the 14 infected people from ship who were evacuated went to Nebraska. Also 3 additional people were notified while on the plane that they were infected. We air evacuated 328 people from Diamond Princess. 61 Americans elected to stay in Japan on the ship, but the Japanese want them off the ship because transmission is occurring on the ship. There are now 800+ non-China cases, 365 of which are on Diamond Princess. Now 28 countries have cases and within these there are 183 human to human transmissions. Singapore is problem with 68% of their cases are human to human PRESS: WTOP Radio; FOX (Caputo) TV; FOX Business TV; CNN (Wolf Blitzer Situation Room).
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Feb. 18, 2020 - 73,335/1876. More infections appearing on Diamond Princess. Good thing we got our people off the ship. Director of a major Wuhan hospital dies of COVID-19. Liu Zhiming, 51yo neurologist HS Did panel at the Council on Foreign Relations chaired by Fran Townsend. Bob Kadlec was other panelist. Much discussion about Cruise ship issues. Our planes land in Lakeland and Travis with evacuated Americans. Infected people shipped to University of Nebraska for containment; remainder of the uninfected go into 14 day quarantine PRESS: CNN New Day (Jim Sciutto and Alisyn Camerota); BBC Radio; CNN International; FOX America Newsroom; CNBC; FOX News (Laura Ingraham)
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Feb. 19, 2020 - 75,201/2012. On WHO weekly call with Mike Ryan. 1700 health care workers have been infected. Starting to discuss the role of environmental (surfaces) spread of virus, particularly in the context of the Diamond Princess. Mike Ryan makes good point that the stringent control efforts of China are putting pressure on the virus not to spread. This is somewhat artificial. He is concerned that the virus in other countries that cannot be so draconian in control we might see a resurgence of the virus that is being artificially controlled in China. CDC Comms concerned that I am being too hard on the Japanese by sayng publicly that their quarantine failed. They contacted Courtney. Too bad. I tell it like it is. They completely messed up the infection control on the Diamond Princess. They had over 500 people infected on the ship. Problem is that Japanese are releasing people into the community from the ship without the complete 14 day quarantine. They consider being on the ship as quarantine when it is not. We have "do not board" orders on the people who have left the ship until they are off the ship for 14 days. PRESS: NPR "Morning Edition"; KCBS Radio (San Francisco); FOX Business News; Siriusx Radio - Michael Smerconish; Nextstar TV; Wall Street Journal Pocast; NBC Nightly News (did not show - may show in AM); PBS NewsHour (William Brangham); FOX News (Lou Dobbs)
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Feb. 20, 2020 - 75,752/2130. Had major discussions last evening among the HHS team. Some disagreement that we had to sort out between ASPR (Kadlec) and CDC (Cetron/Redfield) regarding when to trigger the transition from containment to mitigation. Kadlec wanted to do it if only 1 location (city, etc) had more than 3 rounds of transmission, whereas CDC wanted to trigger to be >3 rounds in more than one non-contiguous location (city, etc.) . After much conference call discussion we came to a compromise. Azar pissed off at a story in the Washington Post by Lena Sun. Someone leaked the story about the disagreement between CDC and State/ASPR regarding allowing infected Americans to board the evacuation plane taking people from the Diamond Princess back to the USA. Now this is a big story: "Infected patients put on plane against CDC advice" PRESS: Radio Free Asia (TV); The Doctors TV Show; Home Care Radio (HCR); NBC Nightly News (from yesterday)
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Feb. 21, 2020 - 76,775/2247. 1st patient to die from being on Diamond Princess. Had intense "Table Top"=like exercise with the WHTF in the Situation Room from 3:00to 5:00 PM. Discussed the plans and triggers of going from containment to mitigation. Lots of good discussion. Led by Mick Mulvaney. CNBC interview wa slightly hostile questioning the "controversial" decision of putting the infected evacuees from the Diamond Princess on the plane back to USA. After my explanation and after I was off the air, Mike Osterholm and Scott Gottlieb got on and starting spewing forth about the idea that we might be missing people in the UA who are infected. The hosts seemed to be pitting me against them. Typical media PRESS: BBC World Radio Show; NBC News print; WJLA Local TV by phone; CNBC (Meg Terrell)
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Feb. 22, 2020 - 77,932/2363. Seeing sustained transmissions in Japan and Korea. CDC issuing travel alert 2 - "consider postponing non-essential travel". This is a bad sign and could be the beginning of the transition to a pandemic. Press (see MSNBC below) still folucing on the decision to board infected people on the plane from the Diamond Princess ity spread now increasing PRESS: MSNBC; CNN with Michael Smerconish;
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Feb. 23, 2020 (Sunday) - 78,804/2463. Cases of community spread now increasing greatly in Japan, South Korea, Italy. Bob Kadlec called me this AM with emerging problem. We need to house some of the evacuees from the Diamond princess who are continuing to convert to virus positive in a place where we can isolate them and have them ready for acute medical care if they become ill. There are about 30 people thus far negative for infection who may soon convert, mostly elderly and frail about whom Kadlec is concerned. It is projected that 1 of 10 will convert and likely will get seriously ill as has been the case with other elderly people from the Diamond Princess who got ill in Japan and went to Japanese hospitals. They are now at air force bases Lakeland and Travis, but the military does not want to have responsibility for them if they are infected since they are concerned about "force protection". Also, and importantly, Bob Kadlec tried to get the people housed at Anniston, AL. Congressman Mike Rogers (R-AL) got furious and reemed out Kadlec saying he was going to destroy him. He got on the phone to President trump who was on a plane going to India and badmouthed Azar. Apparently, the POTUS called up Azar and was very pissed off. He told Azar he had to fix it or else, since the POTUS was originally angry that we even brought back infected Americans from the Diamond Princess. Azar then came to me asking me to help him "fix it". And so that is the origina of this saga. The suggestion is to ship them to the NIH Safra Lodge so that they have access to NIH SCSU. This would be disruptive to NIH, but there does not seem to be many alternatives. Had discussions with Francis (boarding a plane to Grand Cayman) and Larry while on my C & O canal walk with Chris about how to address this difficult and frustrating issue. Francis on way to Grand Cayman for vacation. This leave it to Larry and I to "fix". Had important conference call with NIH Clinical Center people - Jim Gillman, Tara Palmore, Rick Davey, etc. Tara makes good point that we realy cannot use the Safra lodge since even one infected person would nullify keeping uninfected people there. Decision was to skip the Lodge and put everyone in the Clinical Center. Gillman, Tara and Rick now huddling to figure out how to do this. I visit the Clinical Center group (Gillman, Tara, Rick, Henry Masur, David Henderson, nursing, etc in Clinical Center Room 6-3551 where they are convening to work this out. They present to me that they can make 11 beds available in the CC for evacuees who may convert. If they did the full 30 (i.e. +19), it would be dangerous for our staff since we cannot retrofit that many rooms with negative air flow and proper room for don/doff. We decide on 11 in CC and Rick works with Lauren Sauer at Hopkins for an additional 8 for a total of 19. We go with that. I contact Azar who contacts POTUS who is on plane Larry Kudlow to India with Melania. And so, it is "fixed". Azar called me to thank me for "saving his ass".
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Feb. 24, 2020 - 79,524/2626. Situation getting worse in Italy, Korea, Japan, Iran. More reports of transmissions by asymptomatic people. Lots of discussions of when the WHO will declare this a "pandemic". WHO is saying that they are no longer using the terminology "pandemic" Stock Market plunging today about 1000 points as a result of coronavirus reports. Mick Mulvaney called my office today to give me the cell number of Larry Kudlow who wanted to speak with me. I called and Larry wanted my take on what is evolving with COVID-19 since it is critical to him in his assessment of the potential impact on the economy. He said he trusts my opinion over anyone else. OMB will release the Supplemental Request to the Congress tonight and I have a Congressional briefing with AZAR and the HHS team tomorrow AM. They did not request any for NIAID even though I put in for $145 million. Spoke with Azar a few days ago and he said that OMB and he would not be upset if the Congress added to the Supp request for money for me. Problem is thsat until then, I may need to defend why I am not getting or do not need additional money. Had dinner over mansion of Adrienne Arst. Chris Liddell and his wife Renee were also guests. PRESS: CBS Radio (NYC); AP TV; FOX Business (Lou Dobbs) Feb. 25,2020 - 80,277/2705 Major concern ove other countries surging in cases - Italy, South Korea, Iran. Stock Market staring to crash due to COVID-19. Supply chain concerns. 1st patient evacuated from Diamond Princess to Lackland supposedly will come to NIH since patient has since converted to virus positive. Big explosion of media. On the usual CDC press briefing, Nancy Messonnier made the comment that a pandemic and community spread in the USA is not a matter of IF, but a matter of WHEN and we should prepare to do things like close schools and do telework. This caused a firestorm of media frenzy around the world. The Stock Market tanked by 1000 points; the POTUS called up Azar asking what the hell is going on. I went into the media to try to calm the waters (see press below). Also, the press was zinging the POTUS and Larry Kudlow for saying right before Nancy made her statement that everything is under control in the USA (which it is for now - 14 cases with no community spread) while CDC officials (Messonnier) were saying that a USA outbreak was inevitable. Also, zinging the POTUS who is saying that a vaccine is imminent from India and (soon). He is obviously confusing the initiation of a phase 1 trial and having a vaccine ready. PRESS: WTOP Radio; CBS Radio (NYC); FOX with Bret Baier; CNN Situation Room with Wolf Bitzer; CNN International; CNN with Chris Cuomo; MSNBC; BBC Radio x2 Feb.26, 2020 - 81,187/2768. Should be a big day with the POTUS back from India and going to give a press conference this afternoon. Big day today! POTUS returned from India and wanted to clear up the issue of Nancy Messonnier's statement that sent the Stock Market crashing. The Task force, particularly Azar, me, Redfield, added Anne Schuchat, Mick M. met with Trump in the Oval Office and updated him on coronavirus situation. (Of note, we have 1st case of community acquired COVID-19 in a woman from Solano County, CA who had no epidemiologic link to anyone weith COVID-19. This could be the beginning of something bad) After we briefed POTUS in the White House, we went into the Cabinet Room and the other members of the Task Force briefed the POTUS a bit more. Then we went into the White House press Room which was more packed than I had ever seen it. People standing on chairs in the isles. POTUS made comments, then Azar, then Anne, then me on vaccines and therapy. The POTUS stayed for a long time (45 minutes) answering questions. He called Nancy Pelosi "Incompetent" in answer to a question For the most part he was OK, but tended a little bit to underplay the situation. After that we went back to the Oval Office with the POTUS to do a "post-mortem" on the press conference. Everyone felt good about the presser. There was much speculation that the POTUS would either get rid of AZAR or appoint a Czar. The press was geared for that. However, POTUS asked VP Pence to do overall coordination of the coronavirus effort. Clearly this was a compromise to not make Azar look bad since he is friends with Pence and at the same time silence/satisfy those who want a Czar and/or to get rid of Azar. Another interesting twist was that they announced that Debbie Birx would be the new "coronavirus coordinator" in the NSC. Apparently, she may have been fired from PEPFAR where there was considerable discontent about her leadership style (very dogmatic and inflexible) Finally, we all adjourned to VP Pence's office to discuss his new role in coordinating coronavirus activities. White House had us cancel all press briefing commitments since they wanted all the news to be the POTUS. This led to the impression that I was being "muzzled" and led to a real twitter forestorm PRESS: CNN New Day with John Berman and Alisyn Camerota; FOX News; CNBC Squawk Box;
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Feb. 27, 2020 - 82,446/2808. Very interesting things evolving. Got phone call from Azar this AM (while in Building 31 cafeteria). Azar is frustrated with the operational incompetence of the CDC and asked me to start thinking abou a possible replacement for Redfield at CDC in case Azar needs to replace him. He prefers a woman, and someone who is not an obvious anti-Trump person. Azar admits that regardless of all the PR, the fact is that Pence is now in charge. Also, Azar told me that Pence ordered the lockdown of all press by everyone including Azar. Azar is trying to turn this around since it is obviously a bad idea. Got phone call fom Tom Bossert (former Deputy National Security Advisor to Bush and National Security Advisor to Trump until John Bolton forced him out). Tom saw the press briefing on TV last night and was appalled by the denialism of the problem by Trump. He wanted to know if I was trying to bring in some reality testing. I told him that this was difficult. I emphasized that we should be testing thousands of people and not just a few hundred. With the 1st community case in CA, it is clear that there are other infected people out there in the USA. Also, there is a 2nd community case in California. Turned into an amazing day. Chris Cuomo calls me up and says that he wants me on his show since he is going to rip apart the CDC for not having enough tests available to screen for community spread cases (i.e. no known geographic connection). He says that people from NYC and elsewhere are calling us saying that they have suspicious cases and they cannot get test kits from CDC. Actually, this is for at least 2 reasons: 1) the CDC has not worked out the glitches in their kits and the criteria for testing a PUI (person under investigation) included their having an epidemiologic connection to a case. This is crazy since by definition, a community-based case (which we are trying to screen for) does not have any recognizable epi link. I realize that we have to fix the CDC problem and I call Brian Harrison and we both walk into Azar's office and explain that we need to get CDC, FDA together to loosen the regulatort constraints on getting tests out. It was my pushing that did it. They come up with a solution of regulatory relaxation of QC. Stock Market crashing! Also the issue of "muzzling Fauci" is going wild. See above: It started when the VP took over the Task Force and his Chief of Staff (Mark Short) and his comms person Katie Miller wanted to re-assess the communications. This was really triggered by the Nancy Messonnier's statement. I had agreed to a number of TV hits and we got word from the VP office to Bill Hall that we need to stand down on all media for the time being so that we can re-submit clearances. This got interpreted that Fauci was being muzzled and triggered an amazing twitter storm that was widely and virally tweated to not suppress the "great Fauci". I was getting hundreds and hundreds of emails of support. There is even a #freeFauci out there. phone call at home from President Trump taly, Iran, Japan. Big surprise was at 10:35 PM tonight I got a phone call at home from President Trump who wanted to chat about the coronavirus situation in general. We spoke for about 2025 minutes. I encouraged him not to underplay the seriousness of the situation since if it turns out bad, it would look like he is covering up. I even spoke to him from a political standpoint that his chances for re-election might be more damaged if he downplayed the potential spread of virus in the USA than if he said we may face serious problems and even if the Stock Market goes down further, he was at least honest and the country would respect him for it. I thought that he heard what I said, but the next day, he again underplayed it.
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Feb 27, 2020
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Feb. 28, 2020 - Much community spread in South Korea, Italy, Iran, Japan. Briefed the All House Membership at the Capitol Visitor Center. Question came up of whether I am muzzled and I explained that this was not the case. PRESS: MSNBC - Chris Matthews Hardball; FOX Business with Gregg Jarrett;
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Feb. 29, 2020 - 86,000/2941. Important Day - Went to Situation Room for a Saturday AM (10:00 AM task force meeting) when it became clear that there was several new cases of "community spread" There were already 14 cases (12 from Wuhan and 2 spouses). Then we learned a few days ago that there were 2 cases in California that were community based and both were now on respirators. The NEW information from yesterday is that there are now 6 additional cases - 1 in Oregon of a 45 yo who is now in the ICU and 5 cases near Seattle Washington, one of whom died last night; another one is hospitalized; and a 73 yo in long term care is now in an ICU; one just returned from Korea and so that might be a link for that person, but the others are unknown source. A new chapter in the outbreak. 6 hour meeting in the White House Situation Room. We increased travel alert to Italy and Korea and no travel to Iran. Level 3 for Italy and Level 4 to Northern Italy. Level 3 for Korea and Level 4 for Daegu in Korea. I suggest and it is accepted as the "Fauci Rule" of asking these countries to do exit screening on people coming from their country to USA. Meeting led by VP Pence. Trump joins meeting and we decide to make announcement at press briefing in WH press Room of new findings (plus the fact that they signed an agreement with the Talaban to end the war in Afghanistan). Pence and Mick Mulvney want me standing right next to the POTUS on the podium so that I can be seen on TV, and I make remarks about the recent community cases. POTUS speaks, then VP Pence, the Azar, then me, and then Redfield. They wanted just me, but I pushed to have Redfield also make remarks. During the question period, the issue again comes up about whether I am muzzled. I go to microphone and say I am not nor have I ever been muzzled. VP Pence and Azar to be on Sunday Morning Shows tomorrow PRESS: NBC Today Show; MSNBC;
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Mar. 1, 2020 - 87,137/2977. Bob Redfield and Nancy Messonnier telling me that there are now more cases in Chicago, Rhode Island, Florida, Massachusetts. Nancy is frustrated that Bob is not sounding the alarm to start social distancing. She is asking for my help. I will bring it up at the AMA call and the Task Force call. Got call at home this AM (Sunday) from Gov. Andrew Cuomo (NY) asking advice how he should handle the COVID-19 siutation in NYC. Had long conversation in which he stressed a few times, how much his father (and mother) loved me and used to tell Chris and Andrew how much they respected me and how proud they were that I was an ItalianAmerican. Sylvia Burwell appeared on Fareed Zakaria GPS show. I was supposed to be on with her, but it was one of the shows that got cancelled for me. She called me this AM while Chris and I were on our walk and asked advice and fact checking for her interview. On several of the Sunday Shows my name kept coming up by people in interviews and panels (Chuck Todd - Meet the Press) saying that "we should have Dr. Tony Fauci out there speaking to the American people. He has a decades long history of giving the truth in a calming way to the public." Sunday conference call with AMA followed by VP Pence and Task Force. We are moving to mitigation in Santa Clara section of California where there are cases and in the Seattle area of Washington State. Reason - we have sustained community transmission in those areas. PRESS: FOX and Friends;
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Mar 1, 2020
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Mar 1, 2020
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Mar. 2, 2020 - 89,197/3038. 2nd death in the USA (Washington State man). Several more community based cases plus a NYC case that returned from Iran. We will need to move to mitigation + containment in Washington State, which has declared state of emergency. 89 cases in USA with more cases each day. 6 deaths in USA Deb Birx on board. Had a slight run in with her when she told me that the WH was pissed at me for sayng on n NBC interview today that we have an outbreak and "likely a pandemic". It all go cleared up after I spoke with Katie Miller who is now running the Comms shop for COVID-19. She is the VP's Comms person. Someone trying the hurt Azar by leaking to press (Politico and WSJ)that on a phone call wher we discussed the contamination problem with the CDC test that Azar and Brian Harrison said to send the tests out anyway even though they are defective. The leaker said that I was on the call and tried to persuade them not to do this. The entire story was a fabrication and Brian Harrison, Redfield and Steve Hahn talked the reporter out of it. Met in the Cabinet Room with POTUS, VP and multiple CEOs of PHARMA to discuss contribution on industry to treatment and vaccine effort. POTUS very deferential to me at meting. Getting many, many e-mail and press writing about my role helping the country. Much press exposure (daily WEH briefing from press room) Having a daily Task Force meeting at 4:00 PM will destroy my schedule to do anything else. PRESS: CNN New Day with Alisyn Camerota; CNN with Chris Cuomo; Daily press conference from WH press room. Mutliple spinoffs
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Mar. 3, 2020 - 91,320/3118. POTUS and VP visit NIH today. Amazing day! Testified with Steve Hahn, Anne Schuchat, Bob Kadlec before Senate HELP Committee chaired by Lamar Alexander. Patty Murray complaining about lack of testing availability in Washington State where there is increased community spreading now with 6 deaths most in nurtsing home. In the middle of the hearing Sen Keane asked me why I was disinvited to the Democratic caucus lunch. It was scheduled that after the Hearing, Hahn, Birx and I should make comments first at the GOP Senate caucus lunch and then the Dem. In reality someone in the VP's office screwed up and felt that I would not get to the NIH in time to greet the POTUS who was coming up on Marine One. They did not know that I was supposed to ride in the motorcade with Pence. Anyway when the VP's office heard about the outrage of Keane, they immediately re-invited me. Keane thought that this wa another example of them "muzzling me". A real cluster. However, the VP spoke so long at the Dem lunch that it was clear that the POTUS would arrive before me, who was supposed o greet him. Finally Azar and I raced up in his car with no motorcade to NIH. Amazing that the POTUS got to VRC/NIH before me and Azar and actually waited in the holding room for me. Yikes! We did our thing; I made a presentation, we had a press conference in the VRC. Graham and Kizzmetia Corbett made presentation on 2nd floor and then the POTUS invited me and Azar to return to White House with him on Marine One. After we got off Marine One, the POTUS and I held a press conference on the lawn. Amazing. We then had our Task Force meeting followed by another press conference. Importantly, I have been pushing for blanket testing throughout the country on symptomatic and asymptomatic people to get some data. CDC and FDA are promising this now, but I doubt if they can deliver. I am beginning to quedtion the competency of CDC and the innocent inexperience of Steve Hahn and FDA In the middle of this, Larry Corey calls me up and mentions that they did in Seattle a screening of people presenting with Flu like sxs in 4 emergency rooms, and of 380 people, 4 were positive for Coronavirus. This is bad since this is 1%. I told Larry to call Bob Redfield and let him know. This may be the beginning of a major outbreak in the USA PRESS: Good Morning America with George Stephanopoulos; multiple press conferences, including one on White House Lawn after getting off Marine One with the POTUS
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Mar. 4, 2020 - 95,125/3254 Countriesd with cases - 77. South Korera -5328 cases; Italy - 2502. In USA 22 cases travel related + 38 person-to-person (10 deaths) = 60 cases + 3 Wuhan and 45 Diamond Princess repatriated - 48 . total - 108. Testified with my NIH colleagues at the House Approps Subcommittee chaired by Rosa DeLauro and present was Full committee Chair Nita Lowy. Again much praise for my role in coronavirus. Many senators want to speak individually to me. Today spoke with Senators Manchin (D-WV), Gary Powers (D-MI), and Pat Toomey (R-PA) clarifying point about testing, which is the big topic since the CDC and FDA lagged behind. More briefings today of House GOP and Dem caucus in Capitol Visitor Center. Totally standing room only. Kevin McCarthy ran GOP and Nancy Pelosi ran Dem. Much praise for me. VP came with Birx and then took me with them to return to WH in his motorcade, which was really fun - driving at 50 miles/hour down usually crowded streets that are now all blocked off. Daily task force meeting - I presented to group the 4 cases of community spread in Seattle (Corey phone call). VP and Steve Mnuchin pownplayed and VP bought it saying that 1% is a small number. I tried to explain to them that 1% reflects the situation a few weeks ago givin incubation and the real number is probably hundreds of infections. I wanted to have them do social distancing. Birz looking like she wants to tell the VP what he wants to hear. Not looking good. Sean Conley appropriately questions the VP going to Seattle. I call up Marc Short tonight and express my concern that they are downplaying the 4 patients. He understands and will relay this to VP. Governor Cuomo wants me (texts) to go to NYC and do a press conference with him. I told him that this is unlikely. He texts me back: "You are doing the important work! I am in the cheap seats. God Bless. Whenever works". PRESS: Press conference after the Task Force meeting. I stress difference between risk of infection and risk of complication.
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Mar. 5, 2020 - 97,381/3348 Now have 12th death in USA - another of the Seattle nursing home. Total cases in the USA = 152. Seattle seeing community spread (see above). Did Full Senate and Full House briefings in the Capitol Visitor Center with Azar, and some members of Task Force. Some hostility between Azar and Congressman for Texas regarding the issue of the Congressman questioning whether CDC people were properly PPE'd when they brought expatriated people from Diamond Queen. Following the briefings, we did a press conference. Many hostile questions regarding what the POTUS said that AM on Hannity. He said that most people who get infected and do very well and can go back to work. He obviously misunderstood the briefing of him that most people whore infected (>80%) do well and do not need hospitalization. He also quoted a modeling study from CDC (Spoken by Brett Giroir) that the real CFR was between 0.1% and 1.0%. The press asked me how this could differ from the WHO number of 2-3%. I explained that the WHO only counts cases that come to the attention of the medical community (and this was pure arithmetic of numerator (deaths) and denominator (number of recognized infected people) and the CDC model was making assumptions about the actually number of infected people who might be asymptomatic or minimally symptomatic and not get noticed. Did a Podcast with Alan Alda (really wonderful guy). Congress passed a $8.3 billion supplement for coronavirus. NIAID gets $826 million Govenor Inslee of Washington State called me even though the VP was on his way to visit the Govenor and asked me my opinion about mitigation, i.e. should they start it. I told him a definitely yes. He said that he trusts me and no body else in the administration. I also answered a number of questins from him and his staff. Someone still is planting stories to discredit Azar. Judy Steckler (HHS) has asked me on a couple of occasions (see above) to call the reported and give the other side of the story which I have done. Press stories that the White House did not like the Profile of me in Politico since it is off message (Really???). Yet everyone in the WH is congratulating me on the piece (watch your back, Tony). I am pretty safe, I believe since the public adulation of me has been amazing with every young intern as well as seasoned veteran in the WH coming over to me congratulating me and thanking me for my work and even asking for selfies. Bad news with another cruise ship - Grand Princess. A person was on the ship, did not feel well, got off in a port in California, then was hospitalized, tested positive for COVID-19 and died. Now the cruise ship wants to dock in SF. Not being allowed Several people on board have respiratory sxs. Flying tests in to see if there is infection on the ship. If there is, we will have to quarantine the entire population of the ship OFF the ship to avoid a Diamond princess situation. Problem is that logistically we have no easy way to quarantine 4000 people. More tomorrow when we get results of tests. PRESS: FOX Business with Lou Dobbs; CNN Town Hall with Anderson Cooper.
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Mar. 6, 2020 - Nancy Messonnier calls me asking for help in getting the message out that we must protect the vulnerable (elderly with co-morbidities). She wants to say it but she says the VP's staff are pushing back. I promise to bring up at TF meeting. I do and get support to announce it, which I do at the WH press conference this afternoon. I say that people with underlying conditions, particularly the elderly, should start to practice some form of social distrancing as well as avoiding any non-essential travel, particularly airplanes. During task force meeting it became clear that there were at least 21 infections on the Grand Princess out of the 46 tested. All but 2 were in the crew. I and others strongly push to get these people off the ship to avoid another Diamond Princess fiasco. Leave crew on ship and test everyone and put inot holding facility (March or Travis) and then send the California passengers to self-isolation at home, provide charter flights for the non-Californians to their home, and have the UK, Canada and other countries come and make decisions for their citizens as to their disposition. POTUS in Florida tells VP that he would keep the people on the vessel, but if Fauci and others feel it is better to take them off, then take them off. Yet, when he does a press conference in Florida, he says does not favor taking them off ship. I am beset with having to deal with always being asked if I disagree with the POTUS. Continually being pressed about the lack of availabioity of tests when Hahn at FDA is saying that 750,000 tests are distributed and 1.5 million more are on the way next week. PRESS: NBC Today Show with Savannah Guthrie; JAMA Podcast with Howard Bauchner; Tape CBS 60 minutes for airing on Sunday March 8);
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Mar. 7, 2020 - 102,969/3511. Meeting at Deb Birx home to hash out issues in preparation for TF meeting today (Saturday) at 4:00 PM. Tom Frieden comes down from NYC, Joe Grogan, Steve Redd (now detailed from CDC to Deb), Matt Pottinger, Olivia Troye. We make decision to recommend that staff of all nursing homes and extended care facilities act as if they are infected and wear masks, wash hands, etc. in dealing with clients. Also, limit visits of family members, and if they do visit, they should do as the staff does. Still have not made decision about whether to ban all embarkment s of cxruise ships for USA. We want to do this, since we do not have the facilities to quarantine thousands of people on a single ship when we know from DOT that at any given time there are 99 cruise ships out there with >300,000 people that are planning on disembarking at USA ports. Announced last night that Mick Mulvaney is out as Chief of Staff to POTUS and will now be Special Envoy to Northern Ireland (Yikes!) NY Times today. At Deb house we learm that 2 people from the AIPAC (American Israel Public Affaitrs Committee) meeting are infected and one who has now actually gotten sick has hugged Mark Meadows, the new Chief of Staff to POTUS. I speak with Sean Conley, Physician to POTUS, and tell him that Meadows needs to be isolated at home now; he needs to be tested now; if negative, then OK, but still isolate 14 days' if positive, we have a real problem sine he has made contact with many public Figures, possibly the POTUS already. VERY INTENSE TIMES. Meadows test is negative. Will isolate for 14 days. Gov. Cuomo calls my cell and wants me to help him get masks from the WHO supply since the SNS does not have enough to service New York. I give him Stewart Simonson's cells phone and they connect. Had important TF meeting in Sit Room. VP phones in from Mar a Largo. At least 4 cruise ships with crew members who were on the Grand Princess are out there. Could be a logistic nightmare. I propose that we urge seniors with co-morbidities to avoid crowds, unnecessary travel, particularly on planes and absolutely on cruises as part of my campaign (see above) to protect the vulnerable. I write (handwritten at the Table) a statement for the State Department to publish with DHS that this is our recommendation. VP loves it (on phone) and says let us call it the Fauci doctrine.
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Mar. 8, 2020 - 105,427/3583. 2 cases in DC and at least 3 in Montgomery County. I am going to start social distancing myself - am 7 monhs shy of 80 years old. Today is the Sunday show day. I emphasized on FOX (Chris Wallace) and Meet the Press that people with underlying conditions, particularly the elderly with such conditions should do social distancing, avoid all by absolutely essential travel, do not take long plane trips and absolutely avoid cruise ships. The meetingof the TF today emphasized getting people off the ship. There has been a delay with the union of longshoreman somewhat passive aggressing the USG. Pence to Call Gov. Newsom. Pence tasks Deb and I to put together some "Doctor Talk" statements in clear language. Pence clearly very happy the way I handled the 2 Sunday Shows that I did. Nice Profiles of me in Politico and NY Times today. Amazing outflow of thanks from hundreds of people!! Article from Denise Grady: Not His First Epidemic, Dr. Anthony Fauci Sticks to the Facts Where politicians fumble and other government health officials step back, he steps up to explain. Dr. Anthony Fauci, director of the National Institute of Allergy and Infectious Diseases, speaking before the House Appropriations Committee on Wednesday.Credit...Anna Moneymaker/The New York Times
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March 8, 2020, 3:04 p.m. ET • • Dr. Anthony Fauci, the nation's leading expert on infectious diseases, is widely respected for his ability to explain science without talking down to his audience -- and lately, for managing to correct the president's pronouncements without saying he is wrong. President Trump said that drug companies would make a coronavirus vaccine ready "soon." Dr. Fauci has repeatedly stepped up after the president to the lectern during televised briefings or at White House round tables to amend that timetable, giving a more accurate estimate of at least a year or 18 months. Mr. Trump said a "cure" might be possible. Dr. Fauci explained that antiviral drugs were being studied to see if they might make the illness less severe. The president also said the disease would go away in the spring. Dr. Fauci said maybe so, but because it was caused by a new virus, there was no way to tell. Experts like Dr. Fauci should be the ones who speak to the public during epidemics, said Representative Donna E. Shalala of Florida, who was his boss during the Obama administration, when she led the Department of Health and Human Services. "I think Tony is playing the same exact role that he has in the past -- to make sure the science is accurate and clear," Ms. Shalala said. "During a health emergency, it's the scientists and physicians that are the credible people to the American public, not politicians." "I used to make him wear his white coat when talking to the public," she added. "I used to make them all wear their white coats so people were reassured that they are real doctors." On Sunday, Dr. Fauci appeared on at least two television news shows, warning that as the virus spread -- there were more than 450 cases in at least 33 states -- some stricter measures to isolate the infected might be considered. He also offered advice for older adults and those with underlying health conditions who are most at risk, saying they should avoid cruises, flights and large gatherings of people. At a recent Congressional subcommittee hearing, one representative asked Dr. Fauci if he had a twin, because he seemed to be everywhere lately. Another offered medical advice: lemon, honey and bourbon for his voice, which has been hoarse for weeks from endless rounds of talking to lawmakers, scientists, health officials and reporters. If Dr. Fauci has become the explainer-in-chief of the coronavirus epidemic, it is in part because other government scientists have left a vacuum, avoiding the news media spotlight or being reined in by the Trump administration and accused of exaggerating the threat from the virus. When reporters call Dr. Fauci, he calls them back. Dr. Robert Redfield, director of the Centers for Disease Control and Prevention, is famous for being unknown: He has given few interviews or public talks outside those required by administration news conferences. Dr. Nancy Messonnier, director of the C.D.C.'s National Center for Immunization and Respiratory Diseases, who warned on Feb. 25 that the coronavirus was likely to spread in the United States, and that "this could be bad," came under fire from the administration and has toned down her advisories. "Nancy Messonnier told it like it is," said Dr. Thomas Frieden, the former director of the C.D.C. "And she was 100 percent right, and they silenced the messenger." The C.D.C. has made few of its other scientists available for interviews about the coronavirus. And it is now facing sharp criticism for long delays in providing states with kits to test for the virus, and for setting such tight limits on the tests performed at its it by headquarters in Atlanta that some diagnoses were delayed or missed, possibly leaving infected people to spread the virus to others. Dr. Fauci, 79, does not seem to be in the cross hairs. Although he was recently told he must clear his many TV, radio and print interviews through the White House, he has said that he has not been muzzled. "You don't want to go to war with a president," Dr. Fauci told Politico. But he thinks the public needs solid, understandable medical information, especially during crises. He makes a point of not trying to "razzle-dazzle" audiences with his knowledge, he told an interviewer in 2015, adding that his education at a Jesuit high school and college taught him intellectual rigor and the value of public service. As director of the National Institute of Allergy and Infectious Diseases since 1984, Dr. Fauci has lasted through six presidents, and has declined multiple requests to lead his agency's parent organization, the National Institutes of Health. He has led federal efforts to combat diseases caused by emerging viruses, including H.I.V., SARS, the 2009 swine pandemic, MERS, Ebola and now the new coronavirus. He was an architect of the President's Emergency Plan for AIDS Relief, started in 2003 by President George W. Bush, to fight H.I.V. globally. In 2001, after anthrax was mailed to Senator Tom Daschle of South Dakota, the Bush administration tried initially to minimize the threat, but Dr. Fauci was characteristically blunt. "This is material that is quite formidable, that is infecting people with inhalation anthrax, infecting them in the absence of direct contact," he said. "You can call it whatever you want to call it with regard to grade and size or weaponized or not weaponized. The fact is, it is acting like a highly efficient bioterrorist agent." Previous disease outbreaks have kept him on the lookout for new pathogens, and in January, reports of unexplained pneumonia cases in Wuhan, China, set off alarms in his head. "Even before we knew it was a coronavirus, I said it certainly sounds like a coronavirusSARS type thing," he said. "As soon as it was identified, I called a meeting of top-level people and said, 'Let's start working on a vaccine right now.'" He is among the most highly paid federal employees, earning about $400,000 a year, more than the vice president or the chief justice of the Supreme Court. He oversees a 2020 budget of $4.75 billion, which is $769 million less than last year's after being cut by the Trump administration. Unflappable though Dr. Fauci may seem, the new coronavirus worries him, especially its spread in the Seattle area and the toll it is taking in a nursing home there. He said he vitals thought it was still possible to stop the disease, but health authorities would have to know where it was to do that, and he said the lack of testing capacity was a huge obstacle. Test kits sent by the C.D.C. to states were flawed, and it has taken weeks to begin replacing them. And strict regulations from the Food and Drug Administration hampered outside labs' efforts to begin to do their own tests. But Dr. Fauci declined to join the chorus of blame against the C.D.C. "It's so easy to play Monday morning quarterback," he said. "Every element of the federal government was working full-speed to try to get this out and get things going." "What I really want to concentrate on is the idea of getting enough tests out there to get an evidence-based foundation of where we are in this country," he said. "Seattle is of concern. We need to know the extent of the community spread." At times in the past, Dr. Frieden said, Dr. Fauci may have over-promised a bit in his enthusiasm for projects of his that have yet to pan out -- an H.I.V. vaccine, and a universal flu vaccine that would provide long-lasting immunity to multiple strains so that people would not need another shot every year. "It's the role you have to play to get money from the Hill, and the role of a researcher to be eternally optimistic about a cure being around the corner," Dr. Frieden said. "He's very effective at asking for money from Congress." He is also a fair-minded colleague, Dr. Frieden added. During West Africa's Ebola epidemic in 2014, after two nurses treating a patient who had traveled to the United States became infected, the C.D.C. was harshly criticized for not having helped hospitals to prepare better. Dr. Fauci did not pile on. "Not everything we did was perfect," said Dr. Frieden, who then headed the C.D.C. "There are many people in similar roles as Tony who might have taken advantage of that for the interest of their institution, and Tony was always honorable." "If we did something wrong he was frank about that," he continued. "When we were getting attacked unfairly, he defended us. That's very unusual behavior in the bureaucratic situation you see in Washington sometimes. I think that's why Tony is so respected." During the early years of the AIDS epidemic, the U.S. government and its health agencies were a frequent target of criticism and protests, blamed for inaction on potential treatments and inadequate funding for research and medical care. When AIDS activists demonstrated outside his institute in 1988, demanding a chance to try experimental drugs, Dr. Fauci surprised the leaders by inviting them into his office. He wound up working with them to develop new ways to expand access without compromising the clinical trials that were urgently needed to determine which drugs worked -- an approach that was later applied to research in other diseases as well. "There are a lot of world class scientists, but Tony has a special set of skills," Ms. Shalala said. "An ability to communicate, high integrity and an understanding of politics -- and to know to stay out of politics in order to protect scientists." Dr. Fauci acknowledged that his age puts him in one of the groups at highest risk for becoming severely ill from a coronavirus infection. But it has not slowed him down. He sleeps only about five hours a night, works most of his waking hours and jumps on the Metro to get around the Washington, D.C., area, from his office to the Capitol and the White House. Most days, he runs or power walks 3.5 miles. "I'm not worried about myself," he said. "I'm worried about the job I have to do." Andrew Jacobs contributed reporting. Alain Delaqueriere contributed research. Disclaimer: Any third-party material in this email has been shared for internal use under fair use provisions of U.S. copyright law, without further verification of its accuracy/veracity. It does not necessarily represent my views nor those of NIAID, NIH, HHS, or the U.S. government. PRESS: FOX Sunday with Chris Wallace; Meet the Press with Chuck Todd; Appeared on 60 Minutes (CBS) Special on coronavirus
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Mar. 9, 2020 - 111,354/3892. Stock market really crashing. Even though we are saying that 1.1 million tests are out there, and millions (4 mill this week) to follow, we still do not know how many tests have been performed and whether anyone can get a test who needs it. hate to say it, but some incompetence at CDC/FDA. We are geeting killed publicly by this vulnerability. Am now told by CDC that we only have 1 million nasal swabs to collect the specimens. And so now we have more tests than swabs! And the limiting factor is the swabs. Gov. Cuomo calls me up and asks my advice on whether to close schools in the orthodox Jewish section of Westchester where they have 90 cases (more than rest of NYC). I tell him yes. He also asks about closing subways. I tell him not yet, but let us stay tuned. I will push for more surveillance testing. Lab Corps and Quest On phone call with VP and all the Govenors. I talk about protecting the vulmerables with co-morbidities, particularly among the elderly I bring Cliff into the group on an almost fulltime basis. Cases in 35 states. >500 cases with 22 deaths Priority 1 is to get people off the Grand Princess. w 712. Deaths 29 Had press conference. POTUS came. Had good conversation with him. He is getting very crummy with me. I sarcastically answered one of the persistent questions about the cruise ship issue by saying I personally would never get on a cruise ship. PRESS: CNN New Day with Alisyn Camerota and John Berman; FOX and Friends.
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Mar. 10, 2020 - 116,588/4090. USA cases now 712. Deaths 29 Just signed off on a Level 3 State ("Reconsider Travel") and a Level 3 CDC ("Avoid non-essential travel) for the European Schengen Area This measn that all travelers from this area are required to enact a 14 day voluntary quarantine after arriving to USA. Also will consider an INA Section 212(f) Proclamation banning travel to USA bu any foreign national, with limited exceptions, who has been physically present in Italy in the last 14 days I push hard with Jerome Adams to expand community mitigation. One topic was whether there should be campaign rallies. I insiste that we say all large crowds should be avoided. Marc Short pushes back since the POTUS will be doing rallies. Jerome and I continue to push. I will say that the degree of stopping depends on the area of the country - Washingotn State (bad); Nebraska (probably OK). Chris Liddell becoming a friend and encourages me to stick by my guns - good guy. For better or worse, I am becoming an international celebrity. Calls from all over the world. Am concerned a bit about my health. Having total body pain and will again stop Crestor Reports from Italy are really bad. Running out of equipment and just letting the elderly and frail die without intervention. Katie Miller defending my saying what is my opinion based on good public health principles despite others in the VP's staff wanting me to be a bit more politically sensitive, particularly around campaign rallies. Katie wants to have me do ther "Fauci 5" this coming Sunday. Chatted with Govenor DeSantis (R-FL) who was concerned that I said at Press conference today that Florida had community spread, when in fact Florida just had a big cluster. He was correct, was nice on the phone call arranged by WH after he complained. We came out with a statement correcting. Spoke together with (Bob Redfield)with Nancy Pelosi at the request of VP to convince her to pass a bill to indemnify companies who make the surgical masks. There are 2 categories of masks: 1) medical, and 2) industry. They are really the same with some very minor differences. We do not have enough medical and so we want to sell the (WHO numbers). industrial ones to medical use. The PREP act allows indemnification The companies want indemnification to sell the industrial ones to medical. PRESS: NPR Morning Edition; FOX Hannity
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Mar. 11, 2020 - 121,098/4366. >1000 cases in USA - 29 deaths (WHO numbers). Congressional House Energy and Commerce Oversight and Reform Hearing today - Carolyn Maloney (D-NY) Chair AMAZING DAY!! Before Hearing we were told that the POTUS wanted me at the White House at 12:30 PM for a meeting about travel restrictions that we had been discussing and the Hearing was supposed to end at 12;30PM .. I obviously had to leave at 11:45 AM. I left. The chair and committee was very annoyed. The twitter feed blasted that since I was being very forceful in saying that :"Things were going to get worse before they got better" and gave a very serious warning about what was ahead, that the POTUS yanked me out of the hearing (Amazing).. Multiple TV cameras and hundreds of camera clicks followed me out of the Rayburn Building as I had a car waiting for me to take me to the Oval Office. The days discussions were historic. I, Bob Redfield, Deb Birx and Azar argued and discussed for a couple of hours that we should retrict all travel from the Schengen countries (the 26 European countries) similar to what we did with China (see above). USCITS can come back but will be funneled through 1 of 13 airports and when they get here, they must self isolate fo 14 days. Non-USCITs can only come if they had spent the last 14 days outside of the Schengen. Reason was that 70% of all new global infections were in Europe (particularly Italy and France) and 30 of the 35 US States had infections that originated in Europe. Level 3 travel to Europe - only essential travel Steve Mnuchin and Larry Kudlow were against this since they felt it would cause a depression, not just a recession. We went back and forth multiple times. Jared Kushner and Bob O'Brien (NSC) weighed in with me and Bob/Deb. We went in and presented to the POTUS and he asked good questions, many of them to me. He agreed and was clearly concerned more about the health of the American people than he was about the economy, which he said would recover. We then went and asked the opinion of the CEOs of the major banks who were waiting for POTUS in the Cabinet room. We did not them what we had alredy decide, but we asked them what they thought about travel restrictions. They were favorably disposed. Speech written mainly by Steve Miller with help from Jared Kuschner. I helped in reviewing of the Speech which the POTUS gave at 9:00 PM from the Oval. POTUS writers took out some good stuff that I wanted in and kept in some stuff I did not like. However, in all it was a good speech. ses in 44 states. The VP and I called Pelosi, Schumer, Mitch McConnel, and Kevin McCarthy to give them a heads up After I went home and watched on TV, the CNN commentators (Chris Cuomo, Anderson Cooper, David Gergon, David Gregory) all discussed me as the adult in the room and the person wew should all trust. Finally, Nancy Pelosi called me at home and was enraged and yelled at me for about 25 minutes saying that we left out the UK because of Trumps relationship with Boris Johnson. She is completely incorrect. UKwas not part of Schengen. She did not care. She said that I have lost all of my credibility now by saying that I said this was a public health decision when it really was a political decision. Terrible phone call!!! I called up Olivia Troye (Assistant to VP) after the call and explained. We will try to address this tomorrow. Probably should get Steve Beigen (State) to explain Schengen to her. PRESS: WTOP Radio; Clips of me all over all the news on multiple networks/cable.
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March 11, 2020;
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Mar. 12, 2020 - 129,846/4931. 1267 cases in USA, 38 deaths. Cases in 44 states. Italy continues to surge Has House briefing in Capitol and Senate briefing in Dirksen. Then continuation of House Energy and Commerce Hewaring from the other day with Malonet as Chair. Again, they hammered us about testing. The Senators and Congressperrdsons were enraged, especially Patty Murry (D-WA). Steve Redd during the briefings and Bob Redfield during the Hearing continued to be incoherent in explaining about the difficulty regarding testing the "Public health" system that the CDc set up works well in individual small numbes of patient/physician related requests. However, it is not suited to mass screening. Calls with Se. Joe Munchin (x2); Gov. Cuomo; Sen. Rick Scott (R-FL) Very flattering article abpout me in the Washington Post by Karen Tumulty (see below) that explains the above: Anthony Fauci fights outbreaks with the sledgehammer of truth An administration in deep denial. Anthony S. 'of Allergy Dr. Anthony Fauci, the director of the National Institute of Allergy and Infectious Diseases at the National Institutes of Health, on Capitol Hill on Thursday. (Joshua Roberts/Reuters) By Karen Tumulty Columnist
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March 12, 2020 at 5:32 p.m. EDT A virus that is deadly and little understood. An administration in deep denial. Anthony S. Fauci has been here before. As the coronavirus epidemic escalates, the director of the National Institute of Allergy and Infectious Diseases (NIAID) has become a familiar media presence. Fauci's expertise and credibility shine against the contradictory and false messages coming out of President Trump. The administration has at times sounded more concerned with protecting the president politically than stopping the spread of a potentially lethal disease. While Trump tries to play down the severity of a public health crisis that might affect his reelection prospects, Fauci has laid out the best assessment of the true danger in stark terms. In testimony Wednesday on Capitol Hill, he warned that the coronavirus has a mortality rate 10 times as great as that of the flu, and refuted Trump's rosy promise that a vaccine will be ready "in a fairly quick manner." Fauci also said flatly that the government is "failing" when it comes to the urgent imperative of making widespread testing available. The latest updates on the coronavirus After federal officials gave lawmakers a briefing on Thursday, a frustrated Rep. Anna G. Eshoo (D-Calif.) told me: "Everything was wrapped in confusion. The only one who answers the questions -- he not only gives the science, but then he says, let me explain this in pedestrian language -- is Dr. Fauci." Then again, this is not the first time Fauci has found himself in the position of having to navigate a public health crisis fraught with political land mines. A renowned international expert on the immune system, Fauci took over NIAID in 1984, barely a year and a half after scientists had identified a mysterious retrovirus that was killing thousands of people. It would be nearly another year before President Ronald Reagan would publicly utter the name of the disease it produced: AIDS. Reagan's sluggish handling of the epidemic left one of the deepest scars on his legacy. In 1986, Reagan's surgeon general, C. Everett Koop, produced a report that described in graphic terms the potential toll of AIDS, projecting that 270,000 Americans might contract it by 1991. The report used explicit language, explaining that the disease was transmitted through "semen and vaginal fluids" and during "oral, anal and vaginal intercourse." Conservatives approved of some of what was in Koop's document: It warned against "freewheeling casual sex," and asserted that the surest means of preventing AIDS were through abstinence and monogamy. But they weren't so happy with the surgeon general's recommendation that condoms be used as a fallback. Koop was concerned that his findings were being buried by the Reagan administration, so two years later, he and Fauci cooked up a bold idea: mailing an abridged version of his report to every single one of the 107 million households and postal boxes in the country. The problem, however, was that the surgeon general lacked the budget to do it. As Fauci recounted to me during a 2018 interview, he told Koop: "You know, there is a mechanism called an interagency transfer." Fauci had the authority to provide funds to get the project off the ground, because combating AIDS related to his own agency's core mission. Congress picked up the idea and ordered the largest mass mailing in U.S. history. It also stipulated that the seven-page brochure be "distributed without necessary clearance of the content by any official, organization or office" -- in other words, that it not be edited to suit anyone's political agenda. In addition to being printed in English and Spanish, "Understanding AIDS" went out in Chinese, Portuguese, Haitian-Creole, Vietnamese, Laotian, Cambodian and Braille. It debunked many myths about the disease, for instance stating unequivocally that AIDS is not spread by mosquitoes, and could not be caught through casual contact with saliva, sweat or toilet seats. 'bad Crestor myalgia th care facilities. Subsequent surveys found that nearly 87 million adults perused part or all of the booklet -- making it the most widely read publication in the country in July 1988, with Reader's Digest coming in a distant second with 48.5 million readers. Of course, there are many differences in scale and severity between the AIDS epidemic and the coronavirus threat. While most who contract coronavirus will recover, AIDS during the 1980s was a death sentence wrapped in stigma. But as Fauci well understands, all infectious diseases have something in common: Accurate information is one of the most powerful weapons for fighting them. Fauci has already shown how important it is to hit a microscopic enemy with a sledgehammer of truth. A yet-untold number of Americans will be betting their lives on him to do it again. Looks like I may have Polymyalgia Rheumatica or really bad Crestor myalgia PRESS: On Pebble Beach at the White House after the TF meeting: ABC Evening News; CBS Evening News; NBC Evening News; Then, I did a gaggle of 5 questions on Pebble Beach; CNN Coronavirus Town Hall with Sanjay Guptya and Anderson Cooper; Mar. 213, 2020 - 132,382/4981 USA 1694 Deaths. Primary health care facilities. Hot areas - WA, CA, MA, NYC I thought that it would be a quiet day since the TF meeting was called off. However, at 2:00 PM, I was called down to the White House since the POTUS wanted me next to him at the podium of the Rose Garden as he made the announcement of deckaring at "National Emergency" which would give him and the Secretary of HHS the power to remove many constraints in response to a national emergency. Also on the podium were the CEOs of the major private sector companies that would make tests readily available - CVS, Target, Walmart, etc. I was at the posium and answered many questions of the press in the Rose Garden. I will be on the 5 Sunday Showes 2 days from now (The "Fauci Five"). Prior to that, I was involved in helping to proof the speech he would give. There were some glaring errors in the speech that I corrected. Got to meet Hope Hicks who was very nice. Jared is playing a major role in all of this. After the presser the White House people showe me a minute by minute graph of the stock markert from the time the POTUS went to the podium and it went down to the 45 minutes of the speech and questions. The DOW went up in 45 minutes 1980 points, which was the greatest single increase in the market in history. The POTUS signed a copy of the graph for me and several of the CEOs My tooth crown fell out in flossing this AM and Dr. Eric Hosaka so nicely fixed it for me right away 2 hours after I called him we . (see below): Alex Azar is obviously being pushed aside as he played a very minor role in the Rose garden Presser. PRESS: MSNBC Morning Joe; GMA (ABC);CBS The Morning; FOX and Friends; BBC World News; Rose Garden Presser with many cameras.
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Mar 12, 2020 - Feb 17, 2021 15,000 10,000 5,000 Weekly Tests Weekly Cases Avg. Weekly Hospitalized -8.7% From Last Week -25.8% From Last Week -17.6% From Last Week 14.0M ueM 120,000 12.0M 1.4M 100,000 10.0M 1.2M 80,000 8.0M 1.0M 0.8M 60,000 6.0M 0.6M 4.0M 40,000 0.4M 2.0M 20,000 0.2M I cow lil = ete a oe = > -- fae a bo = = a a EST ERESCE CIOS OF STORE SL ST Lee ae 325957235 3523235 Source: The COVID Tracking Project °o Weekly Deaths -20.9% From Last Week " a Apr9 Juni Jul 2 Jul 23 Aug Sep Oct 15 Nov Nov Dec Jan? Jan May Mar stick with the 2 dose since we know from our studies that the 2nd dose increases the response 10fold over the 1st dose. This height of response gives a cushion against the existing variants and also if you have a less-than-optimal response (albeit a good response) to the 1st dose, you may actually "select" for more variants. • Call from Jeff Sachs about the International Monetary Fund (Special Drawing Rights - SDR) and the possibility of a $40-$50 billion dollar program to vaccinate the entire world. He wants me to have a special role. Moe later. • Gave Harvey lecture virtually at Georgetown • Met with Francis C, Carl D, John Martin, and Larry Tabak about the COVID targeted drug development program that I am trying to set up with the $743 million that we put into our total NIH budget request. It will be based in NIAID with Carl as the lead. As usual Francis wants governance to be somewhat under his control. All good. We will get it done. PRESS: Interview with Erin Banco - The Daily Beast; White House Press Conference; ESPN Baseball TV with Buster Olney; interview with Ben Samuels of Haaretz Israel Newspaper (he tried to get me involved with commenting on the policy of Israel and I refused); MSNBC with Joy Reid;
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Mar. 14, 2020 (Saturday) - CDC numbers (less than WHO numbers. 142,320/5388. 129 countries involved. China numbers going way down - only 11 new infections. Koreaa flattening out. USA - 2226 cases, 50 deaths, 532 new cases. POTUS came into the TF meeting with "USA" baseball cap on. We spent a lot of time talking about "ratings' of yesterday's press conference and its effect on the stock market. He dwelled on doing more press conferences and how the ratings would be even better than the best fake news TV ratings. He made the right decisions about now doing travel restrictions in UK + Ireland and so what I ma seeing is someone who actually makes decision that are bestr for the public health since he follows what the TF recommends (driven by me and Deb and CDC) but his public expression and even private expression is related to the fluff of ratings and publicity. And so he wants us to do 2 press conferences/day - one in AM and one in PM. Really interesting. We now will have no time to do work. Hope Hicks seems as uncomfortable with this as I am. I see her as a future ally. POTUS Did press conference and Alex Azar was not invited in order to make room for "diversity" on the podium with Ben Carson and Jerome Adams. Death by a 1000 cuts for Azar. I volunteered to Alex that in my introduction I would mention that the Declaration of Natuonal Emergency gacve Azar as Secertary enormous powers and flexibility to unshackle our response. I did so. Mahor positive profile of me in The Atlantic yesterday (03/13/2020) https://www.theatlantic.com/notes/2020/03/time-capsule-2-exceptional-drfauci/607957/?utm_campaign=share&utm_medium=email&utm_source=a (see below): As of today, March 13, 2020--three-plus years into the current administration, three months into public awareness of the coronavirus spread, seven-plus months until before the next election--Anthony Fauci is playing a role in which no previous Trump-era figure has survived. One other person has been in the spot Fauci now occupies. That is, of course, James Mattis, the retired four-star Marine Corps general and former secretary of defense for Trump. Former is the key word here, and the question is whether the change in circumstances between Mattis's time and Fauci's--the public nature of this emergency, the greater proximity of upcoming elections, the apparent verdict from financial markets and both international and domestic leaders that Donald Trump is in deep over his head--will give Fauci the greater leverage he needs, not just to stay at work but also to steer policy away from the abyss. Why is Anthony Fauci now, even more than James Mattis before him, in a different position from any other publicly visible associate of Trump's? 1. Pre-Trump credibility, connections, and respect. Fauci has been head of the National Institute of Allergy and Infectious Diseases, at the National Institutes of Health, since Ronald Reagan's first term, in 1984. (How can he have held the post so long? Although nothing in his look or bearing would suggest it, Fauci is older than either Bernie Sanders or Joe Biden. He recently turned 79.) Through his long tenure at NIH, which spanned the early days of the HIV/AIDS devastation and later experience with the SARS and H1N1 epidemics, Fauci has become a very familiar "public face of science," explaining at congressional hearings and in TV and radio interviews how Americans should think about the latest threat. He has managed to stay apart from any era's partisan-political death struggles. He has received a raft of scientific and civic honors, from the Lasker Award for health leadership, to the Presidential Medal of Freedom, awarded by George W. Bush. Thus, in contrast to virtually all the other figures with whom Trump has surrounded himself, Fauci is by any objective standard the best person for the job -- and is universally seen as such. This distinguishes him from people Trump has favored in his own coterie, from longtime consigliere Michael Cohen to longtime ally Roger Stone to longtime personal physician Harold Bornstein; and from past and present members of his White House staff, like the departed Michael Flynn and the returned Hope Hicks and the sempiternal Jared Kushner; and fish-out-of-water Cabinet appointees, like (to pick one) the neurosurgeon Ben Carson as Secretary of Housing and Urban Development. Put another way: Very plainly, Trump needs Fauci more than Fauci needs Trump. This is not a position Donald Trump has ever felt comfortable in-- witness the denouement with Mattis. 2. The ability not to abase himself before Trump. The first Cabinet meeting Donald Trump held, nearly three years ago, was unlike any other conducted in U.S. history, and very much like subsequent public appearance of Trump in company with his appointees. In that meeting, on June 12, 2017, as TV cameras were rolling, Trump went around the table and one-by-one had his appointees gush about how kind, wise, and far-sighted he was-- failing only to compliment him on his humility. (Tina Nguyen described the meeting at the time in Vanity Fair.) After praising himself, Trump called on others to praise him, starting with the reliable Mike Pence. "It is the greatest privilege of my life to serve as the vice president to a president who is keeping his word to the American people," Pence began. All the others followed his example--with the prominent exception of Mattis. He spent his "praise" time instead complimenting the men and women in uniform he led. No public event like that Cabinet meeting had happened before in the United States, simply because no other president has been as needy for in-public adulation as Trump is. Of course most politicians and all presidents are needy; you could not run for the presidency if you had a normal temperament. (Background reading on this point, while you're "socially isolating": Robert Penn Warren's All the King's Men.) Every political leader eats up the praise in private--"Wonderful job today, Mr. President--you were really connecting!", not to mention Veep--but all the rest of them have been savvy enough to know how tacky this looks in public. The modern exceptionillustrating-the-rule might have been Lyndon Johnson, with enough of the Sun King in his makeup to enjoy having people humble themselves before him. But holding a public adulation-fest? If George W. Bush had heard, say, Karl Rove start in that way, he would likely have said, "OK, Turd Blossom, what are you angling for?" Barack Obama--or John F. Kennedy, or Jimmy Carter-- would have arched an eyebrow as if to ask, "Hey, did you think you were still playing in the minors?" But what we saw in that Cabinet meeting, we have seen again and again from those around Trump. The most humiliating recent examples come from the people in charge of the coronavirus response: Pence again; Alex Azar, head of Health and Human Services; Robert Redfield, head of the Centers for Disease Control; and Seema Verma, in charge of Medicare and Medicaid. The beginnings and endings of their public statements, and the answers to many questions, are larded with praise for Trump and his "decisive and visionary action." (For the latest example, see Verma under questioning from Martha MacCallum of Fox News. Verma repeatedly dodges MacCallum's direct question about whether hospitals have enough ventilators and other supplies (as Fred Barbash laid out in the Washington Post. MacCallum makes one last try-- and Verma seeks refuge in saying, "And that's why the president has taken such a bold and decisive action." That claim made no logical sense to MacCallum or the listeners, but it reflected the inescapable logic of what is expected from members of the Court of Trump.) There is one exception: Anthony Fauci. He has occasionally said that he agrees with aspects of the administration's or the president's policies, but he has avoided the ritual selfabnegation. Of course Fauci held his job long before Trump came to town, and is not part of the normal round of high-level appointments each new administration makes. (To the best of my knowledge, though, directors of NIH institutes, like Fauci, serve "at the pleasure of the president" and so could be removed. If I'm wrong on that, will update. Update: Several NIH veterans have written in to say that Fauci's position is officially different from that of the NIH director, and is not directly a presidential-political appointment. Recent history teaches that a vindictive president can make things difficult even for career civil servants. But I am grateful for the clarification. ) But Fauci's polite but consistent reluctance to grovel cannot have gone unnoticed by the audience-of-one for all the other appointees: Trump himself. BIG DAY! 3. Daring to contradict Trump, in public. This is a step beyond anything Mattis attempted. Through the first two years of the administration, background-sourced stories and reports based on "those in a position to know the Secretary's thinking" laid out the increasing distance between Mattis's view of American interests and what Trump was saying and doing. But there is no precedent, from Mattis or anyone else, for what we have seen these past few weeks from Fauci at the podium. Is the coronavirus problem just going to go away (as Trump had claimed)? No, from Fauci. It is serious, and it is going to get worse. Is the testing system "perfect" (as Trump had claimed)? No, it is not working as it should. Is the U.S. once again the greatest of all nations in its response to the threat? No, it is behind in crucial aspects, and has much to learn from others. Fauci is saying all these things politely and respectfully. As an experienced Washington operator he knows that there is no reason to begin an answer with, "The president is wrong." You just skip to the next sentence, "The reality is..." But his meaning--"the president is wrong"--is unmistakable. Anthony Fauci has earned the presumption-of-credibility for his comments. Donald Trump has earned the presumption that he is lying or confused. A year ago that standoff--the realities, versus Trump-world obeisance--worked out against James Mattis. Will the balance of forces be different for Fauci? As of this writing, no one can know. PRESS: Press conference in WH press room; The Atlantic (see above)
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Mar. 15, 2020 (Sunday) - BIG DAY! 142,539/ USA = 2888 with 58 deaths and 662 new I did all 5 Sunday Shows today (my 3rd Fauci 5") with This Week on ABC, Meet the Press on NBC, Face the Nation on CBS, FOX with Chris Wallace and CNN. All went very well Had press conference at White House. POTUS made intro and then left for us to take Questions. Brett Giroir brought a bunch of USPHS officers with their dark blue work uniforms and told the press how great they are. I spent an hour before the press briefing in the VP's office. In preparing for the briefing which was geared to rolling out the high throughput tests in collaboration with the States and the private sector that will be operational in the next day or so, they wanted to spin it that this was unprecedented that no one has ever done this so quickly. Deb did not speak up which shows me that she is really inhibited by her Presidential appointee status. A little shame on her. I spoke up and said that several countries have already done what we are talking about, i.e. China, South Korea and so why not stop bragging and just say that we are entering a new phase of our response to COVID-19, i.e. a much more expansive testing capability. Hope Hicks and Jared Kuschner were my allies in this and both seem to now want to make sure that I am involved in everything and approve everything. The POTUS came in and misunderstood thinking that we (the USG) would be implementing the testing. He was pissed. Brett and VP corrected him. However, he remained in a bad mood. He then said that he wanted to show his face and make some remarks without Qs and As at the briefing. Hope felt this was dangerous and said he should not do it. He started to berate Hope in front of everyone say that he became president because he was good and dealing with the public and was pissed that Hope was trying to tell him what he could or could not do. I spoke with Bill de Blasio (Mayor - NYC) and convinced him based on what I was saying publicly and my conversation tonight to close the NYC schools (he had already decided based on what I was saying on TV). I went on to tell him he should close the bars and restaurants in NYC. He said that he would base this on my recommendation. I had a similar call with Ann O'Leary, the COS of Gov. Gavin Newsom of California. Ann said that based on my TV appearances today and yesterday, the Governor has decided to close the schools in California as well as the bars and restaurants. When I left the WH and crossed Pennsylvania and 17th Street, several cars honked their horns and shouted "thank you" out the window. Congress (Blount) call and wants to give us a lot more in a 2nr supplement.
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Mar. 16, 2020 - Came out with the guidelines that reflected my pushing for a more aggressive mitigation 15 day strategy → If you are elderly, self-isolate; do not congregate in groups >10 people; stay away from bars, restaurants, theaters, sporting events; if a community has community spread CLOSE the bars, restaurants and places of congregation; close schools where there is community spread; no visitors to nursing homes; if family member is sick, others in family should take extra percautions; only necessary travel, telework as much as possible. Press conference after was highly attended. Stock market dropped byu 3000 points, the biggest percentage drop in history. PRESS: ABC 20/20 coronavirus special with David Muir;
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Mar. 17, 2020 - 168,000/6700; 151 countries; USA 4529 cases (903 news); 84 deaths (16 new). At TF discussed supply chain issues; also testing still somewhat of an issue. Press conference with POTUS. He is now coming around (largely through my efforts) to say thatr this is really a serious problem, but he still always brags about how well we are doing as opposed to emohasizing the challenges ahead. I gave some support to Gov. Cuomo during a question of me. Issue arising of clains from France that hydroxychloroquine is effective in decreasing the duration of viral shedding and also is used as a prophylaxis in exposed people. All uncontrolled studies. PRESS: Press conference after TF. I was featured heavily in the presser; FOX with Laura Ingraham; Sean Hannity Radio; Barstool Sports Podcast
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Mar. 18, 2020 - WH wanted me to not wear myself out. Have had private car and driver since Mar. 13 (Friday). I will stay at NIH today and do some press tonight from truck at home. Very positive press with Laura Ingraham on FOX last night On WHO call, Dale Fisher (Australian working in Singapore) gave warning to other countries that after you lift the lock down, be prepared for a rebound and use the lockdown period to stock up on supplies, prepare alternative hospitals (gyms, schools, etc.) preserve PPE and not use them for unnecessary things. Also, from Italy, 12% of ICU patinets were 19-50 years od and ~30% were 50-70 yo; 50% of French patienets in ICU are under 60 yo. Bloomberg report on March 18 (Tommaso Ebhardt et al) said that in Italy 99% of thois who died had "othe illness". However, 75% of these had hypertension. These latter must have been on anti-hypertensive meds and so the issue of ACE inhibitors absolutely must be pursued. On TF call we discussed the Defense Production Act and a possible EO. Also, the VP said over the phone that he wanted me at the Pressor today and Katie (good for her) pushed back and said that I should stay at NIH. VP looked surprised. Probably will hear more about this. Also, at TF meeting they decided to fully embrace FEMA and make a big announcement about that with the POTUS today. New York City and State are facing a "Sophie's Choice" regarding PPE. They are very low and they have to make a decision of using PPE for testing versus giving to HCWs who are taking care of patients. Obviously, it goes to HCWs, but that will interfer with testing. This was related to me by phone call with Peter Staley, Mark Harrington, and James Krellerstein. rt, Also, had phone call with Major de Blasio who wants to go to "shelter in place for the entire city. He is asking my advice since Gov. Cuomo is pushing back. I advised DeBlasio to go ahead and do it. I will try to speak with Cuomo. POTUS called me up from Oval. He has Alex Azar, Steve Hahn, Bob Redfield Scott Gottlieb, and Deb Birx in the office with the usual WH crowd. They want me in on the discussion. A friend of POTUS (Tom Ellison of Ellison Foundation ?) said that he heards that someone gave Hydroxychloroquine (HC) to 51 people and 51 got better. POTUS has heard similar stories, including Remdesivir (R) about other drugs and wants to make these available. To my amazement and dismay, Azar said that he could approve HC and Remdesivir now with the powers that he has. Steve Hahn and to some extent Deb and Bob started to chime in that this would give people hope. I took a deep breath and said that this was wrong and should not be done. If you want expanded access (EA) of HC which is an approved drug, you can do it in an EA protocol and still get wide distribution and possibly learn something. I stated that with R it is different since this was not approved. In the chorus of eeveryone agreeing with the POTUS that we need to give hope to people, I insisted that we can do both, but in the context of a trial. To his credit, POTUS agreed with me as long as we get the drugs out there. They wanted to announce this today, but I convinced them to do so tomorrow when I am there. Below is an e-mail that I sent right after the conversation:
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Mar. 19, 2020 - >200,000/~10,000; USA - 9026/150; 2900 new. Italy >31,000 In the USA testing: ~70,000 tests with ~10% positive Met yet again with POTUS right before the press conference, which did not include me since it was predominantly an FDA issue with Steve Hahn. POTUS excited about making drugs (Chloroquine, Remdesivir, etc.) more accessible. Therapy was the theme of the day. They actually were going to go too far (see above) and make them all available on compassionate use. I convinced them not to. POTUS was hot to give out chloroquine or hydroxychloroquine since Jeff Ellison thinks that it is a great drug. Steve Hahn did a good job in stressing the need for safety and efficacy data. Katie Miller and Kelly Love are trying to not overload me and particularly Katie is sensitive to my time. Call with Gilead regarding remdesivir studies and supply PRESS: Marc Levin Radio; PBS NewsHour with Judy Woodruff; Facebook with Mark Zuckerberg and Priscilla Chan; CNN Town Hall with Anderson Cooper and Sanjay Gupta; NBC Evening News with Lester Holt
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Mar. 20, 2020 - Another day at the WH. Important TF meeting and press conference. During the day, Gov. Cuomo had a press conference that he wanted me on to join him, but I could not since I did not want to do a press conference outside of USG and the WGH would not let me do it anyway. Cuomo took a gigantic step forward. 90% of the new infections in the USA are now coming from NYC and Westchecter, but mostly NYC. Cuomo is essentially shutting down all non-essential activity in the city.. 100% of non-essential workers must stay at home and not intermingle. I strongly praised Cuomo for doing this at the Presser after the TF. We met with the POTUS (as usual) in the Oval. The theme of the presser will be the fact that we are now having only essential travel to Canada and Mexico, and IMPORTANTLY, no aliean/immigrants can enter the countrywithout proper papers from Canada or Mexico, although the order is clearly aimed at Mexico. The rationale is that we are shutting down entry to USA from China, South Korea, Iran, Europe and UK/Ireland and yet people from these same countries are crossing over from Mexico. If some are infected and we take them in, we put them in facilities including with unattended children, we could have another cruise ship situation. The decision relly was a public health decision. LAST NIGHT, Katie and Steve miller called me up and explained why the CDC order to do this was given (CDC was essentially told by state and DHS to do it). They wanted my support to emphasize that this was a pubic health decision and not an anti-immigrant decision. I believe that they have a good point. During the presser, the reporters continued to ask me about the free distribution of Hyrdoxycholorquine (HC) , which the POTUS wants, and my statements that the evidence to do this is purely anecdotal and there is no convincing evidence by an RCT that either HC ro remdesivir works. After the presser the press went wild saying how I again contradicted the POTUS and I received hundreds of e-ails of people thanking me, even though I did not intend to or like the idea of contradicting POTUS, but I need to stick with the science. They also had a tweet that went viral of me holding me head seemingly in disgust as the POTUS was talking. That wa not my intention. Most important part of the day and disturbing was my conversation with Mark Meadows and Marc Short together with Deb Birx Meadows praised me for a while and then got to the point. He wants me to consider the tone that I say that HC has no evidence of efficacy. I told him that I cannot compromise my scientific principles. Tough conversation. He wa being a gentleman, but he wanted me to go to a place that I would not go. 200; deaths 9800 Even more disturbing was the conversation where he wanted me to support the idea of lifting the mitigation restrictions after the 125 dya periods since if we do not do this, Mark fees thatwe will trigger a depression (not just a recession). Mark Short agreed with him, but seemed much more sensitive to the fact that I did not want to get into that kind of situation that would use my credibility to sell an economic and a political issue. After I left the office, Mark Meadows called my cell and said that afterhe looks at some modelling, he would like to sit down with me and figure out how we can resolve this issue. He did ask me directy, if I thought we needed to extend the mitigation program beyond 15 days and I said yes. He seemed to accept that. There certainly is more ahead. I called a meeting at my house with Cliff lane, Chrsitine and me to discuss how to handle this as we go forward. I cannot and will not compromise acting on my good judgment. However, I can understand Marks dilemma with the economy. There will be more discuss. Also, had conversation by phone with Governor John Bell Edwards of Louisiana who has ~400 cases in NOLA and wants my advice about how aggressive he should be and maybe copy NYC. He has already closed all the bars and restuarants. I told him to look at the inflection of the curve over the next day or so and contact his Commissione of Health. It the curve is steep, he should consider mandating only essential work and everyone else stays homw, but not quite yet. Also, Petrer Staley, Mark Harrington, James Krellenstein and others called late at night and told me that they had a bad situation in NYC where the desire to do many tests was eating up PPEs that were needed by HCWs who were taking care of COVID-19 patients. The implored me to speak out that ony necessary testing should be done, i.e. on hospitalized patient and those with sxs not in hospital, and not just anyone who wants a test. They sounded desparate that NYC would un out of PPEs within the next 7 days. I will bring this up to TF tomorrow. PRESS: CBS Evening News with Norah O'Donnell; FOX with Bill Hemmer; WH Press Conference; Major Washington Post Profile on me
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Mar. 22, 2020 (Sunday)- Cases continue to soar. 30,000 in USA with 400 deaths; Italy still escalating. My please to the TF regarding needing desparately to get PPEs and other supplies to NYC seems to be working since FEMA in pusing stuff to them. 250,000 tests now done not counting those from hospitals and medical centers Press is going wild with me. Front page in Washintgton Post yesterday and Op Ed by Maureen Dowd in NY Times today about me and my relationship with the POTUS. Profile by Peter Nicholas on me in The Atlantic. I am trying in several articles and on TV to clarify that the POTUS is tsalking about hope for therapies although there are no good data, while I must stick to the science and so fundamentally we are approaching this from different, but not conflicting standpoints. The press are crucifying the POTUS for "not listening to me and making crazy statements about "game-changing" therapies and praising me fot stivking to my guns. ORACLE (Larry Ellison - a bit of a loose cannon) . Mark Meadows wants CDC, FDA and me to help put together by 5:00 PM tomorrow an on line site for tracking availability of drugs like Hyroxychloroquine and Remdesivir and making these drugs available via a physician. Bad idea, but it will happen. I will go with this as long as it does not interfere with the conduct of RCTs. Cliff Lane helping out but employing NLM and NCATS people. I am giving him full authority since I have absolutely no extra time given what I am doing already. Also, Jared and Mark are very skeptical about the CDC modesl about the trajectory of the outbreak and what can be predicted regarding timing of modification of the mitigation. They want to see the data before they believe the models and get CDC out of the business of doing this alone and making policy - good for them - it is about time. I am getting Cliff to get MIDAS people in on this. Press conference (I did not attend) after the virtual TF meeting. POTUS went into detail with very granular numbers of all the things USG (mostly FEMA) is doing regarding sending masks, PPE, other equipment to high risk locations (Washingto State, CA, NYC, etc.) On TV programs, FEMA Pete Gaynor did not look good since he did not have any idea how many ventilators and other equipment was available. POTUS went on and on 3,300/391; new about all the things that we are doing. Very rambling and disorganized as he ad libs his speech I would have advised against this, since we are still getting calls that many locations do not have enough of anything. Also, they are talking about the now hundreds of thousands of tests that are out there and being done. However,as I have always said, testing for the sake of testing without reason only consumes PPEs of the people administering the tests. Looking at the presser from home on computer has made it clear how self-congratulatory the POTUS, VP and others appear on the stage. Title 42 enacted - use of National Guard to help. Role out of telemedicine without reguations so that people do not have to leave the house to interact with their physician. A lot of promises - I hope we can back them up. PRESS: CBS Face the Nation with Margaret Brennan; Multiple print features
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Mar. 24, 2020 - 392,000/17,000; 45,000/550 in USA. Cases still soaring in NYC. COVID Cases 3.24.20 powerpoint Incredible intrigue going on with people (likely WH staff) feeding total lies to media about the frayed relstionship between me and the POTUS. This is really bad stuff. I am getting calls from media (Reuters) saying that a source told them that the POTUS was screaming at me and being abusive about the issue of HC treatments. Total nonsense. See below. Typical of many aryicles over the past few days: In order to save Dr. Fauci, we must destroy him Dr. Anthony Fauci, director of the National Institute of Allergy and Infectious Diseases, is a study of calm and competence in the middle of a pandemic. Which makes him an endangered species, working as he does for a )20, 5:25 p.m. boss who is notoriously insecure and made his name shouting "You're fired!" on a reality TV show.
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Mar. 25, 2020 - 435,000/20,000; USA - 54,622/749. On WHO weekly call. China removing restrictions - critical to watch this closely to determine what happens in light of what POTUS is trying to do in reducing restrictions by Easter . Giuseppe Ippolitto reporting from Italy - major restrictions of non-essential industries. Good control in Central and Southern Italy. Lombardy still very bad. People moving from North to South bringing cases to South. Contact tracing impossible in major outbreak areas. Deaths mostly in older (>60 yo) people. From Italy - no evidence of bad effects of ACE inhibitors on COVID-19, hence no need to change meds. CHINA - in regions where they have gone doen to no cases, they are seeing reintroductions from imported travel cases. Big problem. Also, need to get infected people out of the homes since they are secondarily infected the rest of the family → family clusters. Discussed the issue of loss of sense of smell as an early sign of COVID-19. At TF meeting, Jared still throwing barbs at CDCbecause they did not nail down the recommendations for returning critical infrastructure (CI) people to work after an exposure where they did not kno if they were infected, but were asymptomatic. Metagain with POTUS in Oval. He really acting like he is very fond of me, always deferring to me. His staff definitiely notices this (Hope Hicks, Kellyanne Conway). I believe that the mole who does not like me is Alexa, the Comms person. Hogan is OK. Devin is getting better and Katie Miller is great (tough, smart,but great). Interesdting couple with Steve Miller. At press conference, it went well as I fashion a new slant for each presser. I apologized to reporter Philip Wegmann for answering him sharply when he asked what I thought about Tedros favoring the Chinese. He wrote me a nice note afterwards. Big issue from the appearance on CNN Cuomo Prime Time was when I answered the question about the timeline to re-open the USG, I said "we do not determine the timeline, the virus determines the timeline". That will not play well among some of the POTUS staff. PRESS: Bob Rose Radio (Gainesville, FL); WABC Radio (NYC) Bernie and Sid Show; CNN Cuomo Prime Time
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Mar. 26, 2020 - Global - 414,000/18,400; USA - 68,600/1000; NYC 20,000/280. Continued pressure regrding POTUS aspitational goal of wanting to open up on Easter Sunday. Cases now coming into NIH with several staff infected. Admissions to the SCSU Received another of now several calls from Gov. Andrew Cuomo wanting guidance on interpreting the trend of new cases/day and what this means to predictions of where the outbreak is going in NYC. Had the usual good and warm/friendly conversation. He and Chris Cuomo are becoming friends. Also, we discussed his and my relationship with Trump. CRAZY, CRAZY - donuts are being named after me; T shirts have my picture on them and are being sold; San Francisco radio is dedicating a song to me - Curtis Mayfield singing "Keep on Pushing"; coloring pictures with crayons for my picture, face time with Trevor Noah; Instagram with Steph Curry Color me Fauci.docx 'Feed News Reporter Steph Curry Had An Instagram Live Chat With Dr. Fauci About Coronavirus That Was Super Informative Barack Obama and Justin Bieber posted some emojis. Tasneem NashrullaBuzzFeed News Reporter Posted on March 26, 2020, at 3:04 p.m. ET • Tweet COVID-19 Os. WITH DR. FAUC #SCASKSFAUCI QsA elie I THURSDAY, MARCH 26 _ 10AM PT / 1PM ET ra) FOLLOW @STEPHENCURRY30 ON INSTAGRAM 10 TUNE IN • Share • Copy The journalists at BuzzFeed News are proud to bring you trustworthy and relevant reporting about the coronavirus. To help keep this news free, become a member and sign up for our newsletter, Outbreak Today. can s stephencurry30 - Watch my LIVE story w Dr.Fauci (the GOAT) @niaid He's answering all of our questions. So grateful. intry in the world Instagram: @https://www.instagram.com/stephencurry30/?hl=en Thousands of people tuned in to NBA star Stephen Curry's Instagram live Q&A with Dr. Anthony Fauci about the coronavirus on Thursday because 2020 continues to be surreal.
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Mar. 27, 2020 - USA now has more cases than any country in the world Global - 542,788/24361 To my surprise yesterday, the POTUS sent a letter to Governors outlining a plan to reopen county by county while moniroring the spread of virus in the low risk counties. This was half-baked and never shown to Deb or I before it was sent out. It was derived by Jared and Kevin Hassett (modeler) and I cannot see how it can be implemented. I am surprised at Jared, who is usually very measured. This is reckless since it would require monitoring with much testing by CDC and they do not even know about it. Poor Bob Redfield is totally out of it. IMPORTANT DAY - There has been a disconnect between what we in the TF have been saying about the availability of PPE (particularly masks) and ventilators and whether the people in the trenchs (ICUs) sare actually getting them. We keep saying that the equipmen is out there and the medical centers just need to get them and the medical centrers are saying that they are trying to get them and either they do not know how or the USG is outbidding them for the equipment. I got on the phone via Cliff's treatment guidelines committee that he is organizing and listened to ICU docs from all over the country. The are very fearful of running out of PPEs within days to a weeks. Ventilators are mostly a NYC issue; they may fall behing and still there is this tension of Cuomo asking for 30,000 vents and USG (us) sayng that the vents are in the warehouses; they just need to get them. I promise the group I would try to fix this nonsense. At the TF meeting, I took over and said we really have to stop this shit and fix this. We are acting like these people have everything they need and the fact is they do NOT. I was very empnatic and the VP (good for him) listened. We had FEMA (Pete ) and Adm Pete on the screen and the Adm acted like a rigis navy officer saying thsat they did their job and got the vents and PPEs to the warehouse and now it is up to the locals to get it distributed. I essentially said that this is bullshit and we need to communicate to them how they can actually get the material. I asked is it our job to just check our own boxes or are we trying to actually get the job done in real life. Clearly, Adm Pete is not happy with me, but so what! Hope Hicks, Kellyanne Conway strongly agree with me as does Marc Short and the VP. The VP order to make this happen. Also, the POTU finally invoked the DPA to have GM make ventilators and we are stopping (via me) saying that NYC has enough. Just give them what they ask for and if it is overkill, they they can return them and give to others. Important discussion with Deb Birx that I have some concern about. She is using a model from Chris Murray to plot out how to delay the POTUS from pulling the plug for at least 2 weeks more. Critical issue that I feel strongly about and discussed with Cliff is that if we are going to lift restraints on certain areas, we must have the capability of flooding the system with people to do identification, isolation (out of the home) and contact tracing. Otherwise, we will precipitate a surge as is NYC, NOLA, and other locales. Big discussion coming over the weekend. 700; NYC -- POTUS signed $2.2 Trillion (uo to $6.2 trillion) relief package for the economy to give aid to laid off workers and other vulnerables. POTUS signed bill in the OVAL and actually delayed the signing until I wsa called from the lower West Wing lobby to be there for the signing. When I entered the OVAL the POTUS said, "Anthony, come here with us. I cannot sign this without you being here". The entire crowd in the OVAL including several Senate (McConnell) and House (McCarthy) leaders and Cabinet members present applauded me as I entered. Very embarrassing. I am not comfortable with this attention. After the signinf, the POTUS asked me and others to make comments before the many TV cameras that were let into the OVAL Very laborious press conference where the POTUS rambled on. He wasted the opportunity to just focus on the relief package and went inot his diatribe against previous administrations. SECURITY ISSUES - Threats on the "dark web" abainst me, Chris and the girls. They know everything about us including where my daughters live and work. Strange people hanging around my house and taking photos of the house. DC police now stationed at my house in addition to ISG agents with me all the time. HHS is giving me heavy security with ISG agents (Lonetto et al) guarding me 24 hrs. Agent George Adams assigned to me. PRESS: Bloomdaddy Radio Show - Pittsburgh; Morning News with Brian Haldane Radio Baton Rouge - both right wing radio shows; Press in the OVAl with the signing; some press at the Presser.
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MAR. 28, 2020 (Saturday) - 509,000/23300; USA 104,200/1700; NYC - 26700/450. Cases still escalating. First day with full sceurity Lindsey Graham trying to help. Will go on TV and opush my message of holding off the POTUS to pull the plug too soon. Gov. J.B. Pritzker called with report of death of a 9 month old from COVID-19 in Chicago. Prtiztker concerned that this will generate panic in mothers throughout the USA. May be 1st infant in USA to die of COVID-10 The USNS Comfort taking off from Norfolk, VA to NYC to supply beds and treatment for non-COVID-19 patients in order to free up on shore beds for COVID. Also, the USNS Mercy has already arrived in LA for same purpose The "swag" around me is getting really ridiculous. You can but Fauci T-shirts, mugs, donuts, sweat shirts, candles, pillows, etc. Geeeez!! I do not like this one bit. AMAZING interaction with POTUS. Today Trump tweeted that he was considering quarantining the NY tri-state area (NYC, NJ. CN). This triggered a major news buzz. Gov. Cuomo called me; I was in my NIH office getting ready to do the Saturday TF meeting from the NIH SCIF. Cuomo asked me to help dissuade the POTUS since he (Cuomo) would have to forcibly push back on this and would defy National Guard troops sent to enforce the Q. At the TF meeting we had major discussions lead by VP. I helped convince people that a quarantine was not tenable and that we should recommend to POTUS to do a "strong travel advisory" that the governors would strongly support instead of having the Feds enforce a quarantine. I thought that I was finished for the night and would go home to an evening off when the VP said I should come down to his office and we should, together with Deb, Chad Wolff, Steve Mnuchin, Mark Meadows, Marc Short meet with the POTUS to tell him our recommendation to announce tomorrow. We met with the POTUS in the living quarters (not the OVAL) for about 1 hour. I led the discussions since the POTUS kept referring to me. It was a disturbingly rambling discussion since he kept talking about TV ratings, and HC, and influenza and virtually everything else as I was trying to keep him on track (with the help of the VP). Finally, we got him to agree to "travel advisory" and not quarantine. We wanted to announce tomorrow, but he wanted to tweet this tonight. He also said he wanted to get the Governors on board and so he wanted to call Gov Cuomo (NY), Gov Murphy (NJ), Gov. Ned Lamont (CN). And so, we adjourned to the Lincoln Study and finalized the language for the Advisory right at the Lincoln desk where the Emancipation Proclamation was signed. I kept insisting that they do not slip and let the CDC (from whom the Advisory must come) to use their words of "DO NOT TRAVEL". Also, I insisted through the rambling and lack of attention span that the POTUS explicitly say that this is NOT a quarantine. Finally, he individually called the 3 Governors starting off by saying "I am here with Tony and a few other people....." Cuomo was OK but questioned to be explicit as to just what "Advisory" meant. We go it straightened out and before he went to the other Govs, he called up Sean Hannity to schmooze about TV ratings (I am not kidding). Finally, he got to the other Governors and we stopped for the nigh. Marc Short will work with CDC to get the right language out and the POTUS will tweet this later. I texted Cuomo saying that I had pushed back and we had avoided the quarantine. He responded: "I know that. It wasn't his conscience. He would have made a terrible mistake for the nation. I would have had to organize the Governors to rebel. Last thing we need. Thank you....on behalf of all of us." WHAT A NIGHT!!! uci, disease expert at front lines of Fauci nat PRESS: Desus and Mero Showtime TV;
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Mar. 29, 2020 (SUNDAY) - Cases continue to soar. BIG DAY AT WHITE HOUSE Spent several hours with the POTUS. Bottom line. Deb and I pushed hard to have the POTUS extend the 15 day guidelines for another 30 days to end of April even though Mark Meadows and Kevin Hassett were against this. They wanted to just go to 15 days extra and then re-evaluate. We pushed and said that we would leave to the POTUS. We met with the POTUS in OVAL and Deb and I presented the case for 30 days. He accepted that right away (he really trusts me very much). He decided that he did not want to wait three days to Tuesday to announce and so we Chaotically and quickly wrote into his speech the announcement that it would be 30 days. We had a press conference in the Rose Garden (RG) and he called several times of me and Deb to explain the rationale behind the decision. It was another of the painfully rambling press conferences that lasted on a beautiful evening the RG for 2 hours. POTUS kept on mentioning the potential 1.5 to 2.0 million deaths in the USA due to Coronavirus, which is actually the worst case scenario of a flawed model; however, he felt that if he keeps mentioning that, then the people will take what we are saying seriously. He is incorrigible. At the end of the day it was a good outcome since we convinced him to go with 30 day instead of ending the mitigation prematurely, which I feel would be a disaster. At the presser, I emphasized that we must pay attention to the cities/states/areas with relatively few cases since they could explode just like NYC and NOLA and other cities. CRAZY PRESS - the fringe far-right crazies are cooking conspiracy theories that I am a Hilary Clinton mole trying to destroy Trump. See NY Times - Sunday
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March 29, 2020 "Chief Scientist Draw Venom From the Right" by Davey Alba and Sheera Frankel. Also, article in NY Times on "Testing Blunders...." By Michael Shear et al. GOOD ARTICLE: March 29, 2020 article by Jenny Jarvie AIDS crisis shaped Anthony Fauci, disease expert at front lines of coronavirus pandemic Los Angeles Times You're making me feel guilty," President George W. Bush said in 2008 when he awarded Fauci, the longtime director of the National Institute of Allergy ... Flag as irrelevant nth 2w admissions in Great areticle in WSJ by Ben Cohen - March 29, 2020: WSJ: Dr. Fauci Was a Basketball Captain. Now He's America's Point Guard. https://on.wsj.com/33TOug3 PRESS: CNN State of the Union with Jake Tapper; big exposure at Rose Garden press Conference after announcing the 30 day extension of guidelines for mitigation.
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Mar. 30, 2020 - Cses still soaring. Spent another entire day at the WH. Met with the POTUS and had Press conference in Rose Garden. Today most attention o CEOs and companies coming to indicte that they would help in any way. Discussion at theTF meeting about Ad Bax (I brought it up) and the issue of aerosol merely by speaking and whether we should now seriously think about recommending that everyone wear a mask. More to come. Also, I am continuing to push that we onnect the dots about how we are going to handle the inevitable flares that we will soon see in other smaller cities. There needfs to be the capasbility of testing, identification, isolations and contact tracing. No one seems to be in charge. CDC is their usual lack of stepping up. I love Bob Redfield, but he relly is not the right perdon for this job and this time. Joe Grogan trying to get things organized in this regard. PRESS: ABC Good Morning America with George Stephanopoulos; CNN New Day; Rose Garden Press Conference
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Mar. 31, 2020 - Perhaps some early indication of leveling of new admissions in NYC. Careful. Complete craziness with this Fauci cult hero stuff. See below in Washington Post today: Fauci socks, Fauci doughnuts, Fauci fan art: The coronavirus expert attracts a cult following r day, (0 ship ree CNN. "We didn't know Doughnuts bearing the likeness of Anthony S. Fauci, director of the National Institute of Allergy and Infectious Diseases, rest on a plate at Donuts Delite in Rochester, N.Y., on March 25. (Shawn Dowd/Rochester Democrat & Chronicle/AP) By Antonia Noori Farzan
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March 31, 2020 at 5:15 a.m. EDT Early last week, Nick Semeraro wanted to find a way to honor Anthony S. Fauci. As the owner of a small doughnut shop in Rochester, N.Y., he had been closely tracking the latest news about the coronavirus pandemic. And night after night, he'd been impressed by how Fauci, the director of the National Institute of Allergy and Infectious Diseases, approached the crisis in a calm, knowledgeable manner. So, as a tribute, Semeraro put the renowned immunologist's face on a doughnut. Expecting to sell a few hundred, he was shocked when the store sold out day after day, with thousands flying off the shelves. Donuts Delite was besieged with requests to ship the buttercream-frosted creations all over the country, and one Fauci fan drove three hours just to pick up a dozen. Soon, bakeries in Wisconsin and Pennsylvania followed suit, using edible paper to decorate pastries with Fauci's likeness. "We had no idea it was going to blow up this big," Semeraro told CNN. "We didn't know everyone else felt the same way we did." While Fauci was already a respected scientist before the outbreak, his appearances during White House press briefings have made him a household name and an unlikely celebrity. With his straightforward demeanor and willingness to contradict President Trump, he's begun to develop the same kind of cult following as Supreme Court Justice Ruth Bader Ginsburg and former special counsel Robert S. Mueller III, who inspired countless "Plank like RBG" tank tops and a bizarre illustrated children's book, respectively. Even as whole swaths of the global economy collapse, the pandemic has created a robust cottage industry of Fauci-themed merchandise, including bottle openers, magnets and mugs. On Etsy, you can buy "Honk for Dr. Fauci" bumper stickers, prayer candles depicting "St. Fauci" and socks printed with Fauci's face. Graphic T-shirts bear slogans such as "I Need a Hero" and "In Dr. Fauci We Trust." yroat. ting If so inclined, you can even decorate your home with an "I Heart Dr. Fauci" throw pillow, or purchase a replica of Fauci's jersey from the time he captained the basketball team at Manhattan's Regis High School. Lingua Franca, which sells cashmere sweaters embroidered with resistance-friendly slogans for $380 and up, recently began taking orders for an army-green "Dr. Fauci Fan Club" knit. In honor of Fauci's Italian heritage, a clam bar in Long Island named a linguine dish after him this week. (Available for pickup only, "the linguine with white clam sauce shares origins with Fauci, as the sauce itself was invented in the Fauci Family's native Sciacca, Italy," the restaurant claimed in a statement.) As countless Americans remain glued to the news while trying to stay indoors, a robust Fauci fandom has flourished online. On Facebook, the "Dr. Anthony S. Fauci Fan Club" has over 32,000 members. Thousands more congregate in groups with names such as "Dr. Anthony S. Fauci, the Man, the Myth, the Legend," "Dr. Fauci Speaks, We Listen" and "Dr. Fauci Memes for Social Distance Teens." An unassuming 79-year-old public servant who has advised six presidents, Fauci has become a "reliable constant in a time of uncertainty," The Washington Post's Ellen McCarthy and Ben Terris reported. But his admirers -- and there are a lot of them -- worry that it's only a matter of time before he's sidelined by Trump. When Fauci missed a White House news conference earlier this month, panic erupted on Twitter, along with speculation that he could be sick. There was palpable relief when he resumed his regular position at the podium the following day and appeared to hide some exasperation as Trump referenced "the deep state." Fauci later explained that he had simply been trying to dislodge a lozenge from his throat. But the much-analyzed "Fauci facepalm" had already become a meme, deployed by liberal members of what's known as the resistance. Fauci's newfound fame can be partially attributed to his willingness to engage with all forms of media -- in recent weeks, he's gone on a Barstool Sports podcast, chatted with basketball star Steph Curry on Instagram Live as Barack Obama listened in, and appeared on "The Daily Show With Trevor Noah." But it also undoubtedly helps that his fans tend to take social distancing seriously and consequently have ample spare time to produce fan art or perform songs written (or modified) in his honor. On social media, Fauci's virtual fan clubs peruse old photos of the infectious disease expert in search of "comfy turtleneck vibes," stitch his face on embroidery hoops and discuss erecting statues as tribute. They frost his name on cookies and joke about constructing shrines in his honor. Prominent activists and entertainers confess to wanting to marry him, or have him tuck them into bed. Fauci has remained characteristically modest about his new status as a cult figure. "Well, that's very nice," he responded when McCarthy and Terris mentioned that people all over the country were praying for him. Of course, that means that his fan base has only continued to grow. "I never met a guy that, worldwide, he is so loved," Semeraro, the Rochester doughnut shop owner, told CNN. "And a month ago, we never knew his first and last name." Disclaimer: Any third-party material in this email has been shared for internal use under fair use provisions of U.S. copyright law, without further verification of its accuracy/veracity. It does not necessarily represent my views nor those of NIAID, NIH, HHS, or the U.S. government. Chris Cuomo has COVID-19. Big issue today is whether w should be recommending masks for everyone. We probably were too strong in saying masks do not work. I mentioned this on CNN (Sciutto) this AM. Still local issues regarding availability of ventilators and PPE and tests. TF discussions still make it seems like they are out there, I I have no confidence that they are really getting to the people who need them. Important phone call tonight organized by David Barr with many ICU and other docs throughout the country. They calim that PPE is running out, vents are needed and teting that takes several days to get results are essentially useless to them. I promisedto bring their concerns to the TF. Trump continues to become more and more enamored of me. Joe Grogan organizing small group of me, Deb. Redfield, Hahn, Giroir to solve practical issues. I am concerned that we are not really connecting the dots from TF to the trenches. Is Giroir really up to this. Means well. I also have doubts about Pete and FEMA We shocked the public when Deb and I mentioned at the Press Conference that there could be 100,00- to 240,000 deaths in the USA even with maximal mitigation. I explained that this is the "model", but we can definitely get the deaths down below that since it is the data that always trumps the model PRESS: CNN Newsroom with Jim Sciutto; White House Press conference. 3700. Global -- anjay Gupta -- personal, but very informative
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April 1, 2020 - Cases still going up. USA - 188,000/3700. Global - 751000/36400 NYC- 43100/1100 Some very early signs in NYC that the number of "new cases' in starting the stabilize. However, the deaths always lag and these will continue to increase over the next week or two. Did major briefing of the GOP House leadership organized by Liz Cheney and Kevin McCarthy Continued crazy stuff: Petition to name me "Sexiest Man Alive"; videos games named after me; Fauci Bobblehead; dishes in redstaurants named after me, and on and on. Had good conversation with Bill Gates tonight who wants the BMGF to partner with me (NIAID) and BARDA in the advanced development and scaleup of vaccines, therapeutics. Also, wanted to discuss a strategy for opening up the country after the wave subsides. Really very fine podcast with Sanjay Gupta - personal, but very informative Washington Post for tomorrow: Media Perspective Dr. Fauci symbolizes everything about the Trump-era media climate 7C -- 47400/1400 Anthony Fauci, director of the National Institute of Allergy and Infectious Diseases, attends a White House briefing. (Jabin Botsford/The Washington Post) By Margaret Sullivan Media columnist Press is over the top. My picture and stories about me are in the national news virtually every day. Today and yesterday and tomorrow was flooded with stories. Too much; impossible to even read all of the stories PRESS: Fox Radio NYC - Rosanne Scotto; CBS Norah O'Donnell taped for tonight; NY Times Daily Podcast; White House Press conference
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Apr 1, 2020 - Mar 6, 202' Daily Tests Mar 6: 1,409,138 7-Day Avg: 1,437,872 325,000 Daily Cases Mar 6: 59,620 7-Day Avg: 59,631 Mar 6: 41,401 7-Day Avg: 44,865 Currently Hospitalized Daily Deaths Mar 6: 1,674 7-Day Avg: 1,752 4,500 -_ 130,000 2.2M 300,000 2.1M 4,000 2.0M 275,000 20,000 1.9M 110,000 1.8M 250,000 3,500 1.7M 100,000 1.6M 225,000 4 5M 90,000 3,000 . 200,000 1.4M 80,000 1.3M 175,000 2,500 1.2M 70,000 1.1M 150,000 1.0M 60,000 2,000 roe 125,000 50,000 ' 1,500 0.7M 100,000 40,000 0.6M 0.5M 76,000 30,000 1,000 oe 50,000 20,000 0.3M , 0.2M 25,000 10,000 0.1M ' . . Apri Jul 1 Oct 1 Jan1 Apri = Jul1 Oct 1 Jan1 Apri Jul Oct 1 Jan1 Apr1 Jul 1 Oct 1 Jan1 PRESS: Black News Channel Morning Show (TV); Time video regarding Sesame Street; Washington Post interview regarding vaccine hesitancy (Online TV); 2 PSA with Gloria Estaban and Carolina Sandoval; White House press conference;
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April 2, 2020 - USA - 215500/4600; NYC - 47400/1400 45 minutes similar to House briefing Global - 824000/41000; Washington Post now reporting that I have a security detail (George Adams). Also, DC police now guarding my house 24 hrs/day. Gave briefing to the GOP Senators for 45 minutes similar to House briefing yesterday. Terrific Sirius XM - Coach K podcast - wonderful person who was so generous and complimentary in his comments to me. He called me "the point guard for the world" Spoke with Gov. Phil Murphy of New Jersey who wanted to run by me his approach to COVID and see if I thought that he was doing all the right things. He was. He is frustrated that some people still do not adhere to Guidelines even though he is pushing hard and slappiung penalties on people. PRESS: CBS This Morning; NBC Today Show with Savannah Guthrie; CNNTown hall with Sanjay Gupta and Anderson Cooper;
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April 3, 2020 - Global - 879000/46000; USA 245000/5500; (real numbers are probably more; these are CDC numbers - global is 1,000,000/50,000) Deaths and cases still soaring. Meeting today virtually (Francis Collins leading) with the Public Private Partnership to address research and development for COVID-19. Mikael Dolstien (Pfizer); Paul Stoffels (J & J), etc. Intense media blitz on me continues. Mentioned by all Late Night TV Shows. Question of universal wearing of masks dominating conversation Press conference today: I was originally supposed to be sitting on the side for questions and at the last minute, they told me that I was not needed. This was not unreasonable since the presser was about masks and Jerome Adams had been pushing this and CDC released the guidelines about masks and so it made sense that I did not need to be there. I mentioned this to Jim Acosta (CNN) and he made a story that I was excluded from the prsser. This created a firestorm where CNN made it a story saying that I wa excluded since I had said last night 9CNN Townhall) and this AM (Fox and Friends) that all states should practice "stay at home', and the POTUS has refused to "mandate that". They painted it as an exclusion of Fauci since he disagreed with the POTUS, which was not the case. @FauciFan WELCOME TO WASHINGTON. I believe that the White House (mostly POTUS staff) are starting to get really pissed off at me. The press conference turned out to be a shit-storm since Jared Kushner got up and trie to explain things and the press killed him. Also, the POTUS said he would not wear a mask, which undermined what Jerome and Bob had just said. Glad that I was not there. The ridiculous attention to me continues; fan clubs, Swags, am constantly on TV; countless profiles of me. For example: TheThe Anthony Fauci Fan Club Twitter account wants you to know one thing: "If you don't have a crush on this man, do you even care about public health?" The account, which quickly skyrocketed to over 13,000 followers in just the past few days, was launched by three Maryland-based microbiologists who, at first, created a group chat to "gush over" Fauci in private. "We can't be the only ones who are feeling this way," one said of the esteemed immunologist. "Did I mention he's easy on the eyes?" said another. The microbiologists aren't alone. Over the last few weeks, Dr. Fauci stands have created Facebook fan clubs, TikTok videos, donuts, browser games and even prayer candles in celebration of the scientist leading the Trump administration's novel coronavirus response. A 79-year-old career scientist isn't usually the type of person the internet feverishly stans over. But under these extreme circumstances, Fauci has emerged as the comforting leader the internet, and the US, needs now more than ever. Anthony Fauci Fan Club@FauciFan if you don't have a crush on this man, do you even care about public health? " 1,718 2:48 PM - Mar 20, 2020 Twitter Ads info and privacy 475 people are talking about this Fauci's calm and level-headed demeanor has become a soothing balm for many amid the COVID-19 pandemic. At this moment in time, Fauci is one of the only people we regularly see while glued to screens indoors. He is a figure of constant guidance and reassurance at a time when even the most basic parts of American life, like work, school, and family, have become inconsistent and decentralized over the internet. Mixed together, it's the perfect fodder for fandom. = "It is the moment to exercise and practice fandom," Abigail De Kosnik, director of the Berkeley Center for New Media and a fandom specialist, told The Verge. De Kosnik says fandom around Fauci is thriving right now because it's one of the only ways we can "connect to the outside world" and interact with strangers since we can't see anyone physically. "Fandom is what remains." For years, political figures -- like Fauci -- who have spoken truth to power in tumultuous times in history have become the ideal breeding ground for fandom. According to Know Your Meme, Ruth Bader Ginsburg's rise to internet celebrity stardom corresponded with the creation of a Tumblr blog entitled Notorious R.B.G., invoking the name of the famous hip-hop artist, The Notorious B.I.G. The blog launched in celebration of Ginsburg's lauded 2013 dissent in the Shelby County v. Holder case that struck down parts of the Voting Rights Act. That dissent paired with the blog's memes was just the flint in creating a fire of RBG fan content and merch that continues today. The excitement around Fauci is creating a similar community, focused around bringing hope and joy to one another during this pandemic. The fandom has grown rapidly with stans posting a slew of memes and merch all across the internet. Etsy and Amazon are littered with T-shirts that feature the scientist. One asks "What would Fauci do?" Another Etsy seller has made prayer candles featuring Fauci depicted as an angel with a halo around his head. Pastry shops across the country are selling donuts with Fauci's face surrounded in red, white, and blue buttercream. Fauci's constant status in American life amid the pandemic has made it even more noticeable when he's absent. When Fauci did not make an appearance at a White House press briefing last month, the hashtag #WhereisFauci went viral on social media, as though Fauci stood up the internet. Andrew Banas ✔@AndrewWHAM Had to check out these donuts for myself! The owner of Donut Delite says he wanted to honor Dr. Fauci for all the hard work he's doing for our country. Says he is literally selling hundreds of these every hour. @13WHAM nie bis i, 12:41 PM - Mar 26, 2020 - Donuts Delite / Salvatore's Old Fashioned Pizzeria Twitter Ads info and privacy 51 people are talking about this 755. The fandom is cross-generational, too. On Facebook, the Dr. Anthony Fauci Fan Club group touts nearly 40,000 members of all ages. They post news articles to keep each other informed, but they also share memes honoring Fauci. In one, Fauci appears on the front page of People magazine as the "sexiest man alive." In another, Fauci's face is photoshopped onto the body of Captain America. One user posted a Trump-like campaign sign, but instead of featuring the president's own infamous slogan, it reads, "Fauci: Make Science Great Again 2020." "Just saw this, and thought I'd share," the poster wrote. "Humor helps me endure." "HUMOR HELPS ME ENDURE" On TikTok, influencers like celebrity blogger Perez Hilton have posted videos featuring Fauci's viral press briefing facepalm from earlier this month. "This is how I feel right now," Hilton wrote in the video's caption. In another, Coldplay's "The Scientist" plays as images of Fauci dissolve into one another beneath the caption, "BREAKING NEWS: Dr. Fauci has been hospitalized from carrying the entire nation on his back." Fauci fandom has also provided comic relief and emotional support for people struggling through this unprecedented crisis. On the Facebook page earlier this week, one member made a plea for reassurance. "Will we ever be able to go back to 'normal'? My anxiety is telling me this is going to last forever..." The post received over 100 replies, a majority of them offering optimistic statistics or messages of support reassuring the user that they weren't alone -- valuable messages at a time when large swaths of the US's population are stuck indoors with their lives entirely uprooted from what they were before. In a moment like this, Fauci has become a comforting figure for those who are struggling. "He's kind of like this kind, old, wise mentor figure that we're thirsty for right now," Scott T. Allison, a professor of psychology who specializes in heroism and leadership at the University of Richmond, told The Verge. "He's the grandfather who will tell it to you straight and tell it to you lovingly." And Americans agree. According to Business Insider, Americans trust Fauci more than President Trump and Treasury Secretary Steven Mnuchin to handle the COVID-19 pandemic. A 277200/6600; yntation between Navarro and me: No one knows how long this pandemic will last, as Fauci mentions at nearly every briefing. As it continues, today's circle of Fauci stans could change the face of fandom in the future, De Kosnik said. "We could see a different fandom arise around this calmer, more rational and more 'square' celebrity or performer," she said. The appeal of a whimsical or "bad boy" type celebrity could taper out if uncertainty in daily life continues to grow. A nerdy pragmatist could become the new focal point for fandom. Or maybe it'll just redefine who we see those traits in. "You might say that Dr. Fauci is a badass -- a person who does his job, and does it well, and to hell with the consequences and to hell with what the boss might think," Allison said. "We should all have such courage." PRESS: Fox and Friends; PBS NewsHour with Judy Woodruff
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April 4, 2020 - Global 972600/50300; USA 277200/6600; Gov. Greg Abbott of Texas - questions about my statements recently that all states should do stay at home. He was vey nice ad wanted clarification of what that meant forTexas and was he already doing what I was saying. In fact, he was for the most part. Also, spoke with Gov. Ned Lamont of Connecticut. Same issues as Gov. Abbott Washington Post had article ridiculing Jared for his appearance at the Press conference. They are being a bit unfair. Thick politics going on fueled by POTUS ridiculous behavior of blaming people for things. He keeps talking about TV ratings of the press briefings, which fuels the press backlash at him. In Task Force meeting had a big (unusual) argument with Peter Navarro who handed out a folder that he says shows studies that Hydroxychloroquine is effective in COVID. I strenuously objected and he then attacked me saying that I was the one who was against blocked travel from China when in fact I pushed the POTUS to do so. Weird guy!! VP and Marc Short acted like Peter was nuts. See below Axios description of the "confrontation between Navarro and me: Scoop: Inside the epic White House fight over hydroxychloroquine Jonathan Swan adviser Peter Navarro against infectious disease expert Anthony Situation Room on :a "game-changer" against the about the malaria drug, which Fauci and other trol groups. he pile of folders on the desk, which included printouts of one who early on objected to the argument. "People Photo: Drew Angerer/Getty Images The White House coronavirus task force had its biggest fight yet on Saturday, pitting economic adviser Peter Navarro against infectious disease expert Anthony Fauci. At issue: How enthusiastically should the White House tout the prospects of an antimalarial drug to fight COVID-19? Behind the scenes: This drama erupted into an epic Situation Room showdown. Trump's coronavirus task force gathered in the White House Situation Room on Saturday at about 1:30pm, according to four sources familiar with the conversation. Vice President Mike Pence sat at the head of the table. • Numerous government officials were at the table, including Fauci, coronavirus response coordinator Deborah Birx, Jared Kushner, acting Homeland Security Secretary Chad Wolf, and Commissioner of Food and Drugs Stephen Hahn. • Behind them sat staff, including Peter Navarro, tapped by Trump to compel private companies to meet the government's coronavirus needs under the Defense Production Act. Toward the end of the meeting, Hahn began a discussion of the malaria drug hydroxychloroquine, which Trump believes could be a "game-changer" against the coronavirus. • Hahn gave an update about the drug and what he was seeing in different trials and real-world results. • Then Navarro got up. He brought over a stack of folders and dropped them on the table. People started passing them around. • "And the first words out of his mouth are that the studies that he's seen, I believe they're mostly overseas, show 'clear therapeutic efficacy,'" said a source familiar with the conversation. "Those are the exact words out of his mouth." Navarro's comments set off a heated exchange about how the Trump administration and the president ought to talk about the malaria drug, which Fauci and other public health officials stress is unproven to combat COVID-19. • Fauci pushed back against Navarro, saying that there was only anecdotal evidence that hydroxychloroquine works against the coronavirus. • Researchers have said studies out of France and China are inadequate because they did not include control groups. • Fauci and others have said much more data is needed to prove that hydroxychloroquine is effective against the coronavirus. • As part of his role, Navarro has been trying to source hydroxychloroquine from around the world. He's also been trying to ensure that there are enough domestic production capabilities inside the U.S. Fauci's mention of anecdotal evidence "just set Peter off," said one of the sources. Navarro pointed to the pile of folders on the desk, which included printouts of studies on hydroxychloroquine from around the world. • Navarro said to Fauci, "That's science, not anecdote," said another of the sources. Navarro started raising his voice, and at one point accused Fauci of objecting to Trump's travel restrictions, saying, "You were the one who early on objected to the travel restrictions with China," saying that travel restrictions don't work. (Navarro was one of the earliest to push the China travel ban.) • Fauci looked confused, according to a source in the room. After Trump imposed the travel restrictions, Fauci has publicly praised the president's restriction on travel from China. • Pence was trying to moderate the heated discussion. "It was pretty clear that everyone was just trying to get Peter to sit down and stop being so confrontational," said one of the sources. • Eventually, Kushner turned to Navarro and said, "Peter, take yes for an answer," because most everyone agreed, by that time, it was important to surge the supply of the drug to hot zones. • The principals agreed that the administration's public stance should be that the decision to use the drug is between doctors and patients. • Trump ended up announcing at his press conference that he had 29 million doses of hydroxychloroquine in the Strategic National Stockpile. Between the lines: "There has never been a confrontation in the task force meetings like the one yesterday," said a source familiar with the argument. "People speak up and there's robust debate, but there's never been a confrontation. Yesterday was the first confrontation." • In response to a request for comment on Axios' reporting, Katie Miller, a spokesperson for the vice president, said: "We don't comment on meetings in the Situation Room." The bottom line: The way to discuss the drug's potential has become a fraught issue within the Trump administration. • Most members of the task force support a cautious approach to discussing the drug until it's proven. iship between Deb Birx and me. • Navarro, on the other hand, is convinced based on his reading that the drug works against the coronavirus and speaks about it enthusiastically. • Some of Trump's favorite TV hosts, including Fox's Sean Hannity, and friends including Rudy Giuliani, have also been touting the malaria drug for the coronavirus. Trump has made no secret who he sides with. • "What do you have to lose? Take it," the president said in a White House briefing on Saturday. "I really think they should take it. But it's their choice. And it's their doctor's choice or the doctors in the hospital. But hydroxychloroquine. Try it, if you'd like." POTUS continues to ramble at presser. Prior to the presser, POTUS invited me and Deb into his inner office at the OVAL and started telling me that as a Catholic how much of a shame it would be if we did not do a classical Easter and Good Friday and Palm Sunday. He wanted to figure out how to do a version of it like outdoor mass or stay in car and do drive in theater-like mass. Hope Hicks and I convinced him to essentially put Easter on hold for this year. Then he went on and on (almost pleading) with Me (mostly) and Deb saying that he cannot keep the country closed beyond the 30-day extension. He rambled on and on that we are destroying this great country and started rattling off the names of various sports commissioners (NBA, MLB, NHL, etc.) who said that their sports would be destroyed if we did not open up. Also, he said industry (all the industrial giants) would be forever destroyed. He said that he understood where Deb and I were coming from, but he could not let the country die and so one way or another, he is opening up in 30 days. He went on and emphasized this over and over at the press conference, which immediately followed his conversation with me and Deb. PRESS: White House Press Conference - 1hr 25 minutes. I had the opportunity to push mitigation sayin that it was our ony weapon right now and I praised the HCWs saying they were true heroes.
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April 5, 2020 - (Sunday) - Major news-outlets (Wash Post, NY Times) starting to write detailed stories of how the USG (esp. Trump) dropped the ball in response to COVID-19. CDC getting bashed (in some respects rightly so). Much Monday morning quarterbacking. Thus far, I am coming out OK, but the response in general in being bashed. Global - 1,100,000/57000; USA - 311000/7700; Cases predicted to continue to rise and deaths increase over next week. Nice article in Washington Post on the relationship between Deb Birx and me. Beautiful profile of me on BBC audio featuring Chris and Peter Staley. I was sitting on steps of EEOB on a conference call reviewing countermeasure portfolio (BARDA) when a photographer from across the landscape (on Pebble beach) shot me and focused on my pokadot socks. It got tweeted around the country. "Birx has her scarfs and Fauci has his socks" Geeeez. Very amusing and notable dynamics at the TF meeting today. It is Sunday and we were supposed to have a relatively low-key meeting without a subsequent press conference. HOWEVER, as we began the TF meeting, we learned that the POTUS was joining us. He came in and in his usual rambling self starting going all over the lot and then said that we should have a press conference in 30 minutes since he wanted to give "good news'. Deb had been saying that the cases were starting to stabilize in NYC and in a couple of days we could speak about it. Jared wanted to talk about some good stuff regarding supply chain tomorrow. POTUS would have none of it. He wanted a press conference now. Everyone started scrambling to prepare. Of note, ADM John Polowczwk ("Adm P") gave some data on supply chain. The POTUS loved and told John to get over to the WH for the press conference. John was dressed in his Combat Fatigues and clearly was terrified of appearing on TV when the rules are that you should wear the standard formal dress (not dress level) for TV appearances out of the combat zone. He felt that he would be reprimanded by superiors at the Pentagon. It was clear that he was very nervous and almost frozen. When people in the room explained to POTUS what was going on, POTUS said "Last time I looked, I was Commander in Chief and so get your ass down here now". Then POTUS said: "Get Gen. Milley (Chair of the Joint Chiefs) on the phone and clear this up. Just then a Deputy Chair General go on the phone (not sure who it was) and said: "John, you are good to go. Get over to the White House in your combat fatigues." All ended well, although Joh was still clearly nervous as he stood before the cameras at the WH briefing Room. Press: Face the Nation with Margaret Brennan; Press briefing in the White House press room after the TF meeting.
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April 6, 2020 - Global - 1,100,000/63,000; USA - 338,000/10,000; Today did call with Governors (me, Deb, Redfield, Giroir et al). Turned out it was mostly Governors's staff and health people as opposed to actual Governors. Individual Calls with Gov. Ricketts (NE) and Gov. Reynolds (IOWA). They were concernced about my comment that "I cannot understand why all states have not done stay at home orders". They are really already doing as much or more than some states that have officially issued stay at home orders and they are being criticized as a result of my comments. We worked it out over the phone. I will support them and clarify where I can to support them. -369,000/11,000 At the Press Briefing today, I took the opportunity to say that the Govs of NE and Iowa are doing an excellent job ad are functionally doing exactly what those states that have stay-at-home orders are doing. Trump dud his usual rambling stream of consciousness show at the briefing. Intense publicity about me continues with stories of granmothers who have crushes on men. Petitions to vote me "Sexiest Man Alive". Major stories about my basketball career at Regis. Janet Tobias pushing to get footage and access to TF workings with me. I am very reluctant since the optics are bad. My main goal is to stop this outbreak, not to participate in a documentary. She can do her thing as long as it is not intrusive to our work. I am concerned that we really do not have a clerar plan to "open up" the country at end of April. No one is really in charge or even knows what they are doing. This is not my area and so I can only provide 40,000 foot perspective, which is not good. PRESS: Appeared at the White House Press Briefing.
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April 7, 2020 - Global - 1,200,000/68000; USA - 369,000/11,000 Press still hot and heavy about me. Multiple stories per day directly or indirectly involving me. The debate about the use of HC still dominating the discussion. Big article in the Washington Post about the long relationship between Deb Birx and me. Big challenge today is to firm up a plan on how to approach to re-opening of the country. I am concerned that there really is no plan and no one is really in charge. Off-hand mention of "another task force". Jared is getting involved with us. Deb supposedly leading it. Deb unhappy with Brett Giroir and bad-mouthing him a bit as he goes his way continually reporting about how many "tests" are out there. I do not have a good felling about this. However, the meeting that we had in the Roosevelt Room tonight made me feel better. The entire team gathered after the Press conference for 2 hours starting at 7:30 PM. Paul Mango provided a framework for "re-opening" delineating all the things that need to be in place. Again, much depends on the easy availability of testing. Present were: Joe Grogan, Kellyanne Comway, Jared Kushner, Bob Redfield, Steve Hahn, Seema Verma, Deb Birx, Brian Harrison. At presser I discussed the issue of greater pecent of deaths among AfricanAmericans dues to the health disparities (hypertension, diabetes, obesity, asthma) that predispose to poor outcome (pneumonia and death). After all this, at night 9:30 PM Cliff Lane came over my house and we went over the Guidelines document that he and the group prepared. I will brief Azar on Thursday and then officialy submit it as a "workstream". This is an example of the type of articles that are appearing. This appeared in The Atlantic today (April 7, 2020): Why America Is Thirsty for Anthony Fauci During the pandemic, a 79-year-old immunologist is becoming as crushable as a pop star. KAITLYN TIFFANY 6:30 AM ET Enjoy unlimited access to The Atlantic for less than $1 per week. Sign in Subscribe Now ALICIA TATONE / THE ATLANTIC • • • Link Copied • "If you don't have a crush on this man, do you even care about public health?" It's a question that wouldn't have made even the slightest bit of sense before the coronavirus pandemic, and it doesn't make a ton of sense during it either. Still, it was posed, above a headshot of Anthony Fauci, by the Twitter account @FauciFan, which was created three weeks ago and has amassed more than 15,000 followers. All day, Americans go online to fess up about crushing on Fauci, the director of the National Institute of Allergy and Infectious Diseases. They dig up his college yearbook photos and evidence that he once played basketball in short-shorts. They edit his Wikipedia page, swapping the main photo with one taken 13 years ago, then one from 17 years ago. In my upstate-New York hometown, you can buy donuts with his face on them. More than 10,000 people have signed a petition to make Fauci People magazine's next "Sexiest Man Alive." Fauci has had the same job since 1984, and he's earned national recognition before for his handling of the HIV/AIDS crisis. But during this epochal natural disaster, as a leading member of the federal government's coronavirus task force, he's more akin to an actual celebrity, famous for the contrast between his calmly stated expertise and Donald Trump's contradictory messaging during White House press briefings. Doodling hearts all over his face may seem irrational, but times of crisis often breed infatuation with authorities who can provide guidance and soothe anxiety. MORE STORIES • There's No Zoom Party Like a College Zoom Party KAITLYN TIFFANY • You Have a Moral Responsibility to Post Your Boring Life on Instagram KAITLYN TIFFANY • • What You Need to Know About the Coronavirus HALEY WEISS At this moment, smooching anyone is verboten, even reckless, but in isolation and in daydreams, lots of Americans are thinking about planting one on a 79-year-old immunologist. Read: When keeping your distance is the best way to show you care The @FauciFan Twitter account--which last week featured a photo of a young Fauci explaining how HIV interacts with the immune system, captioned "#tbt #thirsttrap"--was created by Sarah Alexander, Tiffany Zarrella, and Leann Zhou, three friends and microbiologists who work together in Bethesda, Maryland. They are not joking about their crush. The trio had been talking about their thirst for Fauci over text, and decided to take it public in hopes that it would be entertaining to other bored and freaked-out people. Zhou, 22, told me that she thinks people are drawn to Fauci's "cute Brooklyn accent." She wouldn't have been able to guess his age, she added, pointing out that he's an avid runner, and has serious light-up-the-room energy. "He's very knowledgeable and expert, but he speaks in a really approachable way," Zarella, 33, told me. "Everyone wants to know what's going on, and he delivers." Alexander, 25, agrees, saying, "I do personally think that he actually is attractive, and it's not unheard of for people to be attracted to older men. Look at Jeff Goldblum." I proposed to her that Goldblum is an actual Hollywood star, and that there might be something strange about presenting Fauci as one. "We're not trying to prop him up and make him a celebrity," she told me. "It's just an appreciation of him. He's working 16plus-hour days." Americans have had plenty of political crushes before. There have been more durable ones on presidents such as John F. Kennedy, Ronald Reagan, and, more recently, Barack Obama. By the time Obama became a public figure, the internet was ready to amplify conversations about thirsting over handsome and competent men: In 2007, one of YouTube's first mainstream viral hits was a comedy music video called "Crush on Obama," starring the actress Amber Lee Ettinger as a young woman in booty shorts who wants to make out with the then-senator from Illinois. "I did develop a crush on Obama," Ettinger told me. (Today, she's an Instagram influencer who posts mom-related lifestyle content.) "He was this young, sauve, handsome fellow. People felt a personal connection with him when he spoke." For Fauci, she speculated, the incentives for crushing are a little bit different. "No. 1, his little New York accent. He feels like a voice of reason, someone you can trust. He has a calming presence about him. Supersmart. I think he's adorable." The more obvious precedent for Fauci's newfound celebrity is another flavor-of-the-week public figure, Special Counsel Robert Mueller, who became a superhero and stoic boyfriend to the left during his investigation of Russian interference in the 2016 election. That in itself was not entirely novel: For a brief period after 9/11, then-Secretary of Defense Donald Rumsfeld was treated as a sex symbol--as Salon put it, a "hot Republican war dad." Mueller, like Fauci, became crushable because of the perception that he was unflappable, soberly sifting through facts and ignoring irrelevant clangor during a tense situation. One woman told the Associated Press last year, "I admire [Mueller's] mystique. I admire that I haven't heard his voice." But although lots of Americans are making these men into heartthrobs--whether as a joke or sincerely--it doesn't mean we actually want them to act like celebrities. We just want to be taken care of, and we don't want anything to shatter the illusion that they can save us. There are other crushes of the coronavirus crisis, most notably New York Governor Andrew Cuomo, whose daily press conferences in state-branded attire have become appointment television for people living in the epicenter of the country's outbreak. Vogue has praised his competence and "imaginary boyfriend" potential, while the New York Post spoke with moms on Long Island who gushed about eating ice cream in bed, watching him speak calmly and convincingly of New York's ability to overcome the pandemic. While descriptions of Fauci dwell on how "adorable" he is, Americans' fascination with Cuomo is openly grimier. Last week, for instance, Twitter was abuzz with speculation as to whether a strange-looking wrinkle under the governor's polo was, in fact, a nipple ring. A fake dating profile written for the governor by City & State didn't mention sweetness or charm, but interests such as "fishing" and "yelling," as well as the personality type "laid-back, loose dude, who is always in a cool mood." In a recent blog post titled "Help, I Think I'm in Love With Andrew Cuomo??" the Jezebel writer Rebecca Fishbein ran down the list of things she despises about him politically, then confessed, "When I stream his presser on the governor's website--every day around 11:30 a.m., complete with a PowerPoint presentation--I feel comforted. I feel alive. I feel protected. I feel ... butterflies." She's heard from plenty of New York women who agree. "A lot of women who are older than me have been emailing me being like, No I really love him; he has all of his hair," she told me. Fishbein lived in New York City during 9/11, and she remembers people feeling similarly about then-Mayor Rudy Giuliani. And after Hurricane Sandy in 2012, she said, she knew people who thought that then-New Jersey Governor Chris Christie was heroic enough to feel gooey over. "It [does] not last long, but I think there's this feeling that somebody is telling you, in what seems like a straightforward manner, what's going on," she said. This can mutate into a crush with ease. "It's just your mind playing tricks on you." Read: Why people are confessing their crushes right now This is literally true, says Helen Fisher, a biological anthropologist who studies dating and relationships at Indiana University's Kinsey Institute. "In times of crisis, people have a fight-or-flight response. That drives up the testosterone in the brain," she told me. "Testosterone triggers various brain systems that can trigger sexual arousal. Testosterone also has a positive correlation with dopamine, and dopamine is linked with feelings of romantic love." You don't need me to explain that the past month has been saturated with feelings, or that your nerves can only tap-dance for so long before your brain starts to do strange and shocking things. Similar hormones are involved in both crushing and panicking, and rushes of adrenaline can lead to attraction, which is presumably why The Bachelor involves so much bungee jumping and helicopter travel. antic, where she covers technology. auci Crushing on a public official is not particularly fruitful, but it's hard to think of a reason not to indulge in it a little bit. Even in normal circumstances, a crush is a diversion from everything we're worried about. Pointless crushes may be, if anything, even more necessary during a pandemic, when the only other stimuli are horrifying. Crushes spike up and surprise us--uncomfortable but fun, sweet but nauseating. Thirsting over Fauci won't stop the pandemic, but at least it can keep us busy. I recently stumbled across a video of a woman named Jill playing guitar and singing, in a school-teacher voice, a love song for him. "Please stay safe doctor," the song ends, "you're our only hope." We want to hear what you think about this article. Submit a letter to the editor or write to letters@theatlantic.com. KAITLYN TIFFANY is a staff writer at The Atlantic, where she covers technology. ConnectTwitter ALSO, see article today in The Nation by Jeet Heer entitled "Dr. Anthony Fauci has a target on his back". The story says that the right wing, including Rudy Giuliani, is out to get me because of my stance on HC and because I am responsible for shutting down the government and ruining the economy. From today regarding deaths: The fatality rate remains unclear, estimates of the proportion of people contracting the virus who never show symptoms ranges from 25 to 50 percent and there is no clear explanation for why it proves so deadly for some people who are relatively young and previously in good health. oo = _ =~, A oo =: eo ys =~ st _ = = ae -- a in = 10,938 total deaths > © April 6 rl I _-- ~ = _s he itn eo = I A a sy to I -- a = a Lr ----, Dallas 45 ~ os A, a oe aed -- -398,000/13,000 PRESS: Local Radio hits - Jason Rantz Show KTTH Seattle; The John and Ken Show (California - KFI AM640 Los Angeles); Multiple local (from around the country) TV hits in EEOB; White House press conference.
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April 8, 2020 - Global - 1,300,000/73,000; USA - 398,000/13,000 As we predicted, yesterday was the most deaths in single day in USA. However, indications from NYC aree that cases, hospitalizations, intensive care and intubations have been down for past few days. Remember - deaths always lag by about 2 weeks behind new cases. Could be first clear sign of turnaround. Now focusing on how to "re-open" the country safely (see meeting last night) Bobblehead raising money: Fauci bobblehead raises $100,000 for American Hospital Association Anthony S. Fauci's bobblehead likeness has eclipsed a nun's to become the best seller in the six-year existence of the National Bobblehead Hall of Fame and Museum, raising more than $100,000 to provide protective masks for health-care workers. In less than a week since the museum announced the sale, preorders topped 20,000, quickly outselling the thousands of the museum's other releases, according to co-founder Phil Sklar. The polyresin likeness of the country's foremost epidemiologist dethroned that of Jean Dolores "Sister Jean" Schmidt, the courtside superstar and now 100-year-old chaplain of the Loyola University of Chicago men's basketball team, which powered improbably to the NCAA tournament's Final Four in 2018. Five dollars from each $25 sale of a Fauci bobblehead goes to the American Hospital Association's 100 Million Mask Challenge. Sklar said the individually numbered bobbleheads will ship in July. Crazy stuff on Internet: 'Cuomo Crush' and 'Fauci Fever' -- Sexualization Of These Men Is a Real Thing on The Internet Talent Recap x= The coronavirus pandemic has led brothers Andrew and Chris Cuomo and Dr. Anthony Fauci to the forefront COVID news and updates, but it also ... Phone call with Gov. Gary Herbert (R-Utah) and Kristi Noem (R- SD). Same issues as described above for Iowa and Nebraska. I explained that I would publicly clarify when given he opportunity. They are against "one size fits all". I will correct any misunderstanding. Tests -- Abbott ID Now machine Did teleconferences with House Republicans and Democrats moderated by VP Pence. Nancy Pelosi still showing simmering hostility towards me. In particular, she did not like my answer that we really cannot enforce price controls on companies to which we license vaccine platforms such as Moderna with the mRNA. The fact is that we cannot. Global -1,400,000/80,000; USA-- 430,000/15,000; Growing concern about fact that African-Americans are dying much more than other racial/ethnic groups. Certainly due largely to the increase in underlying conditions among them such as hypertension, diabetes, obesity, asthma PRESS: FOX TV - America's Newsroom; Eric Bolling Sinclair TV; White House Press Conference.
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April 8, 2020 t he described as a "potentially major Donald Trump COVID-19 as Photograph by Lo Scalzo / Bloomberg / Getty WASHINGTON (The Borowitz Report)--In what he described as a "potentially major breakthrough," Dr. Anthony Fauci has convinced Donald Trump to attack COVID-19 as if it were an inspector general. Fauci, who has been frustrated in his efforts to get through to Trump, compared the global pandemic to an inspector general while in a closed-door meeting with the President on Wednesday. "What do you hate more than anything, Mr. President?" Fauci asked. "Jim Acosta," Trump immediately replied. "O.K., fine. But, besides Jim Acosta," Fauci said, "it would be an inspector general, right?" "You're right, Tony," Trump agreed. "I hate those losers." "Well, think of COVID-19 as the worst inspector general in the world," Fauci continued. "It's overseeing everything you do and making you follow the law. It's keeping you from spending taxpayer money on anything you want. You wouldn't stand for that, would you?" -- 465,000/17,500 Reportedly, Trump appeared shaken by Fauci's analogy. "Damn it, Tony, when you put it that way, we've got to do something about COVID-19," he said. Speaking to reporters, Fauci said that he was "cautiously optimistic" that his inspectorgeneral analogy would finally spur Trump to action, but added, "Jared could still screw this up." .................................................................................................... Again, countless print press stories about me directly or indirectly. Far, far too many for me to even think about reading. Some day, maybe, go back and read. Eveyone asking about the plasn for re-opening the ountry PRESS: ABC -Good Morning America with George Stephanopoulos; NBC Today Show with Savannah Guthrie; CBS This Morning; WH Press Conference coverage
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April 9, 2020 (Thursday) - Global -1,400,000/80,000; USA- 430,000/15,000; Getting ready to submit the COVID-19 Treatment Guidelines that Cliff led. Briefed AZAR by phone he liked it but wanted to make sure that Nancy Messonnier was OK with it since we did not want CDC to be coming out with objections. I called Nancy and found out in a poignant call that she no longer is involved in the COVID response. I do not believe that Azar knows this. Who removed her??? Tim Uyeki is representative for CDC on the Guidelines Panel. TF Conference call with Senate GOP and Dems - usual questions about when to re-open the country Another example of craziness. This below in the New Yorker:
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April 10, 2020 - Global - 1,440,000/85,000; USA - 465,000/17,500 Concern building about the economy and when we can open the country. 17 million jobs lost within the past 4 weeks. Larry Kudlow and Steve Mnuchin are concerned that even with the massive infusion of relief dollars that we may o irreparable damage to the economy if we do not open soon. Call with Randell Stephenson - CEO of ATT wanting counsel on how to get his workforce back towork safely Call with Gov. Asa Hutchinson of Arkansas - doing a good job in AR; want counselon retunring to normal Call with Gov. Mark Gordon of Wyoming - same discussion. What advice and counsel of returning to normal. Call with Gov. Doug Burgum of North Dakota All these Governors are calling me because of my credibility and reputation to run their plans by me and ask for my opinion and help (message back to TF and POTUS). Unfortunately, I really cannot do much but get their messages back. Very frustrating Less POTUS actually joined the TF meeting right at the beginning andstarting talking about ratings of the press conferences being the best ratings on all of TV. Yikes! POTUS was again rambling at the press conference with stream of consciousness not really answering questions and spouting how well we are doing. Press focusing on whether we are prepared to re-open. Press keeps dwelling on fact that we likely do not have enough testing capability. POTUS mentioned (to my and Birx's surpise) that he has already asked some people to be on another Task Force to help him decide on re-opening. He even mentioned that there would be prominent physicians on the call. Deb is worrie d about this. I am not surprised. During press briefing reporter asked PTUS a question about Gov. DeSantis (RFL) wanting to open his schools in May and would not that endanger lives of people since there are many cases in Florida. He did not answer and then the reporter asked what my opionion was. I spoke generically saying I am not aware of the situation in Florida, but in general, if there are active cases in community, children in school could spread the virus. Later that afternoon DeSantis called my cell and explained that he wa evaluating the situationon a week by week basis and did not make any definitive decisions and the districts that he was considering opening the schools were districts with very few infection. PRESS: CNN New Day with Alisyn Camerota and John Berman; Sirius Doctor Radio - Marc Siegal; Press conference (see above); FOX Martha McCallum; FOX Jesse Watters; Brian Williams - MSNBC
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April 11, 2020 - Light day. TF, but no press conference. Important discussion about the fact that the sensitivity of the Abbott ID Now (15 minute test) machine is queationable. We have not had a single positive at the WH with press and secret service and staff. We will bring a machine to NIH to use on people with documented COVID-19. I am still concerned about our ability to dothe tsting that we keep reassuring the public that we can do. Deb very much suspicious and restrained hostile towards Brett Giroir whom she does not trust. Gave extra copies of the HHS Guidelines to Marc Short. They plan to have me present it to POTUS on Monday, April 13. > USA
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April 12, 2020 (Easter Sunday) - Global - 1,800,000/110,000; USA 500,000/20,000. In general, early indications of leveling off. Print news (NY Times especially) writing multiple articles about howTrump was late to respond/slow to act even thugh he was given warnings by many people. I look good to neutral in the reports. Big article in New YorkTimes today by Eric Lipton, David Sanger, Maggie Haberman, Michael Sherar, Mark Mazzetti and Julian Barnes. I was spoofed last night on Saturday Night Live (SNL). Media buzz in my answer to Tapper's question whether lives would have been saved if we had shut down earlier. I said yes with a lot of qualifiers; however, the press is not reporting the qualifiers. Such is life..... PRESS: CNN State of the Union with Jake Tapper; MSNBC TV with Rev. Al Sharpton
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April 13, 2020 - Potential big problem (we shall see). NY Times reporting on an answer to a question that I gave on CNN yesterday (see above). Jake Tapper asked me if we had closed down earlier, whould that have saved lives. I said it is complicated; he persisted and I said obviously, if you close earlier there would have been lives saved, but the decision was complicated. I could have answered the question better and with more clarity, but the Times is now saying that I was implying that the POTUS was to blame for additional deaths according to me. The far right is tweeting to fire me. The POTUS even re-tweeted the tweet that said to fire me. We shall see how the day goes....... I called up Marc Short and explained that I was answering a hypothetical question and I told the truth. Marc was very supportive and said the POTUS was not upset and understood. I met with VP - he called me to his office 15 minutes befor the TF meeting and we discussed this. He was terrific. I said I was angry at having been put into this position, I am completely apolitical, and I am loyal to the people that I work with. I offered to explain to the press at the daily White House press conference. Right before I walked in, I huddled with the POTUS and told him what I would do. He was very relieved and grateful saying that his right wing base is causing a lot of trouble and he was total OK with me. I went out and explained that I was being hoest in my answer to Jake, but that I was not implying ton that anyone was responsible for more deaths. I explained that the 2 times I recommended to the POTUS to go to 'mitigation" (15 day, then 30 day) he took my (and Deb's) advice and started to mitigation guidelines despite the fact that some people were pushing back (did not mention any names) Right after that, he went on an anti-media rage showing a filiming recently put together that day by staff showing how he was on top of everything and responded swiftly. Again, repetitive stream of consciousness. I was uncomfortable sitting there. Phone call with Jake Tapper. Jake wanted to make sure the interview did not cause me any problems. Global - 1,700,000/106,000; USA - 560,000/22,000; PRESS: C-SPAN TV;
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April 14, 2020 - Press buzz still continues. Feature story in today's Washington Post: "Despite assurances, debate over Fauci's fate continues" by Toluse Olorunnipa, Seung Min Kim and Josh Dawsey. Also, Mike Gerson wrote an editorial in the Post attacking Trump for attacking me (re-tweet that energized Trump's right wing fringe to attack me. Global - 1,800,000/112,000; USA - 580,000/24,000. Daily cases starting to level off over past couple of days. Did not do Presser today. Topic was economic. He rambled on in typical manner. He reversed himself from yesterday when he said that he has "absolute power" to tell the Governors what to do in the "re-opening". He stunned the press with that announcement and people like Caitlin Collins pushed him on saying that since it is not true. He blew it off yesterday. Today he said that he leaves it to the Governors Press still buzzing about the tension between me and the POTUS - multiple articles. It is clear after a meeting that I was called to with the VP at 10:30 AM with Deb. Jared, Brett, and some from Jared's team thsat they have salready decidedthat they will "re-open" the country on May 1 no matter what I or Deb say. Deb (as expected) is totally bought in on this. I am quite skeptical that they have a -- 603,000/25,000 program in place to respond to a rebounbd. CDC certainly in incapable and Bob even admits that his team is mor "academically oriented" as opposed to pandemic emergency oriented. Also, testing is still an issue. PRESS: Good Luck America Snapchat Interview (Skype); Bobby Bones Country Music DJ Skype interview; NBC CoronavirusSpecial tsaped for tomorrow AM
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April 15, 2020 - Global - 1,900,000/120/000; USA - 603,000/25,000 Print media still pitting everything I say as contradicting POTUS. They are also digging into what I said it February indicting that I said the virus would not be a problem; however, when you read my entire sentence, I said at this time (when there were a couple of cases in the USA) there is not a serious threat, but this could change very rapidly and so we need to be prepared. They leave out the last part of the sentence. Peter Nicholas of The Atlantic (Peter Nicholas)wrote a piece saying I was humiliated and "shamed" by getting in front of the cameras and backing off the CNN interview with Tapper. Fuck you, Peter. Has discussion with Chris this AM (in bed) about my considering resigning from the Task Force. The CDC/FEMA, etc in my mind have no idea what they are doing. There really is no plan. Deb is secretive and worried about her job wanting to please the VP asnd POTUS and the press briefings are a total Shit Show with POTUS rambling. I am afraid that if I resign it will be a global explosion and might also look to my many admirers like I am deserting the cause, but this is getting very tough. Phone call with Bill Gates and Trevor Mundel regarding working together on vaccines and therapeutics. Bill, like I, is very skeptical about serologic tests - could be misleading is saying that someone is protective if Ab is positive. He is concerned as I am. He feels that there are ethical considerations. Deb Birx last night put together the plan to re-open based on a combination of the plans put forth by Tom Frieden, Scott Gottlieb, Zeke Emanuel. I edited it today with her. VP asked me to leave the TF and work with her. I edited what she had already done. It was really a done deal before she showed it to me. I emphasized that what was missing was guidelines about what to do if there is rebound. It was almost as if she had not even thought of that. She said she would do this tonight. This is really seat-of-the-pants stuff with patching together https://bit.ly/2 VvCOHP overnight a plan that has enormous implcations for the health and safety of the nation. I will hang in there to help as much as I can. Marc Short is becoming a good rriend. He shuffled me out of the WH before they started asking me to hang around for the endless press conference. I ha told Marc that it would be great if I could go nly to those pressers where I was really needed. He got the message and the VP agreed. And so, I am off today. Clearly the press will ask where I am. Amazing profile of me today on Nightline: https://bit.ly/2VvC0HP Multiple editorials (print news Washington Post, etc.) and opinion pieces (Newsweek) written about me. Cannot keep up or even read all of them. Country needs someone to look up to in the face of Trump presidency. Interesting psychodynamics. Brewery in Georgia named a beer after me "Fauci Spring" Cartoon in thee Boston Globe: 640,000/32,000. yeborah.L.Birx@nsc.eop.gov> PM <afauci(@niaid.nih.gov> ur words
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Apr. 15, 2020 1:30 PM EDT Italian Virus Hospital Offers Fauci Work If Trump Fires Him
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April 16, 2020: Global - 2,000,000/125,000; USA - 640,000/32,000. Today is day when newe Guidelines for re-opening will be announced. I was shocked last night when she e-mailed me and said that all my edits had been accepted by the "Comms people". However, they wanted to take out the part about recommending masks. I wrote back (see bold below): Okay. Great. If we explicitly say follow CDC guidelines regarding use of masks and use during mass transit, then I cannot see how there can be any objection.
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April 17, 2020 - Global - 2,000,000/132,000; USA -660,000/34,000; Did briefing with the VP and Deb and Steve Hahn and BobRedfield and Brett Giroir to the Dem Senate Caucus led by Chuck Schummer. Very hostile. Kept coming at us abut testing and how inadequate it is. I have been telling the TF that this is an issue that will not go away. Angus King (Maine) tee-ed off on VP about the fact that we are unprepared. Patty Murray was her old self wanting a testing plan, etc. etc. This rompted us to devope the entire TF to testing and decided to do a presser. I took over and chided the group that we cannot be telling people that we have more test and materials than we need since this would be insulting to them. We cannot blame anyone and we must admit that the supply (which we claim is adequate) is not "connected to" nor does it reach the people who are demanding it. Bottom line is that they are not getting what they want and ewe need to fix the fact that it really is a distribution problem. Also, Senators (and the press and the public) are under the impression that we should test everyone for the virus. Hope Hicks, Katie Miller, the VP came over to me qnd said and indicated by their expression "Thank God that you are in the room!" We explained this at the presser Another indication of the craziness in the world. This came out today:
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Apr 17, 2020, 5:56 pm* Tech Claire Goforth The White House/Flickr The coronavirus outbreak has made Dr. Anthony Fauci, longtime director of the National Institute of Allergy and Infectious Diseases, a household name. As beloved as he is in some corners, Fauci is loathed in others. He has increasingly from conservatives and who disagree with his cautionary approach to the deadly virus and view him as a " " enemy of President Donald Trump. '@RaySkywaahker Derp State fool Anthony Fauci, your time is running out. THE WHITE HOUSE WASHINGTON 4:57 PM - Apr 13, 2020 Twitter Ads info and privacy 64 people are talking about this Last month, as the threats escalated, Fauci was assigned a security detail. The latest attack on him comes in the form of an accusation of sexual assault. Earlier this week, the Daily Dot received a press release from a woman claiming that Fauci sexually assaulted her in 2014. The release included the details of the allegation and said she and her representatives plan to hold a press conference on Tuesday in Washington, D.C. All allegations of this nature are given equal consideration. But the more the Daily Dot looked into the details, the more things didn't add up. The accuser didn't respond to multiple requests to speak with her. The woman, whose name is not reported here because it couldn't be confirmed, claims to be represented by Rhonda Abramson and Richard Whitley of Whitley, Moran, Telander LLP. The Daily Dot could find no record of any business by that name. The email, which came from the accuser's Gmail, included Abramson's LinkedIn account and phone number. There she claims to live in the Washington, D.C. area and to have worked for two companies. Unlike Whitley, Moran, Telander, those companies' existence was readily confirmed. However, both told the Daily Dot that they have no record of Abramson's employment. "We have never employed her, have never heard of her, and have been fielding calls and emails on this for a couple of days," said Dave Seman, managing principal of Paladin Political Group, which Abramson claims to have worked at until last month. "We have requested LinkedIn flag her profile for fraud." A human resources representative at the second company, where Abramson claims to have worked from 2007 to 2011, said that the position she lists doesn't exist. Abramson herself seems to also not exist. Reverse image searches for her LinkedIn profile picture turn up nothing. An initial search for her picture on Have They Faked Me was negative, but barely; a second search a day later was positive. This means either that fake photos have likely been made using this image, or that the image itself is fake. Abramson did not respond to numerous messages via voicemail, text, and LinkedIn. All calls went to voicemail. Although she's not responding to inquiries, Abramson did find time to post the press conference details on LinkedIn yesterday. Richard Whitley is similarly impossible to find. The Daily Dot found no one by that name, or any of the variations of Richard, in Washington, D.C on LinkedIn or Facebook. Even the location of the press conference is strange. According to the assault allegation, it took place at the Four Seasons in Baltimore in 2014, which is on International Drive. The address for the press conference is also given as an International Drive, but in Washington, D.C. That address most closely matches that of the Chinese Embassy. However bizarre, it is possible this location was chosen because the coronavirus originated in China. Given the nature of the allegation and his history, the Daily Dot contacted far-right pundit Jacob Wohl to ask if he knew anything about it. Wohl has previously been involved with leveling often far-fetched sexual allegations against various individuals Republicans consider their enemies: Sen. and Robert Mueller. Each in the D.C. area are kind of his thing. -- 700,000/36,000 Elizabeth Warren (D-Mass.), Pete Buttigieg, and Robert Mueller. Each allegation was later resoundingly discredited. Plus, sham press conferences in the D.C. area are kind of his thing. Wohl said he had nothing to do with the accusation against Fauci. "This is the first I've heard of it," he said. He also said that his frequent co-conspirator and right-wing lobbyist Jack Burkman isn't involved and that no one had contacted him with allegations against Fauci. Wohl said that he's presently in California and has no plans to be in D.C. this Tuesday. It's beginning to seem unlikely that anyone, least of all Abramson or Whitley, will attend the press conference. As of press time, Fauci had not responded to questions sent to the National Institute of Allergy and Infectious Diseases press office. This story will be updated if a response is received following publication. ................................................................................................. This is really pissing me off. They threaten my life, harass Chris, send obscene texts to my children and now this bullshit! PRESS: The Breakfast Club NYC Radio (D.J. Evy, Angela Yee, and Charlamagne tha God; Podcast with Will Smith; White House Press Conference (Testing)
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April 18, 2020 - Global 2,100,000/140,000; USA - 700,000/36,000 Far right agitating to get back to work. Much agitation! Daily articles involving me continue to appear. Article in Today's Washington Post. Talks about my one hour call with the Congressional Black Caucus and how they trust me,but do not trust Trump to help them. They are afraid that I will be fired. I am getting worn down with all this PLUS my PMR, prednisone and now I have lost 8 lbs over the past couple of months Mary McNamara column in Los Angeles times: 1e Column: Is Anthony Fauci the Sexiest Man Alive? Who the hell cares? Dr. Anthony S. Fauci speaking at the White House Friday. (Carolyn Kaster / AP)
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APRIL 18, 2020 6 AM For the love of God, can someone please tear up the petition to make Dr. Anthony Fauci People magazine's Sexiest Man Alive? If not, can we please at least stop talking about it? I get that it's a compliment; for some, heaven help us, the ultimate compliment. Fauci's unflappable and highly competent demeanor has been a beacon of strength and surprise amid the squishy, tweet-driven, ass-covering, daily-contradictory triumph of personal feelings over irrefutable facts that has been the Trump administration's reaction to this pandemic. Let others voice outrage about churches closing down, or sputter about the indignity of wearing masks; express concern about the Dow Jones or explain why it is now perfectly safe for Floridians to go back to the beach (which they only recently vacated) because, well, just because. ADVERTISEMENT Dr. Fauci will continue to stand in front of microphones talking only about the things he knows. Not what he wants, wishes, thinks or feels. What he knows. No matter how blatantly Fox News anchors attempt to shift his on-air narrative, no matter how often the president contradicts him in public and to his face, Dr. Fauci quietly but firmly sticks to the facts. 1ind? not -_ So now expert is the new sexy, from the specs to the striped socks -- immunology the new rock 'n' roll. We all feel it, that swoon of relief when Fauci begins to speak, but here's an idea: Let's not succumb. Let's all take a deep, socially distanced breath and choose to resist complimenting the person who very possibly stands between 328 million Americans and complete disaster by granting him an accolade he would share with Chris Hemsworth (no offense, man). Resist the desire to "humanize" the head of the National Institute of Allergy and Infectious Diseases by asking him for dating advice or make him more "accessible" by tarting him up with some pop culture makeover. You think I'm overreacting? There's already a bobblehead, a late-night fan club, a prayer candle and socks; can a reality show be far behind? Because that's how it works when you start slinging around the term "sexy." Sexy sells and this economy is going to need some fast, hot sales in the near future. Who wouldn't tune in to see Fauci judge which contestant comes up with the best COVID-19-preventing protocols? But if life is really going to look different in the coming months, let's begin with this. Let's not make Anthony Fauci a rock star. Because he doesn't need to be a rock star. He needs to be what he is -- a physician and expert immunologist who emerged from the AIDS crisis with a unique understanding of the relationship among science, humanity and public policy. A man with the near-miraculous power to separate his ego from his mission, to bring science to an avowedly anti-science presidential administration, to express expertise in front of a president who doesn't believe in experts. Let's not destroy that highly delicate balance by dragging sexy into it. Unlike his late-night fans, or his president, for that matter, Fauci does not need to be concerned with television ratings. Wouldn't it be nice if it stayed that way? As scientific fact forces the culture to shift away from desire to reality, we have a chance to honor the line between pop culture influence and genuine expertise. We know what life looks like when we blur that line. It looks like Drs. Oz, Phil and Drew, men who became media personalities because they were often willing to tweak facts for the sake of ratings and are now being slammed for their inability to stay silent about things they do not understand. Like COVID-19, because, guess what? None of them are immunologists or epidemiologists, and "Dr. Phil" doesn't even have a medical degree. "We need our mojo back," Oz said recently on "Hannity," before suggesting that getting kids back in school was worth raising the COVID-19 mortality rate. As if some bizarre form of national swagger was worth making schoolchildren canaries in a coal mine. (He has since walked back his remarks after overwhelming criticism.) We have a chance to return expert culture to actual experts. The emergence of personal testimony as a valuable social force -- whether through memoir, daytime talk show or the blogosphere -- was a democratizing triumph of popular culture. Millions of people, ignored by or refused entrance to traditional means of disseminating information, were suddenly being heard. And it changed the world. It also made everyone an expert. But the personal is a complement to, not a replacement for, the empirical; feelings can stem from or help create facts, but facts exist apart from feelings. So while many of us may have felt that COVID-19 was just a form of the flu, Fauci and others knew, through their expert ability to analyze data, that it was not. With any luck, Fauci's expertise will not just save us from the pandemic, but it will also remind us that there are times when expertise is the most important commodity. Not strong branding, social-media influence, likability or audience connection. In our rush to become the next YouTube/social media/"America's Got Talent" star, some of us have forgotten the importance of skill sets that have less to do with personality and more to do with perseverance. Dr. Fauci is 79 years old; he has served as the director of the NIAID since 1984. He knows what he's talking about not because he's cool (which he very well may be) but because he's been talking about it for a very long time. Fauci has become a star by repeatedly telling the truth even when it's a truth no one wants to hear. That's not sexy. That's astonishing. But I don't think People magazine has a category for that. ........................................................................................................................... E-mail from Holy Cross: My Fellow Classics Major, I'm sure you've already received numerous emails about Holy Cross's Giving Day today -- BUT have you received one especially for you as a Classics Major? Around the nation, people have deemed Fridays to be #Faucifriday in appreciation for our very own Dr. Anthony Fauci. If you weren't aware, Fauci was, in fact, a Classics major at Holy Cross!!! So, in support of Fauci Friday and the college's giving day, let's show the Power of Purple by giving back to our beloved school. You can even designate your gift towards the lovely Classics Department if you so desire. To make your gift, please visit: https://www.givecampus.com/4vai5d Thank you all for your support as alums. Stay safe and healthy! AJ Wells Class of 2018 Class Chair .......................................................................................... PRESS:Greta Van Sustern TV Show - "Full Court Press" to air tomorrow -- 725,000/38,000 -- 745,000/35,000
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April 19, 2020 - Global - 2,200,000/150,000; USA - 725,000/38,000 Much agitation (spurred by the POTUS's stupid "Liberate Michigan, VA, etc) about people wanted to open up. Rallies with chants of "Fire Fauci" Had conversation with Jake Tapper who is asking where the 27 million tests by end of March came from (Brett Giroir). Fact is I have no idea how he got that number. Deb Birx has no confidence in Giroir, nor do I. We are saying that we have 1.5 to 2.0 Million tests per week available. I hope so. Still there is the reality and perception that we do not have enough tests. Sunday shows kept focusing on testing, testing, testing Mark Meadows approved our putting out Guideliens for Clinical Management (Cliff Lane's groups) after he made some simple, good suggestions that did not imoact integraty of the document. It will come out under the NIH instead of the Task Force or HHS (Alex Azar afraid the POTUS would be upset at the HC guideline (no evidence for or against its use) because of the POTUS hailing it.
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April 20, 2020 - Global - 2,250,000/153,000; USA - 745,000/35,000 Goodday for me since for the 3rd day in a row, I do not need to be at press conference and stand (or sit) there and listen to his stream of consciousness. I had a major pushback (raising my voice) to Deb and Bob and Steve and Joe Grogan in the Sit Room before the TF meeting (mostly Deb) that we are relying on numbers from from Bret and Deb has absolutely no confidence in Brett. Everyone in the country and the world is saying that we do not have enough testing and Brett keeps saying that we do when the people in the trenches all so no. We are looking like idiots and I told the group that. Deb is weak!! She says that she has gone to to VP 3 times saying that Brett is a disaste and the VP "cannot do anything about it". Deb claims that this is because Brett is backed by Jared and the VP does not want to go there. Holy Shit!!!!! Anmother example: There are number for projected tested over the next few months that Brett is going to put infront of the POTUS. Deb does not believe them and says they are overinflated. I told her to take them out since she is the "Coronavirus Coordinator". Agains she balked until someone in the room (? Works with staff secretary) said that they have a screening process that they rarely use with Trump since there are so many ways into him (Hope, Jared, etc), but thye might use that process to block this false information from getting to the POTUS. - 780,000/4 1,000; Article online in Washington Post (tomorrow in print) giving the history of Brett and how he was fired from his job in Texas as heard of a vaccine initiative since he "over-promised and did not deliver". Georgia and South Carolina starting to open us even though they do not even fulfill the criteria for gating, much less going into Phase 1. I predict that this will result in major rebound and said that on GMA (see below). PRESS: ABC Good Morning America with George Stephanopoulos; YES Radio Yankees Network with Jack Curry; NFL PSA
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April 21, 2020 - Global - 2,300,000/158,000; USA - 780,000/41,000; VP is travelling and so no TF meeting today. Big stir on TV shows last night about some states wanting to open and violating the guidelines for "Opening America Again". POTUS making things worse by hiscrazy pronouncing "Liberate Michigan, Liberate Virgina". Really crazy - he himself and us (me, Deb) are stressing to abide by the guideliens and he is rabble-rousing by his statements. Typical Trump. Stir a lot of "Fire Fauci out there among the far right. Call from Sem Lindsey Graham saying that he spoke with POTUS today and Graham is afraid that POTUS will not push back against what Georgia Governor is doing by "opening up" the state and he wants me to do so. I do not need him to tell me to do that. I told him that I would. Call from Ari Emanuel (he calls often) asking when I thuink this will end. He has already lost several hundreds of millions of dollars on cancelled bookings for theater, concerts and other events that he runs. Received call from Dionne Warwick who received an e-mail from a friend asking whether vaccuines developed for dog corna virus could help with vaccine development for SARS-CoV-19. Not a stupid question. Spoke by phone with Governor of Puerto Rico Wanda Vasquez Garced together wiyh her Secretary of State. They wanted to know if I approved of what they were doing to mitigate in PR and they had some good questions. Woman who claimed that I raped her (see above) never materialized.
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April 22, 2020 -- Interesting day - Rick Bright has gone rogue. Due to his poor performance as head of BARDA, Alex (+/-) Kadlec removed him from his post. We (Francis and I) thought that he would stay at BARDA and spend 50% of time at NIH in order to coordinate BARDA with NIH vaccine activities, We all had always felt that he was making bad decisions in his giving hundreds of inillions of dollars to Phartma companies without any requirements to coordinate with NIH and his choices were poor to begin with. HOWEVER, in what turned out to be the most incompetent and botched HR move, they fired him by just taking his name and picture off the HHS/BARDA website without even telling him. They then assigned him to be an NIH employee under Francis taking with him from BARDA $1 Billion to work on diagnostics with Bruce Trumberg of NBIB. Rick reacted by going public, hiring a lawyer, claiming whistleblower status and saying he was fired because he was pushing back against HHS and political pressure to fund bad science and certain companies and that he objected to pushing HC. In fact, there are e-mails and memos showing that he himself was pushing HC and giving millions to get it out there. He is an abject LIAR! Georgia Governor Kemp is actually ignoring the guidelines for "Opening Ameica Again" by skipping to phase 2 and opening beaches, massage parlors, tatoo shops. Crazy!. A couple of days ago Deb waffled about condemning it, but today she convinced the POTUS to back off in supporting Gov. Kemp (R-GA). During the presser, I came out unambiguously saying that Kemp was wrong and if I were his advisor, I would tell him not to do that since it risks a rebound. It seems that the WH is putting me out to the press much less than usual over the past week to week and %. We shall see. The relationship between me and Katie and Hogan and Devin seems really good and so I do not know what is going on. Could be just a coincidence. My PMR is under control -- starting to slowly taper the 15 mg prednisone. Have been on pred. for 36 days PRESS: White House Presser - 827,000/47,000; - 860,000/49,000.
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April 23, 2020 - Global - 2,500,000/170,000; USA - 827,000/47,000; Interesting day. Was asked to come to Pentagon (with Deb Birx) by Chairman of Joint Chiefs of Staff Mark Milley. He had Deb and I brief him and his immediate staff on how the Armed Forces could best prepare for the future wave (in the Fall and beyond) of COVID-19. All about "force protection". We did this in the famous "Tank". Howver, before we did that he wanted to take a bunch of photos with him, his wife, and Vice Chair Gen. John Hyten and Gen.Paul Friedrichs. Also, he had me sign his surgical masks and a basketball that was originally signed by Coach K of Duke. I had a wondeful time!! TF was uneventful. I was not at presser..... HOWEVER, the presser was a disaster for the POTUS. All he did was fight with the press Someone from DHS presented data showing that sunlight, heat and humidity "kills' the virus. Actually, they presented this at the TF meeting and the POTUS did not even know about it. When the DHS guy presented it, the press tore it apart as a gimmick from the POTUS. Also, the POTUS incredibily made the comment that one should consider injecting or swallowing these disinfectants (including chlorax-like substances) as a "cure". Deb almost fainted on stage, Thank God I was not there, After the presser, CNN with Erin Burnett presented a segment of the clash between the scientists (almost exclusively me) and the POTUS. They showed a point-by-point contrast of me versus the POTUS. Let us see what the reaction is tomorrow at the TF meeting. After the presser (about 1 hour) Deb Birx texted and then called me saying it was good that I was not there since after the presser, the POTUS called her into the Oval and started yelling at her saying "You and Fauci have destroyed the country and the economy. I should never have listened to you. You have completely destroyed us." He kept saying this over and over again and was yelling at her. I encouraged her that we are OK and at the end of the day she and I will be loved by the people we care about. She was relieved and after wrote me a text sincerely thanking me. PRESS: None
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April 24, 2020 - Global - 2,600,000/177,000; USA - 860,000/49,000. TF at the WH today. No press Press having a field day trashing the POTUS for his statement about "drinking bleach". Consuming the press. Will brief Governors today with the POTUS. Governor talk went well. Cuomo stated what I had been saying all along that we need a "partnership" between USG and States. Note the POTUS goes back and forth and has often said that the States are on their own and when I say "partnership" there was some concern that I was contradicting POTUS. Fir first time the POTUS had a presser and walked out without answering any questions. Axios wrote that he may greatly diminish pressers. He used to love them due to the "ratings" of viewers. However, his people are now telling him that it is greatly hurting his approval ratings.
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April 25, 2020 - (Saturday) - Very brief TF at the WH today. No press conference. Much discussion about the plasn of the states to open. A lot of buzz in the media about Azar very likely getting fired. Reuters wrote a smear piece on him and attacked Brian Harrison (his COS) for be a dog breeder since he raised labradoodles at some ime in his life. Very unfair. Also, it is clear that theyare gradually keeping me off the press conferences with the POTUS and not allowing me on TV/radio nearly as much. NBC reported that of the last 7 press confercens, I was at 1 and I usually get 2-3 media hiots per day and I have only done 2 last week - FOX with Laura Ingraham and GMA with Stephanopoulos. Katie Miller no longe doing press assignments. Now it is Kayleigh McEnany and Alyssa FarahAlexa. See below from April 24: Fauci's absence from recent coronavirus briefings draws notice The national health expert was in attendance for just one of this week's seven briefings. sing President Donald Trump reacts as Dr. Anthony Fauci steps away from the podium after speaking and answering questions at the daily coronavirus task force briefing at the White House on April 22, 2020.Jonathan Ernst / Reuters
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April 25, 2020, 3:22 PM EDT / Updated April 25, 2020, 4:14 PM EDT
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April 26, 2020 - (Sunday) - Global - 2,750,000/190,000; USA - 930,000/53,000 I was not on Sunday shows. Deb was on CNN with Jake Tapper and did not answer the question of whether it was a mistake for the POTUS to talk about injecting or swallowing bleach. Jake wrote me a text afterwards and said: "Birx has lost her way I fear. She has chosen to focus on defending the president and attacking the press. Odd." Had very important teleconference that I called for , but was chaired by Francis Collins and Bob Kadlec. The entire call was to align BARDA with the mission of NIH. Up to now, BARDA did what they wanted as a "parallel" component to NIH in HHS without any real consultation or coordination. They are OK for taking a hand-off from us on a product that we do early concept and development and then give to them to fund a company to make a product and oput inot SNS. However, when it comes to the emergency of making a vaccine and they (without even consulting with us) give hundreds of millions of dollars each to several PHARMA companies to go their own way with no stipulations or requirements for coordination with us, then that is unacceptable. We discussed the need to re-boot -- 955,000/54,000 1,000,000/56,000 with regard to BARDA and NIH and have them fund companies with the condition that they coordinate (protocol design, lab data, DSMBs, etc.) with NIH. Peter Marks (FDA) will help lead this new approach. Francis and Bob Kadlec are totally on board. Now the devil is in the details.
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April 27, 2020 - Global - 2,800,000/195,000; USA - 955,000/54,000 Stay heads up to a marked decrease in WH Comms allowing me to go on national media compared to 2 weeks ago. Let us see what happens. Big topics this week is the opening plans of various states and how they align with the "Opening America Again" Guidelines Briefed the Governors on the "Blueprint for Testing to Open Ameica Again". They all sounded like everything was fine with testing and praised the POTUS (at least the GOPs did), and Brett gave his usual overly optimistic report on how many tests we will have out there. However, when the press asked the Governors about their ability to test, many (mostly DEMS) still complained. Bobbleheads of me being made in massive quantities in China: Video: Bobblehead dolls of US disease expert Dr Anthony Fauci being made by Chinese factory https://bit.ly/3eRnRh0 Great news from Emily Erbelding: The randomized placebo controlled trial of Remdesivir in hospitalized patients with COVID-19 disease has fully enrolled 1063 patients throughout the world (ACTT-1 Study). The DSMB met and indicated that remdesivir had a 31% higher rate of recovery compared to the placebo group (p < 0.001). The death rate approached significance (P=0.059). Data sets not complete and will likely require a few mored days to tidy up. However, the site invrestigators will be notified tomorrow night at 7:00 PM for ethical reasons - to make sure that those who might be on the placebo limb would have the opportunity to get Remdesivir and all other placebo-controlled trials need to consider Remdesivir as now SOC. This information will almost certainly leak and so I have decided to ask Mark Meadows if I could announce these preliminary data at a presser at the WH tomorrow (Wednesday). PRESS: Telemundo Un Nuevo Dia (TV);
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April 28, 2020 - Global - 3,000,000/200,000; USA - 1,000,000/56,000 .,100,000/58,000; Meeting with Joe Grogan group in Roosevelt Room. Joe is pissed that the individual guidances for special situations, i.e. restaurants, Child care centers, etc, do not align with the various phases of re-opening. Also, CDC again were late and off on their own regarding guidelines for surveillance. CDC is tone deaf to how everyone feels that they are not up to the task. Briefed Kayleigh McEnany and Mark Meadows about the Remdesivir trial. Mark and Kaylee agree that I should announce this at a presser tomorrow. I warn Mark that we cannot allow the POTUS to ad lib and over-promise since I will be very conservative. Called up Mersad Parsey at Gilead out of courtesy to infrom him that I will be announcing this at the Presser. Amazingly, (or not) he asked me to hold off until Thursday informing the PIs at the sites tonight so that they can formulate a statement and policy to not allow an unfavorable or too favorable response of the Stock Market. I immediately told him that no way do I want to discuss the stock market with him and this was inappropriate. He backed off. PRESS: Bloomberg News (John Lauerman, print); Economics Club Podcast with David Rubenstein; Ryan Zimmerman Podcast; New York Times Sports Editor print interview; CNN "The Lead" with Jake Tapper.
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April 29, 2020 - Global - 3,000,000/203,000 USA - 1,100,000/58,000; Eventful day. Was supposed to present the Remdesivir findings at the usual 5:00 PM press conference at the WH. Marc Short called me when I was at NIH office and said to rush down to Wh since the POTUS was going to have a press availability with John Bell Edwards (Democratic Governor of Lousiana). George Adams drove me down to Wh with lights flashing and we got there in 17.5 minutes (Yikes). I present the data to multiple cameras in the Oval Office with POTUS sitting there. POTUS took me aside and said"Be enthusiastic, Tony. Be Optimistic, we need to open up the economy. It is very important". I told him that I would tell it like it is. He nodded OK. I gave ameasure, accurate presentation. Great success. In afternoon, HHS (with Paul Mango, Alex Azar, Bob Kadlec, Peter Marks, Bob Johnson, Francis Collins, Bruce Tromberg) presented our new vaccine strategic plan to the TF led by Deb Birx. Deb immediately tore everything apart (somewhat overly done). Poor Peter Marks took the brunt of it. She said we should have brought in all the companies that have a track record with their platforms and guided them and funded them to go after COVID-19 instead of .,030,000/6 1,000; waiting for companies to come in themselves and ask for money. She does not like "newer technology" such as mRNA, DNA, and even some virasl vectors. She likes antigens, whole killed, etc. A bit overdetermined in her prejudice. However, she did have a point that btu did not fully realize that this is the problem that I have had with BARDA for years. They just give out money without coordinating anything. Very tense meeting!! The rest of the world still pushing that we are not doing enough testing. Clerarly a trend towards the Comms folks (Kayleaigh and Alyssa) focusing on economic re-entry and trying to hold back to POTUS from his disastrous press confererences and so the pressers are being cut back. None today; only the above Oval with Gov. Edwrads Becoming rather friendly with Jared. Clearly, he respects me PRESS: Made presentation at presser in Oval Office on the ACTT-1 trial. Got picked up by multiple networks/cable.
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April 30, 2020 - Global - 3,020,000/210,000; USA - 1,030,000/61,000; New York Times had my picture and front page of Sports Section today with the headline saying that I believe that professional sports may need to be cancelled this season. That was not what I said. Like I said clearly in the Ryan Zimmerman interview, it would depend on the status of the virus in any given City. We could do sports only on TV or we could have the stadiums half full or completely full or not at all. They headlined the latter. The media frenzy continues on and on with me: We Tl COMIMTMIMITY Gaps Ca Tee CCL (AL. POLE WEL STTIMETAL fi mon tangible needs. Healthy Living and Social Respon- about the YMCA al warw Tucson MCA org MY VIEW: David Fitzsimmons Contact editorial cartoonist David Fitesimmons at 573-4234 or tooner@tucson.com URETH HE LEADETH Us IN THE PATH OF SCIENTIAC PEASON foe cum SPECIES SAKE. VeATCUaI WE WALKTHROUGH THE WALLEY THE SHADOW oF COVID-19 WE WILL PO NOD MCTER Uae us; AMEN Lifting stay-home order too soon jeopardizes the gains achieved The following colummistheopin- situation. Arizona's largest counion and analysis of the writers. ties are just approaching the peak y, z By Felis pore Sher lis j a i og ti ints ft itp= ? Announcement today that Joe Grogan will resign as Director of the Domestic Policy Council on May 24 (3 weeks). Another example of the changes that Mark Meadows is making along with shaking up the Comms group. Amazing story about me in Forbes: https://www.forbes.com/sites/williammeehan/2020/04/30/anthony-s-fauci-md-part-iiithe-7-principles-of-faucian-leadership/#7b76aef7313d Had another tense meeting in Roosevelt Room led by Joe Grogan and Deb. Deb. again attacked (somewhat justifiably) the lack of leaderhip at HHS central. Steve Hahn piled on too even obliquely criticizing Azar. Problem is that we are suffering now from the weakness and complete inadequacy of BARDA. We (NIAID - particularly John Macola/Cliff and Carl can do the massive masterprotocol trial of multiple candiates. The central leadership is lacking. Alex has failed to hold Bob Kadlec responsible and Bob has completely delegated BARDA to a group of weak people who are fixed in ways that you can get awaywith in normal times, but defimitely not when you are in a global health crisis wher the country and the world depends on us to develop a vaccine and therapies. Right now, vaccine is critical. I will meet tomorrow with Francis, Cliff and John to plan how to handle this. Did a Zoom call with a whole host of movie stars and athletes organizef by Kim Kardashian: Here is the list 1.Michael Kives 2.Lydia Kives 3.Nico Mizrahi 4.Ben Schwerin 5.Eric Stonestreet 6.Jamie Schneider Mizrahi 7.Kate Hudson 8.Mikey Hess 9.Katy Perry 10.Orlando Bloom 11.Chris Rock 12.Scooter Braun 13. Yael Cohen 14.Chris Paul 16.Josh Gad 18.Misha Nonoo 19.Dwayne Wade 20.James Corden 21.Gwyneth Paltrow 22.Ashton Kutcher 23.Mila Kunis 24.Kevin Durant 25.Kendall Jenner 26.Kim Kardashian 27.Ariana Grande 28.Paula Abdul 29.2 Chainz 30.Michael Buble an 100,000/63,000 ), 3.67M) that NIAID Director Dr. Anthony 00,000/65,000' 31.Usher 32.Demi Lovato 33.Brad Falchuk 34.Michael Jordan PRESS: NBC Today Show with Savannah Guthrie; Zoom call with Hollywood stars; CNN Coronavirus Town Hall with Sanjay Gupta and Anderson Cooper
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May 1, 2020 - Global - 3,090,000/218,000; USA - 1,100,000/63,000 Mike Caputo is delighted with the event last night. It is interesting that he is one of my greatest fan and he is sincere. So different from some of the shit I took during the esarly years of the Obama administration with that asshole Jenny Bacchus who always hesitated to put me on TV until Denis McDonough and Lisa Monaco of the White House intervened. And the media blitz goes on: Dr. Anthony Fauci And Andrew Cuomo Remain The Most Trusted Leaders On Coronavirus, While Donald Trump And Jared Kushner Are The Least Trusted. Grace Panetta writes for Business Insider (4/30, 3.67M) that NIAID Director Dr. Anthony Fauci "and Gov. Andrew Cuomo remain the most trusted leaders Americans look to for official advice on the coronavirus crisis, while President Donald Trump and White House advisor Jared Kushner still rank at the bottom." Consumers' "levels of trust in the top officials' handling of the crisis [have] remained remarkably steady across...three surveys." .................................................................................................................. Had Zoom talk with Mike Lerner (owner of Nats)and Ted Leonis (Owner of Caps, Mystis, Wizards). Long conversation with them about opening up the sports seasons, particularly, imminently the Nats. I gave them the usual discussions. They want me to throw out the 1st ball at Nats stadium and drop the puck at the Hockey game, etc.
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May 1, 2020 at 5:34 p.m. EDT Biden accused of groping a woman (Tara Reade) in his Senate office decaades ago. Yesterday Peter Staley called me up and said that some (? how many) members of the scientific and old activist community are disappointed in me for appearing in the Oval Office with the announcement of the Remdesivir results, making it a political thing used by Trump. I can see theor point, but I had not choice (see above). I rectified that yesterday (later in the day)( when at the TF meeting, Jared Kushner arranged to have a photo op in the Oval Office celebrating the domnation of >1 million doses of Remdesivir to the USG to distribute to people who needed it. They wanted me, Bob Redfield, Deb, and Azar to pose for photos with the POTUS and the CEO of Gilead. I asked Narc Sort to step out of the Sit Room and I explained that I could not do this since my colleagues would say (and so would I) that I am seting ovrer the line. I explained to Marc the aversion scientists (of any political persuasion) have for politicizing science. He understood completely and we wen back inot the room and I told the VP the same thing and he wa very supportive. Deb and Bob were clearly not happy with what I did, likely because they also felt uncomformtable, but had no choice since they are political appointees. Such is life. I made the correct decision. More of the constant surrealness. Here for Mother's Day 12:44 7 e > @) <Back DrFauciandYourMom "~ \/ We Love Dr. Fauci (so does Brad Pitt) Perfect for Dr. Fauci fans, our chocolate covered caramels combine sweet and salty for the perfect taste. Chouquette loves to give back - we will donate $2 per box of 5 to Doctors Without Borders. We also have Health Care Heroes and Positive Thoughts designs - email us for a pic - NOTE: our blue is more W = a I USA -- 1,130,000/66,000
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May 2, 2020 - Global - 3,200,000/225,000; USA - 1,100,000/65,000' Big push on the part of states >32 to rush to reopening, some like Texas and Georgia more than others. Militia-types in Michigan going to the Capitol armed and demanding of the Governor to "open up" Michigan. Much stress about the economy being destroyed. White House not allowing me to respond to request from Rosa DeLauro to testify before the House Committee. Makes front page news everywhere together with tweet storm. WH will allow me to testify before the Senate Help Committee. Situation very tense: Economic Policy White House blocks Fauci from testifying before House panel, committee spokesman says An Appropriations subcommittee sought to call the health official to testify next week Anthony S. Fauci in early April. (Jabin Botsford/The Washington Post) By Erica Werner and Mike DeBonis
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May 3, 2020 (Sunday) - Global - 3,300,000/230,000; USA - 1,130,000/66,000 Continued big push tio re-open despite many states lacking the criteria to do so. Not on any Sunday shows. Washington Post article today states that the administration is cutting down media appearances by Deb and me and giving more to the economists, Kudlow, Mnuychin and Hassett. Theyare cutting me more than Deb. Fauci-maddness continues with multiple articles and every sort of paraphernalia and restaurant and foods named after me. Amazing aryicle in USA Today: https://www.usatoday.com/story/news/nation/2020/05/03/coronavirus-white-houseexpert-dr-anthony-fauci-americans-trust/3042991001/ Straight-talking Dr. Anthony Fauci is the voice Americans want to hear right now. So, who is he? Marco della Cava USA TODAY AD 5:37 Dr. Anthony Stephen Fauci didn't grow up wanting to be famous. Mostly he just wanted to make a difference. But now a lifetime of service has flicked on a searing spotlight. Perhaps not since the late actor Jack Palance did one-armed push-ups at the 1991 Oscars at age 73 - YouTube it, millennials - has the nation been this seduced by a senior citizen. By virtue of his calm, Brooklyn-inflected White House briefings on coronavirus that frequently if diplomatically contradict statements by President Donald Trump, Fauci, 79, has become a meme, spawned fan clubs and been lovingly parodied by Brad Pitt. Fauci's longtime official title is director of the National Institute of Allergy and Infectious Diseases, a part of the National Institutes of Health. But since becoming the face of this country's COVID-19 pandemic, the career immunologist who has battled everything from AIDS to Ebola is increasingly referred to as America's Doctor. And he's in the headlines again this week, having been barred by the White House from addressing House lawmakers Wednesday on the topic of the administration's response to the crisis. Instead, Fauci will meet with a GOP-led subcommittee on May 12. So just who is Tony Fauci? Interviews with friends and colleagues offer overlapping descriptions of a man as dedicated to hard work - endless hours peppered with power walks - as he is to his wife, scientist Christine Grady, and three accomplished daughters. They describe a man who takes as much pride in his Bolognese pasta sauce (the key, one friend says, is the long-simmering time) as he does in enduring relationships. He's a burger and beer at the bar guy, but also a public servant built for our trying times. "Tony's capable of elevating his game to whatever is needed, and more has been demanded of him now than in any time in his career," says Michael Osterholm, director of the University of Minnesota's Center for Infectious Disease Research and Policy. "In the eyes of the American public, he's the voice we need right now, one of credibility." infolded in the US Steven Gabbe met Fauci when both were at Cornell Medical College in New York City in the late 1960s, and "the person you see now on TV is the same guy I met back then, smart and humble." Gabbe, emeritus CEO of The Ohio State University Wexner Medical Center in Columbus, lauds his friend's sense of humor. "I'm sure he finds it entertaining that there are bobblehead dolls of him now," he says. "But he's so grounded I don't think it would go to his head." Fauci would be excused it if did. In a recent survey of 1,900 registered U.S. voters, Morning Consult asked respondents whom they would trust "a lot" or "some" to end social distancing. Fauci and the Centers for Disease Control and Prevention topped the list among all voters with 71% trust ratings. Get the Coronavirus Watch newsletter in your inbox. Stay safe and informed with updates on the spread of the coronavirus Delivery: Varies Your Email Three months in:A timeline of how COVID-19 has unfolded in the US Such a high-profile status inevitably also has generated criticism. Right-wing pundits have assailed how shelter-in-place guidelines he supported have impacted the economy, leading conservative internet TV host Bill Mitchell to tweet "this Dr. Doom Fauci is the most depressing idiot I've ever listened to." That harsh assessment has some grounding in a real issue, says Jonathan Engel, professor at the Marxe School of Public and International Affairs at Baruch College, part of the City University of New York system. Sign up for our newsletter now. "Cost-benefit analysis is not the way Fauci thinks, he's a physician and immunologist," says Engel. "So that's where the frustration in some red states comes from. You're saving lives, but you're also destroying lives. Someone else needs to be there to step back and think about the whole picture, but that's not Fauci's role." Get daily coronavirus updates in your inbox:Sign up for our newsletter now. Critics ask: Did Fauci 'miss it'? Even some fellow scientists who praise Fauci's professional accomplishments suggest not only that he was late sounding the alarm, but that having one celebrated virus point person is dangerous. "In January, February and part of March there was one physician on show after show, him, and while he's great at explaining things, in terms of telling the country to get prepared, he missed it," says Marty Makary, professor at the Johns Hopkins Bloomberg School of Public Health. "My concern is not with Anthony Fauci as much as it is in a media and policy world that puts its faith in one person." A SECON? OPINION... If anything, Fauci's rise highlights the fact that no one person regardless of their stature - his laurels include almost every scientific accolade short of a Nobel Prize - should hold all the reins when it comes to national and global pandemics. "Tony's taken on this big role in part because of the vacuum that exists," says David Relman, a Fauci friend and professor of medicine at Stanford University. "But what if the next pandemic destroys our food? Or a bioterror attack?" he says. "We need a new leadership system that sits inside the White House, where people have the authority to tell the Attorney General what to do, or the Federal Reserve or the Secretary of Defense, so you can move fast. Tony can't do that. No one can. The system needs to change." Fauci's current national stature indeed appears unique in U.S. history, says historian Douglas Brinkley of Rice University in Houston, citing past examples that fall short. In the late 1700s, a yellow fever outbreak in Philadelphia caused President George Washington to flee the city, leaving in charge the preeminent doctor and fellow Founding Father, Benjamin Rush. When President Woodrow Wilson got sick while visiting Paris during World War I, many scholars believe his physician and his wife were running the country for a spell. "So you have moments when doctors have become the voice of the country, but nothing like this," says Brinkley. "The straight talking Fauci is what you want to hear, much like if you go to a doctor you don't want spin or blarney." Brinkley says after the coronavirus pandemic starts to recede, Fauci is likely to go down in history "as one of few scientists who are now household names." Some suggest Fauci enjoys this new spotlight too much. Although an NIAID press officer said Fauci was too busy for an interview, the doctor's media appearances are frequent and varied, from network news and comedy shows to online interviews with sports icons such as basketball star Steph Curry. Fauci Pouchys and 'Docta Fauci' And yet the public can't seem to get enough. The Anthony Fauci Fan Club on Twitter has 24,000 followers and a pinned tweet that reads: "If you don't have a crush on this man, do you even care about public health?" New York-based singer Missy Modell rewrote the lyrics to Lady Gaga's 2008 hit "Paparazzi" to rhyme with "Docta Fauci." Her Instagram hit includes the line, "Tony, there's no other superstar except for Andy," New York governor Andrew Cuomo. Fauci's likeness is splashed on coffee mugs, T-shirts and even donuts. In Washington, D.C., the town Fauci calls home, Capo's Speakeasy teamed up with a real estate company to sell Fauci Pouchy to-go drinks, cocktails in seethrough sealed bags emblazoned with the doctor's image. At Chef Geoff's in northwest D.C., Fauci and his wife, a nurse bioethicist at the NIH, are regulars who in pre-virus times would pull up bar stools and order Chef Geoff Burgers and beers, says owner Geoff Tracy. He posted a sign warning take-out customers, "Dr. Antony Fauci is a long time guest and he wants SIX FEET." "He's a genuinely nice human being, and I deal with a lot who aren't sometimes," says Tracy, whose wife, CBS anchor Norah O'Donnell, has interviewed Fauci over the years. Tracy says Fauci's sudden ascent into the pop culture firmament doesn't surprise him. But he doubts it phases Fauci. DR ANTHONY MAUCI IS A Lomo TIME GUEST AND HE WANTS SIX FEET Pom THE GAPOTY Ge ak OF Un oer BAO Ce Ge he ec, Boe = eb ob ee ee FS -- "My father-in-law is an infectious disease doctor, and these guys not about picking fights or the limelight," says Tracy. "They're about sharing information and guiding you. And no one's better at that than Tony." Fauci recently told an interviewer he appreciated the way "classy" actor Brad Pitt played him on a recent Saturday Night Live stay-at-home broadcast, this after Fauci said in an interview that Pitt would be his top choice for someone to impersonate him on the show. But friends note celebrities don't really phase him. Stanford professor Relman, who focuses on microbiology and immunology, recalls talking to Fauci about the time U2 singer Bono, who has focused his philanthropy on Africa, wanted to discuss disease issues with Fauci. vernors "Tony thought it would cause too big a scene at the NIH, so he just told Bono to come over to his house," says Relman. "Bono did, but Tony forgot that that might completely freak out his daughters, which it did. Those are just his circles. His ability to talk honestly about important matters causes people to seek him out." Study:Americans trust Fauci more than Trump or their own governors Fauci's hoop dreams dashed by height Fauci grew up in Brooklyn the grandson of Italian immigrants. His parents ran a pharmacy. He did deliveries on his bicycle, while his older sister Denise ran the register. In past interviews, Fauci hasn't revealed much about his hard-working upbringing except to say that it laid the foundation for a life ultimately devoted to science and public service. Fauci went to Regis High School in Manhattan, which required commuting for hours on buses and subways. Although a stand-out basketball player, his height, 5-foot-7, prompted him to look for a career outside sports. For college, he attended Holy Cross in Worcester, Massachusetts, which like Regis was run by Jesuits, whose educational philosophy seeks to meld spirituality - Fauci is a lifelong Catholic - with social justice. The experience was formative, says Eric Goosby, a distinguished professor of medicine at the University of California, San Francisco, who met Fauci in the 1980s and has been a frequent guest at his friend's pasta Bolognese dinners. ("He'll call me days before to make sure I'm still coming," he says with a laugh.) "Tony was deeply affected by exposure to the Jesuit order, which fostered in him a self-expectation of service," says Goosby. "This guy goes to sleep and wakes up asking, 'Have I done everything I can do?' It's in his DNA." As is a fierce work ethic. In summers during college, Fauci worked construction. As the story goes, one job found him helping on a new building at the Cornell Medical College. Fauci vowed one day he would be an alum, and made it happen. "That story says it all to me," says his friend Gabbe. "He just has this powerful drive that won't be stopped. The same thing happened when he graduated and told people he was going to the NIH to study infectious diseases. People told him they were all conquered, this was a career-killer move. Not long after, AIDS hit." Fauci's role in the AIDS epidemic changed him. At first, he tackled the growing crisis with a measured, data-driven approach to trying to find a treatment. But that methodical tack infuriated gay activists watching friends die daily. "Initially, Fauci was very rigid in his approach to AIDS and people like (gay rights activist and playwright) Larry Kramer got in his face, calling him the worst things," says Baruch College professor Engel, who wrote "The Epidemic: A Global History of AIDS." "And to Fauci's credit, he got it and he changed." Fauci had been seen as the detached scientific face of an uncaring administration led by President Ronald Reagan, late to understanding the scope of the AIDS crisis. Fauci started to meet with members of the gay rights community and quickly understood the need to include those who were suffering in finding a solution. Goosby, who was running of one the nation's first AIDS clinics in the late '80s, recalls attending a meeting with Fauci in Washington, D.C. The gathering was attacked by ACT UP activists, who locked the meeting's attendees, there to discuss new drugs to fight HIV, inside the hall with chains. "A lot of us were nervous and scared of possible violence," Goosby recalls. "But Tony looked at us and said, 'This is our chance to learn about the frustrations of the community. It's an opportunity for us to learn and serve.' I'll never forget that." Fauci turned enemies into allies That shift in attitude - away from the rigidity of scientific pursuits and towards an embrace of the human reality - soon turned enemies into lifelong friends, says Matt Sharp, a San Francisco-based AIDS survivor and activist who was part of many ACT UP protests in the nation's capital aimed at calling out Fauci. "What developed was a very interesting mutual respect, where you have a hero who once was an enemy," says Sharp. "Once we got him to relate to us and our reality, trust was established. Today, the AIDS community is glad he's the one leading this effort right now." Over what is now nearly a 50-year career with the NIH, Fauci has worked for presidents as philosophically wide-ranging as Reagan, George H.W. Bush, Bill Clinton, George W. Bush and Barack Obama, helping them through crises that included the post-9/11 anthrax scares, SARS in 2003, H1N1 in 2009 and Ebola in 2014. Those who know Fauci marvel at how he keeps his political leanings private. "I honestly don't know if he's a Democrat or Republican," says Sharp. "But I know he's got an amazing grace and an ability to cut through the b-----. That's his genius." That skill is particularly valuable now, as Fauci continues to navigate his truthtelling role for a president whose response to criticism often is dismissal. "He has always had a knack for telling it like it is, and letting the political chips fall where they may," says Stanford's Relman. "Don't forget, Tony Fauci is proud card-carrying New Yorker. He has a blunt, endearing and no-nonsense New York attitude, and I think Trump kind of gets that." Indeed, a brief #FireFauci firestorm that flared in the wake of Fauci appearing to show exasperation at the president's coronavirus remarks ended with Trump saying Fauci wasn't going anywhere. That's probably just fine with Fauci. He may not get much sleep these days, and he's contending with political forces dueling over just how much reopening the country will lead to another coronavirus case spike and then more shutdowns. But friends insist he'd wouldn't want to be anywhere other than in this hot seat. Says Osterholm of the University of Minnesota: "I would go so far as to say Tony's been the right man for the job for several decades now." The recipe for that success perhaps can be found in remarks Fauci made around this time in 2016 to the graduating class at Ohio State University. Fauci started out by telling the graduates - in his trademark Brooklyn patois that made "honor" sound like on-AH and "poverty" like PAW-vaty - that if they're like him, they'll soon forget every word their commencement speaker said. Then over the next 12 succinct minutes, Fauci laid out five credos to live by: Be a perpetual student, expect the unexpected, embrace public service, lead by example, and, finally, pursue happiness. As prescriptions go, Fauci has taken his own medicine. When he is at that West Wing lectern, he seems to radiate a sense of satisfaction at simply being of service despite the attendant slings and arrows of the post. "Different pursuits provide joy," Fauci urged the gradates. "Find your source of joy, and embrace it." ................................................................................................ ..... Important and somewhat ridiculous issue with Pence wanting to come to NIH to thank the people at VRC and show his appreciation. He got into trouble at Mayo Clinic last week since he went there and did not wear a mask when everyone lse had a mask on and the press killed him. I had an agreement with Marc Short that the VP would come to the VRC on Tuesday , April 5 and go upstairs and meet the scientists. The rules of VRC are that masks must be worn in the labs. Marc said that the VP would wear a mask in the labs, but when we go downstairs to the lobby to have TF meeting followed by presser, that he would not have to wear a mask since we never wear masks at TF New York Times and among several. 142,000/67,000 ~ to thank people in the meetings. All was well until Olivia Troye called me in a panic today saying that the POTUS does not want the VP to wear a mask since it is a bad optic for opening up (I cannot understand this reasoning). Nonetheless , the VP will not wear a mask and so we are saying that he should not come. I refuse to give in. Poor Olivia is caught in the middle. We shall see what happens. PRESS: Several articles about me in print papers - New York Times and Washington Post among several.
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May 4, 2020 - Global - 3,350,000/239,000; USA - 1,142,000/67,000 Continued tension in GOP states wanting to re-open in defiance of many of the recommended guidelines and Dem states the opposite. It is almost a political and ideological dichotomy CNN - Jake Tapper did a segment last night on the inadequate response of the Trump administration to the pandemic. I came out relatively well. VP Call with Governors from Sit Room. Again, it seemed like a lot of happy talk, particularly from GOP governors saying that they are doing well and 40 states have submitted their plans for re-opening. They seem to indicate that most have what they need regarding tests, etc. Yet, when you spek to the locals, that is not always the case. Real crazy-town today. VP wanted to come to VRC to thank people in the labs at VRC working on a COVID-19 vaccine. However, despite the problem he got into at Mayo, his staff (Olivia Troye) told me he would not wear a mask. This despite the fact that he did wear one at GM and admitted that it was a mistake not to wear one at Mayo. Turns out the reason is that Trump did not want him to wear a mask since it would be a bad signal in his quest to re-open the country (totally crazy!). Nonetheless, we worked out a compromise whereby he would come to VRC, not go upstairs and would have a Task Force meeting in the first floor conference room. No one would wear masks, but the 0,000/69,000 yunger researchers would not present to him. This defeats the purpose of the visit, which was to thank the young researchers. We thought that we had it all worked out with Francis greeting the VP and I and John Mascola take over. Not so easy. Francis calls me in distress late that evening and says that he looked at his recent message to NIH community that says everyone should wear a mask on campus, every place and at all times. Therefore, we have to disinvite the VP. Much stress. Marc Short came to the rescue with a plan to do this without creating a shit-storm. We cancelled the visit to VRC, will bring John, Barney and Francis to White House and have the TF meeting concentrating on work at the VRC where John and I will explain our vaccine efforts for COVID. (WTF???). All this because the VP listened to the POTUS and would not wear a mask. That night I did CNN with Cuomo (see below). We spoke about the new models showing 3000 deaths pe day and about 134,000 total deaths if we back off on mitigation the way the POTUS is pushing. During the interview, Chris gave a wonderful explanation to viewers how close and good friends we are and how I checked in on him every night including weekends for weeks during his COVID illness. Never saw something like that on TV. He praised me such that Megan (who was watching live) said it almost brought her to tears. PRESS: CNN with Chris Cuomo
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May 5, 2020 - Global - 3,500,000/240,000; USA - 1,200,000/69,000 OMG! This is really getting nutsy. Sally Quinn evidently wrote a book some time ago about a character that is me: https://www.washingtonian.com/2020/05/05/sally-quinn-modeled-the-erotic-hero-of-her1991-bestseller-on-anthony-fauci/ The Maureen Dowd sends me an e-mail: "I can see it" Did a TF meeting today in the Sit Room (see above) displaying the NIH (esp. VRC) vaccine effort. I took Barney Graham, John Mascola (who presented) and Francis Collins. We successfully got VP to understand the NIH intramural and extramural. Got call from Paula Reid asking about a story in the New York Times that the WH is disbanding the Task Force. I told her that this was news to me. I also made peace with her about the "confrontation" at a press conference that we had a few weeks back (see above) Today's USA Today: In the face of a pandemic, Memarles of Matalie Wood Don Shula, teachers get their due as told by her daughter architect of A porron of pees eluices who Soe ee Dalle of apdc bore, tinged by Hothyecesd exci, the 'perfect' (hr eygord head of Gee cha Stations Bett sancdde in rere nok red cecurneniary. ines Sea50M, dies = The HFCs winningest ooh bed thes Daishiee i fo TF-O. glory and forsee THE MATPONS NEWS I #2 I TUESDAY, MAYS, 2020 Spmvertstion i eperta Feds consider relaxing * to come h trol ee hursing home Controls eee Le pcorieeeetie Opponents say change ee oe pongan ie aeee ig tas ee es would put people ai risk tee ate ase niet eee. 'thay cx: nemnop ism Psocransies' eae sacred eal ry TOWatebaa camel wih au the roaze booke so resp ned Trica. 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In rece nurvey oF 120 regiriered LS. voter,» 'ere aakes whevi hey would trusi "akotTM oreo" ic and nocta . An core Fea snd the Coriore for Dieanme Covi ane Preveriion iopped (ies ect wth TR brut: nang woos Oversight of antibody tests Gracty, ond Gaugiriers aire ecco FDA pare reer socurscy mancorce DA Foect check: Wuhan lab Cad Pacoent Obata mec 1 Poor? oh Wirtual intamns aro a thing io office? He probe Fon chee Fico. 1 is gaan to weer i nmttied, and mmcre has. ben aor eed of bil nw han Qn aeny thm in: hen career," Michael Onerholm ee oe Sr imc Che ee rd Posy Sacco the -vedos of the Cue y aL "Go oo Boe Ea COT OF a LA The story behind Anthomy Fauci, the expert who became an icon Marcodela Coma waco ox. Shechern: Reord chicds'4 po wart Pa asi inp pa are] woe. hb cere lictiee of eet hee Bick oo pr i sn: pro Pe oee-errnnd posh-cpo ad the 0 Checern ad ge 7D TootTube E, ---- hae the natice: bern this meierad bye ay ite of bn patron Drepkipsadece! White Set lat ee : 73, how beers card yin eS ek oe ee a fade i dimricr off the sia in A Whegy ood infection Diesen part of bee Morten! buetttutem of Hlth. ut ster COWIE D es tar bettie sya fram AA to hela ts ormni nghy noferred fota enn fo famine reas thie week, having, ban. baracd by the White Hocer From por ar wi oy Fa offre oer. lapping deeiptions of a cm fc homed phase down the TF and was that true. Another bit of craziness: Paula Read of CBS called my cell and said that the NY Times was reporting that WH was going to phase down the TF and was that true. I told her that I had not heard that and it was news to me. She apparently reports this on CBS and soon after, I get a call from Katie Miller saying that I am contradicting the VP since when reporters asked him (someone leaked it from the WH), he admitted that they were going in that direction. Katie says that I should sexually assaulted not have said to Paula that I had not heard about this. I should have said I will get back to you. I pushed back strongly. This is bullshit. The reporter asks if I had heard about this and I said no. It would have been ridiculous to say anything else. Finally Katie admitted thatr she had not even heard about it before the media announced it. CRAZY TOWN!! The woman who held the press conference call today (Karen Draper) saying that she worked for me for 2 years and I sexually assaulted her flopped. There were 6 people on the call and the Buzzfeed reporter pointed out that he checked her out and there was no record of her ast NIH ever. Also, he pointed out that she pronounced my name Dr. Foouchi and so she could not have worked for me for 2 years. This is the second flopped accusation. (see above). Much press on Trump blocking emfrom testifying before the House while allowing me to testify before the Senate. Also, media frenzy regarding Trump planning to phase out the TF. He does say that Deb and I will remain as scientific advisors (whatever that means). My prediction is that Deb will stay in the WH and I will remain at NIH and only do minor peripheral stuff. ............................................................................ Tonight I had the usual 8:30 PM weekly "medical community" meeting (this is the 4th meeting) chaired by David Barr. He gets on the teleconference the following: Balter (LA County); Allison Arwady (Chicago); Demitre Daskalakis (NYC); LaQuandra Nesbitt (DC); Jeff Duchin (Seattle). They have the same issue - mostly problem with testing, not enough, shortage of swabs, extraction material, media, long wait for results. I keep bringing this up to TF and TF (Giroir and Jared) do happy talk. 200,000/7 1,000 ause of the shutdown. yw says that he will continue the TF yut the misinformation regarding the
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May 6, 2020 - Global - 3,53,000/245,000; USA - 1,200,000/71,000 Begin day with uncertainty about the fate of the TF as well as the fact that there is great discord in the country regarding opening abruptly versus continued careful mitigation. It is clear thsat Trump and advisors are concentrating only on opening and saving the economy for the election in November. To be fair, we should consider that there are unintended consequences in my area of health. Had conversation with Bob Redfield lastr night about the fact that >1 million children world-wide have missed their measles vaccinations because of the shutdown. This is terrible and needs to be addressed since on that basis alone, there would be far, far more excess deaths from measles among children than coronavirus deaths among children. I need to bring this up at TF meeting. Trump does complete turnaround and now says that he will continue the TF indefinitely since he has gotten so many call from "good people" who tell him that the TF has do a "great job" and he should not dissolve it. Katie Miller and I laugh at each other in the Sit Room (see above). At TF meeting VP apologizes to me about the misinformation regarding the dissolution of the Tf and how that oput me in an awkward position with the media (see above). He admikts that he was "blindsided" since someone (likely Jared) leaked the story without telling Pence (Yikes!). I also took the opportunity together with Deb Birx who was there for the conversation that it is clear that Deb and I are being blocked from appearing the press (specifically national TV). I explained to Pence that I was formerly doing 2 TV hits per day and now I am doing 1 and at the most 2 per week with nothing on Sundays. He was surprised and said he would speak with Kayleigh about it. Also, they want to beef up the TF with both economists and some additional medical people. Marc Short and Pence sked me to ask Francis Collins to join. I spoke with Francis tonight and , as expected, Francis would do it even though it would be an added burden of work piled on an already packed schedule. A bit unusual that they would have 2 NIH people on TF. '10,000/73,000 Got rather unusual phone call from Larry Horowitz arranged by Anna Eschoo (DCA). He was asking questions about Rick Bright, likely related to tomorrow's Hearing on the Whistleblower issue and his getting fired from BARDA. I was careful in response. Larry said he had many e-mails (from January, 2020) where Rick was calling attention to fact that we needed supplies for the SNS (masks, PPE, ets) and Kadlec was not listening. The e-mail make Kadlec look bad. Larry wanted to know if I knew about these e-mails. I had never seen them. They were all e-mails within ASPR/HHS/BARDA. Trouble looming with the distribution of the Remdesivir that was donated by Gilead. Kadlec with Adm. P given task of distributing the drug equitably and eithically (Chris was consulted) to the hospitals that needed it. VP at the end of the TF meeting asked Azar, Kadlec, Adm. P, Deb and then unexpectedly me to get on the phone tonight and by tomorrow have a solution to what was perceived as a misalignment of distribution. It was clear from discussion last night that someone (likely Kadlec and ASPR) screwed up since in NYC, it was clear (and I picked it up right away) that the hospitals such as Cornell and Columbia did not get drug while Queens Hospital and Lincoln Hospital got drug. There is a furor about his screwup and Deb is not hesitating to call it out. May 7,2020 - Global - 3,600,000/248,000; USA - 1,210,000/73,000 Phone call with Secretary Azar about how to fix this problem. Cluster in process. Deb does not show up for phone call. Francis at Hearing today aimed at the Rick Bright issue. Not much problem for Francis. Big Cluster regarding the mis-distribution of Remdesivir. FEMA dropped the ball. They were supposed to distribute through ASPR the drug accoding to need of hospitalized patients in states. Deb Birx made it clear in an e-mail to Pete Gayno (FEMA Director) that the drug should be distributed according to need. article today: Gaynor either did not read the e-mail or blew it off. What happened was that FEMA told ASPR (Kadlec) to distribute the drug to 7 states (at first) according to population of the States with indicating any relationship to hospitalized patients. Kadlec balked and FEMA (working with Navy Adm. Polowcyzc) said "stand down andsend it". Bob caved in and off it went. And so some hospitals with few or no patients got lost of drugs and hospitals like Cornell, Columbia and NYU got no drug. A hospital received drug that was not aware of the cold-chain requirement. Drug ruined. People started complaining and the press got hold of it and is now reporting about lack of transparency. FEMA is saying that the plan of distribution was an HHS and Task Force plan. Deb went ballistic and the press are buzzing around. Washington Post article today: Sally Quinn Modeled the Erotic Hero of Her 1991 Bestseller on...Anthony Fauci Yes, that Anthony Fauci. In the novel, the character romances the first lady. Written by Benjamin Wofford I Published on May 5, 2020 Salon: '40,000/75,200; This article appeared in Salon: Woman who accused Dr. Anthony Fauci of sexual assault now claims Trump supporters paid her to lie Diana Andrade claims right-wing provocateur Jacob Wohl and frequent accomplice Jack Burkman were behind the scheme Travis Gettys
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May 7, 2020 4:09PM (UTC) Media blitz, stories (mostly good, but some critical) abound with dozens per day. Truly unbelievable. People naming their dogs after me. Sally Quinn saying that I was the erotic lead male in a book she wrote in 1994. She had met me at a dinner that year. And on and on. Still press is fixating on my not being allowed to testify before the Dem House but testifying before the GOP Senate
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May 8, 2020 - Global - 3,670,000/254,000; 1,240,000/75,200; COVID-19 hits the White House!! . We had our pre-brief for the Senate HELP Hearing on May 12 and we are trying to decide whether to call off the Hearing or do it virtually. If we postpone hearing, there will be political blowback from the Dems. If we do it, people will say we are violating our own public health recommendation. Tough situation. It is my impression that there will be several more infections in the WH over the next few days. They should do everything virtually. Mark Meadows wants to delare TF members as essential workers and test us every day for 10 days and wear masks, 6 ft distance and come to work. CDC people first said that all in the room should quarantine for 14 days. We are trying to work this out. I strongly disagree with switching to 10 days. That would be an unforced error as far as PR is concerned. I am OK with testing every day, wearing mask and doing mostly telework for 14 days. Let us see what happens tomorrow. Science article: yn CohenMay. 8, 2020 , 6:20 PM 270,000/77,000 ; closest to Katie is going into Crazy Judy Mikovits. See Science article:
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May 9, 2020 - Global - 3,760,000/260,000; USA - 1,270,000/77,000 Trying to figure out policy for addressing the infection on WH complex. Big breaking news tonight! Steve Hahn who was closest to Katie is going into strict 14 date home quarantine. Bob Redfield who had a moderate exposure is also saying he is going itnom14 day quarantine (when in fact he will gointo his office). Jake Tapper called me and asked whether I was going inot quarantine. I explained to Jake that I would do a "modified quarantine" since I was a low risk exposure to Kstie. Thid merans that I will get tested every day, would wear a mask ontinually, and would spend most of my time either alone in my home office or alone in my NIH office and would go to White House or Congress with precautions of universal mask wearing and phycial distancing. I tested negative yesterday and will get tested every day for 14 days and then 1 time per week afterwards. This went viral with calls from multiple neywroks to confirm the CNN story and from people like Dani Bolognesi worried that I was actually infected. ,290,000/79,000 to check and see if I was Marc Short and others close to Katie really should do some sort of quarantine (even if modified), but they are not even wearing masks. Not a good metric. PRESS: I am all over the news regarding my "modified quarantine" (see above)
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May 10, 2020 - Global - 4,150,000/283,000; USA - 1,290,000/79,000 Much flurry over the press wanting to understand the difference between a modified quarantine and a total quarantine. I am explaining. Also, I do not want to do the Hearing in person on Tuesday, but Mark meadows is getting pressure from the POTUS and others in WH to have me do it in person. It would give mixed signals given my statement of Modified Quarantine. It would be an unforced error if I did. We finally decided that all 4 witnesses (Giroir, Fauci, Hahn and Redfield would do it virtually. President Trump called my cell while I was at home to check and see if I was OK, having heard that I was in semi-quarantine. Reports from all over the world including USA of children who are SARS-CoV-2 infected who develop a Kawasaki-like syndrome. NIH will start to study these children. We have heard from UK and Italy. Many e-mails from friends concerned about me. Some misinterpreted and thought that I was actually infected (Mike Gerson) Reports of countries and some states in the USA that are opening up and triggering blips and rebounds. Actually the curve of new infections is flat (at a high level). ,320,000/79,500 /-fauci-held-hostage-by-trump-during-feeding841 It is flat because cities like NYC and NO are going down while others are going up. Up + Down = Flat PRESS: Heavy TV and print cover of Hahn, Redfield and I going into quarantine.
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May 11, 2020 - Global - 3,930,000/275,000; USA - 1,320,000/79,500 Some press bugging Courtney as to the precise nature of my "modified quarantine". This is related to the fact that there is major inconsistency in the White House. Marc Short (whom I resally like) practically sits on Katie's lap and he is vey close to the VP. Yet he is not even wearing a mask. He actually should be self-quarantining. He was at a much greater risk than I. Got phone call from Alex Azar as I wa leaving my house with Security to go to NIH at ~7:45 AM. Alex was concerned that the WH wanted him tosit in the Situation Room without a mask with the POTUS on the csall with the governors. Also, they went him to sit next to the POTUS in the Rose Garden later in the day. Alex is a higher risk than I sitting right in front of Katie. Alex is very uncomfortable about this and does not know what to do. It is tough to say no to Mark Meadows who is insisting. (this is why Mark was torn and wanted me to appear in person before the HELP Committee Hearing tomorrow - we discussed this by phone over the weekend and finally I convinced him to have all 4 of us - Giroir, Redfield, Hahn and me do the Hearing virtually) Call with Sen. Lamar Alexander regarding tomorrow's HELP Hearing. It was a courtesy call and his wanting to know what would be the best questions to ask. He is set on testing all college students before re-starting school in August. Hilarious video of Billy Crystal playing me in a Trump dungeon prison: . https://www.thedailybeast.com/billy-crystals-dr-anthony-fauci-held-hostage-by-trump-during-feedingamerica-comedy-festival. lfilms.com> T " <afauci@niaid.nih.gov> ]" <conradpa@niaid.nih.gov> eisand Continued interest by the press on the "quarantine" of me, Redfield and Hahn since they want to focus on why the VP and POTUS who have as much exposure to Katie and we have are not quarantining. Note from Barbra Streisand:
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May 11, 2020 https://www.gocomics.com/lio/2020/05/11
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May 12, 2020 - Global - 4,000,000/280,000; USA - 1,350,000/81,000 ,400,000/82,000 Mark Meadows called this AM (7:15 AM) before the HELP Hearing checking on how I was and thanking me for "taking flak from both sides". He is a good guy, but I think that the call was prompted somewhat by a NY Times story this AM (Sheryl Gay Stolberg) that reported my saying to Sheryl when she asked what I hope to accomplish at the Hearing, I said to let people know that they must be careful in opening the country and not go too fast or prematurely since we risk the problem of rebound. Hearing went well by virtual. I was in my home office. Had a little scuffle with Rand Paul who said that I am not the end all and be all to close down the country. I went back at him and tweets said I came out way on top. Received 2 packages of cookies from Joe and Jill Biden with note: "You are our hero. Stay strong and healthy. We need you". VOX did a mini-history of me: https://bit.ly/2WrCa4w
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May 12, 2020 https://www.gocomics.com/lio/2020/05/12
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May 13, 2020 - Global - 4,100,000/285,000; USA - 1,400,000/82,000 Press today and yesterday afternoon reporting heavily on the Senate Hearing from yesterday. Playing up that I am the voice of reason. However, I am obviously causing conern among GOP who want to open quickly. FOX News blasting me - Hannity, Carlson, Ingraham. See Politico piece about GOP getting "Fauci Fatigue: https://www.politico.com/news/2020/05/12/anthony-fauci-republicans-coronavirus251919 Had a wonderful Instagram discussion organized by the ONE Campaign with Julia Roberts. She was absolutely fabulous. She embarrassed me somewhat when I sat down in the chair and appeared on the screen through Zoom, she put her hands in front of her mouth and said "Oh my God. It's Dr. Fauci, he is here." Then she went on to say that I was he personal hero and how happy she was to have this conversation with me. We discussed COVID-19 and its potential impact on the developing world. I told her that we have a moral responsibility to help and also we have enlightened self-interest in that if the outbreak continues in the developing world, it will always be a threat to the rest of the world. Also, we discussed the importance of including the developing world in the vaccine trials and accessibility of vaccine. She was totally down to earth. Great experience!! ,380,000/84,000 Dick Cheney called me to thank me for what I was doing and to say that he fully supported me. I acknowledged and thanked him and his daughter Liz for sticking up for me after the Senate Hearing yesterday. He was muted in his criticism of Trump, but he did agree that Trump was living in an alternative universe (I said this and he agreed) After the TF meeting (which I attended virtually since Natalie Hurst said there was a crowded field and I should stay at NIH and call in), the VP wanted to chat with me. He kept me on the phone for 25 minutes talking about the meeting that he and Deb had (by zoom) with College and University Presidents including Stanford and UVA among others. The presidents had sound plans for opening up in late August. I agreed with them that they need to test everyone before they come on campus and weed out (temporarily) those that are infected (both symptomatic and symptomatic) to start off with a zero baseline infections. Afdter that, they do surveiilance and indentification/isolation/contact tracing on all new cases. All students with co-morbidities should do classes by virtual. Sounds like a good plan. During the call, the VP said that I was the most visible and trusted asset in the country. Tonight, CNN really played up the "feud" between the POTUS and me. They fed him that I said we should not open schools, when in fact, I said that we would not have a vaccine in time to vaccinate the students (mostly college) for the August/Fall semester. This was in response to a question from Lamar Alexander. In an interview, the press kept asking POTUS about my cautoon in opening the country and my concern about opening the economy. He obviously got annoyed and explicitly criticized me (first time he has done this). That is when CNN went wild and on Erin Burnett, Anderson Cooper, and Don Lemon they had people saying how I was correct and the POTIS was wrong and that they should believe me. I called up Chris Cuomo before his show and told him the truth. He gave a more measured account on his show. Now I know why the VP spent so much time with me on the phone talking about his conversation with the college presidents about opening the colleges. VP is a "good guy". I think he was trying to protect and shield me. I texted Mark Meadows at 8:51 PM to call me to explain, and he never did. Let us see what tomorrow brings. PRESS: See above media blitz about my feud with the POTUS
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May 13, 2020 https://www.gocomics.com/lio/2020/05/13
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May 14, 2020 - Global - 4,170,000/288,000; USA - 1,380,000/84,000 ing that I disagreed with his decision to ith the POTUS and the y reaching out to him. ,410,000/86,000 POTUS on FOX this AM blasting me saying that I disagreed with his decision to stop travel from China. Big buzz in media about the POTUS feud with Fauci I spoke with Mark Short by phone and he is very much OK with me. He suggested that I speak with the POTUS and explain exactly what I said. I have been trying to connect with Mark Meadows by phone and text, but no response thus far. Moncef Slaoui joins the team as the "Czar" for Vaccines/Therapeutics/Diagnostics. Mark Meadows called me back and confirmed that the POTUS is upset with me. I explained to him that there is confusion. I never said do not open the schools. I said that we would not have a vaccine ready. Mark said that he would speak with the POTUS and perhaps have the POTUS call me. Chris Cuomo, and Jake Tapper are trying to clarify this in my defense on their shows. Mark Meadows calls me back and says that he spoke with the POTUS and the POTUS understands and all is good. He appreciates my reaching out to him. I went to West Wing for meeting with Deb Birx in her office (lower lobby). I went upp to say hi to VP staff and Hope Hick saw me and asked how I was doing. I had printed out the entire transcript from the HELP Hearing and tabbed the parts that indicated that I did not say do not open the schools. Hope had those pages copied and she will show them to the POTUS. Hopefully, this ends the "feud" Getting many, many e-mail of support from all over the world. This has made big news! In a column today in the Washington Post, Mike Gerson said: "At one level, this is an unfair fight. Trump is a proven and perpetual liar, and his Fox News allies are artless, shameless ideologues. Fauci is one of the greatest humanitarian physicians of our time, whose entire career has been committed to scientific integrity and truth-telling. In a battle of credibility, the duplicitous, conspiratorial demagogues are at a serious disadvantage."
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May 15, 2020 - Global - 4,200,000/3295,000; USA - 1,410,000/86,000 ,300,000/298,000 USA846 IMPORTANT DAY AT WHITE HOUSE: Wen to White House as usual, but today was a Rose garden ceremony announcing the "Operation Warp Speed", which is the interagency plan to develop a COVID-19 vaccine by the end of the year and have 100 million doses by November and 300 million by Jan. 2021. This is the plan that we have been working on for some time at NIAID. In addition, the occasion was to introduce Moncef Slaoui as the "Czar" for the project and General Gus Perna as the COO or logistic person for the supply of vaccine doses. Important event was my meeting with the POTUS in the context of our ongoing "feud". We (those who would be on the stage with him in the Rose Garden - Sec. Azar and Sec, Mark Esper (DoD), General Mark Milley (Chair, Joint Chiefs); Gen. Gus Perna, Francis Collins, Deb Birx) were all in the Oval waiting for the POTUS. We all had masks on. The POTUS walked in from the Inner Office and immediately caught my eye and opend up his arms. He gently pulled my into the outer office where the TV was on giving the economic forecast and said. "Tony, you are losing me trillions of fucking dollars." Then he said something interesting. Her said: "Tony, you and I are OK. There is no problem between us We are similar is some respects. You are playing me and I am playing you. I know you better than you think and I respect you and like you. You need to do your thing and I need to do mine; as long as you understand tht I need to keep this country alive." Then as we were ready to go out, he looked at all of us and said: "Do we really need to have those masks on. It sends the wrong signal". I told him that we should keep them on since it would be an unforced error to take them off. The press would kill us. His response was "Who gives a shit about the press; they will try to kill us no matter what we do." Francis and Deb looked to me and I said: "Mr. President, I will not remove the mask. I must wear it." He had a look of exasperation on his face and said: "OK, if you insist" (Francis and Deb sighed a sigh of relief as it was clear that Deb was willing to romove the mask; Francis was with me). However, he turned to the generals and Azar and Esper and said: "You guys, take you masks off, you hear me?". They dutifully did and we all walked out to theRose Garden. After the ceremony when we came back to the Oval and were about to disperse, he came over to me and said: "Tony, we are good, right?" I said: "We are good Mr. President". May 16,2020 (Saturday) - Global - 4,300,000/298,000 USA - 1,430,000/87,000 Front page of Washington Post headlines: "Trump's vaccine timeline doubted". Quotes by good people like Paul Offit and Peter Hotez doubting the feasibility of the announcement yesterday. This is an example of the problem with the new COMMS people in the WH (Kayleigh et al) absolutely shutting me down regarding approvals for the press. I could have easily explained the plan and put it into context. I ewxplained this to Marc Short on the phone this AM. He said that he and the VP are just as frustrated with the situation. He thinks things will get a little better as the new COMMS team gets better organized. I am not so sure of that. Peter Reiss of the Netherlands sent me a clip showing that I was the "Man of the Week" of the leading Dutch newspapers: Tony, As I was reading through one of our Saturday national newspapers, I suddenly found myself looking at this cartoon of yours, and thought I'ld share: https://www.nrc.nl/nieuws/2020/05/16/man-van-de-week-anthony-fauci-a3999906 The artist Sigried Woldhek, since the 70's, every week draws a picture of a man or woman who is in the news. USA -- 1,460,000/89,000 The accompanying text reads: Who Dr. Anthony Fauci, head of the US National Institute of Allergy and Infectious Diseases. Why Fauci, worldfamous expert in the field of infectious diseases and advisor to all US presidents since Ronal Reagan, steadfast continues to provide scientific explanation and advice about the coronavirus and the possible consequences of measures taken and still to be the taken. But president Trump is less and less pleased with that. He called some of Fauci's remarks during the Senate hearing unacceptable, and the pitbulls from Fox News subsequently attacked Fauci full force. How Watercolour painting. We're living through unprecedented times as a medical and public health community, but I can only imagine how you and your family must be experiencing these times. You are doing an incredible job, we all stand with you, and I personally send you warm regards, Peter Article in New York Times today by Aexalander Burns, Maggie haberman, Jonathan Martin and Nick Corasaniti - "A President Riles a Nation Amid a Crisis" mentions that Trump is hurting himself by attacking attacking everyone in sight, trashing Obama and "distancing himself from a highy poplar Dr. Anthony Fauci" .............................................................................................. May 17. 2020 (Sunday) Global - 4,400,000/302,000; USA - 1,460,000/89,000 Continued blocking me from appearing on any press . Also, doing this somewhat for Birx. Deb getting slammed by many in press as caving in to POTUS and not sticking up for her principles. ,500,000/90,000 Sunday shows were all about opening up the economy with Tom Frieden, Tom Ingelsby, Scott Gottlieb giving their version and mostly agreeing with me. Navarro still spewing his stuff. What is evolving is that states that are opening thus far are not seeing an increase in cases. In fact, some are seeing decreases. We need another couple of weeks to se what is happening. Interesting that they might be paying attention more to mask use and social distancing as they open. This is true EXECPT for the young people who are going to the bars (Milwaukee) and beaches (South Carolina, Georgia, Florida). There are 2 patterns: Acute outbreaks in nursing homes (1/3 of all dealth are in nursing homes), prisons, and meat packing plants, and industries where workers are in dormitory-like quarters. This is easily recognizable and quickly contained. Then there is the more subtle community spread that gradually accelerates and requires contact tracing. It is conceivable that we will progress in the next weeks with little to modest community spread and many acute outbreaks as described accounting for the spikes that we are seeing and will see. ~6:00 PM received a call from Jared Kushner. He wanted to feel me out about a few things. Primarily he wanted to get my take on Operation Warp Speed. He wanted my perspective on the structure, what it meant, my take on Moncef Slaoui. He did not fully realize and it was good that I explained to him that the development of the COVID-19 vaccine(s), i.e. the science and implementation of trials is WHAT I DO. I asked him to make sure that when new people come in and new structures are formed that we do not "reboot" and re-invent the wheel. We are well into the process and I just do not want any person or organization or structure get in my way. My team is the best that there is. I believe he got it. He wanted to know how the military fits into this. It was clear during the conversation that he is the link to the POTUS and his skepticism about HHS and Azar came through. Nowhere was there mention of the VP, which aligns with what I am witnessing, i.e. the dichotomy between Jared and the POTUS versus OVP. He spoke of the role of the military in logistics and supply. I emphasized that I do not do that; I develop vaccines and do clinical trials. I punt to others to produce and distribute. Also, it is clear that he wants to phase out the Task Force and move on the more of the various agencies of government doing their thing. He will keep Deb Birx, who clearly is in his favor. It seems to me that there is a lot of "palace intrigue" going on or about to go on. We shall see.
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May 18, 2020 - Global - 4,500,000/308,000; USA - 1,500,000/90,000 ,500,000/9 1,000 The Moderna/VRC data on the high levels of neutralizing Abs in the two doses (25 microgram and 100 microgram) given in phase 1 trial are being released today by Moderna. I have been asked by Jim Sciutto of CNN to discuss this on his show and have requests from NY Times (Denise Grady), WSJ, and STAT to comment. We are getting the same stonewall from WH COMMS. They do not answer our requests for clearance. This in the background of not allowing me out in the press for the past 2 weeks under any circumstances. Jim Sciutto called the WH Comms and they told him no and Jim wrote back to me by text message: "Between us, someone in WH told us they're aware you're frustrated but "don't care". I called up Marc Short and explained to him. Good guy that he is, he is going to look into it. Katie Miller, whom I have been following every day for her COVID19 is feeling better and I mentioned it to her also. She will be back soon. Got call to rush down to White House by Olivia Troye. They now want me at the Governors teleconference run by POTUS in Sit Room with First Lady Melania. POTUS very friendly and usual warm to me in the room. Most states are starting to open us and POTUS cheering them on He calls upon me to explain to Governors theModerna announcement. Govenors are all gushing over the POTUS and telling him what a fabulous job he is doing. He made the call go for almost 2 hours since he lover the adoration. Marc Short writes me a text saying that since the POTUS was so friendly with me, maybe now the Comms thing will get straightened out. I doubt it. I am thinking of confronting Kayleigh and/or bringing it up with Marc Meadows.
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May 19, 2020 - Global - 4,600,000/312,000; USA - 1,500,000/91,000 Despite my being kept out of the press by the Whit House COMMS people, the media blitz about me continues strong, as well as the gimmick stuff like underwear (bikini) with either my name on the front or Govs. Cuomo or Newsom (D-CA). Signs in DC: https://bit.ly/36dKb0f I decided to take the bull by the horns and address this muzzling of me and importantly, the fact that the requests that we are sending down for clearance are just being ignored. Instead of going to Mark Meadows and jumping over the head of Kayleigh McEnany, I decided to go straight to Kayleigh. It worked out beautifully. I described it in an e-m,ail that I sent to Courtney and Patty tonight after the call with Kayleigh and Alyssa Farah: Courtney/Patty: Important breakthrough! Spoke tonight with Kayleigh McEnany and had good conversation. Although she is copied on all the e-mails, she rarely reads them. I ,530,000/92,000 2d Diane explained the problem of lack of any response to our inquiries. I believe it is now fixed. First, she said that all our correspondences to them should include copies to Lyndee Rose at Lyndee.D.Rose@who.eop.gov . The she connected me with Alissa Farah and with that everything got settled and fixed. I had a long conversation with Alyssa. Her cell phone # is (202) 809-6071. I explained that my two contacts are Courtney and Patty. She admitted that they were holding me back , but she feels that this has gotten out of hand. She was terrific on the phone. We made a deal. New Rules: For all print press like the 3 requests from NY Times, WSJ and STAT regarding the Moderna data, we DO NOT NEED clearance. We can respond on the record and we merely need to let her know what we are doing and keep her in the loop. For podcasts and talks to organizations, i.e. Council on Foreign Relations, we DO NOT NEED clearance. We merely need to inform them as an FYI. For major TV hits, we need clearance, but send directly to Alyssa and Lyndee. She said she will start clearing our TV requests tomorrow depending on what the topic is. She admitted, they definitely should have cleared the requests regarding Moderna. She says that she trusts that I know what I am doing and can handle anything, and will start clearing my TV requests, but said that with certain really sensitive subjects like the bleach issue, they would rather not have me out there. It was a great conversation and I believe that we have now fixed the problem. We can discuss more tomorrow. Thanks, Tony
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May 20, 2020 - Global - 4,700,000/317,000; USA - 1,530,000/92,000 The Fauci craze continues. Some select examples: Brooklyn Artist Jeremy Penn's Dr. Anthony Fauci Portrait Nets $15K For Charity. Page Six (5/19, Mohr, 1.6M) reports, "Brooklyn artist Jeremy Penn, who has painted Diane von Furstenberg, Kate Moss, John Galliano and Karl Lagerfeld, sold a portrait of" Anthony Fauci for $15,000. Penn "s donating all proceeds from the Fauci piece to charities True Hero Fund and No Kid Hungry." Already starting to get clearances for press appearances. Alyssa is keeing her word. On Conference call with the OWS group, it is clear that Jared Kushner is inverting himself in the process of decisions about vaccines, therapeutics and diagnostics that disturbs me. Also, I am concerned that Jared said that after 1 hour and 45 minutes of I have a bad feeling about I,600,000/94,000 7A wo2ee 1 SHOULD'VE Wi SPECIALIZED IN PSYCHIATRY... {#8} 179 Photos VIEW FULL GALLERY "i be https://people.com/movies/julia-roberts854 discussion, Jared said that we need to run this by Deb Birx. I have a bad feeling about this. Had nice teleconference with the advisory board to Mayor Bowser in helping her to open up DC. Old friends Susan Rice and Mike Chertoff on on the board. They were very appreciative.
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May 21, 2020 - Global 234,100 - new 24,200; deaths 9800 Italy 3,400 deaths, now surpassed China USA - 19,300; new 5300; deaths 272 (73 new) At task force meeting I stressed the problem about the PPEs being diverting to testing as opposed to HCWs. I also emphasized this strongly at the subsequent press conference. Again, we met with POTUS after the TF meeting and in preparation for the presser. Very good press conference. Big front page article abut me appeared in the Washington Post. Very flattering. The situation with my national and international fame is explosive and really unimaginable. It is not hyoperbole to say that today I am the most famous and talked about person in the country and one of the most recognizable peson in the world. Countless profiles on me in multiple media. I cannot even read all the things that are written abuyt me since I am so busy....seriously. POTUS seems to be enamored of me even though I am taking the spotlight away from him. We are developing a very unique and interesting relationship. The entire secret service corps is coming over to me and chatting. They let me into the first gate without even checking ID. Everyone is worried about my health and welfare, probably because it is all over the place that I am almost 80 years old. PRESS: WH press conference picked up by many outlets. Many print profiles and features on me. Ridiculous - too numeous to count!
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May 21, 2020 - Global - 4,800,000/320,000; USA - 1,600,000/94,000 Will start doing print interviews in earnest today starting with Denise Grady and Noah Weiland of NY Times. Also, spoke with Sanjay Gupta explaining the Moderna data. Interesting that despitr Alyssa's promise, they still have not cleared me for Jim Sciutto. However, I was cleared to do the CNN Town Hall. Cartoon in USA Today: https://bit.ly/3bQDXVt My instgram interview with Julia Roberts: https://people.com/movies/julia-robertscute-reaction-speaking-dr-anthony-fauci/ Did a Zoom interview and town hall under Boomberg/Harvard moderated by Mayor Michael Boomberg with 190 Mayors of various cities throughout the country PRESS: CNN Town Hall with Anderson Cooper and Sanjay Gupta ,600,000/95,000 I,600,000/96,000
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May 22, 2020 - Global -4,900,000/325,000; USA - 1,600,000/95,000 Turmoil in OWS - Peter Marks drops out. Upset with how he is being treated with the arrival of Moncef. Moncef has met with pharma companies involved in the harmonized protocols and as expected they expressed doubt about the possibility that we (NIAID/USG) could pull the trials off. Deep down, they want the money and they want to do it on their own. I will set up teleconference next week with Francis, me, Larry Corey, John maslcola, Cliff and the CEIO's of the companies tomstraighten this out. Trump getting out of control in pushing to open up the country and get the economy back before election day. He is desparate. This is all about re-election. PRESS: NPR Morning Edition; Nextstar Interview with Mike Saag; CNBC with Meg Tirrell;
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MAY 22, 2020 ALEX WONG / BRIAN SMIALOWSKI / GETTY / THE ATLANTIC
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May 23, 2020 - Global 292,000/12,800; new cases - 26,000; USA 33,300/391; new cases 6800. Cases in USA went up overnight by 20%. Bad news. Got copy of proposed POTUS press conference speech for this afternoon. I objected sharply to the ststament that the ORACLE system (see above) will be able to follow every coronavirus patient in the country starting in 2 days (Wed). This is logistically impossible and I surely will clash with WH people, particularly Mark Meadows. He is a good guy, but wedded to this. They are pushing to get HC out and we really need to do it under and IND and a protocol. Much tension between me (also Steve Hahn, Cliff Lane) and the White House (Meadows et al) Apparently the WH is very upset that I am being profiled and it looks like I am putting down the POTUS and becoming a star that outshines him. The press is playing into this as is the tweet storm. Very stressful!! Had improatnt and good meeting with Marc Short (VP- COS) and explained that 3 of the 5 profiles of me were without even interviewing me. The others started as inteviews and wound up as Profiles (Science - Jon Cohen, The New York Times - Maureen Dowd). The profiles always pit me (the good guy) against the POTUS (the bad guy). I explained to Mardc that I have no desire to conflict with, embarrass or show up the POTUS. He completely understood the situation that I was in and was very sympathetic. I told him that I would not do anymore profiles. Very important meeting in the Oval Office with the POTUS, Deb Birx, Jared Kushner, Mark Meadows, the VP and Marc Short about the timing of liftinbg the mitigation soaring in NYC. guidelines and telling people to come back to work since if we go much longer, the economy will definitely will tank and more damage to health might occur not to mention civil violence. He wnted to lift everything by Easter Sunday (April 12). I pushed back heavily saying we need to model out how to do this in segments and not just declare "Opening Day". POTUS at press conference has essentially said he is going to open up the country. Did not say when, but hinted it was a few weeks at most. Getting calls at home from many people wanting tomknow what I think. I am nit anwering most. Spoke with Gov. Cuomo who is concerned about me and the position I am in. Also, spoke with Chris Cuomo who feels the same. Amazing firestorm about me on TV tonight with Chris Cuomo, Don Lemon and others, wanting to know why I was not at the presser. Chris is being wonderful about saying that the press should not use Fauci as a foil against the POTUS. We need Fauci and we are putting him in a terrible position by pitting him against the POTUS. PRESS: Several print profiles; Mentioned all night on TV (see above)
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May 23, 2020 - Global 5,000,000;328,000; USA - 1,600,000/96,000 Some states flattening and coming down, while others showing some spiking. DC still not coming down nor is Chicago or Los Angeles. Argument about whether the CDC and other groups are undercounting or overcounting deaths. At the Senate Hearing 2 weeks ago I said I thought that if anything, we are undercounting deaths since people were likely dying at home of COVID-19 and not getting counted since they were not getting to the hospital. The media and magazine craze about me continues. Here is one from The Atlantic: https://www.theatlantic.com/international/archive/2020/05/pandemic-anthony-faucitrump-ireland-tony-holohan/611890/ GLOBAL The Faucis of the World Thrusting once-anonymous health experts into leadership creates a tension when political decisions must be made. TOM MCTAGUE
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MAY 24, 2020 - Not on Sunday shows today despite multiple requests. DC, MD VA has most cases now per capita. Nice pick up on Boston TV station of my words to the Holy Cross 202 Graduating Class: https://www.boston25news.com/news/health/dr-anthony-fauci-surprises-holy-cross-2020graduates-with-inspiring-message/PHPQQBXP3BFYDPENB4UERGCRXI/ Jennifer Rubin in the Washington Post: Distinguished person of the week: He's back! Anthony S. Fauci, the director of the National Institute of Allergy and Infectious Diseases, outside the White House on Friday. (Alex Brandon/AP) By Jennifer Rubin Opinion writer
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May 24, 2020 at 7:45 a.m. EDT President Trump has done his best to muzzle the most trusted voice on the coronavirus epidemic. Indeed, until late last week we had not seen much of Anthony S. Fauci, director of the National Institute of Allergy and Infectious Diseases, recently. Then, on Thursday, he reemerged for a CNN town hall. Fauci promised he would be out and about more. "We've been talking with the communications people, and they realize we need to get some of this information out, particularly some of the scientific issues for which I'm predominantly responsible for, so hopefully we'll be seeing more of us, will get the opportunity to talk to you." Once more, he was a source of common-sense advice: Go for a walk. Wear a mask. Socially distance. He'll forgo a haircut for now. On Friday, Fauci gave an interview for the Hill. He tempered the president's unrealistic happy talk about producing a vaccine by the end of the year. He frowned on the "Operation Warp Speed" moniker coined by Trump. "I'm a little concerned by that name because it can imply by warp speed that you're going so fast that you're skipping over important steps and are not paying enough attention to safety, which is absolutely not the case," he said. "But in this program of hastening the development of the vaccine, it's something that we do feel actually is feasible to get the kinds of doses that you would need." He remained optimistic but measured about our ability to find a vaccine. Most important, he warned states to maintain precautions as they began to reopen. "It is prudent for states who are at various levels of infection to follow the guidelines that have come out about reopening or opening America again," Fauci warned. "And that is to get past the gateway criteria and then go into the various phases at the rates that are 1,650,000/98,000 1,660,000/98,000 prescribed by the guidelines. Obviously if some states don't do that, there is always a risk that you may have a resurgence." Fauci remains one of the most trusted people in America precisely because he steers clear of divisive partisanship and delivers objective data. A Quinnipiac poll released this week shows his approval rating is 68 percent, 26 points higher than Trump's. Even a majority of Republicans (51 percent) approve of the job Fauci is doing. It is easy to figure out why. As he puts it, he makes certain to "give the best public health advice and guidance based on data, based on science and based on evidence." Fauci has conveyed lifesaving information to millions of Americans, avoiding hype and hyperbole. Managing to stay in an administration that has consistently demonstrated its hostility to science without sacrificing candor is no easy feat. His ability to communicate scientific information effectively is reflected in the overwhelming number of Americans who are following his advice (e.g., wearing masks) and in their determination to avoid excessively risky behavior. Fauci has no doubt saved countless lives by encouraging Americans to follow social-distancing measures and by acting as a restraint on the president, who remains a menace to public health. Moreover, Fauci has restored our faith that facts do matter to the vast majority of Americans. For all that we can say, stay healthy and well done, Dr. Fauci. .............................................................................. Teleconference with CDC and others from HHS in anticipation of an MMWR coming out on Tuesday showing that there was not widespread infection in the USA that was unnoticed (i.e. in Dec. 2019 and early Jan. 2020). CDC is a bit defensive since some have said that they missed community spread that was going on for some time.
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May 25, 2020 - Global - 5,200,000/339,000; USA - 1,650,000/98,000 Will discuss on today's group call (Fauci, Corey,Mascola,Lane, Erbelding, Dieffenbach, Marston, Conrad) the conference call with Pharma to take place on Wednesday.
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May 26, 2020 - Global - 5,300,000/345,000; USA - 1,660,000/98,000 Still no clearances for press. Spoke last night with Chris Cuomo who feels that they do not want me out there since I remind people of the challenge of COVID-19 and the administration does not want that to be the topis. The topic for them is opening up the economy, no matter what the consequences. Deb Birx out there losing credibility with the community. ton Times interview; 680,000/100,000 700,000/100,000 Was in Sit Room with the VP doing the Governors call. As usual, the governors were highly complimenting of the administration. Having said that, thing do seem to be improving with much more testing going on and several states having tested >5 % of the populations and of those tested, many states have <10% which is the benchmark indicating that you are testing enough people. We are waiting to see if there will be rebounds associated with the opening up in certain states. PRESS: Washington Times interview;
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May 27, 2020 - Global - 5,400,000/345,000; USA - 1,680,000/100,000 Larry Kramer dies! Very, very sad. Many calls and e-mails PRESS: CNN with Jim Sciutto; PBS NewsHour with Judy Woodruff
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May 27, 2020 • o o o o o "How did I meet Larry? He called me a murderer and an incompetent idiot on the front page of the San Francisco Examiner magazine." Speaking as he passed though a fever check on his way into the White House, Dr. Anthony S. Fauci, the director of the National Institute of Allergy and Infectious Diseases, recalled some of his fondest memories of his friend Larry Kramer, who died early Wednesday morning. Nearly every anecdote in our brief interview had the same plot: the country's best-known AIDS activist publicly abusing the country's best-known AIDS doctor -- and then privately apologizing afterward, saying he hadn't meant it, that it was just how to get things done. "It was an extraordinary 33-year relationship," Dr. Fauci said. "We loved each other. We would have dinner. I would go see him in the West Village, he would come down to Washington. "But even recently, when he got pissed at me about something, he said to some paper, 'Fauci's gone over to the dark side again.' I called him up and said, 'Larry? What the....' And he'd say, 'Oh, I didn't really mean it. I just wanted to get some attention.'" Nobody stirred up attention for a cause quite like Mr. Kramer did. An open letter to the San Francisco Examiner in 1988, Dr. Fauci said, was the first time he'd heard of Mr. Kramer, a playwright who had founded two activist groups: the Gay Men's Health Crisis; and Act Up, the AIDS Coalition to Unleash Power. Addressing Dr. Fauci in the letter, Mr. Kramer wrote: "Your refusal to hear the screams of AIDS activists early in the crisis resulted in the deaths of thousands of Queers. Your present inaction is causing today's increase in HIV infection outside of the Queer community." "I thought, 'This guy, I need to reach out to him,'" Dr. Fauci recalled. "So I did, and we started talking. We realized we had things in common." Mr. Kramer's name-calling wasn't personal, Dr. Fauci explained. "I was the face of the federal government. I was the one out there trying to warn the public, and he was, too. That was his way of saying, 'Hello? Wake up!' That was his style. He was iconoclastic, he was theatrical -- he wanted to make his point." Image Dr. Anthony Fauci during a news briefing on the AIDS epidemic in 1989.Credit...Bettmann, via Getty Images Over the years, they were often asked to appear together, often on television news programs. "We were on ABC's 'Nightline' and Ted Koppel asked me about AZT," Dr. Fauci said, referring to the first anti-H.I-V. drug. "And Larry said, "You guys in the government don't know anything. You've got it all wrong!" Dr. Fauci would get in a cab to go home, and later the phone would ring. "It would be Larry saying, 'How do you think we did?' I'd say, 'Larry, you just trashed me in front of 10 million people." "And he'd say, 'Oh, I was just trying to get some attention." As they became friends, Mr. Kramer tried to push Dr. Fauci into joining him in activism. "During the administration of George H.W. Bush, he told me, "Tony, you should chain yourself to the gates of the White House," Dr. Fauci said. "I said, 'Larry, how would that help? I can go talk to President Bush any time. He's a friend.' Would you like recommendations for more stories like this? Yes "He said, 'You should still do it." In 2001, with Mr. Kramer suffering from both hepatitis B and side effects of his H.I.V. medication -- he had the disease for at least six years before effective triple-drug cocktails became standard practice -- Dr. Fauci became his doctor. Mr. Kramer had told him he was not doing well, and doctors were baffled. "I said, 'Come to the N.I.H. We'll work you up.'" Dr. Fauci recalled. "He was really at death's door. We realized he needed a liver transplant." Mr. Kramer went on a transplant list. But there was a public debate over whether he should get a scarce donor organ, because patients with H.I.V. had long been considered less likely to survive, despite the introduction of effective medications. And at 66, Mr. Kramer was older than a typical transplant candidate. Nonetheless, he got a new liver that December at the University of Pittsburgh Medical Center. That not only set a precedent for H.I.V. patients and older patients, but also abruptly reversed the decline in Mr. Kramer's health. "He really bounced back," Dr. Fauci said. "It gave him multiple more years of life." The relationship between the two men played out in Mr. Kramer's literary works as well as in his political activism. Mr. Kramer's autobiographical play in 1992, "The Destiny of Me," includes a character based on Dr. Fauci. "He's named Anthony Della Vida -- Tony Of Life," Dr. Fauci said. "He told me he wanted the actor who was playing me to come down to Bethesda and go on hospital rounds with me and learn my mannerisms. "He made the character a mix of goodness and rigidity. To him, that's the federal government -- rigid." "On opening night, he invited my wife and me, and he's so sensitive about our friendship," Dr. Fauci added. "I was standing around at the reception afterward with all these activists -- Peter Staley, Gregg Gonsalves, Mark Harrington -- and he comes up to me sheepishly and says, 'Do you hate me?'" "I said, 'What, Larry, it was a good play.'" "He said, 'Well, I was a little hard on you.'" "I said, 'Larry, you're always doing that to me, anyway!'" The Life of Larry Kramer ............................................................................................... White House Comms back to blocking me. They even balked at my doing press associated with Larry Kramer's death........really???? 700,000/102,000 800,000/104,000 Kayleigh McEnany coming out at her own orivate press conference saying thsat HC actually benefits patients, particular early patients. POTUS doubling down on his use of HC. Crazy Peter Navarro stops me in the EEOB office where we get our COVID tests and tells me that what I am saying about HC is actually causing many deaths (amazing asshole!!!). It seems that my comments on CNN on Wednesday has really stirred up the White House. They definitiely do not want me out there on the air. Mike Caputo wants to have a "meal" with me to talk. We will wait to see what the RCTs show about HC. The observational studies show no benefit and some significant risk. I asked Andrea Lerner to review literature on HC for me. PRESS: BBC World Service NewsHour; Instagram interview with Sen. Tim Scott (R-SC); LA Times video interview; WYNC Radio with Amy Walter on Larry Kramer; STAT interview with Helen Branswell on vaccines;
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May 28, 2020 - Global - 5,500,000/350,000; USA - 1,700,000/100,000 https://www.nytimes.com/2020/05/27/health/larry-kramer-anthony-fauci.html 'We Loved Each Other': Fauci Recalls Larry Kramer, Friend and Nemesis In public, the activist berated the infectious disease expert for federal inaction on AIDS. But their affection lasted decades and changed the course of the epidemic. Larry Kramer in 2015. "It was an extraordinary 33-year relationship," said Dr. Anthony Fauci said of his friendship with the activist.Credit...Todd Heisler/The New York Times
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May 29, 2020 - Global - 5,600,000/354,000; USA - 1,700,000/102,000 Had major confrontation with the people from Moderna, mostly Tal Zaks, aandStephane Bancel who wanted to push backon the collaboration (mostly do their own thing). Moncef, John, Larry and I set them straight. Also Mikael Dolsten and people from Pfizer also wanting part of our resoruces (clinical sitesd) without joining the collaboration. Several conference calls to straighten this out. It is not going to be easy. Had long conversation on "background" with Bob Woodward who is writing a book on the early response to COVID in the USA. I provided him with some history of our response in early January and into February. Will tlak more with him tomorow PRESS: Wall Street Journal interview re: Chinese vaccines for COVID; Canadian Radio re: Larry Kramer; Young Money Radio - Lil Wayne and Dr. Dre;
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May 31, 2020 - Global - 5,800,000/363,000; USA - 1,800,000/104,000 Sunday - as expected, no shows for me. Also, conditions influenced by widespread riots and disruptions going on in multiple cities in response to a Minneapolis policeman who killed an unarmed black man (George Floyd), which was videotaped by a passerby. This has dominated the news. 00,000/104,000 00,000/105,000 A race horse owner just bought a horse to run in the Belmont Stakes and named the horse "Fauci"! I made it into a "Doonesbury" cartoon
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June 1, 2020 - Global - 6,000,000/368,000; USA - 1,800,000/104,000 Disruptions continue. Trump either silent or fueling the problem. McEnany looking more and more preposterous as she gives single person press briefings. Riots getting worse. Disruption and property destruction around White House and now into my very neighborhood blocks from my home up at Foxhole Center. Walgren's and Vourhius vandalized. Did Zoom interview led by Father Dan Lahart for the Regis High School graduating seniors. Students loved it. Jake Tapper did a piece on CNN quoting me as saying that I have not seen or spoken to the POTUS in 2 weeks from May 18 (Governors call) through June 1. Media picked up on it and made it a big deal PRESS: Interview with London Times for profile of me; TV interview with Italian TV (Sky TV)- Giovanna Pancheri; Washington Times interview on the effect of demonstrations/rioting on containment of COVID-19;
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June 2, 2020 - Global - 6,100,000/371,000; USA - 1,800,000/105,000 Riots continue in several cities. Washington, DC particularly bad. There was violence earlier yesterday, but then it was a peaceful demonstration. The POTUS ordered the police to clear the way through Lafayette Park so that he could do a photo op with a bible at St. John's Church across the street. The police came in and scattered the mostly peaceful crowd and injured several with rubber bullets and clubs. Things getting very bad. Task Force in Sit Room meeting regarding usual stuff - testing, supply chain,etc. Meeting with POTUS in Oval Office re: vaccines. As usual, POTUS was very warm and friendly with me. When he walked into the Oval with us waiting, I was standing next to the door and he said "I love you, Tony. I feel like giving you a big hug". And throughout the meeting where Moncef described our vaccine activities to him, he kept referring to me. After it was over, he called me close to the desk and asked how I was doing and said "How are you; you are looking real good". QOM); Podcast with JAMA 00,000/106,000 Updated Ran into Alyssa Farah outside the White House. Real strange. She said that she really liked my performance on CNN with Town Hall and also with Jim Sciutto. She asked how my other hits went. I told her that I did not have any other hits and that all my requests for clearance over the past week have been turned down. She acted very surprised and said she would look into this. Again, she claimed that there was confusion and lack of coordination with VP's Comms staff and theirs. Something funny here. I am meeting with Michael Caputo tomorrow AM in my house for breakfast. PRESS: Wall Street Journal - Tech Health Interview (ZOOM); Podcast with JAMA - Howard Bauchner
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June 3, 2020 - Global - 6,200,000/378,000; USA - 1,800,000/106,000 No TF today. Only a Governors call on Nursing Homes to which I was not invited. Probably mostly Seema Verma. Also, despite people (including Kellyanne Conway) assuring me that we are returning to 3x/week press briefings without the POTUS (i.e. with the VP), nonetheless, the press briefing today was Kayleigh by herself at the podium. Had breakfast at my house this AM (6:30 - 7:30 AM) on the back deck with Michael Caputo who wanted to discuss with me Comms strategy involving me. Good conversation. He says that there really is confusion at the level of the WH about putting me out. Clearly Alyssa wants to put me out there (not for every request, but certainly not 0 for 8 on a given week. He says that Alexa Hennings is the scheduler who books TV appearances in the one blocking me for unclear reasons. He will try to fix that sine he spoke with Alyssa over the phone yesterday (likely as a result of my meeting her outside the WH) and Alyssa wants to get me on more. Complicated situation. Also, Michael want me to do more PSAs and even a documentary. He is trying to establish novel paradigms for COMMS involving me. Also, we spoke a lot about his history with Russia and Roger Stone. He and his family have been greatly harassed by Antifa and he understands my harassment by the dark web. He is clearly an unusual guy who has been operating "at the edge" for some time. However, he seems like a pretty good human being. Anthony Fauci namesake is a favorite at Belmont Park
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June 3, 2020 I 9:21am I Updated 'US and 2d me Dr. Anthony Fauci Getty Images composite Fauci could be a big winner Wednesday. No, not Dr. Anthony Fauci, the infectious disease expert, but the horse named after him which will run in the third race at Belmont Park today as racing returns to Elmont, the first sporting event in New York in 80 days. Fauci, jockeyed by Tyler Gaffalione and trained by Wesley Ward, is a 4-to-5 favorite. Had a very difficult experience today. The POTUS called my cell and screamed at me because I had mentioned to the Press (likely on a Howard Bauchner podcast or a Politico interview that the duration of immunity for common coronaviruses was 6 months to 1 year and that although we do not know the duration of vaccine immunity, it is possible that we may have to use additional boosts. Apparently the press blew this up and said that the vaccine will only protect for a very short time. The POTUS was very angry. He said I cannot keep doing this to him. He said he lover me but the country is in trouble and I am making it worse. He said the stock market only went up 600 points and it should have gone up 1000 points and so I cost the country $1 trillion. Quite a phone call. 10:00 PM - Katie Miller called me up and said she had a message from the POTUS and the VP. Both of them (POTUS and VP) asked Katie to tell me that they both loved me and are sorry about what happened. They understand and feel that the press will continue to pit me against the POTUS and so please be careful. 1 Sarah Wheaton 50,000/107,000 2020 Sammies Federal Employee a September. ;000/108,000 PRESS: Politico interview with Sarah Wheaton
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June 4, 2020 - Global - 6,300,000/380,000; USA - 1,850,000/107,000 Had call with NYC Health Commissioner Oxiris Barbot and Deputy Commissioner Demetre Daskalakis to discuss the possibility of doing a multicenter study of the Multisystem Inflammatory Sydnrome in Children (MIS-C). NYC has 140 cases. Just today informed that I have been chosen for the: 2020 Sammies Federal Employee of the Year award. The ceremony will take place in September. PRESS: Live Instagram with Jose Andres; Alan Alda Podcast; Did interview with Jonathan Swan of Axios. I got off interview quickly since it appeared I would be pitted against the POTUS with his questions.
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June 5, 2020 - Global - 6,400,000/385,000; USA - 1,870,000/108,000 Had Zoom with activists David Barr, Peter Staley, Mark Harrington, James Kellerstein about community engagement with COVID-19 research and the issue of releasing data before publication. Moderna becoming a pain in the ass about the collaboration with mRNA vaccine. Wanting to pull back on prior agreements. We will pull the BARDA money if they do so Did "Fireside Chat" withn Brookings Institute with David Rubenstein. I made favorable comments today on CNBC about vaccines and decreasing of # of cases and the stock market went up by 3%. I should (but will not) contact the POTUS and say that he told me on Tuesday that my remarks blunted the increase in the Stock Market and cost him "one trillion fucking dollars". And so now my remarks actually made him "4 trillion fucking dollars", and so he owes me $3 trillion. Lilo by Mark Tatulll for June 05, 2020 Dear De Fauci, How are you? I am fine. T miss Seeing You every day, but I py busy. slobal - ©2020 Mark Tatulli/Distr. by Andrews McMeel Syndication HEY! You Wetting To FAVcI? Tew Him USA By the way, I isolated dhe Virus, and it -1,930,000/709 ; MarkTatulli.com Anyways, Just wanted to tell you don't listento the boneheads 5 we all still trust you! your biggest fm 115 \ 50,000/111,000 PRESS: WTOP Radio; Interview with the American Journal of Managed Care on the upcoming virtual IAS 2020 meeting; CNBC with Meg Tirrell; Radio interview with John Catsimatidis (NYC) - Cats Roundtable; Telemundo TV
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June 5, 2020 https://www.gocomics.com/lio/2020/06/05 Nice article in Science by Jon Cohen: Anthony Fauci, loved and hated, plots his next move: 'I'm not going to sit in my house' <« Mullen; In a candid exit interview, the NIAID head reflects on the seven presidents he served, controversial decisions, and feuding with Rand Paul • 1 Sep 2022 • 6:50 PM •
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June 6, 2020 - Global - USA Finally got a haircut with Sabine today after 11 weeks!! Quiet day. Catching up on NIH-related Talks.
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June 7, 2020 - Global - 6,700,000/393,000; USA -1,930,000/709 Sunday - no health people on Sunday Shows. Nation gripped with protests, demonstrations and violence over death of George Floyd and other assaults on blacks. A couple of days ago the POTUS ordered the clearance of Lafayette Park to get to St John's Church to do a photo op with a bible. Police crushed a peaceful crowd. Major PR reaction. Gen Milley and Sec. of Defense Asper being sharply criticized for being there and participating in the process. They were probably taken by surprise of what they were involved in. Milley wearing combat fatigues (not good). Protests spreading worldwide. Disturbing trend over past few days in number of new cases per day with 29,000 today. This is not rapidly going down regarding new cases, in fact going up. USG claiming that this is due to doing more testing, but that cannot explain it all. Could be result of crowds during Memorial Day and if so, we can expect more as country opens, in some cases prematurely. Also, deaths keep coming down.
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June 8, 2020 - Global - 7,000,000/399,000; USA- 1,950,000/111,000 Melissa Healey of LA Times; 980,000/1 13,000 PRESS: Univision TV; WRC TV - Doreen Gentzler; NY Times interview; WGN TV Chicago; iHeart Latino Radio with Enrique Santos; Spectrum News TV; taped Bio Fireside Chat (for tomorrow);
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June 9, 2020 - Phone call with Sen. Richard Burr (R-NC) about "after action" evaluation of our response. Big controversy when the WHO's Maria Van Kerkhove said that transmission from asymptomatic person was "very rare". She got blasted for this since there was no data to indicate this. We feel that there is substantial transmission since asytmptomatics have equivalent viral load in nasopharynx as do people with Sxs. Also data from Teddy Roosevelt aircraft carrier and prisons and nursing homes and meat packing plants indicate that transmission occurs a lot from asymptomatics. Lovely "thank you" by the Weill Cornell Medicinegraduating students for my sending them a video brief "Commencement Address" for their "virtual graduation". Several state are showing increases in number of cases and % of tests that are positive. Coud be the beginning of a rebound. NYC has opened as had DC. Other states getting "itchy" to open. Major sentiment to move forward. We will soon face the problem that if we see blips that are not contained by contact tracing, will the administration say damn the torpedoes, full speed ahead or will they pull bak. I suspect the former. Weill Cornell Medicine Student Thank you Video https://vimeo.com/426254316 Password: wcm PRESS: Yahoo Finance TV; Interview with Melissa Healey of LA Times;
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June 10, 2020 - Global - 7,100,000/405,000; USA - 1,980,000/113,000 Reports of multiple states including North Carolina, South Carolina, Alaska, Arizona, California, Utah, Tennessee,etc. having the highest single day number of cases reported. Cannot just be due to increased testing. Concern that the opening of states will be Global USA ine about Christine. ,050,000/1 14,000 followed by increased infections that will be difficult to contact trace since many are asymptomatic. Spoke with the David Barr group again last night and they feel that they will not be able to adequately contact trace if a uptick occurs. Also, there is a growing urge for peope to "get out". Did a Zoom call with Francis Collins and the activists - Peter Staley, James Krellenstein about PrEP for COVID. PRESS: Good Morning America ABC; NPR - Science Friday with Ira Flatow (taped); CBC Canadian TV; Newsy Documentary; Bill Nye "Science Rules"; Voice of America TV with Lesia Bakalets; Interview with the Daily Telegraph;
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June 11, 2020 - Global USA Had good conversation (having these every 2 weeks) today with Bill Gates on status of mAb (Regeneron, Lilly, etc.). Also, discussing other therapies. Also, discussed vaccines. Great article in Elle magazine about Christine. Big issue with companies that we are dealing with for COVID-19 vaccine. Moderna is acting like and asshole in that they want the USG money but are resisting having the NIAID network (Larry) control the trial They have the IND and so the trial is really theirs. Moncef and I and John Mascola had important call where Moncef indicated that he himself is concerned that a single network with one leader can be responsible for 3 (Moderna, Astrazeneca, J & J) and possible 5 (Sanofu, Novovax) trials. Abd so we decided that Moncef would put in writing that the companies can run their own trials in our network, but they must harmonize with regard to protocol design (with some variations), single DSMB, consistent lab results, and same primary and secondary endpoints. If they do not agree, then BARDA does not give them money. I am still concerned about Deb's negative opinion and tendency towards EUA. Spoke with Gary Bettman, Commissioner of NHL about their plan for a "bubbled" season → test all players and isolate them in a bubble and play the season like a tournament.. MLB and NFL considering such a plan. PRESS: CNBC "The Street" with Jim Cramer (interviewed by Katherine Ross); "The Stadium" TV Marquis Network.
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June 12, 2020 - Global - 7,300.000/415,000; USA - 2,050,000/114,000 Did Council on Foreign Relations Zoom meeting; 6,000/117,000 Crazy situation where WH approved nothing and then after the Podcast with Caputo, he said "The WH did not want you to do Wolf Blitzer yesterday since it competed with the POTUS on TV and so I asked for today, but they gave no response and so let us just go ahead and do it." Tough to figure out what if any strategy they have about getting me out to the media. There is a resurgence of cases in those cities that are opening up and now the model is projecting 1000 deaths per day with total of 170,000 deaths PRESS: RAI - Italian National TV; Yahoo News TV; ABC News Podcast with Jonathan Karl; WAMU Diane Rehm Podcast; Local TV stations in Buffalo, New York City, Los Angeles, Seattle, Portland, Oregon, Atlanta; Podcast with Michel Caputo; CNN Situation Room with Wolf Bitzer;
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June 13, 2020 - Global - 7,400,000/418,000; USA - 2,116,000/117,000 Got call from Alex Gorsky (CEO and Chairman at J & J) expressing concern on the part of the company CEOs regarding whether Gen. Gus Perna (as competent as he is supposed to be in military matters) can actually pull off the massive distribution of vaccine when it is ready including providing needles, syringes, etc. I have the same issue since Gus seems like a good person but every time Alex or Esper says something, he says "Yes sir, we are on it and will get it done" Seems too over-confident. Does he really know what he is doing? Got call from Gov. Cuomo at 8:00 AM but missed it because I was running on the C & O Canal. When I called him back he as on a helicopter and will call me back later. When he called back, he expressed how much in denial the POTUS is. He speaks with the POTUS regularly and tells him he needs to admit that cases are increasing, and he is going to help in suppressing them instead of denying them. NYC is doing well by carefully opening according to my recommendations. Cuomo says that I am the only one left in the USG who is speaking truth. He has given up on Deb and somewhat on Bob (who actually has been speaking up lately) Denial on part of administration saying that increases in case in CA, AZ, TX, NC are merely increases in testing and/or real increases, but mostly Americans returning from Mexico to get care since Mexico is exploding with infections right now. Clearly there are increases in cases and hospitalizations PRESS: None but many shows are showing recent clips to make points. J0; USA -- 2,100,000/1 16,000 |00,000/1 16,000;
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June 14, 2020 (SUNDAY) - Global - 7,600,000/425,000; USA - 2,100,000/116,000 Riots continue with more police killing of African American men, this time in Atlanta with killing of Rayshard Brooks as he was running away after scuffle with police leading to firing of officer and resignation of Police Chief Erika Shields. Becoming clear that the increase in infections in CA, AZ, TX, NC, etc. are real increases in addition to increased testing. Had conversation with Fred Hiatt (Washington Post Editor of Editorial Page) about my evaluation of the situation. I indicate that it should n0t be pure public health versus "damn the torpedoes, full speed ahead", i.e. not shut down versus "liberate the state/city". We should expect some cases as we open. It is critical to how we handle these with identification, isolation, and contact tracing. PRESS: No Sunday Shows, but showing clips of my prior comments.
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June 15, 2020 - Global - 7,700,000/428,000 USA - 2,100,000/116,000; Governor's call today at WH and I was not invited. BARDA requesting FDA to pull back the EUA for Hydroxychloroquine and Chloroquine, I was always against the EUA for HC and Ch since I did not believe that it fulfilled the criteria (some indication of efficacy) for an EUA: see link below. Also, this is the issue that Rick Bright has blown the whistle on, i.e. saying that he was pressured into recommending to FDA (when he was head of BARDA) to issue the EUA. Got call from Michael Caputo today asking if I thought that the POTUIS should cancel his campaign rally. I told him definitely yes. https://www.fda.gov/media/138945/download Call from Jeremy Berg at Pitt sending me as Cell Host & Microbe by a Chinese group Shi-Hui Sun et al: A mouse model of SARS-CoV-2 Infections and Pathogenesis. 28: 110, July 8, 2020 (Online first) indicating that the Chinese were making CRISPR.Cas9 knockin mice for ACE-2 that were made 30 weeks ago, which would be August, 2019. Why would they be doing that last summer??? They could have been studying SARS, but they already had mouse models. Possible they just wanted to use a better technique (CRISPR) OR they knew that SARS-CoV-2 already existed and the outbreak was already ongoing. Global USA Spoke with Howard Zucker, Commissioner of Health for NY State. He wanted advice about a possible National Policy for opening up universities. I referred him to CDC, but also to Silvia Burwell to see what she is doing with AU. PRESS: NEJM Poodcast about our HIV paper in the series for the 50th Anniversary of NAM;
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June 16, 2020 - Global USA Laura Ingraham calls me "Deep State" for asking people to wear masks. RECOVERY trial from UK showed good effect of Dexamethasone on COVID-19 patients on ventilators or Oxygen, but not on early patients. Media pushing a major breach between me and the White House. Big issue is that Pence wrote an OpED in the WSJ saying that there were no increase in cases; the apparent increase was due to increased testing. He got blasted since I (and to some extent Deb) said that the increase in cases was due to BOTH increase in testing AND actual increase in cases in CA, AZ, NC, TX, AL, etc.. Politico writes: With help from Myah Ward VEEP IN THOUGHT -- Since February there has been a rift inside the White House between the scientists and the politicians over how to contain the spread of coronavirus. Anthony Fauci has been the consistent advocate of a forceful response and an opponent of any sugar-coating of the perils Americans face. President Donald Trump has been the reluctant warrior against the disease who took some major steps early on but soon grew impatient of the stay-at-home restrictions, the masks, and -- most of all -- the economic calamity that might jeopardize his re-election. Vice President Mike Pence, the chair of the president's coronavirus task force, often played the role of bridge between the factions. At the awkward task force briefings that dominated afternoon television in March and April, the three roles of the three men played out as theater: Fauci the doomsayer, Trump the misinformed optimist, and Pence the child of a troubled marriage trying to smooth things over during mom and dad's public fights. re -- Heidi Ledford; WAMU '; Jesuit Conference podcast; MILB opening; WCBS Radio, Global USA Global USA PRESS: Interview with AP (Marilyn Marchione); Nature - Heidi Ledford; WAMU Radio 1A; Wall Street Journal on Dexamethasone study; Jesuit Conference podcast; Daily Beast - Erin Banco; LA Times Bill Shaikin about MLB opening; WCBS Radio, NYC - Linda Lopez; Financial Times -Hannah Kuchler
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June 17, 2020 - Global USA Serius problem emerging with Moderna who are insisting (see discussions above) on implementing the protocol for mRNA in a way that both Larry Corey and John Mascola feel strongly is contrary to the safe followup of people who get infected and also contrary to good science in being able to get good end point data. We have tried, but theyhave a CMO who is incompetent (Tal ). Their CEO Stephane Bancel has a company that has never made a product or done a trial despite the fact that by somewhat questionable PR have built up a cash ase of billions of dollars. We may have to threaten them with the withholding of BARDA. This will be a sticky issue and likely very time consuming. I will have to work through Francis, Azar, Marc Short, Mark Meadows, POTUS. Yikes! Did virtual meeting with Council on Foreign Relations Independent Task Force on Prepring for the Next Pandemic - organized by Sylvia Burwell Borowitz satirist continues to poke fun at Trump, Pence, Kushner by way of making up ridiculous satires about our relationship: https://www.newyorker.com/humor/borowitzreport/white-house-staff-seething-with-envy-after-fauci-reveals-he-has-not-spoken-totrump-in-two-weeks Went toTask Force at WH at 4:00 to 5:30 PM. Depite the fact that I was concerned about all the hevy publicity pitting me against the VP, everyone (including junior to moderate staff) were genuinely glad to see me. Pence was joking with me from the time he came into the room. He said he wants to steel my tricks. He held up the WSJ and said when they asked me about the second wave, I should have done what Tony did and say "Second wave?? What second wave? We are still in the first wave" PRESS: Tea Leaves Podcast - Asian Group;
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June 18, 2020 - Global USA Communiation between Deb Birx and me on June 18: Thank you. I haven't been sleeping because of this. What do you think about going into MS with Lumina as the diagnostic sequencer and massive tracking molecularly? Sent from my iPhone <Deborah.L.Birx@nsc.eop.gov> AM 3] <afauci@niaid.nih.gov> afauci(@niaid.nih.gov> On Jun 18, 2020, at 7:26 AM, Fauci, Anthony (NIH/NIAID) [E] <afauci@niaid.nih.gov> wrote (read from bottom to top): As you recall, I have always been in favor of massive testing. Now is the time. We are swimming in the dark. Let us discuss at the TF tomorrow. Anthony S. Fauci, MD Director National Institute of Allergy and Infectious Diseases Building 31, Room 7A-03 31 Center Drive, MSC 2520 National Institutes of Health Bethesda, MD 20892-2520 Phone: (301) 496-2263 FAX: (301) 496-4409 E-mail: afauci@niaid.nih.gov The information in this e-mail and any of its attachments is confidential and may contain sensitive information. It should not be used by anyone who is not the original intended recipient. If you have received this e-mail in error please inform the sender and delete it from your mailbox or any other storage devices. The National Institute of Allergy and Infectious Diseases (NIAID) shall not accept liability for any statements made that are the sender's own and not expressly made on behalf of the NIAID by one of its representatives.
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June 19, 2020 - Global - USA Spoke with Fr. Dan Lahart to give him advice and discussion about whther to open up Regis for the Fall term or do it virtually. I explained that it would depend on the viral dynamics at the time of opening. Their problem is that >95% of the students get to Regis by riding on a subway and so they really have a defined daily risk that would be reflected by the virus activity in the city. Or. Fauci street art on the Lower East Side ERIK PENDZICH/SHUTTERSTOCK Last day of my HHS Security Detail. The whole crew George Adams, Brett Rowland, Andre Jacobs, Greg, Mike, and also Mike Lunetto came over for photos and to brief me about future protection. POTUS tweeted about me today saying that I have nothing to do with the NFL.... "Tony Fauci has nothing to do with NFL Football. They are planning a very safe and controlled opening. However, if they don't stand for our National Anthem and our Grand Ameican Flag, I won't be watching". Sign in Greenwich Village: PRESS: CBS News Radio NYC; WABC Radio NYC video podcast; Global Health Affairs Interview with Susan Dentzer
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June 20, 2020 - Global USA Things are really heating up. Someone leaked to media that Deb and I advised against the Tulsa Campaign rally. We never really discussed it at the TF meeting. I got textpinged by several reporters (Jon Karl, Norah O'Donnell, Jim Sciutto, Jim LaCosta about this. I honestly said that I could not conbfirm this since we never discussed thr Tulsa rally specifically. Nonetheless, today papers are saying that this is the case. Clearly someone is leaking things without knowing the facts. Karl told me that the word was out even before the TF meeting ended. And so, someone is leaking even before we finish. Tam getting progressively disillusioned with Deb Birx. She is happy talking the increased cases and the VP who is desparately looking for good news listenes to her and actually thinks that thngs are going well when, in fact. 13 states are clearly having surges of cases. She makes the case that 37 cases are stable or decreasing and underplays the13 that are "on fire". In fact after the TF meeting on Friday (yesterday, the VP wants us to present this to the POTUS who probably hates me by now, even though he says that he "loves me". He has tweeted about me 3 times yesterday and today. Deb has ststed that we should noit do clinical trials since "I want to see every infected person in a nursing home get plasma early on and steroids later. Forget the trial, we need to do this on EUAs. She says the same thing about vaccine trials. Clearly, she is trying to provide Trump with his October surprise. I may need to blow the whistle on her. It is reported that several(6) staff from the WH rally advance team have tested positive upon screening. David Perlman of he SF Chronicle. He was a great science reporters and one who first interviewed me during the earlier years of HIV/AIDS Trump-Fauci tension building up by the press. White House remains friendly, but press reports stressing the difference between the POTUS and me. I am now being ttacked more by the far right. Higly tense political situations. I quite frankly do not really care. I will keep doing what Iam doing. Am being constantly pinged (texted) by the press asking my opinion of various statements that are coming out. Kayleigh McEnany essentially saying that I will not be out in the press. Alyssa Farah is the one hope in Comms since she clearly wants me out their. Kayleigh constantly lying to and insulting the press. They are all on to her. POTUS makes silly statement at the rally in Tulsa that the more you test, the more cases there will be (implying that testing causes cases) and then said that he told his people to 113 to 20 states. Global -- 300,000/120,000 "slow down the testing". This triggered a rash of press calls to me that I answered on background or off the record. NIH Clinical Trial Evaluating Hydroxychloroquine and Azithromycin for COVID19 Closes Early The National Institute of Allergy and Infectious Diseases (NIAID), part of the National Institutes of Health, has stopped enrollment in its clinical trial evaluating whether hydroxychloroquine and azithromycin can prevent hospitalization and death from coronavirus disease 2019 (COVID-19). This action was taken because NIAID, the study leadership and the independent data and safety monitoring board (DSMB) overseeing the trial determined that the rate of participant enrollment has been inadequate for the trial to meet its objectives in a timely manner. No safety concerns were associated with the trial. PRESS:
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June 21, 2020 (Sunday) - Cases still surging in 13 to 20 states. Global - 8,500,000/459,000; USA - 2,300,000/120,000 Much concern about surge of cases, particularly in Florida and South Carolina and Georgia and Oklahoma. Also, tensions regarding the Tulsa campaign rally.
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June 22, 2020 - Global - 8,700,000/462,000; USA - 2,300,000/120,000 Belowis a very good article in Politico that describes in detail whast the problem has been in ther USA response to COVID-19 How the U.S. and Italy traded places on coronavirus While Trump touted America's reopening and watched infections climb, European leaders maintained strict rules and drove cases down. The historical Piazza della Signoria square in Florence, Italy, in early June. I Andrew Medichini/AP Photo
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June 22, 2020 9:43am • Facebook • Twitter • Print • Email • Show more sharing options Sage Grazer/Celeste Sloman/Shutterstock EXCLUSIVE: HBO Max has put in development Outliers, an anthology series based on Malcolm Gladwell's New York Times bestselling book. It hails from Brian Grazer, Imagine Television Studios and CBS Television Studios. Greg Walker, showrunner of the DC Universe series Titans, will write and executive produce the series, with Gladwell also executive producing. Outliers will take a detailed look at why people are successful, what makes them successful and at what cost. Part historical drama, part biopic, each season will profile individuals through an unique lens, looking at the specific historical situation which led to their outsized imprint on society and what ultimately makes them an Outlier. Global -- USA Kayleigh continues to make a fool of herself on TV with ridiculous answers to questions. PRESS: Interview with John Lauerman (Bloomberg News - London); WNYC NPR Radio with Brian Lehrer; Radiolab Public Radio Interview podcast Jab Abumrad; ESPN 98.7 Radio Interview (30 minutes)
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June 23, 2020 - Global - USA Big day today with House Energy and Commerce Hearing on COVID-19. Me, Redfield, Hahn, Giroir. VP called me at 10:00 AM when I was driving with Farncois to the Hearing. He called from Air Force 2 (on way to Wisconsin) and we spoke for 25 minutes. He wanted to know if I needed anything. He is a good guy, but he was really calling (sub-text of his words) to urge me to go lightly in my explanations and to not forget to bring out some of the positive things that are being done. He still is a guy with the glass half full and not half empty. He even admitted this in the conversation. Hearing was very long (6 hours). I had some cantankerous exchanges with Rep. McKinley (R-WV) who was giving me shit about saying early on that we should not wear masks to save them for the HCWs at a time when there was a shortage. I said "Ok, we are going to play that game" This went viral on social media. Also, I sqwitched in the middle of the Hearing from a black mask to a Washington Nationals mask, which went viral and 2 days later led to a big photo of me with the Nats mask in the Sports Section of the Washington Post. POTUS tweeted about me right before the Hearing: Donald J. Trump @ v @realDonaldTrump We did a great job on CoronaVirus, including the very early ban on China, Ventilator production, and Testing, which is by far the most, and best, in the World. We saved millions of U.S. lives.! Yet the Fake News refuses to acknowledge this in a positive way. But they do give... 10:41 AM - Jun 23, 2020 - Twitter for iPhone 11.3K Retweets 43.5K Likes t Q ur Donald J. Trump @ @realDonaldTrump - 1h v @ Replying to @realDonaldTrump ....Dr. Anthony Fauci, who is with us in all ways, a very high 72% Approval Rating. So, if he is in charge along with V.P. etc., and with us doing all of these really good things, why doesn't the Lamestream Media treat us as they should? Answer: Because they are Fake News! © 285K Tl 7.2K C) 30.2K it 350,000/122,000 And so now I am his friend when he sees that I have high approval ratings. Totally amazing!! PRESS: Winston Salem State Radio Podcast with Chancellor Elwood Robinson - WSSU - Future Focus Now, WSNC 90.5
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June 24, 2020 - Global - 9,000,000/470,000; USA - 2,350,000/122,000 Based on my discussions last night with David Barr and the group he brought together of people in the trenches of COVID-19 in NYC, New Orleans, DC, Seattle and Chicago, it is clear that the surge is caused by people opening up and throwing caution to the wind leading to community spread. We (me) say that in orde to contain these increases in nfection that will inevitably occur when you open, we need to identify, isolate and contact trace. They are saying that this doesnot work. Contact tracing is a sham. It is done by phone, people do not trust government, there is no isolation after the tracing Global USA when tracing does occur and people go right back into multi-generational homes and infect the vulnerable. This was confirmed in 2 conversation that I had with Mak Ghaly the Secretary of California HHS. Here is his e-mailfrom today: Hi, thanks for talking this morning and including me in on this conversation. In Califronia, we have built up a statewide contact tracing platform called CALConnect and we are on our way to have nearly 10,000 contact tracers throughout the state as our phase I program. This said, contact tracing can be improved by 1) increasing the availability of disease investigators skilled at conducting the initial deep dive into an identified case 2) hiring an army of contact tracing workers who look like the community they work in and speak the same language as those they are working to contact trace and support 3) must fund and make widely available safe places for supported isolation and/or quarantine- underused hotels make sense. 4) must help fund two weeks of wage replacement so that low income individuals don't have to make a short term choice between feeding their families or spreading coronavirus. In my view funding these ideas at the federal level is a way to do both community stimulus and response with one single investment strategy. I will report this to the TF. I am afraid that we are not equipped to handle resurgences at the community level. Did taped briefing to the US Conference of Mayors. Deb and I realize that Bob redfield is over his head and not really mounting an adequate response. He is passive. Good guy, but not fit for the job. PRESS: NPR "Morning Edition" - Rachel Martin; Front page story and picture of me in Washington Post and New York Times about the House Hearing yesterday; NPR Sacramento CapRadio - Sammie Caiola - Facebook Live
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June 25, 2020 - Global USA Called Deb this AM trying to figure out how to stop this disaster. Contact tracing does not work. We need pooled testing. She will talk to Jared and I offered to call Mark Meadows. Spoke with Mark for 20 minutes at 7:45 AM. I laid it on heavy and he gets it. He will call an emergency meeting at the WH and agrees that we need to do NFL Players aying there will not be Dancing with the Stars 100. 40,000 new pooled testing. I told him that our response regarding contact tracing and isolation was a "Fucking disaster and an abject failure" Also, he fully appreciates that the CDC is not up to the task. They cannot respond o a domestic or global pandemic. Had good conversation with DeMaurice Smith Director of the NFL Players Association (NFLPA). I clarified the misunderstanding re: my saying there will not be an NFL this Fall/Winter. Did 1.5 hour Zoom with CondeNaste led by Anna Wintour. This is the overarching organization of mlost of the major magazines such as Vanity Fair, Wired, Self, Vogue, Bon Apetit. I have been invited to appear on Dancing with the Stars - no thanks! PRESS: Toronto Radio KISS 92.5; picture of me with my Nats Mask in the Sports Section of the Washington Post
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June 26, 2020 - Global - 9,300,000/480,000; USA - 2,420,000/125,000. 40,000 new cases yesterday, the most for a single day. Spoke woth Gary Bettman, Commissioner of the NHL giving advice about their opening. My talk with Mark Meadows yesterday precipitated a major firestorm of disagreement in the WH. Some elements led by VP and his staff (particularly Katie) felt we should have a TF meeting and then have a Press Conference with me and Deb leading and run by the VP. Apparently, Kayleigh and Alyssa and the POTUS team (probably Jared and the economy team) were against this. Triggered much rancor, but finally we did it. Clearly, the lines are dividing in the WH. Clearly, I am precipitating this since Deb still cannot get herself to speak up even though she lives in the WH. At the Press Conference, unfortunately, the VP continues to stress the bright side about how well we have done when the southern part of the country is on fire. I came in and spoke of the danger to the entire country even though the map looks like there are more good parts than bad parts of the country. I stressed that we are a heterogeneous country, but we are not disconnected within the country and an outbreak anywhere is a danger even to those sections that have done well. I stressed that the young people have both a personal and a societal responsibility. If they get infected, they are feeding the dynamics of the outbreak and are part of the problem, not part of the solution. It is up to them. The press killed the VP following the press conference saying that he did happy talk when the country is in serious trouble. They are correct. At least the press that I added a reality check to the story. S PROBLEM. Had out Security team over the house for a "separation party" since they are being withdrawn since the death and violent threats have decreased over the past 2 weeks. Team leader George Adams plus Andre Jacobs, Ken Marty, Brett Rowland, Mike Salva Had a wonderful time. We had really bonded with these guys over the past few months. PRESS: Much press associated with my remarks at the press conference today. Will spill over to tomorrow; Meg Tirrell of CNBC will show parts of our interview today with the Milken Institute; Interview with Elizabeth Cohen (CNN) for the Aspen Institute and Aspen Ideas - she will use this for CNN tonight.
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June 27, 2020 - Global - 9,700,000/494,000; USA - 2,500,000/125,000; 45,000 cases today - highest amount ever. Florida is having increased hospitalizations as is Arizona and California. Clear, there is a SERIOUS PROBLEM. Deb, Bob Redfield, Steve Hahn and I had a Zoom call that Deb and I arranged. It is clear that we need to change strategies and rely (see above) on massive community testing and effective tracing in person and on foot at the community level. Our efforts have failed for a number of reasons. Bob still insisting that there were likely these many infections all along, but we were missing them since many were asymptomatic and now we are picking them up. That is crazy since there are more hospitalizations and the percent positives of testing are increased in several states. The VP saying yesterday that we are doing really well becomes more ludicrous. There will likely be 100,000 cases per day by August. Cliff and I will try to help out Deb by getting NIH-funded elements to help in the community testing. Confirmed Cases (Thousands) St New Dally Confirmed COVID-19 Cases in the U.S. Pi aga x22 at Say Moy tS 2B aygtTM oe 000/126,000; Florida confirmed COVID-19 cases by day March 4to June 26,2020 #16k +8 +bik +4 42k April May June i wo? an Sy, PRESS: Stories from yesterday's disastrous press conference. June 28. 2020 - Global - 9,66,000/492,000; USA - 2,500,000/126,000; 5th day in a row of new record set for number of daily cases. Pence (inexplicably) continues on TV to say we have done very well and ours is a success story. He is getting blasted. I have been completely blocked from TV by the Comms team at the White House. 550,000/127,000 Next couple of weeks will be critical as hospitalizations increase. VP is finally wearing a mask. Believe that Deb likely convinced him PRESS: Interview with Apoorva Mandavilli of New York Times on "pooled testing"; Wolf Blitzer showed an interview of me by Elizabeth Cohen as part of the Aspen Ideas Festival in a Special Sunday Night Edition of the Situation Room.
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June 29, 2020 - Global - 10,000,000/500,000; USA - 2,550,000/127,000 47,000 new cases yesterday. 50% of all new cases from CA, AZ, TX, FL. Clearly big problems with resurgences very likely related to young people at bars and in big parties related to opening, Memorial Day and crowds. Mostly young people with average 1.5 decades younger than a couple of months ago. Governors' call in Sit Room with VP leading the call. Clearly, they get it now and are worried. I spoke about making the public health response to vehicle to re-opening as opposed to the obstacle to re-opening, i.e. obey guidelines and always use mask and physical distancing even when opening. Gov Ray Cooper (D-NC) called me and spoke for 45 minutes on his dilemma about whether to open the Charter Schools that are scheduled to open in 2 weeks, right after 4th July. He was agonizing since he wanted to do the right thing. Since this is the first decision among Governors regarding opening for the Fall term, he feels that he will be the example. He is seeing an uptick of cases and he is near FL and so is worried that if he opens, he may have to lose again if he gets surge like FL and TX, I recommended that he delay decision for 2 weeks. His health officer is Mandy Cohen. Had important conversation with Pence right before the afternoon task Force meeting. I came early and walked up to VP suite and luckily he was sitting in his office with Marc Short and ? Natalie. I told him that I am being blocked from TV and I needed to get on TV to give the 'risk reduction" message and that I would avoid being pitted against him or the POTUS merely by not playing that game. I mentioned the recent interview on NPR with Michel Martin where she asked a Fauci versus Pence/Trump question and I responded that this was not helpful and I was there as a health official and not to get into politics. Michel gracefully backed down. I also told him about the dangers of having me and others on stage with him when he talks happy i.e. glass half full as opposed to glass half empty. He got it, but still wanted to do press conferences with us. He did promise that he would get me out there on TV since he really liked my message. First time anyone ever spoke that way to VP. He truly likes me a lot (and vice versa). Now we have to get the POTUS press people to agree. Interesting intrigue in the White House. POTUS people versus VP people. Katie and Marc are all with me. PRESS: FOX Radio and podcast (National)
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June 30, 2020 - Global - 10,000,000/500; USA - 2,600,000/127,000. 37,000 cases yesterday. Multiple other states (total of 31) are showing increased cases and several showing increased hospitalizations. Testified at the Senate HELP Hearing chaired by Lamar Alexander (R-TN) and ranking minority Patty Murray (D-WS). Focus was on opening schools, but it became free-wheeling. Elizabeth Warren was her usual muted hostility towards me, probably since she is aiming to by Biden's VP and she wants to she she is tough on administration. Also, Rand Paul was his usual self obliquely accusing me of arrogance and conceit in making projections without data. He referred to my discussing whether Sports could open. Actually my responses won him over and he gave me a big wave and smile when he left the hearing room. Rest of the hearing went very well. I predicted that if we do not do something about the recent surge that the entire country is in danger and we could reach 100,000 cases in a single day. This made NY Times immediately online. I said "Bars are bad news". Outdoors better than indoors. In a speech today, Joe Biden said that if he is elected POTUS one of the first things he would do in addressing COVID-19 is to reah out to me and ask me to continue my leadership role in this effort and "join his administration". Clearly, this will piss off Trump and the White House. Mike Memoli @ i - Ahead of remarks later today, camp says that within "minutes" of being declared winner in November, one of his first calls would be to Anthony Fauci, to "ask him to extend his unprecedented record of service to six Presidents by serving one more." Gl Mike Memoli @ "Dr. Fauci will have full access to the Oval Office and an uncensored platform to speak ey to the PRESS: Much media coverage of the Hearing today.
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July 1, 2020 - Global - 10,200,000/504,000; USA - 2,620,000/128,000. Most involved states now pulling back on opening and closing bars and cancelling events for the upcoming 4th July. Spoke yesterday with Marc Khaly from California (see above). He is going to cancel all crowding activities over the weekend. He calls me regularly for advice. News reporting that there is now a schism in the White house with Trump, meadows, Kayleigh and Hope leaning towards economics and deeply suspicious of me versus the VP and his team (Katie, Fevin O'Malley) favoring me and being much more realistic with the VP for the 1st time wearing a mask regularly. Media speculating that Penceis now thinking about his own political future and wants to be on the right side of history. My relationship with Pence getting much stronger. ) Marc Caputo @ M @MarcACaputo With Covid-19 keeping folks indoors, Rep @DonnaShalala's getting a Yorkie-mix rescue dog that ran into Strada In The Grove restaurant in Miami. Paws for 4 You Rescue said she should give it an Italian name The former HHS Secretary thought of her old friend "! named him Fauci" 12:41 PM - Jun 30, 2020 - Twitter Web App Laura Ingaham (FOX) is now spreading conspiracy theory (Huff Post) that I am actually "Medical Deep State" and am actually going to be Joe Biden's running mate: Laura Ingraham Spews Yet Another Wild Conspiracy Theory About Anthony Fauci The Fox News personality called the nation's top infectious disease expert "Dr. Doom" and criticized him for "undermining Trump's agenda." ------------------------------------------------------------------------------------------------- ------------------------------------------------------------------------------------------ I reached out to Congressman Joseph Kennedy (D-MA) since we had a garbled interchange at the House Hearing last week and it looked like he was annoyed with me. I wanted to set the record straight and develop a relationship with him. I was good friends with great uncle Teddy. We had a Zoom conversation today for 30 minutes and it was terrific. I believe that this is the beginning of a friendship. He was very gracious on the Zoom. Had dinner over Jake Tapper and Jen Tapper's home in DC. Terrific couple. Friendship building. Global USA 50,000/129,000 PRESS: Front page Washington Post story on my statement that we could get 100,000 cases/day if we do not control the outbreak. NPR - All Things Considered - Mary Louise Kelly; BBC Radio Morning Show
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July 2, 2020 - Global USA Big problems - >53,000 cases yesterday. Highest ever for a given day. I am concerned that we might be on "exponential" increase as we enter into the 4th of July weekend. POTUS and his people have essentially dropped out and do not even recognize that an outbreak is ongoing on. They are denying all requests for me to appear on any major TV programs. Caputo is a con man who is completely full of shit. He says he wants me out there on TV and yet I am being blocked, very likely by him who knows nothing about public health. He is a close friend on Roger Stone, for goodness sakes! Got call from Ross (POTUS speechwriter) who wants to include in a speech the beneficial effects of remdesivir and dexamethasone in advanced disease and even mortality. Phone Call with Rev. Jesse Jackson, Sr. PRESS: BBC The World Radio Program; SiriusXM NFL Radio; Multiple outlets quoting things that I said on BBC, Harvard Business Review and other podcasts
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July 3, 2020 - Global - 10,5000,000/513,000; USA - 2,750,000/129,000 More daily record being broken with cases now at 57,500. New Dally Confirmed COVID-19 Cases in the U.S. Day Micwing Avcraga i Daily Caputo (sleezebag) and White House comms playing games with me in that they are not allowing me to go out on TV as we enter the 4th July weekend to instruct people on how to avoind infection. They do not respond to multiple requests for me to appear. I spoke yesterday to Judy Woodruff (PBS NewsHour) and Andrea Mitchell (NBC News), bot of who want me on their show as does Jim laCosta (CNN). Rep. Andy Biggs (R-AZ) and LtGov Dan Patrick (TX) attacking me for what I am saying about how to avoid infection. Dan Patrick denying that TX skipped over checkpoints in opening and accused me of lying about this. I never specifically said they did. I said "some states" skipped over guidelines" Guilty conscience?? CNN did a fact check and called him out as completely incorrect. Interesting exchange involving Michael Caputo, me an Alyssa Farah. Michael is full of shit, for sure. He claims to be trying to ge me on TV saying that the WH is blocking. And so I wrote an e-mail to him with copy to Alyssa today: Michael: I am sorry to disturb you on this holiday weekend, but I feel compelled to again reach out to you. As you are painfully aware, our country is in a very serious situation with resurgences of COVID-19 cases in multiple states at record levels. I believe that it is our moral responsibility to get out the public health messages about personal and societal responsibility to urge people (particularly young people) to protect themselves and others from getting infected as we enter the holiday weekend. Messages from public health officials like myself and my colleagues are critical to this effort and will save lives. As you know, I have been asked by virtually every network '(00,000/130,000 and cable outlet to get out there and deliver this potentially life-saving message. Yet every single one of these requests of late, which we re-submit every day, has been ignored or denied. We are missing an opportunity to save lives. Please consider this. Best regards, Tony Alyssa immediately texts me with the following: "Hey, Dr. Fauci, just getting up to speed. WH comms is supportive of you going out, which I'll convey to Caputo. What programs do you think make sense? I think it would make sense to add you into the Sunday shows and then look at network TV next week". I tell her my choices and then she texts back: "I'll get with your team and lock some of these in. Apologies for this happeneing again". I had told her that my choice would be Meet the Press. They then tried toget me on MTP, but they were already booked up.
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July 4, 2020 - Global - 11,000,000/525,000 USA - 2,800,000/130,000 Andrea Mitchell called my cell very apologetic about not being able to have me on the show since they already booked a couple of governors who were giving exclusives to NBC. I mentioned to her my concern about them keeping me off the air. She was shocked and thought that when I did not come on after requests that it was because I did not want to go on a show. It is clear that Michael Caputo in totally full of shit. The WH is now saying that they are giving the ball back to Pence to decide what happens with COVID-19 and that there will be more media appearances from health experts. We shall see. Florida had 11,000 cases yesterday. Everything is surging.
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July 5, 2020 - Sunday - Hahn on 2 Sunday Shows. I am blocked (see above). Surges continue in multiple states with new records every day. Particularly FL. In NY Times this AM, comment about people in some states, particularly TX (Dan Patrick - Lt. Gov as an example) are making me the symbol of what they are tired of. Theyare saying to hell with the outbreak, "we are done with it", even though people are getting sick and New Daily Confirmed COVID-19 Cases in the U.S. a mn 7 Oey Moving Average a ty rump vrote column in Washington Post: hospitalized. POTUS had 4th Juy celebration on South Lawn (I and Chris were invited) that was crowded and no one wearing masks. I did not attend. Not just USA, there are major outbreaks in Brazil, Mexico, Asia (Japan, North Korea, etc). I have been having several 30 minute deep background conversations with Bob Woodward who is writing a book on the Trump response to the outbreak. Margaret Brennan on "Face the Nation" came out and explicitly said that the Trump administration was blocking my appearing onTV including their show where they continually ask for me and have been refused. This clearly triggered a response either/or in HHS and the WH because Caputo texted me in the afternoon and asked what my priority shows would be for next week. I said NewsHour with Judy Woodruff and Today with Savannah Guthrie. Savannah would be on vacation and so we went with CNN Town Hall with Sanjay Gupta and Anderson Cooper. We shall see what actually happens. Jennifer Rubin wrote column in Washington Post: Distinguished person of the week: Fauci finally breaks through Opinion by Jennifer Rubin Columnist
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July 5, 2020 at 7:45 a.m. EDT In Senate testimony and interviews, Anthony S. Fauci, director of the National Institute of Allergy and Infectious Diseases, sounded the alarm: We are not winning in the battle against the novel coronavirus. Even more important than that was his insistence that we all wear masks in public. Consider what he told the Senate Committee on Health, Education, Labor and Pensions on Tuesday when Sen. Bernie Sanders (I-Vt.) asked if masks should be given away for free: "There's no doubt that wearing masks protects you," Fauci said. "Anything that furthers the use of masks, whether it's giving out free masks or any other mechanism, I am thoroughly in favor of." President Trump has been the main impediment to mask-wearing, choosing to turn a vital public health measure into a sign of tribal identity. Fauci nevertheless has persisted in his message. This is hardly the first time Fauci has tried to get Americans to adopt the simple, lifesaving practice. ("Everybody should wear a mask when out [in] public," he said in June. In late May he told CNN, "I want to protect myself and protect others, and also because I want to make it be a symbol for people to see that that's the kind of thing you should be doing." The advice took on fresh urgency as he warned that the country could experience as many as 100,000 new cases a day. The Post interviewed Fauci and other health experts about wearing masks. He was unequivocal. "It dominates everything I do. The only time I don't wear one is when I am alone, when I am home with my wife, or when I am speaking in public -- provided there is 6 feet between me and the people to whom I am speaking, as was the case when I answered questions at the recent congressional hearings." Last week the rate of infections spiked past 55,000 in a single day, and suddenly Republicans who had pooh-poohed mask-wearing and echoed Trump's disdain for masks were speaking up. Senate Majority Leader Mitch McConnell (R-Ky.) finally proclaimed, "We must have no stigma, none, about wearing masks when we leave our homes and come near other people. Wearing simple face coverings is not about protecting ourselves, it is about protecting everyone we encounter." Too bad he didn't say that months or weeks ago -- or tell Trump to stop discouraging mask use. We seemed to reach a tipping point when Texas Gov. Greg Abbott (R) finally put out a statewide order requiring masks. Other states fell into line as the infection and hospitalization rate soared. Arizona Gov. Doug Ducey (R) issued a shutdown order and Global USA Ipree ie encouraged mask-wearing as the virus threatened to overwhelm his state's hospital capacity. Pennsylvania, Oregon and Kansas also implemented state mandates on maskwearing. Even Vice President Pence -- who refused to wear a mask when visiting the Mayo Clinic in late April -- during his visit to Arizona called on Americans to wear masks. If only Republicans had listened to Fauci months ago, the U.S. death count might not be roughly 130,000 and the pandemic might not be surging in states where leaders shrugged off mask-wearing and prematurely opened. This is, however, a case of better late than never. By successfully cajoling lawmakers and ordinary Americans to wear masks, Fauci will save thousands of lives before a vaccine is ready. For his constant efforts, defying and ultimately breaking through the deadly fog of the Trump cult, we say, "Well done, Dr. Fauci."
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July 5, 2020 at 10:14 p.m. EDT Texas COVID-19 hospitalizations: An alarming trend June 29 July 4 I 8,000 Abbott orders restaurants back to50% I 7,890 5,913 June 26 7,000 Abbott orders bars closed again June 12 9,102 Restaurants open to 75% 6,000 2,166 4g June 3 Bars and other businesses increase to 50% capacity nF 5,000 1,799 May 29-June 2 George Floyd protests 4,000 1,701 - 1,773 May! May 25 Reopening I May22 I wemorial begins Bars Day 3,000 1,778 reopen L511 1,578 . 2,000 i b Oo 1,000 5/2. 5/9 = 5/16 5/23 5/30 6/6 6/13 6/20 6/27 7/4 Confirmed Cases (Thousands) z ma = I o - En a8 ayES afez ayea "Represents partial week data Bue afd a Week of 3/10 1a? New Weekly Confirmed COVID-19 Cases in the U5. aa77 258.1 pi Beg aan 142.9 ae 5/24 5/9E af of14 of21 6/23 it Radio The )0,000/130,000 PRESS: Profile interview with the Financial Times; Philly Beaumont Radio The Times of London; KCBS Radio San Francisco; Clips of me on CNN
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July 6, 2020 - Global USA Records continue to be broken in various states. Did a COVID session virtually at the IAS with Slim Karim and Deb Birx. Task Force meeting at WH. VP still focuses on fact that despite the increase in cases, the deaths are still down. I mentioned to him that I did not think that the deaths will ever reach the degree (>2000/day) that it was when NYC was surging, but increased cases will and are leading to increased hospitalizations. Wrong Direction. Washington Post : Coronavirus updates: Seven-day average case total in the U.S. sets record for 27th straight day
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July 7, 2020 - Global - 11,300,000/532,000; USA - 2,900,000/130,000 Did press briefing via Zoom in Alabama with Sen. Doug Jones (D-AL) - went very well. Here we go again. Got call from Francis Collins who got a call from Marc Short who said the WH is upset with me because I gave the interview with Sen. Doug Jones (see above) and he is a Democratic Senator is a tight race with a Republican and they are suspicious that I am favoring the Dems. BTW, the interview was approved by HHS Leg and ASPA. Caputo called saying that the WH was just going to approve the requests for me to appear on NewsHour and CNN, but because I said that relying on decrease deaths to say that all is well with COVID-19 is a "false narrative" and we should not be complacent ... I said this on the Sen. Jones interview. Now the POTUS is also tweeting that I am wrong on this as I have been wrong on many things including masks and closing down travel, which is complete bullshit. PRESS: Interview with Denise Grady of New York Times regarding Moderna tension; Corriere della Sera Italina newspaper - Giuseppe Sarcina; ABC News FiveThirtyEight Podcast - Anna Rothschild; )0,000/131,100
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July 8, 2020 - Global 11,500,000/536,000; USA - 3,000,000/131,100 TF meeting at the Dept. of Education - I was in Sit Room and not part of the press conference that followed. Purpose of the TF was to push for opening of schools. Good thing that I was not part of the press conference (Deb, VP, Sec. DeVos) since much negative public response. Clearly Trump is pushing to open the schools no matter what. There is concern about the safety of the children and teachers. Yet, Trump together with Redfield (being pressured) is saying that the CDC guidelines should not stand in the way of opening schools (what???). Glad that I am not involved in that discussion. Spent 1 hour on Zoom with Sean Penn and his organization - CORE - coronavirus relief. Great conversation. They provide testing in various cities and wanted my opinion of how they can optimize their impact. I strongly advised them to focus on a process that has an impact and endpoint, not just testing to increase the numbers. I recommended that they work with cities (like LA, Atlanta) that can utilize their efforts to actually do effective identification, contact tracing, and isolation. Sean and his group were very grateful for the time that I spent with them. Tension building up with the press (especially CNN) stressing Trump versus Fauci. Trump tweeting negative things about me. When asked about my comment of "false narrayive", he said I am wrong on a lot of things. He said that I said not to shut down China (this coming from Peter Navarro) (when I actually said to shut it down). He is also saying that I was against masks before I was for them. Someone is obviously feeding him this shit. Caputo told me that I am being kept off TV (even though they were leaning to approve requests) because of my comment about "false narrative" concerning relying on deaths going down. Even some crazy stuff on the Dark Web about Chris saying that she is Ghislaine Maxwell's sister: The debunking is under way! @) PolitiFact @ Anthony Fauci is married to Christine Grady who, for the record, is not Ghislaine Maxwell's sister. SE PolitiFact - No, Fauci isn't m... , A Global USA augh; Sirius Radio "Doctor PRESS: Wall Street Journal podcast - Kate Linebaugh; Sirius Radio "Doctor Radio" - Marc Siegel
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July 9, 2020 - Global USA >60,000 new cases yesterday! Things not going in the right direction at all, yet continued happy talk from the VP and the White House. Clearly I am the "skunk at the picnic". New Dally Confirmed COVID-19 Cases in the U.S, g h i= Fy y vi Lf ' haf LTT I] f : Mal Set A ( ia a PISS SLE SPEC SS Se ee Ie SEL SF TS IS TEST ESI SSE SPEDE SES SL EL LSS OL LA ME Daily ee? Day Mowing Araga NATIONWIDE COVID-19 METRICS. 7-DAY AVERAGE LINES Apr1- Jul8 Daily Tests Daily Cases Currently Hospitalized Daily Deaths Jul 8: 654,730 Jul 8: 62,197 Jul 8: 43,004 Jul 8: 808 60,000 700,000 60,000 600,000 50,000 50,000 500,000 aun 40,000 40,000 400,000 30,000 30,000 300,000 20,000 20,000 200,000 100,000 10,000 0,000 t¢) Apr1 = May1 Jun Jul 1 Apr1 = May1 Jun Jul 1 Source: The COVID Tracking Project Bob Redfield defending the fact that Trump forced CDC to change guidelines that Trump felt was too strict to open the schools. Bob is losing a lot of credibility. Trump wants to open the schools at all costs. Clearly he does not care about the safety of the chidren, 110,000/133,000 ers still soaring PRESS: Hill TV with Steve Clemons - The Future of Healthcare; Press conference at IAS on COVID-19; CNN continues to quote me in opposition to Trump and as the ony person telling the truth. July 10. 2020 - Global - 12,000,000/546,000; USA - 3,110,000/133,000 Another record day with 68,000 cases. Approaching my prediction of ~100,000. Important meeting with Pence who asked to see for 20 minutes before today's Task Force meeting. He obviously is concerned over the press making an open conflict between me and Trump. He explained how much respect and affection he had for me. He then asked me for advice about how we are doing. I said that I would be coldly honest with him. He agreed to accept that. I then told him that he is completely losing credibility when we have >60,000 new cases with increased hospitalizations and deaths and he starts off at the Pressers saying "We are in a good place". I stressed that it would be best to establish credibility first by coming out right off and saying we have a big problem, but we are trying to address it in the Southern states that are involved as well as prevent such resurgences in other states. Then and only then could he say that we are in a better place and shape to respond than we were before. BUT, you must admit the problem first. He agreed and was clearly grateful that I was open and honest with him. I then told him that 19 years ago in this same room I sat with VP Cheney to discuss the Anthrax attacks. I have a photo of Cheney and me right here Pence asked where in the room I did this with Cheney and where was the picture taken. He then called in the WH photographer and took a photo of exactly where Cheney and I were sitting. He seemed to really enjoy that historic context. At the end of the TF meeting, he again thanked me for his conversation. Also, Mark Meadows called me and asked that we meet next week to straighten out the conflict between me and Trump. We shall see how that meeting turns out. I see him on Monday. PRESS: Podcast with American Dissected; CNN (especially Don Lemon, but also several others at CNN) hammering away at the Fauci versus Trump issue.
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July 11, 2020 - In USA - 3,300,000 cases and 136,000 deaths. Numbers still soaring with ICU beds filling up in Florida. Heard from Washington Post (Jasmeen Abutaleb) that she is writing a big article for tomorrow (Sunday) about the conflict between me and the POTUS. Yikes! Let us see how that turns out. la >13.500 today REGIONAL CURRENTLY HOSPITALIZED. 7-DAY AVERAGE LINE i i Northeast Midwest South West Jul 11 3,081 (6%) 5,303 (10%) 29,495 (57%) 13,711 (27%) 35,000 30,000 25,000 20,000 15,000 10,000 5,000 Mar 1 May 1 Joll Marl May 1 Joll Mar] May 1 Tull Marl May 1 jul The COVID Tracking Project C Had call with Marc Ghaly Heath Commissioner from California (Los Angeles) wanting advice about how to respond to the surge of cases in California.
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July 12, 2020 - Cases still soring. Florida >13.500 today Big firestorm over the Post article and the fact that unspecified White House officials have compiled a list of things I said that were incorrect. This is oppositional research agsinst one of their own (me). The blowback has been incredible. I have been contacted by virtusally every reporter (Post. NY Times, mutiple CNN - Sanjay Gupta, Jim Sciutto, networks) that I have ever dealt with and they are consistently outraged by the disinformation campaign of the WH against me and the attempt to discredit me. They all want to help. I called up Marc Short (whom I trust) to ask his take on this. He was "embarrassed" and disturbed by this action by the White House. He believes that it could not have happened without Mark Meadows's buy in and approval. This shows the schism between the VP's people and the POTUS/Meadows people. Marc was quite disturbed that this is going on. Also, Brett Giroir tried to throw me under the bus on Sunday TV saying that I am not always correct - playing into the discrediting scheme. Sign (below) photo sent to me from Sylvia Burwell. lines an Global USA a PRESS: Big deal - Front page story in Washington Post: "White House sidelines an increasingly candid Fauci" by Yasmeen Abutaleb, Josh Dawsey, and Laurie McGingle - much comment about this on the Sunday Shows.
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July 13, 2020 - Global USA Yesterday Florida had >15,000 infections - most for any state since the beginning Met with Mark Meadows. He denies knowing anything about the WH drive to discredit me. This is tough to believe in that multiple nerws outlets (networks and Cables0 have been given a list of my "mistakes and errors" directly from the White House. No way that he did nt knw abut it. Nonethelerss, he said he will make sure that it stops. Too late, they already did the character assassination. Major, Major show of support for me for multiple and varied sectors. Most peole expressing outrage that the trump administration woud be so bumbling and incompetent to try to discredit the most credible scientist in the world. Gave Fireside Chat Podcast for Stanford Univerity MC'd by Lloyd Minor, dean of Stanfod Medical School. Met virtually with Mark Lerner and officials from Washinfgton Nationals to discuss potential obstacles to their opening at Nats Stadium on July 23. I will throw out the first pitch. Another all with Dionne Warwick about COVID-19. She is advising Biden people. Chris Cuomo on the top of his show blasts Trump administration regarding trying todiscredit me. Peter Staley blasts Trump regarding me on Anderson Cooper 390 (CNN) PRESS: TV and print have flooded the media in support of me and condemnation of the Trump administration. Opinions Fauci has been an example of conscience and courage. Trump has been nothing but weak. ,400,000/136,000 DR. FAUCI, MELINDA GATES AND BARACK OBAMA AT THE WUHAN LAB IN 2015...!!! Ginny McGonigle @qmcgonigle » 20h v Replying to @JoeBiden You mean this Or Fauci who was with Obama in 2015 in the WuHan lab where they paid the lab 3.7 million for a 'bat' project? We know that we'll now right? He is of the deep state you get instructions from him, Cut the crap! All to take Trump down! we, A sign outside a home in Rockport, Mass., reads "In Fauci We Trust." (Brian Snyder/Reuters) Opinion by Michael Gerson Columnist
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July 13, 2020 at 5:09 p.m. EDT
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July 14, 2020 - Global - 12,800,000/568,000; USA - 3,400,000/136,000 Outbreaks still raging in Florida - records being broken. >60,000 cases yesterday Deep state is going more crazy than ever in attacking me as the academic community is mobilizing to defend me. Real crazy. See below: {> Alan He @ *" GRAHAM defends Dr. Fauci: "We don't have a Dr. Fauci problem. We need to be focusing on doing things that get us to where we need to go. So I have all the respect in the world for Dr. Fauci. I think any effort to undermine him is not going to be productive, quite frankly." > ever said was I did a fireside chat online at Georgetown hosted by John Monahan. It was taken up my multiple press including C-SPAN, which then fed into CNN and other networks. It was a good venue for my getting the message out. Phone call with Alyssa Farah. She apologized profusely about the "screw up" with her junior staff who put out the list of how I got things wrong. She admits that it only hurts the POTUS to disrespect me and question my credibility. I told her that the White House (either Meadows or the POTUS) need to shut up Stephen Moore and stop his publication of "Dr. Wrong" paper. If he does not the entire academic community will dump all over the POTUS. Peter Navarro wrote OpEd in USA Tosday saying everything that I have ever said was incorrect. I went on a Goergetown Fireside chat (see above) and in ashort sentene I said that the current outbreak was "comparable to 1918". I did not mean in numbers, but for a sensitive person, it could mean that I wa predicting 50 million deaths. Well, tonight Francis Collins called me up saying that he just got off the phone with Mark Meadows who was screaming at him about what I said. Mark wanted this "walked back". Clerly Markis vey sensitive about playing down the pandemic because of the ucoming election and anything that indictes that this is a big problem drives him nuts. I got on the phone with Mark (he was still very angry), but I calmed him down and said that I would clarify this on my next TV appearance. He then indicated that he really liked me very much and respected me and values ou relationship. I apologized for what happened and he accepted the apology. Just an example of the tension that the pandemic in the context of the upcoming election is causing. PRESS: Trevor Noah https://bit.ly/2CyI0tH ; CNN - see above at Georgetown again strongly pitted me against the POTUS regarding a particular statement when I was Global USA is://bit.ly/2ZA YJAEy asked about "who can we trust". I said "medical and public health experts who speak based on science and data and who tell the truth". I said "trust me". CNN took that as strongly implying "do not trust Trump"
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July 15, 2020 - Global USA Continue record-breaking numbers of cases with increased hospitalizations and now even deaths. The press are all over the issue of the White House trying to discredit me. Alyssa Farah put out tweet saying that the USA Tody OpEd by Peter Navarro was never cleared or approved. Adm. Michael Mullen, former Chairman Joint Chiefs called me to empathize and give me encouragement and support. Very nice of him since I had never met him. Very nice conversation The Lincoln Project put out a vewry provocative Fauci versus Trump link: Lincoln Project ad https://bit.ly/2AYJAEy Dan Scavino retweated this cartoon mocking me. This caused outrage among my supporters: Letter from Congressman Krishnamoorth to AZAR regarding attackes on me: New Yorker Magazine on 2020.07.15 Letter from Krishnamoorth Amazing Day!! The setting is the extreme tension in the press and in the White House about the USA Today OpEd by Peter Navarro and the "list" of my mistakes sent out by WH Comms. On my way by car to the WH for the TF meeting, I received a call from the POTUS. He started off by saying that this tension of me versus him is terrible and needs to stop. He "loves" me and know we have a very special relationship and have bonded right from the beginning. He is furious about the Navarro OpEd and said (as Mark Meadows walked into the room and he put me on speaker phone): "I am going to tell Navarro if he says or writes one fucking word against you I am going to kick his fucking ass out the fucking door. Mark, make sure Novarro understands, one more word and he is out the fucking door and he won't come back". He then started to talk to me about how bad or not things were. He wanted me to be "positive". I took the opportunity to say" "Mr. President, with your permission, can I be absolutely frank with you? We have a problem and we need to own it. We need to admit that the situation is serious, otherwise we completely lose credibility. We should own the problem and then emphasize how we are going to fix it as opposed to denying the problem". He was not entirely happy with this but said that he understood the point that I was making. It was a very good conversation. Then after the TF meeting ended, I got a note from the Sit Room staff that Mark Meadows was on the phone from Air Force One and wanted to speak with me. He had seen the interview from The Atlantic and was angry that I had not "walked back" my statement about the 1918 pandemic on that interview. He was again angry and said he thought that I agreed that I would walk back the statement today. I told him I was going to wait until tomorrow when I am on the NewsHour with Judy Woodruff. That was not good enough for him. He wanted it done today. He was also pissed that I had mentioned to the press that we had met and I spoke about the nature of our conversation. He was clearly over-reacting since even he admitted the press knew about our meeting, but I do not think I said anything else to them except that we had met. Anyway, on the way back to NIH I called Sanjay Gupta and asked him to quote me tonight on his TV hit on CNN and say that I wanted to clarify that on the Georgetown interview, I did not mean to imply that COVID-19 would be as bad (50-100 million deaths) as was 1918. Sanjay agreed to do this. I texted this information back to Mark on Air Force One and he replied: "Thanks for getting back with me. We are going to make this work." The media is totally buzzing about the tension between me and White House. Amazing support for me and blowing off of Navarro and the "list" PRESS: The Atlantic Pulse with Ed Yong; Interview with New Yorker Magazine on COVID vaccine with Dhruv Khullar; ases yesterday. ',600,000/138,000
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July 16, 2020 - Global USA Cases continue to surge. >67,000 cases yesterday. Hospitalizations and deaths going up. Problem emerging here. Mark Meadows is starting to be a problem. He wanted me to "walk back" the statement comparing COVID-19 to 1918. I was planning to do it on a schedule appearance on NewsHour today (Thursday). However, Mark called me yesterday and was upset that I did not do it already. He could not wait 1 day. I said OK and called Sanjay Gupta and asked him to quote me on his show and also write it on his blog that I wanted to clarify. I thought that he did a good job. Then this AM I get another angry call from Meadows saying the clarification was not strong enough (??really). Then on the phone he went on that I need to back off with media since this cannot be a "Tony Fauci show". He did not like the fact that I did an "In Style" piece and did not want any more profiles of me. If that was not enough, he hung up and then 120 minutes later called and said he read something where I was reported to say that the incubation period was greater than 14 days and wanted me to retract this. I do not remember ever saying that and so he sent me an article where Chuck Todd mentioned that I said that. I pushed back and got angry myself saying that I never said that and so I do not know what he wants me to do. I will try to track down that statement. I also will see if I can state again the 1918 clarification on my Face Book live chat with Mark Zuckerberg this evening. Trouble brewing here. For the first time, I am seriously considering resigning from the Task Force. I cannot tolerate people following my every word. You know he has staff looking up things about what I have said in the past. Teleconference with Matt Pottinger and Bob O'Brien to discuss opening the travel between USA and Europe. Right now there are exceptions for travel for business, but not for tourism. PRESS: Did terrific FaceBook Live with Mark Zuckerberg - 1.8 million viewers;
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July 17, 2020 - Global - 13,400,000/580,000; USA - 3,600,000/138,000 Records being broken daily. Yesterday 74,000 new cases. Hospitalizations and deaths increasing. Big issue - Despite all the walking back stuff regarding the 1918 comment, Mark meadows in an appearance on FOX News and reported by The Hill, Mark Meadows said that my comment was "irresponsible". This is really bad. He is losing control of himself with the screaming at Francis and me and the demanding walking back on trivial issues like my comment on 1918 and the "non-issue" about the incubation period being greater than 12 days (which I never said) and now this comment about "irresponsible", I am thinking about resigning from the Task Force. I called up Marc Short for advice. Mark was on Air Force Two with the VP coming back from Wisconsin and could not 40,000/139,000. respond but called when he landed at Andrews. He said that he too is having trouble dealing with Meadows who is says can be very difficult. Mark told me to hang in there and not do anything drastic just in response to Meadows. Short was totally supportive and clearly indicated that Meadows was a problem for him also. Did Chamber of Commerce live podcast - came out very well. Did Medscape Podcast with Eric Topol and Abraham Verghese Did WebMD with John Whyte Concresswoman Maxime Waters called wanting me to directly address millennials. Good conversation. Crazy Michael Caputo says he now has total control of approvals for HHS people for TV, but wants a "murder Board" before each appearance since "if we screw up, his job is in trouble". Total bullshit since the 1st "Murder Board" for Francis (CNN) and me (NewsHour) was a joke with his staff who know nothing trying to question Francis and me. Slso, Caputo calls me and says that he is takng over the decision about who goes on TV and not the White House. He wants an organized program of equal distribution among the HHS docs. He sounds delusional. He is declaring independence from the WH. Syas that they will decide Sunday Show, but nothing else. PRESS: PBS NewsHour with Judy Woodruff; New York Times article by Michael Grynbaum refute Navarro's USA Today OpEd with title: "Newspaper Says Op-Ed Attacking Fauci Was Misleading"; Many clips on CNN drawing from Chamber of Commerce podcast
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July 18, 2020 - Global - 13,800,000/594,000; USA - 3,640,000/139,000. Cases continue to surge. News cycle dominated by reports of conflict between me and the Trump insiders (see below) Petitions from multiple scientific organizations going around to sign on in support of me. Comm situation becomes even crazier. Despite Caputo saying that he is now "calling the shots and not the White House (see above), Alyssa Farah called me and said that Jake Tapper wants me this week and she will put me on for Tuesday. I explained to her what Caputo said and she told me not to pay attention to him since he is a big problem. She even said that it would be better if he stopped tweeting about Roger Stine and concentrated on his job, things would work better. Anyway, I am caught in the middle. Let us see how this turns out. Continuing surge PRESS: Article in New York Times by Mark Leibowich - "Whats Happening" to Dr. Fauci is the Buzz. - Description of the tension against me and for me; Long article in Washington Post by Philip Rucker, Laurie McGinley, Josh Dawsey and Yasmeen Abutaleb "Attacks on Fauci undercut response". Also article in CNN blog by Vivian Salama, Pamela Brown, Kristen Holmes and Kate Bennett quite critical of Birx for selling out to trump and compatring me and Deb; Also another New York Times Article by Giovanni Russonello "Most Americans Put Their Faith in Fauci"; Boston Globe by Kevin Cullen: "The Crusader doctor and the non-crusading judge" - comparing me from Holy Cross and Chief Justice John Roberts from Harvard - cute article
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July 19, 2020 (Sunday) - Continuing surge Francis Collins on Meet the Press - did well. They continually ask him if WH has told him to fire me. Francis responded that this is "unimaginable". Many societies are writing statements in explicit support of me. It isvery moving and humbling. Kellyanne Conway called me today saying how angry she was at the unseemly criticism of me by some in the White House. She has spoken to the POTUS about this and he is strongly supportive of me Mark Mradows and I going back and forth regarding his nitpicking every word of mine on interviews. Latest was his concern that I said that NYC did a good job in getting back to basline and opening safely. He says NYC did a terrible job and I should not be setting them as an example. He is incorrect and misunderstood what I was saying. I meant that they went down to baseline and are not opening safely. WEgo back anad forth and finally call a truce. NATIONWIDE COVID-19 METRICS SINCE APRIL 1. 7-DAY AVERAGE LINES Choose Census Region {cam Daily Tests 80,000 Daily Cases Currently Hospitalized Daily Deaths 50,000 40,000 30,000 20,000 10,000 May1 Junl Jull Aprl Mayl Junl Jull Apri Mayl Juni Jull Aprl Mayl Junl 'Jul The COVID Tracking Project >e. USA Today piece by Gov. Larry Hogan: Hogan: Governors like me rely on experts for COVID facts. Dr. Fauci has never let me down. As Trump downplayed COVID, Fauci offered clear-eyed views of the evidence and what we faced. I shudder to think where our country would be without him. Larry Hogan Opinion contributor PRESS: New York Times article by Michael Shear, Noah Weiland, Eric Lipton, Maggie Haberman, and david Sanger entitled "Passing off virus burden, White House fueld crisis" - criticizes Deb Birx a lot. I comme out well; Major 3 page article in Washington Post by Molly Roberts entitled "Anthony Fauci built a truce. Trump is destroying it" - very favorable profile 300,000/140,200; as 73 Slate 00,000/141,000.
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July 20, 2020 - Global - 14,000,000/598,000; USA - 3,800,000/140,200; • Kentucky, Louisiana, Oregon and South Carolina all set new single-day records for new cases on Sunday. Idaho, Nebraska, Iowa and five other states have seen their seven-day averages for daily new fatalities rise by more than 40 percent in the past week. • More than 100 Florida hospitals have run out of ICU beds for adults. The state has reported more than 10,000 new covid-19 cases on 12 different days in July. Had call with Bill Gates (usual call every couple of weeks) Was on Governors' call from the Situation Room today. Made comment about the importance of the "fundamentals" on 1) masks; 2) close bards; 3) limit restaurant occupancy; 4) avoid crowds; 5) personal hygiene - wash hands. The Nats mask that Iwore to the Hearing is being put into the Cooperstown MLB Hall of Fame! PRESS: Nice profile on me in Corriere della Sera - https://bit.ly/2ZIWDU7 ; Slate Magazine "What's Next" podcast; Podcast/Instagram with Maria Schriver
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July 21, 2020 - Global - 14,300,000/604,000; USA - 3,800,000/141,000. Surge continues in Southern States. Florida in trouble. POTUS had press conference on COVID-19 without having me, Deb, or other TF members with him Meadows and now Rand Paul have been actively criticizing me for saying that NYC got it right in that after their peak, they brought the infections down and now have few hospitalizations and few deaths. They are incorrect. See below numbers for NYC: Cases Hospitalizations Deaths 6,000 4,000 2,000 07/01 Cases Hospitalizations Deaths 03/01 04/01 05/01 06/01 07/01 Cases Hospitalizations Deaths 03/01 04/01 05/01 06/01 07/01 New York Times interview 'eport; CNN with Jake ocate Global USA PRESS: NPR Radio - "Morning Edition" Rachel Martin; New York Times interview wih Jennifer Senior; Nice article in U.S. News and World Report; CNN with Jake Tapper - The Lead; Interview with John Casey of The Advocate
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July 22, 2020 - Global USA Death threats are ramping up again and so my security with George Adams is coming back. George will take Christine and meto the game tomorrow night and provide security. Had a great Zoom conversation with Ryan Zimmerman (Zim) who gave me tips on throwing out the first ball on Thursday. He was wonderful. Very nice man. Interesting day at the Task Force. Called the POTUS I mentioned to the VP that the POTUS did a good job on the solo press conference yesterday. I told VP to tell the POTUS that I said so. The VP told me to call him myself since he has such great respect for me. Katie Miller gave me the phone number of the POTUS's personal secretary, Molly Michael. I called her and she ultimately (30 minutes later) connected me. I told him it was a good idea (like I had told him last Thursday) to own the problem, admit that things are bad and describe how he is going to do something about it. I also told him that it was good that he did it solo and kept it to 30 minutes. He was very glad to hear from me and said it was"a really great call" Gov. Andrew Cuomo called me asking how I was. I told him that I was upset that the far right was trying to discredit me. He strongly suggested that I resign; he does not seem to appreciate the difference between resigning from TF and resigning from NIAID. He said I will lose credibility if I stay and that my legacy needs to be preserved. He said if I quit he will make sure that I am hired as an uber-consultant and could do very, very well in the private sector. Sorry, not for me. Nearly 3,500 Public Health Experts Signal Support for Fauci Current and Former Health Officials, Physicians, and Scientific Experts Sign Letter Denouncing White House Attacks on NIAID Director
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July 22, 2020 ShareThis Nearly 3,500 of the nation's leading public health experts are speaking out against White House attacks on National Institute of Allergy and Infectious Disease Director Dr. Anthony S. Fauci and are calling on President Donald Trump not to sideline science or scientists as the country continues to reel from the COVID-19 pandemic. The signers include two former Commissioners of the Food and Drug Administration, two former directors of the Centers for Disease Control and Prevention, a former Secretary of the Department of Health and Human Services, a former Surgeon General, several leading medical journal editors, and hundreds of the nation's most prominent physicians, researchers, and public health experts. ner The open letter to President Trump was drafted by former FDA Associate Commissioner Dr. Peter Lurie, now President of the Center for Science in the Public Interest, and epidemiologist and longtime AIDS activist Gregg Gonsalves, now of Yale School of Public Health, who began circulating the open letter on Friday evening. "This week and last, the White House mounted a campaign to discredit one of our nation's leading scientific experts, Dr. Anthony Fauci, the director of the National Institute of Allergy and Infectious Diseases, who has advised six Presidents on epidemics from HIV to SARS, from Ebola to H1N1 influenza," the letter reads. "Since the beginning of the pandemic, he has remained one of the world's most trusted scientists on COVID-19, daily explaining in lay terms the complexity of an illness we still don't fully understand. And he has done so by placing science front and center in the public discourse. Attempting to marginalize highly respected researchers such as Dr. Fauci is a dangerous distraction at a time when we most need voices like his." In mid-July, the White House circulated a set of talking points criticizing Dr. Fauci to journalists, and Trump administration trade advisor Peter Navarro penned an op-ed in USA Today claiming that Dr. Fauci was "wrong about everything I have interacted with him on." USA Today retroactively said that Navarro's op-ed had claims that were misleading or lacked context, and thus did not meet the paper's fact-checking standards. Though the White House eventually distanced itself from the Navarro op-ed, Dr. Fauci was not invited to participate in yesterday evening's White House coronavirus briefing, the first since April. Signatories to the open letter include former New England Journal of Medicine Editors Dr. Marcia Angell and Dr. Jerome Kassirer; current New York City Health Commissioner Dr. Oxiris Barbot and former Commissioner Dr. Mary Bassett; former NBC News science and health correspondent Dr. Robert Bazell, now at Yale; American Public Health Association President Dr. Georges Benjamin; Dr. Luciana Borio, former Director for Medical and Biodefense Preparedness at the National Security Council; New York University bioethicist Dr. Arthur Caplan; former US Surgeon General Dr. Joycelyn Elders, former HHS Deputy Secretary William Corr, former CDC Director and current President and CEO of Resolve to Save Lives Dr. Thomas Frieden; former EPA official and current Dean of the Milken Institute School of Public Health at George Washington University Dr. Lynn Goldman; former FDA Chief Scientist Jesse Goodman, now with Georgetown University; former FDA Commissioners Dr. Margaret Hamburg and Dr. Jane Henney; Dr. Shelley Hearne of the Johns Hopkins Bloomberg School of Public Health; The Lancet Editor-in-Chief Dr. Richard Horton; Ruth J. Katz of the Aspen Institute and former Dean of the Milken Institute School of Public Health at George Washington University; former CDC Director Dr. Jeffrey Koplan of Emory University; Yale cardiologist Dr. Harlan Krumholz; former HHS Assistant Secretary Dr. Nicole Lurie; Federation of American Scientists President Dr. Ali Nouri; former HHS official Dr. Anand Parekh of the Bipartisan Policy Center; former JAMA Deputy Editor Dr. Drummond Rennie of the University of California San Francisco; former HHS General Counsel William Schultz; former Kansas Governor and HHS Secretary Kathleen Sebelius; former FDA Deputy Commissioner and current Vice Dean for Public Health Anthony Fauci 950,000/143,000 Practice and Community Engagement at the Johns Hopkins Bloomberg School of Public Health Dr. Joshua Sharfstein; and Editor-in-Chief of the Science family of journals Dr. H. Holden Thorp. "As current and former public health officials, researchers, and public health professionals, we call on our political leaders, members of the media and all Americans to reject the sidelining of science, to speak out against the silencing of scientists, and to champion open and public scientific discussions of the issues facing our country as we struggle to make progress against the SARS-CoV-2 pandemic," the letter continues. "For that, we need the clear voices of government experts, including Dr. Fauci, to be available to the American public without limitation. That is the only path that can bring success in our efforts to control the virus." "Science and scientists had been under relentless assault during the Trump administration before the COVID-19 pandemic, and that assault has not let up," said Lurie of the Center for Science in the Public Interest. "We must reverse the administration's hostility to science and certain scientists if we're to deploy the public health measures and develop the treatments and vaccines that are our only hope for bringing the pandemic under control." "We have so much work to do to end the SARS-CoV-2 pandemic in the United States. We've seen too much death, too much economic devastation already. Public health and science offer us a way out, a way to vanquish this virus. But to do that we have to embrace the best science and scientists this country has to offer, not denigrate the very expertise that is vital to our survival at this moment," said Gonsalves of Yale School of Public Health. Topic: COVID-19 Integrity In Science Anthony Fauci Contact Info: Contact Jeff Cronin (jcronin[at]cspinet.org) or Richard Adcock (radcock[at]cspinet.org). Telephone call with Marc Ghaly fro CA again asking for advice on how to control the surge in CA. A problem is that even when you close the bars, people have backyard barbecues that are as bad as bars. He is also concerne about the upcoming harvest season with migant workers. 75% ofinfection are among LatinX PRESS: Randy Rainbow Pleads for Dr. Fauci's Help to 'Gee, Officer Krupke' https://bit.ly/3jtogIN;
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July 23, 2020 - Global - 14,800,000/612,000; USA - 3,950,000/143,000 Wall Street )20,000/144,000 Global USA 'Ss network Uneventful day with usual NIH meetings. Did not go down to White House. Getting nervous about throwing out the first ball at Nats stadium tonight in the Opening Day ceremony of Nats versus Yankees game. Amazing night at NATS Stradium where I threw out the first pitch to open the 2020 Baseball season with Nats - NY Yankees game. Unfortunately, I threw a "bouncer" to the right of the plate. I felt really badly but the overwhelming public reaction to it was sympathetic and positive. Mark Lerner (owner of Nats) had me sign dozens of baseballs to be given out to people and one that will go into the Baseball Hall of Fame together with 2 Louisville Slugger bats. I signed a Nats Jersey that will hang on the wall in Nats stadium next to a similar shirt signed by President Obama. Game got rained out in the 6th inning and we went home. Yankees were leading 4-1. PRESS: Interviewed with David Axelrod for "The Axe Files" podcast; Wall Street Journal Article on AIDS activism;
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July 24, 2020 - Global - 15,000,000/619,000; USA - 4,020,000/144,000 Routine day. Went for my "annual" physical with Ted Li. All is well. PRESS: FOX News with John Roberts; On front page picture of me glove tapping with Sean Doolittle; Podcast with CSIS (Steve Morrison); Interview with Ben Cohen of Wall Street Journal; podcast with Khan Academy; WINS NYC Radio;
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July 25, 2020 - Global USA Texas now have to triage who gets into intensieve and who does not (too far gone and/or too old. Very difficult situation. California takes over from NY as state with the most cases. Florida still surging. Deaths in the USA up to 1000/day for 4th day in a row. They have created a baseball card with a photo of me throwing out the first pitch. Judy Mikovits is planning to be on conspiracy TV shows via Sinclair news network saying that Fauci created the coronavirus in China and brought it to the USA Over the past week POTUS has done 3 press conferences alone. I have commented to the press that I think that this is good since he is now giving a sober message that things will get worse before they get better and that people should wear masks and avoid crowds. He has cancelled the GOP Convention in Jacksonville Florida. I commented 200,000/147,000 that I liked the fact that the pressers were short and concise. CNN sarcastically commented that I really giving a vailed criticism of his prior pressers.
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July 26, 2020 (Sunday) - 5th Day in a row for 1000 deaths/day. Brett Giroir on Tapper (State of the Union) talking bullshit about testing with Jake pressing him. I gave Jake some questions to ask him. Mark Meadows on This Week with George Stephanopoulos saying that public health measures are not working and we will have to rely on interventions such as vaccines and therapeutics. This is his way of backing out of a failure and trying to get an "October Surprise". Heads up for him trying to push an early approval of vaccine or even influencing the decision about convalescent sera, which actually do not look too good right now. Spent better part of yesterday and this AM working out the tension between the COVPN sites, Larry Corey and Moderna. Larry acting out since he is angry that Moderna and perhaps AstraZeneca are going with CROs instead of the COVPN sites. Larry understandably feels left out and disrespected. He has a point but he is poisoning the relationship with the companies, which is a bad idea since like it or not, we (Operation Warp Speed - OWS) allowed the company instead of NIH to hold the IND and so it is their trial. Larry hostility spilled over to the site PIs and they leaked to the press disparaging things about Moderna, which set off a media pickup, etc. I called Larry, then set up a Zoom yesterday with Moncef Slaoui, Matt Herpburn, John Macola to figure out how to fix this. I volunteered to convince Larry that he is inadvertently becoming the "problem". Zoom call today with Larry and the above 4 to come to some sort of understanding: Larry and COVPNs would not be left out of the action, but Larry must stop criticizing the Company. Tomorrow we have Zoom with all of us + the COVPN PIs. Jake Tapper woke me up at 11:23 AM (I went to bed early) furius at POTUS for tweeting about the fact that Jake severly questioned Brett Giroir on SOTU CNN show today. Jake was really pissed at the craziness of it all.
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July 27, 2020 - Global - 15,800,000/640,000; USA - 4,200,000/147,000 Today is launching of Phase 3 trial of Moderna mRNA-1273. First patient received the vaccine in Savannah Georgia at 6:45 AM. Fastest ever in the USA from sequence to phase 1 and fro sequence to now phase 3 We had in Building 1 a virtual press conference at 10:00 AM with me, Francis Collins, Matt Hepburn, and Stefan Bancel announcing the start of the Phase 1 trial. Met with the POTUS in the Oval Office today briefing him (with Azar, Collins, Gen. Perna, Moncef, Jared Kushner) about therapeutics and vaccines. He was typical stream Global USA of consciousness and rambling on. It is clear he wants therapeutics quickly. He accepted that the vaccine might not be ready before the election, but he was not happy about it. He kept pushing about when therapy would be ready. Francis and I were surprised when some of the WH staff sitting behind us told him that the convalescent plasma data looked real good and we would have definitive results tomorrow. Had no idea what they were talking about since we know that the plasma data are a mess and we are bringing in statisticians (independent) to look at the data. The baseball card of my opening day pitch by Todd has broken the all time record for sales with 51,512 print sales in just 24 hours. Craziness continues. Threats against me are increasing greatly and so George Adams and my "modified" security detail is back PRESS: Press conference re: start of Moderna vaccine trial (mRNA-1273); did Face Book Live with Francis Collins and Steve Hoge on the Moderna phase 3 trial; CNN Situation Room with Wolf Blitzer; FOX News with John Roberts.
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July 28, 2020 - Global USA On GMA, George Stephanopoulos brought up that the POTUS has retweeted a tweet from a Breitbart based group that said that I was misleading the American public and thsat I was a fraud. George asked me to respond and I blew it off saying that I do not tweet or even read tweets. After the interview, George texted me saying: "Thank you, Tony. So impressive". The POTUS is playing a weird game of acting Okay with me in person and saying that our relationship is fine to the press and then retweeting stuff that attacks me. He is a very strange guy. Task Force meeting today. Continued surge in Florida. Threats now to yellow states of Ohio, Kentucky, Indiana, and others sine they are seeing increases in percent positives of their tests. PRESS: Good Morning America - ABC with George Stephanopoulos; Black Entertainment TV - Marc Lamont Hill; Wired print interview with Steven Levy; AP Website TV - Mike Stobbe; Fireside Chat - American Federation of Teachers - FaceBook Live
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July 29, 2020 - Trump bemoaned to the press at a press conference yesterday that my approval ratings were better than his. And he did not understand why. Amazing!! He really stepped in it yesterday when he endorsed a group of whacko doctors who said that 400,000/151,000 Hydroxychloroquine cures COVID-19. Woman (African) doctor named Stella Immanuel who beiieves in alien DNA and demon sperm said you do not need masks and HC cures COVID-19. Trump not resally knowing much about her, endorses her because she pushed HC. Don Lemon (CNN) on his show last night crucified Trump for this. Again the narrative continues of me versus Trump. CNN and the media in general are having a field day with this and hammering Trump. Met with group of "Doctors" (Deb, Seema, Brett, Bob) in a new format led by Adam Boehler and Brad Smith + Morgan Ortagus (Comms) to tighten up policy Tucker Carlson calls Anthony Fauci a "hypocritical buffoon" Carlson: "Criticize Fauci, and you will disappear from the internet" WRITTEN BY MEDIA MATTERS STAFF PUBLISHED 07/28/20 8:47 PM EDT SHARE • • • • COMMENT • PRESS: BBC Radio News; ESPN podcast with Pablo Torre; BBC/PBS World News TV with Katy Kay; MSNBC with Andrea Mitchell; 4 local TV stations - Telemundo; Univision; 2 others
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July 30, 2020 - Global - 16,600,000/565,000; USA - 4,400,000/151,000 Participated in a "Call to Action to Donate" ceremony at the American Red Cross Headquarters. Did tour with Azar and the POTUS and visited with a person giving NATIONWIDE COVID-19 METRICS. 7-DAY AVERAGE LINES Apr 1- Jul 30 Daily Tests Daily Cases Currently Hospitalized Daily Deaths Jul 30: 819,377 Jul 30: 69,917 Jul 30: 56,462 Jul 30: 1,529 60,000 900,000 es 50,000 700,000 600,000 40,000 500,000 30,000 400,000 300,000 20,000 200,000 10,000 100,000 Apr dunt Aug 1 Apri Juni Aug 1 Apr) Mey?) dunt) dul? Aug Source: The COVID Tracking Project @ blood. Then had roundtable with POTUS, Azar Hahn, Adams, Collins, Birx. Adam Schechter of Quest, Gail McGovernPres and CEO of ARC. Had phone conversation with Ted and Annette Lerner (Owners of Washington Nationals). They wanted to thank me for all that I am doing for the country and to wish me well. Promised that we will be seating together at a nationals game. PRESS: Press briefing associated with visit to Red Cross; Black Press USA Fireside Chat Face Book Live; CNN Town Hall with Sanjat Gupta and Anderson Cooper
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July 31, 2020 - Still >1000 deaths per day. Slight flatteningin AZ, but other states still surging. Yellow states starting to increase. Red states - >10% positive; Yellow states - 5 to 10% positive; Green states - <5% positive House Hearing today - Select Subcommittee on COVID-19 - Chair - James Clyburn - Rayburn-2154, Major clash with Jim Jordan (R-OH). Go to You Tube to see. I believe that I made him look silly. Confirmed Cases (Thousands) Vs é ta a 3 Vig -,900,000/153,000 New Dally Confirmed COVID-19 Cases in the U.S. a i ely * F &¢ meen 7 Day Moving Avarage Say a "4p Important call form Larry Horowitz who works closely with nancy Pelosi. Apparently, There was a meeting in the WH with Steve Mnuchin, Mark Meadows, Nancy Pelosi and Chuck Schummer. Steve and Mark told Nancy and Chuck that AstraZeneca will have vaccine in September and that it will be given an EUA. Theyare talking about the ChADOX vaccine that Adrian Hill is testing in Brazil and South Africa, It is a 10,000 person trial. Apparently, Peter Marks does not know anything about this and Larry just informed him. Bottom line is that they are going to pressure Steve Han (who likely will cave in in the idea of an EUA) to issue one even though Peter has serius issues with this. An EUA will likely get in the way of completing the RCTs that are going on. Clearly. This is politically driven and will be a ploy for Trump to get reelected. PRESS: Much coverage on CNN of my encounter and confrontation with Jim Jordan. CNN Jim Sciuttto, Don Lemon and Chris Cuomo dumped all over Jordan.
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August 1, 2020 - Global - 17,400,000/675,000; USA - 4,500,000/153,000 Uneventful Saturday. Southern states still surging; >1000 deaths yesterday. The new approach of jumping on the mostly yellow states that are starting to show a slight increase in percent positive is referred toas the "embers approach" Had conversation with Ian Lipkin. Ian is responsible for the medical/public health aspects of the Democratic Convention in Milwaukee. He called me to go over all the things he has put into place - masks, testing everyone, airflow, limit numbers, physical distance, etc. - to ask if he has missed anything. Seems he has done all he can do. The ; USA -- 4,600,000/154,000. Global USA +,700,000/155,000 decision to hold the convention or not is up to the politicians. Since they have decided to go with it, Ian has done his job in making it as safe as possible. PRESS: Usual CNN pitting me against the POTUS
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Aug 01, 2020 - Aug 10, 2021 Aug Ol, 2020 - Aug 10, 221
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August 2, 2020 (Sunday) - Global - 17,700,000/681,000; USA - 4,600,000/154,000. I was not on any Sunday shows despite requests for from them. Brett Giroir on Meet the Press and Deb on SOTU. POTUS continues to tweet that I am incorrect in what I am saying. He rejects that I say that the USA only shut down by 50+% while EU shut down by 90% and then goes on with the non-sequitur that we have more cases BECAUSE we are testing more. The press in blasting him for supporting the wild woman Stella Immanuel.
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August 3, 2020 - Global USA Far right and FOX News continuing to attack me. Tucker Carlson calling me a "Fraud" and a "hypocritical buffoon". Fireside Chat with Dartmouth Medical School faculty. PRESS: Local TV - KDFW-TV - Dallas; KABC-TV - LA; KSNV-TV - Las Vegas; WTVJ-TV - Miami; KTLA-TV - Los Angeles; WGN-TV- Chicago; KGTVTV - San Diego; Voice of America TV with Greta Van Sustern; JAMA Podcast with Howard Bauchner; US News and World Report (Brian Kelly interview); Face Time Live Press conference with Gov. Lamont (D-CT)
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August 4, 2020 - Global - 18,000,000/688; USA - 4,700,000/155,000 Amazing Day - We were supposed to have a routine TF meeting today. We were waiting in the Sit Room for a 3:00 PM start and the VP was late at 3:15 PM. Marc Short then came in and said that the POTUS wanted some of us ogo to the Oval Office. We we got there, the entire senior staff was there (everyone). The VP sat the following around the Resolute Desk - me, Deb, Redfield, Giroir, Azar. The POTUS then started eyeing and throwing around the Fuck word: "What the fuck are you people doing? Deb you are saying that the pandemic is now in the rural areas. First the cities, now the rural areas. Where is it now. I am saying we have it under control and you say it is everywhere. Tony, you are always contradicting me. Giroir, you say HC does not work (he said this on SOTU on Sunday). I took it and many good doctors swear by it.The whs fucking message. You need to be positive". Then he started raving that we are seeing more cases only because we are doing more testing. The other countries look good because thery are not testing. At that point, Kellyanne Conway took over and made the point that we can say what we feel is correct, but if it contradicts the pOTUS, they need to hear about it in the Oval or Sit Rooms and not hear about it for the first time on TV. Everyone remained silent. At that point I gifures enough is enough. I said: "Okay Mr. president. We are now in the Oval office and so you need to hear it diretly from me. Increased testing does not cause cases. When you increase testing you will of cours pick up asynptomatics whm you might otherwise not notice. However, when you have increased percent positives and increased hospitalization, and increased deaths, that means that there are truly more cases. He then changed the subject and started talking about the fact that deaths are down. After I broke the ice, then Deb, Redfield, and Giroir chipped in. All in all it was a manifestation that he is desparate and still does not understand the pandemic. Very interesting encounter. After that we went to the Doctors Huddle with Brad Smith and Adam Boehler to talk about tesing and schools. More later. PRESS: ,750,000/156,000. Donald J. Trump @ @realDonaldTrump - 4h w - Great meeting today with the CoronaVirus Task Force in the Oval Office. Stay informed at: CoronaVirus.gov. Historical Record of A. S. Fauci - Part 2
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August 5, 2020 - Global - 18,100,000/692,000; USA - 4,750,000/156,000. Met with POTUS yesterday in Oval (see part 1). Photo below: Had Peter Navarro discuss HC with NIH Guidelines Panel. He was his typical arrogant self and rejected RCTs as being flawed and stuck with the observational studies. He maintained: "I am wrong, no one is harmed, if you are wrong, thousands of people die". He denies that HC can have any deleterious effects. His partner on the call was Mark Hatfill (Yikes!) Confirmed Cases [Thousancs) a0 New Daily Confirmed COVID-19 Cases In the U.S. iy --TTh By ,y A S500 "I - ) y' hil ATT a: ae yf yf Jiao --, a I I ¥ £ #£ FF F FF F FF F FF F F FF F HF F F HF HF HF Day eee Day Mowing Avarage 4,800,000/158,000 PRESS: Did The Forum at the Harvard T.H. Chan School of Public Health - "When Public Health Means Business" with Sanjay Gupta moderating - carried live by CNN; Bloomberg TV - David Westin; Brain Pop TV; Politico podcast - Dan Diamond; Reuters TV; Interview with Walter Isaacson on Amanpour and Company TV
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August 6, 2020 - Global - 18,400,000/698,000; USA - 4,800,000/158,000 Confirmed Cases [Thousancs) a0 New Daily Confirmed COVID-19 Cases in the U.S. te 3 Vy aed a ne! _-- Je # ar 4p fa fo Shy #. e020 Day eee Day Mowing Avarage fey ay 2p i May Got semi-agitated call from Mark Meadows at around 7:45 AM saying that he is going to keep me off all TV until we sit down and talk. He admits that I am probably being misquoted, but the press is pitting me against the POTUS. They are trying to drive a wedge between us. My interview with CNN this AM was terrific, and when I saw that it was Mark who was calling I thought that he was calling to tell me that the CNN interview was great. Apparently, I had said yesterday that the virus would not be "eradicated", which is true (only smallpox). This is against what the POTUS said. I explained this to Mark and he seemed to understand that I was saying that it could not be eradicated, but I emphasized that it could be controlled. I suggested that he watch the CNN interview. He stated that the POTUS has a great deal of affection for me and he does not want to see a rift. He said he would watch CNN New Day and get back to me. I may be off TV for a while. Call from Sen. Pat Toomey (R-PA) asking about a few things. Is it a good idea to widely test for antibodies in PA to determine penetrance of infection? I told him yes. Also, questions about use of saliva POC tests. Good conversation. Discussion with Don Milton and Kimberly Prather on aerosols. They are particle and aerosol physicists and it is clear that particles larger than 5 um can aerosol Global - USA including those up to 50 or 100um. Important implications for masks and indoor ventilation and physical distancing. Did a briefing with Qs and As to the Congressional Asian Pacific American Caucus (CAPAC) led by Rep. Judy Chu and including Mazie Hirono, Grace Meng, Bobby Scott, Tulsi Gabbard, Brad Sherman, Susan Davis, Mark Takano. Went very well. PRESS: WVLK Lexington, KY Morning News Radio; CNN New Day with John Berman; Bloomberg News on Vaccine hesitancy - Anna Edney
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August 7, 2020 - Global - USA Made rounds again today (felt really good) - saw Mr. Davis (HIV, IRIS, Steroids and Ramsey-Hunt Syndrome); Also saw Sharon Rockefeller in for Steve Holland and will get removal of rectal stump that is chronically infected with fistula due to radiation. OWS Weekly Call - All 6 companies now have advanced purchase agreements. Also, Pfizer still not giving any information even though they have adv. Purchase agreement. This is unacceptable and they need to be blasted in my memoir. Also, we are averaging 800 enrollments/day in the Moderna trial: 2020-08-07 OWS board briefing Vx & Call from Larry Horowitz (works with Nancy Pelosi) (should have described above). He had warned me a few days ago about Meadows trying to pressure Hahn and Marks to grant UA (or even BLA) prematurely to vaccines (likely AZ) in time for the election. I called Peter Marks a couple of days ago (together with Collins and Lane) and explained that we would back him if he holds the line. He called the AZ package "a hot mess' and definitely not in shape for an EUA 900,000/160,200. Plasma drive on Times Square Did Fireside Chat (virtual) at Brown University with Ashish Jha (new Dean at Brown School of Public Health) - PRESS: Face Book Live - Brown Fireside Chat (see above) August 8,2020 - Global - 19,200,000/716,000; USA - 4,900,000/160,200. POTUS acting even more erratically. Keeps insisting that increased case numbers are due only to increased testing, ignoring the increases in percent positive, hospitalizations and deaths (>1000/day). Inconsistent message to me whether they want me on TV. David Muir (ABC World News Tonight) requested me and we accepted and thought that it was cleared and then silence. Same for NBC Morning News with Savannah Guthrie. And so, I decided to call Alyssa Farah and straighten things out. She was her Confirmed Cases [Thousancs) a0 rd ¢ oe. ts Sn ty er ip New Daily Confirmed COVID-19 Cases in the U.S. --_ A] ag @. ty rd a ia, Sa, te e020 Day eee Day Mowing Avarage ae ay usual wonderful self when I explained that I needed to know where I stood with the WH and being on TV. She said that she would want me on every day and every night. However, the POTUS keeps saying that the Doctors are contradicting him and he is very impulsive and so when he sees or hears about a contradiction he blows up and says either Birx should not be on TV or Fauci should not be on TV. Comms people obey and then after a couple of days, they know that he calms down and even forgets and they then get me and Deb back on the air. Alyssa also said that Kayleigh McEnany reminds him that I have an 80% approval rating and it is not a good idea to keep me off TV. They want me on TV, but they have to play to POTUS and Mark Meadows impulsive and mercurial behavior. Interesting call. PRESS: Appeared in Washington Post: As Fauci battles the pandemic and politics, his grateful neighbors celebrate him as a hero Ida Bergstrom and her sons Lars, 11, left, and Nils, 14, are selling yard signs to show support for Anthony S. Fauci, who is the nation's top infectious-disease expert and one of their neighbors. (Bill O'Leary/The Washington Post) By Marisa Iati Spoke with Dr. Patrizia Cavazzoni (Deputy Director and Acting Director of CDER/FDA. She is Acting for Janet Woodcock who is now at OWS. Larry Horowitz (see above) who warned me about Meadows pressuring Hahn and ultimately Marks to give EUA or even BLA prematurely to vaccines (likely AZ), also said that Patrizia needed some support because Henry Ford hospital has put in for a re-issue of the EUA for Hydroxychloroquine (previously removed by the FDA), being pushed by Peter Navarro to do so. Patrizia had just reviewed all the data (including the Henry Ford data - observational study with many confounders) 5,000,000/161,000 9 August 2020 Data Summary -- Metro Focus TX, FL, CA still driving 1/3 of all cases and nearly half of all deaths -- rate of improvement must accelerate : rate of death declines are slowing : TX needs to restrict hours of bars or closed those without ability to ensure strict social distancing : SC showing some improvement with restricting bar hours -- close at 1lpm -- Test positivity continues to risé in Hl, 5D, NE, MIT, IL, WV, MS, OK, WY, IB, Wil Test positivity declines are stalled in the yellow states-- indicating ongoing and not decreasing community spread Friday -- yellow states, Sat red states, Sun metras - Metros with increasing cases with need to accelerate mitigation: CHI, DC, BOS, PHI, DET, Austin, Indianapolis. - Metres athigh plateau with need to Increase mitigation * Houston, Atlanta, Las Vegas, Minneapolis, SFO, Portland, Cincinnati, bes Moines, Lexington, Montgomery Omaha, Richmond, Winston-Salem, Tulsa, Seattle, Birrningham, Cleveland, Columbus, Memphis, Oklahoma City, Salt Lake 'City, San Jose Absolutely essential to continue to message that this is serious, cammmunity spread is continuing and all Americans must wear masks In public and private gatherings, must avoid all large gatherings especially wear masks cannot be worn (eating and drinking) with continued social distancing and hand washing Daily New Cases in the United States Daily New Cases Cases per Day Data as of 0°00 GMT+0 75k 50k Novel Coronavirus Daily Cases ] i I ny i I I L I a a hf I, of a "A, "i os _ =, ", fh ee A i a Rn Sa i I a, ) J oO oe? dP oP oF oP os a lee - S ¥ ', a = z . PP ee ee Perr rare a hy gi gf POF F © Daily Cases (] "+ 7-day moving average = fy Guardian and feels strongly that no EUA is justified. She wrote it up and will officially submit it and make it oubic. HOWEVER, she was told by Steve Hahn to wait until Monday (today) so that he can "speak with Meadows". Question is whether Steve merely wants to inform Meadows out of courtesy, or he might cave to meadows. We shall see. Patrizia is OK. She will stay strong.
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Aug 8, 2020
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Aug 8, 2020 Noy 14, 2020
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Aug 8, 2020
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August 9, 2020 - Global - 19,500,000/722,000; USA - 5,000,000/161,000 Birx gets compared with me in a Guardian article: Dr Deborah Birx: voice of scientific reason or apologist for Trump? The coordinator of the White House coronavirus taskforce built her reputation fighting Aids but is she compromising it by indulging the president's whims? Dr Deborah Birx speaks during a meeting in the Oval Office with Trump. Photograph: Rex/Shutterstock Tom McCarthy @TeeMcSee Published on Sun 9 Aug 2020 05.00 EDT Months of frustration with Donald Trump's denial of the coronavirus crisis in the United States boiled over last week when the Democratic House speaker, Nancy Pelosi, publicly attacked a top member of Trump's coronavirus team, Dr Deborah Birx, for standing by the US president despite his record of lies and misinformation about the virus. Her position contrasts sharply with Dr Anthony Fauci, her former supervisor and current scientific peer on the White House coronavirus taskforce, who has clashed more frequently with Trump - but has if anything risen in the public estimation for doing so. The question for Birx is whether, after the current health emergency is past, she will be remembered as a Fauci-like figure who was able to work with Trump without becoming personally compromised - or as something else. I New confirmed cases of Covid-19 in United States and European Union Seven-day rolling average of new cases, by number of days since 10 average daily cases first recorded 65,000 60,000 55,000 y" United States 50,000 45,000 pK. 40,000 35,000 py ~ I 30,000 Fe jj 25,000 20,000 15,000 10,000 European Union 5,000 Number of days since 10 average daily cases first recorded Source: Financial Times analysis of data from the European Centre for Disease Prevention and Control, the Covid Tracking Project, the UK Dept of Health & Social Care and the Spanish Ministry Data updated August 8 2020 2.19pm BST. Interactive version: ft.com/covid19 © Peeoui Art (@peeoui_in_paris)«I x @ Privacy error x + € C Q ) @ instagramcom/p/CDoKX8nCb7q/ xr ®@k@ (@) peeoui_in_paris + Follow " ~. @,) peeoui_in_paris So excited about this Ve -- my Dr. Fauci is going to live with % , t the real Dr. Fauci and his tireless team at NIH! It's really an honor that one of my modest creations will be in the presence of such brilliance and grace. Dr. Fauci and team, thank you for all the long hours and perseverance in the face of endless criticism and incertitude. You're my heroes. #drfauci #drfaucifanclub #nih #peeoui #flattenthecurve #staycalm #acrylicpainting #artistsoninstagram #artist #heroes #hero a) pvilly1 @ that's so cool, ML! 1 lik Reply 9AV 68 likes We know sooner or later that when EU opens up, there cases will go up if they are not careful, and some of them are not careful: From an American Artist in Paris" When Is It Safe to Reopen? Covid-19 prevalence in 13 countries at the time they reopened schools shows a much lower rate than in the U.S, which has about 170 daily cases per 1 million population. DAILY CASES/ COUNTRY REOPEN DATE MILLION' Taiwan Feb. 25 Denmark April 15 35.5 Norway April 20 17.2 Japan April 24 Israel May 3 Germany May 4 13.6 France May 11 17.0 Switzerland May 11 6.6 New Zealand May 14 0.2 Belgium May 18 25.1 Vietnam May 18 Greece June1 0.5 S. Korea June 8 *Seven-day average Source: Kaiser Family Foundation Whether or not to open schools has been a major topic of discussion as we approach the school opening timetable. I have been saying consistent that we should have as a default position our attempt/intention to open schools because of the psychological effects on children and in some areas, the dependence on schools for breakfast and lunch. Also, the potential deleterious downstream effects on working parents. HOWEVER, the primary consideration must be the health, safety and welfare of the children and the teachers, and the potential spreading to others (i.e. family members). I have stated that one size does not fit all and decisions should be based on the level of infection in the community: PRESS: Front page article in Washington Post blasts Meadows and Trump for ignoring me and Birx and carefully monitoring everything that I say in order to keep us on message and when we do not, they do not approve requests for interviews. Glad that the sources were many and so they do not think that I leaked.
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August 10, 2020 - mostly unalloyed ical and personal costs. Important NBC print article (blog) about the difference between Birx and me: Trump calls Birx's COVID-19 warnings pathetic -- but the real test is what she does next Doctors like Fauci and Birx find themselves in an unenviable position, as do so many employed by the Trump administration. But given our national crisis, there is little room for excuses. Dr. Deborah Birx, the White House coronavirus response coordinator, arrives for a coronavirus task force briefing in the Rose Garden at the White House on April 27.Jabin Botsford / The Washington Post via Getty Images file
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Aug. 10, 2020, 4:30 AM EDT
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August 11, 2020 - Global USA Very serious e-mail from Deb Birx this AM and my response to her: Deb: I am totally with you. I will, and I trust we all will, continue to give the message that we have been giving. This is an historic pandemic and it is our responsibility to do everything we can to contain, control and eliminate it. We cannot just let the virus do its thing since people will die. Children get infected and some of them get very sick and they almost certainly play a role in the community spread. W e should hold strong on this. Perhaps we can still be value-added, but we need to discuss that if the POTUS is following Atlas's advice and not ours, then what are we doing there? eborah.L.Birx@nsc.eop.gov 9 AM < + , Robert R. (CDC/OD) Best, Tony Anthony S. Fauci, MD Director National Institute of Allergy and Infectious Diseases Building 31, Room 7A-03 31 Center Drive, MSC 2520 National Institutes of Health Bethesda, MD 20892-2520 Phone: (301) 496-2263 FAX: (301) 496-4409 E-mail: afauci@niaid.nih.gov The information in this e-mail and any of its attachments is confidential and may contain sensitive information. It should not be used by anyone who is not the original intended recipient. If you have received this e-mail in error please inform the sender and delete it from your mailbox or any other storage devices. The National Institute of Allergy and Infectious Diseases (NIAID) shall not accept liability for any statements made that are the sender's own and not expressly made on behalf of the NIAID by one of its representatives.
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August 12, 2020 - Global - 20,000,000/735,000; USA - 5,120,000/164,000 4800 items regarding me on sale: Fauci items on Etsy - n=4804 https://www.etsy.com/search?q=fauci Discussed on a "chat" with Pastor Miller of St. Luke's Lutheran Church in Silver Spring in a session for children. She also said a prayer for me. Bets Malone has written a song about me to the words of "You Made me Love You". Going viral on you tube. Totally crazy NATIONWIDE COVID-19 METRICS. 7-DAY AVERAGE LINES Mar 1 - Aug 12 Daily Tests Daily Cases Currently Hospitalized Daily Deaths Aug 12: 657,562 Aug 12: 55,742 Aug 12: 47,919 Aug 12: 1,485 ,000 900,000 ~ 800,000 50,000 700,000 600,000 40,000 500,000 30,000 400,000 300,000 20,000 cain 200,000 10,000 100,000 Mar 1 May 1 Juld Mar 1 May 1 Jul 1 Mar 1 May1 Jul Source: The COVID Tracking Project summer. Global -- Important meeting at Task Force - Trump has brought in a Dr. Scott Atlas, a radiation oncologist from Stanford Hoover Institute. He is a FOX News Commentator and Trump has seen him on FOX. He is against everything we are saying. He wants to open schools in red Zone, feels that children do not get sick (or even transmit when they get infected) and so we should let herd immunity form. He wants to protect the vulnerable but does not realize that we do no do that effectively. He wants to only test symptomatic people. He obviously does not believe in community spread. This is going to be a real problem. The rightwing press is saying that Trup brought him in to counter me and Birx. Atlas now has an office in the EEOB and he is Special Assistant to the POTUS. He is also now a member of the Task Force. PRESS: Did Fireside Chat with the "Trilateral Commission" led by Meghan O'Sullivan and Juliette Kayyem (Harvard Kennedy School of Government)
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August 13, 2020 - ~1500 deaths yesterday - deadliest day of summer. Global - 20,200,000/737,000; USA - 5,200,000/165,1000. 13 August 2020 Data Summary Packet today focused on the yellow states where cases are rising : red states improving except for GA, IB Added Spain so you can see although cases are increasing in Europe led by Spain the case increases are not comparable to the US4 (much lower and blunted) Including IA for today's travel ; high continued plateau in Des Moines and increasing cases in Linn County (Case declines have stalled primarily driven by the yellow statesas cases continue to increase in GA, MS and the Heartland New hospital admissions remain at a high plateau withoul declines -- current rable 3X May rabes Deaths are increasing due ta substantial spread intoLICF and will continue to accelerated over the next weeks without containmentof the LCF spread -- ADM Girgir realigning testing losaturate TX, PL, GA and other states with seenilicant LTOP outbreains 2 mud imide actions wilh eva tio ared Protection of residents -- Adimanistrator Verma finished rule making to esure weekly lesting ol all stall and inereasing clinical trial access for nursing homes Slow improvements continue across the Sunbelt red states but high cases in ID Continued high plateau of community spreadin Minneapolis, Richmond, Atlanta, Houston, Des Moines, Lexington, Montgomery AL, Tulsa, Indianapolis Strong mitigation mustecontinue to States with improvements inthe Sunbeltte drive cases down te less than 10/100,000 and test positivity less than 5% to contain community spread and prevent surge in mortality throughout the fall--gains are fragile and creating another round of substantial community spread before the fall will further accelerate hospitalizations and deaths Mitigation effarts mustincrease in GA, AR, OK, NE to prevent further increases in hospitalizations Increasing cases and test positivityin Honolulu, IL, IN, 5D, ND, PA, WT - Contacting 1! Daily New Cases in the United States Daily New Cases Cases por Day Data as of 0:00 GMT+0 100k I Sok : 25k if al q || o o, arth & 6 ab ab gh a Nn 3 ay fh al a # ae srshg se oe ge ot of "i oor pete ee of Ce oy ? I wi = Novel Coronavirus Daily Cases © Daily Cases (] "> ?-day moving average about school Had very nice Zoom conversation with Gov. Raimondo (D-RI) about school opening. RI is in green zone and so it was an easy conversation. The Fauci cult is getting even stronger. E-mail from Children's Hospital at Northwestern in Chicago" OS IHD sygHowal SASANN SLNAGALS SdOLIOG S.LSILaV Amazing surprise: Irwin Redlener called me. He is a friend of Joan Baez and said that Joan is now an accomplished portrait artist and she is a great admirer of mine and has painted a portrait of me. Irwin wanted to know if it was OK for him to give Joan my cell phone number. I said of course and within an hour Joan called me and we had a wonderful conversation with her calling me an American hero. She texted a copy of the portrait to me. I gave her my home address and she will send me a print of it. See below: calculations has us actually at 200,000 deaths PRESS: Local Radio and TV in North Carolina - 1) 106.1 FM: KC O'Dea Show (Radio); 2) Bo Thompson WBT (Radio); 3) WGHP Fox 8 Brad Jones TV Greensboro; 4) WXII TV Davonte McKennith - Winston-Salem. PBS NewsHour with Judy Woodruff. Instagram Live with Matthew McConaughey. Pew Trust Podcast
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August 14, 2020 - Excess death calculations has us actually at 200,000 deaths from COVID-19. Global USA Did Task Force today. Had brief discussion with Scott Atlas. He is concerned about being seen as the "anti-Fauci". He says that he is not in favor of "let it rip" to develop herd immunity. He believes in herd immunity, but he feels that we should just protect the elderly and vulnerable in nursing homes. He may be backing off on what he was "supposed" to have said. Clearly, Deb Birx and to some extent Redfield feel that he is dangerous. He might be, but I really need to hear from him what is position is on a variety of subjects. Joan Baez sent me a beautiful note this evening. Hi Tony, Just a thought.. People have told me over and over how important I was I'm their lives..I never really either believed them or paid them much attention. But maybe too much modesty, false or otherwise, is as silly as blowing ones own trumpet to loudly. I wonder if you have any idea (probably not) how important you are to us, our health, our sense of hope, and that we won't go under, not just yet. I am not optimistic about the future of our country, or the world for that matter. But that doesn't mean I've given up. I'm fortunate to paint, and paint well. Same as I sang well. I had the blessed luck to end my singing career shortly before Covid upended the entertainment industry. My first portrait exhibit was called "Mischief Makers". It consisted of people who had spoken truth to power, many risking their lives to make change without the use of violence. Without even thinking about it, you are doing nonviolent resistance every time you stand up in front of the cameras with people all around you who are doing everything possible to negate common sense and science.. knowing your life oddly and unexpectedly is more fragile than you'd thought, by the splits and divisions, mistrust and hatred - mostly people by who are encouraged to do evil, are now very close by. Corragio Tony! If I, or anyone from my community of activists and friends can help you out in any way, please just let us know. Meantime, my British mom used to say, "Carry on the good works and take care.. good people are scarce." Yours, Joan On rereading this I see that parts of it might be appropriate to put up on my face book page. Let me knkw if that makes you uncomfortable in any way. PRESS:
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August 15, 2020 Brett Giroir getting slammed by the press for saying that we do not need to do widespread testing. He is acting annoyed with the press (which is a bad idea) when they push him and mention that all the health experts disagree with him. The Fauci cult continues:
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August 16, 2020 (Sunday) - No Sunday shows for me. They are putting out Scott Atlas and Brett Giroir. New emphasis is that we do not need to widely test, we just need to protect the vulnerable in Nursing Homes by testing personnel often Global USA Daily New Cases in the United States Daily New Cases. Cases per Day Data as of 0:00 GMT+0 100% * a FSk = a il _ } =. Hall) lit ATV "Poa gh AB Bok Pog? gt Pik og? gt Po ah gk oP ah ae oP gk gh sh ao AP of gt a SEELP PPP OS oF FPP PG Py PPP PS Moe ® Dally Cases a jay Moving average [[)®* f-day moving average = gj COVID-19 Dally Report Geean ruined (50h. poate TL, A, a, aA a, A A AL, A, L,I, a, TH 'a Cec Caco une I SM AO ee eer nara aan bree bron ees. oes Geerths per LEM] cacons. Geath counts (COW0-L9 deaths par 1 cosas (7-day eerage) Wee COW: LS dears peer clog [7-Coy evernge Pome of cepa ee ee Core ae oh and occupants. They are forgetting about the many vulnerables in the community (diabetics, obese, HT, elderly) who will get infected by community spread. PRESS: Glenn Kessler (fact checker for Washington Post) wrote a piece in todays Post indicating that Trump was incorrect in his statements that I was wrong on: 1) saying that everything is OK and we do not need to worry; 2) that I opposed China travel ban; 3) that I was against masks.
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August 17, 2020 - Global USA 17 August 2020 Data Summary The case stall is primarily driven by rising cases in the yellow states esp CA and continued high casesin GA, M5, ID Highest daily cases per population AL(22/ 100,000), AR (15/100,00), FL (29/100,000), GA (29/100,000), 1D (24,'100,000), MS (25/'100,00), NY (24/'100,000), SC (20/100,000) and TX (25/100,000) New hospital admissions remain at a high plateau withoul declines-- current rate 34 May rates Deaths are increasing due to substantial spread into communities with high co-morbiditles (esp the South) and LTCF and will continue to accelerated over the next weeks without containmentof the LTCF spread US deaths / population will continue to rise and we will pass all European countries except Belgium in the most fatalities normalized per population Increasing evidence of long term morbidities related to heartand long damage from COVID infection -- across age proups-- one should not trivialize these consequences.as we will see more evidence of this damage as survival rates improve and with our case burden Continued improvements continue across the Sunbelt red states but mot the West Coast with cases in CA, OR, WA Strong mitigation mustcontinue te States with improvements in the Sunbeltto drive cases dawn ta less than 5/100,000 and test positivity less than 3% to contain community spread and prevent surge in mortality throughout the fall-- gains are fragile and creating another round of substantial community spread before the fall will further accelerate hospitalizations and deaths NE hasan excellentinfection control exampleof a State program to supportnursing homes thathas been expanded to other settings including prisons, meat packing plants etc -- would be excellentte highlight on the GOV call as well as 1A summer highschool sports program Excellentsaliva high throughout testing example fram KS and OK supporting colleges and universities that can be highlighted on call -5,400,000/170,000 • Did Fireside chat with Gallaudet University • Discussion with Cong. Sanford Bishop (D-GA) - member of CBG - particular interest in Vets. • Gave COVID lecture to ASM Microbe meeting. Afterwards did fireside chat with Peggy Hamburg PRESS: Taped interview with J.J. Green, national security correspondent for WTOP radio;
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August 18, 2020 - Global - 22,000,000/773,000; USA - 5,400,000/170,000 I continue to be kept out of the classic press but am getting in through indirect ways. Still have >1000 deaths per day. Scott Atlas now the main person that Trump listens to. I have reached out to Scott to give him a fair chance to explain to me exactly how he feels about children getting infected and the issues with letting community spread happen. We obviously differ here. He and White House feel that we can let children get infected in schools since they do not get sick and we just need to protect the vulnerable in Nursing Homes. Fallacious thinking since there are many not in Nursing Homes who are vulnerable such as obese people, diabetics, hypertensives, etc. ALSO, many reports coming out now about long term cardiovascular and brain effects in younger people who were not NATIONWIDE COVID-19 METRICS. 7-DAY AVERAGE LINES Apr 1 - Aug Daily Tests Daily Cases Currently Hospitalized Daily Deaths Aug 17: 647,368 Aug 17: 37,759 Aug 17: 43,485 Aug 17: 406 60,000 40,000 30,000 20,000 10,000 Apr) May? dunt Jul?) Aug? Apr dun 1 Aug T Source: The COVID Tracking Project ) 5,500,000/171,000 even sick enough to go to the hospital, and who were merely home in bed for a couple of weeks. ALSO, more younger people dying. Of note, I was the only one of the Doctors in the TF who was noit invited to be present in the Sit Room for the Governors's call today. Joan Baez texted me saying that she now has 3,000,000 views on her Face Book note to me. Her comment was: "Over three million views. Is this fun or what?" PRESS: Healthline Town Hall; Commonwealth Club of California Fireside Chat; Bloomberg Quicktake Live
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August 19, 2020 Global - 22,000,000/776,000; USA - 5,500,000/171,000 19 August 2020 Data Summary Slow improvements continue and the gains are fragile and mitigation at the current levels must continue until these States are under 5% test positivity and cases are under 5,100,000, Many of the Heartland states are rising to over 15/100,000 cases and must increase mitigation efforts The stall in rate of case declines is primarily driven by rising cases in the yellow states esp C4 and continued high cases in GA, TX, 1D (data reporting issue in CA and TX} New hospital admissions declining significantly -- current rate 3X May rates Deaths remain high as the lagging indicator from increasing due to substantial spread into communities with high co-morbidities (esp the South) and LTCF but should be stable week over week and potentially decline mext week Continued improvements continue across the Sunbelt red states but not the West Coast with cases in CA, OR, WA Continued alert for Hl Strong mitigation must continue to States with improvements in the Sunbelt to drive cases down to less than 5/100,000 and test positivity less than 3% to contain community spread and prevent surge in mortality throughout the fall --gains are fragile and creating another round of substantial community spread before the fall will further accelerate hospitalizations and deaths : concerns remain about school and university opening with background persistently high community spread and further accelerating transmission Wisconsin included -- test +stable, stable cases but improvements seen in Milwaukee COVID-19 Daily Report mnie ea Deant 15, 2018 A, TL AL L,Y, RT WT, a, 1 A, = Cae counts Test peat iwity ra be Mee CONTE DD) conan par dap [7-tes rverege! Peveeetl fevliegg periditce (Joey aver ap) ED a Dhata Bibs ata pai Ere beats pee 9 ede 9 dey age Mere COW 0E aarti pe ila [Pha age I ] i. I TM i" tH ae Re iit rey : ' it I, = i, F : ja om P I i f i ra f f t t I I ae z a eb oe [a ae ee Daily New Cases in the United States Daily New Cases Cases per Day Data as of 0:00 GMT+0 1k =i wm fal Novel Coronavirus Daily Cases wi i=] = 25k I Wh i ilil I TH TTS TATE TH a rial og? oo ha vot Pei ASe a oho oe @ PoP y eee eae hates ee ie ie ie ea CJ Daily Cases Oo -& T-day moving average NATIONWIDE COVID-19 METRICS. 7-DAY AVERAGE LINES Apr 1 - Aug 19 Daily Tests Daily Cases Currently Hospitalized Daily Deaths Aug 19: 680,896 Aug 19: 45,103 Aug 19: 1,416 50,000 40,000 30,000 20,000 10,000 10,000 Source: The COVID Tracking Project Interesting that Scott Atlas announced at a Doctor's Huddle that I was on board in seeing the rationale for his statements. Joan Baez Face Time now has 4,000,000 views re: my portrait and her words about me. POTUS called up Collins and started ranking that Francis and I are hurting him by getting in the way of the EUA for convalescent plasma he was yelling at Francis saying that he and I (and Cliff to some extent) are undermining him. See article in the NY Times today as well as Politico that said that Trump feels that Francis and I are pushing back on the EUA for "political reasons". PRESS: "60 Minutes - Australia" TV; Radio Lab - NY Public Radio - Tracy Hunt; Podcast with Frank Sesno - covered on C-SPAN; IDSA Podcast with Carlos Del Rio; Interview with Der Spiegel (German print); New York Times article by Noah Weiland reports that Francis Collins and I and Cliff Lane are pushing back on the possibility of an EUA for convalescent plasma until more data come in since we feel the current data does not justify an EUA at this point. It reports that we are working with the FDA on this. However, some are interpreting that we are pushing back against the FDA, which is not true. Peter marks is on board with us.
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August 20, 2020-- Global USA e Becoming really nice pen pal with Joan Baez. e PRESS: Much press coverage of my surgery started by Sanjay at CNN and then went viral
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August 21, 2020 -- Global USA e Washington Post is writing a story that is intended to be a hit job on Pence and Short. Katie Miller asked me to counter with some statements and I did 21 August 2020 Improvement in care resulting in greater lag in fatalities to cases and hospitalization declines. Increased cases today are hospitalization increasing in 2-3 weeks and increased fatalities in 6-8 weeks. Itis critical to continue to drive down cases now to decrease hospitalizations and fatalities in the Fall Highlighting test positivity rate changes as there is again stability in testing and decreased backlogs making the trends in test positivity predictive again. Improvements are seen across the country except the Heartland and Midwest and some areas of TX Improvements in test positivity across the Sunbelt except NV with continued high test positivity in Las Vegas Florida continues to improve for your trip today including improvements in Miami which had remained stubbornly high. We have weekly calls with the Mayors fram City and County to review impact of mitigations and discuss pathway forward Ageressive mitigation efforts decreasing community spread across the Sunbelt and will need ta continue to ensure cases, hospitalizations and fatalities decline Continued widespread community spread in CA driven in all size metro and Central Valley Test positivity rising in MQ, KS, OK, IL and continue in Hl -- arranging a team to HI for support Test positivity increasing in St Louis and Kansas City Mitigation efforts are insufficient in the Heartland to address the epidemic there and community spread will continue and accelerate with Universities and Colleges returning without adequate planning for identifying asymptomatic outbreaks Daily New Cases in the United States Daily New Cases Cases per Day Data as of 0:00 GMT+0 LOOk Sk 50k Ee ho Sh ay hh Pt I os 2 PP Ph hy AP = ty PEELE LH GOS FPP HPP FF HF PI YP IT Pw Novel Coronavirus Daily Cases © Daily Cases (] > ?-day moving average Fj Daily New Deaths in the United States Daily Deaths Deaths per Day Data a3 af 0900 GMT+8 Zk 1k Novel Coronavirus Daily Deaths ee ia te Lemeeery goat st oe be eg > PP SPO oe aH SF Ce SK ey PSyyeey ee ® Dally Deaths (] & F-day moving average 5,600,000/175,000 22 August 2020 Improvement in cases from 68,000 (7 day average) to currently 45,000 (7 day average) in 4 weeks Test positivity dropping from 9 te under 6 over the past 4 weeks and gain needs to accelerate Hospitalizations declining and next week mortality should decline Aggressive mitigation efforts decreasing community spread across the Sunbelt and will need to continue to ensure cases, hospitalizations and fatalities decline Continued widespread community spread in CA driven in all size metro and Central Valley -- we need to decide between a WA, OR, CA, NV trip primarily focused in agricultural and hispanic communities up through the central valley to WA (continued spread) vs. aMN, MI, WI, IL, SD (rising cases) trip as both with continued or rising cases Test positivity rising in MO, KS, OK, IL and slide 9 shows movement of increasingly high test + in Heartland : will need continued worked with the Heartland with rising cases, test + and large land grant universities returning without adequate testing to define depth of outbreaks and prevention of spread into the local communities with vulnerable residents Providing the major metro curves today where you can see improvements across the board but each curve is different and degree of current outbreak is not predicted by previous outbreak and each curve is different in peak and duration of peak primarily related to degree of mitigation. Will need strong Labor Day messaging to prevent another Memorial Day spreading event Daily New Cases in the United States Daily New Cases Lases per Day Data as of 0:00 GMT+0 LOO 5k 25k NN) cele See PPO 89 98.8 Pe " # ae eye ve e ee opt gf gt oF a a tg? a " *s fe +? un 'e fn Novel Coronavirus Daily Cases © © Dally Cases ("] = F-day moving average = Fy PRESS: Continued coverage of my surgery in press.
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August 22, 2020 - Global - 22,800,000/795,000; USA - 5,600,000/175,000 Daily New Deaths in the United States Daily Deaths Deaths per Day Data as of 0-00 GMT+8 3k cal 5 =I a I = a a l E I l z i] I eS 1k I r ij .s Ln a] \I I I Iii . I CANOGA Pa gh gh se Gk hg gt oy ah? dt it ge gh gk gt sh 48 of gk Pah qf nl gr gl at at SLEEPS SPS SSE PPI PO FoF PP PP FSS ® Dally Deaths = -© 2-de (I * ?-day moving average =] Global USA • POTUS called my cell at around 7:37 PM while I was outside on back deck with Chris and Jenny. It was the White House Operator saying the POTUS wanted to speak with me. I could not speak sine Dr. Bielamowicz said to not utter a word until tomorrow (Sunday), Chris answered and gave message to WH operator. POTUS called back and said he hoped I was doing well. I was concerned that he might think I was disrespectful for not answering the phone and so I texted Katie Miller ad explained the situation and asked if she or Stephen Miller could get the message to the POTUS and explain why I could not speak. She teted back and said that VP Pence would take care of it and tell the POTUS. I could not figure out why he called. He could have read about my surgery and was checking on me. Or there is a lot of tension against Francis Collins ad me in the WH because we have questioned the data supporting an EUA for convalescent plasma. They re holding it up until further data are available tomorrow and POTUS is saying the scientists (particularly FDA) are "deep state". He throws that around a lot. Katie thinks he was calling to thank me for saying in interviews that we can get things back without shutting down again. We may never know. PRESS: Australia "60 Minutes" TV interview to be shown tomorrow (Sunday in Australia);
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August 23, 2020 (Sunday) - Global USA US DAILY DEATHS. 7-DAY AVERAGE LINE ----p NATIONWIDE COVID-19 METRICS. 7-DAY AVERAGE LINES Apr 1 - Aug 22 Daily Tests Daily Cases Currently Hospitalized Daily Deaths Aug 22: 745,339 Aug 22: 46,295 Aug 22: 39,905 Aug 22: 1,024 80,000 60,000 900,000 70,000 800,000 ' 50,000 60,000 TORRES 40,000 600,000 50,000 500,000 40,000 30,000 400,000 30,000 300,000 20,000 20,000 200,000 10,000 100,000 10,000 ie) Apr 1 Jun Aug 1 Apr Jun1 Aug 1 Apri Jun1 Aug 1 Apr? May1 Jun1 Jul1 Aug Source: The COVID Tracking Project G 23 August 2020 Slides of the main original red states with different degrees of improvement : lead by Arizona : but CA, TX, MS, AL, GA must accelerate mitigation efforts to accelerate declines like AZ, LA, FL * Will spend this week working with those states to ensure they continue to decline Test positivity dropping from 9 to under 6 over the past 4 weeks and gain needs to accelerate Hospitalizations declining and this week mortality should decline Continued improvement in mortality rates in all age groups including those over 70--- slide 6 * Will be important te ensure all Governors are aware of the importance of immediate treatment with Remdesivirand plasma Aggressive mitigation efforts decreasing community spread across the Sunbelt and will need to continue to ensure cases, hospitalizations and fatalities decline -- slides 7-11 Continued widespread community spread in CA driven in all size metro and Central Valley -- we need to decide between a WA, OR, CA, NV trip primarily focused in agricultural and hispanic communities up through the central valley to WA (continued spread) vs. a MN, MI, WI, IL, $D (rising cases) trip as both with continued or rising cases Test positivity and cases rising in MO, KS, OK, IL (slides 13, 14) movement of increasingly high test + in Heartland : will need continued worked with the Heartland with rising cases, test + and large land grant universities returning without adequate testing to define depth of outbreaks and prevention of spread into the local communities with vulnerable residents Will need strong Labor Day messaging to prevent another Memorial Day spreading event -5,700,000/177,000 Very bad and disgraceful day for FDA and Steve Hahn and Alex Azar - They caved to pressure from Trump to issue EUA for Convalescent Plasma (CP). Francis Cliff and I among others a few days ago looked at the data and since there was no control and the analysis was post hoc with end points that were NOT predetermined, we could not say that there was any effect. When they tortured the data, they came up with a 35% decrease in deaths among people 3 days from dx, .80 years old and not on ventilator. Very narrow group. We had agreed to wait for further data from the same Mayo Clinic study to do a predetermined end point analysis to see if it strengthened the original data. The new data was collected, but before we could see it, Mark Meadows decided to "break the log jam" and got Steve Hahn and Alex to cave in and issue the EUA tonight, the night before the beginning of the GOP convention tomorrow night. I am afraid that this will happen with the upcoming vaccine trials. PRESS: New York Times and Washington Post coverage of old statements by me and Francis and Cliff about our skepticism of the EUA data
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August 24, 2020 - Global - 23,300,000/806,000; USA - 5,700,000/177,000 24 August 2020 Continued improvement in most of the original red states and many have moved to the yellow status but 3 red states TX, SC, MS need to expand mitigation to drive down cases along with GA (M5, GA, And TX account for the highest cases/100,000 slide 2) = Will spend this week working with thoge states to ensure: they continue to decline Test positivity dropping from 9 to under 6 over the past 4 weeks and gain needs to accelerate -- slide 5 Hospitalizations declining and this week mortality should decline Continued improvement in mortality rates in all age groups including those over 70 --slide 7 Will be important to ensure all Governors are aware of lhe ingordance of nnemedigte Leaner! with Remndesivir and plasma Aggressive mitigation efforts decreasing community spread across the Sunbelt and will need to continue to ensure cases, hospitalizations and fatalities decline Continued widespread community spread in CA driven in all size metros and Central Valley moving into eastern OR and WA Test positivity and cases rising in M0, KS, OK, IL movement of increasingly high test + in Heartland ; will need continued worked with the Heartland with rising cases, test + and large land grant universities returning without adequate testing to define depth of outbreaks and prevention of spread into the local communities with vulnerable residents Will need strong Labor Day messaging to prevent another Memorial Day spreading event that has taken 2 months to begin to contral-- approx 40% of the deaths have occurred post the Memorial Day triggered super spreading week that seeded the South. Most of the Heartland most likely seeded from residents COVID-19 Daily Report Reported on August 24, 2020 States assigned to groups based on test positivity in the week ending August 19. Red states (>10% positive) Yellow states (5-10% positive) Green states (<5% positive) AL, AR, AZ, CA, FL, GA, HI, IA, IL, IN, KY, LA, I AK, CO, CT, DC, DE, MA, MD, ME, MI, ND, ID, KS, MS, NV, SC, TX MN, MO, MT, NC, NE, OK, SD, TN, UT, VA, I NH, NJ, NM, NY, OH, OR, PA, RI, VT, WA, wi WV, WY Case counts Test positivity rate New COVID-19 cases per day (7-day average) Percent testing positive (7-day average) 70000 = -- National ---- Red States ---- Red States 60000 --~ yellow States ------ Yellow States -- G States =------ Green States Pa reen uv -_ Pm 50000 Z a 2 20 © 40000 S sed = 30000 ais c Cc s '§ 20000 g 10 --E =]2 10000 15-Mar 15-Apr 15-May 15-jun 15-Jul 15-Aug 15-Mar 15-Apr 15-May 15-Jun 15-Jul 15-Aug Source: Aggregate counts reported by jurisdictions to CDC. Source: Unified State Reporting Results Timeseries, HHS Protect. Deaths per 100 cases Death counts COVID-19 deaths per 100 cases (7-day average) New COVID-19 deaths per day (7-day average) uw --=-- National ---- National h 12 ---- Red States ---- Red States S =---- Yellow States = Yellow States By ---- Green States rs ---- Green States : S ral @ > 2000 oO q S a o = - 3 1500 a es) a ¥ © 1000 : i Rid °o ry 2 500 a E = 15-Mar 15-Apr 15-May 15-Jun 15-Jul 15-Aug 15-Mar 15-Apr 15-May 15-Jun 15-Jul 15-Aug Source: Aggregate counts reported by jurisdictions to CDC. Source: Aggregate counts reported by jurisdictions to CDC. Daily New Cases in the United States Daily New Cases Cases per Day Data as of 0:00 GMT+0 100k 75k 50k I I I KMPH MD PPD LP GD LD DPD A SY PPS FO SEEPS GSS EP eer Sy yy Pw yy i Novel Coronavirus Daily Cases nr @ Daily Cases) 4-day moving average (J -® 7-day moving average • Got call from Albert Bourla (CEO of Pfizer) expressing concern about AstraZenica likely trying to get an EUA for their vaccine before the big companies (Moderna, Pfizer, J & J complete their phase 3 trials. We discussed what to do. He suggested that he ask the companies to sign an agreement that they will all strive for completion of phase 3 studies before decisions are made. I suggested that we get the scientific community involved who should demand to see the data upon which the FDA would make any decisions. The Nashville, TN Public Defender has established the "Fauci Award": Introducing the Dr. Fauci Award! This Nashville Defenders Award recognizes staff members who embody the admirable qualities and character of the Director of the National Institute of Allergy and Infectious Diseases, Dr. Anthony S. Fauci. Amongst the numerous positive qualities demonstrated by Dr. Fauci which include a commitment to perseverance in the face of adversity, compassion, cleanliness, good health, and concern for the education, protection, and welfare of others above his own personal interests. Dr. Fauci has stood in the face of power and fought back, maintaining his integrity and keeping his mission in the forefront. New Try Global USA PRESS: Article (online today, print tomorrow) in Washington Post by Ashley Parker, Josh Dawsey and Philip Rucker quoting me as defending Pence - Politics Mike Pence hopes four years of subservience to Trump will lift his political future Interview with Julie Steenhuysen of Reuters on COVID-19 vaccine trials; New York Times - Sheryl Stolberg is doing a profile on me and my recent surgery and other things.
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August 25, 2020 - Global USA Steve Hahn admits publicly that he "exaggerated" the data showing effect of CP on death rate. He originally said that out of 100 patients, 35 lives were saved, which is absolutely incorrect. He now admits that but he does not back down on declaring a positive effect. Data analysis from Mike Lauer and Dean Follmann show absolutely no effect. 25 August 2020 Continued improvement in most of the original red states : hottest areas Rio Grande TX, Western TN, N MS, Central Valley CA Slide 12 shows lighter pink in the Sunbelt but movement up into OK, AR, MO, KS, IA, NE, IL, ND, SD Slide 19 shows the metros with significant increase in cases and many of these are college towns Slide 20 -28 are heartland metros some showing slow improvements Hospitalizations declining and this week mortality should decline and continue to decline if gains across the Sunbelt can be maintained and Heartland stabilizes Continued improvement in mortality rates in all age groups including those over 70 --slide 6 * Will be important to ensure all Governors are aware of the importance of immediate treatment with Remdesivir and plasma Continued widespread community spread in CA drivenin all size metros and Central Valley moving into eastern OR and WA Test positivity and cases rising in MO, KS, OK, IL movement of increasingly high test + in Heartland : will need continued worked with the Heartland with rising cases, test + and large land grant universities returning without adequate testing to define depth of outbreaks and prevention of spread into the local communities with vulnerable residents Will need strong Labor Day messaging to prevent another Memorial Day spreading event that has taken 2 months to begin to control -- approx 40% of the deaths have occurred post the Memorial Day triggered super spreading week that seeded the South. Most of the Heartland most likely seeded from residents vacationing in the beach areas with high community spread Daily New Cases in the United States Daily New Cases Cases per Day Data as of 0:00 GMT+0 100k rok agg SP a PP YP il uN MECCA eh a a? at ae ft ot we of oF a? a s eo oy Pe ae Ss =) = Novel Coronavirus Daily Cases = ® Daily Cases. (] "> 7-day moving average See Below from Martha's Vineyard -sionaoud ZTONVH LON 404% > ~ --_-- Tw SS SS FF * mew' MT Hi) iB r it Spain is starting to "explode: New cases daily, per million residents LOO I i March 1 April 1 May 1 June 1 July 1 Aug. 1 Moving averages of new daily cases for the most recent 7-day period. Global USA PRESS:
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August 26, 2020 - Global USA • POTUS holding more briefings with Scott Atlas and others (Dr. Jay Bhattacharya, Dr. Joseph Ladapo, Dr. Martin Kulldorff, and Dr. Cody Meissner) to the exclusion of Deb Birx. Making it very awkward for her. I have been out of the briefing loop for some time now. • We have been seeing surges that follow crowded events - Memorial Day, 4th of July, and now with Labor Day coming up, there is concern that we will see another "surge" as people move around, travel and return home from beaches, etc. We are playing "whack a mole" Sign in East Village, NYC: f I Ace 26 August 2020 Continued improvement in most of the original red states but increases upinta OK, AR, MO, KS, 1A, NE, IL, ND, 5D More than 50% of deaths coming from 4 states: GA, CA, TX, FL (slide 4] Continued week over improvement in cases, hospitalizations and deaths (slides 6-7) Cases are rising in France and Spain and across Europe but cases have not exceeded their Spring Phase (slide5) Hospitalizations declining and week mortality declining and continue to decline if gains across the Sunbelt can be maintained and Heartland stabilizes Continued improvement in mortality rates in all age groups including those over 7O Ordered the states by the 4 states with red zone test positivity and cases/100,000 Tx, ID, M5, $C then the 17 states with only red zane cases but yellow zone test positivity -- this is a mix of improving states with falling cases (NV, FL,LA, CA, NC} with states with increasing cases (14, 4R, 5D, ND, KS, OK, MO, IL) Test positivity and cases rising in MO, K5, OK, IL movement of increasingly high test + in Heartland : will meed continued worked with the Heartland with rising cases, test + and large land grant universities returning without adequate testing to define depth of outbreaks and prevention of spread into the local communities with vulnerable residents Will need strong Labor Day messaging to prevent another Memorial Day spreading event that has taken 2 months to begin to control -- approx 40% of the deaths have occurred post the Memorial Day triggered super spreading week that seeded the South. Most of the Heartland most likely seeded from residents vacationing in the beach areas with high community spread • Big shit show today about the change in CDC testing guidelines where they said if you are exposed to a documented case of COVID-19 you need not get tested if you are asymptomatic. This version was circulated at a TF meeting a couple of weeks ago and we were asked to look at it and sign on. I did so cursorily, made a change but did not grasp the implications of this change that means we put no emphasis on symptomatic spread. The guidelines were further discussed at a Aug 20 TF meeting when I was under general anesthesia for vocal cord surgery. When the shit hit the fan and the public health community went nuts at these changes, Brett Giroir said at a press conference that the TF, explicitly mentioning me, approved this, it got me vey upset. Clearly at the Aug 20 meeting, Deb Birx did not agree (she told me so). Also, I did not give it a lot of attention and I was not in the room for the final discussion when Deb objected. Sanjay Gupta (CNN) reported the disconnect between me and Brett which caused a bit of a media storm. Behind these changes was Scott Gottlieb • Telephone conversation between Peter Marks, Steve Hahn, Francis Collins, Cliff Lane, Mike Lauer, Dean Follmann, and Rich Forshee (FDA) about the basis of their declaring an EUA on CP. We (NIH) feel that FDA clearly caved to the White House and we were trying to examine the data that was the basis for their decision. Clearly Hahn was very defensive and Peter was "hurt" because he thought that the NIH was attacking the FDA. We settled it, but it is becoming clear that Steve is a bit more political than we are. Seems to be star struck about being around the White House and likely caved to Meadows. Who is looking for good news before the election. PRESS: Shit show about CDC guidelines changing and Brett Giroir saying that I approved them (see above) August 27,2020 - • I wrote an email to Brett trying to make peace: -----Original Message-----
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August 28, 2020 - Global USA • Amazing that there were no leaks to the press following the powder attack. Still >40,000 cases per day Confirmed Cases [Thousancs) a0 ie fo oa New Daily Confirmed COVID-19 Cases in the U.S. tg a4 '0 44, i Oo meen 7 oy Mowing Avorage el tay Email exchange with Kellyanne Conway on the announcement of her leaving the WH: Dear Dr. Fauci - What a kind and welcome note. Thank you for taking the time. Indeed, it has been a pleasure working with and learning from you over the past 6 months in the face of a global pandemic. You may be "America's Doctor," but you also are accessible and affable. Thank you for your many kindnesses. I hope you are feeling better following surgery, and that you will heal quickly and completely. God bless you. Always here for you, if I may help in any way. Fondly, Kellyanne afauci@niaid.nih.gov> vl AC@who.eop.gov> KAConway@gmail.com 202-251-9943
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August 29, 2020 - Global - 24,600,000/834,000; USA - ,99,000/181,000 Found out from George Adams and Brett Rowland that similar powdered letters from the same person (from Jacksonville. FL) also were sent to Nancy Pelosi, Bernie Sanders, AOC, Bill Gates, among other "liberals" .
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August 30, 2020 (Sunday) - Global - 25,000,000/840,000 USA - 5,900,000/182,000 30 August2020 Improvement in many of the original red states but increasing cases in ND, 5D, 1A, IL, IN, AR, MO and in the some of the réd states driven by University opening Stalling of case declines and test positivity due ta new outbreaks and high hospitalizatians but the continued slow decline in deaths driven by the improvements in TX, CA, FL, AZ, GA (more than 50% of current mortality) -- need to ensure this new round of cases does mot drive increased hospitalizations and deaths : University students should not be sent hame but quarantined and treated on campus The New Red States (5) of this week's Governor's Report -- Most significant deterioration in the last week : SD with increase in both test positivity and cases/100,000 =-- The remaining red states are all improving : TX, ID, NV, SC The New Yellow States (24) of this week's Governor's Report -- Most significant deterioration in the last week: DA with increase in both test positivity and cases/'100,000 1A has the highest cases/100,000 in the USA -- Yellow States : Deteriorating : AL, KS, TN, IN, M0, HI, KY, MN, NE, VA, MT -- Yellow States: stable : NE, MS, AR, OK, IL, NIC, Wil -- Yellow States : Improving : Az, UT, GA, FL, CA, LA There are 21 Green States = 2 of which are deteriorating : ND (most), Ml The slides 5-7 are last weeks designations as the report will reflect todays designations in Monday's report --Global USA Sunday shows dominated by recent GOP convention and the blatant lies that Trump spewed forth during the convention. Also, to hold a conventin event directly at the White House is a gross violation of the Hatch Act. Concern now about post-labor day (coming up) surge of cases as people congregate. Spoke with Joan Baez today - She wants to use the portrait of me to advertise the need for science and adhering to public health messages. In essence, she wants to use the portrait in PSAs. She really is wonderful.
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August 31, 2020 - Global USA Trump stoking violence (racial tensions) in Kenosha, WI and Portland, OR QAnon misrepresenting data from CDC that says that about 9000 out of the >180,000 deaths reported for COVID-19 had only COVID-19 on the death certificate. The remainder also had other underlying conditions. QAnon is saying that all the other deaths had nothing to do with COVID-19. The POTUS loves this and is tweeting that Fauci and Birx shut down the country for only 9000 deaths. What an idiot!! ust2020 Improvement in many of the origi I August but increasing cases in ND, SD, IA, KS, IL, IN, AR, MO and in the some of the red states driven by University opening -- slide 2 is a comparison of one month ago and today with improvements in cases in the South and the movement into the heartland Stalling of case declines and test positivity due to new outbreaks noted above. Slow decline in deaths driven by the improvements in TX, CA, FL, AZ, GA (more than 50% of current mortality) -- need to ensure this new round of cases does not drive increased hospitalizations and deaths : University students should not be sent home but quarantined and treated on campus -- see slide 18 -- many of the outbreaks in University towns The New Red States (6) truly new to designation is IA bd SD * Most significant deterioration in the last week : IA, SD with increase in both test positivity and cases/100,000 *« The remaining red states are all improving : TX, ID, NV, SC The New Yellow States (24) of this week's Governor's Report *« Yellow States : Deteriorating : AL, KS, TN, IN, MO, HI, MN, NE, VA, MT, NE, ND * Yellow States : stable : MS, AR, OK, IL, NC, WI, KY « Yellow States : Improving : AZ, UT, GA, FL, CA, LA There are 20 Green States --? of which are deteriorating : Mi Daily New Cases in the United States Daily New Cases Cases per Day Data as of 0:00 GMT+0 100k 75k 50k 25k (lll SB ol wh A afb pb Novel Coronavirus Daily Cases at ak ie] Mote ab a ak nt eh ae et gk Fe ae LS ee LY Py A a ne oA » Pr fore Po nae he an > CCCP See we YS ee . we "y rey . PoP Fp ye ye? ee ® Daily Cases (I "+ 7-day moving average See below: Cases/day are not dramatically falling. Looks like they may be plateauing again Got called down to White House to do the Governors's call. \ -- 6,000,000/184,000 1 Sept 2020 Slide Deck organized by states with both red zone test positivity and red zone for cases SD, OK, SC, TX, NV, ID -- SD and OK deteriorating (SD refused both my visit and CRAFT technical visit) Followed by states with red zone for cases AL, AR, GA, HI, IL, IN, KS, KY, LA, MS, MO, NE, NC, NDTN -- Many of these states were improving but now have college town cases Significant rise in test positivity in 19-25 year olds -- similar rate of rise scene in June that triggered the Southern epidemic Stalling of case declines and test positivity due to new outbreaks noted above. Slow decline in deaths driven by the improvements in TX, CA, FL, AZ, GA (more than 50% of current mortality) --need to ensure this new round of cases does not drive increased hospitalizations and deaths Ensuring control of the University infections and isolation and care on campus and ensure spread does not move into the local communities or to hometowns and trigger another Phase of extensive community spread is critical. Stopping the spread into the community and isolation is impossible without identifying asymptomatic cases Daily New Cases in the United States Daily New Cases Cages per Day Data as of 0200 GMT+0 100% PS # Novel Coronavirus Daily Cases re a5 i iil I o ae gh a ab oe Pod pp PCCP PPP Oe OPP MR FP EE PS Oe Pe PR ® Daily Cases nga OC) ~* ?-day moving average = PRESS: Washington Post Article indicating that Scott Atlas is pushing for a "herd immunity" approach to the outbreak and said he was the "anti-Fauci" in the White House. New York Times article will come put today with same story.
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September 1, 2020 - Global 25,300,000/848,000; USA - 6,000,000/184,000 Did the usual weekly Miami Mayor's call with Deb and Redfield. Mayor Suarez and Major Jimenez USA - 6,000,000/184 ept 2020 Slide Deck organized by states with both red zone test positivity and red zone for cases 5D, OK, $C, 14, NV, ID, AL -- AL and lA have moved into the red zone with rapid rise in test positivity along with SD and OK -- Fatalities increasing in SD, 1A, OK, SC, AL-- hard fought gains are being lost in SC and AL with continued now community spread from univeristies Significant rise in test positivity in 19-25 year olds -- similar rate of rise scene in June that triggered the Southern epidemic Stalling of case declines and test positivity due to new outbreaks noted above. Second round of cases beginning to drive increase in fatalities Most Universities do not have adequate plans in place to either control their outbreaks, prevent spread into the local communities or spread to hometowns despite raising this issue for weeks with University Presidents and Governors. Governor's report including specific recommendations this Monday and we continue to engage during the State trips. Ensuring control of the University infections and isolation and care on campus and ensure spread does not move into the local communities or to hometowns and trigger another Phase of extensive community spread is critical. Stopping the spread into the community and isolation is impossible without identifying asymptomatic cases Another inappropriate explosion by Mark Meadows. The NUH Treatment Guidelines came out in response to the EUA for convalescent plasma (CP). It just repeated what it had said before saying that there was not sufficient evidence for or against the use of CP and that clinical trials should continue. In essence, this is what the EUA said. However, the press went nuts saying that NIH contradicted the FDA and the POTUS who said that CP was a "major historic breakthrough". In fact, the EUA and the Guidelines were aligned. It was the POTUS, AZAR, and Hahn who over-exaggerated. In any event, Meadows called up Francis Collins and started screaming saying that he needs to "fix this". Meadows said until he does, Fauci and you will not get in front of a TV screen "even for a podcast with a 3rd grader". Francis sent out a tweet to explain that there was no difference between the EUA and the Guidelines and Meadows was satisfied. Another day in Paradise..... PRESS: ABC Good Morning America; Taped Today Show (NBC) - Sheinelle Jones - concerning my vocal cord surgery; NBC Nightly News
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September 2, 2020 - Global - 25,600,000/854,000; USA - 6,000,000/184 \ -- 6,100,000/185,100 3 Sept 2020 Slide 5 : Significant rise in test positivity in 19-25 year olds -- rate now greater of rise scene in June that triggered the Southern epidemic and the rate of case rise is across the country Slide 6 Rising cases in MT, ND, SD, MN, MI,NE, IA, IN, KS, KY, VA, NC, AL, AR Stalling of case declines and test positivity due to new outbreaks noted above. Second round of cases beginning to drive increase in fatalities -- especially in the midwest. Tracking the proportion from each an need to ensure these new states with rising hospitalizations has adequate supply of Remdesivir. Most Universities do not have adequate plans in place to either control their outbreaks, prevent spread into the local communities or spread to hometowns despite raising this issue for weeks with University Presidents and Governors. Governor's report including specific recommendations this Monday and we continue to engage during the State trips. Ensuring control of the University infections and isolation and care on campus and ensure spread does not move into the local communities or to hometowns and trigger another Phase of extensive community spread is critical. Stopping the spread into the community and isolation is impossible without identifying asymptomatic cases VP call with University Presidents on Friday : Brad Smith summarized 3 Universities slides 2-4 Rerouting next set of state visits to VA, KY, TN, AL, MS, panhandle FL, GA, SC - Universities \ -- 6,100,000/186,000 PRESS: MSNBC with Andrea Mitchell;
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September 3, 2020 - Global - 25,800,000/860,000; USA - 6,100,000/185,100 Big concern about a potential upsurge following Labor Day Weekend. I am emphasizing this on TV hits (see below) PRESS: CNN with Jim Sciutto; Katie Couric podcast; Marc Siegel Doctor Radio; NBC Nightly News
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September 4, 2020 - Global - 26,300,000/864,000; USA - 6,100,000/186,000 4 September 2020 Cases are no longer substantially declining due to increasing cases from States with large Universities -- resurgent in cases in AL and SC and new red COVID status of high cases and test positivity in |A, SD, OK (slides 25-30) : increased cases in green states Declining cases from the summer surge now matched by increases in communities with residual vacationer returning with virus and university cases Consistent labor messages are critical to prevent another surge Fatalities still driven by CA, FL, TX (50%) and now rising in the heartland The Heartland needs to increase mitigation efforts or will drive hospitalizations and deaths Universities need to ensure students are tested, isolated and cared for on campus or in COVID designated areas to ensure containment and prevent spread both into local community and to hometowns Students will isolate if diagnosed : they will not if status is unknown Next week in person swing : VA, KY, TN, MS, AL, FL, GA, SC (mayors and colleges) \ 6,200,000/187,200 PRESS: Global News Canada TV; STAT interview - Joseph Andrew; CNN Situation Room with Jim Acosta
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September 5, 2020 Global - 26,500,000/871,000; USA 6,200,000/187,200 5 September 2020 1. Cases are no longer substantially declining due to increasing cases from States with large Universities counties -- resurgent in cases an rising test positivity in AL and SC and new red COVID status of high cases and test positivity in |A, SD, OK, ND, WV, DE, VA, MN, MO, KS, UT, MT, MD, WI, PA: increased cases in green states : slide 24 and 25 show the number of university towns with surges 2. Central Valley of CA remains an issue 3. Declining cases from the summer surge now matched by increases in communities with residual vacationer returning with virus and university cases 4. Consistent labor messages are critical to prevent another surge 5. Fatalities still driven by CA, FL, TX, GA (50%) and now rising in the heartland : fatalities should continue to decline over the next 4 weeks if outbreaks can be limited and not spread to local communities and hometowns 6. us rtland and ND, SD needs to increase mitigation efforts or will drive hospitalizations and eaths 7. Universities need to ensure students are tested, isolated and cared for on campus or in COVID designated areas to ensure containment and prevent spread both into local community and to hometowns 8. Students will isolate if diagnosed : they will not if status is unknown 9. Next week in person swing : VA, KY, TN, MS, AL, GA, SC (mayors and colleges) 10, Will need engagement in DE, MD Universities Labor Day weekend and Global USA PRESS: New York Times print interview regarding Labor Day weekend and COVID;
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September 6, 2020 - Global USA States with test positivity over 10% and rising cases : SD, IA, AL, KS, OK, SC, VA States with test positivity over 10% and stable or declining cases: ID States with rising and high cases: AR, HI, IL, LA, MN, MS, MO, ND States with high cases but declining or stable : FL, GA, KY, TN, TX 6 September 2020 Cases are no longer substantially declining due to increasing cases from States with large Universities. counties -- resurgent in cases an rising test positivity in AL and $C and new red COVID status of high cases and test positivity in 14, 5D, OK, ND, WY, DE, V4, MIN, MO, KS, UT. MIT. MD, Wi, Pay 2. Central Valley of CA remains an issue 3. Declining cases from the summer surge now matched by increases in communities with residual vacationer returning with virus and university cases 4, Fatalities still driven by CA, FL, TX, GA (40%) and now rising in the heartland ;: fatalities should continue to decline over the next 4 weeks if outbreaks can be limited and not spread to local communities and hometowns 5. Universities need to ensure students are tested, isolated and cared for on campus or in COVID designated areas to ensure containment and prevent spread both into local community and to hometowns 6. Hespitalizations beginning to rise insome college towns where students returned 3-4 weeks ago 7. Students will isolate if diagnosed : they will not if status is unknown 8. The Heartland and ND, SD needs to increase mitigation efforts or will drive hospitalizations and deaths 9. Next week in person swing : VA, KY, TN, MS, AL, GA, SC (mayors and colleges) 10. Will need engagement in DE, MD Universities Global USA PRESS: Sunday dominated by election
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September 7, 2020 - Global USA Daily New Cases in the United States Daily New Cases Cases per Day Data as of 0:00 GMT+0 100k F5k wa a k o ak og gh ee PP PD OP ah ah gk ah ch es Pali ss PLES IOS ee Weis Pare ey " ¥ . ? ory LOS © Daily Cases + 7-day moving average ¥ CO) iv ing g Gi Novel Coronavirus Daily Cases i" 7 September 2020 Cases are no longer substantially declining due to increasing cases from States with large Universities counties -- resurgent in cases an rising test positivity in AL and SC and new red COVID status of high cases and test positivity in AL, SC, 14, 50, OK, ND, V4, MIN, MO, KS 2. Prior gains in AL and $C being reversed and will need to intensify focused mitigation 3. Slide 4 shows concerning trend of increasing hospitalizations' 100 cases indicating undertesting in areas of community spread 4, Hospitalizations beginning to rise in some college towns where students returned 3-4 weeks ago 5. States of concern and metros of concern --slides 5-27 Fatalities still driven by CA, FL, TX, GA (40%) and now risingin the heartland : fatalities should continue to decline over the next 4 weeks if outbreaks can be limited and not spread te local communities and hometowns : data will be unstable this week due to reporting 7. Universities need to ensure students are tested, isolated and cared for on campus or in COVID designated areas to ensure containment and prevent spread both into local community and to hometowns. 8. The Heartland and ND, SD needs to increase mitigation efferts or will drive hospitalizations and deaths 9. Next week in person swing : VA, KY, TN, MS, AL, GA, SC (mayors and colleges) 10, Will need engagement in DE, MD Universities Global USA PRESS: Spoke with Robyn Ross of the Washington Post Magazine. She is writing a piece on my "Bobblehead".
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Sep 7, 2020
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September 8, 2020 - Global USA 8. 3. 8 September 2020 Holiday weekend reporting always unstable Cases are no longer substantially declining due to increasing cases from States with large Universities counties = resurgent in cases an rising test positivity in AL and §C and new red COVID status of high cases and test positivity in AL, SC, 14, SD, OK, NID, VA, MN, MO, KS Prior gainsin AL and SC being reversed and will need to intensify focused mitigation Increasing hospitalizations 100 cases continues (slide 4) and is widening indicating undertesting in areas of community spread Hospitalizations beginning to rise in some college towns where students returned 3-4 weeks ago Early indicators of counties and Universities (slides 14-49): many of these counties are small towns with minimum hospital support Fatalities now rising in the heartland : fatalities should continue to decline over the next 4 weeks if outbreaks can be limited and not spread to local communities and hometowns : data will be unstable this week due to reporting Universities need to ensure students are tested, isolated and cared for on campus or in COVID designated areas to ensure containment and prevent spread both into local community and to hometowns The Heartland and ND, $0 needs toincrease mitigation efforts or will drive hospitalizations and deaths 10. Next week in person swing: V4, KY, TM, M5, AL, GA, SC (mayors and colleges) Daily New Cases in the United States Daily New Cases Cases per Day Data as of 0:00 GMT+0 LODK 75k 25k il I a "" ah gt ] a Ds oh Bh ef, ah a a st Ps oe oe - qr es fey a { oe a al or < it ' iets eyes ¥ . ' es wy ys SP wee = kK Novel Coronavirus Daily Cases ® Daily Cases (] "> f-day moving average Had weekly Miami Mayor's call with Deb Birx and Miami Mayors Gimenez and Suarez
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September 9, 2020 - 9 September 2020 Holiday weekend reporting always unstab will be key 2.Cases are stable 3.Prior gains in AL and SC being reversed and will need to intensify focused mitigation 4.Jncreasing hospitalizations/100 cases continues and is widening indicating undertesting in areas of community spread : 14 republican states and 6 democratic states have significant declines in testing rates since the new CDC guidance was published 5.Hospitalizations beginning to rise in some college towns where students returned 3-4 weeks ago 6.Fatalities now rising in the heartland : fatalities should continue to decline over the next 4 weeks if outbreaks can be limited and not spread to local communities and hometowns : data will be unstable this week due to reporting 7.Universities with strong plans for testing and isolation are remaining open -- others continue to close and send students homes 8.Universities need to ensure students are tested, isolated and cared for on campus or in COVID designated areas to ensure containment and prevent spread both into local community and to hometowns 9.The Heartland and ND, SD needs to increase mitigation efforts or will drive hospitalizations and deaths 10.This week in person swing : VA, KY, TN, MS, AL, NC, SC (mayors and colleges) e and is rerected in |uesday data Daily New Cases in the United States Daily New Cases Cases per Day Data as of 0:00 GMT+0 100k ii m2 mh 75k E: (IMRT ini J oA) -- 50k bi Cc a G = 25k AANA a Lt)ee Ce er eg I a I i ! AP Pe AB oh Ph PP at oP tk at ae ot wa ee a a a ee x) y eo x) conor we ot on Pi f s woe AP ay? e eee =e ee oh ® Daily Cases [I "> 7-day moving average AS Bob Woodward's book "Rage" just came out today causing a media fire storm since it has Trump saying that he knew along along that COVID-19 was very serious, but he played it down to not frighten the American public. telling Some potentially damaging stuff about me. Woodward always said my discussions with him were "background" and not "on the record". Yet he has others giving quotes by me that sounds like on the record. For example: CNN: Dr. Anthony Fauci, the administration's top infectious disease expert, is quoted telling others Trump's leadership was "rudderless" and that his "attention span is like a minus number." "His sole purpose is to get reelected," Fauci told an associate, according to Woodward. Washington Post: The book charts the Trump administration's failings and missteps on the pandemic, including the decisions and actions of Pottinger, Centers for Disease Control and Prevention Director Robert Redfield, infectious-disease expert Anthony S. Fauci and others. Fauci at one point tells others that the president "is on a separate channel" and unfocused in meetings, with "rudderless" leadership, according to Woodward. "His attention span is like a minus number," Fauci said, according to Woodward. "His sole purpose is to get reelected." In one Oval Office meeting recounted by Woodward, after Trump had made false statements in a news briefing, Fauci said in front of him: "We can't let the president be out there being vulnerable, saying something that's going to come back and bite him." Pence, Kushner, chief of staff Mark Meadows and senior policy adviser Stephen Miller tensed up at once, Woodward writes, surprised Fauci would talk to Trump that way. Woodward describes Fauci as particularly disappointed in Kushner for talking like a cheerleader as if everything was great. In June, as • Went on FOX News with John Roberts and unfortunately gave impression that I was defending Trump since I answered John's question about did I ever see Trup play down COVID. I answered that we briefed him in the Oval and he would come out and not really contradict us. I should have said that he does play down COVID such as when he said it would "disappear like a miracle". PRESS: CBS This Morning; LBC UK Radio; Latin Leaders Magazine; FOX News with John Roberts; Celine Grounder podcast; Instagram with Jennifer Garner
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September 10, 2020 - 10 September 2020 Data remains unstable and spikes will reflect reporting that did not occur over the 3 days Holiday weekend reporting always unstable but I included those states with high cases and high % positive organized by both high cases and high test positivity, followed by high test positivity and then high cases despite low reporting over 3 day and these are 7 day averages so they include 3 low days yet remain an issue Next are the metro profiles again 7 day rolling averages where they remain at a high plateau despite the holiday reporting -- theses profiles are of our most persistent continued community transition Increasing hospitalizations' 100 cases continues and is widening indicating undertesting in areas of community spread : 14 republican states and 6 democratic states have significant declines in testing rates since the new CDC guidance was published Hospitalizations beginning to rise in some college towns where students returned 3-4 weeks ago Fatalities now rising in the heartland : fatalities should continue to decline over the next 4 weeks if outbreaks can be limited and not spread to local communities and hometowns : data willbe unstable this week due to reporting Universities with strong plans for testing and isolation are remaining open -- others continue to close and send students homes -- this is resulting in students going underground and "refusing" to test for fear their university will close or that they will be sent home Universities need to ensure students are tested, isolated and cared for on campus or in COVID designated areas to ensure containment and prevent spread both inte local community and to hometowns The Heartland and ND, 5D needs to increase mitigation efforts or will drive hospitalizations and deaths A -- 6,400,000/191,400 Did podcast and PSAs with Dennis Quaid Gave Grand Rounds to the Harvard Hospitals (all of them together). Much positive feedback PRESS: Interview and photo shoot with Alice Park for TIME Magazine
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September 11, 2020 - Global - 28,000,000/905,000; USA - 6,400,000/191,400 11 September 2020 1. Data remains unstable and spikes will reflect reporting that did not occur over the 3 days 2. Test positivity is rising in WV, ND, UT, WI, MD, DE, VA, PA, MO, NH, MI, CT 3. Test positivity is rising in San Diego, Madison, Champaign, Grand Rapids, Philly, Baltimore, SLC, DC, Pitt most related to colleges and tracking any spread into communities or home towns. We are hearing of student's that have been hospitalized from campuses -- not sure where the slide yesterday during press conference came from or how it was validated 4. Hospitalizations beginning to rise in some college towns where students returned 3-4 weeks ago 5. Increasing hospitalizations/100 cases continues and is widening indicating undertesting in areas of community spread : 14 republican states and 6 democratic states have significant declines in testing rates since the new CDC guidance was published 6. Fatalities now rising in the heartland : fatalities should decline over the next 4 weeks if outbreaks can be limited and not spread to local communities and hometowns : data will be unstable this week due to reporting 7. Universities with strong plans for testing and isolation are remaining open -- others continue to close and send students homes -- this is resulting in students going underground and "refusing" to test for fear their university will close or that they will be sent home 8. Universities need to ensure students are tested, isolated and cared for on campus or in COVID designated areas to ensure containment and prevent spread both into local community and to hometowns 9. The Heartland and ND, SD needs to increase mitigation efforts or will drive hospitalizations and deaths Daily New Cases in the United States Daily New Cases Cases per Day Data as of 0:00 GMT+0 LOOk 50k I ili ga ila i ig aay ER ai Ul a Ng a a te a "te * Ce ee ee A oh oh A at LP at hs PEP LPP PS SF SPP eae gi FF FP PF FPP wre 25k Novel Coronavirus Daily Cases ® Daily Cases [I > 7-day moving average • I corrected with Andrea Mitchell on MSNBC (see below) what I should have said to John Roberts on FOX • Had great dinner over my house with Peter Staley (and his dog Stella) with Chris, Janet Tobias and John.... 12 September 2020 .Data remains unstab Vy: showing depth of lagging indicator : as the current pate of decline it will take 3-4 more 'weeks to get under 500/day average. But concerning rise in mortality throughout the Heartland and IL 2.Data issues continue in TX and we have a data team on the ground 3.New hospital admissions remain high without substantial declines 4.Increasing hospitalizations/100 cases continues and is widening indicating undertesting in areas of community spread 5.Universities with strong plans for testing and isolation are remaining open -- others continue to close and send students homes -- this is resulting in students going underground and "refusing" to test for fear their university will close or that they will be sent home 6.University of South Carolina is an example of surveillance testing, student testing, isolation and care resulting in improvements 7.Universities need to ensure students are tested, isolated and cared for on campus or in COVID designated areas to ensure containment and prevent spread both into local community and to hometowns 8.The Heartland (AR improving) and SD needs to increase mitigation efforts or will drive further hospitalizations and deaths PRESS: Interview with Newsweek - Fred Guteri; MSNBC with Andrea Mitchell; CNN Situation Room with Wolf Blitzer
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September 12, 2020
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September 13, 2020 Important Day!! - POTUS called me up at around 11:20 AM (Sunday) and started a diatribe about my interview on Friday with Andrea Mitchell on MSNBC. He went on and on about how negative I was on the show. He said that I was great on Thursday with John Roberts (FOX) and so "what happened" to make me negative. I tried to explain to him that the entire message was not all negative. I was really saying that there is a risk with the upticks in ND, SD, MT and other states for a surge if we do not intensify the public health measures of masks, distance, crowds, etc. I emphasized that what I was saying is that we can control this without having to shut down. As soon as I mentioned the word "shut down" he went off saying we will never again shut down as if I was suggesting that we would when I was saying just the opposite. He then went off on asking about 13 September 2020 1. 40% of deaths still coming from CA, TX, Fl showing depth of lagging indicator and concerning rise in mortality throughout the Heartland and IL 2. New hospital admissions remain high without substantial declines : inpatient total declining demonstrating decreasing length of stay 3. Increasing hospitalizations/100 cases continues and is widening indicating undertesting in areas of community spread 4, Universities with strong plans for testing and isolation are remaining open -- others continue to close and send students homes -- this is resulting in some students going underground and "refusing" to test for fear their university will close or that they will be sent home 5. University of South Carolina is an example of surveillance testing, student testing, isolation and care resulting in improvements 6. University of AL and University of MS are undertesting without adequate surveillance but good care and isolation plans 7. SEC has a good testing plan for athletes and cases remain low on mast teams 8. The Heartland (AR improving) and 5D needs to increase mitigation efforts or will drive further haspitalizatians and deaths 9. Attached are the States with red zone test positive (4 states SC, VA, ID, UT) and states with red zone cases (13 States AL, AR, GA, IA, KS, MS, MO, NE, OK, TN, WI, ND, SD -- most heartland states. and residual original southern outbreak) Daily New Cases in the United States Daily New Cases Cases per Day Data as of 0:00 OMT+0 50k 25k D Sab peed ee ae ap oP ee a eS? a Xs og eee ee oP SF ee " os ¥ eye e wr ca Novel Coronavirus Daily Cages @ Daily Cases O > 7-day moving average gj vaccines and saying that I should take credit for success instead emphasizing failures. It really was stream of consciousness. We ended the call on a friendly note, but it was clear that he did not want me to do this anymore. He mentioned whether or not I like Trump, I should not do this. I told him that I do not dislike him and he knows that. He agreed. I will either have to stay off TV or continue to disappoint him since I cannot change my message. This evening when I went up to Chef Geoff's to pick up carry out hamburgers for me and Brett Rowland, every outdoor table serving Chef Geoff and Al Dente was 10, A -- 6,500,000/194,000 NY Times has him raving about conspiracy 14 September 2020 Cases and deaths slowly declining -- primarily due to increases in heartland New daily report shows the lowest number of red states --4 and several of the original red states are now green states New hospital admissions remain high without substantial declines : inpatient total declining demonstrating decreasing length of stay Increasing hospitalizations 100 cases continues and is widening indicating undertesting in areas of community spread Universities with strong plans for testing and isolation are remaining open -- others continue to close and send students homes -- this is resulting insome students going underground and "refusing" to test for fear their university will close or that they will be sent home University of South Carolina is an example of surveillance testing, student testing, isolation and care resulting in improvements. University of AL and University of MS are undertesting without adequate surveillance but good care and isolation plans SEC has a good testing plan for athletes and cases remain low on most teams The Heartland (AR improving) and SD needs to increase mitigation efforts or will drive further hospitalizations and deaths Attached are the States with red zone test positive (4 states SC, VA, ID, UT) and states with red zone cases (13 States AL, AR, GA, LA, KS, M5, MO, NE, OK, TN, WI, ND, 5D -- most heartland states and residual original southern outbreak) Daily New Cases in the United States Daily New Cases Cases per Day Data as af 0:00 GCMT+0 100k if oi o an - Novel Coronavirus Daily Cases Pa Ld k I (iii di I I -- = fo we eh a h rus et gt ab gk of gt ak TS fo ey ae 7 gt cdma Puls : flees od toe PP See ee oe ye PPP Pat ® Dally Cases (] & ?eday moving average occupied and every person at the tables gave me a roaring round of applause as I left Chef Geoff's with my food. It blew me and Brett away. Very moving.
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September 14, 2020 - Global - 29,000,000/922,000; USA - 6,500,000/194,000 Michael Caputo went crazy. Article in NY Times has him raving about conspiracy theories; "Trump Health Aide Pushes Bizarre Conspiracies and Warns of Armed Revolt" by Sharon LaFraniere umuiative Cconnrme "19 CaSesS The number of confirmed cases is lower than the number of actual cases; the main reason for that is limited testing. Spain Apr 19: methodology change & Apr 25: 500,000 methodology change 400,000 France Jun 2: methodology change 300,000 4 turkey Germany 200,000 (ae 100,000 Belgium eS Poland Se = Switzerland L----_=> = --$SSJaaee Denmark
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Sep 14, 2020 Source: European CDC -- Situation Update Worldwide ro os 9 > fl time) JSA 6,500,000/194,000 A -- 6,600,000/195,100 Europe is starting to surge:
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September 15, 2020 - Global - 29,200,000/927,000; USA 6,500,000/194,000 Had virtual press conference with Gov. Phil Scott (R-VT). They are doing very well with test positivity of 0.2% Had call with Miami Mayors (weekly event) with Deb and Bob Redfield Did 1 hour briefing of Congressional Progressive Caucus (liberal Dems) Task Force meeting. VP gave me a signed enlarged photo of he and I. PRESS: See above press conference in VT; NPR with Joe Palca (pre-recorded for later date);
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September 16, 2020 - Global - 29,400,000; 931,000; USA - 6,600,000/195,100 NATIONWIDE COVID-19 METRICS. 7-DAY AVERAGE LINES Apr 1- Sep 15 Daily Tests Daily Cases Currently Hospitalized Daily Deaths Sep 15: 679,505 Sep 15: 35,445 Sep 15: 30,327 Sep 15: 1,031 80,000 60,000 900,000 70,000 2,500 800,000 50,000 60,000 700, . 00,000 2,000 600,000 50,000 40,000 500,000 1,500 40,000 30,000 400,000 30,000 ee 1,000 300,000 20,000 20,000 200,000 10,000 100,000 10,006 Apr Jun Aug 1 Apr Junt Aug 1 Apr Juni Aug 1 Apr Jun 1 Aug1 Source: The COVID Tracking Project 16 September 2020 1. As noted yesterday : Cases and deaths flat primarily due to increases in heartland NOW cases and deaths increasing with >50% deaths in OH, FL, GA, TX, VA and rising deaths/100 cases in many states. 2. New hospital admissions remain high without substantial declines ;: inpatient total declining demonstrating decreasing length of stay --new admissions climbed last week and this week will also be at that elevated level 3. Increasing hospitalizations/100 cases continues and is widening indicating undertesting in areas of community spread 4. 13 states have a greater than 20% decrease in testing week over week which has been accelerating across the USA over the past 3 weeks 5. With hospitalization and deaths rising/100 cases it is a strong indication that community spread maybe increasing in states and we can't see it due to under testing : this is a very dangerous moment and must be corrected 6. Also most states are NOT reporting their Ag tests and this must be corrected immediately 7. CDC needs to call all the attached states with >20% declines in testing to rapidly increase testing and must tell states that Ag reporting is required --recammend changing Ag cases from probable to a actual case -- the sensitivity and specificity of the new Ag tests match the Abbott ID Now which counts as a case §. Attached are the States with a 20% decline in testing over the last 7 days eet ® Did Congressional Hispanic Caucus Institute Leadership Conference with Sanjay Gupta moderating PRESS:Bloomberg News Podcast - David Rubenstein; Business Insider interview; BMJ Podcast; Wall Street Journal podcast interview; Wall Street Journal online event Global USA 17 September 2020 Cases and deaths increasing and this combined with substantial decline in testing (>50% decline in 10 states) slides (15-24) differentially among the yellow states compared to the green states with very low test positivity(slides 26-28) artificially lowering test positivity This is making determination of active community spread very difficult and spread could be occurring silently driving the rate of new admissions and high new admissions/100cases New hospital admissions remain high without substantial declines : inpatient total declining demonstrating decreasing length of stay --new admissions climbed last week and this week will also be at that elevated level Increasing hospitalizations/100 cases continues and is widening indicating undertesting in areas of community spread With hospitalization and deaths rising/100 cases it is a strong indication that community spread maybe increasing in states and we can't see it due to under testing : this is avery dangerous moment and must be corrected Alsa mast states are NOT reporting their Ag tests and this must be corrected immediately Slides 4-11 snapshot of the USA monthly since March 15 -- persistent pockets of high test + that can ignite another significant community spreading event without mitigation Daily New Cases in the United States Daily New Cases Cases per Day hyData as of 0:00 GMT+0 Novel Coronavirus Daily Cases Daily Cases ~~ F-day mowing average
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September 17, 2020 - Global USA Was a panelist on the "CEO Global Perspectives Series Webcast (Oxford, UK) with Michael Earl (Moderator) and Sir John Bell (co-panelist). Great discussion comparing UK and USA experience. Presented to ONE Board on COVID-19 - Bono, Josh Bolten, and Sheryl Sandberg was on the Zoom 18 September 2020 1.From the daily report : new hospital admissions failed to decline for the past 2 weeks 2.Cases and deaths both increasing this week -- deaths should stabilize but then could increase in 2 weeks and continue to rise 3.Test positivity is now unreliable due to dramatic changes in testing profiles across the United States over the past 3 weeks due to the new CDC policy -- which is impacting University and community testing in University towns as well as testing in the Heartland and in most red states 4.This is making determination of active community spread very difficult and it is clear spread is occurring silently driving the rate of new admissions and high new admissions/100cases 5. This Increasing hospitalizations/100 cases continues and is widening indicating undertesting in areas of community spread -- must increase testing in all communities with high university cases as many universities are ONLY testing symptomatic students -- which may only be 10-20% of cases 6.With hospitalization and deaths rising/100 cases it is a strong indication that community spread increasing in states and we can't see it due to under testing : this is a very dangerous moment and must be corrected 7.Most states are NOT reporting their Ag tests and this must be corrected immediately Daily New Cases in the United States Daily New Cases Cases per Day Data as of 0:00 GMT+0 LOOK Fok 50k 25k Novel Coronavirus Daily Cases ~ PP ot Pe ah PP ee ab ray ~ Rey ma ha a a yh a we we we wat F te aes Pog og ey o a o ohh ah a oo ce? ey ® Daily Cases (C) > #-day moving average PRESS: WTOP Radio; MSNBC TV - Chris Hayes
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September 18, 2020 - Confirmed Cases (Thousands) in el ee a La Repubblica; New Daily Confirmed COVID-19 Cases In the U.S. A -- 6,700,000/198, 100 " y id VA A 'i a a J md Fa Pom, I " Ae ia az] id by es % s a " $e es ees st sE FS Ooty eee oy Moving Avorage 19 September 2020 From the daily report: new hospital admissions failed to decline for the past 2 weeks Cases and deaths both increasing this week There is a disconect for the first time between best positiviry rates, cases and deaths Historically first test positivity increases, followed by increased cases, new hospitalizations and deaths Test positivity i¢ now unreliable due tod reasens I think butl arn scill investigating 1. lack of pepesrtiryg of Ag best inne positivity & cunning 10-20% beth in on campus ard off carpus students and the surrounding connunities are nel being bested positivity hast rapidly increased to > 10%) _-- a Nous . \ leVieNI ef f ¢ F Ff * ¥ dramatic changes in testing profiles across the United States aver the past 3 weeks due tothe new CDC policy with greater declines inthe yellow and red COVID states and increased testing in the green states with low test positivity skewing the test positivity lower ~ $66 state protiles University entrance testing -- mary large universities aver the past 3 weeks screened all their soudents on entry and besting rates were under 16 and this data has been adebed in ower the past 2-4 weeks (these students pre-quarantined and had bowrates but bes several universities have been able to procunt Og tests bul are net reporting that data and test Thisis making determination of active conmmunity spread very difficult and it is clear spreadis accurring silently driving the rate ot new admissions and high nevradmissions100cases which will lead to higher case tatality rates Overall hospitalizations are dropping due to high turn over of new admissions and general improvement from the surge over ther surmmer -- but there are states and pockets in those states with rising hospitalization Taken tagether-- need to surge testing into communities surrounding universities with greater than 15K students te ensure protection of the vulnerable individuals in the communities -- working with ADM Giroirand Brad Smith Will work with COC te ensure all Ag results are reported as tests with both numerators and denominators New cases today at 43,000 Testing has decreased and so hospitalizations per 100 case has increased since we are missing asymptomatics (see note above) PRESS: Interview with La Repubblica;
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September 19, 2020 Global - 30,400,000/950,000; USA - 6,700,000/198,100 Recovered from COVID? Help us save lives. Donate plasma now. coronavirus.gov be #4 ba Loe The 4 Presidents from the Washington Nationals came to my house today to present me with the "Sammie" Award as the Outstanding Federal Employee. Had many cameras filming the event.
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September 20, 2020 (Sunday) Global USA Yet again, I am not allowed on Sunday Shows while Brett Giroir is doing SOTU. Signs in NYC subway stations: Lot of discussion about the transverse myelitis in a volunteer in the UK Chimp Ad Oxford trial. May have had a prior case, but was designated as multiple sclerosis. Trial re-started in UK; not yet in USA (the AZ trial) 20 September 2020 1.This week's low in deaths is nearly 200 more than the last 2 week lows 350-440 range to now 650 2.As we learned in May and June emergency room visits are a lagging indicator -- often more than a week behind increases in test positivity 3.Cases and deaths both increasing this week -- the considerable progress is stalling or reversing in the large states -- slides 4-5 4. Historically first test positivity increases, followed by increased cases, increased IL! and CLI, new hospitalizations and deaths 5. There is increased community spread occurring at the same time as increased cases in Universities and working to separate these two different issues 6.New serology surveillance data shows 90% of Americans have not been infected (do not have any COVID Ab --a small % Of those infected can only have T cell immunity (5-10% of those infected so it could be 88-89% rather than 90%) in many areas 95% uninfected - the one except is NY especially the NYC metro area where nearly 22-25% were infected Actions: * Working with Brad and Brett to prioritize BINAX to communities surrounding colleges with >15K students on campus and greater than 1500 recorded cases in students. * Working with Universities to ensure students remain on campus and are not sent home if the university goes online once students have returned to campus + Will work with governors to ensure that understand the importance of asymptomatic testing and contact tracing for containment and preventing spread to vulnerable citizens in their communities NATIONWIDE COVID-19 METRICS. 7-DAY AVERAGE LINES 7-Day Avg: 836,565 1,000,000 800,000 600,000 400,000 200,000 Daily Tests Daily Cases Sep 19: 1,061,411 Sep 19: 44,283 80,000 70,000 60,000 50,000 40,000 30,000 20,000 10,000 Apri Juni Aug Apri Junt Source: The COVID Tracking Project 7-Day Avg: 39,873 Aug i Currently Hospitalized 60,000 50,000 40,000 30,000 20,000 10,000 Sep 19: 29,025 7-Day Avg: 29,815 2,500 2,000 1,500 1,000 Apri Jun 7 Aug? Apr 1 - Sep 19 Daily Deaths Sep 19: 737 7-Day Avg: 789 Apri Juni Aug? co) Scott Atlas deliberately trying to undermine Deb Birx interpretation of the data Firened Cases (Thousards) Cent A -o Bo =0 Global USA 21 September 2020 Cases and deaths both increasing week over week -- driven by the yellow states States have been reorganized to give you more details for the Governor's call There are 2 red states -- test positivity greater than >10% SC, UT There are 8 orange states -- 8-10% test positivity -- 1D, KS, MO, MT, NE, OK, SD, WI There are 15 yellow states -- 5-7.9% test positivity-- AL, AR, FL, GA, IA, KY, MN, MS, NC, ND, NV, TN, TX, VA, WV The new coding also highlights the dark green states with <3% test positivity-- AK, CT, DC, MA, NH, NJ, NM, NY, VT, WA, WY -- there is no significant community spread in these states The remaining states are light green 3-4.9% test positive These new categories are allowing a greater laser focus on those with increasing cases and high community spread -- the red and orange states -- most of these states were experiencing high community spread prior to their universities opening -- universities have further contributed in these states. The majority of orange states have both inadequate mitigation and inadequate surveillance on their campuses Tr a DP inin f Fi ) F VA he ai A Pa / # welt i y MN yet] I jf -- ptaes i *s J Pars a9 a] i hl Pas cl Pac = bh A oy ad a Se Cal "y ai] i] te fh - F &£ © SF FF S&F F FF FF FSF FF £ SS Ox eT Oey Moving Average a ay, ca]
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Sept. 20, 2020 • Typical media distortions. Vivek Murthy was on MSNBC with Morning Joe and they showed a clip of POTUS saying that the pandemic was "over" and then they showed immediately after a short clip of "part" of my interview with Steve Morrison in a CSIS podcast of my saying: FAUCI [clip]: "we are not where we need to be if we're going to be able to quote live with the virus because we know we're not going to eradicate it. we only did that with one virus, which is smallpox, and that was very different. because smallpox doesn't change from year to year or decade to decade or even from century to century." As expected this created somewhat of a disturbance with the meme being pitting me against the president of the United states. Rather typical press nonsense. The POTUS is getting pushback and criticism in that he has inadvertently undermined out attempts to get more money from the Congress for COVID since the GOP will now quote him as saying the pandemic is "Over". I have been out there explaining that the POTUS meant that the "fulminant" nature of COVID when we were getting 3 to 4000 deaths per day is now behind us, whereas now even though we are at an acceptably high level of three to 400 deaths per day, it is still much better than it was many months ago. It is as good an explanation as he presentation to Cliff Lane of the ith Alex Cohen 'ational Journal about my relationship with Congress any to get us back on track with the world realizing that we still have to take COVID very seriously with the current toll per day as well as the possibility that we might wind up getting another variant such as BA.2.75.2 in November. Went to the Kennedy Center last night to participate in the presentation to Cliff Lane of the Paul Volcker Career Achievement Medal (the "Sammies") PRESS: Lancet Podcast interview; Podcast "Inside the Issues" with Alex Cohen (California); TED interview (Fireside Chat with David Biello);
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September 21, 2020 - Global USA Was on weekly Governors call via phone. Explained to them about vaccine protocol, i.e. Data to DSMB to Company to FDA for EUA/BLA to VRPAC advisory committee. All transparent to scientific community. 104 million tests performed in the USA Global USA Had wonderful time at Adrienne Asche's home 2221 - 30th Street, NW. Outdoor concert with NPO (National Pops Orchestra led by Luke Frazier. Adrienne called me out and Luke Dedicated a song to me (Climb Every Mountain). Everyone masked and physically distant with champage at each separate table of people alone or withspouses. Present were Ambassadors from Iraq, Mexico, Colombia, and UK PRESS: Did a series of YouTube chats with Trevor Noah; Fat Joe; The Onyx Family; and The SloMo Guys; The Daily Beast - Erin Banco; CNN Jeremy Diamond Story broke in the Daily Beast: A Notorious COVID Troll Actually Works for Dr. Fauci INSIDE JOB Bill Crews is a PR official at the National Institutes of Health. But he also has another job: an anonymous RedState editor who rails against the agency for which he works. Lachlan Markay
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September 22, 2020 Global USA 22 September 2020 1.There are 2 red states -- test positivity greater than >10% SC, UT 2.There are 8 orange states -- 8-10% test positivity -- 1D, KS, MO, MT, NE, OK, SD, WI 3.There are 15 yellow states -- 5-7.9% test positivity -- AL, AR, FL, GA, IA, KY, MN, MS, NC, ND, NV, TN, TX, VA, WV 4.Test positivity is rising in UT, WI, WY, ND, OR, NH, CT, WV, NJ, 5.Positivity at 10% or close to 10% in most of the Heartland and continues to increase 6.We are laser focus on those with increasing cases and high community spread -- the red and orange states -- most of these states were experiencing high community spread prior to their universities opening -- universities have further contributed in these states. The majority of orange states have both inadequate mitigation and inadequate surveillance on their campuses 7.Cases and deaths both increasing week over week -- driven by the yellow states -- most university cases are stabilizing or declining so cases should begin to decline if community spread can be prevented and mortality should decline as the original red states (CA, TX, FL, GA) mortality declines 8.1 have included an analysis of CLI and ILI and its utility -- see slides 22-34 -- we continue to collect this data but it has significant limitations as noted. It is always disnlaved on the state slides that have the data The iA -- 6,900,000/200,000 PRESS: CNN Citizen Conference with Sanjay Gupta; Interview with The Atlantic Festival with Alexis Madrigal was carried on CNN and other networks
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SEPTEMBER 22, 2020 9:34 PM EDT A s the COVID-19 pandemic began to spread to the U.S., there was one person millions of Americans immediately knew we could turn to for guidance: Dr. Anthony Fauci. As director of the National Institute of Allergy and Infectious Diseases, Dr. Fauci has advised six Presidents over 36 years. When COVID-19 reared its ugly head, he was among the first to step forward with facts and only facts. Dr. Fauci doesn't sugarcoat his words and refuses to be pressured by politicians. He delivers the truth, as difficult as it may be to hear, earnestly and with one goal: to save lives. His courage and candor have earned our trust. We are all fortunate to have a man of his wisdom, experience and integrity to help us navigate these difficult waters. Kimmel is the host and an executive producer of Jimmy Kimmel Live! LEADERS • Anthony Fauci • Kamala Harris • Tsai Ing-wen • John Roberts • Xi Jinping • Donald Trump • Caesar • Angela Merkel • Joe Biden • Jair Bolsonaro • Nancy Pelosi ANTHONY INFLUENTIAL PEOPLE id • Narendra Modi • William Barr • Anne Hidalgo • Tedros Adhanom Ghebreyesus • Mary Kay Henry • Nemonte Nenquimo • Ursula von der Leyen • Jung Eun-kyeong • Bonnie Castillo • Jean-Jacques Muyembe Tamfum • Yousef Al Otaiba Note of appreciation from Senator Feinstein: Note to Dr. Fauci 9.23.20.pdf Where new cases are higher and staying high Countries where new cases are higher had a daily average of at least four new cases per 100,000 people over the past week. The charts, which are all on the same scale, show daily cases per capita and are of countries with at least five million people. Israel Spain Argentina Czech Republic Peru France Colombia Belgium = ha A aM _ At a a Jan, 22 Sept. 22 United States Netherlands Paraguay Libya Lebanon Iraq Hungary UAE. ao I _ill all LE Te Austria Chile Denmark Ukraine Romania Ecuador India Portugal U.K. Dominican Rep. Morocco Honduras Nepal Switzerland Tunisia Russia et i et le ee Ke ery fond of each Global USA Had Hearing today at the Senate HELP committee Chaired by Sen. Alexander (RTN) and ranking minority Sen. Murray (D-WA). Had hostile interaction with Se. Rand Paul. I really stuffed him as he spouted out bullshit acting like he is a experienced epidemiologist. Did Smithsonian sponsored "chat" with Alan Alda. We are very fond of each other. Went very well. Interviewed with Jon Cohen for an HBO documentary that Jon is doing with David France on COVID-19 PRESS: Much press about my encounter with Sen. Paul
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September 23, 2020 - Global - 31,400,000/966,666; USA - 6,900,000/200,000 1.Cases continue increases week over week -- as noted yesterday mortality should decline as the original red states (CA, TX, FL, GA) mortality declines and this is beginning and this weeks high less than less week which should be the beginning of mortality declines if we can ensure containment of community spread in the heartland and college campus to community spread 2.Testing has stabilized and increasing but we still have substantial underreporting of Ag tests and health departments are adding Ag testing in bulk resulting in the case spikes this week. This should improve with a policy change related to Ag test reporting 3.Positivity at 10% or close to 10% in most of the Heartland and continues to increase -- heartland is highlighted in slides 14 -- 27 -- most except AR in unmitigated community spread 4,We are laser focus on those with increasing cases and high community spread and increasing mitigation in these states as well ensuring universities are focused on mitigating campus to community spread -- minimal evidence of this to date For Time Magazine 100 Most Influential People, I was ranked #1 among the "Leaders" category THE 100 MOST INFLUENTIAL PEOPLE OF 2020 BACK TO HOME Anthony Fauci Stefan Ruiz for TIME BY JIMMY KIMMEL
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September 24, 2020 - Global USA ri Confirmed Cases [Thousancs 24 September 2020 Cases should stabilize next week If we can contain spread In university towns and if we can get control of community spread in the heartland up through MN, WI, 5D, ND Improved testing rates are allowing test positivity to be predictive again and its rising dramatically in UT (Prove area), OK, 5D, MIT, WI (slide 6) UT, OK, SD, MIT, ID all over 10% test positivity and are experiencing broad community spread except ID which continues to improve and test positivity dropping [slide 6) Most concerning is the rising confirmed hospitalizations in over 70 yo (slide 5)-- the most at risk for poor outcomes -- this has returned to levels seen in early August--largely driven by community spread several weeks ago when we experience the large decline in testing and inability to see the early spread among younger groups and ability to contain the community spread before impacting the elderly. I have organized the state profiles in order of concern and removed the states that are stable -- reminder many of the states of concern do not measure ILI, CL! (the red line) and the national number is modelled It will be key to return to the Heartland, WI, MN when possible to do a deep dive into the data and provide clear mitigation recommendations New Daily Confirmed COVID-19 Cases in the U.S. _ I oh *; y IN a i IFA iy A F if f o "ait i We ae r a, == Fa ; rs a M4 o oy we = A oe A fs =] i] ie abe i iy fe Ea i A eke a e Ff © F F FF + F FF F&F LF FF F F F S KF LF HF & i Oo) meee? Cay Mowang Avarage Still >40K cases per day: • Made major presentation (virtually) to the World Vaccine Congress • Given the mixed messages from FDA and CDC (with CDC stumbling all over themselves in first saying do not test asymptomatics and then saying yes, test them. Also, first saying aerosol is important and then saying it is ¥A -- 6,900,000/292,300 25 September 2020 1.Cases could stabilize next week if we can contain spread in university towns and if we can get control of community spread in the Heartland (NE, IA, KS, NE, OK,) up through MN, WI, SD, ND, MT -- case continue to increase in Heartland and up to the upper Midwest and Northwest without any evidence of containment -- no state outside of MN, WI, ND is adequately mitigating their community spread -- hospitalizations are rising across these states and fatalities will continue to increase across these regions 2.As we have seen over and over -- increases in test positivity and increased cases that is not mitigated leads to increased hospitalizations and then mortality -- 3-4 weeks ago we saw the increase test positivity and increases cases in these states, we are now seeing the increased hospitalization and they will drive fatalities throughout October. 3.Most concerning is the rising confirmed hospitalizations in over 70 yo the most at risk for poor outcomes largely driven by community spread several weeks ago when we experience the large decline in testing and inability to see the early spread among younger groups and ability to contain the community spread before impacting the elderly. 4.|t will be key to return to the Heartland, WI, MN when possible to do a deep dive into the data and provide clear mitigation recommendations not). POTUS now saying he may not wait for the 60 day "wait for safety rule" following the time 50% of the vaccines receive their last dose for the implementation of an EUA. FDA (Steve Hahn) says he will listen to his career scientists and have this be part of the EUA criteria, while the POTUS has hinted he would over-rule this and get an EUA out right away, i.e. before the election. PRESS: Did press conference with Governor Murphy (D-NJ) - appeared live on ABC; did Face Book LIVE with Francis Collins on Janssen Vaccine; Did "Fireside Chat" with Carlos Del Rio moderated by Sanjay Gupta (clearly will appear on CNN)
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September 25, 2020 - Global - 32,100,000/980,000; USA - 6,900,000/292,300 Have not mentioned this, but threats and harassments of my children continue, particularly of letters and texts to Megan. These assholes have her home address and write to her threatening me, which is quite disturbing to her. We have sent all of this to Brett Rowland (security) who is /20 at 7:56 AM EDT Red states ellow states ight Gre 'ate Dark Green states (>10% positive) -8% positive) 3-5% positive) (<3% positive) AL, AR, FL, GA, IA, KY, AK, CT, DC, MA, ME, NH, SC, UT Dam, Me Wwe NE, OK, I iin, MS, NC, ND, NV, TN, - Wo ret oR on NJ, NM, NY, RI, VT, WA, ' TX, VA, WV PA ane Sere WY PRESS: Appeared in Newsweek: Herd Immunity Study Rand Paul Cited Against Fauci Actually Refutes Senator's Claim
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September 26, 2020 - Major conflict between Deb and Atlas. See below with Deb's daily report. Atlas says that we do not need to test for asymptomatics since the only thing that counts is preventing vulnerable people from dying. He does not see the connection between asymptomatic young people (without hospitalization and deaths rising → older and vulnerable (with later hospitalization and deaths rising). We are heading to a major clash between deb/me/Bob versus Atlas 26 September 2020 1.Cases continue to increase in the Heartland and the upper Midwest and Northwest without any evidence of containment --no state outside of MN, WI, ND is adequately mitigating their community spread -- hospitalizations are rising across these states and fatalities will continue to increase across these regions 2.Hospital admissions for confirmed cases are rising at the National level driven by the Heartland and the North West -- ND, SD, MT, UT (significant increase in Tribal Nation infections in MT which will drive mortality and must be mitigated. Call with MT on Thursday was more directed at Administration rather than aggressive public health mitigation of community spread in Billings and among the Tribal Nations -- we need to try to get to UT (Provo) and MT 3,Most concerning is the rising confirmed hospitalizations in over 70 yo the most at risk for poor outcomes largely driven by community spread several weeks ago when we experience the large decline in testing and inability to see the early spread among younger groups and ability to contain the community spread before impacting the elderly. 4.\t will be key to return to the Heartland, WI, MN as well as UT and MT when possible to do a deep dive into the data and provide clear mitigation recommendations 5.1 have included the ILI data as requested. Slides 4-6. Because much of ILI is modelled a seen here it is insensitive as an early indicator, insensitive to rising hospitalizations or predictive of rising mortality. For the last surge where 100K person succumbed the entire time the country was under the threshold (slide 4) and states were at minimal to low levels through most of the surge in the summer --currently only IA is moderate but & states are equal to worse than IA related to hospitalization and deaths TRENDS IN CASE INCIDENCE DURING THE LAST 8 WEEKS Aare el . Hatherr Martens ines wero ee harigpre a: Ainge Hin Mortara orth Deed: Bieteicie Piece Whoo Richdgee Fee Terk Bode told MalGnttrsiern 7" I he a fll laa mel ce! I ema Rate per 109,000 Hareb Orage nah med teen aioe it bebana on Paeraypiena ad Hew Heid CoH population categories (based on bast 7 days} ie Det Na Laat ml ial bt cc! mm) sme! tc = Figure depict: average (iiiaesat se and en et te Lie wae I en B-week period of 7/30I I] Il Iv vy a soainiia seiamaiie Winnie Habeas O24. Vertical esis ranges a fram fo 450 eases per 100.000 progiulestigry (7 cley mo --_-- i. A Regions Confirmed Cases [Thousancs) New Daily Confirmed COVID-19 Cases in the U.S. Day eee Day Mowing Avarage ) 26th, 2020, 12:28 pm TMI rm 0.6 's ot as an NIA Cot FP FoF oF TF FF SA -- 7,060,000/204,000 Jon LaPook has been wanting to do a 60 Minutes Special focused on me and Comms has been disking around without responding. Francis and I sent e-mails to Alyssa Farah and she apologized saying that she will approve 90% of requests for me and refuse ONLY those that are obviously politically charged. Up to this point, 95% of requests for me have be refused or ignored by the WH/HHS. They truly are dysfunctional even though I believe that Alyssa is a good person. Medai-Ite Joe Biden Promises to Hire Dr. Anthony Fauci 'Minutes After The Race Is Called'
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September 26, 2020 at 9:15am Share: Protestors outside 'fake news HQ RTÉ' last night seemed to think that top US doctor Anthony Fauci had flown in from DC especially for the show. PRESS: Sunday and still no show appearances - all turned down by HHS and/or WH. RAI TV live in Italy;
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September 27, 2020 - Global - 32,700,000/991,000; USA - 7,060,000/204,000 Confirmed Cases (Thousands) 27 September 2020 Uncentrolled diffuse community spread in MN, Wi, ND, $0 and Heartland 1A, RS, NE, OK, MO where hospitalizations are rising across these states and fatalities will continue ta increase across these regions -- slide 2 and 3 show rapid increase in test positivity in the orange states and rapidly rising cases, the stalling of any declines in new hespitalizations which will drive increase in fatalities over the next 3 weeks. This diffuse spread is not solely university driven but most likely post Labor Day, end of vacations bring infections back from vacation spots with silent spreading over the past 2-3 weeks through asymptomatic spread similar to post Memorial Day (that was undetected due to the change in CDC guidance on testing and many states dramatically decreasing testing) Will be key to increase testing in the communities and states where hospitalizations are rising, where test positivity is rising and in cammunities where universities have more than 10% of their total student body COVID19 infected It will be key ta return te the Heartland, WI, MM as well as UT and MT when possible ta do a deep dive into the data and provide clear mitigation recommendations -- this community spread must be contained before weather drives individuals indoors to stay warm and we have an explosion of cases, hospitalizations and mortality similar ta the southern surge when people came inside for cooling related to the heat in the South. Most concerning is the rising confirmed hospitalizations in over 70 yo the most at risk for poor outcomes largely driven by continued and increasing community spread several weeks ago when we experience the large decline in testing and inability to see the early spread among younger groups and ability to contain the community spread before impacting the elderly, Florida and Texas have low testing rates and continued high mortality >100 deaths/day -- testing meeds to increase significantly before reversal of mitigation efforts New Daily Confirmed COVID-19 Cases in the U.S. _ Pil Fit! ._ y i' ; i . A i A A a0 y yf rs i ° Fa ee el Fy ' hy f A ba o a ry a a " & a] & i] A a . by te " o de i = # a = x z & ' Ad = a e f # e at z io a Pt i Oo) meee? Cay Mowang Avarage 4, Things really getting crazy. Irish thought that I was physically present in Dublin for the Late Late show interview (see above on Sept. 25) and they demonstrated against me: Protesters outside RTÉ last night were convinced top US doctor had flown in for the show Global USA
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September 28, 2020 - Global USA 28 September 2020 1.Uncontrolled diffuse community spread in MN, WI, ND, 50 and Heartland IA, KS, NE, OK, MO where hospitalizations are rising fatalities will continue to increase across these regions -- slide 2 show rapid increase in test positivity in the red and orange states and rapidly rising cases, the stalling of any declines in new hospitalizations which will drive increase in fatalities over the next 3 weeks. Also the impact on Tribal Nations will drive substantial hospitalizations and fatalities 2.Fatalities one day (sat) : the original summer surge states CA, FL, TX (258), AZ, M5, AL, LA, SC, GA, NC (184) totally 442 and declining currently the Heartland and upper Midwest and MT, ND, SD (100 and climbing) 3. This diffuse spread is not solely university driven but most likely post Labor Day, end of vacations with silent spreading over the past 2-3 weeks through asymptomatic spread similar to post Memorial Day (that was undetected this time due to the change in CDC guidance on testing and many states dramatically decreasing testing): all majority of universities only testing symptomatics 4.Will be key to increase testing in the communities and states where hospitalizations are rising, where test positivity is rising and in communities where universities have more than 10% of their total student body COVID19 infected 5.lt will be key to return to the Heartland, WI, MN as well as UT and MT when possible to do a deep dive into the data and provide clear mitigation recommendations -- this community spread must be contained before weather drives individuals indoors to stay warm and we have an explosion of cases, hospitalizations and mortality similar to the southern surge when people came inside for cooling related to the heat in the South. 6.Florida and Texas have low testing rates and continued high mortality >100 deaths/day -- testing needs to increase significantly before reversal of mitigation efforts 7. Florida has significant residual disease and daily cases, reversing all mitigation efforts will result in rising cases in 2 weeks and rising hospitalizations in 3 weeks and rising mortality in-4 weeks -- the last week of October Red states ellow states Light Green states Dark Green states (>10% positive) (5 - <8% positive ) I - <5% positive) (<3% positive) AL, AR, FL, GA, IN, KY, AZ, CA, CO, DE, HI, IL, LA, ID, MT, NE, OK, SD, UT 1A, KS, MO, SC, WI MN, MS, NC, ND, NV, TN, MD, MI, OR, PA, WA, TX, VA WV, WY AK, CT, DC, MA, ME, NH, NJ, NM, NY, OH, RI, VT Dr. Fauci Top 20 Highly Cited Papers (Based on Web of Science, 09/28/2020) 1. Roberts AB, Sporn MB, Assoian RK, et al. "TRANSFORMING GROWTHFACTOR TYPE-BETA - RAPID INDUCTION OF FIBROSIS AND ANGIOGENESIS INVIVO AND STIMULATION OF COLLAGEN FORMATION INVITRO." Proceedings of the National Academy of Sciences of the United States of America. 1986;83(12):4167-4171. [2,613 citations] 2. Hoffman, G. S., G. S. Kerr, R. Y. Leavitt, C. W. Hallahan, R. S. Lebovics, W. D. Travis, M. Rottem, and A. S. Fauci. 1992. "Wegener Granulomatosis: An Analysis of 158 Patients." Annals of Internal Medicine 116 (6): 488-498. doi:10.7326/0003-4819-116-6-488. [2,060 citations] 3. Koenig, S., H. E. Gendelman, J. M. Orenstein, M. C. Dal Canto, G. H. Pezeshkpour, M. Yungbluth, F. Janotta, A. Aksamit, M. A. Martin, and A. S. Fauci. 1986. "Detection of AIDS Virus in Macrophages in Brain Tissue from AIDS Patients with Encephalopathy." Science 233 (4768): 1089-1093. doi:10.1126/science.3016903. [1,663 citations] 4. Pantaleo, G., C. Graziosi, J. F. Demarest, L. Butini, M. Montroni, C. H. Fox, J. M. Orenstein, D. P. Kotler, and A. S. Fauci. 1993. "HIV Infection is Active and Progressive in Lymphoid Tissue during the Clinically Latent Stage of Disease." Nature 362 (6418): 355-358. doi:10.1038/362355a0. [1,649 citations] 5. Fauci, A. S., B. F. Haynes, P. Katz, and S. M. Wolff. 1983. "Wegener's Granulomatosis: Prospective Clinical and Therapeutic Experience with 85 Patients for 21 Years." Annals of Internal Medicine 98 (1): 76-85. doi:10.7326/0003-4819-98-1-76.. [1,646 citations] 6. Hunder, G. G., D. A. Bloch, B. A. Michel, M. B. Stevens, W. P. Arend, L. H. Calabrese, S. M. Edworthy, et al. 1990. "The American College of Rheumatology 1990 Criteria for the Classification of Giant Cell Arteritis." Arthritis & Rheumatism 33 (8): 1122-1128. doi:10.1002/art.1780330810. [1,609 citations] 7. Lane, H. C., H. Masur, L. C. Edgar, G. Whalen, A. H. Rook, and A. S. Fauci. 1983. "Abnormalities of B-Cell Activation and Immunoregulation in Patients with the Acquired Immunodeficiency Syndrome." New England Journal of Medicine 309 (8): 453-458. doi:10.1056/NEJM198308253090803. [1,579 citations] 8. Kehrl, J. H., L. M. Wakefield, A. B. Roberts, S. Jakowlew, M. Alvarez-Mon, R. Derynck, M. B. Sporn, and A. S. Fauci. 1986. "Production of Transforming Growth Factor β by Human T Lymphocytes and its Potential Role in the Regulation of T Cell Growth." Journal of Experimental Medicine 163 (5): 1037-1050. doi:10.1084/jem.163.5.1037. [1,559 citations] 9. Fauci, A. S. 1988. "The Human Immunodeficiency Virus: Infectivity and Mechanisms of Pathogenesis." Science 239 (4840): 617-622. doi:10.1126/science.3277274. [1,523 citations] 10.Leavitt, R. Y., A. S. Fauci, D. A. Bloch, B. A. Michel, G. G. Hunder, W. P. Arend, L. H. Calabrese, et al. 1990. "The American College of Rheumatology 1990 Criteria for the Classification of Wegener's Granulomatosis." Arthritis & Rheumatism 33 (8): 1101-1107. doi:10.1002/art.1780330807. [1,392 citations] 11.Chun, T. -W, L. Stuyver, S. B. Mizell, L. A. Ehler, J. A. M. Mican, M. Baseler, A. L. Lloyd, M. A. Nowak, and A. S. Fauci. 1997. "Presence of an Inducible HIV-1 Latent Reservoir during Highly Active Antiretroviral Therapy." Proceedings of the National Academy of Sciences of the United States of America 94 (24): 13193-13197. doi:10.1073/pnas.94.24.13193. [1,317 citations] 12.Masi, A. T., G. G. Hunder, J. T. Lie, B. A. Michel, D. A. Bloch, W. P. Arend, L. H. Calabrese, et al. 1990. "The American College of Rheumatology 1990 Criteria for the Classification of churg-strauss Syndrome (Allergic Granulomatosis and Angiitis)." Arthritis & Rheumatism 33 (8): 1094-1100. doi:10.1002/art.1780330806. [1,287 citations] 13.Fauci, A. S., B. F. Haynes, and P. Katz. 1978. "The Spectrum of Vasculitis. Clinical, Pathologic, Immunologic, and Therapeutic Considerations." Annals of Internal Medicine 89 (5 I): 660-676. doi:10.7326/0003-4819-89-5-660. [1,272 citations] 14.Arend, W. P., B. A. Michel, D. A. Bloch, G. G. Hunder, L. H. Calabrese, S. M. Edworthy, A. S. Fauci, et al. 1990. "The American College of Rheumatology 1990 Criteria for the Classification of Takayasu Arteritis." Arthritis & Rheumatism 33 (8): 1129-1134. doi:10.1002/art.1780330811. [1,234 citations] 15.Kerr, G. S., C. W. Hallahan, J. Giordano, R. Y. Leavitt, A. S. Fauci, M. Rottem, and G. S. Hoffman. 1994. "Takayasu Arteritis." Annals of Internal Medicine 120 (11): 919-929. doi:10.7326/0003-4819-120-11-199406010-00004. [1,111 citations] 16.Pantaleo G, Graziosi C, Fauci AS. THE IMMUNOPATHOGENESIS OF HUMANIMMUNODEFICIENCY-VIRUS INFECTION. New England Journal of Medicine. 1993;328(5):327-335. [946 citations] 17.Fauci AS, Dale DC, Balow JE. GLUCOCORTICOSTEROID THERAPY - MECHANISMS OF ACTION AND CLINICAL CONSIDERATIONS. Annals of Internal Medicine. 1976;84(3):304-315. [931 citations] 18.Morens, D. M., G. K. Folkers, and A. S. Fauci. 2004. "The Challenge of Emerging and Re-Emerging Infectious Diseases." Nature 430 (6996): 242249. doi:10.1038/nature02759. [899 citations] 19.Fauci AS, Macher AM, Longo DL, et al. ACQUIRED IMMUNODEFICIENCY SYNDROME - EPIDEMIOLOGIC, CLINICAL, IMMUNOLOGICAL, AND THERAPEUTIC CONSIDERATIONS. Annals of Internal Medicine. 1984;100(1):92-106. [887 citations] A -- 7,100,000/205,000 20.Folks TM, Justement J, Kinter A, Dinarello CA, Fauci AS. CYTOKINE-INDUCED EXPRESSION OF HIV-1 IN A CHRONICALLY INFECTED PROMONOCYTE CELLLINE. Science. 1987;238(4828):800-802. [872 citations] PRESS: Good Morning America TV; The Netherlands TV - Nieuwsuur; Canadian Journalism Foundation World News Day with Brian Stelter (Web TV); Steph Curry - State of Inspiration Interview; Aspen Institute - Fireside Chat with Helen Clark former PM of New Zealand
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September 29, 2020 - Global - 33,200,000/1,000,000; USA - 7,100,000/205,000 Cases increasing in certain regions (see below). Hospitalization starting to creep up. Deaths will follow. Total deaths have plateaued and so as deaths go down in certain regions, which is true, deaths that increase in other regions result in a net flat curve. Again, today big dispute between Deb (backed by me) and Atlas. Atlas feels that after a city/town/state reach their peak, the turn around has nothing to do with any intervention that we apply. He insists that the city/state has reached herd immunity. He also cherry picks papers on T cell immunity and says that cross-reacting T cell immunity accounts for: the 22% ab positive in NYC + 25 % T cell immunity = herd immunity. He feels that all we need to do in protect the vulnerables in nursing homes and we will be OK. No need to test and no need to worry about community spread. 1st Presidential Debate tonight. Horrible "shit show". Trump was embarrassing, continually interrupting Biden, bullying all the way, making no sense, lying. Moderator Chris Wallace could not control him. Trump refused to denounce White Supremacists and when asked about the "Proud Boys", Trump said" "Stand down, stand by" essentially endorsing them. Alos, he misquoted me saying that I am against masks. He also said that I praised him for saving lives by shutting down China travel. Reporters (Chris Cuomo, Jim Sciutto, Maggie Fox, etc) continually texting me during the debate wanting me to counter what he said about me and masks 29 September 2020 Uncontrolled diffuse community spread in MIN, WI, ND, SO and Heartland 14, KS, NE, OK, MO where hospitalizations are rising fatalities will cantinue te increase across these regions New hospitalizations are rising throughout the Heartland and Upper Midwest which will drive increase in fatalities over the next 3 weeks, Tribal Nations fram these regions will drive substantial hospitalizations and fatalities This diffuse spread is not solely university driven but most likely post Labor Day, end of vacations with silent spreading over the past 2-3 weeks through asymptomatic spread similar te past Memorial Day (that was undetected this time due te the change in CDC guidance on testing and many states dramatically decreasing testing}: the majority of universities only testing symptomatic students with a tiny proportion of voluntary surveillance testing {except U of ILLand Clemson} Will be key to increase testing in the communities and states where hospitalizations are rising, where test positivity is rising and in communities where universities have more than 10% of their total student body COVID19 infected - see slides 4 and 5 --there are substantial declines in symptomatic positive students detected at the SEC schools by week S with strong mitigations at the schools and good student compliance with mitigations that may erode over the semester This first several tranches of BINAX to states should be prioritized to states with high community spread Florida and Texas have low testing rates and continued high mortality +100 deaths/day -- testing needs to increase significantly before reversal of mitigation efforts Florida has significant residual disease and daily cases, reversing all mitigation efforts will result in rising cases in 2 weeks and rising hospitalizations in 3 weeks and rising mortality in 4 weeks -- the last week of October Daily New Deaths in the United States Daily Deaths Deaths per Day Data as of 0:00 GMT+8 Novel Coronavirus Daily Deaths PD bP DD OO PD DD a -- ae Pr oa a a a we wt ft w a a oF a e wy aoe a a a) fy a ens ey "a "a © Dally Deaths ( ®& F-day moving average = gy Global USA PRESS: The Texas Tribune Festival - Fireside Chat with Lawrence Wright (The New Yorker); Interview with Wall Street Journal - Caitlin McCabe.
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September 30, 2020 - Global USA 30 September 2020 1.As predicted : rising cases would lead to new admissions, rising inpatient numbers and increasing fatalities. 2.Uncontrolled diffuse community spread in MN, WI, ND, SD and Heartland IA, KS, NE, OK, MO where hospitalizations are rising and fatalities will continue to increase across these regions : as there is insufficient mitigation --low mask wearing, low physical distancing and inadequate protection of community vulnerable persons : LTCF aggressively being protected 3. Tribal Nations from these regions will drive substantial hospitalizations and fatalities 4. This diffuse spread is not solely university driven but most likely post Labor Day, end of vacations with silent spreading over the past 2-3 weeks through asymptomatic spread similar to post Memorial Day (that was undetected this time due to the change in CDC guidance on testing and many states dramatically decreasing testing): the majority of universities only testing symptomatic students with a tiny proportion of voluntary surveillance testing (except U of ILL and Clemson) 5. Will be key to increase testing in the communities and states where hospitalizations are rising, where test positivity is rising and in communities 6. This first several tranches of BINAX to states should be prioritized to states with high community spread 7.Florida and Texas have low testing rates and continued high mortality >100 deaths/day -- testing needs to increase significantly before reversal of mitigation efforts (CA, TX, CA contributed >350 deaths/day) 8.Florida has significant residual disease and daily cases, reversing the majority of mitigation efforts will result in rising cases in 2 weeks and rising hospitalizations in 3 weeks and rising mortality in 4 weeks -- the last week of October iterviewed with ice trend; New Yorker >on masks. Addressed the Congressional Hispanic Caucus on COVID-19 led by Rep. Joaquin Castro (D-TX) and Rep Escobar. Addressed State, local and Tribal Officials on COVID-19 Presented plenary to American Academy of Pediatrics Addressed Quad Caucus together with Francis PRESS: Wired TV with Steven Levy; ABC Podcast; Interviewed with Washington Post (Joel Achenbach) regarding anti-Science trend; New Yorker Interview NY Times: Fauci counters Trump for misrepresenting his stance on masks. Anthony Fauci, director of National Institute of Allergy and Infectious Diseases at NIH, attaches his mask before testifying at a Senate Health, Education, and Labor and Pensions Committee on Capitol Hill.Credit...Pool photo by Graeme Jennings Dr. Anthony S. Fauci, the country's leading official on infectious diseases, hit back at Mr. Trump on Wednesday for what he called the misrepresentation of Dr. Fauci's stance on masks to curb coronavirus outbreaks. In the first presidential debate Tuesday, Mr. Trump claimed that Dr. Fauci initially said during the pandemic "masks are not good. Then he changed his mind." And responding to former Vice President Joseph R. Biden Jr.'s assertion that wearing masks could save tens of thousands of lives, Mr. Trump also contended that "Dr. Fauci said the opposite." "Anybody who has been listening to me over the last several months know that a conversation does not go by where I do not strongly recommend that people wear masks," Dr. Fauci, the director of the National Institute of Allergy and Infectious Diseases, said during an interview on ABC News's "Start Here" podcast. The full interview can be heard tomorrow, ABC said. Dr. Fauci explained that "very early on in the pandemic" authorities initially did not recommend masks in the context of concerns over shortages and hoarding of masks. Dr. Fauci also emphasized that he has clearly been urging people for months to wear masks when it became clear that asymptomatic transmission was spreading the virus, that 1 October 2020 1. Using Wi as an illustration --slide 5: rising test positivity in the 18-25 age group leads ta increasing test positivity in older age group approximately 2-3 weeks later that then drives new admissions, rising inpatient numbers and increasing fatalities -- preventing that initial wave in areas where other factors - weather deteriaration driving mare inside, decreasing humidity and crowding indoors will be key to prevent further fatalities, 2. Uncontrolled diffuse community spread in MN, WI, ND, SD and Heartland 14, KS, NE, OK, MO where hospitalizations and fatalities are rising and will continue to increase across these regions : as there is insufficient mitigation -- low mask wearing, low physical distancing and inadequate protection of vulnerable persons in community and weather driving communities indoors : LICF aggressively being protected but uncontrolled community spread leads to infection of the vulnerable members of the community -- hespitalization and fatalities 3. Tribal Nations from these regions will drive substantial hospitalizations and fatalities 4. This diffuse spread is not solely university driven but most likely post Labor Day, end of vacations with silent spreading over the past 2-3 weeks through asymptomatic spread similar to post Memorial Day (that was undetected this time due to the change in CDC guidance on testing and many states dramatically decreasing testing): the majority of universities only testing symptomatic students with a tiny prepertion of voluntary surveillance testing (except U of ILL and Clemson) 5. Will be key to increase testing in the communities and states where test positivity is rising to prevent further community spread to prevent increases in hospitalizations and fatalities 6. This first several tranches of BINAX to states should be prioritized to states with high community spread Red states Dark Green states (>10% positive) (<3% positive) AL, AR, FL, GA, IN, KY, AZ, CA, CO, DE, HI, IL, LA, ID, MT, NE, OK, SD, UT 1A, KS, MO, SC, WI MN, MS, NC, ND, NV, TN, I MD, MI, OR, PA, WA, RCT: DS BES TE: AE TX, VA WV, WY NJ, NM, NY, OH, RI, VT there was no shortage of surgical masks and that masks are effective at stopping the spread of the virus. "I have been on the airways, on the radio, on TV, begging people to wear masks," Dr. Fauci said. "And I keep talking in the context of wear a mask, keep physical distance, avoid crowds, wash your hands and do things more outdoors versus indoors." -- Simon Romero
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October 1, 2020 Hope Hicks is infected!!! PRESS: The National Press Club - NFID - Influenza Press Conference; The Tight Rope with Tricia Rose and Cornell West Journalist Michael Specter examines Fauci's career and the challenges of facing COVID-19 with Trump's White House in his new audiobook "Fauci," the first biography to be published on the doctor. Specter writes that he first met Fauci in 1986. Even then, Fauci was a mainstay in both the political and medical communities. He has since served with every U.S. president since Ronald Reagan. MICHAEL SPECTER -g Cc w = a Pd
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October 2, 2020 --- Global -- 34,200,000/1,000,000; USA -- 7,300,000/207,300 I was very close to VP on Tuesday, Sept. 29. VP is negative today. Melania also positive. Media frenzy! Tjust got tested via NIH today -- negative. . Thad called Sean Conley and told him that this is what I would do. He agreed. Treached out again to Sean Conley to help again. No response. WH really shutting down comms with outside world. Kellyanne Conway, RNC Chair and two senators ( Senator Thom Tillis, Republican of North Carolina and Senator Mike Lee), Republican of Utah) infected plus Bill Stepien (Trump's Campaign manager); all were at the Rose Garden ceremony for Supreme Court Justice Amy Coney Barrett. It appears that this ceremony was a super-spreading event since all infected people were there and the timing is perfect L.Uncontrolled diffuse community spread in MN, WI, ND, SD and Heartland IA, KS, NE, OK, MO where hospitalizations and fatalities are rising and will continue to increase across these regions : as there is insufficient mitigation -- low mask wearing, low physical distancing and inadequate protection of vulnerable persons in community and weather driving communities indoors : LTCF aggressively being protected but uncontrolled community spread leads to infection of the vulnerable members of the community ~ hospitalization and fatalities 2.Tribal Nations from these regions will drive substantial hospitalizations and fatalities 3. The overarching concern relates to the balance of personal mitigation behaviors and the weather driving more activities indoors with the lower humidity increasing the K value (dispersion factor) with lower humidity the droplets partially evaporate allowing for longer suspension in the air and together -- poor personal mitigation and cooling weather with heating will increase the R value 4.Any baseline immunity in the population (ranging from 5-10%) in all states except NYC area and Miami FL can be offset and overcome by this weather element and increased indoor activities -- this is the concern about continued spread in states where the weather is changing (cooling) and the need for immediate mitigation actions by the leadership and the public collectively : conversely the improved weather across the south with movement outdoors from air conditioning will lower both R1 and decrease dispersion (K) ~ 5.tThere also needs to be careful proactive attention to the NE ~ planned travel there starting Monday 6.This diffuse spread is not solely university driven but most likely post Labor Day, end of vacations with silent spreading over the past 2-3 weeks through asymptomatic spread similar to post Memorial Day (that was undetected this time due to the change in CDC guidance on testing and many states dramatically decreasing testing): the majority of universities only testing symptomatic students with a tiny proportion of voluntary surveillance testing (except U of ILL and Clemson) 7.Will be key to increase testing in the communities and states where test positivity is rising to prevent further community spread to prevent increases in hospitalizations and fatalities 8.This first several tranches of BINAX to states should be prioritized to states with high community spread PRESS: Getting scores of calls from press and request to appear on every show. White House has indicated no press of any type until further notice. They do not want me or other government docs out there until further notice. -7,300,000/208, New Daily Confirmed COVID-19 Cases In the U.S. Confirmed Cases {Thousareds| a ae A he am "a AN h \ hs is / UAT ij F Fd f aan Fa ~ peti f pt I Fa A by Th mH oy y wt a we a te rey Aca i ay ate al i] fa Pa a hie} eS 3 es 2 t ' & a oS & n * : ef @ e = sg 6g a a mee Ciaiky ee 7 oy Mowing Avarage TY SI US La a Ie UU E WUee PR SS Py ck WE Ge ee a . L gressively being protected but uncontrolled community spread leads to infection of the vulnerable members of the cormmunity-- spitalization and fatalities -- states and metros of concern (slides 14-37) iprovements in AR where mitigation efforts are strong and continuing intinued spread in NC-- this is the one state where 3 large universities went on line after opening leaving 90K students living in é college towns but without a anchor to their campus potentially leading to more community spread bal Nations from these regions will drive substantial hospitalizations and fatalities i@ overarching concern relates to the balance of personal mitigation behaviors and the weather driving more activities indoors th the lower humidity increasing the K value (dispersion factor) with lower humidity the droplets partially evaporate allowing for ager suspension In the air and together -- poor personal mitigation and cooling weather with heating will increase the R value 1y baseline immunity in the population (ranging fromm <1-10%3) in all states except LA, NY, NJ (where mortality was 3-4X all other ates) can be offset and overcame by this weather element and increased indoor activities -- this is the concern about continued read in states where the weather is changing (cooling) and the need for immediate mitigation actions by the leadership and the iblic collectively : conversely the improved weather across the south with movement outdoors from air conditioning will lower ith Rl and decrease dispersion (K) -- i@ré also needs to be careful proactive attention to the NE -- cases rising in NYC and Boston ill be key to increase testing in the communities and states where test positivity is rising to prevent further community spread to event increases in hospitalizations and fatalities 1is first several tranches of BINAX to states should be prioritized to states with high community spread Press (CNN) asking on air why Fauci and other TF members are not be able to speak.
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October 3, 2020 - Global - 34,500,000/1,000,000; USA - 7,300,000/208,100 Red states Yellow states Light Green states I Dark Green states (>10% positive) (5 - <8% positive) I (3-<5% positive) (<3% positive) AL, AR, FL, GA, IN, KY, AZ, CA, CO, DE, HI, IL, LA, ID, MT, NE, OK, SD, UT IA, KS, MO, SC, WI MN, MS, NC, ND, NV, TN, MD, MI, OR, PA, WA, NN a Ry On Re vy TX, VA WV, WY * e ae Science magazine: =) Global USA Sean Conley and the WR team are giving mixed messages about how well or not the POTUS is doing. Conley saying he is doing fine. Others saying his vital signs are troublesome, he is on oxygen and coughing with fever. His condition could be deteriorating. PRESS: In Science magazine:
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October 4, 2020 - Global USA Still confusion about condition of POTUS. He came on TV last night wearing a blue suit with no tie saying that he felt fine and will be in hospital for a few days Mark Meadows called my cell while I was walking on the C & O Canal at around 8:30 AM to ask my advice about when the POTUS could go out publicly again. I mentioned that the CDC guidelines say 10 days from the onset of sxs. His sxs started Thrusday, Oct. 1 and so 10 days would be Saturday, Oct.10. Mark told me that on Friday his temp was 103 and his O2 sat was in the 80s. That triggered the Remdesivir. Today (Sunday) he is up and about in his room and is afebrile. O2 sat is improved and he feels much better. I told Mark to send the POTUS my best wishes. At least seven people besides the president who were there (the Amy Coney Barret event in the Rose Garden) have tested positive in recent days: first lady Melania Trump, former White House adviser Kellyanne Conway, former New Jersey governor Chris Christie (R), University of Notre Dame President John Jenkins, Sens. Mike Lee (R-Utah) and Thom Tillis (R-N.C.) and an unnamed journalist. Contacted by Sean Conley. Got together by conference call with Walter Reed medical team plus Cliff Lane plus Bob Redfield to discuss course of POTUS infection. Also, discussed possibility of getting infected high level officials out in public with some sort of "filtering device" while they are still infected as opposed 4 October 2020 1.The overall picture continues to deteriorate raising concerns across the United States [beyond the improvements across the South that are currently holding) the abselute numbers and the concerning trendlines across the upper North West and Mid West and now the North East -- although some of these changes are subtle when you triangulate them and take into account the changing weather conditions in these areas small clusters can rapidly and silently spread to large outbreaks : highest alert states alert counties are in your packet and several NE counites are now in the alert packet 2. The silent spread among the asymptomatic individuals leads to silent community spread that then spreads te the mare cautious group including the vulnerable members of households : the way to prevent this is to ensure personal mitigation through masks, physical distancing and personal hygiene combine with early identification of community spread to ensure communities have clear information so they can actively participate in preventing further spread and protecting the vulnerable individuals in their household, 3. These data driven laser focused Interventions will be essential as we move inte the fall: there needs ta be a clear recognition of in household, small gatherings among neighbors and family events are active spreading events when there is even one asymptomatic COVID positive individual -- although outdoors are safer both the level of the viral load and claseness of contact can lead to increasing spread 4. Tribal Nations from these regions will drive substantial hospitalizations and fatalities 5. The overarching concern relates to the balance of personal mitigation behaviors and the weather driving more activities indoors with the lower humidity increasing the K value (dispersion factor) with lower humidity the droplets partially evaporate allowing for longer suspension in the air and together -- poor personal mitigation and cooling weather with heating will increase the R value 6.Any baseline immunity in the population (ranging from <1-10%5) in all states except LA, N¥, NJ (where mortality was 3-4X all other states) can be offset and overcame by this weather element and increased indoor activities -- this is the concern about continued spread in states where the weather is changing (cooling) and the need for Immediate mitigation actions by the leadership and the public collectively : conversely the improved weather across the south with movement outdoors from air conditioning will lower both Bl and decrease dispersian (K)-- 7 There also needs to be careful proactive attention to the NE -- cases rising in NYC and Boston 8. Will be key to increase testing in the communities and states where test positivity is rising to prevent further community spread to prevent increases in hospitalizations and fatalities 4. This first several tranches of BINAX to states should be prioritized to states with high community spread 7,400,000/2 10,000 to waiting 10 days. I told them that this would create a firestorm of pushback from the press since it would be breaking all the CDC guidelines. I suggested that they might use the 2 negative PCRs over 24 hours as opposed to the 10 day from onset of sxs rule. Sean said that they gave the POTUS dexamethasone since his O2 level dropped into the 80s, but he bounced back quickly with O2 administration. They started dex just as a precaution. White House comms (including Alyssa) as well as Sean giving confusing messages to the public about the POTUS health. Mark Meadows was honest and said that his situation was precarious requiring O2 on Friday night and the POTUS got angry with Mark sine he did not show a happy face. Sean was obviously intimidated by POTUS and so he sugar-coated the briefing. Bottom line is that POTUS is doing rather well. He had a limo drive him up and down Rockville Pike waving to the crowds of supporters. He wore a cloth mask instead of a N95 and press criticized him for endangering the Secret Service who were in the car.
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October 5, 2020 - Global - 35,100,000/1,000,000; USA - 7,400,000/210,000 1. The overall picture continues to deteriorate raising concerns across the United States (beyond the improvements across the South that are currently holding) the absolute numbers and the concerning trendlines across the upper North West and Mid West and now the North East - although some of these changes are subtle when you triangulate them and take into account the changing weather conditions in these areas small clusters can rapidly and silently spread to large outbreaks - this spread is preventable with aggressive mitigation : this is not about shutting down but using the clear evidence based mitigation that has worked - attached both states of concern and the stable southern state 2. The silent spread among the asymptomatic individuals leads to silent community spread that then spreads to the more cautious group including the vulnerable members of households : the way to prevent this is to ensure personal mitigation through masks, physical distancing and personal hygiene combine with early identification of community spread and protecting the vulnerable individuals in their household. 3. These data driven laser focused interventions will be essential as we move into the fall : there needs to be a clear recognition of in household, small gatherings among neighbors and family events are active spreading events when there is even one asymptomatic COVID positive individual - although outdoors are safer both the level of the viral load and closeness of contact can lead to increasing spread 4. The overarching concern relates to the balance of personal mitigation behaviors and the weather driving more activities indoors with the lower humidity increasing the K value (dispersion factor) with lower humidity the droplets partially evaporate allowing for longer suspension in the air and together - poor personal mitigation and cooling weather with heating will increase the R value and the clear evidence of aerosol contribution 5. Any baseline immunity in the population (ranging from <1-10%) in all states except LA, NY, NJ (where mortality was 3-4X all other states) can be offset and overcome by this weather element and increased indoor activities - this is the concern about continued spread in states where the weather is changing (cooling) and the need for immediate mitigation actions by the leadership and the public collectively : conversely the improved weather across the south with movement outdoors from air conditioning will lower both R1 and decrease dispersion (K) - 6. There also needs to be careful proactive attention to the NE - cases rising in NYC and Boston 7. Will be key to increase testing in the communities and states where test positivity is rising to prevent further community spread to prevent increases in hospitalizations and fatalities 8. This first several tranches of BINAX to states should be prioritized to states with high community spread White House people continue to get infected - latest is POTUS called me up from his hospital room at Walter Reed. 1:08 PM. He rambled on about the suite he was in and how expensive it was to build it. Says it is better than the White House. Asked me if I have ever been there. I told him about the time I went there to help in the treatment of President Nixon's pneumonia. He then commented on my voice and my successful vocal cord surgery. He then described his therapies (Remdesivir, mAB (Regeneron) and Dexamethasone). He praised Len Schleifer and now the real reason he called. He said that he was very sick when he came into the hospital and "felt like fucking shit", However, a few hours after receiving the Regeneron mAB, he felt better than he has felt in years (I believe that DEX is contributing to this as well as to his obvious hyperkinetic state). Bottom line is that he wants me to get the Regeneron mAb out as an EUA. I explained that the mAb was in clinical trials. He said the most important clinical trial has been done - i.e. on him the POTUS. That is all we need to know. He wants me to get back to him and get it out to millions of people. He said it was not about the election, it was about saving lives. I told him that it was an FDA regulatory issue. He then said that they would listen to me. He said he was aware of the Lilly mAB,but thinkgs that Regeneron is better (Len probably told him so). POTUS then said get both Reg and Lilly an EUA. We are obviously going to have a problem since there is not enough data for an EUA. Mark Meadows called me about what the appropriate PPE would be for others to wear around the POTUS when the POTUS returns (today) to the WH. Also, he wanted my opinion of what PPE the Senators who are infected or who will be infected should wear when they vote for ACA and Supreme Court justice confirmation. PRESS: CNN New Day - discussion of my Sammie Award - Federal Employee of the Year; WTOP Radio; Times Radio UK; CNN with Chris - 7,400,000/2 10,000 Cuomo; The New Yorker Festival - Audio - Biography - "Fauci" on YouTube livestream with Michael Specter; The Sammies presentation livestream. Extraordinary comments by a large number of celebrities: https://www.facebook.com/rpublicservice/videos/351805602538815/
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October 6, 2020 - Global - 35,300,000/1,000,000; USA - 7,400,000/210,000 QUITE A DAY!! Fauci gets his own action figure BY JUDY KURTZ - 10/06/20 12:23 PM EDT 297 6 October 2020 1.The overall picture continues to deteriorate raising concerns across the United States -- with continued spread in the Upper Mid West, the Heartland and now early warning signs in NE -- early movement in TX after moving to 75% occupancy -- see daily report -- new hospitalizations continue to rise 2.Data driven laser focused interventions will be essential as we move into the fall : there needs to be a clear recognition of in household, small gatherings among neighbors and family events are active spreading events when there is even one asymptomatic COVID positive individual -- although outdoors are safer both the level of the viral load and closeness of contact can lead to increasing spread 3,The overarching concern relates to the balance of personal mitigation behaviors and the weather driving more activities indoors with the lower humidity increasing the K value (dispersion factor) with lower humidity the droplets partially evaporate allowing for longer suspension in the air and together -- poor personal mitigation and cooling weather with heating will increase the R value and the clear evidence of aerosol contribution 4 Traveling the NE this week and next to ensure careful attention to personal mitigation and needs for aggressive action for any community hot spots 5.Will be key to increase testing in the communities and states where test positivity is rising to prevent further community spread to prevent increases in hospitalizations and fatalities 6.This first several tranches of BINAX to states should be prioritized to states with high community spread • Fireside Chat for Cornell (Ithaca) Homecoming - Kate Snow • Holy Cross fireside chat • Fireside chat with American University Political Union with Sylvia Burwell Dennis Quaid called to thank me for doing the podcast with him. He is really pissed at Trump for his reckless behavior and his disregard for infecting others. Po Christie want to be the voice opposite to Trump in saying that COVID-19 is serious and we should not brag about not dying from it, and we should not trivialize it or brag aboutndefeating it since it is still killing 210,00 people in the The virus can infect anyone. The VP debate is tomorrow. Scott Atlas crossed a line today. See e-mail below: Marc: I am sorry to bother you with this as we approach the important VP debate, but this needs attention. You had mentioned to me about trying to reconcile differences between the other doctors on the Task Force and Dr. Atlas and I told you that I certainly am amenable to doing so. Below is a note that a reporter (Ashley Collman) sent to me asking for my response to an interview that she had with Dr. Atlas that they are planning on publishing. I am not planning to respond publicly since that would be beneath my dignity. However, a line has been crossed here am I strongly suggest that Dr. Atlas be removed from the Task Force and quite frankly from the White House itself. Not withstanding his outrageous comments about me, which are factually incorrect (I never said that "everyone should wear goggles" and I never "ridiculed" Sen. Paul and I, by the way, have actually written the book on natural immunity), what he has been preaching about public health measures has put the POTUS and the White House staff at risk, resulting in the infection of our President and several White House staff and other government officials. As I mentioned, I am not going to address this publicly, but it must be addressed internally. Thank you for listening. Best regards, Tony Anthony S. Fauci, MD Director National Institute of Allergy and Infectious Diseases Building 31, Room 7A-03 31 Center Drive, MSC 2520 National Institutes of Health Bethesda, MD 20892-2520 Phone: (301) 496-2263 FAX: (301) 496-4409 E-mail: afauci@niaid.nih.gov >r.com> omment The information in this e-mail and any of its attachments is confidential and may contain sensitive information. It should not be used by anyone who is not the original intended recipient. If you have received this e-mail in error please inform the sender and delete it from your mailbox or any other storage devices. The National Institute of Allergy and Infectious Diseases (NIAID) shall not accept liability for any statements made that are the sender's own and not expressly made on behalf of the NIAID by one of its representatives.
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October 7, 2020 - Global USA Alex Azar met yesterday with Atlas and his 3 stooges - Jay Bhattacharya (Stanford), Sunetra Gupta (Oxford) and Martin Kulldorff's (Harvard). Seems that he is buying into Atlas 7 October 2020 1.New hospitalization admissions continue to rise 2.Mortality should stay in the 700+ range for the 7 day average as we still see improvements across the South and decreasing fatalities but rising hospitalizations in red and orange states will drive further fatalities 3.Continued spread in the Upper Mid West, the Heartland and now early warning signs in NE -- early movement in TX after moving to 75% occupancy 4.Data driven laser focused interventions will be essential as we move into the fall : there needs to be a clear recognition of in household, small gatherings among neighbors and family events are active spreading events when there is even one asymptomatic COVID positive individual -- although outdoors are safer both the level of the viral load and closeness of contact can lead to increasing spread 5.The overarching concern relates to the balance of personal mitigation behaviors and the weather driving more activities indoors with the lower humidity increasing the K value (dispersion factor) with lower humidity the droplets partially evaporate allowing for longer suspension in the air and together -- poor personal mitigation and cooling weather with heating will increase the R value and the clear evidence of aerosol contribution 6.Traveling the NE this week and next to ensure careful attention for aggressive mitigation 7.Will be key to increase testing in the communities and states where test positivity is rising to prevent further community spread to prevent increases in hospitalizations and fatalities &.This first several tranches of BINAX to states should be prioritized to states with high community spread Red states low stat t Green state: Dark Green states (>10% positive) 7% positir I I (<3% positive) AL, AR, FL, GA, IA, IN, KS, I AK, AZ, CA, CO, DE, HI, IL, MO, NV KY, MN, MS, NC, ND, OR, I LA, MD, Mi, NM, PA, WA, SC, TN, TX, VA, WY wv iD, MT, NE, OK, SD, UT, Wi CT, OC, MA, ME, NH, NJ, NY, OH, RI, VT 7,500,000/211,100 VP debate tonight between Pence and Harris. Much more civil than the POTUS debates. Pence did not directly answer several questions using the technique that I have seen him use of avoiding answering the questions and talking about something else in response to the question. My name was mentioned multiple times during the debate. Harris said she would take an OVID-19 vaccine if I said so, but not if Trump said so. Also, Pence mentioned my name saying that I said that Trump saved many lives by shutting down travel from China.
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October 8, 2020 - Global 36,000,000/1,000,000; USA - 7,500,000/211,100 Below is really October 8, not October 6 ol cl 6 October 2020 Continued spread inthe Upper Mid West, the Heartland and nowearly warning signsin WE : cooler weather will accelerate The primary drivers of current community spread is from social gatherings and within households, The cages that are rising trigger household spread and resultin admissions fram households>>facilities including LICE New hospitalization admissions continue to rise I have focused on heapitalizations by region inthis report. Again showing that increase test positiaty, increased asymploarnatic cases result incarnmunity spread where social gathering result in thage with co-mearbidities infected and hospitalized and on going fatalities: this spread starts with asymptomatic household members usually under 30 bringing the virus inte the household and family and friend social Secasions. Testing in communities with angeing spread and alerting those with asymptomatic infections te their status and alerting then te protect athers in their househeld is critical. Expanding surveillance testing te tind those early alerts will be key to prevent broad community spread Data driven laser focused interventions will be essential as we nove inte the tall: there needs to be a-clear recognition of in household, small gatherings among neighbors and tamily events are active spreading events when there is even one asymptomatic COVID positive individual ~ although outdoors are sater both the level of the viral load and claseness of contact can lead to increasing spread Will be key to increas: testing in the cammunities and states where test positivity is rising fo prewent further community spread to preverit increases im hespitalizations and fatalities This first several tranches of BINAX to states should be priaritized to states with high community spread Much discussion centered around the upcoming 2nd POTUS debate. Issue is whether Trump (recently infected) can safely do it in person. The Commission wants to do it virtually; however, Trump says he will not debate except in person. Mark meadows has called me twice for advice about the CDC guidelines of when a person post-infection can safely go out. The guidelines say 10 days from onset of sxs and 2 PCR tests (24 hours apart) that are negative. His last PCR had a CT of 28.9. It needs to be 35 or greater to be considered negative. More to come. Great podcast with Bill Gates and Rashida Jones Now total 34 people infected in the White House super-spreader event in the Rose Garden. Also, Kellyanne and Chris Christie helped him prepare for the debate PRESS: Print interview with Italy's La Repubblica newspaper; Italy TV Sky TG24; MSNBC with Andrea Mitchell; Podcast with Rashida Jones and Bill Gates; Radio ONE NYC; PBS NewsHour with Judy Woodruff; Memphis Commercial Appeal: Dr. Anthony Fauci: a trusted and dependable voice during COVID-19 I Opinion Global USA With so much false information about the coronavirus being thrown at us, Fauci has evolved as a voice we can trust. He speaks truth, gives us the facts, and pulls no punches. Lynn Norment Columnist
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October 9, 2020 - Global USA We are clearly seeing resurgences in various parts of USA , esp. the upper midwest and the Northwest (see below). This is exactly what we (Deb and I) predicted would happen if young people did not abide by public health recommendations (masks, crowds, etc). It also validates my insisting to the VP that although I did not like being the "skunk at the picnic", the upticks in case positivity clearly predicted the increase incases → hospitalizations → deaths. Also, shows that Atlas and his 3 stooges are completely incorrect. Gov. Cuomo called me up. Deb wanted me to speak with him about the surge in NYC since she knows that we are friends. I asked his brother Chris to have him call me. Andrew feels that the NYC surge is driven almost exclusively by the Hasidic Jews who feel that they have "herd immunity". Obviously they do not (see Atlas). In the middle of the conversation, the POTUS calls me (see below) POTUS called me this AM at 9:10 AM. He is still very hyper and is saying that the Regeneron product "cured" him. He had with him on speaker phone Sean Conley and the entire Walter Reed team. He had them say that the drop in viral titer from 10 to the 8 to 10 to the 3 was the fastest they have ever seen. They obviously do not have that much experience. When I asked what the CT was, they said it was 33, which means he still has replication virus in his nasopharynx. Could be that Dex is slowing the clearance of virus. He wants me to help get REG mAB an EUA to save hundreds of thousands of lives. He is clearly hyper. He 9 October 2020 . [have included France and UK = European cases continue toincrease - they are in their "post Memorial Day" vacation driven cases which will begin in the younger age groups but move rapidly to the older groups. . Broad community spread continues unabated in the Upper Mid West, 10, UT, ND, $0 and the Heartland and now early warning signs in NE: cooler weather will accelerate : States are mot adequately mitigating community spread nor aggressively targeting the primary sources of this community spread : social gatherings and within household spread both driven by asymptomatic individuals. Messaging must focus on decreasing friend and family gathering and presenting far testing if you have been in.an unmasked gathering. . Cases will continue to rise week over week which is driving the increase in hospitalizations and will drive increasing fatalities aver the next 4 weeks. . The supply and personnel teams need to work aggressively with these states to ensure supplies of Remdesivir, PPE and additional human capacity . The spread often starts with asymptomatic household members usually under 30 bringing the virus into the household and family and friend social occasions, Testing In cammunities with ongoing spread and alerting those with asymptomatic infections te their status and alerting them ta protect others in their household ts critical ta stem hospitalizations and fatalities. . Expanding surveillance testing (staff of LTCF, teachers, community college commuters, university commuters) which will reflect the viral transmission in the community will be key to prevent further broad community spread . Data driven laser focused interventions will be essential as we move into the fall : there needs to be a clear recognition of in household, small gatherings among neighbors and family events are active spreading events when there is even one asymptomatic COVID positive Individual -- although outdoors are safer both the level of the viral load and closeness of contact can lead to increasing spread . Will be key to increase testing in the communities and states where test positivity is rising to prevent further community spread to prevent increases in hospitalizations and fatalities : we need to align BINAX tests for these community surveillance sites in states with rising cas@$ Percent Increase in Total Cases over 7 days oR =O * 1% =o >1O% 25% = S05 =100% <20 Weekly Cases eeeen. told the crew that I was the best persuader in the world. He used to think that he was, but he now feels that he is 2nd. Weird conversation; friendly, but weird. PRESS: AP video interview with Kelly Daschle; CBS Radio interview; Irish Newspaper - Sunday Indepemdent;
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October 10, 2020 - Multiple calls with Katie Miller, Stephen Mill and Mark Meadows. Big issues is when to get the POTUs back into the public (campaign rallies). Mark Meadows called me about this X2 today. The POTUS has been 10 day since onset of sxs, which is the CDC guideline for being able to return to public. However, his CT was less than 35. Today it is 34.6, but other viral parameters for replication are showing no replication. I convinced Mark to not allow the POTUS to go to Florida today (Saturday) but to wait until Monday and do a Ehite House balcony show today. Also, Stephen Miller is chomping at the bit to get out in public since the campaign is short-handed with so many people infected. Stephen has crazy numbers. CT was 27.8 yesterday and 16 today!. Looks like a lab error. Will check again tomorrow GOP campaign put out an ad misleading) having me say that the POTUS did everything possible. The press are calling out the GOP since they know that this is totally out of context. I called Stephen Miller and asked him to look into this. PRESS: Continue to do taping for the NAT/GEO documentary as well as the 60 Minutes Special that will come up next week. Crazy situation with Alyssa Farah and Jon Karl who rally wants me on "This Week" tomorrow (Sunday). First she promised him that there wa a 99.5% chance that he could have me. She said this on Wednesday. Jon texted her every day for confirmation and she just ignored his texts until it was too late (Saturday afternoon). Totally incompetent and disrespectful to Jon and ABC, but not atypical for them (WH Comms)
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October 11, 2020 (Sunday) Red states fellow states Light Green states Dark Green states (>10% positive) 5 - <8% positive) '3 - <5% positive) (<3% positive) AL, AR, FL, GA, IA, IN, KS, I AK, AZ, CA, CO, DE, HI, IL, MO, NV KY, MN, MS, NC, ND, OR, I LA, MD, MI, NM, PA, WA, SC, TN, TX, VA, WY wv ID, MT, NE, OK, SD, UT, wi CT, DC, MA, ME, NH, NJ, NY, OH, RI, VT See above re: Jon Karl. They are completely blocking me for Sunday shows. Also, big stink about the POTUS hiding data regarding how infective he might be (see above) Multiple conversation with Sean Conley, docs at Walter Reed and me. Also, Savannah Guthrie representing NBC wants assurances that it is safe for the audience that the POTUS does a Town Hall on Thursday (Oct.14). Mark wants us at NIH to repeat the PCR and CT values to get an independent voice here since the press does not trust Sean Conley or the Walter Reed people since they believe that these folks are afraid of the Commander-in-Chief. However, Mark does not want to admit that we need to go to NIH and so he wants NIH to do the PCR but have me not say that it was done at NIH, but only say that I will vouch for the results. Really ridiculous. Cliff will do the swab on Thursday and run it at NIH. I needed to respond to the misrepresentation of my support forTrump by the GOP campaign and so when Kaitlan Collins contacted me about it, I issued a statement that she tweeted: "In my nearly five decades of public service, I have never publicly endorsed any political candidate. The comments attributed to me without my permission in the GOP campaign ad were taken out of context from a broad statement I made months ago about the efforts of federal public health officials." It went totally viral on twitter and several networks and cable reported it. The GOP campaign hit back by giving other quotes from me saying that I did indeed support what the POTUS was doing. However, they left out all f my criticisms, and besides in none of those quotes did I endorse the POTUS. Now the GOP campaign is tweeting everything that I ever said positive about our effort trying to call me a liar about denying that I am favoring Trump. This is turning into an ongoing war between me and the GOP campaign. Nate Silver tweeted that the GOP campaign is really stupid to pick a fight with Tony Fauci just a couple of weeks before the election. Jon Karl called out Alyssa Farah on "This Week" saying that she would not let me on the show. He then asked for any medical or TF person including Redfield, 11 October 2020 The overall picture continues to deteriorate raising concerns across the United States there are deeply concerning trendlines across the upper North West Upper Mid West and now the NorthEast, Rising test positivityand cases and now resulting in rising hospitalizations, NO, MT, WY all have populations size similar to VT, MH, and Maine and had test pasitivity rates equal ta the these Morth East States 2 manths ago and are now in fulllog spread, Low populationdensities and small metros are nat protectian trom viral spread inthe community and leads to increased hospitalizations and deaths Currently the Heartland 6 states with less than 19M total population had #5 deaths yesterday (ona low day of reporting) and is growing daily Small clusters can rapidly and silenth spread to large outbreaks -- this spreadis preventable with aggressive mitigation: this is mot about shutting down but using the clear evidence based mitigation that has worked -- which requires behavioral changes both in public and private. The Sunbelt continues to contribute significant daily cheaths showing the significant delay between improvement in the pandemic picture and continued fatalities. I haveincluded serial pictorial analysis to demonstrate the speed of spread and continued tatalities trom the summer spread and the need te prevent the initial silent community spread [through aggressive testing} in order to impact hospitalizations and fatalities It is clear I was mot "alarmist" atew weeks ago when we brought tonvard these concerns and the need ta continue to agaressively mitigate ona National level and absolute necessity of the Administration to continue to stress the importance of masks, physical distancing and aveiding gatherings in both public and private spaces Birx, Hahn, Giroir, or even Pence. She ignored that and tweeted that Karl did not ask for anyone else but me. Karl got furious and tweeted his tweet to her showing her up to be a liar. She responded and said she must have "missed the text". PRESS: Opinions Distinguished person of the week: Fauci calls out Trump's recklessness Opinion by Jennifer Rubin Columnist
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Oct. 11, 2020 at 7:45 a.m. EDT 7,700,000/2 14,100
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October 12, 2020 Global - 37,400,000/1,100,000; USA - 7,700,000/214,100 Continued confusion about whether I am allowed on shows. Jake Tapper was told by Alyssa that it is OK to put me on his show. When Patty and CNN tried to make the arrangements, WH comms said that they did not know anything about this. Jon Karl and Wolf Blitzer also trying in vain to get me on. All day and evening press dominated by the conflict between me and the GOP Campaign regarding their campaign ad featuring me. The press are making Trump look very bad saying that trump is not running against Biden, he is running against Tony Fauci. The Epi outbreak situation is deteriorating (See below) ba Percent positivity (%) wae National === Red States w=se= Orange States === Yellow States === Light Green States Dark Green States 15-Mar 15-Apr 15-May 15-Jun 15-Jul 15-Aug 15-Sep 12 October 2020 This is the most serious combination of factors we have seen since the epidemic began. There are conceming trends across the United States in nearly every state above the sunbelt where temperahires are dropping. Many states in the heartland and upper midwest and MT, WY, ND. SD. ID, UT are reaching all time highs in case members and this is expamding to OO, IL, IN.OH MON, WM and nearly every states has increasing cases aud deeply concerming trends. Prior experience with the virus in the state is wot resulting in any level of significant "protection", MND, MT, WY all have populations size similar te VT, NH, and Maine and bad test positivity rates equal to the these North East States 2 months age and are mow in fall leg spread -- this could move in the same way in VT. NH, ME. Low population densities amd small metros are mot protection trem viralepread in the community aud leads to increased hospitalizations and deaths Small clusters are rapidly and silently spreading to ever larger comunity outbreaks -- this spread is preventable with aggressive mitigation including aggressive ecutive] surveillance testing te find the silent spread aud inumediately isolate asymptomatic cases: this is wot about shutting down but using the clear evidence based mitigation that hae worked -- which requires behavioral changes both im public amd private. The Sunbelt contiones to contribute significant daily deaths showing the significant delay between improvement in the pandemic picture and contimed tatalities. Fatalities will begin to rise across the US in the next 1-2 weeks and willoot be offset by declines in the sunbelt. There if an absolute necessity of the Administration to wee this moment of the WH outbreaks to ask the Anverican people to wear masks. physical distance and avold all gatherings in both poblc amd private spaces -- if this level of virus moves indoors with the rate of log spread the US conld be at over LOUK cases daily by the beginning of November. There needs to be a personal call to action this week. This ismot about shopping but about small dinwer parties creating spreading events. AREA OF CONCERN CON M I arma ot Go a oneraney ye Soanty Orval SI ney prPESS Inno gr Seqasod tho erie There wert ACC heaton: based on currentand recenth flory of GSR aRIIS Ng Cal toetne bos ator (1) Gowurden--commurises with minimal actvity () Moderate Burden. with mode rakediemane activity Emerging Hotapet commu nes with angriRen Go Lo become ots pots in themes 1-Tekrs (Hiotepat--communies hat have reacheda threshold cd cea SC Inity Gonrecered) ao berg) C1Page Erde SiSustainediHotspot--communiies that havehadahigh suntaned CAGE BUDE and Tey ie Nghe Sk hor Eapeiencng NeainGaTe ESnUTe Iimeaons (8 High Burden --Recoving--communiies that wernrccmty Henlied aerolspos and ae now mprovirg (T)Mogerate Burien--Resaving (cnr lies Peal havea moderate hevelofbunien, but ae-demorsining improvement Se Oe Source aces Po ror HL Counties by AOC ewer Cie a A = os -- baa! SM Hees Reh MOL Oooo RMT Ba id ipa La Global USA This map displays COVID Risk Levels for each county in the United States. Hover over a county for detailed information on cases State/County Rank Daily new Dailynew , and deaths counts. Risk Levels are calculated based on daily cases per 100,000 population (7 day rolling average). See Daily New cases per cases (7d Cases for actual number of confirmed cases (7 day rolling average). 100k people moving Learn more (7d moving avg.) = ermine meee [+] North Dakota 530.9 South Dakota 592.9 Montana 581.1 Wisconsin 2.626.7 [#4] Idaho 623.6 [+] Nebraska é 642.9 [4] Utah 1,036.4 [+] lowa 1,015.7 Tennessee 1,959.6 Arkansas 855.4 Missouri 1,713.1 f+] Wyoming 158.3 Oklahoma 1,062.7 [}] Alaska 183.4 Kentucky 1,096.7 Kansas 682.4 Minnesota 1,211.7 [#] Mississippi 634.9 [+] Indiana 1,418.4 I OO ES Risk Levels: Green Yellow Orange Red et Meee sin 2.5253 Microsoft Information about Sources Contact us at: Al for Health Click Here ai4hc19@microsoft.com PRESS: CNN Jake Tapper - "The Lead"; CNBC - Shepherd Smith; complete filming for CBS "60 Minutes" for next week with Jon LaPook;
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October 13, 2020 Global USA Increases in cases continue (see map below) Globus USA Mark Meadows has asked me to certify that POTUS is not transmittable for SARS-CoV-2. This relates to the fact that NBC (Savannah Guthrie) execs do not want to host the Town Hall with Savannah moderating on Thursday (10/15/2020) unless they are sure that POTUS will not infect Savannah or anyone else connected with the Town Hall. I offered to have a PCR done here at NIH and to go over all the data with Cliff and certify if appropriate. Cliff went to WH and Sean Conley did nasal swab on POTUS and Cliff brough it back to NIH. Result was CT of 34.3. We then went over all his data including multiple negative cultures and multiple negative antigen tests (see attached document) and clinical course of >10 following onset of sxs and we determined that he was not infectious. I related this to Savannah by phone at 10:00 PM tonight Summary of findings[3].pdf PRESS: Good Day NY TV with Rosanna Scotto; Public Radio - "The World"
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October 14, 2020 - Globus USA Very concerned about the uptick of cases throughout the country in ~30+ states, which is a good predictor of surges. Important as we enter Fall and Winter Season. Also, baseline infections are ~40,000 to 50,000/day. A FEW DAYS AGO, Julia Roberts sent me beautiful flower arrangement. I emailed her my thanks. Scott Atlas still causing problems with his "herd immunity" issue. Continued press coverage of tension between me and POTUS "Barrington Declaration" - Misleading people into thinking that it only measn do not close down country and just protect the vulnerable, when in fact is means go for herd immunity, which will kill many, many people. Ha long talk tonight with Jared Kushner asking his help in getting rid of Scott Atlas. Much activity in the community asking Deb and I to threaten to resign if the White House does not get rid of Atlas. 14 October 2020 Many states in the heartland and upper MidWest and MT, WY, ND, SD, ID, UT are reaching all time highs in case numbers with rising hospitalizations (fatalities are rising but being offset by declines in the Sunbelt keeping rates at 700-800 daily ave). Please review the WH DAILY REPORT -- week of week hospitalizations are rising significantly in thase over 40 yo and over 70. Community spread is expanding to CO, IL, IN,QH MAN, NM and nearly every states has increasing cases and deeply concerning trends. I have included the most concerning 28 states. NO, MMT, W¥ all have populations size similar to VT, MH, and Maine and had test positivity rates equal to the these North East States 2 months ago and are now in full log spread -- this could move in the same way in VT, NH, ME. Low population densities and small metros are not protection from viral spread in the community which will lead to increased hospitalizations and deaths. Small clusters are rapidly and silently spreading to ever larger community outbreaks -- this spread is preventable with aggressive mitigation including aggressive sentinel surveillance testing to find the silent spread and immediately isolate asymptomatic cases : this is not about shut downs or lock downs but using the clear evidence based mitigation that has worked -- which requires behavioral changes both in publle and private. The Sunbelt continues to contribute significant daily deaths showing the significant delay between improvement in the pandemic picture and continued fatalities. Fatalities will begin to rise across the US in the next 1-2 weeks and will not be offset by declines in the sunbelt. There is an absolute necessity of the Administration to use this moment of the WH outbreaks to ask the American people to wear masks, physical distance and avoid gatherings in both public and private spaces . WHY NOT REPLACE COLUMBUS STATUES WITH FAUCI STATUES? DR. FAUCI IS AN TRYING TO FIGHT DISEASE, INSTEAD OF SPREADING IT ALL OVER THE CONTINENT. PLUS HE'S SHORT, SO YOU SAVE ON MARBLE. PRESS: Major article in Washington Post by Yakamura, Dawsey and Yasmeen Abutaleb discussing tension and "feud" between POTUS and me; CBS.com live stream with Norah O'Donnell; CBS Evening News; WABC Radio Interview - Conversations in Healthcare; Open discussion of conflict with WH: Global USA Trump's COVID Task Force Is Now Openly Rebelling Against Him From Fauci to Birx to Redfield, the president's top health officials appear to be at their wits' end. Erin Banco Asawin Suebsaeng Sam Stein
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October 15, 2020 Global USA As the election nears, the cases increase and surges are inevitable as we enter cooler weather. Trump is on the campaign trail spewing nonsense. He is really out of control. A true embarrassment. AREA OF CONCERN CONTINUUM Babe toriaizoag Area of Concern Continuum by County Sheen ie tier: ial Pain rare - 130C T2020 sre 7 possible ACC Cassifications based on current and recent history of case and testing data forihe location: (T) LowBurden--commniundigs with mriniceal activily (2) Moderate Burden--communties with moteratadissase activity (Emerging -- communities with ahigh likelihood to become hotspots in the next 1-7 days (@jHotspot-- communities that have reached athreshold of disease activity considered asbeing ofhigh burden (S)Sustained Hotepot-- communities that have had a high sustained case burden and may be higher nsk for experiencing healthcare resource limitations (6) High Burden--Resoting--conmunites that wererecently identified as hotspots and are nowimpnoving (F)Moderate Burden-- Resolving -- communities that have a moderate level of burden, but are demonstrating improvement See Data Sources viethods slides for more information. AOC Category Low or Moderate HOC Categery aver tire Burden a) = Emargingy Thetis: Hobspet Te I eel aa Sustained reo! % Hotsget (> " High ar we Lose a a » Moderate = esteem Buran - sa 2 eed Soli Fiasab ing Meg ce MC ME = oe ee Be ee) This from the New York Seems like the POTUS is desperately attacking me. This from the New York Post: Here's the Trump quote: "Tony Fauci, he's a nice guy. He said this is not a threat. This is not a problem. Don't worry about this... he said do not wear a mask. Do not wear a mask under any circumstances. Don't wear a mask -- don't, don't, don't, right? So we don't wear a mask. Then they say, oh wear a mask. I never saw, did you ever see any conflicts? but he's a nice guy so I keep him around, right? We'll keep him around. "He is a Democrat. everybody knows that. He's Cuomo's friend. Cuomo did the worst job of any governor in the United States. Almost 40,000 people died more, and 11,000 at least -- and you know I gave him this big convention center, 2,800 beds, he didn't use it. I gave him a ship. I gave him the great hospital ship meant for wars... it's incredible, they didn't use it. Instead they sent sick people back into nursing homes, right? It's a disgrace." -- Steven Nelson New York Post Global USA Signal/cell: 202-805-0625 When the POTUS said this to the crowd in North Carolina, as he mentioned my name, the crowd booed and he encouraged this. On the evening cable shows CNN Anderson Cooper said this was a terribly childish thing to do to a career public servant like me. PRESS: Good Morning America with George Stephanopoulos (ABC) - I blew away the Great Barrington Declaration; Yahoo Finance Interview; PBS Firing Line with Margaret Hoover.
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October 16, 2020 - Global USA Surges continue. See Birx slides below Red states I ght Dark Green states (>10% positive) ] (<3% positive) AK, AL, AR, GA, IN, MN, I AZ, CO, FL, HI, IL, LA, MD, MS, NC, ND, NV, TN, TX, I MI, NJ, NM, OH, PA, WA, VA WV, WY CA, ID, MT, NE, SD, UT, I 1A, KS, KY, MO, OK, OR, wi SC CT, DC, DE, MA, ME, NH, NY, RI, VT Confirmed Cases (Thousands) 16 October 2020 Test positivity, cases, hospitalizations and fatalities continue to rise week over week without evidence of containment due to insufficient mitigation in and by the community. In full log phase of spread (broad community spread) resulting in infection of vulnerable individuals in the community - unrelenting in the heartland and the upper north west and mid west. There are early signs of deterioration in the North East but with focused testing targeting the silent spread could prevent the extension to older individuals in the community by containing the infections. This sequence of events must stop with the initial silent spread that can be effectively contained and mitigated. We have found from careful analysis, modelling and triangulation of all the data that community spread can be controlled without a lockdown as we have done but the time to act is critical and must be with the original detection of the silent spread with messaging on universal masking, physical distancing, and essential limitation of private gatherings as public spaces have become more consistently physically distanced and masked. Small clusters are rapidly and silently spreading to ever larger community outbreaks -- this spread is preventable with ageressive mitigation including aggressive sentinel surveillance testing to find the silent spread and immediately isolate asymptomatic cases : this is not about shut downs or lock downs but using the clear evidence based mitigation that has worked -- which requires behavioral changes both in public and private and clear high level messaging. The Sunbelt contributes daily deaths showing the delay between improvement in the pandemic picture and continued fatalities. Fatalities will rise across the US in the next week and will not be offset by declines in the Sunbelt. Due to poor community mitigation efforts these fatalities will continue to rise but could be prevented with a call to action. There is an absolute necessity of the Administration to use this moment to ask the American people to wear masks, physical distance and avoid gatherings in both public and private spaces. New Daily Confirmed COVID-19 Cases in the U.S. rt] Pe sin yt S J a3 / y / l he sa VA VA 'a Ua em f M La M4 Palin bs " NAT P ear " o alll ee hel J d 7, oH f " a Fa] it) E rs a = is th my A be i a is fe me a ie an a Ty Ay r a oe by a ee a ee Se ee i Oo) mes? Ory Movie Aviiape Cases continue to climb:
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October 17, 2020 (Saturday) Got call at 5:53 AM from Deb Birx who reported to me about yesterday's activities at the WH. Atlas did not come to White House. However, at the "huddle" in the Confirmed Cases (Thousancs} te te, _--SSS_-- Si New Daily Confirmed COVID-19 Cases in the U.S. Sg * iy 45, #2 Day eee Day Mowing Avarage er By ty ig Be "fy tay, AM he tried to undermine everything that Deb and I have been saying about how to contain the surges. He explicitly wants to never do contact tracing and never isolate any person who is infected. He feels that this constitutes a "lockdown' and feels that the POTUS does not want to lock down. We (Deb and I) have repetitively said that we do not want to lock down. Atlas has convinced the entire White House. My conversation with Jared a couple of days ago obviously did not convince him since he told Deb yesterday that the POTUS likes differences of opinion and so we should just work it out. THIS IS VERY REMINISCENT OF AIDS DENIALISM WITH THABO MBEKI when it went beyond differences of opinion and >300,000 South Africans died without ART because he believed from Duesberg et al that HIV did not cause AIDS Cases continue to surge (see graph below). Could possibly start to overwhelm hospitals in some more rural areas. 1/7 October 202 31 states with increasing test positivity (simultaneously more than we have had from the beginningofthe pandemic], 28 states with red zone number of cases/ 100,000 and many with a log phase rate of rise, 29 states with increasing daily haspitaladmissians, 21 states with rising fatalities, ER room visits for CLI are increasingin many regions. This is the broadest geographic spread we have had since the beginning of the pandemic and the rest states with rising hospitalizations. With current case rate expansionwe will achieve the greatest number of daily cases since the pandernic beganin the next week. Thisi¢ not due te increased testing but bread and ever increasing community spread -- there is significant new community spread in states with prior experience with this virus. There are no states, regions, or communities with enough prior COVID infection ta provide any substantial protection fram new carnimunity spread leading to hospitalizations and fatalities. This sequence of events must stop with the initial silent spread that can be effectively containedand mitigated. We have found trom careful analysis, nvodelling and triangulation ot all the data that community spread can be controlled without a lockdown as we have done but the tinve to act is critical and must be with the original detectian of the silent spread, ensuring infected individuals know how to limit their intection of others and with messaging on universal masking, physical distancing, and essential limitation of public and private gatherings indoors, There is an akeeolute necessity ol the Administration te wee this mormernt toask the American people towear masks, physical distance and avoid gatherings in both public and private spaces. WI, M1, AM are already constrained in buran resources te suppeort the increasing hospitalization rates and even with quer interventions the case fatality rate remains at 9% for Americans over 40, Soo slide # showing the relatioreshipat prior flu seasons fatalities with COVIDTS, nm sam Number Influenza Coded Ceathe. aa Fe ome Number COWID-19 Coded Death '4 --*, of Deaths Dus to PIC "e000 -- Seasonal Baseline Epidemic Threshold 14000 v 12000 Tiss) EH a] ; won 2 = = BOo0 # o ne Won naHhae Wh nmDDtD DM we Do OH w MMWR Week -- 8,100,000/218,500
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October 18, 2020 - Global - 39,600,000/1,100,000; USA - 8,100,000/218,500 Surge continues: 18 October 2020 See slide 4 -- this is the most diffuse community spread we have experienced and we are 1-2 weeks from these new cases rapidly filling state hospitals and straining their system and 2-3 weeks from escalating fatalities. 31 states with increasing test positivity (the most we have ever had), 28 states with red zone number of cases/100,000 and many with a log phase rate of rise, 29 states with increasing daily hospital admissions, 21 states with rising fatalities. ER room visits for CLI are increasing in many regions. We are on the same slope as the summer surge but at a much higher baseline of infection 36K vs 21K which will lead to potentially 80K cases/day rapidly. With current case rate expansion we will achieve the greatest number of daily cases since the pandemic began in the week or two. We are now seeing concerning trends in the Sunbelt in states that stopped most of their mitigation efforts 2 -- 3 weeks ago This is not due to increased testing but broad and ever increasing community. There are no states, regions, or communities with enough prior COVID infection to provide any substantial protection from new community spread which will lead to hospitalizations and fatalities. This sequence of events must stop with the initial silent spread that can be effectively contained and mitigated. We have found from careful analysis, modelling and triangulation of all the data that community spread can be controlled without a lockdown as we have done but the time to act is critical and must be with the original detection of the silent spread, ensuring infected individuals know how to limit their infection of others and with messaging on universal masking, physical distancing, and essential limitation of public and private gatherings indoors. The Administration must use this moment to ask all the American people to wear masks, physical distance, avoid crowds and gatherings in both public and private spaces and protecting their vulnerable family members. One Consistent Message. https://bit.ly/37jp8fs Baby Blues by Jerry Scott and Rick Kirkman Hilarious song about mask wearing: https://bit.ly/37jp8fs Not allowed on any shows. Meet the Press and Face the Nation asked for me. WH gave Alex Azar to Meet the Press Global USA 19 October 2020 1. Slide ? illustrates the global cases yesterday knowing this is lower due to weekend. 2. See slide 5 --this is the most diffuse community spread we have experienced and we are 1-2 weeks from these new cases rapidly filling hospitals in urban and rural areas making load balancing difficult and straining the hospital system and 2-3 weeks from escalating fatalities. UCG needs to escalate readiness this week. 3, 31 states with increasing test positivity (the most we have ever had), 28 states with red zone number of cases/100,000 and many with a log phase rate of rise, 29 states with increasing daily hospital admissions, 21 states with rising fatalities. ER room visits for CLI are increasing in many regions. 4. Weare on the same slope as the summer surge but at a much higher baseline of infection 36K vs 21K which will lead to potentially 80K cases/day rapidly. With current case rate expansion we will achieve the greatest number of daily cases since the pandemic began in the week or two. 5. We are now seeing concerning trends in the Sunbelt in states that stopped most of their mitigation efforts 2-3 weeks ago 6. Thisis not due to increased testing but broad and ever increasing community. There are no states, regions, or communities with enough prior COVID infection to provide any substantial protection from new community spread which will lead to hospitalizations and fatalities. Cases are rising again across the Sunbelt and moving into the North East. 7. This sequence of events must stop with the initial silent spread that can be effectively contained and mitigated. We have found from careful analysis, modelling and triangulation of all the data that community spread can be controlled without a lockdown as we have done but the time to act is critical and must be with the original detection of the silent spread, ensuring infected individuals know how to limit their infection of others and with messaging on universal masking, physical distancing, and essential limitation of public and private gatherings indoors. Red states Dark Green states (>10% positive) (<3% positive) AK, AR, AZ, CO, FL, GA, IL, MI, MN, NC, NM, OR, SC, TX, VA ID, MO, MT, NE, OK, SD, AL, IA, IN, KS, KY, MS, UT, WI ND, NV, TN CA, HI, LA, MD, NJ, OH, I CT, DC, DE, MA, ME, NH, PA, WV, WY NY, RI, VT, WA PRESS: (Sunday) -CBS "60 Minutes" with Jon LaPook
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October 19, 2020 - Global USA Things getting worse and worse, and still the White House espouses the "herd immunity" nonsense from Scott Atlas. I am ashamed of Alex Azar for embracing this. See PRESS below. Trump is on tear trashing me saying that I am a "disaster", going on about my throwing arm at the Nats opener, tweeting constantly about me, saying if he had listened to me 500K people would be dead by now. Calling the Task Force people "idiots" He is really sounding totally crazy. He must have driven over the edge by the incredibly well-received profile of me last night on CBS "60 Minutes" The response of my supporters with e-mails, texts, and tweets has been overwhelming. Some examples of hundreds of e-mails and texts: Text from Joan Baez - "I hope you're celebrating. It's an honor to be attacked by that miserable fuck". Text from Hilary Rosen - "14 more days. Hang in there. We need you. That fuckhead isn't fit to tie your shoes. 😊 Xo Hilary" uation on the TF CNN jumped all over zTrump for doing this. PRESS: CBS/KNX Radio - Los Angeles; Washington Post article describing situation on the TF Trump's den of dissent: Inside the White House task force as coronavirus surges By Yasmeen Abutaleb, Philip Rucker, Josh Dawsey and Robert Costa
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Oct. 19, 2020 at 6:00 a.m. EDT Trump to campaign staff: "Fauci is a disaster" From CNN's Kaitlan Collins https://twitter.com/realDonaldTrump Donald J. Trump @ @realDonaldTrump - 1h " ..P.S. Tony should stop wearing the Washington Nationals' Mask for two reasons. Number one, it is not up to the high standards that he should be exposing. Number two, it keeps reminding me that Tony threw out perhaps the worst first pitch in the history of Baseball! ©) 112K TE FISK ) 40.1K T Show this thread Donald J. Trump @ @realDonaldTrump - 1h ss Dr.Tony Fauci says we don't allow him to do television, and yet I saw him last night on @60Minutes, and he seems to get more airtime than anybody since the late, great, Bob Hope. All I ask of Tony is that he make better decisions. He said "no masks & let China in". Also, Bad arm! © 115K Ti 15.6K @ 49K mL Show this thread -- 8,200,000/220,000
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October 20, 2020 - Global - 40,300,000/1,100,000; USA - 8,200,000/220,000 Had call with "Miami Mayors again (Deb and I). They are starting to see upticks in test positivity in certain groups (younger people - 30-40 y.o.), but not the general population since they are decreasing the number of tests; however, it might not be totally reflective of what is going on. Gov. DeSantis is legally preventing the Mayors from doing what needs to be done. They cannot close bars or restaurants. DeSantis is preventing them from doing what needs to be done. Mayors are frustrated. Phone call with Governor Inslee (D-WA). He wants my help in doing a PSA or an interview to encourage the people of Washington state to abide by public health guidelines since they are experiencing a slight surge in cases when they were previously doing very well. 20 October 2020 have summarized the country month over month since rbd June whieh tells a very clear story. This the most diffuse community spread in both urban and rural counties we have experianced and we are 1-2 weeks from these new cases rapidly filling hospitalsin urban and rural areas making load balancing difficult significantly straining the hospital system and 2-3 weeks from escalating fatalities. UCG needs ta escalate readiness this week. We are on the same slope as the summer surge but at a much higher baseline of infection 26K vs 21K which will lead to potentially BOK cases/dayrapidly. With current case rate expansion we will achieve the areatest number af daily cases since the pandemic began this week or next. We are now Seeing concerning trends in the Sunbelt in states that stopped most af their mitigationeffarts 2-4 weeks age The states organized by red, orange and yellowstatus. There are only 19 states inthe green zones and their cases are alse increasing. Thisis not due to increased testing but broad and ever increasing conmmunity. There are mo states, regions, or communities with enough prior COVID intection te provide any substantial protection fram newecommunity spread which will lead to hospitalizations and tatalities. Thisis very evident by the rising cases again across the Sunbelt and moving into the Marth East. This sequence af events rust slop with the initial silent spread with agaressive sentinel survediance Lesting. Ggaressive testing in the contagious but asymptomatic population with isolation effectively contained and mitigated prior ta intectionaf the more vulnerable community members. Providing appropriate isolation options fram nvultigeneration households will be key. We have found from careful analysis, modelling and triangulation of all the data that community spreadean be controlled wit heut a lockdown as we have done but the tine to act is critical ard must be with the original detection of the silent spread, ensuringinfected individuals know how to limit their infection of others and with messaging on universal masking, physicaldistancing, and essential limitation of publicand private gatherings indoors especially small gatherings with friends and family, Post: PRESS: Front page articles in the Washington Post and the New York Times on Trump attacking me. See NY Times below by Stolberg, Haberman and Weiland; CBS Radio NYC Trump Calls Fauci 'a Disaster' and Shrugs Off Virus as Infections Soar With two weeks remaining in his re-election campaign, President Trump made the coronavirus his message and Dr. Anthony S. Fauci his foil, dismissing scientific advisers as "these idiots." The New York Post: 1. -- > - 8,200,000/220,400 21 October 2020 This the most diffuse community spread in both urban and rural counties we have experienced and we are 1-2 weeks from these new cases filling hospitals in urban and rural areas making load balancing difficult significantly straining the hospital system and 2-3 weeks from escalating fatalities. It will be criticalto ensure that the North East, CA, TX, FL hold during this surge. We are on the same escalating slope from summer but at a higher baseline 36K vs 21K which will lead to potentially 80K cases/day rapidly. With current case rate expansion we will achieve the greatest number of daily cases since the pandemic began this week. This is not due to increased testing but broad and ever increasing community spread, There are no states, regions, or communities with enough prior COVID infection to provide any substantial protection from new community spread which will lead to hospitalizations and fatalities. This is very evident by the rising cases again across the Sunbelt and moving into the North East. We are now seeing concerning trends in the Sunbelt in states that stopped most of their mitigation efforts 2--3 weeks ago. This sequence of events must stop with the initial silent spread with aggressive sentinel surveillance testing. Aggressive testing in the contagious but asymptomatic population with isolation effectively contained and mitigated prior to infection of the more vulnerable community members. Providing appropriate isolation options for infected individuals from multigeneration households will be key. We have found from careful analysis, modelling and triangulation of all the data that community spread can be controlled without a lockdown as we have done but the time to act is critical and must be with the original detection of the silent spread, ensuring infected individuals know how to limit their infection of others and with messaging on universal masking, physical distancing, and essential limitation of public and private gatherings indoors especially small gatherings with friends and family. Consistent messaging about masks, physical distancing and hand washing with limitation on indoor gatherings especially with family and friends is essential at this time point -- this is about empowerment of Americans with data for decision making. The swing for the next two weeks in packet. In reviewing these states I have included the top county profiles to dernonstrate in most states the diffuse type of spread unlike March/April where it was very metro oriented and this spread is urban and rural. I have included the data from the Europe (slide 4) and a new analysis from CDC (slide 17/18) showing that quarantine can be decreased to 7 days with symptom tracking and COVID19 testing on day 4,5, or 6. This should be ready for guidance in a couple of weeks. Violly Roberts -- "Why Fauci Won't Fauci reportedly quotes 'The Godfather' in response to Trump criticisms
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October 20, 2020 I 7:00am I Updated
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October 21, 2020 Global - 40,500,000/1,100,000; USA - 8,200,000/220,400 Se. Patrick Leahy (D-VY) called me to encourage me in light of the POTUS attacks on me. His mother's side of the family is Italian and he said to me "Coraggio" or courage, which his grandmother used to tell him when he was a prosecutor in Vermont. PRESS: Article in Washington Post by Molly Roberts - "Why Fauci Won't Quit"; Dalphonse -- 8,300,000/221,400 Article and cover in Washingtonian magazine: Washington's Very Top Top Doctor Each November, Washingtonian honors the best physicians in our region. This year, Anthony Fauci deserves special recognition. Written by Sherri Dalphonse I Published on October 20, 2020
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October 22, 2020 - Global - 41,100,000/1,100,000; USA - 8,300,000/221,400 Surging continues as does hospitalizations and soon deaths. Atlas continues to spew forth nonsense about letting children and young people get infected and just protect the vulnerable. How do you protect the vulnerable not in nursing homes, i.e. in the community. He feels that wearing masks are worthless and contact ID, MO, MT, NE, OK, SD, I AL, IA, IN, KS, KY, MS, Red states N Sta' Dark Green states (>10% positive) 5- iti 20sitive) (<3% positive) AK, AR, AZ, CO, FL, GA, IL, MI, MN, NC, NM, OR, SC, TX, VA CA, HI, LA, MD, NJ, OH, I CT, DC, DE, MA, ME, NH, UT, WI ND, NV, TN PA, WV, WY NY, RI, VT, WA 22 October 2020 Diffuse community spread in both urban and rural counties continues and we are 1-2 weeks fram these new cases filling hospitalsin urban and rural areas making load balancing difficult significantly straining the hospital system and 2-3 weeks from escalating fatalities. tt will be critical ta ensure that the North East, C4, TX, Fl held during this surge. There are early upticks across FL metros, Across the North East and upper midwest previously stable cities are seeing increases, Philly, CHI, Detroit. Daily hoepital admissions are higher than summer peak [summer curge lead to LOOK fatalities). Fatalities are increasing in IL, OH, PA, Wi, iN Overall same escalating slope from summer butin more states and ata higher baseline 36K vs 21K which will lead te potentially 80K cases/day rapidly ifthis escalatingis not mitigated, Week over week we are O-7E hiaheron average. Thisis net due te increased besting (many states have decreased testing rates) but bread and ever increasing com©munity spread. There are ne states, regions, or communities with enough prior COVID infection ta provicke ary substantial protection from new comunity spread which will lead ta hespitalizations and fatalities. This is very evident by the rising cases again across the Sunkeelt and neaving inte the Nerth Last. We are now seeing concerning trends in the Sunbelt in states that stopped most of their mitigationettorts 2 = 3 weeks ago. This sequence af events rust slop with the initial silent spread with agaressive sentine| surveillance lesting. Ggeressive besting in the contagious but asymptomatic population with isolation effectively contained and mitigated prior to infectional thee mare vulrerakehe community members. Providing appropriate isolation options for infected individuals from multigeneraticn taueee bolls will ke key. We have found from careful analysis, modelling and triangulatian of all the data that community spreadean be contreelled wit hut a lockdown as we hawe chores but the tinee be act is critical and must be with the original detection of the silerct spread, ensuring infected individuals know how to limit their infection of others and with messaging on universal masking, physical distancing, and essential limitation of publicand private gatherings indoors especially small grat herings with friends and family, Consistent mecaging about masks, physical distancing and hand watching with limitation on indoor gatherings eepecially with family and friends i¢ es¢ential at this tine point -- this it about empowerment of Americans with data for decision making. 8,400,000/222,400 tracing and isolation is actually locking down. The WH is letting him do this. Borders on criminal. Got call from Mark Meadows from Nashville with the last Presidential debate takes place. Mark said that they want to put up a plexiglass plate between Trump and Biden and Trump feels that this is a distraction. Mark called me to ask my opinion and I confirmed that it is unnecessary. The POTUS is not infected nor is Biden. Mark thanked me and a few minutes later Dr. Kens Sands (Physician for the debate) called me at Mark's suggestion to discuss the details of our data that the POTUS is no longer transmissible. I gave him eth CT number of 34.3 CT and the negative antigen tests and cultures. He was satisfied. Amazing → POTUS days I am an "idiot" and a "Disaster" and then counts on me to verify about his health.
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October 23, 2020 Global - 41,600,000/1,100,000; USA - 8,400,000/222,400 Last night was final Presidential Debate. POTUS still insisting that we are turning the corner and all parameters are down. This is completely untrue as per the summary below from Deb Birx. Also, after the moderator brought up the fact that POTUS called me and others "idiots" he continues to say that I am a nice guy Confirmed Cases [Thousancs) So Bo So a0 zo io New Daily Confirmed COVID-19 Cases in the U.S. Dh Day eee Day Mowing Avarage E.5 but have been wrong many times. He brings up the "incomplete" quote where I say that: ".....at this time, we do not need to do anything different", yet he leaves out the second part of the sentence: "......however, it really is an evolving situation, and we have to be prepared for the worst". This was a quote from me on CNN on January 20, 2020. On Jan. 21, the 1st travel-related case was detected in the USA. On Jan. 24 the 2nd travel-related case was detected and on Jan. 30 the 1st person-to-person spread of SARS-C0V-2 was confirmed in the USA. Therefore, I was warning that we needed to be prepared for the worst even before the 1st case was detected in the USA. Also, he said again that I am a Democrat and brings up my early (and very brief) statement on masks. Fact checkers showed he lied dozens and dozens of times during the debate. • Did Fireside Chat with the Aspen Group - Sibelius, Thompson. Very well received. Had dinner at my home with Jake and Jennifer Tapper. Relaxed, good time. Jake clearly believes that Trump is totally nuts. Hit 83,000 new cases today. The single day record since the beginning of the outbreak: Surge continues: 1. 2. 3. 4, 22 October 2020 Rapid viral spread in both urban and rural counties continues and these new cases are filling hospitals in urban and rural areas making load balancing difficult significantly straining the hospital system -- we are 1-2 weeks from escalating fatalities. It will be critical to ensure that the North East, CA, TX, FL hold during this surge but there are early upticks across TX, FL metrosand across the Sunbelt, All-time record high numbers of cases expected tomorrow or next week and test positivity and hospitalizations continue to rise making it clear there is diffuse community spread and not testing -- current testing and Ag tests have not been aligned to detect the silent spread as universities have done -- Universities with routine required weekly testing has allowed universities to find the asymptomatic cases and isolated those cases quickly and dramatically decrease "community" spread among students -- the same approach can work at the community level... Across the North East and upper Midwest previously stable cities are seeing increases, Philly, CHI, Detroit. Daily hospital admissions are higher than summer peak (summer surge lead to 100K fatalities). Fatalities are increasing in IL, QH, PA, WI, MN This is not due to increased testing (many states have decreased testing rates) but broad and ever increasing community spread. There are no states, regions, or communities with enough priar COVID infection to provide any substantial protection fram new community spread which will lead to hospitalizations and fatalities. This is very evident by the rising cases again across the Sunbelt and moving inta the North East. This sequence of events must stop with the initial silent spread with aggressive sentinel surveillance testing. Aggressive testing in the contagious but asymptomatic population with isolation effectively contained and mitigated prior to infection of the more vulnerable community members. Providing appropriate isolation options for infected individuals from multigeneration households will be key. We have found from careful analysis, modelling and triangulation of all the data that community spread can be controlled without a lockdown as we have done but the time to act is critical and must be with the original detection of the silent spread, ensuring infected individuals know how ta limit their infection of others and with messaging on universal masking, physical distancing, and essential limitation of public and private gatherings indoors especially small gatherings with friends and family. Consistent messaging about masks, physical distancing and hand washing with limitation on indoor gatherings especially with family and friendsis essential at this time point -- this is about empowerment Americans with the knowledge and data for decision making. - 8,500,000/223,400 PRESS: MSNBC - Chuck Todd - Meet the Press Daily; BBC TV Andrew Marr Show; CNN with Erin Burnett
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October 24, 2020 Global - 42,100,000/1,100,000; USA - 8,500,000/223,400 Much discussion in the press that the outbreak is out of control as we enter the cooler months. POTUS keeps saying that we are "turning the corner" and this will be under control very soon. Press pitting this against what I and other credible scientists are saying. 1. 2. 3. 4, 6. 7. 10, 11. ll oll tel 10. il. 24 October 2020 Rapid viral spread in both urban and rural counties in most states, Cases are filling hospitals in urban and rural areas significantly straining hospital personal- we willsee escalating fatalities. Cases are again increasing across the Sunbelt with upticks in the North East. Cases will continue to hit all time highs week over week as the core mitigation efforts and targeted testing for asymptomatic infection in those under are not occurring. Current testing and Ag tests have not been aligned to detect the silent spread as universities have done -- Universities with routine required weekly testing has allowed universities to find the asymptomatic cases and isolated those cases quickly and dramatically decrease "community" spread among students -- the same approach can work at the community level. Slide 2 Daily hospital admissions are higher than summer peak (summer surge led to 100K fatalities), We are now well above those daily admissions. There has not been an improvement in CRF since July (when improved by 62%) -- ensuring access to new promising therapeutics is critical Increased cases are not due to increased testing but broad and ever increasing community spread. There are no states, regions, or communities with enough prior COVID infection to provide any substantial protection fram new community spread which will lead to hospitalizations and fatalities. This is very evident by the rising cases again across the Sunbelt and maving into the North East. This sequence of events must stop with the initial silent spread with aggressive sentinel surveillance testing. Aggressive testing in the contagious but asymptomatic population with isolation effectively contained and mitigated prior to infection of the more vulnerable community members. Providing appropriate isolation options for infected individuals from multigeneration households will be key. It is critical te act now finding the continued source of silent spread, ensuring infected individuals know how to limit their infection of others and with messaging on universal masking, physical distancing, and essential limitation of public and private gatherings indoors especially small gatherings with friends and family, Consistent messaging about masks, physical distancing and hand washing with profound limitation on indoor gatherings especially with family and friends is essential at this time point -- this is about empowerment Americans with the knowledge and data for decision making. 8,600,000/224,2200 25 October 2020 Rapid viral spread in both urban and rural counties in most states. 11 States are in the red zone in the orange zone (19 total) : included Alaska so FEMA can check on their capacity -- cases are primarily Anchorage >> Fairbanks Testing has been flat or declining in all but? of these 19 states over the past 1-2 weeks : cases are nat increasing due to increasing tests Cages are filling hospitals in urbarnand rural areas significantly straining hospital personal--we are now seeing escalating fatalities. Cases are againincressing across the Sunbelt with upticks in the Marth East, Cases will continue te hit all tine highs week overweek as the core mitigation efforts and targeted testing for asymptomatic infection in thase under are netoaccurring. (Lastweek we were up nearly 9k high aver high and with current slope it means we could cress LOOK in 2-3 weeks) Current testing and Agtests have not been alianed to detect the silent spread as universities have dane -- Universities with routine required weekly testing has allowed universities to tind the asymptomatic cases and isolated those cases quickly and dramatically decrease "community" spread among students -- the same approach can work at the conmnounity level. Slide 2 Daily hospital admissions are higher than summer peak (summer surge bed ta 100K fatalities). We are new well abowe these daily admissions. There has not been an improvement in CAF since July (when improved by 62%) -- ensuring access to mew promising therapeutics is critical This sequence of events must stop with the initial silent spread with aggressive sentinel surveillance testing. Aparessive testingin the contagious but asymptomatic population with isolation effectively contained and mitigated prior ta infectionaf the more vulnerable community members. Providing appropriate isolation options for infected individuals trom multigeneration house holds will be key. It is critical to act now finding the continued source of silent spread, ensuring infected individuals knay how ta limit their infection af others and with messaging on universal masking, physical distancing, and essentiallimitation of publicand private gatherings indoors especially small gatherings with friends and farnily. Consistent meeaging about masks, physical distancing and hand washing with profeund limitation on indoor gatherings especially with family and friends is eseential at this time point = this is about empowerment Americans with the knowledge and data fer decision making. Adam Silver, Commissioner of NBA, wrote me a nice letter thanking me for helpingto make the NBA season successful and safe
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October 25, 2020 - Global - 42,500,000/1,100,000; USA - 8,600,000/224,2200 Confirmed Cases (Thousands) New Daily Confirmed COVID-19 Cases in the U.S. Bo ro / Wl i, F ry\ I I } N / h a0 A I ra a Fal ' i I zo Ti] 0SSH Ts Hs segues ses esresessss sy eee Fy Moving Avorage Mew Positive Tests Reported By Day Cer Larmnyees Testing (COPE caer pnt. reining es ley croe ranges af bata pilin beets "° University of Wisconsin (33K students) cf Tested only symptomatic students and thase Be exposed, Isolated and quarantined © 3500 + students infected [ Pits BS no 1S uo ae a FE al - - at FPP POP PF OP LE EEE SIE EEE BE ES ES ES Boston University (32K students) Tested all students weekly ® Found both symptomatics and asymptomatics I>75%) © |solated and quarantined 150 total students infected oti I Ht I Aug 2020 Sep 2020 Oct 2020 ty Bs, of De "a4 5 $ The slide below demonstrates why it is important to test both symptomatic ad asymptomatic people. WH (with pushing by Atlas) is saying you only show test symptomatic people, Colleges are good example See below: Ave. daily cases per million in rural areas I iy /00 The Worst Virus Outbreaks in the U.S. Are Now in Rural Areas VP and WH saying that VP is "essential personnel" and so an continue his work. Had conversation with Marc Shot by phone today. I reached out to him to offer any help or advice that he might require. He was very appreciative. Mark Meadows on TV with Jake Tapper on SOTI (CNN- Sunday) saying we cannot control the pandemic, but we will fight it with therapies and vaccines. This is the Scott Atlas approach. This is interpreted by many and played up by Biden that the administration has essentially "given up" on trying to control the pandemic and have admitted failure. - 8,600,000/224,600 26 October 2020 1. Rapid viral spread in both urban and rural counties in most states. 12 States are in the red zone 7 in the orange zane (19 total) there are now only 17 statesin light and dark green status 2. Testinghas been flat or declining since mid September so thisis net testing driving up cases but significant viral spread with rising test + 3. Cases arefilling hospitals in urbanand rural areas signiticantly straining hospital personal--we are now seeing escalating fatalities which will continue well inta December. Tracking daily hospital admissions. 4. Cases are again increasing across the Sunbelt with upticks in the Marth East. Included are major metro profiles with continued hiah plateaus (midwest metros), rapidly rising cases (Chicago, El Paso), or recent upticksin cases (NYC, BOS, Philly) 5. Cases will continue te hit all tine highs week overnweek as the core mitigation efferts and targeted testing far asymptomatic infection int those under are notaccurring. (Lastweek we were up nearly 9K high over high and with current slope it means we could cross LOOK in 2-3 weeks] Current esting and Ag tests have not been aligned te denect the silent spread -- the camrmunity of university stucbents show us that rapid Holation of asymptomatic as well as symptomatic aes nal onky stopped cammunity spread but enabled mere activities and marein person classes = controlling the pandemic community by community increases opportunities notdecreasing. The universities that did nat isolated the asymptomatic infections had many more studentsin isolation and quarantine (30%) showing the failure ofthis approach 7. There has not been an improvement in CAF since July (when improved by 62%) -- ensuring access to new promising therapeutics is erithcal 8. tis critical toact now finding the continued source of silent spread, ensuring infected individuals know how to limit theirinfection af others and with messaging on universal masking, physical distancing, and essentiallimitation of publicand private gatherings indoors especially small gatherings with friends and farnily. 9. Consistent messaging about masks, physical distancing and hand washing with profound limitation on indoor gatherings especially with family and friends is essential at this time point -- this is about empowerment Americans with the knowledge and data for decision making. Red states w stat ight Gren sta Dark Green states (>10% positive) 8% % positi (<3% positive) AK, AR, AZ, CO, FL, GA, IL, AL, IN, KY, MS, NV, SC, TX I MI, MN, NC, NM, OR, PA, VA, WY 1A, ID, KS, MO, MT, ND, NE, OK, SD, TN, UT, WI CA, CT, HI, LA, MD, NJ, I DC, DE, MA, ME, NH, NY, OH, WA, WV RI, VT Some buzz around my statement on CNN Erin Burnett that I would favor mask mandates if people do not voluntarily wear masks. I clarify with Sheryl Stolberg of New York Times that local (state, city, county) mandates (if any) are better than national mandate. Adam Silver (Commissioner of NBA) sent me a letter thanking me for helping to make the NBA season successful and safe: SKM_C754e2010251 5200.pdf
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October 26, 2020 Global - 43,000,000/1,200,000; USA - 8,600,000/224,600 Surging continues: NWN TO THE PREVIOUS 7 DAYS CASE INCIDENCE IN LAST # DAYS AN eee LT Percent Ghange in Gases per 1K by Gounty -- in the Week 1TOC T20R0-290¢ T2020 bsg Papel Cases per 100K by Goanty -- in the Week 17OCTIO20-2POC TAO TMr, ty f q i 1. Crowds are POTUS insists on having large rallies 1 week before the election. Crowds are close together, many without masks. He is desperate and defiant. On Friday, October 23, the FDA's FDA's Vaccines and Related Biological Products Advisory Committee (VRBPAC) held a meeting chaired by Arnold Monto of Univ. of Michigan and also member Paul Offit (U Penn) to discuss the pros and cons of issuing an EUA after 50 events in a 150 event trial (such as with Moderna and Pfizer). Thankfully, they weighed heavily on keeping the trial going and not unblinding it after the first sign of efficacy, which would negate the further gathering of important data. This is exactly what we had hoped for. Much pressure from Trump and Meadows to get an answer quickly or at least promise that an answer will come quickly. With the VRBPAC recommendation, vaccine (if effective) would not begin to be distributed before January, and not November/December. Over the weekend Gil Omenn called me and said that he had a recent meeting with President Obama and the President did not want to contact me directly sine he felt that this might cause me difficulty with the Trump people. However, he wanted Gil to convey to me how proud he was of me for what I have been doing and standing for and he wanted to express to me how much he admired me. • Went to Clinical Center to visit a young woman (Leslie Adelman) who has Von Hipple-Lindau disease and had a hemangioblastoma in her cerebellum removed last week. Since she was in the hospital she asked her neurosurgeon Dr. Kareem Zaghloul if it were possible to meet me. I, of course, said yes and went to see her. Quite a time. Nurses and physicians all wanted pictures with me. Leslie was delighted. Made my day. Sign in Kensington: . Dr. Anthony Fauci 4. 10. Health Influencer MM-+M FR Global USA 2/7 October 2020 Rapid viral spread in both urban and rural counties in most states, 11 States are in the red zone & in the orange zone (19 total) Hospitalizations are rising in all state categories (red, orange, yellow, light green) except for dark green states at this time -- see daily report Rising community cases leads to rising cases in institutional workers especially LTCF in ND 62% of all LTCF have a positive staff 51% in SD and 42% in MT etc -- community spread does not distinguish between workers or the vulnerable leading to ever increasing hospitalizations and fatalities Fatality rates in people over 70 remains at 10-11% of all cases, Increased access to novel therapeutics will be needed to change this. Cases will continue to hit all time highs week over week as the core mitigation efforts and targeted testing for asymptomatic infection in those under are not occurring. (Last week we were up nearly 9K high over high and with current slope it means we could cross 90K the end of this week and 100K/day the end of the next week --its not the absolute case number but these numbers are an indication of community spread and community spread leads inevitably to infection to those vulnerable to serious complications and deaths) See slide 5 showing the greatest number of counties in the USA ever in high community spread Daily hospital admissions are higher than summer peak (summer surge led to 100K fatalities). We are now well above those daily admissions, This sequence of events must stop with the initial silent spread with aggressive sentinel surveillance testing. Aggressive testing in the contagious but asymptomatic population with isolation effectively contained and mitigated prior to infection of the more vulnerable community members. Providing appropriate isolation options for infected individuals from multigeneration households will be key. It is critical te act now finding the continued source of silent spread, ensuring infected individuals know how to limit their infection of others and with messaging on universal masking, physical distancing, and essential limitation of public and private gatherings indoors especially small gatherings with friends and family, One unified consistent messaging about masks, physical distancing and hand washing with profound limitation on indoor gatherings especially with family and friends is essential at this time point -- this is about empowerment Americans with the knowledge and data for decision making. PRESS: Yahoo Finance TV;
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October 27, 2020 - Global USA Surges continue: AREA OF CONCERN CONTINUUM I Area of Concern Continuum by County cori tiles shay propess rach smyseet tie epidensc. Trine 250C T2020 are 7 possible ACC cassfications based on current and recent history of case and testing data forthe location: (1) LowBurden--commnuinitins with mininnal activily (2) Moderate Burden--communties with moderate disease activity (merging Hotepot-- communities with ahigh likelihood to become hotspots. in the next 1-7 days (4)Hotspot-- communities that have reached athreshold of disease activity considered asbeing offhigh burden (Sustained Hotepot--communitias that have had alhigh sustained case burden and may be higher nek for expenencing healincare resource limitations (6) High Burden--Resolving--communites that wererecently identified as hotspots and are nowimpnoving (?)Moderate Burden--Fesohing --communities that have a moderate level of burden, but are demonstrating improvement See Data Sources Vethods sides for more information. ADC Category Low or F ' Modarate Counties by ACH Cat ower tine Burden 3880) = Emerging het! Hetapot ee |e Sustained Lsoo! % Hetapat C (> te Righ ar Lead Low or Mee Bares » Moderate = a baal Lod Burdan - aa -_ camera Fiasab ing Bag ae Oe Be BI rn . TOR FO FO INO BOO BOOT OO MOG CIO B21 Great Great Fireside Chat with Sharon Lewin et al (Peter Doherty) at Melbourne, Australia. Sharon said that I am a "household name" in Australia. The Australians had zero new infections in the entire city of Melbourne yesterday proving that pure public health measures such a mandatory mask wearing ($1000.00 fine) and avoiding crowds actually works. Alyssa Farah and Roma Daravi (White House comms) are continuing to jerk me around regarding clearances for TV requests. I get 20 requests and they ignore them. We complain, and then Alyssa says that she has no problem with any of them. "Go ahead and work with Roma to schedule". Roma gives us one or two and then we do not hear from them (ignore us) for another week. All the while they are approving Azar and other docs on the task force (Hahn, Redfield, Adams, etc.) Clearly, they do not want me on Major TV, but are afraid to admit it. This must be pointed out in the book! PRESS: WAMU podcast with Diane Rehm; Carnegie Endowment for International Peace - Fireside Chat; Rolling Stone Interview with Jeff Goodell Global USA sident
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October 28, 2020 - Global USA Went on rounds today with a patient with COVID-19 in the SCSU. When I entered the SCSU nurses' station, the group of 5 nurses screamed in delight that I had visited and we took a whole bunch of picture. Brett Rowland (security) was the photographer. White House still claiming that everything is under control and that all that matters is deaths. That is absurd. Deaths are in fact increasing; however, they are completely disregarding the morbidity associated with getting infected and not dying, which could be protracted. Here's A Timeline Of President Donald Trump's And Dr. Anthony Fauci's Relationship. USA Today (10/28, Behrmann, Santucci, 10.31M) reports, "The relationship between President Donald Trump and Dr. Anthony Fauci, the nation's leading infectious disease expert, has publicly eroded as the coronavirus pandemic has raged through the United States, with the two officials often disagreeing on issues from what drugs to use and a vaccine timeline to something as simple as the fact that COVID-19 isn't 'going to disappear.'" According to the article, "over the course of the virus' spread, Trump's relationship with Fauci, who has worked under both Democratic and Republican administrations since 1984, has vacillated from support to disdain." USA Today provides "a timeline of the pandemic, reports about their relationship, and public statements from the two men regarding the virus and each other." 8. 28 October 2020 We are now seeing both small and large metros in the previous hot spots in the spring and summer beginning to exhibit significant community spread and with cooling this spread could significant accelerate as in CHI and hit new alltime records, There is no evidence that previous experience with significant viral spread is in any manner protective of this fall surge Hospitalizations are rising in all state categories (red, orange, yellow, light green) except for dark green states at this time -- we are seeing record numbers of new admissions with no month over month improvement in thee fatality rate since July Fatality rates in people over 70 remains at 10-11% of all cases. Increased access to novel therapeutics will be needed to change this. Cases will cantinue to hit all time highs week over week as the core mitigation efforts and targeted testing for asymptomatic infection in those under are not occurring. (Last week we were up nearly 9K high over high and with current slope it means we could cross 85 90K the end of this week and 100K/day the end of the next week--- its not the absolute case number but these numbers are an indication of community spread and community spread leads inevitably to infection to those vulnerable to serious complications and deaths) This sequence of events must stop with the initial silent spread with aggressive sentinel surveillance testing. Aggressive testing of the contagious but asymptomatic population with isolation effectively contained and mitigated spread prior to infection of the more vulnerable community members. It is critical ta act now finding the continued source of silent spread, ensuring infected individuals know how to limit their infection of others and with messaging on universal masking, physical distancing, and essential limitation of public and private gatherings indoors especially small gatherings with friends and family. One unified consistent messaging about masks, physical distancing and hand washing with profound limitation on indoor gatherings especially with family and friends is essential at this time point -- this is about empowerment Americans with the knowledge and data for decision making. States will begin to react with the spring mitigation efforts but this won't control the indoor house spread. . . National Picture NEW CASES PER 100,000 LAST WEER NATIONAL RANKING OF NEW CASES PER 100,000 LAST WEEK a Kew Comes per 130K I in the Laat Weel Halicnal Malicnal ark State anit St NEW CASES PER 100,000 IN THE WEER: OME MONTH BEFORE TWO MONTHS BEFORE THREE MONTHS BEFORE = BBC PRESS: Marc Siegal "Doctor Radio" Sirius Radio; Interview with Joel Achenbach - Washington Post; JAMA Podcast with Howard Bauchner; BBC -- 8,800,000/227,000 . -8,900,000/228, Radio; CNBC - Shepard Smith; Chicago Ideas with Brandis Friedman - Brad Keywell;
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October 29, 2020 - Global - 44,000,000/1,200,000; USA - 8,800,000/227,000 POTUS in complete denial that there is a raging pandemic and everything is spiking. He keeps insisting that we have "turned the corner" or "rounding the turn". Some potentially nefarious stuff going on. The FDA career scientists are hesitant to grant EUAs to Lilly's and Regeneron's mAb based on the current data. Alex Azar is really pushing them and furious because he thinks FDA is "slowwalking" the process so as not to have it out before the election in 5 days. Clearly, Alex wants to please the POTUS so that they can say that they have a breakthrough (similar to Convalescent plasma nonsense) right before the election. Azar then asked NIH (Collins), CDC (Redfield) and ASPR (Kadlec) to weigh in since the legislation that established the EUA process (dating back to the Anthrax situation in 2001) requires the CDC, NIH, and ASPR Directors to weigh in on EUA decisions (even though they have not done so in the past). Cliff and I had long conversation with Francis on his way down to HHS to discuss with Azar. We encouraged Francis to support the career scientists at FDA since they do not want to rush this through. They need more time to gather important information since what they have now is rather weak.
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October 30, 2020 - Global - 44,600,000/1,200,000; USA -8,900,000/228,100 Confirmed Cases (Thousands) 1. 2. 3. 4. 5. 6. 7. 10. 11. New Daily Confirmed COVID-19 Cases in the U.S. So M2 Bo y s ! if IN : "0 H NN I r so ey a [ "\ & aa th L=y be ca ad Eat cs Me iy a Fy a ie a a] art cay o Po a =, fy fe os. Fe e . st BS os er Fr = be fr ie me Be = % a sy i = Be rs a a a PF fF * PF FF HF + KF KF F FB * * ¢ eo £4 ¥ * FF * HF FF F F F BS i Oo) mes? Ory Movie Aviiape 30 October 2020 Test positivity rates continue to rise dramatically across the country - the weekly number of tests performed is flat Cases are rising in nearly 30% of all USA counties the highest number of county hotspots we have seen Hospitalizations are rising in all state categories (red, orange, yellow, light green) except for dark green states at this time -- we are seeing record numbers of new admissions week over week in all age categories except under 18 Fatality rates in people over 70 remains at 11%. Increased access to novel therapeutics will be needed toa change this, Every state that is coolingis seeing increases in cases -- including now NY. NJ, PA Slide S shows there is no improvement in any state except 2-3. Cases will continue to hit all time highs week over week because the core mitigation efforts and targeted testing for asymptomatic infection are not occurring resulting in continued and escalating community spread leading to increasing hospitalizations and fatalities, States have developed testing systems and contact tracing for symptomatic clients that may account for less than 50% of the community spread as sick individuals have less activity in the community. Those with such mild symptoms or asymptomatic remain in the community for their full infectious period accounting for more of the community spread. Strategic use of the Ag tests will be critical to contral the current surge. These mild and asymptomatic cases will require both sentinel surveillance of community populations (community college students, major industries, K-12 teachers etc) as well as routine testing of under 40 yo to find and isolate these contagious individuals, The sequence of events must stop with the initial silent spread with aggressive sentinel surveillance testing, Aggressive testing of the contagious but asymptomatic population with isolation effectively contained and mitigated spread prior to infection of the more vulnerable community members. Routine testing will be essential in multigenerational households especially in our Tribal Nations. One unified consistent messaging about masks, physical distancing and hand washing with profound limitation on indoor gatherings especially with family and friends is essential at this time point -- this is about empowerment Americans with the knowledge and data for decision making. States will begin to react with the spring mitigation efforts but this won't control the indoor gatherings spread, • Did Fireside chat with Silicon Valley leadership Group Annual Forum • Was on Governors call led by Azar. After call Gov. Greg Abbott called me to ask about availability of mAbs com Kelly Ripa throws her support behind coronavirus task force leader Dr. Anthony Fauci by stepping out in a sweater bearing immunologist's name
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Oct. 30, 2020 at 8:00 a.m. EDT Months before travel was hobbled by coronavirus fears, I was returning home one evening from Raleigh-Durham International Airport when I noticed a familiar figure at the gate -- slight, bespectacled, hair side-parted and gray. Anthony S. Fauci and I have spoken now and then over the years, and we began to chat. When it was time to board, it turned out our seats were adjacent. So, I was treated to vivid war stories about the arc of his medical and scientific work in infectious diseases, and about his interactions with a succession of presidents during the AIDS crisis. New York Times - 10/29/2020 - Thomas Kaplan: Mr. Biden has also signaled that Dr. Anthony S. Fauci, the government's top infectious disease expert, will have a prominent role in a Biden administration. The Biden campaign has said Dr. Fauci, the longtime head of the National Institute of Allergy and Infectious Diseases, "will have full access to the Oval Office and an uncensored platform to speak directly to the American people -- whether delivering good news or bad." -- Thomas Kaplan and Abby Goodnough
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October 31, 2020 - Global - 45,400,000/1,200,000; USA - 9,020,000/229,100 Surging continues to accelerate 3 days before the election. Trump out on campaign trail with big crowds, many who do not wear masks. 31 October 2020 I. We are entering the most concerning and mostdeadhy of this pandemic, the most community spread, the most rapid acceleration of hospitalizations both everwhelming of comounityvurban and raral boepitals, inadeq@ate human capacity, inability te load balance and crisis care ofall patients incholing son-COVID patients leading to increasing mortality without mach more aggressive action from messaging. to testing. to surging personnel around the cowmtey prior te the erieis pariot Test posittrity rates contmue to rise dramatically across the country = the weekly number of tests performed cs flat 2, Casesare nipidly rising ia early 3% ofall USA comaties the lagheet wanker of county hotepote we havescen with this pak 4.0 12 States have both ved category teet positivity aud cases: 10 Sates are on the orange zone for teat positivity andied for cases §. 0 States wath greater than 3000) day and increasing mpedhy= we wall reach over 110-1 20K cases! day next week Preday & Hospitalizationsare rising in all states (red, orange, yellow, light green, excep! ) anal across all age groups except <15-- most dramatic inerease in 270) Ts Fatality rates in people over 70 remainsat 11%. Increased nceess te marvel therapeutics is ormtical. & Cases will continue to hil all time bighs week over week because the core iuilgation efforts aml targeted teatime foraayaplamate ileetion areal Geeta resulting in contemed and escalating community spread leading to imereasing hospitalizations amd dntalities. 9S. Expanded strategic use of the Ag tests-vall be critical to contredimp the current surge : these tests nnast be used. for all individuals in all states with test positive niles over 3% gidepemdent of eyiiploue --requamig wee eyplomale clicwle me preventing adequate teeing aul cowtrel of the pademic. I. Detection af prespouptomiatec, mak and asypptamintic cases will require both sentinel surveillance of community populations (eomnvaty college students. miajor iadusies. K-12 teachers ete} as welll as routine feeling of ede yo te God and molate theses contagious aubviduale. We weed to use Ag teelemore witehy. The sequence of events avuel stop with the intial sent spread wath aggressive eeulael surveillance testing. 12. Agpressive testing of the contagious bat asymptomatic population with wolation effectively contamed and matigated spread prior te infection of the nore vuluerable community avanbers. Routiws bestng wall be evsential in mubtigewerational houscholds capecally m our Tribal Natans. 13. One Federal eeaifled consiteat mesagiog alent wilforn ie of masks, pliysbeal ditanelag and hasd washing with peated Hendtathen an inl gatherings expecially with family and friends is essential at this tinve poiet --this is about empowerment Agvericags with the knowledge and data for declan miaklog te prevent commumity spread anal cave lives. 14. From Ualversttleswe lane heared bow to best strategheally to prevent epread, from oar dalogue in etateswe lave learned how to craft messages for impact --what is weeded gow is translation ofthis knowledge inte action forfpact. Public wealth officers in the Gell are exhausted and will need sepport and a clear road map. Just based on current cases and rate Daily New Cases in the United States of rise, hospitalizations will accelerate over the next 4 weeks Daily New Cases and mortality over the next 6 weeks Cases per Day bataasofooocwT+a and that is if we plateau today Leak a a a (which is not possible). we F: LOG > ia oO Pik FI z & 50k I G Wily MIE .* I I I I z i ae ee ta oF ag a Aa Sa a i a a Pt et oF ge gh ah gh gh hog PP Pe a at of? ot oF ® Daily Cases CO > 7-day moving average AREA OF CONCERN CONTINUUM Dee: ed Area of Concern Continuum by County The reo? Concem Coninuum (CISC) Budi cess COMmMmUnnEs asIney Inna gh Skeaesice the epackerris. There I 290C T2020 ae? Sore based On Lurrentandrecernn airy of poses t Canmandiesing datatorthe Iocan (1) Lewiburden--cornmiiindbes will minimal ac ivity 43) Mecerabe Burien--Coneriy ies ein mde paki oo ity (Emerging Hotspot--commu nites with ahigh likelihood to become: Pros RS 1 Ie eee 1-7 hays 4) Hotpet--coMmmun ies inal have reached anes of dees acivity condemned asbeing ofhigh burden 9) Sustainadifetspot--communfies that havehadahagh sustained CER Uren) and ery Be AP SK ioe epee NeeCare msnure limEaions (Sigh Burden --Resaving --conmmunbes inal were necerdy identified ashot pots and ae-nowimeenving (itedarate Burdan=Resoiing-- commun ties Phat hane-a Mode aielevel of buder, bul aedemorei airy mprivenent Senin Soumeneinincs sides for marciniomaion ? z i Bag § eiiiaie Pe RS PS RH A Reh Pus Bits) Bes) Almost at the 100,000 per day level that I predicted at the Senate Hearing a few months ago: Confirmed Cases [Thousancs) eo a0 New Daily Confirmed COVID-19 Cases in the U.S. iJ o nu EC & #2 # Ay aFF £ nd te - e See F ese estes geet FF STE FE FZ Day eee Day Mowing Avarage .-- 9,110,000/230,000 Tonight, I virtually received the Leonardo da Vinci Award of the National Italian American Foundation at their Virtual Gala online from 6:30 PM to 8:30 PM. Hosted by Pat Harrison, Joe Piscopo and Maria Bartiromo. There was a wonderful series of testimonials to me from an amazing group of people: Robert DeNiro, Al Pacino, Leonardo DiCaprio, Francis Ford Copolla, President George W. Bush, Bono, John Turturro, Neil Sedaka, Dion DiMucci wrote and sang a song to me, Maria Tomei (she also grew upon Bensonhurst and commented about that), Isabella Rossilini, Mike Piazza, among many others. Very moving and humbling PRESS: ONLINE version of Washington Post article came out this evening (se below). Firestorm started. Apparently, the Post called the White House to inform them of my "negative towards the WH" interview. Mark Meadows called Collins (supposedly he tried to contact me but told Francis I did not answer my phone. He likely called my office phone that I no longer answer). He yelled at Francis saying that he has not seen the article yet but he has heard that I solicited an interview with the Post and did so without clearance. Francis called me and ascertained that in fact they called me and I did get clearance. See below (Sunday).
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Oct. 31, 2020 at 7:00 p.m. EDT President Trump's repeated assertions the United States is "rounding the turn" on the novel coronavirus have increasingly alarmed the government's top health experts, who say the country is heading into a long and potentially deadly winter with an unprepared government unwilling to make tough choices. CNN Blog:
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November 1, 2020 - Global - 45,900,000/1,200,000; USA - 9,110,000/230,000 Big ISSUE!! - Blockbuster situation in Washington Post in an interview that I gave on Friday evening to Josh Dawsey and Jasmeen Abutaleb. I spoke about the fact that cases were dramatically increasing throughout the country (see prior days above) and that we needed to do something different like doubling down on public health measures. I also strongly blasted Scott Atlas. In the article, much to my dismay, Dawsey (less than Abutaleb) wanted to keep the word "seriously in a passage that I thought was off the record, but he said that it was not (I am pissed at him). Here is the passage: Fauci said former vice president Joe Biden's campaign "is taking it seriously from a public health perspective." Trump, Fauci said, is "looking at it from a different perspective." He said that perspective was "the economy and reopening the country.". Also, in the article. Judd Deere blasted me saying I was being political: Judd Deere, a White House spokesman, offered blistering criticism of Fauci for his comments in a statement to The Washington Post on Saturday. Deere said Fauci "knows the risks [from the coronavirus] today are dramatically lower than they were only a few months ago." "It's unacceptable and breaking with all norms for Dr. Fauci, a senior member of the President's Coronavirus Task Force and someone who has praised President Trump's actions throughout this pandemic, to choose three days before an election to play politics," Deere said. "As a member of the Task Force, Dr. Fauci has a duty to express concerns or push for a change in strategy, but he's not done that, instead choosing to criticize the President in the media and make his political leanings known by praising the President's opponent -- exactly what the American people have come to expect from The Swamp." I thought that I was in big trouble. However, some interesting things happened. Alyssa Farah texted me at 7:00 AM on Sunday and said: I am so sorry that fool Scott Atlas keeps attacking you. I'm even more sorry I'm not in a better position of influence to see him out the door. I'm trying to make people see he's a disaster. I immediately called her up and explained that I was not pitting my support for Biden over the POTUS. She understood perfectly and said she totally supported me and thanked me for what I do. Then, at 9:30 AM, the POTUS called me from Air Force One. We had a 15 minute conversation where he did his usual rambling. He started by saying that I really need to be positive. "Tony, I really like you, and you know that, but what the fuck are you doing? You constantly drop bombs on me. Everybody wants me to fire you, but I am not going to fire you, you have too illustrious a career, but you have to be positive. The country cannot stay locked down. (I never said that we should lock down). You have got to give them hope. I like you but so many people, not only in the White House, but throughout the country hate you because of what you are doing. I am going to win this fucking election by a landslide. Just watch. I always did things my way. And I always win, no matter what all these other fucking people think. And that fucker Biden. He is so fucking stupid. You are 10 times smarter than he is. I am going to kick his fucking ass in this election. I will win by a landslide. Just wait and see. I will win Florida, Pennsylvania, Ohio, all the key states. Just wait and see. The smallest crowd that I had was 25,000 people. Biden had 5 people blowing their fucking horns in their cars. Tony, you have to be positive. I do not want to keep you off TV, but when you are out there, you have to be positive. (I tried to interject some words that I am being positive by telling people what they need to do to avoid infection - he heard none of it and just kept talking over me. He did not seem hostile, but he was just rambling). Then when he was finished, he said: "OK, Tony, I will see you in a couple of days. Take care". Although I do not think that I will be fired, I am not out of danger just yet. Another crazy thing. Scott Atlas did an interview from the White House with Russian Television blasting the response of the USA scientists (including me). CNN is jumping all over this. PRESS: 'A whole lot of hurt': Fauci warns of covid19 surge, offers blunt assessment of Trump's response nw.vyoutube.com/watch?v= oCS-1w-OdU Global USA Josh Dawsey and Yasmeen Abutaleb
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Nov. 2, 2020 - Global USA During rally in Florida, the crowd started chanting "Fire Fauci" and the POTUS said: "Don't tell anybody but let me wait til a little after the election. I appreciate your suggestion". I got dozens of texts immediately following the posting of the tweet from people lending me their support and horror about what he is suggesting. Interesting that he told me yesterday that he is not going to fire me. Many kids dressed up as me for their Halloween costumes: ¥ =f i i ii. 13. Election day!! 3 November 2020 We continue im the most comm|«4vunity soread, the most ragid acceleration of hospitalizations both overwhelming of community urban and rural hospitals, adequate human capacity, inability to load balance and ofals care of all patients inchudingmon-DOVID patients leading to increasing mortality, the most deadly phase of this pandemic : concerning is the lack of improwement in the Northern Plains --now many weeks into thelr surge and signals the need for increased mitimation interventions both ND and SD have reached rates of 6% of the total population with teat positive cases -- this 6 308 higher than we have seen with any state's prior surges suggesting the cold temperatures driving individuals indoors is resulting in much higher rate of com«vunity spread then seen in March aed April, We need much mone aggressive action from mesdaging, to testing, to surging personnel around the country prior to the crisis point Test positivity rates continue to rise across the country 39 states have rising test positivity Cages are rapedly rising in 20% of all US4 counties the highest number of county hotspots we have seen with this pandenmsc Nearky have of the United States isin the ned or orange ome for coses despite flat ardeclining testing -- 15 states arered and § orange with declining green Fatality rates in people over 70 remains at 11%. Intreaged access to novel lhenapeulics id critical, 'Cases will surpass LOOK this week because the core mitigation elorts and taqgeted testing lor aaymplomatic inflection ane nol occurring resulling.in continued and escalating communitys pread lading ta increasing hospitalizations and fatalities. Expanded strategic use ol the Ag teats will be critical to controlling the current sunge : these testa must be used lor alll individuals in all states with Lest positive nates oer 5% indegendent of symtoms requiring ust in symatomiatic climntsis preventing adequate testing and contral of the pandemic. Detection of pre-synmiplomalc, kd and asymnalonialc tases wall requere both sentinel survedlance of coninmunily popular (conimiunilty colle pe sludents, major industrins, K-12 teachers etch as well os surge community focused testing of under 40) yo to find and isolate those contagious indivichiads. Aggressive Lesting of Lhe contagious but asymiplomatic poguilation with isolation effectively contained anid mitipated spread pri to infection of the more 'eulne rable community menbers. Routine testing will he essential inimaltigenerational households especially in our Tribal Nations. One Federal unified consistent messaging about undlonm use of masks, ohysical distancing and hand washing with protound Gmitation on indoor gatherings especially with Family and friends is essential at this tine point - this is aboutompowennnnt Americans with ther lniowindge and data for decision making to Prevent come«unity soresd and save lives. University through aggressive testing and isolation had 97% less inhections and nolated 95% less students From Uniwersities we laws learned how to test strategically bo prevent spread, from our dislogue in states we have learned how to craft messages for impact = what is meeded mow is translation of this knowledge inte action for limgact. Public health officers iin the fled are exhausted and will need supportand a clear road mag, Theis 5 meat act lockdown -- Its about an agaressive data drives balance approach that ls not being implemented. Nice talk with Marc Short today. He is totally supportive as is (as he says) the VP. I continue to get dozens of e-mails and texts of support from all over the world. The press is all over this. Rosa DeLauro just called me and said: "We all love you. Fuck him. There is no way in the world we are going to let him fire you." PRESS: Multiple stories running now about the threat to fire me.
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November 2, 2020 5:48pm Important situation evolved today. White House (meadows) clais that Washington Post (Dawsey) told him that I initiated the interview from Friday. NOIT SO!!! E-mail below is self-explanatory: Brian: As per our recent telephone conversation, let me summarize. Francis Collins called me this afternoon after his regularly scheduled meeting with the Secretary. Apparently, the Secretary is under the impression (someone related this to him) that I initiated the interview with the Washington Post that is now so controversial. That is categorically incorrect and I have proof of that. The e-mail below indicate that the reporter Josh Dawsey reached out to me for an interview (e-mail below dated October 29, 2020 at 11:48 AM). I did what I always do and requested clearance. The e-mails below show that this occurred and I was cleared to speak with him. I would like very much to clear up this misunderstanding that I reached out to the reporter, which I absolutely did not. Please read the e-mail chain from bottom up. Many thanks. Best regards, Tony
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November 3, 2020 - Election day!! Red hot discussions in press of POTUS firing me. Dominating the news. Also, someone leaked one of Deb's daily briefing (see right above) making it look like she is bucking the POTUS similar to what I did in the Post on Friday. Lincoln Project (Republicans against Trump) says: You have a choice on election day. Either fire Fauci or Trump. Who do you want to fire? Unfortunately, I am right in the middle of the fight for a Presidential election. YIKES!!! nih.gov> Harrison Ford And Lincoln Project Back Anthony Fauci, Advocate Firing Donald Trump
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November 4, 2020 Global - 47,400,000/1,200,000; USA - 9,400,000/232,000 Surging continues. Predictions that we will have 1000 deaths/day for the next couple of months if things do not change Confirmed Cases [Thousancs) New Daily Confirmed COVID-19 Cases in the U.S. od iJ Sgegr eg etss I I ress s oo ye Ay f& F FoF # ae Day eee Day Mowing Avarage 'fo, Wie éty In the AM, election still too close to call - Biden - 224; Trump - 213 at 5:30 AM Biden picking up numbers as the day goes on. 5 critical states. Trump already claiming fraud. Wants to stop counting in the "mail-in" states since the counting is going against him. Threatens to bring to Supreme Court even though it was agreed upon by the states that all votes would be counted. Photo below from Liz Sabo: PRESS: 2020 election results may influence Trump's treatment of Dr. Fauci. That matters. If Trump does succeed in silencing Fauci somehow, it would come at a particularly precarious time for America. Dr. Anthony Fauci, director of the National Institute of Allergy and Infectious Diseases.Frankie Alduino / Redux Pictures Fauci has spent the past few months speaking up about the stark realities of the pandemic -- honesty that is out of step with the White House's messaging and which seems to have resulted in his being sidelined. But Fauci's true courage and wisdom are most evident in how he has managed to strike a difficult balance: avoiding overt political attacks while still speaking truth to power. By walking this very tricky line, Fauci has probably avoided getting kicked off the coronavirus task force, ensuring that he could continue working from within the administration. This couldn't have been easy. I don't think the Trump administration realizes how much this unassuming and kind man embodies scientific excellence. But he's also got backup. There is a legion of citizen scientists, public health experts and medical workers who aren't giving up. Silencing one man, even a giant in the field of infectious diseases, won't silence those in our field. For months, efforts like the Johns Hopkins COVID-19 Dashboard, the COVID Tracking Project and others have been providing the kinds of critical intelligence that should have been coming directly from the CDC. Over the last few months, our professional societies have started to become vocal advocates for evidence-based action, calling out this administration's deceptive and false claims. Longstanding and revered scientific publications have come out against Trump for his lack of leadership and respect for science. Confirmed Cases (Thousancs} NBC News/MSNBC medical contributor . -- 9,500,000/233,000 New Daily Confirmed COVID-19 Cases in the U.S. F a0 I I o = Y ¥ z Ps _ es £ # he ra SS-__a=a=_--= -------->===--=S=S=S===s a Ay FoF Be wv go e¢ ¢ Ld me Fe Cr ee ee ee] Feer Fe Fe ges FF ES FF FF F Day eee Day Mowing Avarage
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Nov. 4, 2020, 6:19 AM EST By Dr. Nahid Bhadelia, infectious diseases physician and NBC News/MSNBC medical contributor Picture of me in the editorial page with statemen that I should be heeded and not fired.
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November 5, 2020 - Global - 47,900,000/1,200,000; USA - 9,500,000/233,000 Yesterday number of cases in single day hit 100,000 as per my Senate Hearing prediction!! Biden at 253 electoral votes. Closing in on victory. Trump threatening to sue in several states and let the courts decide. He has no case, but anything can happen. POTUS on TV tonight saying that all the mailed in ballots that are going Biden's wayare illegal. He is making no sense. He wants to stop the counting in Pennsylvania and Georgia where he is ahead but Biden is rapidly catching up as mailed in ballots are being counted. Trump told his followers to vote in person and so that is why he took the early lead. However, many democrats mailed in and that is why their votes are no turning things around. Biden is leading in Arizona and Nevada and so Trump is OK with continuing the voting there. 1me atters Staff =) -- /2020-... Did a Fireside Chat with UCLA Health interviewed by Judith Currier. Also, big surprise, Karem Abdul-Jabar was on and said "from one basketball player to another" thank you for all you have done. He kidded me about my errant pitch at the Nats opener. Steve Bannon said on his radio show with a guest that someone should behead me and FBI Director Wray and put our heads on a spike as an example to Federal bureaucrats/ Steve Bannon and his co-host discuss beheading Dr. Anthony Fauci and FBI Director Christopher Wray Bannon: "I'd put the heads on pikes, right, I'd put them at the two corners of the White House as a warning to federal bureaucrats" Written by Media Matters Staff Kyle Griffin @kylegriffin1 Twitter has banned an account associated with Steve Bannon and YouTube removed one of his videos after Bannon called for the beheadings of two federal officials. nbcnews.com/politics/2020-... Confirmed Cases [(Thousarncs) o ¥ . -- 9,700,000/236,000 New Daily Confirmed COVID-19 Cases in the U.S. Eee) "9 * ." if he blab I Wr = g ¢ ¢ # rie i I ix] A »-» Ay ss jo ie wh rey SF & $F FF FF er Fs ggeF FF & TF 8 FF F F FF F ker Me) iy, ay, Mee tee Day eee Day Mowing Avarage 11/5/20, 8:20 PM Got call from Ron Klain this evening. Ron mentioned that Biden will give a speech tonight and he wanted to mention in the speech that I am his top person on health issues and outbreaks. However, he did not want to cause me trouble with Trump and so he asked if it was OK with me. I told Ron that I likely would be fired within 15 minutes of Biden saying that in the speech and so please do not. Ron agreed and said that Biden wanted me to know that even though he is not saying it, be assured that I am his point main when it comes to COVID or any other infectious diseases issues. I told Ron that I cannot wait to work with him and Biden. He said they could not wait to have me.
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November 7, 2020 - Global - 49,100,000/1, 200,000; USA - 9,700,000/236,000 Every day, a new record is set. Election called for Biden!!! ), 1:30pm EST 138,000 cases yesterday with >1100 deaths. My prediction of "A whole lot of hurt coming our way as we enter the cooler months of the Fall and colder months of the winter" Am getting many calls from the press about whether I have been contacted by Biden's team. All my responses have been....."no comment" Now you can determine your level of Fauci with this handy meme A public health professor memed Anthony Fauci's facial expressions to gauge her students' moods
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November 8, 2020 (Sunday) - Global USA Call from Deb Birx concerned (as I am) of the potential dissociation of what we will be doing with the TF until January 20 and what Biden's people are planning via their Task Force. Since I am/will be on both, perhaps I can convince them to form some sort of collaborative transition to smoothly address the coming 90 days. Trump vowing to fight until the end. He claims that he won. Also, Deb mentioned to me that Jared, Marc Short and the VP are trying to "talk down" the POTUS from attempting to discredit the election and create havoc that will go nowhere. 10. & November 2020 Cases will reach 140-150K this week - there is no evidence of plateauing -- this will lead to 1M cases/week Cases are rapidly rising in 50% of all States are red or orange zone - with now rapid increases again in TX, CA, FL, and N¥ and NJ showing early concerning signs Even with weekend reporting WI, MI, IL, IN, OH report record high cases that will lead to record hospitalizations and increased fatalities This is the most rapid increase of hospitalizations -- we will reach historic highs in daily hospitalization this week-- across multiple states and unrelenting increases This week we will reach 2M the number of cases of the summer surge which will result in 2X the hospitalizations and fatalities as the summer surge There is no evidence that any prior surge --the Spring surge or the Summer surge is protective in the current Fall surge in any state--there is no evidence that 10-15% baseline prior infection in the population leads te change in log phase community spread There is no evidence that "allowing" young people to become infected and silently spread the virus without diagnosis and isolation for 10 days is an effective strategy that leads to anything but widespread silent community spread followed by escalating cases, hospitalizations and fatalities in the community. Universities have shown us that it is possible ta control the silent community spread and change the follow on cascade with mitigation and testing. There are always models and concepts that sound and look good on paper that with first contact with the reality on the ground fail. Itis not possible to prevent the surge in hospitalization and the fatalities that follow with the approach outlined in the Barrington Declaration as it fails to flatten the curve and fails to protect the hospitals from becoming overwhelmed. Itis clear. It is also clear what needs to happen now to change the current projections Cases are now exploding throughout the country. Every day a new record is set!! Clearly, the Atlas strategy that once an area is hit hard, they are protected against the next surge is utter nonsense. Areas are surging that got hit previously and so no herd immunity with 25% of people infected. Received a call at 7:45 PM from Albert Bourla (CEO of Pfizer) informing me that the DSMB looked at the data of 94 infections (first interim look) from their mRNA vaccine and the results were 4 infections in vaccine and 90 in placebo for a 95% efficacy!!!! This will be announced tomorrow. & November 2020 continued : actions 1. Ensure the impactful mitigation efforts and targeted testing for asymptomatic infection are implemented now tao stop the escalating community spread, increasing hospitalizations and fatalities. 2. We have a window for aggressive messaging and testing ta change the trajectory but that window is closing and without aggressive action hospitals will be under threat within 3-4 weeks and continue to escalate for 3-4 weeks after that -- this is why timing is critical 3. Expanded strategic use of the Ag tests will be critical to controlling the current surge : these tests must be used for all individuals in all states with test positive rates over 5% independent of symptoms -- requiring use in symptomatic clients is preventing adequate testing and control of the pandemic. 4, Detection of pre-symptomatic, mild and asymptomatic cases will require both sentinel surveillance of community populations [community college students, major industries, K-12 teachers etc) as well as surge community focused testing of under 40 yo to find and isolate these contagious individuals. 5. Implementation support for aggressive testing of the contagious but asymptomatic population with isolation effectively contained and mitigated spread prior to infection of the more vulnerable community members. Routine testing will be essential in multigenerational households especially in our Tribal Nations. 6. One Federal unified consistent messaging about uniform use of masks, physical distancing and hand washing with profound limitation on indoor gatherings especially with family and friends is essential at this time point -- this is about empowerment Americans with the knowledge and data for decision making to prevent community spread and save lives. University through aggressive testing and isolation had 97% less infections and isolated 95% less students : attached in slides 5-9 7. Tochange the future this will require an aggressive data driven balance approach that is not being implemented at the state and local level and will require Federal support and guidance to change this AREA OF CONCERN CONTINUUM oN Area of Concern Continuum by County Ueda cera Sihaet oat ecanal beams O6NOV2020 are 7 pessisle ACC cassiications Sased on current and recent history of age and (esting data forthe keation (1) LowBurden--conrrunities with minimal activity (2) Moderate Burden--communties with moderate disease activity (merging Hotepot-- communities with ahigh likelihood to become hotspots. in the next 1-7 days (4) Hotspot communities that have reached a thresinoid of disease activity considered asbeing offhigh burden (Sustained Hotepot--communitias that have had alhigh sustained case burden and may be higher nek for expenencing healincare resource limitations (G)/High Burden--Fesohving -- communities that were recently identified as hotspots and are now improving (P)Moderate Burden--Resohving --communitias that have a moderate level of burden, but are demonstrating improvement See Data Sources Vethods sides for more information. AOC Category Low or Moderate Burden ic ag Emerg Hotspot ) Hetsonr I I Sustained peen! % Hetapat C te Righ ar Led| Low or RM Die ty = Moderate rf a seein tere! . Buran - al -- = Fiasab ing MR Hag Ce a BA O° SOR? EID 203008 MIMS AIM BIGOT 2D00 100009 RIMOD Ba2b19 -- 10,000,000/238,000
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November 9, 2020 - Global - 50,300,000/1,300,000; USA - 10,000,000/238,000 Has Task Force meeting today. First one since October 20. VP Pence seemed in good spirits and stated that we will either be here for an additional 90 days or for 4 more years. Whichever it is, we will do our job. He did say that we will make 9 November 2020 The weekend is normallya low reporting time yet we reached LOOK cases Sunday contirming the potential for cases reaching 140-L50K this week - there is no evidence of plateauing--this will lead to 1M cases/week -- cases drive hospitalizations and deaths Cases are distributed throughout age groups but the most rapid rise in cases in thase over 40-69 and over 70 26 States are in the red and orange zone: the highest we have had and as we knew rigingcases lead te rising hospitalizations, inpatient status have surpassed March/April and will surpass the Surrmrer surge rest week Fatalities are rising despite the substantialdelay from cases to fatalities --which is nearly4 weeks -- 0 Fatalities will rise rapidly over the next4 weeks just based onthe number of cases we have now The case fatalivy rates are artificially low at this time due te the rate of rise of cases and the delay in fatalities --this will medulate in 4-4 weeks significantly increasing the CFR espescially for those aver 70. Cases are rapidlyrisingin 50% of all States are red or orange zone- with now rapid increases again in TX, CA, FL, and N¥ and NJ showing early concerning signs Florida igexperiencing a full resurgence as well as Texas, already increasing hospitalizations This is the rest rapid increase of hospitalizations --vwe will reach historic highs in daily hospitalization this week-- acres multiple states and unrelenting increases This week we wall reach 2X the number ot cases of the summer surge which will resultin 2x the hospitalizations and tatalities There is no evidence that any prier surge -- the Spring surge or the Sumner surge is protective in the current Fall surge in any state-- there is no evidenor that 10-15% baseline prior infection in the population leads to change in log phase community spread There is no evidence that "allowing" young people ta become infected and silently spread the virus without diagnosis and isolation tar 10 days is an effective strategy that leads ta anything but widespread silent community spread followed by eecalating: cases, hospitalizations and tatalities in the community. 9 November 2020 continued : actions : the UK with mitigation has plateaued Universities have shown us that itis possible to contrel the silent community spread and change the follow on cascade with mitigation and testing. Ensure the impacttul mitigation efforts and targeted testing for asymptomatic infectianare implemented now to stop the escalating eomirmnuinity spread, increasing hospitalizarions and fatalities. We have a window for aggressive messaging and testing ta change the trapectory but that windew is closing and without aggressive action heépitalewill be uncer threat within 3-4 weeks and continue te escalate for 3-4 weeks after that-- this is why tiring is eritical Expanded strategic use of the Aa tests will be critical to controlling the current surge ; these tests must be used for all individuals in all states with test positive rates over 5% independent of symptoms -- requiring use in symptomatic clients is preventing adequate testing and control of the pandemic. Detection of pre-symptormatic, mild and asymptomatic cases will require bach sentinel surveillance of community populations (eamnunity college students, mapor industries, K-12 teachers ete) as well as surge comunity focused testing af uneber 40 yo te find and isolate these contagious indivichuals, Implementation supporttor agaressive testing of the contagious but asymptomatic population with isolation effectively contained and mitigated spread prior to intection ofthe more vulnerable conmmunity mentbers, Routine testing will be essential in multigenerational households especially in our Tribal Nations. Ore Federal unified consistent messaging about unifarm use af masks, physical distancing and hand washing with profound limitationan indoor gatherings especially with family and friends is essential at this tin: paint -- this is about empeawernent Americans with the knowledge and data for decision making te prevent community spread and sawe lives, University through aggressive testing artd isclation had 97% less infections and isolated 95% less students To change the Future this will require an aggressive data driven balance approach that is not being implemented at the state and local level and will require Federal support and guidance to change this 100/1,300,000; USA -- sure that "every legal vote gets counted". I was surprised that there was not even a hint in Pence's voice that declaring the vaccine successful a few days AFTER the election was a conspiracy of some sort. I have not even heard any of that from the Oval Office. Let us see over the next couple of days. PRESS: CNN with Wolf Blitzer
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November 10, 2020 - Global - 50,500,000/1,300,000; USA - 10,000,000/238,000 9 November 2020 The weekend is normallya low reporting time yet we reached LOOK cases Sunday contirming the potential for cases reaching 140-L50K this week - there is no evidence of plateauing--this will lead te 1M cases/week -- cases drive hospitalizations and deaths Cases are distributed throughout age groups but the most rapid rise in cases in those over 40-69 and ower 70 26 States are inthe red and orange zone: the highest we have had and as we know rigingscases lead te rising hospitalizatians, inpatient status have surpassed March/April and will surpass the Surnrmer surge rest week Fatalities are rising despite the substantial delay from cases to fatalities --which is nearly4 weeks -- so fatalities will rise rapidly over the next4 weeks just based onthe number of cases we have now The case fatality rates are artificially low at this time due te the rate of rise af cases and the delay in fatalities --this will rmedulate in a4 weeks significantly increasing the CFR especially for thase aver AO. Cases arerapidlyrisingin S03 of all States are red or orange zane- with nowrapid increases again in TX, C4, FL, and N¥ and NJ showing early concerning signs Flerida iaeperbencing a full resurgence as well as Texas, already increasing hospitalizations This is the rest rapid increase of hospitalizations --we will reach historic highs in daily hospitalization this week- across mvulliple states and unrelenting increases This week we will reach 2% the number ot cases of the summer surge which will resultin 2X the hospitalizations and tatalities There is oo evidence that any pricr surge -- the Spring surge or the Sumner surge is protective in the current Fall surge in any state--thore is noevidenor that 10-15% baseline prior infection in the population leads to change in log phase community spread There is no evidence that "allowing" young people ta become infected and silently spread the virus without diagnosis and isolation tar 10 days is an effective strategy that leads ta anything but widespread silent communityspread followed by eecalating. cases, hospitalizations and tatalities in the community. Patterns are the same. Weekends see a dip in cases due to lack of weekend reporting. Then we get into the week and we break daily records. Country still on fire and getting worse. 122,000 cases yesterday! POTUS still insisting that the GOP won the election. Completely alternate universe. Kayleigh and GOP Senators (Graham, McConnell, Ted Cruz) all prostituting themselves by supporting the POTUS's baseless claims. Heading towards a constitutional crisis. 10 November 2020 1. Although this is the most diffuse, most rapid rise in cases, encompassing all age groups it is clear this can be contained with aggressive effort as the LK is doing over the past 20 days and can be done over the next 30 days here with real and immediate impact 2, This will require a comprehensive Federal response with aggressive support to States to include: . Aggressive communication on not only masking at all times outside of immediate household, physically distancing and hand hygiene but absolute limiting of social interactions ta the immediate household for the next 60 days while we bridge to the rapid vaccination of the vulnerable populations dramatically decreasing hospitalizations and fatalities : this is a short term sacrifice to protect the vulnerable * Aggressive re-alignment of Ag testing towards finding and preventing unrelenting silent spread that continues to trigger community spread in waves : ADM Giroir and CDC working with States and Tribal mations * Expanding frequency of LTCF testing and aligning early vaccination into LTCF if immunogenicity is clear in elderly (done) . Ensuring rapid tiering of those most vulnerable to rapid immunization access immediately upon ELA (CDC) * Short term interventions : with demonstrated hospital staffing under threat restricting indoor dining and briefly limiting areas of congregatian without mask (bars) will be needed 3, Why is this needed now =it is needed now because cases are ina historic rate of rising spread and the rate of daily hospital admissians are not sustainable But we have the tools can change this now and bridge to lang term effective control through vaccination Monday night usually reflects an additional day of low reporting but we are trending 30K over last week which will lead to 150K cases/day by the end of the week leading to 1M cases/week = which will overwhelming our hospitals staff as is occurring in the Northern plains All areas of cooling are experiencing log phase community spread and Florida, Texas, Arizona are experiencing a full resurgence There is no evidence of plateauing = this will lead to 1M cases/week = continuing to drive hospitalizations and deaths Cases are distributed throughout age groups but the most rapid rise in cases in those over 40-69 and over 70 26 States are in the red and orange zone and now over 2000 counties are in "high concern" due to cases and speed of rise Fatalities are rising despite the substantial delay from cases to fatalities -- which is nearly 4 weeks = so fatalities will rise rapidly over the next 4 weeks just based on the number of cases we have now 10. The case fatality rates are artificially low at this time due to the rate of rise of cases and the delay in fatalities -- this will modulate in 2-3 weeks significantly increasing the CFR especially far those over 70. * won nin AREA OF CONCERN CONTINUUM Dale: 1azaz0 Area of Concern Continuum by County Sheen ie tier: ial Pain rare - O8NOV2020 sre 7 possible ACC Cassifications based on current and recent history of case and testing data forthe location: (7) LowBurden--conrmiunities with minimal activily (2) Moderate Burden--communties with moderate disease activity (merging Hotepot-- communities with ahigh likelihood to become hotspots. in the next 1-7 days (4)Hotspot-- communities that have reached athreshold of disease activity considered asbeing offhigh burden (Sustained Hotepot--communitias that have had alhigh sustained case burden and may be higher nek for expenencing healincare resource limitations (6) High Burden--Resolving--communites that wererecently identified as hotspots and are nowimpnoving (?)Moderate Burden--Fesohing --communities that have a moderate level of burden, but are demonstrating improvement See Data Sources Methods sides for more information. Mm ardieeed Habit Mag ce RC a BI ~ TH BD Rd BMS MDDS MOOT DMO JOT OGL GO-LL See below the states that are increasing: TRENDS IN CASE INCIDENCE DURING THE LAST 8 WEEKS Ai --. Case incidence calegories. hase asec per b r " _ lhased om saves per I a as ai cress I I -- Goer AA ing aed Mortara orth Dakota: Pipteicte heat Whconie Rihigee Peer Terk "Fahad inland MalGiitrsiat _ is -" a a ll a at ail ca I) I I Feeiapis tt Her He lta Hineeritd Figure depts average case = eee bo comes per 100000 os Fay oar Bp Pee Mo Carolin = tint Carehee \ Vil Vil Vill a FEMA Regions Janet Tobias interviewed President George W. Bush for her documentary and he was really funny. He sent me a message ".....hang in there; the country needs you" and he said "...I would have been able to kick your ass in running; the security detail used to be not able to keep up. I hear that you power walk now and I damn sure can't run anymore at 74, let alone 79". 😊 I received virtually a citation from Eric Adams Borough President of Brooklyn at a ceremony on the steps of Borough Hall. It was called COVID Heroes. The other heroes cheered me on during my acceptance speech. Had my every 2 week meeting with the David Barr-organized people in the trenches to talk about the dire situation with >100,000 infections per day and major increases in hospitalizations: LaQuandra Nesbitt (DC), Alison Arwady (Chicago), Sharon Balter (LA), Jeff Duchin (Seattle), Demetre Daskalakis (NYC), Preetha Iyengar (NOLA). Clearly Scott Atlas is dead wrong. PRESS: MSNBC with Andrea Mitchell; Connecticut East - NOVA podcast; CNN Jake Tapper - "The Lead"; Interview with Sheryl Stolberg (New York Times) Global USA
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November 11, 2020 - Global USA Steady surges continue with 10 days in a row of>100,000 cases/day. Trump fired Sec Mark Esper and several DoD civilian officials (high ranking) have resigned. Fear is that Trump is stacking the DoD with loyalists if he really wants to do a coup and steal the election/democratic process. Very scary times. The GOP leadership that are backing Trump (McConnell, McCarthy, Jordan, Blount) are incredibly shameful. Reminds me historically of Hitler getting duly elected to Chancellorship and then forcibly taking over the country. Amazing!! Scott Atlas criticized me to Politico (see below). I e-mailed Alyssa Farah and told her that this was unacceptable. She wrote back to me (see below) saying she would take care of this. Within 30 minutes, Atlas called me up and said that we should stop criticizing each other and that he is extremely qualified and I need to recognize this. I was gracious and said let us agree to say that we just have differences in opinion and interpretation of data and stop any personal attacks. In fact, he really does not know what he is talking about, but I am not going to battle. coronavirus 'A political animal': Atlas attacks Fauci, escalating feud between Trump's pandemic advisers The remarks represent a continuation of the criticism Trump leveled at Fauci in the run-up to last week's election. \ THE WHITE HOUSE , Dr. Scott Atlas, a top coronavirus adviser to President Donald Trump, is a physician with no expertise in infectious diseases or epidemiology. I Tasos Katopodis/Getty Images
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November 11, 2020 - Global - 51,800,000/1,300,000; USA - 10,300,000/241,100 140,000 case yesterday; 60,000 hospitalizations; 1300 deaths aw min 1, 10. 11, 12 November 2020 As shown in slide 3 this is the most rapid rise in cases encompassing all age groups and the most rapid rise in hospitalizations increasingly stressing the systems that will increasingly compromise non COVID care BUT it is clear this can be contained with aggressive effort as the UK is doing aver the past 20 days and can be done over the next 30 days here with real and immediate impact This will require a comprehensive Federal response with aggressive support te States to include: . Aggressive communication on not only masking at all times outside of immediate household, physically distancing and hand hygiene but absolute limiting of social interactions ta the immediate household for the next 60 days while we bridge ta the rapid vaccination of the vulnerable populations dramatically decreasing hospitalizations and fatalities ; this is a short term sacrifice to protect the vulnerable . Aggressive re-alignment of Ag testing towards finding and preventing unrelenting silent spread that continues to trigger community spread in waves : ADM Giroir and CDC working with States and Tribal nations . Expanding frequency of LTCF testing and aligning early vaccination into LTCF if immunogenicity is clear in elderly * Ensuring rapid tiering of those most vulnerable to rapid immunization access immediately upon ELA (CDC) . Short term interventions ; in States with demonstrated hospital staffing under threat - restricting indoor dining and briefly limiting areas of congregation without mask (bars, gyms and restricting indoor dining) will be needed as was successful in the USA in the summer Why is this needed now -it is needed now because cases are in a historic rate of rising spread and the rate of daily hospital admissions are not sustainable But we have the tools can change this now and bridge ta long term effective control through vaccination Even with the Veterans Holiday that interferes with reporting we are trending 30K over last week which will lead to 150K cases/day by the end of the week leading to 1M cases/week -- which will overwhelming our hospitals staff as is occurring in the Northern plains All areas of cooling are experiencing log phase community spread and Florida, Texas, Arizona are experiencing a full resurgence Cases are distributed throughout age groups but the most rapid rise in cases and hospitalizations in those over 40-69 and aver 70 26 States are in the red and orange zone and now over 7000 counties are in "high concern" due to cases and speed of rise Fatalities are rising despite the substantial delay from cases to fatalities -- which is nearly 4 weeks -so fatalities will rise rapidly over the next 4 weeks just based on the number of cases we have now 2 November 2020 continued This week we will reach 2X the number of cases of the summer surge which will result in 2X the hospitalizations and fatalities of summer surge There is no evidence that any prior surge --Spring surge or Summer surge is protective in the Fall surge in any state-- there is na evidence that 10-15% baseline prior infection in the population leads ta change in log phase community spread with cooling driving Americans indoors There is no evidence that "allowing" young people te become infected and silently spread the virus without diagnosis and isolation is an effective strategy a5 it leads to widespread silent community spread followed by escalating cases across all age groups, hospitalizations and threats to the health delivery system and fatalities in the cammunity Vaccine quantities despite limited amounts can be used strategically to save the most lives between now and January MAb amounts are also limited and it will be critical to align this limited supply to thase most in need PPE gowns and gloves are limited and we must ask states and hospitals te fully utilize current stocks as relief will be possible after February with vaccinations decreasing hospitalizations Expanded strategic use of the Ag tests is critical ta controlling the current surge : these tests must be used for all individuals in all states with test positive rates aver 5% independent of symptoms =requiring use in symptomatic clients is preventing testing and control of the pandemic. Detection af pre-symptomatic, mild and asymptomatic cases requires both surveillance of community populations (community callege students, majar industries, K-12 teachers etc) and surge community focused testing of under 40 yo ta find and isolate these contagious individuals. Implementation support for aggressive testing of the contagious but asymptomatic population with isolation effectively contained and mitigated spread prior te infection of the more vulnerable community members. Routine testing will be essential in multigenerational households especially in our Tribal Nations, One Federal unified consistent messaging about uniform use of masks, physical distancing and hand washing with profound limitation on indoor gatherings especially with family and friends is essential at this time point = this is about empowerment Americans with the knowledge and data for decision making to prevent community spread and save lives, University through aggressive testing and isolation had 97% less infections and isolated 95% less students Ta change the future this will require an aggressive data driven balance approach that is not being implemented at the state and local level and will require Federal support and guidance to change this PRESS: Good Morning America with Robyn Roberts; Vice News with Liz Landers; Chatham House with Emma Ross and David Heymann; American Philosophical Society Fireside Chat with Mark Thompson; VICE TV i1LE, ADAM CANCRYN and DAN DIAMOND interview; Sinclair TV Broadcasting - Jan Jeffcoat; Reuters healthcare Forum - Julie Steenhuysen; 2020 Ignatius Forum at the National Cathedral (covered by all the TV networks) Politico (see below) Fauci and Biden team steer clear of each other -- for now Biden's transition team must plan for a crisis response without access to essential information about the nation's supply chains and testing supplies. Anthony Fauci, director of the National Institute of Allergy and Infectious Diseases, testifies on Capitol Hill. I Alex Edelman/Pool via AP
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November 13, 2020 - Global - USA - Pandemic surge continues. Curve is exponential Moving along with the deployment of vaccine, Pfizer is putting in for their EUA. There should be 20 million doses of vaccine ready to deploy in December. Moderna will be doing the initial examination of data within days and likely will have comparable efficacy data to Pfizer. Their will have 15 million doses for deployment in December. Thus, 20 + 15 = 40 million doses for 15 - 20 million people in December. Aim to is get nursing homes (NH) covered quickly. 1.5 million people in NHs + 1.5 million staff = 3 million people (6 million doses) • Did major photo shoot with People Magazine Ron Klain called me up. He said that he wanted to ensure me that I have friend in the COS to the POTUS. He asked for suggested candidates for CDC. I recommended: Rochelle Walensky, Ashish Jha, Rich Besser, Carlos Del Rio, Josh Sharfstein (Ron feels that he would be better for FDA - I agreed). POTUS had press conference today with the OWS people (Slaoui and Perna and Azar) - Trump spouted how well we are doing here in the USA. After that he had Slaoui talk about the success of the vaccines (Pfizer and Moderna) which is good news PRESS: CBS This Morning;
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November 14, 2020 - Global - 53,200,000/1,300,000; USA - 10,700,000/244,000 Still raging - 184,000 cases yesterday (Friday) and 69,000 hospitalizations; >1400 deaths). Every day is a record. Hospitals soon to run out of ICU beds and personnel. Confirmed Cases [Thousancs) New Daily Confirmed COVID-19 Cases in the U.S. seereses a a, &¢ ¢ ey LAA e ¢ *€ fF FP & FF oe ¢ a ee ee: a fF Fs PKFZFF ~ eee *fa Day eee Day Mowing Avarage Crazy situation of Trump supporters including "Proud Boys" marching on DC to protest that Biden "stole the election" Did major photo shoot with Bloomberg News in anticipation of being one of the 50 most influential people in 2020. Did the first Saturday morning (10:00 AM) meeting with Janssen, similar to what we did for several weeks with Moderna to help them and encourage them to get good diversity in their clinical trials. For NIH, it was Francis, Cliff, me, Kim Taylor from DMID, Gary Gibbons. For Janssen, it was Paul Stoffels, Johan van Hoof, Peter Ronco, Mathai Mammen, Najat Khan, Stacy Hargraves. ENSEMBLE is the Phase 3 trial for the Janssen candidate. PRESS: ind Jeremy Diamond Joe Biden and Dr. Fauci praise the work of Jesuit Refugee Service Michael J. O'LoughlinNovember 12, 2020
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Nov 14, 2020 Feb 24,2021
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November 15, 2020 - Surge continues. 244,000 deaths (1300 yesterday); 10,900,000 infections, 167,000 cases yesterday. Big issue now is the logistics of distribution of the vaccine. Locals are saying that the USG has not given them enough money (bullions instead of hundreds of millions) to be able to distribute the vaccine. Crazy Scott Atlas is out there urging people of Michigan to "rise up" against the restrictions put on by the Michigan Governor Gretchen Whitmer to quell the outbreak. WH Comms still lets him out despite the fact that Alyssa tells me she thinks he is destructive. Clearly someone (POTUS, Meadows) wants him out there:
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November 16, 2020 - Global - 54,300,000/1,300,000; USA - 11,000,000/246,000 Continual surge: 138,000 new infections yesterday. POTUS has no interest at all in the Pandemic. He is focusing on blocking Biden from being POTUS. He is embarrassing the USA. However, 72,000,000 voted for him. Difficult to understand. Craziness has overtaken part of our country (1/2). Jared Kushner did call me up right before the press briefing related to the Moderna vaccine announcement (see below) 16 November 2020 1. All states and major metros now are deteriorating except Hl -- there are 27 states inthe red zane and? states inerange zane-- major high populous states are now significantly deteriorating from MIL IL, IN, GH, PA, to MJ, M4 and western NY, CA-- this surge must be flattened 2. Cempared te last week cates ip 50%, hospitalizations up18% and deaths 26% - this rate of increase will crush the hespitals 3. Ta be erystal clear -- its not just the number of cases but the rate of rise - what we are decumenting today as new cases are reflective of spread 10-14 days age - the rate of rapid rise in cases will tranélate to a proportional rapid rise in hospitalizations and deaths 4, We need to change the rate of rise of cases to change the rapid rise in hospitalizations to preserve haspital capacity--this is no longer about preventing a crisis -- this is a crisis -- thisis about tryina te save as many lives as possible within the crisis 5. Europe hat shown os that the Fall surge can be cantained and hospital capacity sustainedand ifwe act mow we can da the came 6. Thisvaill require a comprehensive Federal response with agaressive support to States bo include: ' Aggressive communication at the WH level masking requirements at all tirnes outside of immediate househeld, physically distancing, hand hygiene AND critically limiting of social interactions te the immediate household for the next 60 days while we bridge to the rapid vaccination of the vulnerable populations decreasing hospitalizations and fatalities : thisis.a short tern sacrifice to protect the vulnerable. We need to decurnent precisely the number of vaccine doses availabh: over the nest ? week fer pilot reall out to LCE, . Aggressive re-alignment of 4g testing towards finding and preventing unrelenting silent spread that cantinues be trigger community spread inwaves > SOM Giroir and COC working with States and Tribal nations . Expanding frequency of LTC testing and aligning early vacelnation late LTCF * Ensuring rapid tiering of those most vulnerable to rapid vaccine immunization access imnovediately upean EUG (COC) . Short term interventions : in States with demonstrated haspitalstaffing under threat - restricting indoor dining and briefly limiting areas of congregation without mask (bars, gyms and restricting indoor dining} will be needed as was successful in the USA in the Summer 7. Withoutanimmediate change we will hit 200,000 cases/day and LSM casesfweek, and over 100,000 inpatients --this is unsustainable Date: 11 s20e0 I New Cases per 100K NEW CASES PER 100,000 IM THE WEEH: I National Picture 'OWE MONTH BEFORE TWO MONTHS BEFORE a eee a re Cases per 100K $20 Comin ast 14 Dury Mobs swe {9 10 to 50 (9 F1b 1h ® (107 te 198 Ee 200 me a08 (£00 of More All states are now showing significant increase in cases, this is the time sequence over the last 6 months. We have not seen a surge in testing in the last 30 days but are seeing deterioration across the country. Confirmed Cases [Thousancs) Lim New Dally Confirmed COVID-19 Cases In the U.S. ae ee) " ee # Fg Q = » Ce. ee vo FF ¥ fetsegesr eg tse evs rt eve 'iin ty ca a Day eee Day Mowing Avarage 00/1,300,000; USA -- ----_--<$--$==$=--$=$<--= thy "ig, *******The administration (POTUS, Pence, Meadows, etc) keep emphasizing that we have never been as well prepared to respond to this pandemic. They refer to hospital beds, ventilators, PPE, etc. They are missing the fact that the pandemic is raging and they are really doing NOTHING to stop its spread. They have essentially given up (see comments above from Mark Meadows) in stopping it and concentrating on having enough supplies to address the cases as they come in. In fact, smaller states (southwest, northwest) are rapidly running out of ICU beds and personnel. They are wrong on both accounts. Freddy Ford (George W. Bush's Chief of Staff) emails me and mentions that W. wants to receive vaccine publicly to indicate his support for vaccines, and could I help out. Sir Elton John and husband David Furnish call me up and want to talk about how we can link the interest in COVID-19with sustained interested in ending the COVID pandemic. Great conversation; they are very "proud of me". I suggest linking testing for COVID to getting tested for HIV and getting people on PrEP. They loved the idea. PRESS: NBC Today Show with Savannah Guthrie; CBS with Jon LaPook; WTOP Radio; Press briefing by Francis Collins, me, Stephane Bancel, Matt Hepburn; Stephen Hoge, John Mascola related to Moderna announcement
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Nov 16, 2020 Feb 24,2071 May?, 2071 Source: Johns Hopkins University CSS--E COVID-19 Data cc ey Ph Feb4,.2020 --> <) May 2, 2021 New Daily Confirmed COVID-19 Cases In the U.S. a0 Z : 200 i z 150 E E on mom yo tm Dal foo oa oom Cal a. = am Mm ot y apy ok toe em gs SRST SS SV SSSR SSCS SSR T ESS SSG SEES E ae Re eRe ees aera es 2020/2021 a4 az aie aja asl ue 4s 4fii India is exploding: Good number today for the USA: The share of daily COVID-19 tests that are positive Shown is the rolling 7-day average. The number of confirmed cases divided by the number of tests, expressed as a percentage. Tests may refer to the number of tests performed or the number of people tested - depending on which is reported by the particular country. Cunear ] toc 30% 25% 20% 15% 10% 5% United States --- Israel 0% United Kingdom Mar 1,2020 Apr 30,2020 Jun19,2020 Aug 8, 2020 Sep 27,2020 Jan5,2021 Feb 24,2021
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Nov 16, 2020
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Nov 16, 2020
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November 17, 2020 - Global - 54,800,000/1,300,000; USA - 11,100,000/246,200 17 November 2020 Task Force All states and major metros now are deteriorating except Hl -- there are 27 states in the red sone ane 7 states in orange zone Nev daily admissions reaching 10,000/day and inpatient COVID patients reaching historic highs Its not just the number of coses but the rate ofrise - what we are documenting today as mew cases are reflective of spread 10-14 days ago - the rate of rapid rise in cases will translate to a proportional rapid rise in hospitalizations and deaths The length of time to reach peak is significantly honger -- wee are seeing improving im El) Pasa following extensive mitigation since 220ctoher Metriod hit hard during the summer surge are mow passing Their summer peal We need to change the rate of rise of cases to change the taped rise in hospitalizations to preserve hogpital capacity -- this Gono longer about preventing a criss --the i a omnis -- Chit abou trying lo dave ad mieny lives as posible within the onnis Europe has shown us that the Fadl sunge can be contained and hospital capacity sustained and if we act mow we can do the same This will require a comprehensive Federal response with aggressive support to States to include: ' Aggressive communication at tha WH lavad masking requirements ot all times outside ofimmsdiate heuscheld, physically distancing, hand hygiene AND orttically limiting of social interactions to the Immvediata household for tha ment 60 days while we bridge to the ragid vaccination of the vulnerable populations decreasing hospitalizations and fatalities : this isa short term sacrifice: to protect the vulnerable. We need to document precisehy the number ofvaccine doses available over the next 2 work for pilot roll outta LTC. . Aggressive re-alignment of ig testing bowaerds finding and preventing unrelenting silent spread that continues bo bragger conmimunity spread in waves ADM Girdir and COC working with States and Tribal nations * Expanding frequency of LTCF testing and aligning, earty vaccination into LTCF * Ensuring rapad tering of those most vulnerable te rapid vaccine immunization access immediately wpom ELA (CoC) * Short term interventions ;in States with demonstrated hospital staffing under threat - restricting indoor dining and limiting areas of congeegation without mask bars, gyms and restricting Indoor dining) will be needed as was successful im the US4 in the sunimer and im Europe Without an immediate change we will hit 200,000 casesfday avd 15M cases/week, and over TODD inpatients -- this i unsustainable The surge continues. ICU beds in Montana are running out.. Recent (Nov. 13) NPR interview of ICU nurse in Billings MT: RIHA: We are currently at a critical level of patients in our ICU. So as you mentioned, we're the largest hospital operating system in Montana. And under normal operating circumstances, we have a 24-bed ICU in our hospital. When I left last night at the end of my shift, we currently had 44 ICU patients that were under the care of our service with a very, very full emergency room and likely more ICU patients coming in. In Task Force meeting today, Deb, I (by virtual), Bob sounded the alarm. Mark Meadows blurted out and objected to our call for a consistent message about masks and testing asymptomatics. He feels that no matter how much you test, you still will have outbreak. He got tested every day and he claims to have been infected while wearing a mask - NONSENSE. He was not wearing a mask before he got infected. He has bought into Scott Atlas. This is disgraceful. Deb suggested that we have a doctor White House press conference once per week. I pointed out that we must have a consistent message from the White House. I was not so subtly referring to Scott Atlas saying that masks do not work. Daily New Cases in the United States Daily New Cases Cases per Day Data as of 000 CMT et 200k = ua c=] = uw i=] = Newel Corcravines Daily Cases = =I New Cases per 100K 11/07 /2020-11/13/2020 rf I Cases per 100K 220 Cases im Last 14 Daye _ I Mow, I I Msn 4) tos "tags I OE S10 P| MD 101 to 100 I BB 200 an9 ar Mere New York Times "Dealbook" 10/1,300,000; USA -- PRESS: NPR Morning Edition; New York Times "Dealbook"
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November 18, 2020 - Global - 55,100,000/1,300,000; USA - 11,300,000/248,000 Still very much out of control. Trump is absent when it comes to outbreak. He recently fired a civil servant Christopher Kreb, cybersecurity official. This is having press speculate that he might fire me. 18 November 2020 All states and major metros now are deteriorating except Hl -- there are 27 states in the red zone and 7 states in orange zone New daily admissions have reached 10,000/day and Inpatient COVID patients reaching historic highs Its fet just the number of cases but the rate of rise - what we are documenting today as new cases are reflective of spread 10-14 days ago - the rate of rapid rise in cases will translate to a proportional rapid rise in hospitalizations and deaths The length of tire te reach peak is significantly longer -- we are seeing improving in El Paso follawing extensive mitigation since 22 October Metros hit hard during the surmmer surge are now surpassing their summer peak We need ta change the rate of rise of cases to change the rapid rise in hospitalizations to preserve hospital capacity -- this s no longer about preventing a crisis -- this is a crisis -- this is about trying to save as many lives as possible within the crisis Europe has shown us that the Fall surge can be contained and hospital capacity sustalned and if we act now we can do the same This will require a comprehensive Federal response with aggressive support to States to include: * Aggressive communication at the WH level masking requirements at all times outside of Immediate household, physically distancing, hand hygiene AND critically limiting of social interactions to the immediate household for the next 60 days while we bridge to the rapid vaccination of the vulnerable populations decreasing hospitalizations and fatalities : this is a short term sacrifice to protect the vulnerable. We need te document precisely the number of vaccine doses available over the next 2 week for pilot rell out to LTCF. Aggressive re-alignment of Ag testing towards finding and preventing unrelenting silent spread that continues to trigger community spread in waves : ADM Giroir and CDC working with States and Tribal natians Expanding frequency of LTCF testing and aligning early vaccination into LTCF Ensuring rapid tiering of those most vulnerable to rapid vaccine immunization access immediately upon EUA (CDC) Short term interventions : in States with demonstrated hospital staffing under threat - restricting indoor dining and limiting areas of congregation without mask (bars, gyms and restricting indoor dining) will be needed as was successful in the USA in the summer and in Europe Without an immediate change we will hit 200,000 cases/day and 1.5M cases/week, and over 100,000 inpatients -- this is unsustainable Over the Last 30 Days Cases have risen from an average of 55,370/ week to now 152,978/week 276% increase New Admissions have risen from 5500/day or 38,500/week to now 10,000/day or 75,000 per week 181% increase Inpatient COVID patients has risen from 42,098 to now 72,057 171% increase Inpatients with COVID currently rising at 17% week over week witha project of 84,306 inpatients next week and 100,000 inpatients the week after assuming the same rate of discharge (if sicker patients are admitted the % increase will become greater week over week) Deaths have risen from 697/day average to now 1206/day average 173% increase The Fall Surge is Different than the Summer or Spring Surge The depth of uncontrolled community spread is measured not only the absolute number of cases and new hospital admissions but the rate of rise of those cases and new admissions. This is the greatest rate of rise we have seen -- we have not increased testing significantly since summer to explain this rate of rise (testing up 10% - cases up 278%). SLIDE 4 and5 The breadth of community spread is measured by the number of rural and urban counties with high and rising cases now 2000/3107, the number of LTCF with + staff moving up each week from 30% to now over 70% in many states, and the number of major metros with significant increases in cases. This is the greatest breadth of infection we have seen. SLIDE 6 The duration of the current surge is measured by the length of time in rapid slope acceleration which predicts both duration of rising hospitalizations and fatalities. The current duration of rapid rise is now entering week 8 across the Northern Plains which is twice the duration to peak in the prior spring and summer surges (4-5 weeks). SLIDE 7 Depth of Fall Surge Daily New Cases in the United States Daily New Cases Cases per Day Data as of 0:00 GMT+0 200k Vi re i 150k ] ra I = a y " = Ok = I ne 1} S A ue I iy = 50k WE in I ! Es I PN at ! fl I I Hill TT ses fl T || I I Pa tel = Vaal 1) ij Al WT wa o a PA h I TURRET TTT ETE EE rh. a & A A £ *. " . Jot ah hy PP ef ah sh Rd es > Pot ae ae pot Pah sk» qe g@ BP a a Po a pf Qf oF a? a eo a wo ee eee ee oe dk a at © Daily Cases (I "+ 7-day moving average Exponential spread: Global USA PRESS: BBC World News TV; Elizabeth Rosenthal Kaiser Health Podcast (NY Times); USA Today Editorial Board Interview; USA Today interview Adrianna Rodriguez
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November 19, 2020 - Global USA 164,000 cases yesterday; 1900 deaths Did Miami Mayors call. New Mayor of Miami-Dade - Daniella Levine Cava, replaced Mayor Carlos Gimenez who has been elected to Congress. Mayor Francis Suarez is Mayor of Miami City. Real problem is that the Mayors want to do the correct thing, but the Governor has ordered that bars and restaurants open at full capacity. The best that he will give the Mayors is a 2 hour curfew, i.e. close bars at 10:00 PM. He is a Trumper and a real problem. Screw people dying; save the economy. Major staff shortages in hospitals in Midwest and other areas. This completely belies the stunning denial that Mark Meadows, POTUS, even the VP, certainly Scott Atlas are manifesting. They believe that the increase in cases is due to increases in testing. They just deny that hospitalizations and deaths are increased greatly. Amazing that even in regions where the virus is surging and hospitals are overflowing, the people in the region are calling it "fake news" OWS (General Perna) briefs VPOTUS on vaccine distribution. He is promising a lot. Did nice podcast fireside chat with The Hastings Center ut ke mm 10, 19 November 2020 All states and major metros now are deteriorating except HI = there are 29 states in the red zone and 9 states in orange zane BUT there is early evidence that strong early mitigation is impacting the rate of rise as specific states start to show a slowing of their cases New daily COVID confirmed admissions have reached 10,000/day and inpatient COVID patients reaching historic highs Last week 130% confirmed and suspected COVID cases were admitted = these drive PPE use = please review the daily data report =slide 5 Its not just the number of cases but the rate of rise - today's cases are reflective of spread 10-14 days ago - the rate of rapid rise in cases will translate toa proportional rapid rise in hospitalizations and deaths : but there is clear evidence that aggressive mitigation works We are now seeing the impact of the mitigation efforts put in place 2? weeks agoin the more populous states and suggestions of plateauing in these states see slide 6 -- this is very encouraging and we should reinforce these positive trends related to strang mitigation This joins the European data =slide 7 =that this Fall surge can be rapidly contained with mitigation We need ta change the rate of rise of cases to change the rapid rise in hospitalizations to preserve hospital capacity -- this is no longer about preventing a crisis = this is a crisis = this is about trying to save as many lives as possible within the crisis This will require a comprehensive Federal response with aggressive support to States to include: . Aggressive communication at the WH level masking requirements at all times outside of immediate household, physically distancing, hand hygiene AND critically limiting of social interactions to the immediate household for the next 60 days while we bridge to the rapid vaccination of the vulnerable populations decreasing hospitalizations and fatalities : this isa short term sacrifice to protect the vulnerable. We need to document precisely the number of vaccine doses available over the next 2 week for pilot roll out to LTCF. * Aggressive re-alignment of 4g testing towards finding and preventing unrelenting silent spread that continues to trigger community spread in waves : ADM Giroir and CDC working with States and Tribal nations . Expanding frequency of LTCF testing and aligning early vaccination into LTCF . Ensuring rapid tiering of those most vulnerable to rapid vaccine immunization access immediately upon EUA (CDC) . Short term Interventions : in States with demonstrated haspital staffing under threat - restricting indoor dining and limiting areas of congregation without mask (bars, gyms and restricting indoor dining) will be needed as was successful in the USA in the summer and in Europe Without an immediate change we will hit 200,000 cases/day and 15M cases/week, and over 100,000 inpatients -- this Is unsustainable in our hospital system Over the Last 30 Days * Cases have risen from an average of 503,783/ week to now 1,129,789/week 224% increase * New COVID confirmed admissions have risen from 5500/day to 10,500/day 91% increase * New COVID confirmed and suspected admissions have increased from 89,708/week to 130,695/week 46% increase * Inpatient COVID patients has risen from 47,204 to now 77,518 64% increase * Inpatients with COVID currently rising at 17% week over week witha project of 84,306 inpatients next week and 100,000 inpatients the week after assuming the same rate of discharge (if sicker patients are admitted the % increase will become greater week over week) * Deaths have risen from 5623/week to now 8244/week average 47% increase CASE INCIDENCE IN LAST 7 DAYS AND COMPARISON TOTHE PREVIOUS 7 DAYS openbaar ha Cases per 100K by County Del: HEE Percent Change in Cases per 100K by County -- in the Week TNOV2020-17NOV2020 a in the Week 11NOV2020-17NOV2020 NOT FOR DISTRIBUTION // FOR OFFICIAL USE AND PLANNING PURPOSESONLY 10/1,400,000; USA --- Sharon Stone, Dr. Anthony Fauci to be Honored During Virtual Research in Action Awards Sharon Stone and her good friend Dr. Anthony Fauci are among the honorees at Treatment Action Group's virtual Research in Action Awards PRESS: Nexstar TV; White House Press conference (discussed vaccines and public health measures. Pence ran it and did not allow questions after the presentations. The reporters in the audience (Kaitlan Collins, Jon Karl and others) went nuts with anger; CNN with Chris Cuomo;
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November 20, 2020 - Global - 56,600,000/1,400,000; USA - 11,700,000/251,700 he election. It really 20 November 2020 All states and major metros now are fully deteriorating except Hl-- there are 29 states inthe red zone and 9 states in orange zone -- the duration of rising cases and the rate of rise greater than the spring or summer which will prolong the high fatalities for the next 4-6 weeks rapidly reaching over 300,000 Increase test positivity reflects continued and active community spread, Increased cages leads to inereased hospitalizations and increasing fatalities There is no evidence that any prior infections at the population level is changing the above relathonship or providing any slanificant blunting ta the significant fatalities that will continue to ree rapidly. Finally by not detecting the silent spread in young people continues to drive ever expanding cases, hospitalizations and deaths As predicted we will hit 200,000 cases/day [neost likely Friday night) and 15M cases/week, and over 100,000 inpathents--this is unsustainable states without mitigation will have the highest fatalities rate : states that are ageressively mitigating will flatten their curves more quickly and preserve their hospital systems New daily OOVID confirmed admissions are over 10,000/day and inpatient COVID patients reaching historic highs -- there are rot significant new improvenents in treatmentta further improve CFR which will remain near 10% for those ower 70 and near 1% for those 40-69 - we will reach histaric highs in daily fatalities Last week 130K confirmed and suspected COVID cases were admitted ---these drive PPE use and staff needs-- Its not just the number of cases but the rate of rise - today's cases are reflective of spread 10-14 days ago - the rate of rapid rise in cases will translate to.a proportional rapid rise in hospitalizations and deaths : but there is clear evidence that aggressive mitigation works -- Europe is stabilizing We need to change the rate of rise of cases to change the rapid rise in hospitalizations to preserve hospital capacity --this is no longer about preventing a crisis -- this is a erisis -- this is about trying ta save as many lives as possible within the orisis This will require a comprehencive Federal response with aggressive support to States to Include: . Continued aggressive communication at the WH level masking requirements at all times outside of immediate household, physically distancing, hand hygiene AND eritically limiting of social interactions te the immediate household for the newt 60 days while we bridge te the rapid vaccination of the vulnerable populations decreasing hospitalizations and fatalities: this is a short term sacrifice to protect the vulnerable, * Aggressive re-alignment of Ag testing towards finding and preventing unrelenting silent spread that continues to trigger community spread in waves * Expanding frequency of LTCF testing and aligning early vaccination inte LTCF * Ensuring rapid tiering of those most vulnerable to rapid vaccine immunization access immediately uponEUA (CDC * Short term mitigation interventions ; in States with demonstrated hospital staffing under threat - restricting indoor dining and limiting and/orclosing. areas of congregation without mask (bars, gyms and restrictingindoor dining) willbe needed as was successful inthe US4 in the summerand in Europe Still surging out of control. Records being broken daily. 1700 deaths yesterday. 80,000+ people in hospital. 198,500 cases today. Hospitals started to be strained. Record hospitalizations. Media dominated by COVID and Trump clearly trying to overturn the results of the election. Incredibly he is bringing in State legislators to the White House to try and convince them to cast their electoral votes for him even though the populace voted for Biden and Biden won Michigan. The GOP leaders are remaining silent with very few exceptions. They are all afraid that TRUMP will target them either as a private citizen or if he runs in 2024. Shameful cowards!! I am so disappointed in Pence whom I really like. Giuliani is babbling incoherently as the top lawyer trying to overturn the election. It really seems that he is mentally decompensating. Percent Increase in Total Cases over 7 days bie =O © +1% @ >5% @ -10% @ 225% @ =50n @ =100% <20 Weekly Cases -- 57,300,000/1,400,000; USA --- PRESS: MSNBC - Chuck Todd and Meet the Press Daily; Univision TV with Jorge Ramos; Katie Couric TV Website; Fox TV - "Bill Hemmer Reports"; Wisconsin TV - ABC - WISN-TV, Adrienne Pedersen Anchor
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November 21, 2020 (Saturday) - Global - 57,300,000/1,400,000; USA - 11,800,000/253,600 192,700 cases yesterday. Continual trend of worse and worse every day. Records of hospitalizations and deaths and daily cases continue to surge. See below. Trump and cronies (Giuliani et al) losing each of the court and other attempts to overthrow the election Had important Webex meeting at 9:00 AM (sunny) with Peter Marks, Cliff Lane, Francis Collins about the data from convalescent plasma that has been basis of EUA. Date are statistically significant, but very unimpressive. Need to treat 70 patients to benefit 1. 1. 21 November 2020 All states and major metros now are fully deteriorating except Hl -- there are 29 states in the red zone and 9 states in orange zone -- the duration of rising cases and the rate of rie greater than the spring or summer which will prolong the high fatalities for the next 4-6 weeks rapidly reaching over 300,000 There are suggestions of early stabllization in test positivity and cases inthe Northern Plains and Heartland as they experienced a break Inthe weather a couple of weeks ago but is has cooled again and with college students returning and the potential of multiple frlends and familly gatherings we could experience another rapid roe Concerning is the rapid rise in cases inthe next set of states which are much more populous and willdrive even higher hospitalizations and fatalities There is no evidence that any prior infections at the population level is changing the above relationship or providing any significant blunting to the significant fatalities that will continue tose rapidly. Finally by not detecting the silent spread in young people continues to drive ever expanding cases, hospitalizations and deaths As predicted we hit 200,000 cases/day (195,000) and LSM cases!week, and over 100,000 inpatients --this is unsustainable states without mitigation will have the highest fatalities rate: states that are aggressively mitigating will flatten their curves more quickly and preserve their hospital systems New dally COVID confirmed admissions are over 10,000,/day and inpatient COVID patients reaching historic highs -- there are not significant new improvements in treatment to further improve CFR which will remain near LO for those over 70 and near 1% for those 40-69 - we will reach historic highs in dally fatalities Last week 130K confirmed and suspected COVID cases were admitted --these drive PPE use and staff neecds-- Its not just the number of cases but the rate of ree - today's cases are reflective of spread 10-14 days ago - the rate of rapid rise in cases will translate to a proportional rapid rise in hoepital izations and deaths : but there ls clear evidence that aggressive mitigation works -- Europe is stabilizing We need to change the rate of rise of cases to change the rapid rise in hospitalizations to preserve hospital capacity-- this is mo longer about preventing a crisis -- this is a crisis -- this is about trying to save as many lives as possible within the erisis This will require a comprehensive Federal response with aggressive support te States ta Include: * Continued aggressive communication at the WH lewel masking requirements at all tines outside of rimediate household, physically distancing, hand hygiene AND critically limiting of social interactions te the immediate household for the next 60 days while we bridge ta the rapid vaccination of the vulnerable populations decreasing heepitalzations and fatalities : this is a shart tenm sacrifice ta protect the vulnerable. ' Conthvued critical guidance on Thanksglving ta limitindoor unmasking across households ' Aggressive re-alignment of Ag testing towards finding and preventing unrelenting silent spread that continues to trigger cormnuntty spread in waves ' Expanding frequency of LTCF testing and aligning early vaccination inte LICE ' Ensuring rapid tiering of thoee rest vulnerable ta rapid vaccie immunization access immediately upon EUA (COC) ' Short term mitigation interventions: restricting indoor dining and limiting and/or closing areas of congregation without mask (bars, gyms ard restricting indoor dining) will be needed as was successful inthe USA inthe surmimner and in Europe Had Zoom with NIH people (Francis Collins, John Mascola, Kim Taylor, Gary Gibbons, Eliseo Perez-Stable, Cliff Lane) and with the Janssen people (Paul Stoffels, Mathai Mammen, Stacey Hargraves, Peter Ronco, Macaya Douoguih, et al) to review the status of the Janssen trial and to encourage getting greater diversity in the trial. Got call from Larry Horowitz tonight telling me that Peter Marks told him that Trump called up Steve Hahn today and told him that Alex Azar said that Steve lost the POTUS the election by holding up the news about the Pfizer vaccine. Trump was cursing Steve on the phone and then hung up. Steve did not know if he was going to get fired and told this to Peter who called up Larry. Still not sure what is going to happen. TRENDS IN CASE INCIDENCE DURING THE LAST 8 WEEKS Adore Aare Horthare Markers: inberch Seren Sas Seragehie = AA ing aed Mortara orth Dekote Pipteicte heat Whconie Rihigee Peer Terk "Fahad inland MalGiitrsiat Horm Oneger inane erporeing em Decom rt bebe ie Feenaps na Her be lta 'Coon Catorea tanga ine Pieieaiok Phirigeti Seeley Wieit Weginda 'wiweria Mir patd Deinmar period of 825-1118. 1a? capes por 100.000 oar ae eS ee iit lene Mew Mee Karriak kerio merrier Moa Carin = fut Carehee Bit. ! WI ul Iv yo Talavera bea ware Miiuwihian Maura 'Seetmlie Wiepien Hite e e Vi Vil Vill Ix x < = I ---- 7 -- ie A -- 2,000,000/255,100 22 November 2020 Ls There are 30 states inthe red zone and 9 states In orange zone -- the duration of rising cases and the rate of rise greater than the coring or summer which wall pralong the high fatalities for the neat 4-6 weeks rapidly reaching aver 300,000. BLT OL is alneedy inorowing with mitigation but IN continues to deteriorate without mitigation 2.0 There are suggestions of eaeby stabilization imtest positivity and cases in the Marthenn Plains and Heartlandwith the break in the weathers couple of weelcs aga but bs has coobed again and with callege students retunning and the potential of multiple friends and family gatherings we could experience another rapid rise Concerning Is the rapid mise in cases in the next cet of states which are much more pogudaus (NY, A, PACA, TX) and wall diriwe even higher hospitalizations and fatalities By inet detecting the silent spread in young peaple continues ta drive ever expanding cases, hasoitalizatians and deaths Buroge is imarceing ranicly with mitigation amd we are seeing early imarowerment in states with sbrong mitigation: New daily OOV10 confirmed admissions are aver 10,0000) dary and inpatient OOVI0 patients reaching historic hgghs - there are not significant new bmoroewements im treatment ta further imarcve CAR which wlll remain mea 10 fer thease over 70nd mea 1% for thee) 40-69 - axe wall reach historic highs iin daily fatalities A isnot just the numberof cases but the rate of rise - tocey's cases ane reflective of spread 20-14 days ago - the nate oftragi¢ rise in cases wall tranalate toa prapartional ragid rise in hospitalizations ard deaths 8&0 There are state examoles of changing the rate of rise of cases tachange the rapéd rise in hospitalizations to preserve hos pital capacity this Is mo banger about preventing a crisis this is acrisis ~ this is shout trying ta save as many lives as possible within the crisisand we have examples of states that ane: Improving a TAls will require a comprehensive Rederal resipanse with aggressie sunpeart to States te include statesments that Fraps: ard States with strong mitkgation arc ir resin g: Continued aggressive comm«anicatlon at thee WH laval masking ne-quiremennts at all times outside of Immediate household, physically distancing. hand hygiene: AND critically limiting of social Interactions to the Inmediata household for the neat BO days whole we bridge to the rani vaccination of the wulmerahle populations decreasing hospitalizations and fatalities : this isa short term saoine to protect the vulnerable. * Continued critical guidance on Thanksgiving amd throughout the Holidayseason to linatt indoor wimasking across hou seh olds * Aggradsive re-alignment of Ag testing towants finding and prewentingunnclenting silent sprcad that continues to trigger coomenunity spread in wanwes * Expanding frequency of LTCF testing and aligning early waccination inte LICE * Enduring rapid tering of those most wulmerahke: to rapid warckie inemunitation access Inionediabelly upc PLA One) * Short term mitigation Interventions : restricting Indoor diningand limiting andor closing areas of congregation without mask (bars, gyms and restricting indoor ining) wall be needed as-was suscnes stil ir the L6, inthe sunimer and im Europe Pe»
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November 22, 2020 - Global - 57,900,000/1,400,000; USA - 2,000,000/255,100 200,000 cases yesterday See UK below. Mitigation (closing bars, gyms; restricting indoor dining; confine dinners and activities to immediate households) works as shown in UK and even USA during the summer rise and decline: Daily New Cases in the United Kingdom Daily New Cases Cases per Day Data as of 0:00 GHT+0 40k # O ao = I % 14)\, = ook a i= i=] wk z 10 i=] = o ST ed ap gh gh a> a PP a "= bP PP ee ae et ab ah ee ae ah Gh a ae SEPM ge ys eee verre er . "ne ee ff of aa ® Dally Cases i f (] ~ f-day moving average New confirmed cases of Covid-19 in North Dakota, South Dakota, Wyoming, Minnesota, Montana and lowa Seven-day rolling average of new cases (per million), by number of days since 0.1 average daily cases (per million) first recorded 1,800 1,400 1,200 1,000 Number of days since 0.1 average daily cases (per million) first recorded Source: Financial Times analysis of data from the Covid Tracking Project. Data updated November 22 2020 2.09pm GMT. Interactive version: freom/feovid FINANCIAI North Dak Wyoming South Dak Minnesot. ® Montana lowa TIMES Some states may actually be starting to turn around as they start mitigating: Got a call from Nancy Messonnier expressing great concern that after the doses get delivered by Gen. Perna to the local state locations, that there is confusion in how to get the doses distributed. She says that the local health departments who have been given this responsibility either have no idea what they are doing or they need the resources that they do not have. She . -- 12,200,000/256,000 says her communications with Redfield are rare and she is distraught. She has more access to me than to Redfield. PRESS: Face the Nation (CBS) - with Margaret Brennan;
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November 23, 2020 - Global - 58,400,000/1,400,000; USA - 12,200,000/256,000 Very concerned that the travel over Thanksgiving will exacerbate the current surge. Some states that are mitigating (IL, NM) and doing much better than those that are not (IN, SD) Really good news in that both Moderna and Pfizer on further analysis of ther data are reporting very good efficacy after first dose and prior to second dose. AstraZeneca is reporting today 70% efficacy (on average) with 1⁄2 dose prime and full dose boost. Strange that 1⁄2 + full did better than full + full • Toronto Goes Into 28-Day Lockdown As COVID-19 Cases Surge. Remember when we got hit badly early on and Canada did so well people said we did not do it right, but Canada did. We could not figure out what "it" was. Now with the Fall surge, Canada is getting badly hit as is every place else. 10. 23 November 2020 There are 30 states in the red zone and 9 states in orange zone = the duration of rising cases and the rate of rise greater than the spring or summer which will prolong the high fatalities for the next 4-6 weeks rapidly reaching over 300,000, BUT ILis already improving with mitigation but IN continues to deteriorate without mitigation For the first time in 7 weeks the Sunday cases were less than last week's Sunday cases -- building on this now is critical -- we need to make it clear that choices will drive a post Thanksgiving surge because of the underlying high viral load that will be an overwhelming threat to the health care system. The improvement is due to states aggressively mitigating and it will be very evident over the next 60 days that mitigation saved lives and the lack of mitigation resulted in unnecessary high fatalities, Europe is improving rapidly with mitigation and we are seeing early improvement in states with strang mitigation States that did not mitigate in the Fall surge will end up with population CFR equal to the Spring surge when treatment was suboptimal, (ND, 5D, MT etc] There are now 26 States in the red and orange for hospitalizations of COVID cases = care deteriorates across all patients with and without COVID when states enter the red zone Mew daily COVID confirmed admissions are over 10,000/day and inpatient COVID patients reaching historic highs -- there are not significant new improvements in treatment to further improve CFR which will remain near 10% for those over 70 and near 1% for those 40-69 - we will reach historic highs in daily fatalities Its not just the number of cases but the rate of rise - today's cases are reflective of spread 10-14 days ago - the rate of rapid rise in cases will translate ta a proportional rapid rise in hospitalizations and deaths - we cannot sustain another surge that we have experienced over the past 7 weeks There are state examples of changing the rate of rise of cases to change the rapid rise in hospitalizations to preserve hospital capacity = this is mo longer about preventing a crisis -- this is a crisis = this is about trying ta save as many lives as possible within the crisis and we have examples of states that are improving This will require a comprehensive Federal response with aggressive support te States to include statements that Europe and States with strong mitigation are improving: * Continued aggressive communication at the WH level masking requirements at all times outside of immediate household, physically distancing, hand hygiene AND critically limiting of social interactions to the immediate household for the next 60 days while we bridge to the rapid vaccination of the vulnerable populations decreasing hospitalizations and fatalities : this is a short term sacrifice to protect the vulnerable. . Continued critical guidance on Thanksgiving and throughout the Holiday season to limit indoor unmasking across households * Aggressive re-alignment of Ag testing towards finding and preventing unrelenting silent spread that continues to trigger community spread in waves . Expanding frequency of LTCF testing and aligning early vaccination into LTCF " Ensuring rapid tiering of those most vulnerable to rapid vaccine immunization access immediately upon EUA (CDC) . Short term mitigation interventions : restricting indoor dining and limiting andor closing areas of congregation without mask (bars, gyms and restricting indoor dining) will be needed as was successful in the USA in the summer and in Europe with -- 12,300,000/257,000 PRESS: RAI Italian TV; La Stampa/Vatican Radio interview with Paolo Mastriolli; Hcehinger Boston Radio (NPR); Yahoo Finance TV interview; Washington Post Live with Robert Costa; PBS NewsHour with Judy Woodruff; Zoom with Washingtonian Top Doctors
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November 24, 2020 Global - 58,700,000/1,400,000 USA - 12,300,000/257,000 Surge continues. Europe starting to level off since they are shutting down in many countries. Despite CDC saying not to travel over holidays, millions of people, particularly students are crowding airports 24 November 2020 There are 29 statesin the red zone and 11 statesin orange zone--40 statesin fall resurgence -however casesare increasing across all states inclading the more populoms states which will significantly increase boespitalizations and fatalities All major metres lave or are excecling the spring aod summer surge cases except for NYC, MIA, HOW bat their nate of rise couhl drive them over their prior bighs in days Yesterday CA, OH. TX. IL. ES, BA, MN. FL NY. MI. WA, IN, CT were all at litstoric case high or were over 5000 cases'day with rising leepitalizations The deration of rising cases ad the rate of rive is greater than the spring or summer which willproleng the lugh fatalities for the wext 4-4 weeks rapidly reaching aver S00 (8M) American Eatalities -- testing (Mov testing wall be the eame at Get) and is not increasing at the rate of ibcreaking cases, hoepitalizations and Fatalities We need to make it clearthat choices (state and metro policy choices amd personal choices) will drive a post Thankspiving surae because of the underlying high viral load that will be an overwhelming threat to thee health care system. Many states are inadequately mitigating including prior suubelt states that mitigated wellin the summer. Aggressive mitigation needs te happen mow to prevent a catachyemic Holiday season for the boxpital systems. We found the fiends amd family small gatlerings driving hospitalizations during the state visits but we also know that these drivers appeared in the sunbelt atter the states fully mitigated in the public spaces - including signiticant reducing capacity or closing spaces where masks cannot be wer Current improvements are seen in 1-2 stvles aggressively mitigating and it wall be very evident over the next 60 clays that mitigwion saved lives and ihe lack of mitigation resulted in mnecessary high fatalities - States tht did net mitigate in the Pall surge willend wp with population CFR equal te the Spring surge when treatment was suboptimal - ND, SD, MT = states must be encoumged to advance polictes that mitigation against this Fall viral surge Europe countries with clear policies are improving rapidly with aggressive containment with mitigating policies and clear conmuaication and are carefully renpeniing There are now 27 States in the red and orange for hospitalizations of COVID cases -- care deterioretes across all patients with and withent COVID when states enter the red cone -- there are more states in this category everyday Confirmed Cases (Thousands) 2a) New Daily Confirmed COVID-19 Cases in the U.S. 2m 57.5 iim Hf I I _ EAA TA TT I I I I I I I PE PES SL PSs FF TSF Pe LSAT PE HE Oe Fe F FPR FE FF Ce ee? Dery Mu ig Avarape Biden tweeted today that he has not spoken to me but his staff has and I have been "very, very helpful". I had told he press that I had not heard from the Biden team since my conversations with Ron Klain were supposed to be confidential since over the past several days Ron has contacted me about my advice for CDC Director and FDA Commissioner. I recommended Rochelle Walensky for CDC. Ron called he and liked her. Also, Ron told me that there was push back by some against Josh Sharfstein whom I recommended for FDA. In order not to have a contradiction with Biden, I have told CNN (Kaitlan Collins, Jim Acosta, etc.) GMA PRESS: NBC Radio The Takeaway; Healthline Live Stream; MTV Interview; FOX News Local DC; Yahoo News TV; Global USA ,000/1,400,000; 12,700,000/261,300 ay at
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November 25, 2020 - Global USA 11:00 AM call with Azar regarding the role of ACIP in the recommendation for the prioritization of the distribution of vaccine starting in December. Azar feels (with advice from Bob Charrow) that ACIP has no statuary authority of being involved in the process. Azar wants to act early to without ACIP involvement get vaccine to both HCWs and nursing home and other vulnerables (aged). This would require using all of the first supply as the prime (and not withholding half the doses for the boost), thus allowing us to vaccinate more of the high priority group and depend on the integrity of the supply chain to supply the booster doses. His intent is good, but I point out that this would be a PR disaster since we have been saying all along that an independent body (ACIP) would be very much involved in these recommendations. It would be interpreted as sidestepping a established process by political influence. My argument turns the tide to get ACIP involved with us from the beginning. They may agree with us (which is great) or they may not whereby we can say we included them in the process, but we do not accept their recommendation Ron Klain texted me last night after midnight. I was asleep. He sent me video of Joe and Jill giving Thanksgiving message to be careful over Thanksgiving. I will speak with Ron Today. Ron just texted me and said that they decided on Rochelle Walensky for CDC director on my recommendation!! PRESS: Good Morning America (ABC) with George Stephanopoulos; C-SPAN Washington Journal; WINS Radio (NYC); WGN TV (Chicago); Byron Allen and GRIO, an African-American online TV interview; Huffington Post (Jeff Young) - writing a piece on "A Day in the Life of Dr. Fauci"; McClatchy (Mike Wilner) print interview on vaccines; Kaiser News Interview (Lauren Weber); Interview with Scientific American (Charles Schmidt); November. 26, 2020 (Thanksgiving) Global - 59,800,000/1,400,000; 12,700,000/261,300 USA Surge continues Trump not addressing the outbreak at all Consumed with blasting sway at people and pardoning people like Gen. Flynn. Georgia Senate re-run about to occur to determine control of the Senate. Went on walk with Will and Joli to Mall and was "mobbed" by well-wishers who wanted photos with me. Went to the steps of Lincoln Memorial and read the speech of Lincoln on the opposite wall of the Gettysburg Address. Strikingly referable to today: "Men who worship the same God can be so far apart on fundamental issues...." PRESS: U.S. News
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Nov. 25, 2020 / 8:44 PM Fauci, Harris top 'Time' 2020 Person of the Year nominees 10, .-- 12,800,000/263,000 27 November 2020 There are 279 atetes in the red sone and 11 etates if orange zone = 40 etates in full recurgence however cases are increasing e¢roas all etates including the mare populous etates which will significantly increase hoepitalizations and fatalities - data will be unvtable including fatalities due to reperting changes All major metros have or are exceeding the apring and summer aunpe cased except for NYC, Ma, HOU but their rate of rise could drive then ever their priar highs in days Ihave included C4, IL, TX, PA the primary drivers of the large national numbers of cases and fatalities at this time The duration of rising cases and the rate of rise is greater than the spring or summer whech will prolong the high fatalities forthe next 4-6 weeks rapedly reaching over 200,000 American fatalities rapidly (Mov testing willbe the same at Qct) and & mot increasing at the rate of increasing cases, hospitalizations and fatalities We need to make it clear that choices (state and metro policy choices and personal choices} will drive a post Thanksgiving surge because of the underlying high viral load that will be an oversvhelming threat to the health care system. Many states are inadequately mitigating including sunbelt states that mitigated well in the summer. Aggressive mitigation needs tohapgen now to prevent a catechysmic Holiday season forthe hosgitel systems. CFR; population will correlate with bevel of mitigation. The mitigation choices states are making or not making will direct correlate on level of fatalities. The impact of these choices om human life will be very evident. Current improvements are seen im 1-2 states aggressively mitigating and it will be wery evident over the mext G0 days that mitigation saved lives and the lack of mitigation resulted in unnecessary high fatalities - States that did not mitigate in the Fadl surge will end up with population CPR equal to the Spring surge when treatment was subogtimal - WD, $0, M7 -- states must be encouraged to advance policies that mitigation against this Fall viral sunge We found the friends and farnily small gatherings driving hospitalizations during the state visits but we also kncew that those drivers agpeared im the sunbelt after the states fully mitigated in the public spaces -- including significant reducing capacity or closing spaces where masks cannot be vweonn Euroge countries with clear polcies are Improving rapedly with aggressive containment with mitigating policies and clear communication and are carefully reopening There are ow 27 States in the red and orange for hospitalizations of COVID cases -- care deteriorates across all patients with and without OOVID when states enter the red zone -- there are nore states in this category everyday New daiy COVID conflrmed admiisons are over LODO day and inpathent COVID patients reaching histori: haghs BODO linoeading LOKweek), nearly 45%) of all confirmed OOVID admissions ane ower 70 and CFR remains mear 10% for those over 70 and near 1% for those 40-69 - ye will reach historic highs im dally fatalities Although we were beginning to see early signs of decreases iin the rate of rise of hospitalizations I remain deeply wonred about apost Thanksgiving surge that will once propel us towards 450,000 deaths as the Fall surge continues Inte the winter ifwe cant both mitigate in publbc spaces and convince Americans ofthe danger There are state examples of changing the rate of rise of cases to change the ragid rise im hospitalizations to preserve hospital capacity -- this isino kenger about preventing a crists -- this is a crisis -- thits is about trying to save as many lirees as possible within the criss and we have examples of states that are improving 1, The virus is accelerating faster than our response and this requires am even further accelerated and comprehensive Federal response with aggressive support to States te include strong statements that Europe and States with strong mitigation are improving = there is a clear roadmap to contain this virus and preserve the health system: . Continued aggressive communication at the WH level masking requirements at all times outside of immediate household, physically distancing, hand hygiene AND critically limiting of social interactions to the immediate household for the next 60 days while we bridge to the rapid vaccination of the vulnerable populations decreasing hospitalizations and fatalities : this is a short term sacrifice to protect the vulnerable, We must directly confront the myths that many Americans believe . Many Americans believe that masks don't work due to prior tweets, that the epidemic is a hoax, that the figure of 94% of those whe died had co-morbidities meant that they died from something else and we have inflated the fatalities - instead of understanding that the co-morbidities predisposed them to severe COVID ' Clear recommendations to States about the importance of short term mitigation interventions : restricting indoor dining and limiting and/or closing areas of congregation without mask (bars, gyms etc.) this was successful in the USA in the summer and was successful in Europe during their fall surge = states across the country are not mitigating adequately to preserve the health system . Continued critical guidance on the Holiday season to limit indoor unmasking across households if they choose to gather ' Aggressive re-alignment of Ag testing towards finding and preventing unrelenting silent spread that continues to trigger community spread in waves =a hand full of states are moving in this direction . Expansion of MAT testing now to ensure colleges can access routine regular cost effective testing in January . Expanding frequency of LICF testing and aligning early vaccination into LTCF . With Moderna's potential of one shot resulting in some protection - aggressive immunization of the elderly could dramatically change hospitalization rates and fatalities in the next 30-35 days . Ensuring rapid tlering of thase most vulnerable to rapid vaccine immunization access immediately upon EWA = this may require implementation support ta the states and full utilization of federal qualified health clinics
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November 27, 2020 - Global - 60, 300,000/1,400,000; USA - 12,800,000/263,000 Now concerned about the post-Thanksgiving surge 2a) New Daily Confirmed COVID-19 Cases in the U.S. 2M FA EE \ Fy od Confirmed a : ps i a Mi qm oy say FF .-- 13,000,000/264,000 TRENDS IN HOSPITAL INPATIENT COVID UTILIZATION DURING THE LAST 8 WEEKS a --. Inpatient bed utilization cubegporien I heed OF ae Pe a a 'ik Hartharr, Markee: in bere Serene. Seeer Sernaehirs I J = ont by _ sap ry PP PPP rebate ee sae Record number of hospitalizations at >80,000
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November 28, 2020 - Global - 61,300,000/1,400,000; USA - 13,000,000/264,000 oy Be Ue Rb pe iad 10. 11. 12. 28 November 2020 There are 29 states inthe red zone and 11 states in orange zone Data is unstable due ta Thankselving but in summary -- testing rates are static compared te October Cases are increasing especially in CA = incredibly high case counts despite Thanksgiving, the NorthEast, the Sunbelt with significant deterioration in AZ Data will be unstable including fatalithes due ta reporting delays -- but haspital new admissions should be real time and I will be tracking those carefully Hospitalizations new admissions and current inpatients with COVID approaching 100,000 but the rate of rise is slowing and next week could plateau There are now 29 States in the red and orange for hospitalizations of COVID cases -- care deteriorates across all patients with and without COVID when states enter the red zone -- there are more states in this category everyday This will allaw us to fully see the impact of Thanksgiving travel and gathering in 2 weeks a5 we should have peaked and should have declined We need to make it clear that choices (state and metre policy choices and personal choices) will drive a post Thanksgiving surge because of the underlying high viral load that will be an overwhelming threat to the health care system. Many states are currently Inadequately mitigating including sunbelt states that mitigated well in the summer. Aggressive mitigation needs to occur now to prevent a cataclysmic Holiday season for the hospital systerns. CFR and deaths/iM population will correlate with level of mitigation. The mitigation choloes states make or don't make will direct correlate with cumulative level of fatalities. It is net te late with the Holidays coming to change. The impact of these cheices on human life will be very evident. Current improvements are seen in 1-2 states aggressively mitigating and it will be very evident aver the next 60 days that mitigation saved lives and the lack af mitigation resulted in unnecessary high fatalities - States that did not mitigate will end up with population CFR equal to the Spring surge when treatment was suboptimal - NG, 50, MT-- states must be encouraged to advance policies that mitigation against this Fall viral surge We found the friends and farnily small gatherings driving hospitalizations during the state visits but we also know that these drivers appeared in the sunbelt after the states fully mitigated in the public spaces --including significant reducing capacity or closing spaces where masks cannot be warn Europe countries With clear policies are improving rapidly with aggressive containment with mitigating policies and clear communication and are carefully reapening Although we were beginning te see early signs of decreases in the rate of rise of hospitalizations I remain deeply worried about a post Thanksgiving surge that will once propel us towards 450,000 deaths as the Fall surge continues inte the winter If we can't both mitigate in public spaces and convince Americans of the danger -- convincing Governors and Mayors naw to mitigate post Thanksgiving and pre-Holidays is essential Reporting of cases will be inaccurate for the next couple of days due to Holiday. However, we can expect a post-Thanksgiving surge. Did filming with Janet Tobias and John Hoffmann for the NatGeo documentary. Went to the old RFK Stadium/Armory complex to view and film the 250,000 white flags put up by artist Susan in memory of those who died from COBID-19. Very reminiscent of the HIV/AIDS Quilt project. The crew filmed Chris and I walking through the acres of small white flags. Also filmed us from above with a drone. Trump bringing his argument before the Supreme Court. He has lost every court case (>30) except for one. The Supreme court issue relates to a lower court rejecting his claim that the Pennsylvania election was rigged. He and his lawyers (led by Rudy Giuliani) are an extreme embarrassment to the GOP and to the country. The rest of the world is looking at what is going on here incredulously. We look like a Banana Republic. I never would have imagined in my wildest dreams that our democracy would be so shook. It is still amazing how the ZGOP leaders do not abandon Trump. They are just afraid of him and what he can do after he leaves the Presidency to their political careers - Profiles in Cowardice. Received Deo et Patriae Award from Regis High School and President George W. Bush sent a letter of congratulations: Letter from President George W ts ant 10/1,400,000; USA -- 29 November 2020 There are 27 etates in the red zone and 11 states in erange rene and C4 included in the packet theugh testing in yellow zone Gata will be unstable including fatalities due to reporting delays -- but hospital mew admissions should be real time and I will be tracking those carefully --although still rising the rate of rise is decreasing. Current inpatients with COVID approaching 100,000 We will fully seo the impact of Thanksgiving travel and gathering in 2 weeks as we should have peaked and should have decline There are now 29 States in the red and orange forhospitalizations of GOVID cases -- care deteriorates morces all patients with and without COVID when states enter the red zone -- there are mone states in this category everyday We need to make it clear that choices (state and metro poboy choices and personal choices) will drive a post Thanksgiving sume because of the gerlying high viral Koad that will be an overwhelming Cheat 00 the health care system, Many states are currently madequatety mitigating mcluding sunbelt states that mitigated well in the summer, Aggressive mitigation meeds to occur mow to prevent 4 cataclemic Holiday season for the hoapital syitems, CFR and desthe/1M population wil correlate with level of mitigation. The mitigation choices stated make yall correlate with level of fatalities. Iti wat to late with the Holla coming to change. The impact of these choices on humec lite will be very evident. Current imGryemenis ane seen in 1-2 states agerestively mitipaling and it will be very evident over the newt 60 daws That mitigation saved fives and lack Of ralgation resulted in uinecessary high lateliies - Sates not mitipeting will ach population OFA equal to the Sprig sunk when lreelment wad suboptinial - WO, $0, MT -- sleles must be ercouraped to advance polices Cheat malggation ageing his Fall viral sure We Found the friends and farily small gatherings driving hospitalizations during the state visits hut those drivers agpeaned in the Sunbelt after the states Fully niitigated inthe public spaces -- including significant reducing cagacity or chosing spams where masks cannest be wenn Furope countries with clear policies are improving rapidty with aggressive containment with mitigating policies and clear oomenunécationm and are concfully reogening We were beginning to smo signs of decreases in the cate of rise of hospitalizations but a post Thanksgiving surge ontop ofaearly 100,00 inpatients will prone us towards 450,000 deaths as the Fall surge mows into winter ifwe can't both mitigate in public spaces and convinee Americans of the danger = convincing Governors and Mayors now to mitigate gost Thanksgiving and pre-Holidays is essential Got call from Ron Klain tonight at 5:15 PM. He wanted to fill me in on recent appointments (not announced yet) to make sure that I am OK with them: Josh Sharfstein (FDA), Vivek Murthy (Surgeon General), Rochelle Walensky (CDC), Jeff Zients (COVID-19 Czar), Gina Raimondo (Secretary of HHS). Ron said that Biden wanted to call me soon but he did not want to compromise me with the Trump people. They will clear with Meadows that the transition team can start getting in place and then Biden will call me. Got call last night from Mark Ghaly (Deputy Director for Community Health for the LA County Dept of Health Services). He has called me several times for advice. Frantic call saying that they are surging in LA County and very soon hospital beds will be overrun. He wants to do a 3 weeks shutdown of the city to "stop the surge" and wants my support since there is a large pushback to locking down. I agreed to support him.
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November 29, 2020 - Global - 61,900,000/1,400,000; USA - 13,100,000/266,000 Now at end of Thanksgiving weekend. Expect further surges (Birx's daily report): 1. The summer surge post Memorial day-- USA baseline cases were at 25K day now >L60K/day, inpatients were <30K and now =90K -- we are ina very dangerous place fora further resurgence 2, The virus continues te accelerate faster than our response and this requires an even further accelerated and comprehensive Federal response with aggressive support te States to include strang statements that Europe and States with strong mitigation are impraying-- thereisa clear roadmap tecontainthis virus and preserve the health system: * Continued aggressive communication at the WH level masking requirements at all times outside of immediate household, physically distancing, hand hygiene AND critically limiting of social interactions to the immediate household for the next 60 days while we bridge to the rapid vaccination of the vulnerable populations decreasing hospitalizations and fatalities : thisis a short term sacrifice to protect the vulnerable, We must directly confront the myths that many Americans believe Americans believe that masks don't work, that the epidemic is a hoax, that the figure of !1% of those who died had camorbidities meant that they died trom something else and we have inflated the tatalities --instead af understanding that the co-morbidities predisposed them to severe COVID and deaths have been underreported Clear recommendations to States about the Importance of short term mitigation Interventlons ; restricting indoordining and limiting and/or closing areas of congregation without mask (bars, gyms ebc.) this was successful in the USA in the summer and was successfulin Europe during their tall surge - states across the country are not mitigating adequately to preserve the health System Continued critical guidance an the Holiday season to limitindoorunmasking across households it they choose to gather Aggressive re-allgnment of Ag testing towards tinding and preventing unrelenting silent spread that continues to trigger community spread in waves = a hand full of states are moving in this direction Expansionaf WAT testing now to ensure colleges and K-12 teachers can access routine regulartesting inJanuary Expanding frequency of LTC testing and aligning early vaccination Inte LICE With Medera's potential of one shot resulting In some protectbon - aggressive innnunization of the vulnerable and the elderly could dramatically change hospitalization rates and fatalities In the mext 30-35 days Ensuring rapid tiering of those most vulnerable to rapldvaccine Inmunization access Immediately uponEWaA--this may require implementationsupport to the states and full utilization of federal qualified health clinics Date Milestone Dec 1 Covid-19 illness documented (unpublicized Nov 17*) Jan 10 SARS-CoV-2 virus sequenced Jan 15 NIH designs mRNA vaccine in collaboration with Moderna Mar 16 Moderna Phase 112 trial begins May 2 Pfizer/BioNTech Phase 112 trial begins July 14 Moderna Phase 112 trial published in NEJM July 27, 28 Moderna and Pfizer/BioNTech Phase 3 trial begins Aug 12 Pfizer/BioNTech Phase 112 published in Nature October 22,27. Enrollment in both Phase 3 trials complete; >74,000 participants Nov 9 Pfizer/BioNTech announces interim analysis efficacy > 90% Nov 16 Moderna announces interim analysis efficacy 94.5% Nov 18 Pfizer/BioNTech announces 95% efficacy as final result Nov 20 1st EUA submitted by Pfizer/BioNTech Nov 27 Distribution of vaccine by UAL charter flights throughout US Dec 10 FDA External review of Pfizer/BioNTech EUA Dec 11 Phase 1a Vaccination begins for health care professionals* *Provisional on positive external review Photos below of Fauci making rounds with Clinical Center inpatient and Clinic Staff - from October 2020 - 13,300,000/266, 100 Fauci makeing rounds with Clinica PRESS: NBC Meet the Press with Chuck Todd; ABC This Week with Martha Raddatz
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November 30, 2020 - Global - 62,400,000/1,500,000; USA - 13,300,000/266,100 We will see in the next few weeks whether the travel associated with Thanksgiving leads to a surge upon a surge. 95,000 people are currently hospitalized with COVID-19 - new record for this outbreak. Biden putting together his team. Very diversified with women and people of color. Trump still flailing about challenging without any hint of evidence that various states were won by him. He still has his Greek Chorus of people backing him although little by little they are being less vocal and explicit about backing him. The GOP is in a crisis in that many have lost credibility by not explicitly condemning Trump. They are all afraid since he does have almost 1⁄2 the country with him. He will definitely run in 2024 and they are afraid that they will lose his support if they come out against him. Terrible situation for democracy. Got call from Gov. JB Pritzker (D-IL) praising me for what I have been doing and asking for my backing for him to keep stringent public health measures (short of lock down). He is getting pushback from bars and restaurants and even from hard core people who do not want to wear masks. He said that I am so credible and respected that he would like to quote what I have said as backup for himself. He liked my statement on Sunday shows of "Close the bars; open the schools". He is very frustrated with people not wearing masks and told me he would like to just say: "Wear a fucking mask!" 30 November 2020 There are 26 states in the red zone and 10 states in orange zone -- data is extremely unstable due to the long Holiday break There aré two different regional dynamics in the pandemic. The Northern Plains and mast of the Heartland except OK is finally stabilizing after 8 weeks of unrelenting rise but from IN to OH to PA, the mid Atlantic, the NE region and the West Coast, TX and AZ continue to deteriorate which will drive up cases, hospitalizations and deaths. Currenth new admissions are stabilizing and the key will be whether Thanksgiving drives a super surge There are now 29 States in the red and orange for hospitalizations of COVID cases -- care deteriorates across all patients with and without COVID when states enter the red zone -- there are mare states in this category everyday -- decision by CDC on who [s immunized first will determine the future stability of the hospital system. Gee and Jan will be the key months for pressure on the hospital system and without prioritizing thase most like to require hospitalization and death could result in over all failure of critical care for all Americans independent of COVID status itis clear that choices (state and metro policy chobces and personal chelces) will drive a post Thanksgiving surge because of the underlying high viral load that will be an overwhelming threat to the health care system. Many states are currently inadequately mitigating Including sunbelt states that mitigated well in the summer. Aggressive mitigation needs to occur mow to prevent a cataclysmic Holiday season for the hospital systems. CFR and deaths/i1M population will correlate with level of mitigation. The mitigation cholces states make or don't make will direct correlate with curnulative level of fatalities, itis not to late with the Holidays coming to change. The impact of these choices on human life will be very evident. it will be very evident aver the next 60 days that mitigation saved lives and the lack of mitigation resulted in unnecessary high fatalities - States that did not mitigate will end up with population CFR equal te the Spring surge when treatment was suboptimal - ND, 5D, MT -- states must be encouraged to advance policies that mitigation against this Fall viral surge We found the friends and family small gatherings driving hospitalizations during the state visits but we also know that those drivers appeared in the sunbelt after the states fully mitigated im the public spaces -- including significant reducing capacity or closing spaces where masks cannot be worn Europe countries with clear policies are improving rapidly with aggressive containment with mitigating policies and clear communication and are carefully reopening Although we were beginning ta see decreases in the rate of rise of hospitalizations I remain deeply worried about a post Thanksgiving surge that could propel us towards 450,000 deaths as the Fall surge continues into the winter through Jan and Feb and if we can't both mitigate in public spaces and convince Americans of the danger --convincing Governors and Mayors now to mitigate past Thanksgiving and pre-Holidays is essential 1. Toprevent 4 post Thanksgiving surge a comprehensive Federal response with aggressive support to States to include strang statements that Europe and States with strong mitigation are improving -- there ls a clear roadmap to contain this virus and preserve the health system: * Continued aggressive communication at the WH level masking requirements at all times outside of immediate household, physically distancing, hand hygiene AND critically limiting of social interactions to the immediate household for the next 60 days while we bridge to the rapid vaccination of the vulnerable populations decreasing hospitalizations and fatalities : this is a short term sacrifice to protect the vulnerable. We must directly confront the myths that many Americans believe * Many Americans believe that masks don't work due to prior tweets, that the epidemic is a hoax, that the figure of 94%) of those who died had co-morbidities meant that they died fram something else and we have inflated the fatalities -- instead of understanding that the co-morbidities predisposed them to severe COVID ' Clear recommendations to States about the importance of short term mitigation interventions : restricting indoor dining and limiting and/or closing areas of congregation without mask (bars, gyrns etc.) this was successful in the USA in the summer and was successful in Europe during their fall surge -- states across the country are not mitigating adequately to preserve the health system ' Continued critical guidance on the Holiday season te limit indoor unmasking across households if they choose ta gather ' Aggressive re-alignment of Ag testing towards finding and preventing unrelenting silent spread that continues to trigger community spread in waves -- a hand full of states are moving in this direction ' Expansion of NAT testing now to ensure colleges and K-12 teachers can access routine regular testing in January ' Expanding frequency of LTCF testing and aligning early vaccination into LTCF ' With Moderna's potential of one shot resulting in some protection - aggressive immunization of the vulnerable and the elderly could dramatically change hospitalization rates and fatalitiesin the next 30-35 days * Ensuring rapid tiering of those most vulnerable to rapid vaccine Immunization access immediately upon EUA = this may require implementation support to the states and full utilization of federal qualified health clinics NATIONAL TIME Percent Test Positivity New Casen -- TOwy owing Aesrage Mi Chandy Tent Ponitiwity: -- 7-Day Aoeng cea i aly Cac Hew Hospital Admixsians Hew Deaths ' ah ah at ah ah = ch ab qi nh e 'at ah oh es qh ES a * ge ei i E ah ot at at ak a * a Ea |f= * "< a " -- Tay Binning Aerie Me Daily Conbirined Ad cca Ge Daily Suspected Anise = T-Dey Bowing deere Me Oaty Deaths Date Source COC Aggregate Data, Viniied Testing Datase, Unified HospitalDateset NOT FOR DISTRIBUTION // FOR OFFICIAL USE AND PLANNING PURPOSESONLY Sen. Rand Paul continues to act like an idiot: Rand Paul says Fauci owes parents and students an apology over pandemic measures BY DOMINICK MASTRANGELO - 11/30/20 12:01 PM EST 488 Sen. Rand Paul (R-Ky.) scolded Dr. Anthony Fauci in a tweet on Sunday, suggesting the nation's leading infectious disease expert apologize for his warnings about the danger coronavirus poses to school-aged children. "Dr. Fauci owes [Rand Paul] an apology," one of Paul's Twitter followers said. Paul responded: "No, he owes one to every single parent and school-age child in America. I told him this multiple times this summer." Fauci and Paul have clashed several times since the pandemic began, with the Kentucky Republican accusing Fauci of fear-mongering rhetoric and what he says is incorrect praise of so-called lockdown measures implemented to stem the spread of the virus. "Dr. Fauci, every day we seem to hear from you things we can't do. But when you're asked, 'Can we go back to school?' I don't hear much certitude at all. 'Well, maybe.' 'It depends.' Guess what? It's rare for kids to transmit this. I don't hear that coming from you. All I hear is, 'We can't do this, we can't do that, we can't play baseball,'" Paul said while demanding schools reopen during a Senate hearing in late June. "It's important to realize that if society meekly submits to an expert and that expert is wrong, a great deal of harm may occur when we allow one man's policy or one group of small men and women to be foisted on an entire nation." Fauci responded to Paul at the hearing, saying he feels "very strongly we need to do whatever we can to get the children back to school." During the early days of the pandemic, Fauci and other public health officials urged local school districts to consider all factors before deciding if it was safe to have children and teachers return to classrooms. On Sunday, Fauci clarified his position on school closures amid a nationwide spike in coronavirus cases this fall. "The default position should be to try as best as possible, within reason, to keep the children in school, to get them back to school," Fauci said on ABC's "This Week." "If you look at the data, the spread among children and from children is not very big at all, not like one would have suspected. So let's try to get the kids back. But let's try to mitigate the things that maintain and push the kind of community spread we are trying to avoid. And those are the things you know well. The bars, the restaurants ... those are the things that drive the community spread. Not the schools." • Did weekly Governor's call today led by VP Pence. • Moderna applied to FDA for an EUA for their mRNA vaccine. Their final data were very impressive. 94% efficacy and 30 severe outcomes, all in placebo, none in vaccine. Pfizer did this submission last week (Nov. 20) • Fireside chat with American Society of Hematology - 13,400,000/267,300 progress President Trump has done, • Did a nice 60 minute Facebook Live with Mark Zuckerberg PRESS: WUSA TV interview (Gabe Cohen); WTOP Radio; Yahoo News and Sports; iheart Radio; Cheddar TV; WedMD Magazine interview (I will be one of their public health "heroes"; Facebook Live with Mark Zuckerberg; BBC World News Radio;
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December 1, 2020 - Global - 62,700,000/1,500,000; USA - 13,400,000/267,300 Many GOP (such as Roy Blount) still supporting Trump who is becoming more and more unhinged. He is losing every court case that he appeals to overthrow the vote in a number of states. He rales that it is all a stolen election and that he won by a landslide. Very embarrassing. Blount refuses to call Biden the President -Elect. Scott Atlas resigns! I imagine that is because everything that is happening now with the surges has finally proven him to be incorrect on virtually everything that he has said. The one area where he was correct was in saying that school children are not the drivers of the outbreak. However, he was dead wrong in saying that mitigation does nothing and that when states peak and come down, it is because they have reached herd immunity. Yet, now we are seeing states and cities that peaked high months ago and now are peaking even higher. So much for heard immunity. Rand Paul still coming after me saying that I should shut everything down. The press is contradicting him by showing quotes from me to the contrary. What a jerk! I am staying above the fray. Alex Azar is becoming more sycophantic towards Trump as we get to the end of the administration. See below: Azar Touts Swift Progress On COVID-19 Vaccine Development. Fox News (11/30, Nelson, 27.59M) reports that on Monday, HHS Secretary Alex Azar said progress on the COVID-19 has been unprecedented. He told Fox News, "Think about this: 10 months into this pandemic hitting our shores, thanks to what President Trump has done, we believe we're going to have people getting vaccinated, millions of people, before Christmas this year. It's just unheard of in the history of public health, this accomplishment." He added that "the vaccine will be 'shipped' within 24 hours of FDA approval and then it would be up to 'nursing homes, hospitals, and pharmacies to get that dispensed.'" day the He was explaining to me why he California Governor: State At "Tipping Point" Of Pandemic. Reuters (11/30, Whitcomb, Caspani) reports California Gov. Gavin Newsom (D) "said on Monday the state was at a 'tipping point' in the COVID-19 pandemic that would soon overwhelm hospitals as political leaders nationwide turn to increasingly aggressive measures to hold back the latest • Had important call with Gov Cuomo who called me up. He was explaining to me why he had an independent panel look at the COVID-19 vaccines. He said that the skepticism about the FDA already existed (i.e. their doing an EUA for Hydroxychloroquine) and he was trying to ameliorate it. He also was concerned about managing expectations about how quickly the vaccines will make a big and broad difference. He and I agree that the difference will not be until mid to late summer. He told me about his conversations with Trump and how Trump wants to mend the fences with Cuomo despite the fact that he has been trashing him. He wants to change his residence back to NYC saying that it would be good for NYC. Cuomo pushed back and told him that he did not agree that it would be good for NYC. Also, Trump apologized for calling Chris Cuomo "Fredo". Cuomo believes that Trump is a psychopath and an evil man who just wants to manipulate for his future, which he knows is bleak. Cuomo also expressed disdain for Azar saying that he is a sycophant to Trump and does not understand that black and brown people will not get fair access to vaccines with the paltry amount of money that the USG is giving to the states for the implementation of the vaccine distribution. USG gave $200 million to NY, when they really need $1 billion. Cuomo told me the best thing that could happen for my legacy would be for Trump to fire me and then have Biden re-hire me. • Had call with Rob Manfred, Commissioner of MLB - He needed advice about the timing of Spring Training (February for pitchers) vis-à-vis the roll out of vaccines and when there would be enough people vaccinated so that he can both get his players vaccinated and have a degree of herd immunity present so that he can have spectators in the stands. I told him that by April there could be massive vaccinations IF people uptake the vaccine. We could have most people vaccinated by early summer which means they can start with half full stadiums and then by the World Series they could conceivably have packed stadiums. He might delay start of Spring Training from February to March. Also, he wants to offer stadiums and parking lots for massive vaccination programs. I told him that would be a CDC/local public health department issue. • Had Miami Mayors call. - The mayor of Miami-Dade County - Daniella Levine Cava now has COVID-19. Former Mayor Jimenez has COVID-19. Still remaining issue that Governor DeSantis is blocking the mayors attempts to mitigate. For example, he will not allow closing the bars and indoor restaurants. • Had call with Gary Bettman (NHL) about the coming hockey season • Task Force call - The VP still extracts "happy talk" out of a very sober report from Birx about the surge and the fact that we are perilously close to having our health care system 1 December 2020 Data is unstable but when cases nse despite the Holidays are they are across the West Coast, TX, Iid-Atlantic and ME it races more red flags There are 26 states in the red zane and 10 states in orange zone -- date & extremely unstable due ta the long Holiday break Thereare two different regione! dynamics in the panderic. L The Northern Plains. and mastof the Heartland except 8 is fimalhestabd ang after 2 weeks of uneelerting rise, Thess states will aliwus to secthe Thankegiving surge and beable to estimate the impact of theupooming Holidays and the messaging needed bo prevent a lanuanyand Febuary surge From iNito GH te, the mad Atientic, the ME region and the West Goes, TS and 42 continue to debenoratewhich will driveup cases, hos petalizations and deaths toeven high ttes.due to population sie and it will be difficult to estirnate the post Thankaaiving impact. Bo The current pecture could combine the Spong and Sumner surge states together inboa Winter sunge resulting inven higher hospetalaationsand deaths 4. Fach surge Spnng (100% fatalities), Summer [100k fatalitees:), Fall Surge I 100K fatalities) combening Spang and Summer could lead toa 200K Fatalities There are now 29 States in the red and orange fer hosgitalizatiens of COVID cages --gereral medical care deteriorates when slates enter Lie red gone --There are more states in this category eseryday = decision by COC on whe is emimuneced first will determine: the future stabelty of the hospital system. Dec and Jan willbe Lhe Rey months for pressure on the hosgital systemand wilhoul provritizing those Geely to require hospitalization and heghest rise of death could recult rower all fadure af critical care for all Amencans independent af OOWiD status Lwillbe wery evident over the mext 30 days thal mitigation saved lives and the lackal mitigation resulted in unnecessary high fatalities - Staves that did mat motgete will end up with population CFR equal ta the Spreng surge whentreatment was suboptimal W0, 50, MT states must be encouraged ta aceance policies Chak nabigabion against this Fall viral surge Europe: countrns with clear policies aire improving ranidhy with aggressive containment with motwating policies and clear camimunication and art carefully MOeTINg Although we were boginning to seo decmasas inthe rate of nse of hospetalcations a past Thanksgiving sumge thet could propel ws towards 450,000 deaths as the Fall sunge continues into the winter through Jan and Feb and if we cant bath mitigate in public spaces and convince Americans of the danger -- canwincing Gowamars and Mayors now to mitigate past Thanksgiving and pro-Holidays & espantial 1. To prevent a post Thanksgiving surge a comprehensive Federal response with agressive support to States to include strong Statements that Europe and States with strong mitigation are improving-- there is a clear roadmap to contain this virus and preserve the health system -- ensuring the identification of silent spread and early Dx and Tx and those at risk for serious De: Continued aggressive communication at the WH level rnasking requirementsat all tires outside of immediate household, physically distancing, hand hygiene AND critically limiting of social interactions te the immediate househeld fer the neat 60 days while we bridge te the rapid vaccination of the vulnerable populations decreasing hospitalizations and fatalities : thisis ashort tern sacrifice to protect the vulnerable. We must directly confront the myths that many Americans believe * Many Americans believe that masks don't work due te prior tweets, thatthe epidemicis a hoax, that the figure ef 44 of those who died had eo-morbidities meant that they died from something ele and we have inflated the fatalities -instead of understanding that the co-rnerkidities precdipesed thern te severe COVID ' Clear recommendations to States about the importance of short term mitigation interventions © restricting indenr dining and limiting andor chasing areas of congregation without mask (bars, gyre ete.) this vas successful in the USA in the surnimner and was successful in Purope during their fall surge -- states across the country are net mitigating adequately ta preserve the health system ' Cantinutd critical guidane: on the Meliday seasen be limit indenr unmasking acres households if they choose ta Bathoet * Aggressive re-alignment of 4p testing towards finding and preventing unrelenting silent spread that carntinues te tigger community spread inwavwes --a hand fullof states are moving in this direction Exparcsionol MAT testing mow to ensure colleges and K-12 teachers can access routine: regular testing in lanuary * Expanding frequency of LTCF testing arcd aligning early vaccination into LTCF * With Moderna's potential of one shot resulting in some protection - aggressive immunization of the vulnerable and the elderly could dramatically change hospitalization rates and fatalitiesin the next 30-35 days * Ensuring rapid tiering of those mast vulnerable to rapid vaccine immunization access immediately upom ELM -- this may require implementation support tothe states and full utilization of federal qualified health clinics over-run by the surge upon the surge. He and the Greek Chorus of the TF just cannot accept that we are in serious trouble. Very frustrating Some states starting to plateau while others continue to surge. See below: Danger of hospitals being overrun and lack of adequate staffing (see graphs below): DRAFT - PRE-DECISIONAL & DELIBERATIVE Leveraging CDC Areas of Concern Continuum Data Areas of ConcernClassifications: 1. Sustained Hotspot - communities that have had a high sustainedcase burden and may be higher risk for experiencing healthcare resource limitations 2. Hotspot - communities that have reached a threshold of disease activity considered as being of high burden 3. Emerging Hotspot - communities witha high likelihood to become hotspotsin the next 1-7 days 4. High Burden - Resolving - communities that were recently identified as hotspotsand are now improving ModerateBurden - communities with moderate disease activity 6. Moderate Burden - Resolving - communitiesthat have a moderate level of burden, but are demonstrating Improvement 7, Low Burden - communities with minimal activity Sources: COCs Areas of Concern Continuum -85% of hospitals and -90% of LTCFs are located in 'hotspot' counties Number of hospitals in countiesby AQC classification 3,654 (75.2%) (10.4%) el y (11.4%) me 3S) 0.78) 28) (0.28) Humber of LTCFs in counties by AOC classification 11,963 (80.9%) 1,074 (9.8%) 5.355) one (7.3%) on sai Sustained Hotspot Emerging High Moderate Moderate Law Hotspot Hotspot Burden Burden Burden Burden Resolving ing DRAFT » PRE-DECISIONAL& DELIBERATIVE Using CDC's Areas of Concerns classification & hospital-reported supply status--prioritize Distributors efforts Priorities for outreach * RI, LA, WI, UT, MN, MI, NM, OK, TN, MU li & a0 - I a=] I States nat digolayed g + WT (14% in hetspet, 25% . = reported PPE iqaue) Rie a 60) = ME (38%, 29%) = = Hi (69%, 28%) = » GA (TA, 15%) c @ : : = = 2 40 NH Law MN = = AL Tx c Wil @ MT 6c e®Ho aw eo IL usag| °AK = Py ow © lhUuNE . a (23.4%) @SD AR Mo A oc Ml ¢ AZ Fa by MA gs @ © ° =, "2. oH vA mOR BKY @ID CONC wy FL Bh DE = As ; ie pst ® States in top three quartiles % of population in a 'hotspot' county based on "Areas of Concern" classification (95.63%) = In data quality @ States in bottom quartile In data quality • Received Lifetime Achievement Award together with Henrietta Fore (Director of UNICEF) and David Beasley at elegant "virtual" gala. Praised by Barbara Bush in an interview and several celebrities • Heated discussion at TF meeting regarding the NIH Guidelines not being specific enough in its recommendations for mAb and CP. Typical Deb Birx wanting to push therapies more than the data justify. In the discussion, Pence was convinced by Deb and others - 13,600,000/270,000 (with no medical background) chimed in that saying "no evidence for or against the use of ......." Had long conversations with Cliff tonight and he is very reluctant to change the wording. VP was insistent that we indicate more strongly that the drugs work since Deb says that the clinicians are not using the drugs since they do not see a strong indication in the guidelines that the drugs work. Trying to work with Cliff who is adamant PRESS: Did Press Conference with Gov. Jared Polis (D-CO); WNBC NY TV;
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December 2, 2020 - Global - 63,400,000/1,500,000; USA - 13,600,000/270,000 Situation remains tenuous. Note from Deb Birx associated with her daily slide set: The situation we find ourselves is deteriorating beyond words. Please help me convey to senior leaders that is the worse combination of factors that we have seen since the beginning of the pandemic. Combining the Spring and Summer surge into a winter surge is what is deeply concerning. Despite my warnings there are OVP staff that undermine this message everyday and have greater access to the VP. I know its hard to see it coming, I know its hard to fathom, but it is coming even independent of the Thanksgiving potential due to the movement into populous states and nearly 50% of the country still believes this is being over blown, that it's a hoax, that masks don't work and I think the most damaging there is a set curve independent of mitigation - ie it doesn't matter what you do it will look the same. Yes there is an epidemic curve to both mitigated and unmitigated surges BUT the peak is higher and the duration of the surge is 2X longer without mitigation. Yes when hospitals get overwhelmed people do take more precautions and flatten the curve but that results in nearly 2X the fatalities as a mitigated response. Inadequately mitigated is nearly 2X the area under the curve as mitigated - 2X the hospitalizations and potentially 2X the deaths. Finally unlike the spring the asymptomatic group under 35 will not mitigate in the same way and will continue to drive infections and that is why more precautions must be implemented now - both state level mitigation policies and personal mitigation efforts. Deb 2600+ Deaths today. Worse since the NYC surge in early Spring (CURRENTLY HOSPITALIZED PER MILLION BY STATE Dec 01 I Hospitalized Per Million Peak - 968 in New York, April 13 uaa Under 100 100 - 250 250 - 500 Over 500 Source: The COVID Tracking Project ~ Under100 ©100-250 8250-500 WM Over 500 @ 2 December 2020 1. Data remains unstable (test positivity, cases, deaths as they come from the state reporting) but when cases rise despite the decreased reporting as there are across the West Coast, TX, Mid-Atlantic and NE it raises red flags 2. New admissions and inpatient census data comes directly and daily from the hospitals so that reporting is more reliable and although at record highs were stabilizing -- BUT as noted yesterday the improvements in the Northern Plains, Rocky Mountain States and Heartland is being offset by the surging hospitalization on the West Coast, Sunbelt, MidAtlantic and NE--these more populous states will drive this over the next 2-3 weeks independent of a post Thanksgiving surge as they reflect transmission before Thanksgiving 3. There are now 31 States in the red (23) and orange (&) zone for hospitalizations af COVID cases -- general medical care deteriorates when states enter the red zone -- there are more states in this category everyday -- decision by CDC on who is immunized first will determine the future stability of the hospital system. Dec and Jan will be the key months for pressure on the hospital system and without prioritizing thease likely to require hospitalization and highest risk of death could result in aver all failure of critical care for all Americans Independent of COVID status = UK is immunizing HCWs, LTCF and everyone over $0. Our hospitalizations and fatalities mirror this except in USA its over 70. 4. Please review slide 3-- as raised a couple of weeks ago-- the movement of the surge into populous states especially without adequate policies or without individual Americans mitigating will drive fatalities -- states with >100 yesterday -- TM (237), MI (195), PA (170), IL (146), IN (141), CA, MO, OH, WI -- bald states do nat have adequate mitigation policies -- the others are due to personal decisions 5. There aré two different regional dynamics in the pandemic. 1. The Northern Plains and most of the Heartland except OK is finally stabilizing after 8 weeks of unrelenting rise. These states will allow us to see the Thanksgiving surge and be able to estimate the impact of the upooming Holidays and the messaging needed to prevent a January and February surge 2. From IN te OH to PA, the mid Atlantic, the NE region and the West Coast, TX and AZ continue to deteriorate which will drive up cases, hospitalizations and deaths te even high rates due to population size and it will be difficult to estimate the post Thanksgiving impact. 3. The current picture could combine the Spring and Summer surge states together inte a Winter surge resulting in even higher hospitalizations and deaths 4. Each surge Spring (100K fatalities], Summer (100K fatalities), Fall Surge (100K fatalities) combining Spring and Summer could lead to 200K fatalities 6. ft will be very evident aver the next 30 days that mitigation policies saved lives and the lack of mitigation resulted in unnecessary high fatalities • Call from Mark Meadows saying that it was OK to do press conference with Gov. Cuomo. Also, he really wanted a reality check on the fact that the MHRA of the UK has given their equivalent of an EUA to the Pfizer vaccine. He wanted to know if our FDA was dragging their feet. I totally supported the FDA, Peter Marks, and Steve Hahn and said that the UK were "hot-dogging" it and that even the EMA were blasting the UK for hot dogging. It seemed that Mark was on the brink of firing Hahn. Hope I blocked that together with George -- 13,800,000/273,000 To prevent as many fatalities as possible a comprehensive Federal response with aggressive support to States to include strang statements that Europe with strong mitigation are improving -- there is a clear roadmap ta contain this virus and preserve the health system -- ensuring the identification of silent spread and early Ox and Tx and those at risk for serious Dz: Reinstate aggressive communication at the WH level: masking requirements at all times outside of immediate household, physically distancing, hand hygiene AND critically limiting of social interactions to the immediate household for the next 60 days while we bridge to the rapid vaccination of the vulnerable populations decreasing hospitalizations and fatalities : this is a short term sacrifice to protect the vulnerable. We must directly confront the myths that many Americans believe ' Many Americans believe that masks don't work dué to prior tweets, that the epidemic is a hoax, that the figure of 94% of those who died had co-morbidities meant that they died from something else and we have inflated the fatalities -- instead of understanding that the co-morbidities predisposed them to severe COVID Clear recommendations to States about the importance of short term mitigation interventions : restricting indoor dining and limiting and/or closing areas of congregation without mask (bars, gyrns etc.) this was successful in the USA in the summer and was successful in Europe during their fall surge -- states across the country are not mitigating adequately to preserve the health system --even those states that mitigated In the surmmer are failing to mitigate now Continued critical guidance on the Holiday season to limit all indoor gatherings to Immediate household only Aggressive re-alignment of Ag testing towards finding and preventing unrelenting silent spread that continues to trigger community spread In waves -- a hand full of states are moving in this direction Expansion of NAT testing now to ensure colleges and K-12 teachers can access routine regular testing in January Expanding frequency of LTCF testing and aligning early vaccination into LTCF With Moderna's potential of one shot resulting in some protection - aggressive immunization of the vulnerable and the elderly in the community in addition to the Pfizer priority to HCWs and LTCF could dramatically change hospitalization rates and fatalities in the next 30-35 days led • Got call from Jeff Zients in preparation of my briefing the Biden "landing team" tomorrow. Jeff wanted to alert me that Biden will be calling me right after the briefing. • Received the Eleanor Roosevelt Prize for Global Human Rights Advancement from the American Bar Association Center for Human Rights • PEOPLE Magazine names me 2020 Person of the Year together with George Clooney, Selena Gomez and Regina King PRESS: CNN: Elton John honors Anthony Fauci on World AIDS Day; CNN Heroes with Anderson Cooper; KTVQ TV - Billings, MT; ABC News PRIME (Online); Fox TV News; Frank Bruni writes in the NY Times: Anthony Fauci is the steely superhero of my deep state, and he's flanked and fortified by all the government health officials who also pushed back against the quackery of Scott Atlas, the Trump-flattering pandemic adviser who resigned on Monday
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December 3, 2020 - Global - 64,000,000/1,500,000; USA - 13,800,000/273,000 Records being broken: 3000 deaths yesterday; >100,000 hospitalizations; >200,000 new infections. With gauntlet of Today I met with President elect Biden's landing team. It was a good meeting that was led by Jeff Zientz, Vivek Murthy, and included David Kessler, John Auerbach, Tom Inglesby, at their process of the approval of the among others. We went on to discuss the challenges associated with the rollout of the vaccination campaign. In addition, I gave them my advice on what the most effective communication strategy would be for the upcoming administration. In addition, they wanted might take on what the challenges with be in the coming months of January, February, march, and beyond. It was an excellent conversation in which they all expressed their gratitude and respect for me for the work that I have been doing over the past several months. At exactly 3:00 PM, 1 hour as to the beginning of the meeting there was a prearranged call with President elect Joe Biden together with chief of staff Ron Klain. President-Elect Biden was very glad to chat with me and immediately stated that he wanted me to continue in my position as director, NIAID. In addition, he wanted me to be his chief medical adviser. Then, Ron and President elect Biden asked me a series of questions concerning some of the decisions that they would likely have to make in the coming months. Mayor Bill De Blasio called me up asking for advice about the surges that are occurring in NYC and how much of a lock down he should implement. He wanted to keep things mostly open until after the holidays and then shut down. I told him that this was a big mistake since by that time, the damage will have been done and he will have precipitated a major surge. I urged him to close the bars and restaurants and subsidize the establishments so that they do not go under. If he does that and discourages private, large gatherings, he could get away with keeping the shopping areas open. I apologize to the UK on BBC radio for implying that their process of the approval of the vaccine was rushed and sloppy PRESS: CBS News "The Takeout" with Major Garrett; Sky News UK TV; MSNBC with Andrea Mitchell; New York Times interview with Tara Pope Parker; KQED NPR Radio, San Francisco; BBC World News; New Zealand Herald (Dick Brass) print media; Bloomberg: - 14,000,000/276,000
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December 4, 2020 - Global - 64,500,000/1,500,000 USA - 14,000,000/276,000 Did photo shoot and interview with Alice Park of TIME Magazine. • I called up Rosa De Lauro to congratulate her on being chosen by Nancy Pelosi as Chair of the Appropriations Full Committee. She had tears in he eyes thanking me nd saying how excited she was that Biden has announced that I would be his Chief Medical Advisor. • Spoke with Don Fehr of the NHL Players Association about the likelihood of the NFL having a season and what my projection for 2021 was. wa 4 December 2020 Data remains unétable but when cases rise despite the decreased reporting across the West Coast, TX, Mid-Atlantic and NEit isa significant red flags -- there are histeric rate of rises in populous states = last week was our highest number of >40 and > 70 new admissions New admissions and inpatientcensus data comes directly and daily from the haspitals so that reperting is more reliable the improvements inthe Nerthern Plains, Rocky Mountain States and Heartland is being directly offset by the surging hospitalization anthe West Coast, Sunbelt, MidAtlantic and NE-- these more populous states will drive this aver the next 2-3 weeks independent of a post Thanksgiving surge as they reflect transmission before Thanksgiving and represent the areatest threat to haspital resilience- the current situationis mot sustainable All trends show that this escalation is occurring-even before the transmission fram Thanksgiving -- we should begin to see the full impact of Thanksgiving starting next week and as warned this Winter surge will be bigger, broader, and more deadly. It will bring together both the Spring and Sunomer surge into one overwhelming threat dramatically increasing hospitalizations and deaths ; even with the innowations this will be catastrophic without increased mitigation now ~ states without adequate public polhcles will have the highest fatallty rates per populathons equal to the Spring rates despite improvements In care due to the lack of mitigation We de nat have enough vaccine fer vulnerable Anvericans to change haspitalization and fatalities trends in Dase-Feb -- we need to kee clear te the Qrmerican people vaccines will haw: animpact inthe Spring but NOT awer the next 3 months. Eechavier change is aur sole intervervticn There are now 33 States in the red (24) and orange (9) zone for hospitalizations of COVID cases = general medical care deteriorates when states enter the red zone= there are more states in this category everyday = decision by COC on wha is immunized tirst will determine the future stabilityafthe hospital system and hospitalization rates - current plan will not change the pandemic dynamics impact on hospitals. The meverment of the surgeinta populous states especially without adequate policies or without individual Americans mitigating will drive fatalities and most of these states donat have adequate mitigation policies and fatalities will continue averaging over 2500/day 17 Kfweek, 70K/menth ata minimum reaching over 330K by New Years and 450K by the end of February without calls for action at the Federal, State, and Local level and using PSAs te combat the myths related to COVID throughout the country Ital be wery evident over the next 30 days that mitigation policies saves lives and the lack of mitigation results in preventable deaths Mew Cases Percent Tes Pew Vata atatate Me Pei Caves -- Fly Maren deere Me Daily Test Ponty New Deaths Hew Hospital oD Bee Tee Selatan he ee ty it Pomitivity Sataatat T.Day Moving Aearage Admissions & rs E Hie pita Adreiione aa i a ( % " ha a PULP te ata LW tatataaala ete" wells ele Rea eae yy yy Me Dely Cetra Ghreveers, Me Caiy Cet = 7-Day Boeing aera GS Deity eoreched Adem Source: COC slabe-reporied data (Cases and deaihs), CELR and Federal Aggregaie Testing Data, Unified Hospital Dataset Enable etaBote de Be So Geet ee ---- I-Oiy Mees bereges COMMRVED CASES OM A TAY ROLUMG AVEERGE CONFIRMED CASES DAILY IN LOS ANGELES-LONG BEACH-ANAHEIM, CA 7 DAY ROLLING AVERAGE HE range County, CA Tice Angeles Cait, 0 a, Jim Sciutto and Kate Sullivan -- 14,300,000/278,000 More records broken - 200,000 cases; 2885 deaths; >100,000 hospitalization. Hospitals are starting to get over-run. California starting lock-downs to avoid hospital crisis (see above figure) PRESS: NBC Today Show with Savannah Guthrie; Multiple press stories about Biden speaking with me, asking me to stay on as NIAID Director and offering me the title of Chief Medical Advisor; Greta Van Susteren "Full Court Press" TV (VOA); "Today with Kaye" Baltimore Radio Show; CNN Town Hall with Anderson Cooper and Sanjay Gupta; Biden said he asked Fauci to stay on and be a chief medical adviser in his administration
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December 5, 2020 - Global - 65,000,000/1,500,000; USA - 14,300,000/278,000 Surge continues with more records broken. California locking down because they are at 15% or less of beds available and thousands of cases of coming in for hospitalizations. oa December 4920... In Most states -- this will allow us to see the Impact of Thanksgiving In the regions where cases and hospitalizations were stabilized before Thanksgiving -- the Northern Plains and Racky Mountain states Test positivity and case reporting is inoerrect at the State level in GA and VA and we are working with the states to correct this -- both have increasing hospitalizations The impravernents in the Northern Plains, Rocky Mountain States and Heartland is being directly offset by the surging cases and hospitalization on the West Coast, Sunbelt, MidAtlantic and NE--these more populous states will drive this over the next 2-3 weeks and when combined with a pending full Thanksgiving surge will represent the greatest threat to hospital systems and inpatlent care All trends show that this escalation was occurring even before the transmission from Thanksgiving --- we should begin to see the full impact of Thanksgiving starting next week and as warned this Winter surge will be bigger, broader, and more deadly. It will bring together both the Spring and Summer surge into one overwhelming threat dramatically increasing hospitalizations and deaths : even with the innevations this will be catastrophic without increased mitigation now -- states without adequate public policies will have the highest fatality rates per populations equal ta the Spring rates despite improvements in care due to the lack of mitigation = death rates in ND and §D and approaching NY/NJ #s We da not have enough vaccine for vulnerable Americans to change hospitalization and fatalities trends in Dec-Feb--- we need ta be clear ta the Armerican people vaccines will have an impact in the Spring but NOT over the next 3 manths. Behavior change and proactive testing ta find both the asymptamatic and symptomatic transmitters are our only interventians and states are still not testing carrectly te find both There are now 344 States in the red (24) and orange (10) zone for hospitalizations of COVID cases -- general medical care deteriorates when states enter the red zone -- there are more states in this category everyday -- decision by CDC on whe is immunized first will determine the future stability of the hospital system and hospitalization rates - current plan will nat change the pandemic dynamics impact on hospitals. The movement of the surge into populous states especially without adequate policies or without individual Americans mitigating will drive fatalities and mast of these states do not have adequate mitigation policies and fatalities will continue averaging over 2500/day 17K,/week, 70K/month ata minimum reaching over 330K by New Years and 450K by the end of February without calls for action at the Federal, State, and Local level and using P5As to combat the myths related to COVID throughout the country it will be very evident over the next 30 days that mitigation policies saves lives and the lack of mitigation results in preventable deaths 00 USA -- 14,500,000/280,000 Trump still insisting that the election was "rigged" and that he won by a landslide. More than 30 court cases have been thrown out as frivolous. Alyssa Farah resigns. Good for her. One of the few good people in the administration. This might mean that I am not allowed out in the media any more since she has always advocated for me.
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December 6, 2020 (Sunday) - Global - 65,900,000/1,500,000 USA - 14,500,000/280,000 Had important Zoom call today (11:00 AM) with Jeff Zients and Jake Sullivan - Jeff and Jake are going to make some policy announcements for the Biden tam next week (Tuesday0 and they wanted to make sure that it was cleared by me. They had 3 issues: 1) the 100 days of mask wearing. I advised that they say "at least 100 days" or give some indication that it might be longer since when they get to 100 days, we may need to extend; 2) they want to say that they will distribute100milindoses of vaccine in teh1st 100 days of the Biden administration. I warned that this might actually be an underestimate. They first need to check that we will actually have a supply (check with Perna, but also make sure that we do not seem that this is undershooting. Since we are now saying that we will have 40 million doses by the end of December and even more by the end of January, then 100 million by the first 100 days of the Biden administration is far too little; 3) Schools - I suggested that they always lead with saying that the default position is to open and keep open the schools. 6 December 2020 The improvementsin the Northern Plains, Rocky MountainStates and Heartland is being directly offset by the surging cases and hespitalization on the West Coast, Sunbelt, MidAtlantic and NE -- these more populousstates will drive this over the next 2-3 weeks and when combined with a pending full Thanksgiving surge will represent the greatest threat to hospital systems and general inpatient care-- this is not about ventilators and PPE this time -- this will be about the statf capacityto care for this volume of patients with and without cOVID 33 States are inthe COVID red zone for cases and test positivity and 9 states are in the orange zone for test + and red for cases There are now 34 Statesin the red (24) and orange (10) zone for hospitalizations of COVID cases -- general medical care deteriorates when states enter the red 2one-- there are riore states in this categery everyday decision by COC en wha i inmunined first will determine the future stability af the hospital system and hospitalization rates - current plan will net change the pandemic dynamics impact on hospitals Alltrends show that this escalation was occurring even before the transmission trom Thanksgiving -- we should begin ta see the full impact of Thanksaiving starting this week and as warned thls Winter surge will be bigger, broader, and more deadly. It will bring teaether both the Spring and Summer surge inte one overwhelming threat dramatically increasing hospitalizations and deaths: even with the innovations this will be catastrophic withoutincreased mitigation mow -- states without adequate publle pollcbes will have the highest fatallty rates per pepulations equal te the Spring rates despite Imprevernents In care due te the lack of mitigation --death rates In ND and SD and approaching N¥/MJ #5 We do not have enough vaccine for vulnerable Americans to change hospitalization and fatalities trendsin Dec-Feb-- we need to be clear to the Qmerican people vaccines will haw: animpact inthe Spring but NOT over the next 3 months, Behavior change and proactive testing te find both the asymptomatic and symptomatic transmitters are our only interventions and states are still net testing correctly to find kath The movernent of the surge into populous states especially without adequate policies or without individual Americans mitigating will drive fatalities and nvost of these states do not have adequate mitigation policies and fatalities will continue averagingover 2500/day 17 Kiweek, TOK /nvonth at amininun reaching over 330K by New Years and 450K by the end of February without calls for action at the Federal, State, and Local level and using PSs to combat the myths related to COVID throughout the country twill be very evident over the next 30 days that mitigation policies saves lives and the lack of mitigation results in preventable deaths on for They also want to announce on Tuesday the important role that I will have to be the Chief medical Advisor for the Administration. They will send me the wording to make sure that I am OK with it. Gov. Cuomo called me today (1:30 PM) - He wanted to touch bases with me in anticipation for the fact that I will be joining him tomorrow on a press conference for the state of MY. He wanted to brief me on what he was going to say. He and I have a growing and strong relationship. Received a call (3:00 PM) from Olivia Dalton from the Biden Transition team asking me to participate in an event (I asked to do it virtually) in Wilmington where Biden will announce his "health team" including me. We discussed my virtual remarks and other issues. Deb Birx on MTP pleading (as I have been doing) with the public to abide by public health mitigation methods. Example of state by state increases in deaths and cases: USA Total Hew Total New Total Aciive Tot Cases! Deathe' Total Testa! # State Cases Cases [7 Depths Daaths Recoversd Casas 1M pop 1M pop Tosts 1M pop Population USA Total T4772,555 4255,272 285,550 Carats) QGS,862 5,828,103 44,600 B63 203,884,001 615,959 California 24198 19,790 605,538 690,024 33,290 S01 24,675,478 624,502 99,512,223 2 I Texas 22.977 4,051, 256,966 45,921 7a2 12,406,532 427,838 28,995,001 a) Pennsylvania Tao 231,788 162,291 S612 Bré 5,859,001 457,663 12,801 89 New York 34.806 445,114 9 243,437 a7,239 1,793 20,173,461 1,037,006 19,459,561 S (iris 14,782 405,673 350,633 80,772 1,088 810,918,998 861,676 12,677 21 a I Floricta 18,007 668,358 351,821 48,305. BRA 12,857,007 5aH, 624 I 21477 ,7ar 7 I Qihie 6,882 306,950 143,131 39,093 BES 6,424,803 541,086 17,689,100 Michigan 10,118 165,269 24,5681 42,082 1,013 7,348,627 735,830 a6 657 a I ia 6,122 219,094 142,113 4,563 4,464,492 669,159 I 6,732,219 10) Georgia 9.725 S05224 = (178,405 46,561 4503002 452,462 10,617,423 ni I Kaneas 1,786 102,947 65,736 58,514 445,186 = - 290,112 I 2,013,314 Arizona 6085: $4,980 290,256 4aar4 S46 2,695,707 370,355 Taree? Mew Jersey 17,491 200,265 = 147,506 41114 1,858 6,175,836 65,018 8,882,190 4 Massachusetts 10,970 184,117 51,371 35,749 1,583 8,774,697 1,273,078 6,892,502 15 I Minnesota 293,151 41,918 60,106 baz 4,433,728 767,237 Saab 16) North Carolina 5,467 315,979 = 61,088 28,473 B21 05,461,220 «= B2O,7O7 = 10,488 084 7 Colorado a8 56,975 191,909 43,798 SEO 1,915,644 315,285 5,758,736 ti I vrisconsin 3,625 397,653 63,277 68,482 62a I 2,584,875 443,951 I 5.822.494 Oklahoma 1,060 177,564 29,451 52,787 2227 ttt 563,001 3,956,971 Daily New Deaths in the United States 4k 3k 2k Novel Coronavirus Daily Deaths oe sat @& 8 oF gf yt We ooh ve ® Daily Deaths il I Daily Deaths Deaths per Day Data as of 0:00 GMT+8 ans ( ~& 7-day moving average , i) I I I I il Pe PPS as gh PB ab gh Amhe PP SS aoe ate ate gh oe? pr a ge? GF oF oF oF o_o ow! OM" Confirmed Cases [Thousancs) New Dally Confirmed COVID-19 Cases In the U.S. a5 207.0 e¢ il ars ha, "ig, ty Day eee Day Mowing Avarage 14,600,000/281,3000
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December 7, 2020 - Global - 66,400,000/1,500,000; USA - 14,600,000/281,3000 Bracing for post-Thanksgiving surge! Deb's Daily Report: Data and reporting has stabilized and we are back on the same accelerating curve as before the delayed reporting and substantial declines in testing over the past 10 days. This week we expect to see the beginning of the post Thanksgiving surge as this would be when the silent spread starts to impact the more vulnerable Americans. We now have only 2 states (HI, VT) and DC in the green zone, 12 in the yellow and orange zone and 36 in the red zone. We are now seeing significant resurgence in all states except VT and HI and rapidly increasing cases across America that will lead to escalating hospitalizations the end of this week into next week and then fatalities. This is the worse situation we have faced and although vaccinations will help towards the end of Jan the next 7 weeks will be overwhelming if we don't work with states to increase their mitigation and provide the highest level of Administration support to the behavioral changes needed by every American. Deb ATERLGE ASESOM A TOY ROLLING. COMPRM ED 7 December 2020 The improvements in the Northern Plains, Rocky hauntain States and Heartlaned is being directly offset by the sunging cases and hospitalization onthe West Coast, Sunbelt, MidAtlantic and NE - these more populous states willdrive this over the next 2-3 weels and when combined with pending full Thanksgiving surge will represent the greatest threat ta hos pital systems and general impatient care--thisis mat about ventilatarsand PRE this time --this willbe stout the staff capacity ta care for this volume of patients with and without OOWID 39 States are in the GOWID ned none far cases and test positivity and S$ states are in the orange zone far test + and red far cases There are now 34 States im the reed (24) ane orange (210) 2one for hosaltalizationsaf OOVID cases -- general medical cone deteriorates when states enter the red zone -- there are more states inthis category everyday --decsion by COC on who ls immunized first will determine the future stability of the bosaltal system and hice pltalizathon rakes - current plan alll mat change the pandemic dynamics impact on hospitals (have included metro slides from across the USA. First thesseare the most metras withsimultaneous Increases In cases we have experienced thraughout this fandemic. (have included the 3 pathenns : metros fully escalating before Thanksgiving, metros at high plateau before: Thanksgiving and those that were imarceeling, before Thanksghving which willl allows to cee the impact of Holiday gatherings and praject them inta the next set of Holidays. We should begin to see the full bmq@act of Thanksgiving starting this week and 2s warned this Winter surge will be bigger, broader, and more deadly, Bringing together the Spring and Summer singe Into ame cverahiel ning threat Increasing hospitalizations and deaths > even with the Innicwathons this will be catashraphic without foreased mitigation now ~ states without adequate public polices will have the highest fatality rates per populations equal to the Spring rates daspita improvaniants In care due to the lack of mitigation. Wa do mot have anough waccine forwulmerable Anericans to change heapitalization and fatalities trands Im Dee-Fab -- we mecd ta be char tothe American pemple waceines will have an immact inthe: Spring but MT aver the next 3 months. Aehawior change and proactive: testing to find bath the asymptomatic amd symptomatic. 'transmitters anc ourandy Interventions ane states ane still mot testing conectly ta find both The mowement of ther surge inte papulous states especially without agequate palickess or with out Ind iuid wall Qumesricanes mitigating will drive fatalities and most of these states donot haat: adequate mitigation polickss and Fatalitics will contln averaging carer 2o0Ei day Lik Aweek, 70K month at a miindinnun reaching over 330K hy New Years and 450K by the ond of February without calls for action at the: Federal, State, and Local level and using PSAs to combat the myths related te OO¥ID throughout the counibry it wll be very evident ower the nowt 20 days that mitigation policies and behavioral change saves livesand the lack of mitigation results in preventable deaths CONFIRMED CASES DAILY IN NEW YORK-NEWARK-JERSEY CITY, NY¥-NJ-PA 7 DAY ROLLING AVERAGE loo 4 Othern Somerset County, Hi Pdorris County, Pll Monmouth Courtp, All Ackland Courts, Pay Orean County, All Aichereared County, H¥ Union County, Hl Peewus ic County, Hl Paiddlices Cousitp. A Pudeon Courty, Al Bergen Courtlp. a Come County, Bl Aiew York Gaunt, i WeHtchesler Counts, MY Ais cseg Count, HY Sulfolk Gaurnts, Av Grarc Courty, Ay Eings County Att Qucea County, Wr 10000 ai ano a0 See below for dire situation in NYC and Los Angeles COMMRVED CASES OM A TOAY ROLUMG WEEE CONFIRMED CASES DAILY IN LOS ANGELES-LONG BEACH-ANAHEIM, CA 7 DAY ROLLING AVERAGE Sang County, cA Mes Angeles Cosnity, 0, Joe Biden @ @!oeBiden - 2h eco Dr. Fauci isn't just one of our foremost experts on combating viruses--he is a good man and a tireless public servant. He has served six presidents and led us through some of our toughest challenges. Our administration, and our country, will be stranger because of his guidance. © 3.1K tl 78k 82.9K iT, At Task Force meeting on prior agreement between Deb and I, Deb says that the country is in dire straits and we need to give the message from above that this is serious and we must double down on mitigating. I jump in and say that we must be out there warning the people that if they do not mitigate, the hospitals will be over-run. The elephant in the room is that the POTUS is ignoring this and the message must come from him since the people who are not paying attention and who will not wear masks or not travel or not congregate are his people. The VP after the discussion got going for the first time ever got defensive and even hurt that we (mostly Deb) were implying that the administration was not taking the pandemic seriously. The issue is that maybe we are taking it seriously, but the POTUS and his people certainly are not. That is the lesion. The POTUS is undermining everything that we are trying to do. Deep down the VP has to realize this and still he fiercely defends the POTUS. Tragic! PRESS: CNN New Day with John Berman; Press conference with Gov. Cuomo (Boradcast from Albany, NY; Fireside chat with Norah O'Donnell (CBS) at the Milken Institute Future of Health Summit; Interview with Katy Kay for the Bloomberg American Health Summit; taping for ABC Special on Vaccines Biden-Harris Presidential Transition{] ane @Transition46 Dr. Anthony Fauci, America's preeminent expert on infectious diseases, has been among the most trusted voices throughout the pandemic. He will continue in his role and serve as Chief Medical Adviser on COVID-19 to President-elect Biden as we work to overcome this crisis. 3:05 PM - Dec 7, 2020 - Twitter Web App .-- 14,800,000/283,000 8 December 2020 The Impravements in the Narthern Plains, Rocky Mountain States and Heartland is being directly offset by the surging cases and hospitalization on the West Coast, Sunbelt, MidAtlantic and NE --- these more populous states will drive this over the next 2-3 weeks and when combined with the pending Thanksgiving surge will represent the greatest threat to hospital systems and general inpatient care -- this ls not about ventilators and PPE this tire -- this will be about the staff capacity to care for this volume of patients with and without COVID Testing declined during Thanksgiving time period and mow testing has resumed and test positivity is rising despite the increased testing indicating community spread 36 States are in the COVID red zone 9 states are in the orange zone, 3 states are in the yellow zone and 2 states and DC in green zone [have concentrated on hospitalization in this daily report -- an overall country COVID inpatient snapshot --slide 5, a time sequence of new daily admission slides 6-12 and a state by state summary of current daily admissions showing the states with rising admissions, states at a high plateau and states that are current improving. Slides 13-64. We should start to see the impact of Thanksgiving on hospitalizations towards the end of this week and into next week. There are now 35 States in the red (24) and orange (11) zone for hospitalizations of COVID cases -- general medical care deteriorates when states enter the red zone -- there are more states in this category everyday --decision by CDC on who is immunized first will determine the future stability of the hospital system and hospitalization rates - current plan will nat change the pandemic dynamics impact an hospitals. We should begin ta see the full impact of Thanksgiving starting this week and as warned this Winter surge will be bigger, broader, and more deadly. Bringing together the Spring and Summer surge into one overwhelming threat increasing hospitalizations and deaths : even with the innovations this will be catastrophic without increased mitigation now -- states without adequate public policies will have the highest fatality rates per populations equal ta the Spring rates despite improvements in care due to the lack of mitigation. We do not have enough vaccine for vulnerable Americans to change hospitalization and fatalities trends in Dec-Feb--- we need to be clear to the American people vaccines will have an impact in the Spring but NOT over the next 3 months. Behavior change and proactive testing ta find both the asymptomatic and symptomatic transmitters are our only interventions and states are still not testing correctly to find both The movement of the surge into populous states especially without adequate policies or without individual Americans mitigating will drive fatalities and mast of these states do not have adequate mitigation policies and fatalities will continue averaging aver 2500/day 17K/week, 7OK/manth at a minimum reaching over 330K by New Years and 450K by the end of February without calls for action at the Federal, State, and Local level and using PSAs to combat the myths related ta COVID throughout the country It will be very evident over the next 30 days that mitigation policies and behavioral change saved lives and the lack of mitigation resulted in preventable deaths
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December 7, 20207:56 AM ET JON MARCUS iL. 12. S00 New Daily Confirmed COVID-19 Cases in the U.S. 25) a 2m tel a " E =Soin 1m ' AAT ll I I j I I oS & ae, ee oe ~ & Ped » Ome Ss oo & A, aa 'te Pd ag Pal Hy '. we re 'ad Pd id rat Peer EP SE TOPE? Sy € s £e SF FSP IFS FS 20E0 Ce ee? Dery Mu ig Avarape 12 December 2020 Featuring the majornvetnas across the USA today The improvements im the in the Northen Plains, Rocky Mountain States and Heartland are currently holdinganed the declines are nwore raped iin the States mitigating -- MD, 1A, but Nationwide this is being offset by the surging cases and hospitalization on the West Coast, Sunbelt, Mid-Atlantic and North-East -- these imone populous states will drive caged and hospitalizations over the next 2-3 weeks stressing hospital sstena and general inpatient care : slide 6 ahorws the exquainding pandemic on both onasts similar to the Spring surge but with continued cases in the center of the country Early evidence of Thanksaning surge of cases across multigle metros : interesting patterns are evoking --states that were matigating before Thanksgring have a blunted increase in cases and those without mitigation especialtyacross the Sunbelt have langer increases -- the except to this LA where cases continue to escalate without improvement: 3 states (7X, UL, Pa, CA) daily deaths over 200 ane 3 states (KS, OH, FL) over 100 fday--these should be a hewer days with the peak forwoeek Wed Consistent with port Thanksgiving enhanced community aprend- 39 etates have increasing test positivity and 35 major metros = mort of our large metros now have increasing test positivity di ig Ing community spread Hodpitalizations are starting to rise again --the primary rise from Thanksgiving should be ower the newt 2 weeks There are meow 32 States in the ned (21) and orange (11) zone for hospitalizations of COWID cases = general medical care deteriorates when states enter the ned bone -- ang rovemnents mone Northern Plain and Rocky Mountan slates-- deacon by COC on veh 6 oreunaed first will de tennane the future stability of the hospital systen and hospitalization rates» cunsent plan will mot change the pandeméc dynamécs impact on hospitals but could decease quarantine = CO will head to sue ew muidarsé hat 10 days aller second immunization there is eo reason LO Quaranline ary ouned persone] alter emodsure. Fatality dadly rales are ow twice Lie Summer surge ad are now paasanp the Soaring sure twill bee critical thatimancclonal Ab and Ramdasiviriara used arian and more coraistenthy among vulnerable Arana ra This Winter surpe will be big per, broader, and more deadly but con stall be changed with messaging to states and health care providers, There Is inaufficlant vaccine of prioritization for vulnerable Amerk to changelh it and fatalities trancds in Owe-Fab we neind to be clear to ther American people vaccines will have an im@actin the Spring. Behavior change, proactive testing, aid improved use of therageutics can change the course ol this current surge: The movement of the surge into populous states especially without adequate policies or without individual Arvericans mitigating will drive fatalities, most states donot haw adequate mitigation policies and fatalities will continue averaging ower 2500) day 1K week, 70K imenath at a minim reaching ower 330K by Mew fears and 450K by the end of February without calls for action at the Federal, State, and Local level and using Pods to combat the COVID myths thiroughesut the country Ityeill be very evident over the nest 30 days that mitigation policies and behavioral change sayed lives 24,0 COMMRVED CASES OM A TOAY ROLUMG AvEERGE 10000 + + 0 + CONFIRMED CASES DAILY IN LOS ANGELES-LONG BEACH-ANAHEIM, CA 7 DAY ROLLING AVERAGE Sang County, cA Mice gles Cevnty, 'McKinnon. A spoof with me and Deb 1 -- 70,200,000/1,600,000 USA -- 16,000,000/298,000 PRESS: TWEET FROM BIDEN - I've seen him take on HIV/AIDS, H1N1, Ebola, Zika, COVID19, and every infectious disease in between, over his nearly forty years of service to our country. Trusted. A truth teller. A patriot." -- President-elect Biden on Dr. Anthony Fauci I was portrayed on Saturday Night Live by Kate McKinnon. A spoof with me and Deb Birx. They slammed Deb
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December 8, 2020 - Global 66,700,000/1,500,000; USA - 14,800,000/283,000 Daily New Cases in the United States Daily New Cases Cases per Day Data as of 0:00 GMT+0 300k 200k 100k ; Penal I Uta rel Ps Pes i {Sto ot StS oP eb re an St Ne OS eM St Ay re Se PP a a a FF PF aah gh GF FP FF Ph Pest et oe oF oF OF TW" WT Novel Coronavirus Daily Cases @ Daily Cases 9 -@ 3-day moving average [_] ~» 7-day moving average Harvey Alter to receive Nobel Prize in Physiology or medicine to be presented to hi at NIH (Natcher) by the Swedish Ambassador to the USA. I am invited and will use this as an excuse not to attend the "Vaccine Summit" at the White House today. Trump will use it as a PR stunt to claim credit for the vaccines. Pfizer (Bourla) and Moderna (Bancel) have pulled out of attending. Biden announced his medical team today in Wilmington, DE. I was announced as his "Chief Medical Advisor". I have made a video of my message to the group since I cannot attend (see above). • Had call with Joan Baez who wanted information about the effectiveness of masks in protecting you from acquisition of infection. Also, she is worried about her son and daughter-in-law who want to travel to South America. She wants to be able to tell them that I said that it was ill-advised. • Call with Ellen Sigal and then Larry Horowitz about FDA Commissioner. Lots of rumors and the usual anxiety about candidates. Josh Sharfstein is being considered but many people are pushing back. Kessler is being considered, but most everyone thinks that this is a bad idea. Janet Woodcock is emerging as a top choice. I like that. • Much concern that we did not contract with Pfizer for enough vaccine; we just did not accept their offer to provide more. Now it seems that this was a big mistake. Press are all over this. • Nancy Messonnier called. She is concerned that Gen. Perna is making decisions without proper knowledge and/or consultation with CDC. She has had long-standing problem with him. sent them for Wall Street Journal - 15,000,000/285,000 9 December 2020 The imarovenents in the Northern Plains, Rocky Mountain States and Heartland is beingdirectly offset by the surging cases and hospitalization onthe Weit Comet, Sunbelt, MidAtlantic and NE --these nore populous states will drive this over the mest 2-2 weeks and when combined with the pending Thanksgiving surge will represent the greatest threat to hosgital systems and general inpatient care Wie ore mow beginning to see the first evidence of impact of Thanksgiving family and friend gatherings -- see slides 10-19 --there are metrosthat were declining (heartland and upper micvyest) thatare mow increasing again and there are other northeast metros thet were rising that are now rising ata mone nopad rate. By ineset week I vill be able to define this more accurately and enaure we message about the upcoming Holidays Testing declined during Thankigiving time percd and nove testing haa resumed and test positivity niging deapite the inoneaded testing indhcating Community sired 36 States are in the COVID red 2one 9 alates are in Che Orenpe bone, J slates aren Hie yellow Done and 2 states and DC in green pone Hosnitalizations are starting to rise again --the primany rise from Thanksgiving sheould be over the neat 2 wrecks There ane now 35 Statesin the red (24) and orange (111) zone lor hospitalizations of COVID cases--peneral medical care delerionated when slates enter the ned zone -- there ancimenre states in this category everday -- decisien by cO00 on who is limvunized first will determine the furbure stability of the hospital aystem and loapetalization tates - cunent plan will mo. change the pandemic dynamics impact on hospital. Fatality Gaily rates are move bevice (he Sunime: surge ane will soon excead the Soaring surge This Wilnvter surge will ba bigger, broader, and mora daadly. Bringing tagether the states of the Soaring and Sumner surge inte one overwhelming therrat increasing hospitalaiions and deaths > evenwith De inmoeations this will be catastrophic without increased milgation now -- states without adequate public polices will have the highest fatality rates per populations equal to the Spring rates despite Improvements In care dua te the lack of mitigation. We do not have enough vaccine for vulnerable Americans to change hospétalization and fatalities trends in Dec-Feb--we need to be clear to Lie vimerican foonle vaccines will hares an impact in the Soring but MOT over ther niet 3 imeenths, Behavior change and proaction testing te find hath the asyinntamiatic: and symptomatic transmitters ae our only interventions and states are still mot testing correctly to find both The movenient of the surge into pogulous states especially without adequate polices or withaut individual Americana mltigating will drive fatalities, mast states do mot have adequate mitigation policies and fatalities will continue averaging aver P500dawy 17K week, TOK! month at aiminimumn reaching over 330K by Mew Years and 4508 by the end of February without calls for action at the Federal, State, and Lecal level and using PSAs to combat the COVID myths throughout the country Itwillbe wery cvident over the newt 20 days that mitigation polickes and behavioral change saved Ives and the lack of mitigation resulted in prewentabde deaths • Katie and Stephen Miller called me to thank me for the baby gift I sent them for daughter We had a nice discussion about life after Trump. • I was awarded "Sicilian of the Year" by the Magazine I Love Sicilia PRESS: KTWV Los Angeles Radio; BBC "Hard Talk", TV and Radio; Wall Street Journal CEO Council;
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December 9, 2020 - Global - 67,800,000/1,600,000; USA - 15,000,000/285,000 Deaths reached record of 3000 today! Just waiting to realize the full brunt of the Thanksgiving holiday. Trump still totally preoccupied with trying to overthrow the election. Biden carefully putting his team together +3355. skh 12n/1-13/7 +1648 1,375,502 I Me357 oi +5, i 15483 5 I 450.5% 1L/2a-11/9 1.2% +174 1,004,175 bd 140,958 ' +1), 6% 97,408 : +10.2% 10,26 ALES Vuyfi7-n23 I yo.0% bah 1,197,199 412.2% Mo07o fa BRATa ot FIN VO,7E4 476.9% Wis td-10 16 17m f +h 1,067,067 I +1 3h 128,975 H #14 eS I : ath A501} a4 11/3-11/5 BSN I 4ELEH ct 109,904} WIS. 61281 0° #1kAH A woyfe7-ay2 I 7am! +1b1% s9,399 I +157% G8 S753! +12R2% 5e09 4.0% 1020-108 I 410.3% 494,095 I w2LSM 29,165 t 4.6% 86198 : W104 5.585 I «105% 10yf19-10/19 57m I +E. 40,977 I +14.0% 3,020 i +0.1% am I *7eh 505s I 1.4% L060 12 ame of 421m asage3 I aH Pe a ee maz 0G 41H ages {I .1Sk of 2's Le I hui Tr ae TAU} +5 rT a i hae Of22-a RE am I 201460 40K 7433300) #4. 3182.28 4A SAL dak a re 289,951 +1h2% 7,024 I oT a San i 41.6% 98-5) 14 TT ee 251,781 i -LLEs 3880: SH IF I 5K 5a af L-ay7 51s I 5.6% Pr ee 53} TH 0S} 4.0 TT Pee af25-/31. 54h 3.6% 291,472 -12% Ee a962 if LK 6,433 5.1% Bs 18-324 5.6% AL7% 256,785 17.2% e780} TSH amu} 5.0% B77 BRK ph i Ln ee Ga Wo oo 11. 12. wuth -- 15,300,000/289,000 10 December 2020 The improvements in the in the Northern Plains, Rocky Mountain States and Heartland are currently holding (slide 5) and the declines are more rapid in the States mitigating -ND, 14, but Nationwide this is being offset by the surging cases and hospitalization on the West Coast, Sunbelt, Mid-Atlantic and NorthEast --these more populous states will drive cases and hospitalizations over the next 2-3 weeks and represent the greatest threat te hospital systems and peneral inpatient care By next week I will be able to better define the impact of Thanksgiving travel and gatherings rmore accurately and ensure we message about the upooming Holidays Please review the tlme sequences of cases (slides 9-14), hospitalizations (slides15-20) and mortality (slides 21-24) 36 States are in the COVID red zane 9 states are In the orange zone, 3 states are in the yellow zone and 2 states and DC in green zone Hospitalizations are starting to rise again -- the primary rise from Thanksgiving should be over the next 2 weeks There are now 35 States in the red (24) and orange (11) zone for hospitalizations of COVID cases -- general medical care deteriorates when states enter the red zone -- there are more states in this category everyday -- decision by CDC on whe is immunized first will determine the future stability of the hospital system and hospitalization rates - current plan will not change the pandemic dynarnics impact on hospitals. Fatality dally rates are now twice the Summer surge and are now passing the Spring surge priar to the impact af CA cases it will be critical that monoclonal Ab and Remdesivir are used earlier and more consistently among vulnerable Americans This Winter surge will be bigger, broader, and more deadly but can still be changed with messaging to states and health care providers. There is insufficient vaccine or prioritization for vulnerable Americans to change hospitalization and fatalities trends in Dec-Feb-- we need to be clear to the American people vaccines will have an impact in the Spring but NOT over the next 3 months. Behavior change, proactive testing, and improved use of therapeutics can change the course of this current surge The movement of the surge into populous states especially without adequate policies or without individual Americans mitigating will drive fatalities, most states do not have adequate mitigation policies and fatalities will continue averaging over 2500/day 17K/week, 7OK/month at a minimum reaching over 330K by Mew Years and 450K by the end of February without calls for action at the Federal, State, and Local level and using PSAs to combat the COVID myths throughout the country it will be very evident over the next 30 days that mitigation policies and behavioral change saved lives PRESS: Interview with Ed Yong of The Atlantic; CNN discussion of 1918 Influenza wuth Anderson Cooper (to be shown in a week); Fireside Chat with Sanjay Gupta for the Harvard T.H. Chan School of Public Health "When Public Health Means Business"
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December 10, 2020 - Global -68,200,000/1,500,000; USA - 15,300,000/289,000 217,000 cases today! 1ardian of the Year" Global USA @rily new confirmed COVID-19 cases per million people Shown is the rolling 7-day average. The number of confirmed cases is lower than the number of actual cases; the main reason for that is limited testing. Cunear I toc United States Europe Canada South America Asia Africa Australia
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Dec 10, 2020 I zoomed with the Novovax site investigators encouraging them in their trial and stressing the importance of recruiting minorities into the trial. The FDA's advisory committee VRBPAC meets today for Pfizer product. They recommend approving the EUA Received the Ripple of Hope Award from the RFK Foundation. Wonderful virtual ceremony with co-awardees: Colin Kaepernick, Dolores Huerta (Activist), Dan Schulman (CEO PayPal), Dan Springer(CEO, Docusign). Very warm and moving tributes. I am chosen as Time Magazine "Guardian of the Year" PRESS: CBC Canadian Radio; CNN with Chris Cuomo;
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December 11, 2020 Global USA Numbers continue to be stunning with >200,000 news cases each day; >3000 deaths per day; 289,000 total deaths and 15,3000,000 cases • Received a call from Ethel and Kerry Kennedy explicitly inviting up to Hyannisport for 4th of July weekend. They were so nice over the phone. They said that they loved and admired me and were so please that the Kennedy family could honor me. -15,700,000/295,000. PRESS: NY 12 TV (NY, CT, NJ); JAMA Livestream with Howard Bauchner; MSNBC with Ari Melber;
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December 12, 2020 - Global - 69,500,000/1,600,000; USA - 15,700,000/295,000. FDA has approved an EUA for the Pfizer mRNA vaccine for people 16 years and older!! USG authorized an additional 100 million doses of Moderna mRNA (in addition to the original 100 million that we contracted for. Although some states that are mitigating are showing stabilization, several others are showing the impact of the Thanksgiving holiday. • Had Zoom call with Jeff Zientz and Natalie Quillian about what the Biden team should be doing as they hit the ground on January 21. I mentioned: 1) the importance of a clear and consistent message from above; 2) the importance of testing (diagnostics) for asymptomatic people for the purposes of surveillance and screening such as in schools (mentioned my conversation with Raj Shah and the Rockefeller Foundation people) about testing school teachers 2x per week and K-12 children 1x per week. Also early testing is key for early treatment; 3) Treatment - importance of early treatments with either direct anti-virals or perfect the mAb and hyper immune-Ig; 4) Make sure that vaccines are smoothly and equitably distributed. There has been much play in the media over the past few weeks about what they are calling the "Fauci effect" whereby the medical school admission have gone up about 50% over the past year due in large part to students realizing what I have been doing and able to accomplish as a physician and this is inspiring them to go to medical school. See story from NPR below: 'Fauci Effect' Drives Record Number Of Medical School Applications • Facebook • Twitter • Flipboard • Email
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December 13, 2020 (Sunday)- Global - 70,200,000/1,600,000 USA - 16,000,000/298,000 Vaccine dose from Pfizer now being shipped to various locations. Cases continue to explode throughout the country. 12 December 2020 Featuring the States and the USA overtime from cases, test positivity, new hospital admissions, and fatalities The irniprovements in the inthe Marthern Plaing, Rocky Mountain States and Heartland are currently holding and the declines are rore rapid inthe States mitigating but Nationwide this is being offset by the surging cases and hospitalization on the West Coast, Sunbelt, MidAtlantic and Nerth-East-- these more populous states will drive cases and hospitalizations over the next 2 weeks stressing hospital systems and general inpatient care: if the rate ef rise can be blunted compared te the Fall surge this could preserve the hospital systerna and staffing The irniprovements are in states with approx BOM Americans and these deteriorating approx 270M American--6 populous States aver 10,000 cases yesterday--CA (29K), TX (20K), OH [L1E), FL[LOK), NY (10K), PA (10K) Hospitalizations are starting torise again -- the primary rise from Thanksgiving should be over next week There are raw 32 States in the ned (21) and orange (11) sone for hespitalizations of COVID cases -- general medical care deteriorates when states enter the red rene -- improvements in many Nerthern Plain and Hacky Meuntain states--decision by COC enwhe is immunized first will determine the future stability of the hespital aystern and hospitalization rates - current plan will net change the pandenvic irnpact an hespritals. Fatality daily rates are now twice the Summer surge and are mow pass the Spring surge it will be critical that monoclonal Ab and Remdesivir are uted earlier and more consistently: among vulnerable Americans There is insufficient vaccine or prioritization for vulnerable Gmericans to change hospitalization and fatalities trends in Dec-Feb -- we need to be clear to the Qmerican peaple vaccines will havean impact inthe Spring. Behaviar change, proactive testing, ared improved use of thasrapesutics can change the course of this current surge The movement of the surge into populous states especially without adequate policies or without individual Americana nltigating will drive fatalities, most states do not have adequate mitigation policies and fatalities will continue averagingaver 2500/day L7Kfweek, TOK! month ata minimum reaching over 330K by New Years and 450K by the end of February without calls for action at the Federal, State, and Local level and using PGs to combat the COVID myths throughout the country and reenforcing messaging of the behaviors needed to blunt the pandemic Daily New Cases in the United States Daily New Cases Cases per Day Data as of 0200 GMT+0 200k Novel Coronavirus Daily Cases i ty ot ti fb mB wk ob Bb oh hh LT cb ak ab 'sy Se a LC oa oe yo. oa gk sk ak ak sk gk gk ah vt ge ae I a i a Sha a % My " a q Ceres te tee oe eo ee eo PSS tte oS Pet et ot ® Daily Cases () "> ?-day moving average =F Most of the states across the Northern Plains, Rocky Mountains, and Heartland, Upper Midwest Improving -- either at plateau or declining (approx 60M American or 18% of the USA populations) Statement from Birx below: GUARDIAN OF THE YEA Dr Anthony Fauci -- www.cathygraphics.com PRESS: CNN HEROES - INTERVIEW WITH ANDERSON COOPER Global USA - 16 14December 2020 Today I am featuring beth the the improvernents and deteriorations we are seeing -- we are seeing improvements in the in the Northern Plains, Rocky Mauntain States and Heartland States -- currently they are currently holding and the declines are more rapid in the States mitigating -- slide ¥ and 13 shows the significantly stabilization in the middle of the country The progress in the middle of the country is being offset by the surging cases and hospitalization on the West Coast, Sunbelt, Mid-Atlantic and North-East -- these more populous states will drive cases and hospitalizations over the next 2 weeks stressing their hospital systems and general inpatient care : if the rate of rise canbe blunted compared to the Fall surge this could preserve the hospital systems and staffing The Improvements in the noted states are home to approx 60M Americans and those currently deteriorating approx 270M Americans and the next 2 weeks will be critical to slow the spread im these highly populous states There are now 33 States in the red (23) with CA, NJ, PA, CT, MD, GA joining the red alert category and orange (10) zone for hospitalizations of COVID cases -- feneral medical care deteriorates when states enter the red zane decision by COC on whe is immunized first will determine the future stability of the hospital system and hospitalization rates - current plan will not change the pandemic impact on hospitals. Fatality daily rates are now twice the Summer surge have passed the Spring surge It will be essential that monoclonal 4b and Remdesivir are used earlier and more consistently among vulnerable Americans -- we have added a treatment alert to the GOV report to cover this critical element There ts insufficient vaccine or prioritization for vulnerable Americans to change hospitalization and fatalities trends in Dec-Feb especially with the state prioritizations -- GOVs will need to understand that to change hospitalizations and fatalities they will need to immunized thase most at risk for severe disease -- It needs to be clear te the American people vaccines will have an impact in the Spring, BUT thelr behavior change, State level proactive testing, and Improved use of therapeutics can change the course of this current surge -- we each have a roll to change the current course of the surge The movement of the surge inte populous states especially without adequate policies or without individual Americans mitigating will drive fatalities, most states do not have adequate mitigation policies and fatalities will continue averaging over 2500/day 17K/week, TOK/month at a minimum reaching over 330K by New Years and 450K by the end of February without calls for action at the Federal, State, and Local level and using PSAs to combat the COVID myths throughout the country and reenforcing messaging of the behaviors needed to blunt the pandemic
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December 14, 2020 - Global USA - 16 Vaccine doses are being shipped as I write this. Vaccinations will start today. Discussions ongoing whether to vaccinate the White House staff. Also Jeff Zientz wants to speak with me about when the President-elect and VP-elect should be vaccinated. • Bitter-Sweet day - vaccinations start but we reach landmark of 300,000 Americans have died of COVID-19 Daily New Cases in the United States Daily New Cases Cases per Day Data as of 0:00 GMT+0 200k 200k ) 100k Novel Coronavirus Daily Cases rN cull lit i sii OPO? SPS AE SP at AP SSP PD AE oP AP PN OP St NY DY SY AY AY STS taht i boll de Part ae Oe a ' en at i. ote > SEPP GGG PPP HF HP PP Pp rH Mo of Fw See @ Daily Cases 9 -@ 3-day moving average [_] ~» 7-day moving average -- 16,300,000/300,000 re • Call from Sen. Joe Manchin (D-WVA) asking whether I recommend that he and others get vaccinated. Also, wanted to know which was better Moderna or Pfizer. I]assured him that they were equal. • Received virtually the 2020 John Maddox Prize for Standing Up for Science from Nature magazine PRESS: BILD German Online TV interview; MSNBC with Hallie Jackson; Bloomberg Law interview with Jeanne Bauman; BBC Newsnight TV interview;
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December 15, 2020 - Global - 71,400,000/1,600,000; USA - 16,300,000/300,000 Brian Morgenstern is the new White House media person who seems to have taken over from Alyssa Farah. He has been OK with getting me out there, but there was a recent issue where Jon Karl (ABC) has been asking for me a lot and not getting approved. Jon is rather pissed. 15December 2020 Featuring the major metros : the major metros throughout the Northern Plains, Upper MidWest, Rocky Mountain States and Heartland are holding and despite a post Thanksgiving uptick are continuing to improve and with strong vigilance meséaging could continue te decline through the upcoming Holiday season. These states and metres have declining test positivity, cases and hoepitalizations : deaths should beginning te decline in the next week, The coastal metros East and West Coast, Sunbelt except Texas and NM, and IN, OH, K¥, TN have surging cases and these more populous metros will drive cases and hospitalizations over the next 2 weeks stressing their hospital systems and general inpatientcare; if the rate af rise can be blunted with messaging of vigilance this surge could be blunted with significant improvements inthe New Year. The improvements in the noted states are home to approx G0M Americans and those currently deteriorating approx 270M Americans and the mext 2 weeks will be critical to show the spread in these highly populous states There are raw 33 States in the ned (24) with GA, AU, PA, CT, MID, GA joining the red alert category and orange (10) rene for hospitalizations eFCOVID eases -- general medical care deteriorates when states enter the red rane decision by COC on whe is immunized first will detonmine the future stabilityal the hespital system and hospitalization rates - current plan will net change the pandemic impact on heaspritals. It will be essential that monoclonal Ab anc Rendestvir are weed earlier and more consistently among vulnerable Americans There is insufficient vaccine of prioritization for vulnerable Americans to change hospitalization and fatalities trends in Dec-Feb : GOVs will need to understand that to change hospitalizations and fatalities they will need to immunized those most at risk for severe disease It needs to be clear ta the American people vaccines will have an impactin the Spring, BUT their behavior change, State level proactive testing. and improved use of therapeutics can change the course of this current surge we each have a rallto change the current course of the surge The movement of the surge inte populous states especially without adequate policies or without individual Anvericans mltigating will drive fatalities, most states do not have adequate mitigation policies and fatalities will continue averaging aver 2500/day L7Kweek, TOK! month ata minimum reaching over 330K by New Yearsand 450K by the end of February without calle for action at the Federal, State, and Local level and using PSAs to combat the COVID myths throughout the country and reenforcing mescaging of the behaviors needed to blunt the pandemic 'elop safe and effective shape Jared Kushner called to congratulate and thank me for our efforts to develop safe and effective vaccines for COVID-19. PRESS: ABC - Good Morning America with George Stephanopoulos; NPR "Morning Edition" with Rachel Martin; VOX (Online TV) - "Today Explained" with Sean Rameswaram; Nature's 10: ten people who helped shape science in 2020 • Anthony Fauci: Science's defender A storied US doctor became his nation's conscience on COVID-19 even as detractors threatened his life.
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December 16, 2020 - Global - 72,000,000/1,600,000; USA - 16,500,000/303,000 Surge continue in some areas and leveling in others. On phone last night with the David Barr group. Chicago (Alison) doing better, but LA (Sharon) doing worse. Bitter sweet situation as vaccines rolling out (Moderna coming within the next couple days) while records being broken with deaths and hospitalizations: -- 16,800,000/306,000 usa Toul few otal ew Fata ether Tot Gases! Dewteat Terai Tena! Sale Coa Coté IF Deatha Daath Agcovered Came 1M pap 1M pap Towta Ti pep Pepuladan SAT ESE HOS TR RT 0S ERTL MS 'Galfer 714,08 I af 71,0 TOSAGT «ABT Sag 40,403 Ba WL Mase Tia4ay AS12370 Teens 1,540,891 73,146 Vea 200,081 S145 my VLR Se 0 ce 25,905,081 (Rorkia 115,05 - 0,004 25455 = 409/676 Sa,7az M1 MOST GST TT ay, Ta7 Tanna pes 04,705 Shan 411,8a0 I 70,e0e Bo 81480300 748,63 BAZa, 174 (Penneplvania 575,745 13,230 64g7 = 308/08 41 08T BSS I S162 (101,088 (Here York 34,045 456605 = 35046 44,403 1b 22rd (1,188 4a2 18453, 981 irate B70 600 1a 8 S23993 8 64930,07T TS I 12,655,268 081 46 pre bora} Georgia 60,608 646i 862d ind 52,2 201,37 289,691 POLAT? 624 edie 840,850 Rint 275208 = (188,504 SOS ee TH0,14B eer ea (idee bier yt o35,448 18,140 S120Re = 186,202 47,0 645,815 Pet 71 'Bebo (Wed ac eetea 404,102 11,573 Fale ty 74212 44,122 1ero See iG 1,805,158 'Bad, ad 'Dhig- SEs, 770 rs: 416023 86 160,054 Boar 6908 Oo 587 0B 11,689,100 'Hor Cearcing Sot b74 5,079 M5273 'BO Ba2 44,085 aro 6108 Ste Sao oe PO 463,084 Arineea a39,398 357 00a 5a.e60 O900005 00,085 Tara, rT (Mhiogn S22 ,E05 11,538 236563 234,658 48,045 '1,160 620,15 Bod 07S '3.OBS, B57 Alper 306,640 41% 13625 86117 ,BiT 22,05 1A ATS Eh Bee's: $903,185 atiteg 136,045 2,259 991,054 a I e752 Wa hl 315,196 2.913,314 Vig isa 252.240 4,506 260,672 mB 4.491,55) 519.241 555,518 'Colonodo 256,716 4,156 61088 2sta72 51/525 Faz 1805.7) GEE 5.7E,TI6 PRESS: CBS This Morning with Gayle King; Interview with Rodney Edwards of Irish Independent Sunday print paper; CNBC "Healthy Events" with Meg Tirrell
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December 17, 2020 - Global - 72,900,000/1,600,000; USA - 16,800,000/306,000 The surge continues. Some states improving; others getting worse (see below for CA, TX, among others) 3656 deaths yesterday - another record!! Red flag in CA, TX, PA, FL, TN as their absolute number of cases and rate of rise of cases is deeply concerning. If these populous states have the same depth and breadth of the surge experienced in the Northern Plains hospitalizations and fatalities will dramatically increase over the next 2 weeks. Deb • Had good conversation with Christopher Whitty (Chief Medical Officer of the UK) and Sir Patrick Vallance (Chief Scientific Advisor to the UK Government) regarding comparing notes between UK experience and USA experience. Of note, the UK is seeing more than just the two instances of anaphylactic reactions to the mRNA vaccine of Pfizer • VRBPAC approves the Moderna product. Waiting for FDA to officialy issue the EUA. Likely will start vaccinating with Moderna in a few days PRESS: WUSA TV with Gabe Cohen; FOX TV with Bill Hemmer; Alan Alda Fireside Online Chat - "Soldiers of Science" Confirmed Cases [Thousancs) 2) is & i o _-- 17,000,000/3 10,000 New Dally Confirmed COVID-19 Cases In the U-S. PKK PSFK Peg KS es fT P&S EFS Peel PSS FF FS Day eee Day Mowing Avarage
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December 18, 2020 - Global - 73,300,000/1,700,000; USA - 17,000,000/310,000 Moderna's mRNA vaccine gets EUA from FDA. Likely start vaccinating within a few days (likely Monday, 21 December) Just found out that NIH will finally get doses of vaccine from Moderna (see above) which means I will likely get vaccinated on Tuesday, 22 December. I am insisting that I receive vaccine ONLY if Clinical Center ICU people ALSO receive it at the same time as I do, • Cases continue to surge. Deb's comments: Continued deterioration in CA, AZ, NV,TX, FL, PA, OH, NJ, NY and will need staffing support in most of these states except FL and TX - most concerning is CA and NV for ICUs and hospital staffing. States are now using their vents that are in their state stockpiles which is the first we have seen this occur since summer. There is significant diversity in approach to vaccination - many states approach are self defined co-morbidities which could lead to long lines if its not a combination of age plus - ie first group essential worker over 50 and general population over 65 combination of risk of exposure and risk of severe disease. Mortality from the states that have been improving is still very high daily. Deb Global USA Did ceremonial vaccination with the Pfizer Product of VP Pence, Karen Pence and Jerome Adams in EEOB-350 at 8:03 AM. I gave remarks at the ceremony talking about the challenges ahead, the bitter-sweet nature of the situation with Bitter (record number of cases) and Sweet (Vaccines here). Also light at the end of the tunnel PRESS: NBC Today with Savannah Guthrie; on CNN for live coverage of the White House vaccination of the VP; Taped CNN Sesame Street with Sanjay Gupta and Erika Hill; WCBS Radio NYC; Stanford Fireside Chat with Alan Alda; Fireside chat with Andy Slavitt; Fireside Chat with the California State University systems; CNN Town Hall (done together with Jerome Adams) with Don lemon and Sanjay Gupta
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December 19, 2020 - Global USA Deb's daily comment: Coasts and Sunbelt continue to deteriorate. AZ, MS, FL, GA are not mitigating to the level of summer mitigation policies. There is deep confusion out there about vaccine volumes and clarity on the 1b and 2 categories to most efficiently vaccinate and potential to use the current supply to save lives over the next 30 days. The word is the ACIP was supplied modeling in October that showed no impact of vaccination on lives saved but it was modelled without taking into account a surge of cases and hospitalizations. IF this is true this needs to be addressed and remodeled and that new data supplied to the ACIP. Deb Another record broken: Covid-19 Live Updates: U.S. Sets Daily Record With Over 250,000 Cases 7. 8. 19 December 2020 The Northern Plains, Upper Mid-West, Rocky Mountain States and Heartland continue to improve decreasing test positivity, cases, hospitalizations, Strong vigilance messaging should continue to ensure decline through the upcoming Holiday season, Cases are rising again in Europe -- slide 6. The Coasts (80% of America) are now driving the increasing cases, hospitalizations and soon deaths. The rate of rise is deeply concerning. The top 10 states cases yesterday CA >49,000, TX 216,000, Fl 13,000, NY >12,000, TN > 10,000, PA =9,000, Ohio =9000, NC =8000, GA >8000, AZ >7500. These are all historic highs compared to the summer surge. Slide 5. The East and West Coast, Sunbelt, IN, OH, KY, TN surging cases will drive cases and hospitalizations over the next week stressing their hospital systems and and inpatient care : if the rate of rise can be blunted with messaging of vigilance this surge could be blunted with significant improvements seen in the New Year, States that mitigate late or with populations still gathering will continue to increase, Hospitalizations : there are now 37 States in the red (24) with CA, NJ, PA, CT, MD, GA, AL, MS, TN joining the red alert category and orange (13) zone for hospitalizations of COVID cases -- overall medical care deteriorates when states enter the red zone. Recommendations by CDC on who is immunized first will determine the future stability of the hospital systern and hospitalization rates - current plan will not change the pandemic impact an hospitals, It will be essential that monoclonal Ab and Remdesivir are used earlier and more consistently among vulnerable Americans There is insufficient vaccine or prioritization for vulnerable Americans to change hospitalization and fatalities trends in Dec-Jan : GOVs will need to understand that to change hospitalizations and fatalities they will need to immunized those most at risk for severe disease, WVA prioritization of essential workers over 50 and citizens over 65. The movement of the surge into populous states especially without adequate policies or without individual Americans mitigating will continue to drive hospitalizations and fatalities, many states do not have adequate public space mitigation policies and fatalities will continue averaging over 2600/day 19K,week, 75K/month at a minimum reaching over 340K by New Years and 410K by the end of January without calls for action at the Federal, State, and Local level and using PSAs to combat the COVID myths throughout the country and reenforcing messaging of the behaviors needed to blunt the pandemic, Multiple household gatherings continue to drive cases, Daily new confirmed COVID-19 cases Shown is the rolling 7-day average. The number of confirmed cases is bower than the number of actual cases: the main reasen for that is limited testing, LOG +) Add country 250,000 United States 200,000 sii 150,000 100,000 50,000 Germany United Kingdom Italy France 'al Spain Jan 23,2020 Mar ii Apr 30 Jun 19 Aug 6 Sepa? Dec 18,2020 ree: Johns Hexpking University CSSE COVID-19 Data - Last updated 1? December, 06:04 (London time) Cc er B® Jan 23,2020 2 () Dec 18,2020 al -- 75,100,000/1,700,000; USA --
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December 20, 2020 - (SUNDAY) - Global - 75,100,000/1,700,000; USA - 17,600,000/315,300 Global USA See Deb's notes below: 1. The Northern Plains, Upper Mid-West, Rocky Mountain States and Heartland continue to improve decreasing test positivity, cases, hospitalizations. Strong vigilance messaging should continue to ensure decline through the upcoming Holiday season. 2. The Coasts (80% of America's population) are now driving the increasing cases, hospitalizations and soon deaths. The rate of rise is deeply concerning as it is similar to the Northern Plain States. New strain of virus - B.1.1.1.7 arising in UK with concern that it is spreading much faster that other strains. Some EU countries are banning flights from UK. Probably an overreaction since there is no evidence that the strain is more virulent or that it escapes vaccineinduced immunity. We (VRC/NIAID) will start examining for these issues. PRESS: Despite the approval of Moderna vaccine a few days ago, I was not allowed on any Sunday TV shows. FOX and MTP wanted me. Need to emphasize the dysfunction of the White House Comms group, particularly Roma Daravi. It seems that she has a thing with me. Washington Post (Yasmeen Abutaleb et al): The inside story of how Trump's denial, mismanagement and magical thinking led to the pandemic's dark winter
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December 21, 2020 Global USA Much concern and discussion about the mutant virus (see above) that is in UK and South Africa. I will be speaking with the Biden people about this today. 1. The Northern Plains, Upper Mid-West, Rocky Mountain States and Heartland continue to _-- 18,000,000/319,000 improve decreasing test positivity, cases, hospitalizations. Strong vigilance messaging should continue to ensure decline through the upcoming Holiday season. 2. The Coasts (80% of the population) are now driving the increasing cases, hospitalizations and soon deaths. The rate of rise is concerning, however due to aggressive mitigation there is a more rapid stabilization of cases then we saw in the Fall with the center of the country which should lead to an earlier peak if the Holiday Season surge can be blunted. Had Zoom call with Biden. Also, present were Ron Klain, Jeff Zientz, Rochelle Walensky; Natalie Quillian; Vivek Murthy. Discussion centered around: 1) state of the outbreak (me); 2) Mutants from UK (me); 3) vaccine rollout (Vivek). I strongly recommended not banning travel from UK. Ron Klain and Biden were not so sure. Ron suggested that we might have a 10 day ban over the holidays. I pushed back and said that this would not help since the virus would come from other places. I suggested that we very explicitly state that we are watching this very carefully and are all over it. The potential effects of the mutation is : 1) increased transmissibility; 2) increased virulence; 3) evasion of protection from vaccine (and to some extent from mAb). All of these are testable. Bottom line - do not do anything precipitous, but watch it closely PRESS: BBC Interview with Jeremy Farrar to be aired on December 28, 2020;SiriusXM Sports - Mad Dog with Chris Russo; Telemundo TV with Randy Serrano; Fivethirtyeight ABC Podcast with Anna Rothschild; PBS NewsHour with Judy Woodruff;
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December 22, 2020 - Global -76,300,000/1,700,000; USA - 18,000,000/319,000 EA ABC News @ A physician shows off her Dr. Anthony Fauci-themed hoodie after receiving the COVID-19 vaccine at a hospital in Glendale, CA. abcn.ws/37EqLnC Hospitalization at 118,000 - record for the pandemic. East and West coasts now surging. PRESS: Good Morning America (ABC) with CeciliaVega; BBC World News TV; Briefed New York Daily News editorial board; CBC TV (Canada) News Show - "The National"; Fox News with John Roberts; Politico Instagram Live with Sarah Owermohle; CNN The Situation Room with Wolf Blitzer Trson: -18,200,000/321,700 Slate ranked me the #1 most influential 80 year old and older person:
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December 23, 2020 - Global - 76,900,000; 1,700,000; USA - 18,200,000/321,700 Mayer Bowser of DC declared December 24, 2020 "Anthony S. Fauci, M.D. Day in Washington, DC: "Dr. Fauci has been a hero to our nation during this incredibly difficult year, working tirelessly to save lives and guide our nation's response to and recovery from the pandemic," said Mayor Bowser. "We are incredibly proud to count him among the many DC residents who are sacrificing so much to keep our communities healthy and safe. I issue this honor on behalf of all Washingtonians in gratitude and recognition of Dr. Fauci's service to our nation and our city." Qa Mayor Muriel Bowser @ In honor of Dr. Fauci's 80th birthday tomorrow, I proclaim Thursday, December 24, 2020, "Dr. Anthony S. Fauci Day" in Washington, DC. We are incredibly proud to count Dr. Fauci among the many DC residents who are sacrificing so much to keep our communities healthy and safe. r ---- a . a Z OP. " rockasalsore TH ANTIOONY © PALIT DAY wu "Surprise" tribute to me from the 1st responders at NIH and Montgomery County: https://drive.google.com/file/d/10Vi4mozXkpCjolo9phs0XoWpwoxSJ_oj/view?usp=sharing A group of activists from "the old days" surprised me with a surprise birthday party on Zoom in my office at 4:30 PM. Organized by Peter Staley and Janet Tobias. On the Zoom were: Gregg Gonsalves, Peter Staley, David Barr, Mark Harrington, Jim Eigo, James Kellerstein, Peggy Hamburg, Judy Auerbach, Wafaa El Sadr, Matthew Rose, Moises Agosto Had Zoom call last night with Vivek Murthy, Rochelle Walensky and David Kessler. Vivek wanted to discuss in more detail what our advice would be to Biden regarding the mutant virus in the UK. We discussed options of 1) shutting down travel from UK; 2) requiring pre-boarding testing from UK flights or even all flights from EU and South Africa or even all foreign flights; 3) also discussed post-landing strategy such as giving people BINAX tests to take home and test themselves after they arrive. Seems we will recommend at least pre-boarding testing, probably from all of EU and RSA. Surge continues in some areas and decreases in others. Deb's notes: There is a growing evidence showing aggressive public mitigation and clear messaging together does flattening the curve. When one compares TN to OH, NC, WVA, KY - surrounding states. TN fatalities/pop is 30-40% higher as states with more aggressive mitigation as it decreases the area under USA State = Texas a Elorida Tennessee New York & Pennsylvania New Jersey 'a Mirginia USATotal Total Cases 18,473,716 1,931,301 1,614,482 1,212,581 B23,573 B96,545 569,413 461,345 620,350 167,377 -- 4B.B47 ! 406,796 310,890 229,651 468,219 327,374 591 408 Aew Cassa I} aie 449,102 17000 Total Deaths 326,772 22,923 26,161 6,136 36,581 14,059 4,654 9,236 Tao 11,759 10,399 5,442 New Total Deaihe Recovered +1841 © 10,802,408 7,344,445 771,742 1,413,096 706,133 438,036 463,027 343,789 67,734 454,354 564,718 50,873 403,488 215,503 27,887 69,516 137,607 295,682 231,247 332,258 116,477 Active Cates 1,136,636 275,225 465,765 85,406 397,337 211,565 365,639 166,876 303,624 110,628 73,919 208,342 278,345 136,599 66,769 165,099 84,368 246,761 270,657 46,107 44,478 63,383 53,841 T1424 46,946 46,114 50,235 36,423 30,158 70,993 69,549 47,497 55,704 63,997 1,404 1,592 5e5 2,066 545, B40 1,105 1,706 57m BET Total Tests 25,860,404 14,483,012 14,728,047 5,340,916 23,474,668 6,918,202 3,050,663 7,271,494 12,520,975 4,024,800 6,419,622 7,295,525 4,688,292 3,559,695 946,123 5,288,642 10,239,836 6,991,516 3,880,863 Tests! 1M pop 236,620,567 714,860 755,726 499,513 665,736 Fa2,073 1,206,703 540,401 419,121 622,075 566,096 1,728,885 612,087 821,565 649,269 467,465 324,758 Fe5,S72 1,485,648 SOT 7a 632,327 Population 39,512,223 28,995,881 21,477,737 6,829,174 19,453,561 12,801,989 7,278,717 11,689,100 12,871,821 3,565,287 10,488,084 8,882,190 8,535,519 7,614,893 2,913,314 6,732,219 6,892,503 10,617,423 6,197,428 the curve - decreasing hospitalization and deaths per populations. When all is done excess mortality will be greater in states with less mitigation when normalized for population age and other multivariants. Deb 1. The Coasts (80% of the population) are now driving the increasing cases, hospitalizations and soon deaths. The East and West Coast, Sunbelt, IN, OH, KY, TN, WVA surging cases will drive cases and hospitalizations over the next week stressing their hospital systems and and inpatient care The Vaccine Before Christmas
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Dec. 23, 2020 at 8:00 a.m. EST
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December 24, 2020 - Global - 77,500,000/1,700,000; USA - 18,400,000/325,000 I am 80 years old! Amazing number of Birthday wishes coming in. Truly moving.... Birthday video from the OR Nursing/DPM staff in the NIH Clinical Center: Dr. Fauci.pptx Beautiful and loving tribute to me from my children on a video: https://drive.google.com/file/d/1wgTkwmAlUhlnLKzIhWPlIR4E4WPpUMh6/view?usp=drivesdk Joan Baez texted me: "HAPPY FUCKING BIRTHDAY AND MANY MORE" n 2020. Nature magazine picked me as one of Nature's 10 - People who shaped science in 2020. Over the past 3 weeks I have been on the cover of TIME magazine X2, once as one of the 100 most influential people in the world again as the "Guardian of the Year". Also, on the cover of People magazine
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December 25, 2020 - Global - 78,00,000/1,700,000; USA - 18,600,000/328,000 Trump at Mar-a Largo while country in crisis. Cases still surging in certain areas (see below). Relief bill in purgatory since he does not want to sign it because of disagreement about amount of relief ($600 versus $2000). Everyone had agreed to $600 even though the Dems wanted more. White House staff agreed to the bill. Sent to Trump for signature, except that now that he has finally looked at it, he wants the $2000 per person, which is what the Dems wanted to begin with, and the GOP objected to. And so now, he is bucking against his own GOP. In the meantime, people are starving without aid. Also, the USG might shut down since the Omnibus budget bill has not been signed either. Amidst all this, Trump is pardoning a large number of people (>40), almost all who were involved in the issues surrounding the probe of him and the impeachment matters. He also pardoned Gen. Flynn, Roger Stone, and Charles Kushner. Deb's daily report: Aggressive post Holiday testing of those who gathered and rapid utilization of Mab in those at highest risk for severe outcomes will be critical over the next 2-3 weeks to blunt the impact of Holiday gatherings. Deb 1. Summarizing the current state of the pandemic : overall the USA is at a high plateau for cases and hospitalizations and due to lagging fatalities reporting in improving states we won't see the fatality plateau until the next 2 weeks 2. I summarized the top 10 states in this data summary for cases in order : CA, FL, NY, GA, PA, OH, TX, AZ, IL, IN - slides 11-20 - of these states only PA, OH, IL are improving the others are escalating or at a high plateau. 3. Data will be unstable for the next 2 weeks with both Christmas and New Years but will be tracking new admissions and rate of new admissions 4. The current pandemic state is a combination of continued improvement in the center of America and continued deterioration in CA, NV, TX, across the sunbelt and up the East Coast and including TN and WVA eeco. P1b = Od S102 _-- 18,700,000/330,000 Total Cases in PRESS: Print version of Joel Achenbach's feature on my birthday appeared in the Washington Post.
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December 26, 2020 - Global - 78,400,000/1,700,000; USA - 18,700,000/330,000 1. Data will be unstable for the next 2 weeks with both Christmas and New Years but will be tracking new admissions and rate of new admissions 2. 24 States did not report yesterday on critical pandemic parameters and will cause a surge in cases and fatalities due to this reporting issue in the next few days 3. Summarizing the current state of the pandemic : overall the USA is at a high plateau for cases and hospitalizations and due to lagging fatalities reporting in improving states we won't see the fatality plateau until the next 2 weeks Adrienne Arsht sent me an amazing video that she asked Robert Pullen (Kennedy Center) to put together to celebrate my 80th birthday. They gathera whole bunch of celebrities to sing to me and offer words of praise and congratulations: Orlando Bloom, Mila Kunis and Ashton Kutcher, 'Dec 25, 2020, 09:38 IST _-- 18,900,000/33 1,000 uu Amy Poehler, Lily Tomlin, Sophia Bush, Matthew McConaughey, Steve Buscemi, Magic Johnson, Joan Baez, and many others. It was very moving. Situation unchanged. Still outrage that Trump is messing up the relief bill. Harmony Foundation gave me: Top US doctor among 10 to get Mother Teresa Award Mohammed Wajihuddin / TNN / Dec 25, 2020, 09:38 IST PRESS: Good historical documentation of the CDC screw-up with the COVID-19 test by David Wilman in the Washington Post - The CDC's failed race against covid-19: A threat underestimated and a test overcomplicated The Atlanta headquarters of the Centers for Disease Control and Prevention. (Ron Harris/AP) By David Willman
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Dec. 26, 2020 at 8:00 a.m. EST Add to list
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December 27, 2020 - Global - 79,200,000/1,800,000; USA - 18,900,000/331,000 Deb's note for the day: Hospitalizations had stablized and specific metros were significantly declining so we will be able to see a post-Holiday surge in cases and hospitalizations and predict depth of surge impact by 10 Jan. -- 19,100,000/332,200 1. Data will be unstable for the next 2 weeks and decreases cannot be interpreted with both Christmas and New Years but will be tracking new hospital admissions 2. 24 States did not report yesterday on critical pandemic parameters and will cause a surge in cases and fatalities due to this reporting issue in the next few days 3. Summarizing the current state of the pandemic : overall the USA is at a high plateau for cases and hospitalizations and due to lagging fatalities reporting in improving states we won't see the fatality plateau until the next 2 week s Some areas going done and others are still surging. Big question will be whether we will have a post-holiday (Christmas and New Year surge). Letter from VP Pence - December 18 Photo with VP Pence - December, 2 Raising concern about what Trump might do as a last-ditch effort to prevent Biden from assuming the Presidency. He is already calling for demonstrations in Washington at the time of the January 6 ratification of the electoral votes by the Congress. He could induce riots and then invoke martial law to "control" the riots. Also, he could not sign the Omnibus budget bill and cause a government shutdown that could interfere with the inauguration PRESS: CNN State of the Union with Dana Bash; The Guardian: Interview 'New disease, no treatment, no cure': how Anthony Fauci's fight against Aids prepared him for Covid-19 Benjamin Ryan
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December 28, 2020 - Global - 79,900,000/1,800,000; USA - 19,100,000/332,200 Daily New Cases in the United States Daily New Cases Cases per Day Data as of 0:00 GMT+0 300k 250k 200k 150k 100k = : aah iii i ~~ g? Pooh FEF LLP KY OE ee a Daily Cases @ j-day moving average o --- 7-day moving average Oo Novel Coronavirus Daily Cases y POTUS changed his mind and signed the Omnibus budget bill avoiding a closure of USG. Spoke with Deb. This AM (this is one of many early morning 6:00 AM calls that I have with her just to check in and schmooze about what is going on. She is concerned (probably correctly so) that the Biden people think that there is some COVID-19 response structure here and there is not. There is her and backup from CDC and she railed on about how bad the CDC is (I agree with her in part). She feels that they completely blew COVID-19 by acting like it was influenza and they plugged in the "syndromic" model where you follow and test only those who are symptomatic since it took them forever to admit that COVID-19 was spread symptomatically and was very much different from influenza. Summarizing the 3 surges Green spring Orange summer Blue fall to winter The rate of rise or angle of the fall surge is nearly twice the overlapping spring and summer angle. The length of line is illustrative of the duration from baseline to plateau. The fall surge is 2 to 3 times longer. All of this suggests that the fall/winter surge is more aggressive and may indicate that there is already a US more transmittable strain. Much more real time sequencing needs to be done. -- 19,200,000/334,000 NATIONAL TIME SERIES New Canes Viral (RT-POR) Lab Test Positivity 1h I a i z E E LEGER ESR EE Peer ye RR pare Re ER eee oPSEPE PREECE SSeS) PUR RE REESE EERE Eee MS Cady Viral OU-PCRI Lab tent Peaitiety = = T-Dey Mowing Aeerage New Hospital Admissions edhe ea ee Saye Bob ghd hd, ee soother Uw Boe ee Poe Sa Ba ee ee a ee ia ann ae See Se ee Se Be bs Bano De gt en Ba Ey ae Ba BaBeen a ee ee ee a a Be Ea Se See ew hn ae So De Boe le Be Eee ee Mn Duly Cosireved Akniisions © -- P-Dap Pirviny Averages me Cuily Deaths = -- 7-Day Moving Average mam Davy enpected Adwwnsione Source: CDC slaleveporied dala (cases and deaths), Unified Testing Dataset, Unified Hospilal Dataset, PRESS: Taped podcast with ABC Jonathan Karl for later viewing;
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December 29, 2020 - Global - 79,900,0900/1,800,000; USA - 19,200,000/334,000 1.Most concerning are where COVID admissions are rising now showing significant community spread just prior to the Holidays and could have the most significant post Holiday surge - this is TX, GA, SC, NC, WVA. POTUS in Florida playing golf. Massive explosion in Nashville, TN - he has no comment at all. Case now at 19,000,000 with 332,000 deaths and he has not mentioned COVID-19 in days/weeks. Met by Zoom with Dr. Jeong, Eun-kyeong, Commissioner of Korea Disease Control and Prevention Agency to discuss ongoing and future collaborations in COVID-19. They were part of the ACTT therapeutic trials. Call with Peggy Hamburg. She is concerned about what she is hearing that Janet Woodcock will be FDA Commissioner and that David Kessler will be the "FDA person in the White House". She has trouble with both of them. She is feeling left out in that the Biden people are not conferring with her about anything. Am getting concerned that the administration of vaccines is lagging far behind the projected number of 40 million by end of December. They have actually administered only ~2 million this far with 2 day left in the year. Letter from Michael R. Bloomberg to Dr. Spoke with Adam Silver (NBA Commissioner) about rest of NBA season. They have come out of the "bubble" and wanted my take on what the immediate future looked like regarding infections. They have done very well and have had to cancel only 1 game. David Ho is helping to advise them and was on the Zoom call. Continue to get calls from Jeff Zientz just checking facts and policy with me when Biden is about to go out and make a speech Rounds with Clinical staff during COVID: man in America, »r Bill SKM_C754e2012291 8270.pdf PRESS: CNN New Day with Jim Sciutto; TV interview with Steve Clemons - "The Bottom Line" shown on Al Jazeera English; NPR Radio with Joe Palca Trump ends Obama's 12-year run as most admired man: Gallup
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December 30, 2020 - Global USA AREA OF CONCERN CONTINUUM Date: tziaeize20 Area of Concern Continuum by County The Areas "4 Stier ial Pain rare - 28DEC2020 sre 7 possible ACC Cassifications based on current and recent history of case and testing data forihe location: (T) LowBurden--commniundigs with mriniceal activily (2) Moderate Burden--communties with moteratadissase activity (Emerging -- communities with ahigh likelihood to become hotspots in the next 1-7 days (@jHotspot-- communities that have reached athreshold of disease activity considered asbeing ofhigh burden (S)Sustained Hotepot-- communities that have had a high sustained case burden and may be higher nsk for experiencing healthcare resource limitations (6) High Burden--Resoting--conmunites that wererecently identified as hotspots and are nowimpnoving (F)Moderate Gurden-- Resolving -- communities that have a moderate level of burden, but are demonstrating improvement See Data Sources viethods slides for more information. sen 9 7) x B20} a Bisa} Pa es! & 1a] = SI) Be I wm yt on Heder finer aor Fiesotwineg at = ad : = . oe . . Foti Bua a Map un ka tay hen kr Hae ter Pionero Bid = (S026 Fhe SG Sb I ID 3G 36H General Gus Perna asked to speak with me this Am (7:30 AM) for advice and "comfort". There has been criticism about the roll-out of vaccines. @0 million doses were promised by the end of December and we only have 11 million. Also, only 2-3 million have been administered (the latter is not his responsibility). He realizes that there is disappointment and wants advice. I told him that above all he needs to be transparent and honest and not try to coverup any deficiency. This is a big operation and he should expect bumps in the road. He bemoaned that on the battlefield when he was on the radio he could tell from the background sounds and the "vibes' on the radio how the battle was going. With vaccines, even on conference calls, he really cannot get a good feel for what all the players are doing and how honest they are being. He does not trust Pfizer; he thinks that they keep moving the goal posts. He likes Moderna. He was very grateful for the call. Senator Marco Rubio is acting like a real asshole. He is publicly calling me a liar about my statement in the NY Times about my assessments for the percent vaccinations needed for herd immunity. I had said that I modified my assessment of 70 to 75% to be 70 to 85% because we really did not know the precise number and I wanted to encourage people to get vaccinated to achieve herd immunity. Actually, I made that change by extrapolating the measles situation where measles vaccine is 98% effective whereas SARS-CoV-2 is 94-95% effective. Measles begins to lose herd immunity at around 89-90% of population vaccinated and so I brought up the SARS-CoV-2 to 85% with the range being 70 to 85%. For that he called me a "liar" Big hypocrite as he continues to kiss Trump's ass - the world's biggest liar. -- 19,700,000/341,200 "Sen. Marco Rubio: Dr. Fauci lied about coronavirus -- I am appalled by his arrogance" Placing blind faith in unelected celebrity scientists has its limits, and we must not be afraid to call them out
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December 31, 2020 - Global - 81,500,000/1,800,000; USA - 19,700,000/341,200 1. Most concerning are rising case counts during a dramatic decline in testing - CA, TX, FL and where COVID admissions are rising consistent with significant undetected community spread prior to the Holidays and potentially the most significant post Holiday surge - this is FL, TX, GA, SC, NC, WVA. 2. New admissions rising in OK, TX, AL, MS, GA, FL, NY, MA, WVA, KY High Plateau in CA, AZ, NM, AR, TN, MD, CT, NJ 3. States with the most hospital staff stress are those states in the dark red zone and still rising - CA, AZ, GA and those states in the red zone and still rising - OK, TX, MS, AL, SC, TN, DE, NY 4. The Coasts (80% of the population) are now driving the increasing cases, hospitalizations and deaths. PRESS: NBC Today Show with Craig Melvin; WBAL Baltimore Radio; MSNBC with Andrea Mitchell; Confirmed Cases (Thousands) S00 25) 1s iit Bl Barer itor en AT ES FEF ee New Confirmed COVID-19 Cases in the U.S. roe 3 x Cay eee Daty Mowing Avarage 0,000,000/345,000 he en 0 Day Mowing Avoraga CA, AZ, GA and
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January 1, 2021 - Global - 81,900,000/1,800,000; USA - 20,000,000/345,000 Records continue to be broken with 125,000 hospitalizations and >3000 deaths. GOP and Trump planning to challenge the January congressional certification of the electoral votes. Disgraceful assault on democracy. • Spoke with Mitt Romney this AM who ran by me an OpEd he wants to submit pointing out the lack of success and weaknesses of the vaccine rollout plan and suggestions of how to improve it. Clearly there is a problem (see below) Problem with vaccine rollout. Plan was to have 40 million doses delivered by December 31 with 20 million in the arms and 20 million in reserve. This far 14 million delivered and 2.7 million in the arms. Clearly, they need to catch up. There is no central "plan" similar to no plan for testing and no plan for PPE. 1. Most concerning are rising case counts during a dramatic decline in testing - CA, TX, FL and where COVID admissions are rising consistent with significant undetected community spread prior to the Holidays and potentially the most significant post Holiday surge - this is FL, TX, GA, SC, NC, WVA. 2. States with the most hospital staff stress are those states in the dark red zone and still rising - CA, AZ, GA and La + = E= COMMRMED CASES OM 4 TOY ROWING AWEEEGE 16000 + 14000 + loo COMPRMED CASES OM 4 TOY ROWING AWEEEGE + OOOO + Lia = wi + eno + OK, TX, MS, A -- 20,100,000/347,000 CONFIRMED CASES DAILY IN NEW YORK-NEWARK-JERSEY CITY, NY¥-NJ-PA 7 DAYROLLING AVERAGE MEW CASES PEA Lone? ae I aziwestty wei I 4 Others Savsercet Cosinty, Hl Pdorris County, Pll Arecicln ned Courrtg, BY Mionrouth Counte. Al Oresn County, fll Aichreard County, He inion County, Hl avons ie Coaunty, Hl Hudbar Caurtp, Au Pal cidleces Courttp, Bl Bergen Coutts. Ml Come County, Hl Aiew Yark Gauri, iit Weatchcaler Courts, MY Grarc Courtty, Ay Pass oeu Coutts, HF Suifalk Courts, MY lings Coury, Balt Quceta Counts, Mr CONFIRMED CASES DAILY IN LOS ANGELES-LONG BEACH-ANAHEIM, CA 7 DAYROLLING AVERAGE MEW CASES PEA Lone? ae I aztiwentiy ave I ME Grange County, CA ces aragelies Coney, 0, 0,300,000/350,000 those states in the red zone and still rising - OK, TX, MS, AL, SC, TN, DE, NY 3. The Coasts (80% of the population) are now driving the increasing cases, hospitalizations and death
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January 2, 2021 - Global - 82,400,000/1,800,000; USA - 20,100,000/347,000 Deaths now averaging around 3000 per day. Hospitalizations continue to break records. Trump totally focused on disrupting the transfer of power and declaring the election invalid. Big day coming up on January 5 when the Congress certifies the Electoral Votes.
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January 3, 2021 - Global - 82,600,000/1,800,000; USA - 20,300,000/350,000 Confirmed Cases {Thousands} a & os a o EToF il Mi ae a eee ae e be £ New Confirmed COVID-19 Cases in the U.S. Ml g ir walle wh in mee Mil MS Daly mmm 7 Day Beng: Anscrreng Bry e¢ 'a, meen Day Moving Aver ago 1.6 Data remains unstable but early signals are increasing test positivity (49) states and in some states rising cases - tracking closely. Concerned about upcoming post-holiday surge 1. Reporting remains unstable and will create this current valley and peak (slide 3⁄4) due to reporting alone - watching slope of rise. 2. Testing is down 40% over the past 7 days creating a high admission rate/case across all age groups and any increase in cases concerning 3. 49 states have rising test positivity and 17 rising cases despite reporting issue - this normal precedes a significant surge is hospitalizations Total deaths have not reached 350,000!! Tweet from Trump: Confined Cases (Thousamds] Donald J. Trump @ @realDonaldTrump - 44m ooo Something how Dr. Fauci is revered by the LameStream Media as such a great professional, having done, they say, such an incredible job, yet he works for me and the Trump Administration, and I am in no way given any credit for my work. Gee, could this just be more Fake News? © 14.1K Tl 7A3Ak ) 564K ra 0,600,000/350,700 New Confirmed COVID-19 Cases in the U.S. Ey pelzd ai ) Mit A . y fii ME Os eee oy Moving Avorage = eee 0 Dy Mowing Averogo it il ! HA I] i i iD i = I Fin a YM dey tay ty tp, 'iy ep a 2020/2021 Got a call from Jeff Zients wanting to confirm the I still am in favor of Janet Woodcock for FDA Commissioner. He was getting some negative signals from some people that she was involved in the EUA for hydroxychloroquine. I explained to Jeff that this was really Mark Meadows pressuring Steve Hahn who caved in. PRESS: ABC "This Week" with Martha Raddatz; NBC "Meet the Press" with Chuck Todd;
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January 4, 2021 - Global - 83,700,000/1,800,000; USA - 20,600,000/350,700 Expecting the post-holiday surge Daily new confirmed COVID-19 cases eh Shown the rodling 7-day average. The number of confirmed cases is lower than the qumber of actual cases; the main reason for that is fimibed testing (Gea toe Add country 250,000 'United States: 200,000 . 150,000 100,000 50,000 United Kingdom Germany ea France Jan23, 2020 Mar ii Apr 30 Jun 1 Aug 8 Sen 2? Nowlé Jan3.2021 Source: Jokns Hoptins University COSE COVIG: 19 Date = Laet updated 4 January, 0506 (London Grey cceyY Jan 23,2020 (9 C7) Jan3, 2021 1. I have included the European data in slides 3 and 4 - most of the European increases being driven by the UK 2. You can also see from slide 3 the rate of rise of our Fall/winter surge was more dramatic consistent with the USA having its own more infectious variant Things starting to move with my involvement with the Biden team. Biden is concerned about making sure that he reaches 100 million doses of vaccine in the 1st 100 days. We are meeting by zoom with him tomorrow and today and tomorrow we had/will have pre-brief meetings to discuss our plan - led by Jeff Zients. Present were Natalie Quillian, Vivek Murthy, Marcella Nunez-Smith, Rochelle Walensky, David Kessler, Asma Mirza, and Sonya Bernstein. Plan is to develop community vaccination centers, use mobile units to get to rural areas, etc. Nursing staff in the OR at the Brigham and Women's Hospital all wearing Fauci caps. Email sent to me by Atul Gawande. ,700,000/352,000 PRESS: Did zoom interview with the Newsday Editorial Board; MSNBC "All In" with Chris Hayes
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January 5, 2021 - Global - 84,200,000/1,800,000 USA - 20,700,000/352,000 Deb's notes: Made this shorter to make serious points. First and foremost our Fall surge slope is nearly identical to the UK slope suggesting we have had our own more transmissible strain since then and it was responsible for the Fall surge in the Northern Plain states. My concern then was this type of surge moving into the more populous states as it has now in CA and now Tx and the sunbelt is unstable as well as the midAtlantic and NorthEast. Viruses are always in search of escape mutants than are more transmissible yet preserving replication capacity. This is happening around the globe and the immunologic pressure on viruses drive this potential and we continue to increase the immunologic pressure through percent of population infected, use of plasma and monoclonal Ab and now immunization. Key to RNA viruses with this of high mutation potential is to rapidly immunize the population especially those most likely to have high replication potential - those over 65. We have to accelerate the immunization of those over 65 ASAP. We can't hold back on the rest of Tier 1 awaiting 1a. We have been in 1a for a month without adequate progress. Deb In the USA the Fall surge slope is mirrored in the post Thanksgiving and now post Christmas surge and nearly identical to the UK ; : Daily New Gases in the United States Daily New Cases in the United Kingdom ¥ Daily New Cases Daily New Cases Casas pee Cay Capes per Day f Oata as of 0:00 GAT+0 Data as of O00 OMT eo pik Bot, = " a - oom 3B fon: F = a E ; : Sg = = otk if a 100k i a ; W gm fk : WNT LP AL ob dh AD of AB oh ch oh ak oh ab oe dh a of ne ate ae air als oe 28 P ' i al : as fs x = ae atk a2 eg gF at tag gh gP P ot PtP a taet of of a al a? gf of gh ett Ps? PSP ah dk stat gh ata or PoP ah ce ae a Pe cit si nih de st OF Pe ef ee eee a eh oe ee a oP oe oe a a gt gt © pally Cases C)-* Pay moving average gy @ Dally Cazes ( > F-day moving average = Fall evolving into Winter Surge Rate of Rise Summer Surge Rate of Rise Spring Surge Rate of Rise Superimposing rate of case rise showing significant difference between the prior surges and the Fall Trump going completely crazy. Was recorded on an hour-long telephone call with Secretary of State of Georgia Brad Raffensperger to change the votes and asked for 11, 780 votes to be changed (he lost Georgia by 11,779). Clearly a criminal act of trying to influence an election. More cowardly GOPs are backing Trump in the House Kevin McCarthy (R-CA) and Senate (Ted Cruz (R-TX) and Josh Hawley (R-MO) nline interview with Lauren Neergaard; 21,000,000/356,000 • Big discussion and debate in the press about whether to give more single doses of vaccine and wait few months before the second dose. The UK is doing this with the AZ vaccine. There is no scientific data to justify this. They are doing it because they want to give more people first doses. Our problem is not more people than doses, it is that we are not injecting as many people (4 million) with the doses that we have (14 million). Much discussion in the press about this. • Had Zoom meeting with Biden and Harris. Meeting led by Jeff Zients. Present was Ron Klain, Natalie Quillian, Marcella Nunez-Smith, David Kessler, Vivek Murthy, Rochelle Walensky, Bechara Choucair. Topic was that Biden wants to announce in a speech 3 transforming steps that he will initiate regarding vaccines. Natalie presented our plan and there was discussions about using pharmacies first and then as we get more doses, opening up "Community Vaccine Centers". I described status of the outbreak. Biden is much more in favor of federal presence than is the Trump administration. Slide deck is below: Slide Deck - COVID Policy Briefing 1 5.pd PRESS: Interview with Newsweek UK; AP Online interview with Lauren Neergaard;
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Jan 5, 2021
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Jan 5, 2021
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January 6, 2021 - Global - 84,800,000/1,900,000; USA - 21,000,000/356,000 Spoke on chat with Chiefs of Police and with Presidents of Jesuit Schools (led by Fr. Dan Lahart of Regis) Made rounds on COVID-19 patient at Clinical Center. I have been doing this about 1X per week. Saw patient today with COVID disease - 73 y.o. AA male, ex-marine, ex-State Trooper. Says this is worse he has ever felt. • My group (Mascola, Graham, Lane, Marston briefed the ART team led by Lu Borio and Marcella Nunez-Smith and David Kessler. We spoke about the mutant viruses in UK and RSA and their impact on mAbs and vaccines. 1. There is a significant increase in test positivity rate and a high hospital admission rate/case across all age groups 2. I have included the top 10 states for cases and it is a mix of states that were surging prior to the Holidays NY, TX, FL, GA, AZ and states that were improving or stabilzing prior to the Holidays CA, PA, OH, IL, NJ and tracking these states will be key to estimating the impact of the Holidays on cases and eventually hospitalizations The Fall surge in the Northern Plain states was more aggressive and we warned if this type of surge hit populous states this would threaten the health care system - this is what we are seeing in CA and to be clear this is spreading across the Sunbelt and into the North East. CUMULATIVE CASES: TOP 13 STATES 20000 fF 200oo00 - S000 ; Suno00 1,300,000/360,000 Trump incites riot as protestors storm the Capitol, break windows and occupy Pelosi's office. Capitol Police utter failure to control them. Democrats take both Senate seats in Georgia Election - Jon Ossoff and Raphael Warnock. Biden electoral votes certified by Joint Session of Congress. Sens. Hawley and Cruz fight to the bitter end to their shame. Several senators who originally had supported the attempt to overthrow the election have changed their mind because of the shock of the storming of the Capitol PRESS: Podcast Fireside Chat with David Rubenstein for the Economic Club of Washington, DC; BNN Bloomberg Canadian TV;
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January 7, 2021 - Global - 85,500,000/1,900,000; USA - 21,300,000/360,000 Record number of deaths yesterday - >3963. Today another record at 4000. Surging continues. Slow start in the implementation of administration of vaccines. Was supposed to have 20 million doses distributed and administered by December 31. Today there have been 15 million distributed and 5 million administered. Canlirmed Cases (Thou sarc) aM 2oy im) eee New Confirmed COVID-15 Cases in the U.S. Pal Nester I : geen TW irnimiinse=s Sa mun cmmmmnmmnitlilill SEPP RLS TL OES FOES SS OE PP EL Le SFI P SS Se STS HS FS A 2020/2021 Day Oey Mowing Avirage = eed Day Mowing Average Global USA PRESS: NPR - "Morning Edition", Noel King; France24 TV (Arabic language); WJLA TV; New York Times: NYT: Fauci says he thinks that January will get worse, and that the vaccination effort needs more time.
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January 8, 2021 - Global USA 4111 Deaths!! Record hospitalizations. I have been on the phone with Jeff Zients a few times today. I checked the number for projected requirement of vaccines to fulfill the promise of 100 million doses in arms in 1st 100 days of Biden administration. The number in the Biden slides (Kessler derived) was 275 million doses and 135 million people (getting 2 doses) by end of April. I called Moncef Slaoui and got the actual numbers and they totaled 189 million. I called Jeff and let him know. He checked with Kessler who then checked with Moncef and they figures that the doses that had already been allocated prior but not given yet would make up for the difference. I am concerned that we (Biden team) will not meet the promise. Too many vicissitudes in vaccine production. Perhaps Janssen will bale us out with the 25 million doses in March and 40 million in April (single dose required). Then, Biden team announced that they would not hold back any doses to save for 2nd shot, but will immunize everyone then can with doses they have. This places a lot of faith in the precision of the production/delivery of doses. They may have to pause with 1st doses to catch up with 2nd dose requirement. At 8:00 PM tonight as I was over Rob and Ellen's "open Garage" dining room, Jeff Zients called me again asking for a favor. A Politico reporter is already getting ready to write a story spreading rumors that Biden is upset with his COVID team and Jeff is asking a favor for me to go on "background" and tell the reporter that they are doing a very good job. I told Jeff that I would of course be happy to do this. Confirrved Cases {Thousards] a MEV MALE QP DS Le LTE Lo. 2020) 2021 a D pty ----T Dey Moveg Sverage ame 1) Dory Moving Average Daily New Cases in the United States Daily New Cases Reporting declines Cases per Day Data as of 0:00 GMT+0 t 300k é z 20k +7 : 100k = o Pil ad Pe i me ik ah qk gh ab at REM eNO SESE et ® Daily Cases -@ f-day moving average =>) - 7-day moving average = fy 22,000,000/368,000 PRESS: NPR International - "The World"; C-SPAN doing "Facts and Faith" at VCU talk with Virginia Governor Northam. Speaking to Black Faith leaders
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January 9, 2021 - Global - 87,600,000/1,900,000; USA - 22,000,000/368,000 The pandemic is getting more scary. Every day more and more cases and deaths. Patients in the hallways in California. Nurses and MDs exhausted. It seems that people are getting infected who are being careful and have no idea why they are getting infected. N501Y mutation is here in the USA, but it is not dominant. We may actually have out own mutant that we have not recognized since the CDC has not really been looking. ated and is ce the vaccine ration holds up. Had conversation this AM 12:10 PM to 12:50 PM with 2 reporters from Politico (Adam Cancryn and Tyler Pager). Call set up by T.J. Ducklo (see note about regarding call from Jeff Zients). See above regarding content of call. I convinced them that the Biden team is a good team and that the discontent is typical Washington, DC rumors. Interesting that someone associated with Biden campaign is already spreading damaging rumors about the team. Probably someone who wanted a place in the transition and is not satisfied with what was given to them. David Ho is doing tests on convalescent sera and sera of people who were vaccinated and is finding disturbing data in both the UK and worse in the RSA mutants. It looks like the vaccine might be compromised. We need to prepare to modify the vaccine if this observation holds up. Also, Peter Staley and James Kellerstein are writing an article for an OpEd to ask for the DPA to build a plant so that we can make unlimited amount of vaccine. Ewe can use this if we need to quickly do a strain change. Confirmed Canes (Thousands) au} 5i am 2m in} 2 tl mM fees er Fs -22,100,000/371,100 New Confirmed COVID-19 Cases in the U.S. he fay a) Peau ah rege gees seg atl| ( 'i iI itis " || wh mil ih UL th ge we iy Fy rire $F FL FISS fla, Tey 425, "Sq "24, 4g 2020/2021 Oo eee Oy Moving Average 0 eee) Dy Mowing Averogo historical record of A.S. Fauci - Part 3
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January 10, 2021 - Global - 88,400,000/1,900,000 USA - 22,100,000/371,100 And the surge goes on..... There is a real concern that we have our own mutant that is resulting in an increased surge in cases. People are saying they have no idea how they got infected since they have been observing public health recommendations. See below comments from Birx. After Thanksgiving the Northern Plains MN, IL, MI held and did not significantly deteriorate. In contrast this current post Holiday surge is causing deterioration in all metros including metros that were stable and metros that did not experience a significant post Thanksgiving surge. NYC has returned to case counts equal to the Spring recognizing we are testing at much higher rates but this surge is just beginning in NYC and with this current rate of rise of cases could drive significant cases, hospitalizations and deaths especially if it deteriorates at the rate of LA. Proactive setting up of infusion sites now is critical in all large metros and active immunization of those over 65. We have enough vaccine in the States to immunize nearly 15M senior which would be nearly 25% of all seniors over 65. We need to treat this current situation as the emergency it is. Deb Deb's report: 1. Reporting has stabilized and we have returned to the pre-thanksgiving rate of cases as the current resurgence moves into the populous states from CA to TX to FL and resume a full log phase rate 2. EVERY METRO over 500K residents is deteriorating except Honolulu. - even those that had been stable now have rising cases slides 6-52 : NYC area is now reached cases greater than the Spring surge 3. All of the most populous states are deteriorating or continuing to deteriorate - CA, TX, FL, NY - only CA maybe showing signs of reaching a high plateau - TX, FL, NY will become the new epicenter of this surge over the next 3 weeks - I believe we have had our own evolved and more transmissible strain or strains since September by reviewing all the epidemiologic data - this fall/winter has a more rapid rate of rise from the beginning which predated Thanksgiving and continues at the rate post the Holidays (slide 3) - this rate of rise is now independent of the weather as it is occurring across the South, LA, etc - the surge is more difficult to mitigate - which will require more aggressive action to control and all actions need to be taken now to flatten this curve and preserve the health system) Normally the weekly high for fatalities is Wednesday - deeply concerning that both Weds Thurs and now Friday have deaths near 4000/day See graphs on slide set below (frightening): 10Jan2021DataSum mary.pptx Major discussion among Congress in invoking the 25th Amendment to remove Trump. Pelosi is going to go ahead with impeachment proceedings even though there would be no time to convict, they can impeach. Several people in the White House and Cabinet are resigning - Elaine Chao, Matt Pottinger. POTUS is attacking Pence for not going along with his attempts to overthrow the election. Poor Pence. He had been so loyal, but I am pleased to see that the goodness that I recognized in him is coming out, albeit a bit late in the game. The crazies in the Trump following are calling for the execution of Pence, similar to Crazy Steve Bannon calling for my beheading. PRESS: WGN Radio (Steve Dale) - Chicago; Satire from The Borowitz Report Fauci Says Immunity from Trump Requires Two Doses of Impeachment itz 12,300,000/373,200
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January 11, 2021 - Global - 88,800,000/1,900,000; USA - 22,300,000/373,200 Surge continues unabated. Deb's notes: 1. Reporting has stabilized and we have returned to the rapid prethanksgiving rate of cases as the current resurgence moves into the populous states from CA to TX to FL 2. Nearly all METROs over 500K residents is deteriorating. - even those that had been stable now have rising cases slides 22-26: NYC area is now reached cases greater than the Spring surge 3. All of the most populous states are deteriorating - CA, TX, FL, NY - only CA maybe showing signs of reaching a high plateau - TX, FL, NY will become the new epicenter of this surge over the next 3 weeks - as viruses evolve and strains are imported- the fall/winter has a more rapid rate of rise predating Thanksgiving and continues at the rate post the Daily New Cases in the United States Fall/Winter surge is nearly 2X the rate of the spring or summer and the prethanksgiving slope continues into the post Daily New Cases Holiday slope -- and the post Holiday Cases per Day slope maybe even slightly greater Data as of 0:00 GMT+0 400k 200k a 200k LOOK Novel Coronavirus Daily Cases ® Daily Cases [) > 7-day moving average Red states Yellow state: t Green states Mery acres (>10% positive) [5 - <8% positive (3 - <5% p ive) (<3% positive) AL, AR, AZ, CA, CT, DE, FL, GA, IA, ID, IL, IN, KS, KY, LA, MD, MO, MS, MT, NC, NE, NH, NJ, NM, NV, NY, OH, OK, PA, SC, SD, TN, TX, UT, VA, WI, WV MA, MI, OR, RI, WA I CO, DC, ME, MN, WY AK, HI, ND, VT N/A Continued discussion about invoking the 25th Amendment. Trump have been permanently banned from Twitter and at least temporarily from Facebook (maybe permanent). Trump stating that "it is only beginning". Intelligence chatter indicating that there will be massive demonstrations and even violence associated with the inauguration. Mick Mulvaney made some interesting comments on a CNN Special on "insurrection". When asked why so many people stuck with Trump when all the signs were there that he was acting crazy. Mick said that when you lie with him in the WH day after day, you see that he has accomplished a lot and you tend to downplay in your mind the signs of craziness. I even saw some of that during the time that I went to the WH every day for months in the Spring and Summer. Marc Short called me and asked for me to make connection with the Biden people and invite someone to today's Task Force Meeting so that the Biden Team can get a feel for how the current task Force works. I called Jeff Zients and Jeff gave them Cyrus Shahpar who is on the Biden team and works for Tom Frieden. Did a chat with Bishop TD Jakes including Kizzy Corbett. Trying to /-22,500,000/375,100 Spoke with Pat Foye of the Metropolitan Transportation Authority (MTA). They want me to do a 1 minute PSA to encourage their employees to get vaccinated. PRESS: Rural TV Network - "Rural Health Matters", Nashville, TN TV; POLITICO: 'There is a palpable concern': Biden presses advisers over 100 million Covid shot goal (This relates to my conversation with Zients/Ducklo) CDC: No sign of homegrown U.S. coronavirus variant, but scientists need to look harder By Joel Achenbach, Kim Bellware and Hamza Shaban
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January 12, 2021 - Global - 89,400,000/1,900,000; USA - 22,500,000/375,100 4400 deaths today John Mascola working with David Ho to determine the possibility that the UK (N501Y; B.1.1.7) and/or the RSA mutants evade the antibodies induced by vaccines. According to Ho, the RSA mutants are much more troublesome in that they do not eliminate the protection of vaccine induced antibodies, but they definitely decrease by 2 to 3-fold their potency. David is now working on studying the UK mutant. Stay tuned. The next 4 weeks will be determined by whether the large Southern, upper Mid-West, Mid-Atlantic and North-East metros will be able to contain the rapid accelerating viral spread or have the prolonged log phase followed by the high plateau of LA (now entering month 3). Deb 1. Reporting has stabilized and we have returned to the rapid pre-thanksgiving rate of cases as the current resurgence moves into the populous states from CA to TX to FL : cases are up 7% from last week's same time period. 2. Nearly all METROs over 500K residents is deteriorating. - even those that had been stable now have rising cases slides 7-45: NYC area is now reached cases greater than the Spring surge Throughout "the 2019 flu season from Sept. 29 to Dec. 28, the CDC reported more than 65,000 cases of influenza nationwide," while "during the same period last year, the agency reported 1,016 cases." IV> > wrote: • Had discussion with Chris Whitty and Patrick Vallance of the UK regarding their mutant and their vaccine program. They confirmed that the mutant is spreading widely in UK and other EU countries and also that there is no increase in virulence of escape from vaccine-induced antibodies. They also mentioned that they are more concerned about the RSA variant (mutants). • Did Fireside Chat with Barbara Bush on "Future Forum for Preparedness" (her Global Health Corps) Had discussion with Azar, Pence, and the OWS crew about vaccine rollout. We will as of tomorrow (announce at the Governor's call) that we are changing our rollout strategy. We are going to be more flexible and not strictly wedded to the ACIP/CDC guidance of Phase 1a. We should continue that, but move on the people >65 years old and people 16 (or 18) to 64 with underlying conditions Am communicating with Stanley Tucci. He has heard through the media that I make Tympani:
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January 13, 2021 - Global - 90,100,000/1,900,000; USA - 22,700,000/379,000 The surge continues. Could this be that we are dealing with our own highly contagious variant, but we do not realize it since the CDC sequencing surveillance has not been very comprehensive as has the UK surveillance? See below 1. Reporting has stabilized and we have returned to the rapid prethanksgiving rate of cases as the current resurgence moves into the populous states from CA to TX to FL : cases are up 7% from last week's same time period, as CA improves, the high population states of TX and FL will surge and the fatalities will increase, many states are reaching 0.2% rates per population deaths COVID-19 Cases per 100K by Race/Ethnicity in the United States, Mar 1, 2020 -- Jan 10, 2021 : current surge impacting Native Americans >white > hispanic >> black Incident Cases per LOOK Week received by COC American dian Alaskan Mattye, Non-Hispanic i Agian/Pacitic Islander, Won-bMapanic WB Dlack, Mor-Blipparre, @Hapanic ie White, Mon-Hispanke cor ond dear cea Bor ag do iment. 2. Nearly all METROs over 500K residents is deteriorating. - even those that had been stable now have rising cases slides 15-18: NYC area is now reached cases greater than the Spring surge Trump impeached for 2nd time! Several Republicans vote in House for impeachment. Unlikely to come to trial in Senate until after inauguration. Biden does not want distraction from his 100 days agenda. Had zoom call with President of Ecuador - President Lenin Moreno Garces. We discussed the situation in Ecuador, vaccines and a whole bunch of questions that he had. Seems like a very smart person. I promised to advocate for equitable availability of vaccines throughout the world including Ecuador. Had Zoom call with Biden team - (Marcella Nunez-Smith, David Kessler, Rochelle Walensky, Vivek Murthy, Connolly Keigler and Maju Varghese). David led discussion regarding the inauguration. Originally there was supposed to be 250 people on the platform 6 feet apart ()POTUS and VP and Family, supreme court justices, leaders of Congress. 6 feet apart, all masked, all tested. Then then wanted 29,000 on the West Front. Maju Varghese was operationally responsible for arrangements. These 29,000 were cut down to 2000 by David (who is overall responsible for arrangements). The meeting today was to determine if we were OK with this. We all (Marcella, Rochelle, Vivek) voted that there should be no one on the West Front. I made the argument that some of the GOP Congressmen could make trouble by not wearing masks the way they refused when the Capitol was attacked and they were crowded in a room. Also, if someone gets infected, the press will jump on us. David will bring this back to Biden and Klain. Had regular every 2 weeks call with Bill Gates - Bill and Trevor Mundel know about the issue with the mutations that David Ho is working on. We discussed working together to track them as well as using Gates money to jump-start the development of mRNA vaccines to match the mutations (B.1.1.7 variant) with the N501Y mutation. We need to be ready to respond Front Page Story of Italian Magazine "I Love Sicilia" SKM_C754e2101131 7230.pdf Some Black Muslims accusing me of trying to experiment on Blacks. He mistakenly (deliberately) is ignoring that I, Pence, Biden, Harris have all gotten vaccinated. He is saying that Blacks would be the herd immunity that would protect whites: Beyond Tuskegee: Targeting of Black people for Covid-19 vaccine By Anisah Muhammad, Contributing Writer On January 10, Student Min. Muhammad, a researcher, scholar and author, delivered the Nation of Islam's Sunday address at Mosque Maryam, titled, "Beyond Tuskegee: Why Black People Must Not Take the Experimental Covid-19 Vaccine." "Why beyond Tuskegee? The vaccine mafia who want Black people to be the first injected with this experimental vaccine have centered the Tuskegee experiment in their narrative, most prominently Dr. Fauci. Let's say we get 75 percent, 80 percent of the population vaccinated," Dr. Fauci said on Dec. 9. "If we do that, if we do it efficiently enough over the second quarter of 2021, by the time we get to the end of the summer, i.e., the third quarter, we may actually have enough herd immunity protecting our society that as we get to the end of 2021, we can approach very much some degree of normality that is close to where we were before." As of July 1, 2019, the U.S. Census Bureau reports that 76.3 percent of Americans are White. 3,000,000/383,400 New Confirmed COVID-19 Cases in the U.S. oNO hl HT he iL I I ST AAA TTT gery ae HI RO ra 1s EL en 0 Day Mowing Avoraga 2020/2021 ome 7 Oy Moving Avorage Me Oak: Bob Woodward came to my house tonight to deliver the transcripts of the tapes of his interviews of me for his book "Rage". He said that it would help me with the writing of my book, He really wanted to come over and tape an interview with me about my current dealing with Biden. I explained the interactions with Biden (see above). Nothing controversial; however, it was clear why he wanted to come over. He is writing yet again another book. We met outside in the cold due to COVID-19 I wrote a belated birthday note to Joan Baez (her birthday was Jan.9, 1941). I had forgotten due to recent events at the Capitol, and so I wrote her a note apologizing. She wrote back: "Of course I accept!. There was a postcard circulating in Frace under a liberal administration in the eighties, "nous sommes tous dans la merde". We are all in the shit. I don't speak French anymore, but the post card stands out. Yes, we are the same age! You are a rock star and I am a badass, and age is very much beside the point. Thinking of you. Joan" PRESS: WPIX TV New York City with Dan Mannarino; Children's Hour Public Radio; WMBD radio and WYZZ TV (Central Illinois); The Children's Hour Public Radio;
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January 14, 2021 - Global - 90,800,000/2,000,000; USA - 23,000,000/383,400 Note from David Ho. Mutants are becoming very troublesome: Here is an overview first. Will share detailed organized data in a couple of days. I am available to chat at a mutually convenient time. Patrick Vallance from the UK is reaching out to me to get preliminary results as well. We have constructed SARS-CoV-2 pseudoviruses that contain all 8 mutations in the UK variant and all 9 mutations in the SA variant. In addition, we have also constructed pseudoviruses that contain each of the 16 mutations (501Y mutation is shared) individually. This entire panel has been tested on a collection of ~30 spikespecific neutralizing monoclonal antibodies, 20 convalescent plasma, and 18 vaccinee sera (Moderna and Pfizer). First, both UKdelta8 and SAdelta9 showed increased replication capacity in vitro, which is consistent with their increased transmissibility in vivo. Overall, the impact on virus neutralization is profound, with the SA variant being worse than the UK variant. It is quite clear that these two variants could now resist several classes of neutralizing monoclonal antibodies already used in the clinic or still in development, and in most cases we understand which of the mutations are conferring the resistance. This information is particularly relevant to companies like Lilly and Regeneron, which have approved clinical products that are severely affected by these results. In addition, a large majority of convalescent plasma samples showed an appreciable loss in activity against the new variants, suggesting re-infection may be more likely when confronted with either of these two strains. Finally, we also observed a significant impact on vaccinee sera in that every serum sample tested showed a substantial loss in neutralizing activity against the SA variant, whereas the loss in activity against the UK virus is not as large or as universal. Again, we believe the latter findings should be shared promptly with the field, because these new strains threaten the effectiveness of the current vaccines. Importantly, the strategy that the UK is now contemplating (giving one dose and delaying the second dose) is quite dangerous in that one or two additional critical mutations on top of either strain (under suboptimal antibody concentrations induced by one shot without a booster) could render current monoclonal antibodies and vaccines useless. Our data are germane to that debate. Our data are more or less complete, except for live virus neutralization results. We are still waiting for the UK and SA to be distributed by the US government to our lab. We expect to have the live viruses soon, and could generate the confirmatory results in about 7-10 days after receiving the viruses. -23,200,000/387,300 -23,400,000/391,000 • Received the Ken Shine Prize in Health Leadership from the University of Texas at Austin Dell Medical School • Briefed the Congresssional Blue Dog (moderate Dems) and Moderate GOP members led by Rep. Stephanie Murphy (D-FL) and Rep John Katko (R-NY) • Met with Rep. Espaillat (D-NY) who want me to meet with a contingent from the Dominican Republic. I will do so, but after the inauguration • Got call from Beth Cameron (NSC) informing me that Biden want me to be the Head of WHO delegation and to announce on January 21 (4:10 AM ET) that the USA is back in the WHO. • Biden give big speech (7:15 PM) announcing $1.9 trillion budget package including $415 Billion for COVID response PRESS: KSEE24 TV (NBC Affiliate in Fresno, CA)
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January 15, 2021 - Global - 91,500,000/2,000,000; USA - 23,200,000/387,300 Had Zoom briefing of Biden and Harris to prep them for the speech that Biden will give at 3:45 PM on the vaccine rollout plan. We briefed him at 2:30 to 3:30 and he and Harris (only he spoke) gave briefing to the Nation. Biden announced today that he has asked Francis Collins to stay on. I had some influence on this. Eric Lander will be head of OSTP. Considerable concern about the new mutants in UK, Brazil and especially South Africa - David Ho is studying this carefully and finds that the UK variant results in a 2-fold decrease in ability of vaccine-induced antibodies to neutralize. For the South African variant it is 4 to 5-fold decrease. Had Zoom with David and John Mascola and others and David went over the Mutant data. Bottom line is that against the UK mutant the vaccine (Moderna)-induced sera is weakened by 2-fold; however, against the RSA (and by extrapolation although did not look the Brazilian) mutant the sera are diminished by 5-fold) MAJOR IMPLICATIONs for vaccine development and for policy such as letting people into the country PRESS: Ebro in the Morning Radio Show in NYC; Today Show NBC TV with Craig Melvin; CTV - Canadian TV - Sunday Show (Ian Wood); WUSA TV Jan Jeffcoat;
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January 16, 2021 - Global - 92,300,000/2,000,000; USA - 23,400,000/391,000 Confirmed Cases (Thousands) ay Fe Fa is} 1" New Confirmed COVID-19 Cases in the U.S. 'i HoT PPPS PF tHE an Dicily I ye 2020/2021 ome 7 Oy Moving Avorage en 0 Day Mowing Avoraga Jeff Zients gave me the entire Biden plan to look at and approve - I mentioned to him in detail the recent data from David Ho. We will set up a call for Sunday with the Biden team (doctors) since now several teams such as Michel Nussenzweig, Jess Bloom and others are finding the same thing as Ho. I want the call on Sunday since Michel is publishing his data in BioRx on Monday. I will bring John Mascola on the call with me to describe with some slides. Also, I have pushed with JZ to get Ned Sharpless re-appointed as NCI Director otherwise his resignation letter will go into effect on January 20. I asked JZ to get in touch with Ron Klain and re-appoint hi. JZ called me back this evening and said he spoke to Ron and Ned will stay as NCI Director. Post-holiday surge seems to be stabilizing. See Deb's comment below: 1. For the first time in weeks all indicators except fatalities are flat or declining. This suggests with full data triangulation that we have reached in most of the country the post Holiday peak and declines should continue to follow with continued mitigation. Testing rates have resumed to pre Holiday levels as for the first time week over week cases have declined (SLIDE 4) from last week's high - but testing for asymptomatic cases must increase to sustain the gains. Finding the containing the silent spread will be key to holding the current gains 2. CA is stabilizing at a high plateau and if AZ, FL, TX, NY can hold at their current plateau or early declines we could see National improvement beginning next week and improvement in fatality rates in 30 days but not without reaching 450K in 4 weeks and 500K fatalities over the next 8 weeks based on current case load and rate of rises Confirmed Cases (Thousardds) au New Confirmed COVID-19 Cases in the U.S. 2020/2021 Doty ee Daty Mowing Avarage -23,700,000/395,000 en 0 Day Mowing Avoraga 3. Most of the rapidly rising metros appear to be reaching peak or at a high plateau and some like Chicago and NYC are beginning to decline. The key will be continued aggressive mitigation 4. New COVID hospital admissions are stable at a high plateau nationally but if the larger states and metros can hold or improve the rates should steadily decline if we can keep everyone focused on vigilance as we vaccinate PLEASE SEE SLIDE 3 SHOWING ICU BED OCCUPACY - SHOWING CLEARLY THE PRIMARY CURRENT STATES WITH THE WINTER SURGE PRESS:
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January 17, 2021 - Global - 92,300,000/2,000,000; USA - 23,700,000/395,000 We may have reached the peak of the surge upon a surge 1. For the first time in weeks all indicators except fatalities are flat or declining. This suggests with full data triangulation that we have reached the post Holiday peak in most of the country and declines should continue with continued mitigation. These gains can be sustained and can accelerate if behavior change holds 2. Test positivity is declining. Testing rates have resumed to pre Holiday levels as for the first time week over week cases -23,800,000/397,000 1S have declined from last week's high - but testing for asymptomatic cases must increase to sustain the gains. Finding the containing the silent spread will be key to holding the current gains. 3. Cases are declining or stable across the country (down 8.8%) • John Mascola and I presented to JZ and the Biden medical team the results from David Ho's work on the UK and RSA mutants. (see above). We explained that this requires careful messaging since people would interpret incorrectly that this nullifies the vaccine which it does not. JZ has tasked me to write a 2-paragraph description to send to Biden tonight. I did so and now we have a meeting tomorrow AM to discuss possibility of travel restrictions from RSA and Brazil. PRESS: Meet the Press (NBC) with Chuck Todd; Che Tempo Che Fa Italian Sunday TV Show; MSNBC Lawrence O'Donnell
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January 18, 2021 - Global - 94,000,000/2,000,000; USA - 23,800,000/397,000 Zoom meeting at 7:30 AM with JZ and the team + Jake Sullivan - discussed the restrictions on travel to RSA, Brazil and perhaps other countries. Leaning towards requiring PCR 72 hrs before board to USA followed by Ag test upon boarding followed by Ag test within 3 days of landing + quarantine. Will present to Ron Klain and POTUS after inauguration. Deb Birx's next to last TF note: This is the last metro case analysis. We are seeing mostly significant improvements or major metros holding at a high plateau. I am worried about the 12 metros that are still increasing and one of them is DC. I walked some of the areas downtown on Sat while I was moving out of my State Dept office and there are major feeding tents set up around downtown for the workers and National Guard - these can be super spreading locations and the National Guard is from around the country including hotspots. National Guard troops must be tested and must be tested when returning but I worry we are creating a massive viral spreading event as troops deploy to DC and then return home and the co-mixing of local metro police with National Guard. That said by all indicators we are stabilizing as a country and improvements should continue. New hospital admissions are down across the country and is super spreading events can be managed we should continue to see improvements as more states will be able to utilize health personnel to support massive vaccination. On the personal level getting the elderly - the highest risk group over 75 - immunized is incredibly difficult. We have the entire family working to secure sites for my parents but you need to be tech savvy and able to constantly refresh sites and search multiple county and state websites. Then you have to be able to transport and move them to the vaccine sites. We think we may have secured a PG county option for this week but if elderly do not have tech support or outreach and transportation support this will be incredibly difficult for them. Deb COVID-19 Daily Report Reported on January 18, 2021 Sates ahead fo groups based on test positivity in the week ending Jan 13, 2021" AL, AR, AZ, CA, CT, FL. GA, DA, ID, IM, WS, ACF, Lali, OD, BAS, FeT, PHC, MEL, IN, BE, IL, MID, NY, 50, CO, DC, Ma, ME, Mi, A, Bi, WV, OH, OK, PA, SC, TM, TH, WA, Wl MN, OR, Al, Wer UT, VA, WV AR, Hi, MD, WT he 1. For the first time in weeks all indicators except fatalities are improving and are either flat at a high plateau or declining over 7 days. This suggests with full data triangulation that we have reached the post-Holiday peak in most of the country and declines should continue with continued mitigation. These gains can be sustained and can accelerate if behavior change holds and testing increases to find the asymptomatic cases to prevent community spread Had farewell conversation with Vice President Pence. I called up Marc Short to ask him to have the VP call me today since I was not sure that I would be able to attend (virtually) the last TF meeting this Tuesday. The VP called and we had a very touching and person discussion saying how much he respected me and how the TF would not have been able to accomplish what it did without me. He was very touched. I told him how important it was for his legacy that he acted with such dignity and resolve over the last days when he refused to go along with Trump's attempt to get him to overthrow the election results. WE parted by saying we will always be there for each other. Received material from Beth Cameron for my announcement on early AM of Jan. 21 that we will re-join the WHO. I will edit it and get it re-approved. Very nice that I have been chosen to be head of delegation to the WHA in Geneva (virtually) to make this announcement. Summary of some events over past few days/weeks: Jeff Zients calls me multiple times per day checking facts, etc. I brought up to him that it would be a good idea for continuity that he keep on Francis as NIH director since if he does not act to tear up the required letter of resignation, Francis automatically is gone and we have an acting (which would not be bad since Larry Tabak is great). Ned Sharpless is in the same boat as presidential appointee at NCI. And so I mentioned to Jeff that we should keep Ned on and he made it happen. And so, in fact I am responsible for keeping the NIH and NCI Directors in their jobs. A surprise is that Harold Varmus called me up and expressed great concern that Francis was staying on. He said many substantial members of scientific community (Bruce Alberts, Shirley Tilghman, etc) are quite concerned and feel that it is time for a change. I explained to Harold that this was probably Zar. temporary and related to need for continuity related to COVID-19 efforts. He is trying to get momentum to have this reversed. Harold has always felt that change is important PRESS: TNT "The Arena" with Cari Champion;
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January 19, 2021 - Received booster dose of Moderna vaccine today together with Francis Collins and Alex Azar. Said goodbyes to Alex and Brian Harrison (his COS). Alex described how terrible it was dealing with the White House people. He specifically mentioned Marc Short. He feels that Marc, Joe Grogan, and Deb. Birx undermined HHS. Deb Last e-mail: 1. The country is in a better place than we have been since before Thanksgiving. All indicators except fatalities are improving and are either flat at a high plateau or declining over 8 days. Monday represents weekend reporting but last night was the lowest case number since the beginning of Nov. Full data triangulation that we have reached the post Holiday peak in most of the country and declines should continue with continued mitigation. These gains can be sustained and can accelerate if behavior change holds and testing increases to find the asymptomatic cases to prevent community spread - we must find those asymptomatic cases to ensure new aggressive variants rapidly spread undetected Last coronavirus Task Force meeting. VP asked Ben Carson to start with a prayer. VP Pence saying goodbye and how proud he is of what the group has accomplished. He read a letter that he is sending to all of us thanking us. He also has chronicled the "accomplishments" of the TF and the government's efforts. He will send such a letter and the list of accomplishments to Biden. He thanked all of us sincerely and expressed multiple times how much of a privilege it was to work for us. He asked that we help the incoming Biden people in the transition (a little late!!!) Alex Azar warned that their work would be denigrated by the incoming group and their press people, but that is "natural". Alex delineated everything that he felt we did right. He spoke of our accomplishments in testing, PPE, etc. One would argue about that. Deb Birx spoke about how great it was in working with everyone. She spoke of trust and belief in your colleagues. Wow, this is interesting given how often she threw CDC under the bus and how she - 24,000,000/400,300 to Mar-a-Largo thanking me for and Marc Short were in disagreement on everything, and how she hated Brett Giroir and badmouthed him all the time saying that he always promised more than he could deliver. Brett Giroir praised the VP and said that the VP brought out the best in everyone. VP Pence asked me to say words. I praised him and also praised the VP's staff. I did not mention Marc Short and Katie Miller, but they knew I was referring to them. Bob Redfield praised the VP as well as Deb Birx. Pete Gaynor explained what a honor it was to work for the VP. VP then thanked a number of people including Jerome Adams, VP staff, Marc Short, Katie Miller and others, Ben Carson, Keith Kellog. VP signed off to a resounding round of applause! PRESS: The PBS Masters people have started filming in earnest for their documentary; interviewed by Adi Ignatius and others for the Harvard Business Review; NYT: As Fauci receives his second dose, he urges Americans to get vaccinated; CNN with Jake Tapper;
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January 20, 2021 - Global - 94,000,000/2,000,000; USA - 24,000,000/400,300 Inauguration Day! Trump refusing to attend inauguration and left with a flare that was very sparsely attended. Biden was at Mass as Trump flew off to Mar-a-Largo. Trump's speech was surrealistic talking about all the great accomplishments of his Presidency. He also strongly hinted that he will be back with a "movement". He is a very dangerous man!! I am preparing for my early AM speech to WHO Executive Board tomorrow. Beth Cameron has given me much leeway on the Speech (which her staff put together). Mutants of SARS-CoV-2 getting much play in the scientific "preprint" arena. Final papers will soon come out. We will put restrictions (requirement for pre - and post - flight testing + quarantine) from RSA. Will brief POTUS Biden tomorrow. Am still quite achy from vaccine booster shot from yesterday. Here are my remarks for WHO tomorrow early (4:00 AM) morning: Remarks of Dr. Anthony S. Fauci at Got a call from Jared Kushner from Air Force 1 on his way to Mar-a-Largo thanking me for what we did with COVID-19 Spectacular Inauguration speech by Biden! Poem by Amanda Gorman was amazing (she is 22 years old). Lady Gaga sang the national anthem; J-Lo sang, as did Garth Brooks. Biden hit the right tone. The speech was in my mind comparable to those of Lincoln, Kennedy, FDR -24,300,000/405,000 Quotes from speech: "Let us not lead by example of power, but by the power of example"; "We must end this uncivil war" PRESS: CNBC - Dr. Fauci to lead U.S. delegation at WHO meetings as Biden plans to reverse Trump withdrawal Published Wed, Jan 20 20218:41 AM EST Noah Higgins-Dunn@higginsdunn
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January 21, 2021 - Global - 95,000,000/2,000,000; USA - 24,300,000/405,000 Made speech at Executive Board of WHO (4:00 AM ET) to announce that USA is rejoining WHO. Also, we are rescinding Mexico City Policy. I spoke as representing newly inaugurated President Biden Remarks of Dr. Anthony S. Fauci at Tedros response: WHO Director-General's remarks at the 148th session of the Executive Board 21 January 2021 Thank you, my brother Tony, and welcome to the WHO Executive Board as head of delegation for the United States of America. Thank you, my friend, for your personal support for WHO over many years, and especially in the past year. by Philip Bump: -24,500,000/409,000 We have benefited immensely from your participation as a member of our regular global health leaders calls, since the start of the pandemic. And thank you for your incredible leadership against the pandemic in the United States. This is a good day for WHO, and a good day for global health. I send my deep thanks and warm congratulations to President Biden and Vice President Harris, and to the American people. Terrific day! Briefed Biden and Harris in the State Dining Room of the White House. Together with JZ, Natalie Quillian, Rochelle Walensky, Marcella Nunez-Smith. Really relaxed and warm interchange with both Biden and Harris. Then, I went with Jen Psaki and did a press briefing in the White House press room (first time in a long time). They really want me out there and there is no pushback at all for my appearances. CNN went into major panel discussions about the fact that Biden chose me as the first scientific press briefing. PRESS: Did full press briefing in the White House press room. Washington Post article by Philip Bump: Fauci, unchained The government's leading infectious-disease expert exults in being able to speak frankly Fauci says it's 'liberating' to 'let the science speak' Good Morning America (ABC) with Michael Strahan; CBS Sunday with Ted Koppel; CNN with Chris Cuomo;
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January 22, 2021 - Global - 96,000,000/2,000,000; USA - 24,500,000/409,000 Some confusion about whether 100 million doses in 100 days or 100 millionb people in 100 days. Finally straightened it out and it is "doses" not "people". Press are starting in aready in first criticizing that the goal is too lofty and now they are saying that the bar is tyoo low since we are already getting 800K per day. You just cannot win. -24,700,000/4 13,000 PRESS: CNN New Day with John Berman; Black News Channel with former Mayor Sharon Pratt; WTOP Radio with Mike Murillo; University of Montana Student newspaper (Jacob Owens); NPR - "All Things Considered" - Mary Louise Kelly; NBC LX TV with Tabitha Lipkin and Ashley Holt; Conference of Mayors Panel - with Vivek Murthy - picked up by networks, cable, and C-SPAN; MSNBC - Rachel Maddow;
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January 24, 2021(Sunday) - Global - 97,500,000/2,100,000; USA - 25,000,000/416,000 Deb Birx had a 45 minute taped interview with Margaret Brennan right after me. It was moving in some respects, but a fair bit of revisionist history. PRESS: CBS "Face the Nation" with Margaret Brennan; CBS Sunday with ted Koppel; Donald McNeil interview in the NY Times: NYT: Fauci on What Working for Trump Was Really Like
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January 25, 2021 - Global - 99,000,000/2,100,000; USA - 25,000,000/418,000 • Did really good WORLD ECONOMIC FORUM Panel chaired by John Mickethwait (Bloomberg) with panelists: Prime Minister of Greece Kyriakos Mitsotakis; Nancy Brown (CEO of American Heart Association) and Frans van Houten (CEO of Royal Philips) • The vaccine is now being referred to as the "Fauci Ouchie" • Many interviews today focusing in part on the fact that Deb (on Face the Nation) and I (in the interview with Donald McNeill) opened up about the difficulties in dealing with Trump Administration. A lot of discussion about the RSA and UK variants and the potential effect on mAbs and importantly vaccines. Thus far, even though the mutants diminish somewhat the efficacy of the vaccines, the antibody response of the vaccine is still within the cushion of efficacy. Recent data indicate that the UK strain is also increased in virulence as well as transmissibility. On an interview with Erin Burnett (CNN) I went PRESS: Good Morning America (ABC) with George Stephanopoulos; Today Show with Savannah Guthrie; CBS This Morning with Tony Mason; Latino USA Radio with Maria Hinojosa (NYC); Fireside chat with Leroy Hood on receiving the 2021 Precision Medicine World Conference Luminary Award; WBUR Boston NPR Radio; WGN Radio Chicago - Bob Sirott Show; ABC TV News Live Lindsey Davis; Spectrum News TV with Alex Cohen; CNN with Erin Burnett;
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January 30, 2021 - Global - 101,400,000/2,200,000; USA - 25,900,000/435,2000 Daily cases continue to come down, but growing concern about the arrival of mutants: B.1.1.7 (UK) in 30 states and 434 people infected; B1.351 (South Africa) with 2 cases in South Carolina; P.1 (Brazil with 1 case in Minnesota RSA strain identified today in person in Maryland Went on a filmed walk with Sanjay Gupta and Chris on the C & O Canal as part of the Documentary that he is doing (See yesterday). Had zoom call with Rob Manfred (Commissioner of MLB) and Dan Halem (Deputy Commissioner). They want to delay opening Spring training from February 17 to March17 and have a comparable delay in opening day. They want to do this since they feel (rightly so) that the decreases in cases will be even more pronounced with an additional month and they will be able to get more of the umpires and players vaccinated with the delay. Of note, Tom Frieden spoke with the MLB Players Association and the players want to start earlier since it affects their salaries. Now the Players want to speak with me. Contirmed Cases (Thousands) a 2M} » i a ai o fl es es 0; USA -- 25,900,000/438,000 -26,000,000/440,000 -26,200,000/442,000 New Confirmed COVID-19 Cases in the U.S. fil I 'im afl al Pit ATI oe I ia eye EES SNE IE by PS PESTESESESSESSRSISIRE 2020/2021 Oo eee Oy Moving Average 0 eee) Dy Mowing Averogo
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January 31, 2021 (Sunday) - Global - 102,100,000/2,200,000; USA - 25,900,000/438,000 Zoom calls today discussing: a) vaccinations for the Federal workforce b) Vivek just wanting to discuss masks, variants, schools, etc. - touching base.
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February 1, 2021 - Global - 102,600,000/2,200,000; USA -26,000,000/440,000 Had usual MWF Press conference by Zoom Had discussion with the team (+John Mascola) about how best to utilize the J & J product (Ad26). There will be a messaging issue about 72% versus 94-95%. We cannot designate it for any specific group for that reason and so we decided to just out it in the mix with the other vaccines and have people make their choice based mostly on 1 dose vs 2 doses. Got call tonight from Mayor Bill Di Blasio very concerned that the supply of vaccine for NYC is no where near meeting demand. He is begging me to check with WH and see if anything can be done - DPA or some other mechanism. I will speak with David Kessler about this. PRESS: White House Press conference with Nunez-Smith, Walensky and Slavitt; mGreta van Sustern - VOA; KMEX 34 TV - Los Angeles - Hispanic; CNN Situation Room with Wolf Blitzer
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February 2, 2021 - Global - 103,000/2,200,000; USA -26,200,000/442,000 Daily cases going down but deaths still lagging at around 3000 per day NATIONWIDE COVID-19 METRICS. 7-DAY AVERAGE LINES 2.044 2.2 21M 2.0 1.9 1M 1M 16M 1.6M 14M I 12M 1.1 10M 0.9 0.6 OM 0.6M 0.64 0.4m 0.2 0.2 0.1m Daily Tests Feb 1; 1,610,238 7-Day Avg: 1,815,070 Apri dull 1 Oct Jan 200,000 275,000 260,000 225,000 200,000 175,000 150,000 125,000 100,000 75,000 50,000 25,000 Source: The COVID Tracking Project Daily Cases Feb 1: 119,747 7-Day Avg: 142,958 Oct Apri Jul dani Currently Hospitalized Feb 1: 93,536 7-Day Avg: 101,117 Ape Oct? Jani 4,600 4.000 3.500 3,000 2,500 2.000 1,600 1,000 5} o Apri1-Feb1 Daily Deaths Feb 1: 1,562 7-Day Avg: 3,131 Apri aa ett ant ®Single-day Record '@ ustralia "60 a Mutants continue to evolve with the 484K mutation characteristics of the B.1.351 lineage in RSA now being seen in the UK with the B.1.1.7 lineage. Goes along with what I have been saying that viruses will mutate if you give them free rein to replicate. Viruses that do not replicate will not mutate. Bill DiBlasio called me back and I explained to him that I had spoken to David Kessler about the Supply-demand issue with the vaccines and that there really was no solution. It is too late to invoke the DPA to have other factories make mRNA vaccine. By the time they gear up, there will be enough vaccine from multiple companies to vaccinate the entire country. Met with POTUS and VP in the Oval office with Jeff Zients, Natalie Quillian, Andy Slavitt and Walensky and Nunez-Smith on video screen. Discussed the status of the outbreak (Walensky) and vaccines, particularly recent data on J & J and implications for variants (Fauci) PRESS: Washington Post Live - Online interview with David Ignatius; Australia "60 Minutes" TV; MSNBC "All In" with Chris Hayes; CNN with Don Lemon Washington Post - 02/02/2021: Poor handling of virus cost Trump his reelection, campaign autopsy finds "Voters in the states overwhelmingly supported a mask mandate -- 75 percent -- and Anthony S. Fauci, the country's top infectious-disease specialist, secured an approval rating almost as high. Trump did not support a mask mandate -- sometimes mocking the wearing of masks -- and regularly criticized Fauci, threatening to fire him at times. Advisers repeatedly encouraged Trump to wear a mask, stop attacking Fauci and signal to the public that he was taking the coronavirus more seriously" THEPOINT CHRIS CILLIZZA Global USA New Daily Confirmed COVID-19 Cases in the U.S. oo E a ul E & too TH me of Je oe o& J» fo in oko A » = os a Soe oe Te a a ay FO oe ceo og oo of of a oo 2020/2021 How Anthony Fauci beat Donald Trump in
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February 3, 2021 - Global USA Biden Comms team putting me out there with the press continually. They are giving me totally open clearance for everything that I get asked to do. Completely different from the ridiculous restrictions of the Trump Comms team • Daily cases continuing to come own. Much emphasis on the impact of the variants. -26,400,000/449,000 --Global USA - PRESS: ABC Good Morning America with George Stephanopoulos; NBVC Today Show with Savannah Guthrie;
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February 4, 2021 - Global - 104,000,000/2,3200,000; USA - 26,400,000/449,000 Discussions last night and prior evenings regarding the use of the excess J & J vaccine of clinical trial grade. Move to donate this to RSA to vaccinate their HCWs. RSA has been pleading with the USA to help them get vaccines since they are being ravaged by the B.1.351 variant. Phone call last night with David Kessler, Beth Cameron/Hilary Marston (NSC), me and Cliff Lane to figure out a mechanism to get this to them since it is only clinical trial grade. And we want to avoid the optics that we are either a) giving away vaccine meant for USA to RSA or b) we are "experimenting" on black Africans. • Gave one of several plenary addresses at a Brookings -Tsinghua University Roundtable of US-China Collaboration on COVID-19. Chinese Speakers included Zhong Nanshan, Wang Chen, Gao Fu Had nice conversation with the MLB Players Association with Tony Clark (Exec Director), Bruce Meyer (Senior Director, Collective Bargaining and Legal), Ian Penny (General Counsel), Kevin Slowey (Director Player Services), Matthew Nessbaum (Deputy General Counsel), Robert Lenaghan (Assistant General Counsel) and Max Scherzer (member, Exec. Comm.). They asked great questions about vaccines. I emphasized that I did not want to get in the middle of a dispute between MLB and players regarding when to start the season. They understood perfectly. I had some nice back and forth with Max Scherzer. PRESS: BBC Radio with Tim Harford; NBC TV Boston - LaToya Edwards; MSNBC with Ari Melber; NBC TV "off the record" discussion with the entire NBC TV team; CNN with Chris Cuomo.
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February 5, 2021 - Global USA - Had terrific conversation today with Bob Cousy. Sen. Joe Manchin (D-WV) had called me a couple of weeks ago saying that Bob Cousy would love to connect with me by phone, Joe is a good friend of Cousy's. I called Bob's cell phone and we spent 20 minutes chatting about all kinds of things. He has a great sense of humor. He is disturbed by the devisiveness in our society (similar to my concern). He spoke about his being 92 years old and that he body in "falling apart" despite the fact that he has "all my smarts". He is a rally charming guy. We developed a great rapport on the phone. Note that he came to my lecture at Holy Cross a few years ago and we had dinner together. PRESS: Had usual White House Virtual Press Conference with Andy Slavitt, Rochelle, me and Tim ....; FOX TV with Neil Cavuto; 26,700,000/458,000 10; USA -- 26,800,000/461,000
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February 6, 2021- Global -105,000,000/2,300,000; USA - 26,700,000/458,000 Had Zoom call with David Kessler and the BARDA people trying to decide whether to invest considerable money in guaranteed purchase of the Lilly mAb combination that will soon go for an EUA. Their data look fairly good for treatment of early disease to prevent hospitalization and PEP • Got call from Mike Osterholm trying to convince me to go with his concern/recommendation that we go with1st doses to as many people as possible given the fact that B.1.1.7 (UK) may become dominant in the USA and increase cases/hospitalization. This is a difficult problem sine we only have data for prime/boost with mRNA vaccines.
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February 7, 2021 (Sunday) - Global - 105,400,000/2,300,000; USA - 26,800,000/461,000 Superbowl Sunday! Tom Brady beast Patrick Mahomes PRESS: Meet the Press (NBC) with Chuck Todd; -27,000,000/462,000 US Deathsfrom Currently Vaccine Of those that thatreceivedthe I COVIDI9inthe hospitalized Trial vaccine in trials lastweek from COVID19 (02/06/21) Hospitalized I Deaths Deaths from from FROM COVID19 COVIDI9 ~--- vaccine Pfizer (n=18,600) Moderna 22,639 I 84,233 (n=15,000) Novavax (n=13,000) AstraZeneca 0) (n=8,600) J&J (n=22,000) Pasian Porgripaii j ng/timing) Lancet Preprint, J&J, Novavax @ @JesseOSheaMD
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February 8, 2021 - Global - 106,000,000/2,300,000; USA - 27,000,000/462,000 Important point is that the vaccines are protecting against severe disease (hospitalization and death): First day since Nov. 2 that daily cases were less than 100,000: Mar 1-Feb7 US DAILY CASES. 7-DAY AVERAGE LINE ag8 ges 250,000 225,000 @ Source: The COVID Tracking Project Tl Dr. Anthony Fauci Fan Club Retweeted Peter Bornstein @spidadact Some people have a St Christopher medal. My daughter gave me a Dr Fauci. 11:22 PM: Feb 5, 2021 - Twitter for iPhone https://bit.ly/36SyePm -27,000,000/464,000 Kat McKinnon played me again on Saturday Night Live: https://bit.ly/36SyePm Did fireside chat with Prince Georges County - County Executive Angela Alsobrooks and Drs. Carter and Wright to discuss vaccine in the African-American community PRESS: AP Interview with Mike Stobbe; FOX TV News "Special Report" with Bret Baier
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February 9, 2021 - Global - 106,100,000/2,300,000; USA - 27,000,000/464,000 for -- 27,000,000/467,000 New Daily Confirmed COVID-19 Cases In the U.S. a0 ot, Be ©, ae)i they "ey Bes. "he ae fa, oF fir a "be a Se e ca Fr Mp 2020/2021 Eric Lander (OSTP) visited the VRC today and I we briefed him on our activities, particularly the development of the mRNA vaccine and Barney's development of the stabilized pre-fusion Spike protein. Of note, Martin Fletcher of the Daily Telegraph did a profile of me and told me that the London Times had asked him to gather information for them for an obituary that the Times wanted to put "in the can" just in case I passed away suddenly. They wanted to be the first to have an obituary PRESS: Fireside Chat with the COVID Collaborative - Gov. Dirk Kempthorne, Gov. Deval Patrick, and Gary Edson; Interview with Martin Fletcher of the Daily Telegraph for a profile of me;
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February 10, 2021 - Global - 106,600,000/2,300,000; USA - 27,000,000/467,000 Cases continue to fall considerably. We are now at less than 100,000 cases per day, when we were up to 400,000 at one time. • Had zoom with Dr. Hans Kluge WHO Regional Director for Europe • Did Fireside Chat with David Rubenstein as part of the Duke Global Health Institute Victor Dzau Lecture • Pleasant thing - I had mentioned on a radio or TV show that what I missed most about NYC was the Nathan's hot dogs. Today sitting on my home from steps were two packages of Nathan's hot dogs - a gift with a nice note from Tim Shriver saying that he "could not resist the hot dog invitation". Confirmed Cases (Thousards] a0 £50 -- 27,100,000/470, New Daily Confirmed COVID-19 Cases In the U.S. eer) a, Fr tay a vate de ety 2020/2021 #2, tide a rrBr, 4 By 'he, 'le tte, f en, Zt. ty 42g ee Fae 424, Yip 1a, Had a wonderful experience this evening. I received (virtually) the Award of Courage from AmFAR. It was presented to me virtually by Julia Roberts from her breakfast room in her home in Northern California. She was so charming. When my image came up on the screen she gasped and said that every time she sees me her throat gets dry and she gets nervous and excused herself to go into the kitchen and get a glass of water. When she came back and introduced me it was the most wonderful introduction. She introduced me to her son while we waited to check the filming and we chatted a bit. She is so charming, natural, fun and amazingly beautiful. PRESS: Did routine MWF White House Press conference. I spoke about making sure that people with immune deficiencies or on immunosuppressive drugs get vaccinated since they are very vulnerable; Interview with Rima Krist of the Navajo Times
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February 11, 2021 - Global - 107,000,000/2,300,000; USA - 27,100,000/470,100 Number of daily cases continue to diminish. CDC starting to do practical things that I have actually been pushing for some time. For example: Wearing 2 masks could be better than just one. They did a dummy study and showed that a cloth mask over a surgical mask actually gives a more complete fit and keeps out aerosols. Another example is that people who are vaccinated do not need to go into quarantine after exposure to a documented COVID-19 case. N -- 27,200,000/474,000 POTUS Biden visit to NIH. Biden visited the NIAID VRC today at 3:30 PM on a sleety and snowy day. It was a great visit. I presented to him the history of the VRC and the importance of the work that Barney Graham has done with the stabilized spike protein. We brought Biden into the room where the experiments were done and Barney and Kizzy Corbet presented to him. He was accompanied by Jeff Zients. We then went to Natcher Auditorium where he addressed (virtually) the NIH community with a great speech in which he called out Francis and I multiple times. PRESS: Today Show (NBC) with Savannah Guthrie - discussed new mask recommendations from CDC and the B.1.1.7 variant; BBC Radio; "What a Day" podcast; CNN Sports TV with Charles Barkley and Ernie Johnson; Univision TV interview; Axios TV for HBO - update with Margaret Talev Nice article in Vogue:
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February 12, 2021 - Global - 107,000,000/2,400,000; USA - 27,200,000/474,000 David Kessler and I had discussion with Sen. Burr and Murray about viral variants. They wanted to be briefed on the threat and what we are doing about it. Did a briefing of the Foreign Press with Andy Slavitt -- 27,300,000/479,200 New Daily Confirmed COVID-19 Cases In the U.S. a0 99.4 <% oy Bas oF a Or. a ts ae Gs. Mp er de n Bee . Stn, ae Ah Fr an ay: be Fh, r Nip fp ip "ty aa Bee "ei Be "25, ap by Mee 6, oe 'oy ort Cp aa a, SE "ee 27,400,000/482,500 2020/2021 Briefed the Deputies and Cabinet Secretaries led by Jeff Z. PRESS: Good Morning America (ABC) with George Stephanopoulos; Univision TV with Jorge Ramos; ABC/FOX Montana TV; Podcast with Al Franken;
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February 13, 2021 - Global - 107,800,000/2,400,000; USA - 27,300,000/479,200 • Trump acquitted by the spineless GOP Senators. However, 7 GOP Senators did vote for conviction. Sorry day for our country. Trump still has them in his grip.
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February 14, 2021 - Global - 108,200,000/2,400,000; USA - 27,400,000/482,500 Cases continue to come down. People like Mike Osterholm are saying that we will inevitably have yet again another surge due to B.1.1.7 that will become dominant. I do not necessarily believe that this will be the case. I believe that if we double down on public health measures and continue to push vaccinations, we do not necessarily have to experience a surge. Having said that, WE MUST BE PREPARED FOR A SURGE. New Daily Confirmed COVID-19 Cases In the U.S. a0 pe " ky z be One % wy te "ity he, . Flee, Ce te Fr. La ety i: ety ar be "te ie Se, "ey Pre % "9 ay "by On, ~ oy Mz) ar a * ar Be ep 2020/2021 -- 27,500,000/484.000 PRESS: ABC "The Week" with George Stephanopoulos
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February 15, 2021 - Global - 108,600,000/2,400,000; USA - 27,500,000/484.000 Down to 68,000 cases yesterday! New Daily Confirmed COVID-19 Cases In the U.S. a0 hp be oe tgs' tas, "ty One " te "ip Be 7oy fr ie ra: Gs, ty ep tp ¥r te Fee "be or' ar en a te fe "ee ue 2020/2021 -- 27,500,000/485, Did Zoom call with Winnie Byanyima (Exec Dir. Of UNAIDS) together with Regan Hofmann. Winnie was very grateful for my leadership in COBID-19 and HIV/AIDS. We discussed the importance of having a global effort (hopefully led by USA) to get the world vaccinated against COVID-19. Winnie was excited about the fact that I mentioned the loosening of patents in a recent interview to allow wider availability of COVID-19 vaccines. I promised that I will continue to push the "international and global" agenda. I mentioned that we would need to get things under better control in the USA before we would be able to generate interest in global issues. PRESS: Telemundo HOY DIA TV; NBC Local TV Doreen Genzler; NPR (Daniel Estrin): The Coronavirus Crisis Fauci Awarded $1 Million Israeli Prize For 'Speaking Truth To Power' Amid Pandemic
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February 16, 2021 - Global - 108,800,000/2,400,000; USA - 27,500,000/485,100 Daily new confirmed COVID-19 cases per million people Shown is the rolling 7-day average. The number of confirmed cases is lower than the number of actual cases; the main reason for that is limited testing. Gam] te North America South America Europe Asia Africa 0) Australia
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February 17, 2021 - Global - 109,200,000/2,400,000; USA - 27,600,000/486,400 Cases continue to plummet: Columbus Citizens Foundation's Dr. Anthony S. Fauci Scholarship - Created For Graduate Students In Medical And Public Health Fields - Now Accepting Applicants • Did Fireside Chat with AME Reid Temple Church (Maryland) - Pastor Mark Whitlock • Did podcast "Pod Save America" with Jon Favreau e Did podcast with James Hildreth from Meharry Medical College PRESS: CBS This Morning with Gayle King and Tony Dokoupil; Online TV interview with Clive Cookson (Editor, Financial Times) for the UK Science Museum event; White House Press Conference on the usual MWF schedule; CNN "360" with Anderson Cooper.
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February 18, 2021- Global -- 109,600,000/2,400,000; USA --27,700,000/489,100 Big Ice-storm in Washington DC and major ice storms and snow over southwest (Texas) with several deaths. Currently heavy snow in NYC and Boston Cases continue to drop Briefed President Biden today in Oval (Virtually). I briefed him on pediatric vaccine trials and mentioned that we likely will have high school children (13-17 yo) vaccinated by mid-Fall, but it would take until Q1 of 2022 to get the trials done and approval for elementary school children (6 to 12 yo). He asked good questions but he rambled a bit, seemingly repeating things that he had said a few minutes previously. e Spoke with the PEPVAR group about USA providing $4-5 billion to build plants to produce Moderna mRNA for the world -- Peter Staley, James Krellenstein, David Barr, Christian Urrutia, Wafaa El Sadr. I will bring this up to Jeff Zients. PRESS: MSNBC with Andrea Mitchell; Council on Foreign Relations podcast -- "Why it Matters"; Interview with Char Koosta News (discussed tribal Vaccine hesitancy with Sam Sandoval); Interview with Times of Israel on my Dan David Prize; Interview with Alice Park of Time Magazine on 1* 100 days of Biden Administration; Did Buzzfeed interview with Dan Vergano on the Fateful March 11, 2020 when we shut down Europe.
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Feb 18, 2021
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February 19, 2021-- Global USA Online preprint paper cam out from Israel saying that a single dose of Pfizer mRNA protected. well (85% at 15-28 days against symptomatic disease and 72% against symptomatic and asymptomatic disease). 9000 individual study of young and healthy people. We do not know the durability of this protection. I made point at the press conference (see below) that we will "9 -- 27,800,000/494,000 NATIONWIDE COVID-19 METRICS BY WEEK
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February 20, 2021 - Global -110,400,000/2,400,000; USA - 27,800,000/494,000 PRESS: Confirmed Cases (Thousareds] ist ion mR PR RR g ILI LT Sfk aE ol. 5/29-4/5 4/L24 A426 5/9 5 "Represents partial week data -- 27,900,000/499,000 with Margaret Brennan on Face the Nation. Good summary of https://cbsn.ws/3pGH9tR Average New Weekly Confirmed COVID-19 Cases in the U.S, Bi a 3 " moO z & Ey ie E a q =a a x be a z 25 m i iw Rog » . I 39% = = Ae Aas a I I I ASRS 28598 6/7 Shae 24608 TS FDI ST 6 6 2S BReaSSE90 96 SSS SOS TOO TES LOR sae Be Week of -- 27,900,000/500,000
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February 21, 2021 - Global - 110,700,000/2,500,000; USA - 27,900,000/499,000 Matt Pottinger's interview with Margaret Brennan on Face the Nation. Good summary of history of the early months: https://cbsn.ws/3pGH9tR Mike Osterholm still predicting an "inevitable" massive surge in the Spring. He also is insisting that we can study the 1 dose strategy in time for meaningful results. PRESS: Sunday shows: NBC - Meet the Press with Chuck Todd; FOX Sunday with Chris Wallace; CNN State of the Union with Dana Bash.
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February 22, 2021 - Global - 111,100,000/2,500,000; USA - 27,900,000/500,000 Reached 500,000 deaths in the USA today!! However, numbers of new cases continue to come down. Will be race between the new variants and our two tools of defense: 1) vaccine; 2) public health measures. Luckily the mRNA vaccines and J & J are good against the B.117 (UK). Even though they are less effective against the B1.531 (RSA) isolate they still likely will protect against hospitalization and death - the J & J definitely does (tested in RSA) and we can extrapolate that the mRNA (not yet tested in RSA) also does. New Daily Confirmed COVID-19 Cases in the U.S. FF 2020/2021 PRESS: The Telegraph: https://www.telegraph.co.uk/politics/0/dranthony-fauci-had-publicly-disagreetrump-allowed-terrible/ Anthony Fauci exclusive interview: 'When I publicly disagreed with Trump he let terrible things happen' Good Morning America (ABC) with George Stephanopoulos; CBS This Morning with Gayle King and Anthony Mason; PBS "GZERO WORLD" with Ian Bremmer; White House Press Briefing - I outlines therapeutics and the new FDA updated guidelines to companies for handling variants; Fireside Chat with David Rubenstein upon my receiving the 2021 Great Americans Medal from the Smithsonian's National Museum of American History; Reuters online TV interview with Julie Steenhuysen; i24 TV News (Israel); Fireside chat with Leon Panetta at his Panetta Institute for Public Policy. Confirmed Cases (Thousancs) a0 BLS Ered afi2 aylg ela eal 6/28 28,000,000/500,000 New Daily Confirmed COVID-19 Cases In the U.S. ed TyL2 Tyg aa BrLe ayaa saa Prd Svia 2020/2021 aya0 an? ILL SH RS R RPS SR FH S Sof a oc ff nan a Ff FF FS nm WW on aoaow I -- 28,100,000/501,200 ala aL? Wal afr aria avaL
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February 23, 2021 - Global -111,400,000/2,500,000; USA - 28,000,000/500,000 Had great call with Barbra Streisand. She called my cell at 6:05 PM. She has recently had zoster with lesion on hip/buttock. She has post-zoster neuralgia down her leg, but the primary lesion had healed. She wanted to know if it was OK to get the mRNA vaccine. I told her yes. We then stared discussing life in general. I told her that I work listening to her songs on ALEXA. She really did not know what ALEXA was. I accidentally butt called her later in the evening and she said that she was going to call me anyway since she wanted to know if there was any difference between the Moderna and the Pfizer product. I told her none. I then explained to her more about ALEXA. I brought the phone over to ALEXA and asked to play "Songs by Barbra Streisand". When the song came on loud and clear, she started laughing and absolutely loved it! PRESS: Yahoo News Interview
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February 24, 2021 - Global - 111,800,000/2,500,000; USA - 28,100,000/501,200 The PBS team is here today filming their documentary. Received the 2021 Larry Foster Award for Integrity in Public Communication from the Arthur W. Page Center (Donald P. Bellisario College of Communications of Pennsylvania State University PRESS: -- 28,000,000/503,600 iid.nih.gov>
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Feb. 24, 2021 at 9:36 p.m. UTC
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Feb 24, 2021
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Feb 24, 2021
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Feb 24, 2021
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Feb 24, 2021
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February 25, 2021 - Global - 112,200,000/2,500,000 USA - 28,000,000/503,600 Cases continue to come down, but yesterday was 1st day that cases actually started to back up a little. Could be artifact. Variants gaining much attention. The B1.427/429 in California is spreading in CA and seems to be somewhat more transmissible. The new B.1. 526 in NYC is also troublesome and spreading. Issue with J & J. VRBPAC will meet on Feb. 26 (tomorrow). Big Day at the White House - Met with POTUS and VPOTUS in the Oval office for our weekly briefing on COVID. In Oval with us was Jeff Z, Natalie Q; on screen weas Rochelle and Marcella. I presented the options for the upcoming ruling on J & J for EUA. Data on >60 WITH comorbidities doers not look good. Overall USA efficacy 72%. I also described the Moderna efforts to do with NIAID Phase 1 trials with a boost to previously vaccinated and prime/boost for previously not vaccinated people using the B.1.531 (South African variant). Then went with the POTUS and VPOTUS to South Court auditorium to watch NIH OMS nurse Elizabeth Galloway administer mRNA (Moderna) to 4 volunteers to celebrate before a packed press the 50 millionth vaccine within 37 days of Biden Presidency Then went to do PSAs with the White House digital Comms team. They all wanted selfies with me. Had 5:00PM call with Janet Woodcock, Francis Collins, John Mascola, Cliff lane, Peter Marks, and we decided that it would be best to recommend and EUA for people younger that 60 years old because the >60 years with co-morbidities had only a 42% efficacy. Had 6:30 PM talk led by Bechara Choucar and including me, Rochelle and Marcella at the request of Jeff Z to discuss what two vaccinated people can do together. We were getting criticism that we were not using common sense to tell people that they can now relax a bit and enjoy each other. Example I give in being able to hug Jenny now that we are both vaccinated. Th right wing crazies at FOX have been criticizing me for not recommending loosening up. I have true to not get ahead of the CDC sine I feel stringy that two vaccinated people can act together like there is no outbreak. However, in society, this would be different. My point is that the risk is very small and each person should evaluate the level of risk they are willing to take to start getting back to normal. I will give my professional judgment while we are waiting for the CDC to come out with some guidance. I will be on all the Sunday Shows this weekend and this is what I will say. Rochelle agrees and says that the CDC will be coming out with some professional judgment guidelines soon. E-mail from Leon Panetta:
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February 26, 2021 - Global - 112,600,000/2,500,000; USA - 28,200,000/506,800 Cases continue to fall however we're paying considerable attention to the possibility of surges associated with the variants. Of note, Pfizer is planning to do a boost at about six months in order to increase the level of neutralizing antibodies that could cover indirectly the variants. OK put together a zoom meeting for me to talk to members of the RED organization to discuss the global aspects of the COVID-19 pandemic. They were people from all over the world whom I did not recognize but several of them were apparently famous artists and entertainers. One of them was Larry Gagosian who is a very famous art dealer. The tone of the discussion and the questions was the importance of a global response to a global pandemic. In this regard I stressed, and they totally resonated with me, the importance of making vaccine available to the entire world since an outbreak in any part of the world is threatening to every part of the world. There was some nice warm interchange between Bono and I at the beginning of the discussion and throughout. He mentioned that his son has started a rock band and since his son has asthma they called the band the inhalers. Unfortunate and sad situation - Received a call from Tony DiNovi, Chair of the Board of Trustees of Regis High School, that Father Dan LaHart has been removed indefinitely from the Presidency of Regis High School. Apparently, he was involved in sexual impropriety with adult male members of the Regis community. There is also an issue of alcohol abuse. He is currently secluded in a treatment center. Tony called me because the story will likely be in the New York -- 28,300,000/509,000 Times on Monday and the press might be calling me since it is widely known that I am strongly connected with Regis PRESS: We had the usual White House press conference on the Monday , Wednesday, Friday schedule; CBS 60 Minutes PLUS (taped); MSNBC Town Hall with Joy Reid.
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February 27, 2021 - Global - 113,200,000/2,500,000; USA - 28,300,000/509,000 Had good conversation with Ashish Jha. He is a good guy and he wants to understand much better why I am insisting on a single dose of the vaccine rather than adhering to what others are suggesting about giving all one doses and then worrying about the second dose three months later in order to protect as many vulnerable people as one can. I explained to him our strategy that the major concern is the evolution of mutations (variants) that would not be covered by a less than optimal level of neutralizing antibody. We know that when we look at the in vitro data the variants diminish the efficacy of the vaccine-induced antibodies; however, the high levels of antibodies induced by the 2nd dose give some degree of protection (cushion) even against the mutants. Therefore. we are concerned that if we only give first doses and we wait three months or more to give the second dose that variants may dominate and infect the suboptimally protected people. In addition, a suboptimum level of response could actually select for mutants. In addition, there was no reason why we cannot dramatically increase the administration of doses together with the markedly increased availability of vaccine such that we can have our cake and eat it, namely, we can give a lot more first doses at the same time as we keep up with the second doses. We really need the CDC or another organization to model that. I will explain this all to Ron Klain on Sunday. I had an important conversation today led by Janet Woodcock and Peter Marks of the FDA about the J & J EUA. Also on the call were Francis Collins, Cliff Lane, and Rochelle Walensky.The subject matter was that their advisory committee (VRBAP) for consideration for an EUA for the J & J product (Ad26). The committee unanimously and strongly recommended an unqualified EUA even though the data for elderly individuals older than 60 years old with comorbidities was 42%. However, there were not enough data points to be able to make a definitive statement that there is a significant diminution of efficacy in that subgroup. Janet and Peter are very concerned since they wanted the recommendation to be that the EUA would involve people younger than 60 years old. Apparently, the AC IP will go along with that recommendation. Rochelle and I in our conversation with Jeff Zients had decided that when asked by the press we would say that this is an excellent vaccine equivalent to the other two. It might become problematic if the press focuses on that group older than 60 years old with comorbidities. The fact is that the numbers are so low that you cannot say anything about the subgroup analysis. Janet and Peter will face the press tonight. We help them to get a consistent message with ours. This is critical since I will be on four of the Sunday talk shows tomorrow. Throughout the late afternoon I was on several calls with Jeff Z who kept on checking with Ron Klain regarding what the right approach would be when asked on TV about what people who had both doses of vaccine could do with each other such as having a dinner with )00; USA - 28,400,000/5 10,800 the shows and said that I was fabulous. family and a few guests all of whom were vaccinated. Ron was quite concerned that I not go too far out on a limb and say that vaccinated people can safely interact with unvaccinated people in a household setting. Ron was also concerned about the issue a vaccinated people interacting with unvaccinated children. Finally after many calls going back and forth between me and Jeff and then between Jeff and Ron and back to me again we decided to have a 3 way call among Jeff, Ron, and me. We worked it out such that I will say that I am comfortable with adults in a small gathering within the home not wearing masks as long as everyone was vaccinated. Importantly, I would stay that the CDC would be coming out with recommendations in the next couple of weeks. PRESS: On Saturday Night Live played by Kate McKinnon: Pop Culture SNL dreams up a Fauci-hosted game show where contestants vie for the vaccine Travis M. Andrews
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Feb. 28, 2021 at 12:51 a.m. EST
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February 28, 2021 (Sunday) - Global - 113,500,000/2,500,000; USA - 28,400,000/510,800 Big topic on the Sunday shows (see below) was the EUA Issued by the FDA for the Johnson and Johnson adeno virus vaccine. Also, there is concern that I expressed about easing up on prevention modalities since the decreasing slope up infections is starting to show signs of plateauing. On Face the Nation( see below) Margaret Brennan showed a clip of me being portrayed on Saturday Night Live by Kate McKinnon. Also, the governor of South Dakota Kristi Noem said that I was almost always wrong. She claims that the most important parameter of how well you are doing is how you maintain hospital capacity. When Margaret play that clip I was kind to the governor by saying different states do different things and in different ways, whereas I might have pointed out that her state has the most deaths per capita by COVID-19 than any other state in the country. Got a call from Jeff that Anita Dunn saw me on all the shows and said that I was fabulous. Flattening of decline concerning. We shall see what happens in the coming days and weeks. NATIONWIDE COVID-19 METRICS. 7-DAY AVERAGE LINES Apr 1- Feb 286 Daily Tests Feb 28: 1,346,785 7-Day Avg: 1,487,999 Feb 28: 54,288 Daily Cases 7-Day Avg: 67,114 Currently Hospitalized 7-Day Avg: 52,083 Feb 28: 47,352 Daily Deaths Feb 28: 1,049 7-Day Avg: 1,895 2.3M 2.2M 2.1M 2.0M 1.9M 1.8M 1.7M 1.6M 1.5M 1.3M 1.2M 1.1M 1.0M 0.9M 0.8M 0.7M 0.6M 0.5M 0.4M 0.3M 0.2M 0.1M Apr Jul Oct Jan1 325,000 300,000 275,000 250,000 225,000 200,000 175,000 160,000 125,000 100,000 75,000 50,000 25,000 ie) Apri Jul Oct Jan1 130,000 120,000 110,000 100,000 90,000 80,000 70,000 60,000 50,000 40,000 30,000 20,000 10,000 ie) Apri Jul Oct Jan1 4,500 4,000 3,500 3,000 2,500 2,000 Apri Jul Oct 1 Jan Source: The COVID Tracking Project Confirmed Cases {Thousareds) ayia ASL 4/26 New Daily Confirmed COVID-19 Cases in the U.S. Tila 7fL9 as? ais B16 aya 3/13 Sy20 2020/2021 ae WLLL 1k 11/8 Vis LaG 1a @Single-day Record ) ralz? Liz ilo afi? 1/24 ar a9.3 ayia aad Had zoom call today with Ron Klain arranged by Jeff an included me Bechara, Marcela, Rochelle, Natalie, and others. The main topic was whether we should stick with our strategy of two doses in the usual time frame or switch to one dose and extend the interval by a couple of months before giving the second dose. Ron is concerned that in November we will be criticized for having let a few million people who would have been vaccinated remain UN vaccinated This Week with George Stephanopoulos; CNN 'the Nation '5400,000/5 12,000 ',900,000/5 13,100 because we wanted to give two doses to everyone. I was the main explainer emphasizing that the second dose gives a much higher titer of antibody that will address at least partially the inevitable evolution of variants including those from California and importantly the B.1.526. Ron did not want to tell us what to do but he wanted to make sure that we seriously considered both alternatives and were comfortable without decision to stick with two doses on the regular regiment. The ACIP recommended to CDC to implement the EUA for the J & J vaccine. Now the CDC needs to recommend the distribution and we can start distributing 4,000,000 doses almost immediately and then we will have 20 million by the end of March and a total of 100,000,000 by the end of June PRESS: Was on 4 Sunday talk shows: ABC This Week with George Stephanopoulos; CNN State of the Union with Dana Bash; CBS Face the Nation with Margaret Brennan; NBC Meet the Press with Chuck Todd.
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March 1, 2021 - Global - 113,800,000/2,500,000; USA - 28,400,000/512,000 • We did our weekly briefing of Principals - Cabinet members and deputies • Did a podcast with the New Jersey Council of Churches PRESS: NPR Radio 1A; Podcast with Kai Kuperschmidt (Science Magazine) on HIV versus COVID-19 vaccines; White House Press Conference (Routine 3x/week);Satellite Radio Tour for Native Americans; Podcast with the Interactive Advertising Bureau (David Cohen);
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March 1, 2021 at 8:38 p.m. EST
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Mar 1, 2021
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March 2, 2021 - Global - 114,100,000/2,500,000; USA - 28,500,000/513,100 Still coming down, but the slope is changing: New Daily Confirmed COVID-19 Cases in the U.S. a og Bare Tee YE tit TEE prt LTT Oye fides OZT E120 Lia BEFLT Pirie STALL BYTE TCT Sz/OC BTAOE TTS boc ants oné EVG Des ene oVe one aie eve Sit aes pis bers evs os a5 ome ol mir Sie Gre reve SWE 2020/2021 Participated in the University of Edinburgh "Futures Conversations" Chaired by Professor Peter Mathieson (Vice-Chancellor, University of Edinburgh) and involving a conversation between me and Professor Nanshan Zhong (China) and Sheila Tlou (former Minister of Health of Botswana) on the global impact of COVID-19. We spoke about global solidarity for vaccine equity. Also, spoke about the variants. Also, spoke about the approach that China took with the outbreak, i.e. complete lockdown Call from Larry Horowitz. Nancy Pelosi is angry about the fact that J & J is being equated with the mRNA vaccines since she has seen the data about the people >60 yo with co-morbidities. Also, she does not like the 72% versus 94-95% for mRNA. She is taking her annoyance out on the medical team (she has not The Vaccination Progress Report 7-day average daily doses administered by week as of 2/28/2021 DOSES PER DAY 2,000,000 1,800,000 1.7TMM/ DAY 1.7MTM / DAY 1,600,000 1.5TM / DAY 1,400,000 w, aay 1.3M / DAY 1,200,000 imM/ 1,000,000 1.4M / DAY 0.9 M / DAY 800,000 600,000 400,000 200,000 oO JANUARY JANUARY JANUARY 27- FEBRUARY FEBRUARY FEBRUARY FEBRUARY 13-19 20-26 FEBRUARY 2 3-9 10-16 17-23 22-28 ost (see below) ',900,000/5 15,300 PRESS: Podcast with Kai Kuperschmdt (follow-up from yesterday0; Seattle Gay News interview; Interview for Pritzer Forum/Chicago Council; Hispanicize PSA taping (Paola Ramos); Telemundo 52 Los Angeles; In Washington Post (see below) Fauci: U.S. must stick with two-shot strategy for Pfizer-BioNTech, Moderna vaccines Delaying a second dose to inoculate more Americans creates risks, infectious-disease expert says By Dan Diamond
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Mar 2, 2021 Source: Johns Hopkins University CSSE COVID-19 Data - Last updated 3 March, 10:03 (London time) CC BY ig and Note that Europe cases are going up. They are using the 1 dose of vaccine approach: Governors of Texas and Mississippi withdraw all public health measures such as masking and not doing indoor dining. I and Rochelle and Biden on TV saying that this is risky and illadvised. COVID-19 Vaccinations in the United States Overall US COVID-19 Vaccine I Deliveries and Administration; Maps, charts, and data provided by the CDC, updated daily by 8 pm ett Represents all vaccine partners including jurisdictional partner clinics, retail pharmacies, long-term care facilities, Federal Emergency Management Agency and Health Resources and Services Administration partner sites, and federal entity facilities. People Vaccinated Receiving 1 or More Doses Receiving 2 Doses Total Vaccine Doses Total 51,755,447 26,162,122 Delivered 102,353,940 % of Total Population 15.6% 7.9% Adieunicerea 78,631,601 Population 2 18 Years of Age 51,708,435 26,144,667 % of Population > 18 Years of Age 20.3% 10.2% Learn more about the distribution of vaccines. Read more about how these data are reported. CDC I Data as of: Mar 02 2021 6:00am ET I Postec: Mar 2 2021 12:26PM ET _ THE LAST THING 8EFORE WE GO DR. FAUCI'S EERILY ACCURATE PREDICTION PRESS: BBC Scotland Morning Radio Show; Black News Channel with Kelly Wright; Brandeis Webinar with Atul Gawande and Elizabeth Rosenthal; Town Hall with United Food and Commercial Worker Union; CNN with Erin Burnett; My prediction, one year ago on NBC reported here by brian Williams: One year ago, Fauci predicted how bad a Covid pandemic could be In March 2020, Dr. Anthony Fauci spoke with NBC News Chief Foreign Correspondent Richard Engel before Covid-19 became a global pandemic. MSNBC's Brian Williams shares how shockingly accurate Fauci's predicted ended up being. ,600,000/5 17,200 New Daily Confirmed COVID-19 Cases In the U.S. a0 AEE Tie PIT tit TEE bt LTT owe E/T fides OZT ELT Bestt ZEEE STIL BYEt TET Sz/OC TTS ants one oye Ga aif one Big eye ot Bes THs Pra one ol mir ait tas SWE 2020/2021
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March 3, 2021 - Global - 114,400,000/2,500,000; USA - 28,500,000/515,300 Still plateauing: New Daily Confirmed COVID-19 Cases In the U.S. a0 i 230 z:: z > 2 q fal i E &§ 'al too o Re Re Re I a ok i a aes BR ia BER THERE PTR RRR PRR ES OP RE Ew SS TS EP SSSR RES SSR SR GE TERE ER NRG SR 2020y 2021 Daily new confirmed COVID-19 cases per million people er Shown is the rolling 7-day average. The number of confirmed cases is lower than the number of actual cases; the main reason for that is limited testing. Cunear I tos Europe South America ---- North America Asia I --- Africa - ~ Australia an 1, 2020 Apr 30 Aug 8 Nov 16
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March 4, 2021 - Global - 115,000,000/2,600,000; USA - 28,600,000/517,200 Continuing to plateau: Governors of Texas and Mississippi are pulling back on all public health guidelines such as masks (removing the mask mandate), physical distance, crowds. Press slamming them for thisand Rochelle and I are being asked about this on every media hit. Had very good discussion with Dr. Soren Brostrom, Director General of the Danish Health Authority Danish representative on the WHO Executive Board AND Lone Dencker Wisborg, Danish Ambassador to USA on Global Health matters and potential collaboration between USA and Denmark in global health security and pandemic preparedness. Also met with Congressman Espaillat regarding variant B.1.526 in his district in NYC. Had back and forth with Jeff and Rochelle regarding the guidelines that CDC is preparing on what people who are vaccinated can and cannot do. Jeff Wants to make sure that I am comfortable with the guidelines. I looked at them in the usual manner the CDC had too many qualifying statements in there that were necessary. Jeff had a problem with putting a vaccinated person in the same room with a person who is not vaccinated and not using masks. I convinced him that we should assume the very small risk and if the person who is not vaccinated is of low risk, then one does not have to wear a mask. Jeff was very sensitive in not having the White House interfere and so he went along with my suggestion that actually agreed with the CDC, except for the fact that they were not precise in their wording can I edited their document some what. The bottom line is that we would say that two vaccinated people can be indoors together in a home setting without masks or physical distancing. In the home setting, where one person is vaccinated and the other person is not, the vaccinated person has a minimal risk and attention ',600,000/519,100 New Daily Confirmed COVID-19 Cases In the U.S. a0 o cel rm g& a arr Tet bit aft TEC yet Oe E/T Leet ORT ETE GETT czvtt SULT BYLL TET THA ts ozs We OES SVE ee 2/8 Laid Bie We Eta) TE pis ufo TENS pers ews ons eG Ela Bir yr Pras fre SWE 2020/2021 1ed about should be paid to the risk of the unvaccinated person. If the person who was not vaccinated is of a low risk then they can do away with masks and can be together. If the person who was not vaccinated is of high risk of severe disease then the vaccinated person needs to wear a mask. I worked with Rochelle and returned the document to her.Let us see how it ultimately turns out I received the AmFAR "Award of Courage" on a virtual Gala tonight. The award presented to me (recorded) by Julia Roberts PRESS: MSNBC "Morning Joe" with Joe Scarborough, Mike Brzezinski, and Willie Geist; Interviewed with Alexis Papachelas of Greek Kathimerini Newspaper; WTOP with Mike Murillo (Online and Radio); NPR with Rob Stein; Town Hall with Blue Star Families; CNN "The Lead" with Jake Tapper; CBS Newspath with Jon LaPook; NBC with Lester Holt - doing special of last photos that people took before the Pandemic struck. I showed photo and gave interview about that 2019 Christmas Eve dinner at my sister's home; Interview with The Atlantic with James Hamblin on COVID-19 epidemiology
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March 5, 2021 - Global -115,300,000/2,600,000; USA - 28,600,000/519,100 Plateau maintaining: Briefed POTUS and VPOTUS virtually. He was in Oval. I was at NIH. I explained about variants and how the "cushion" of antibodies provided by the 2nd dose of vaccine give considerable protection against severe disease SOUL-CRUSHING PATH ',700,000/521,300 NATIONWIDE COVID-19 METRICS. 7-DAY AVERAGE LINES
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March 6, 2021 - Global - 115,700,000/2,600,000; USA - 28,700,000/521,300 Had pre-brief with the WH comms team (Courtney Rowe, Ben Wakana, Kate Berner, Mariel Saez, Ian Sams, etc for my appearance on Face the Nation tomorrow (Sunday). 7day average is not exactly plateauing, it is just flattening a bit: Company Platlonm a Non-clinical results f who got Fs vaccine MANA T 2 FS Neutralizing Abs: Strong I "15,000 mRNA in lipid Thi CD44, CDB«: moderna nanoparticle protection from challenge (macaques) BNTI62b2 Z Neutralizing Abs; Strong I ~18,000 eS Pfizer mRNA in lipid Thi CD44, CD8+: nanoparticle protection from challenge (macaques) JNJ-78436725 Neutralizing Abs; Strong I "22,000 === Non-replicating Thi CD4+ > Th?; (Da; US, Latin human challenge protection America, adenovirus/ DNA [macaque] 5. Alrica AZD 1222 Z Neutralizing Abs; Strong I "8588 Non-replicating Thi CD44 > Th?: Cbd: Astrazeneca I Chimp Adenovirus- protection fram DNA challenge (macaques) NVX-Cov2a73 Neutralizing Abs; Strong I "9700 NOVAVAX, spike protein/RBD + Thi CD4 > Th2; challenge I (Phase 3 Matrix M adjuvant protection (macaques) WK: 2b SA) Ad26 and Ad5 MAbs; IFIN-y secretion ~14964 Sputnik v adenovirus/ONA PMBCs, cellular response S cinavar' I Inactivated virus Antibodies (T cells next) I 12500 ds ',800,000/523,000 Protection from COVID severe dz [some at home) Protection fram hospitalization from COVID-19 Efficacy against milder COVID '5800,000/524,000 97% (30 cases in 94.1% alter #nd placebo arm: O in dose vaccine reported but hospitalized] 1 severe per FDA) 100% (9 cases in 95% Placebo arm; 0 in vaccine- 1 initially severe but not) 85.4% acrass 3 sites I 727% U5: 68% (7 deaths, 16 Latin America; hospitalizations, all! I 64% 5. Africa placebo arm) (96% B1.351) 100% (15 in placebo I 70% overall: = all hospitalized: 0 76% 1 dase: 5. in vaccine) Africa trial halted for mild 100% (but only 1 96%; 89% B11? severe in placebo; 0 I UK; 60% 54 in vaccine) (94% B.1.351) 100% (20 in placebo; I 91.6% 0 vaccine) 82% (tz needed) 50.7% across GOP at the local level are trying to pass laws that suppress minority voters such as saying that you cannot give food to people who are waiting in line for hours to vote. This disproportionately affects African American voters. PRESS: MSNBC with Tiffany Cross;
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Mar 6, 2021
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March 7, 2021 - Global - 116,100,000/2,600,000; USA - 28,800,000/523,000 Status of vaccines in USA from Monica Ghandi: The intensity of both my popularity and of the hate that the far right have of me increases: Fauci.pdf PRESS: CBS "Face the Nation" with Margaret Brennan
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March 8, 2021 - Global 116,500,000/2,600,000; USA - 28,800,000/524,000 Plateau starting to come down" New Daily Confirmed COVID-19 Cases in the U.S. a a7 afE ane Te bE iE TEE Vt Oye tceee oz20 ETL Set Gz/LT reset STALL BYE TEE SEAL BT AOE TTS BOL ons [ari OES ene oye eta Ha Lia Bit eye 'wit aes pis brs LTS avs 2/5 Sire our zie anye ane SWE 2020/2021 Had a very nice and informative discussion with the minister of foreign affairs of Bosnia and Herzegovina, Bisera Turkovic. She is in a very difficult situation in that she was promised vaccine from CoVAX; however, they have not come through on their promise. Therefore, she is asking me as a trusted person for suggestions on how she might address the outbreak in her own country. As of February 22, 2021 there have been 128,000 cases and 5000 deaths in Bosnia and Herzegovina. I could not help her very much except to encourage her to have her people continue to wear masks and observe appropriate public health measures. I also suggested to her that she tried to make a deal with the Russians to try to get some of their vaccine. I also suggested that are possible long range solutions to try and get some of the surplus vaccine that would be left over after the USA vaccinated its entire population. She was very grateful for the discussion. Was on panel with President Clinto Chair) for a discussion of the shortage of oxygen in the LMIC. Also there were: Joy Phumapi and John Nkgengasong • Received the Tufts University Presidential Medal and did a Zoom Q and A with the Dean of the Tisch College of Civic Life at Tufts PRESS: Interview with Sarah Owermohle for Politico; White House Press Conference; Axios interview about March 11 - with Naomi Shavin; Fireside Chat with National league of Cities; Fireside Chat with Tufts University Dean of Tisch Colege on the occasion of receiving the Presidential Medal; CBS New Radio, Los Angeles interviewed together with L.A. Mayor Eric Garcetti 100,000/525,000 New Daily Confirmed COVID-19 Cases In the U.S. a0 124.3 tfE anir Tez bit ft TEE pat fut ont fEEL eNce ELT SEL Gzyet EEC ia BLT Tat 5z/or TTA Fray tai EWG En) nese ents oye gee ait zit ET aga Tes Ela oy zie ste GzyE Eta SWE 2020/2021
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March 9, 2021 Global - 116,900,000/2,600,000; USA - 28,900,000/525,000 Oops! See below. Likely a fluke: • Had a very nice virtual ceremony inducting me as a Honorary Fellow into the Royal College of Physicians of Ireland by its President Dr. Mary Horgan. Bill Powderly (Washington University of St. Louis) connected us. Mary had taken an infectious Diseases fellowship at Wash U. • Did Fireside Chat with Paul Kelly (Chief medical Officer of Australia) on the differences between COVID-19 in USA and Australia. Sponsored by CSIS (Steve Morrison and Katherine Bliss) COVID-19 Vaccines Cheat Sheet: Access Edition (Hirer) BIOTECH Pfizer / BioNTech mRNA moderna Moderna mRNA aed Gamaleya Viral Vector (AdS/Ad26) VY me ° Sinopharm/Beijing Inst. Inactivated #) ORPORD patrazereca 2 Oxford /AstraZeneca Viral vector (ChimpAd) Gehmnenifoheren J&J Viral Vecotr (Ad26) @ sinovac SinoVac Inactivated About Variants 95% (95% Ck: 89.3 -96.8%) 94.5% (95% CE 90.3-97.6) 91.6% (95% 0185-6 - 95.2) 72.5% (standard dose) (95% Ck 52 ~72%) 66.1% (95% Ck: $5.0 -74.8) (95%. CE 35 62%) 299% >99% 99% 99% 299% 299% No No Yes, but efficacy result does not reflect SA data yet Yes No 2 doses / 3 weeks 2 doses / 4 weeks 2 doses / 3 weeks 2 doses / 3 weeks 2 doses / 4. weeks 1 dose 2 doses / 2 weeks Deep freeze Feezer / refrigerator stable for 30 days Feezer TBC Refrigerator stable for 6 months Refrigeration Refrigeration $15-19 $15-37 $10.00 $2-5 $8-10 1,3 Billion 600M-1 Billion 1 Billion 1 Billion Up to 3 Billion 1 Billion 1 Billion US., EU., other countries. US., UK. EU, other countries Early use in Russia. use in other countries Egypt, other countries UK, EU, other countries Emergency use in U.S., Bahrain Brazil, other countries. China, U.ALE., Bahrain. China All viruses mutate, and the SARS-CoV-2 virus is no exception. This means variations in the viral genome occur when the virus replicates; over time, these mutations may get passed along as the virus is transmitted from person to person. Scientists have identified multiple prominent variants of SARS-CoV-2 that are now circulating around the world. How well COVID-19 vaccines protect against emerging variants is a vital question. Vaccines that have been tested more recently, and in places where new variants are circulating widely, offer some answers. For example, the J&J vaccine was found to be 57 percent effective against moderate to severe disease caused by the variant first identified in South Africa (and 66 percent effective against all variant encountered during Ph.3 testing), while the AstraZeneca-Oxford vaccine did not protect clinical trial volunteers from mild or moderate illness against this same variant. The Pfizer/BioNTech and Moderna vaccines -- the first to show high efficacy and gain FDA Emergency Use Authorization -- were tested earlier in the epidemic, before these variants emerged, and scientists are still learning to what degree variants will impact the effectiveness of these vaccines. Vaccines can protect people in multiple ways. They can reduce the likelihood of contracting a disease, reduce the risk of severe illness, and/or reduce the chance of onward transmission. While COVID-19 vaccines show varying levels of protection against symptomatic illness (overall efficacy in the above chart) -- available data from Ph. 3 trials show they have all done a spectacular job at preventing hospitalization and death, even against emerging variants. * Per dose (not including delivery costs) Last updated March 5, 2021 Continued on page 2 '9,000,000/526,200 PRESS: NPR "All Things Considered" with Mary Louise Kelly (done together with Francis Collins); VICE TV Documentary Taping; Gray TV Special with Greta Van Susteren; Did podcast with Tom Inglesby from Hopkins;
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March 10, 2021 - Global - 117,300-,000/2,600,000; USA - 29,000,000/526,200 Had a very moving tribute to me upon the receipt of the Yale University School of Management "Legend in Leadership" Award from the Chief Executive Leadership Institute. Moving comments by Albert Bourla (Pfizer), Alex Gorsky (J & J). PRESS: CNN "New Day" with John Berman; Interview with Carolyn Johnson of the Washington Post; Instagram with Eugenio Derbez (Mexican-American entertainer) Historical comparison of the vaccine efforts of Trump versus Biden in NY Times article by Sharon La Franiere: ,100,000/527,700 Biden Got the Vaccine Rollout Humming, With Trump's Help Trump administration officials grumble that they laid the groundwork for surging vaccinations, but some hard work in the trenches has helped pick up the pace of production. See link below: https://www.nytimes.com/2021/03/10/us/politics/biden-coronavirus-vaccine.html
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March 11, 2021 - Global -117,800/2,600,000; USA - 29,100,000/527,700 Had Zoom with Jeff and the team to go over the POTUS speech for tonight to commemorate the 1 year anniversary from the time (March 11, 2020) when the WHO declared this a pandemic of global health concern and we shut down travel from Europe. This was a big day for me 1 year ago - (go back to notes of March 11, 2020). Also, I have been pushing with Jeff and Rochelle to have the CDC be a bit less "risk averse" in their recommendations of what a person can do USA Global - New Daily Confirmed COVID-19 Cases In the U.S. a0 a4 Lfe Ehard THz biz it TEE bey Eve Oe iT {280 OzEC ELT BEsLT para STL BITE THLE gzot TTS nts Oni ETS Des Eve oye Fa.) Elsa Bite zt at Eta) Te Sete our miir GzyE Eta SWE 2020/2021 once they are fully vaccinated. The CDC really needs to step up and give recommendations for travel, workplace, houses of worship. They are dragging their feet. I am gently coaching Rochelle to go by her own instincts and not always yielding to the rigidity of the career CDC staff. • Had Zoom call with Gov. Dan McKee of Rhode Island asking advice about the next few weeks and his plans for the state PRESS: NBC "This Morning" with Savannah Guthrie; ABC "Good Morning America" with George Stephanopoulos; ESPN "First Take" TV with Max Kellerman, Stephen A. Smith, and Molly Qerim Rose (discussed my 5 favorite athletes); Podcast ("We Can Do This") with Robin Roberts; CBS Evening News with Norah O'Donnell; Filmed Stephen Colbert for tomorrow night; MSNBC - Rachel Maddow
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Mar 11, 2021
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March 12, 2021 - Global - USA Still plateauing: Briefed the Principals for our weekly briefing. I showed the replication cycle of SARS-CoV-2 and the vulnerable targets for direct anti-viral therapy David Kessler together with Rick Levin (formerly of Yale) made a proposal to provide through the congress 5 billion to me and NIAID to decide how we wanted to put together a "vaccine manufacturing plan that would involve everything from the fundamental research going into pandemic preparedness to the actual manufacturing of 300,000,000 doses of vaccine per year. .200,000/530,700 '9,200,000/53 1,800 New Daily Confirmed COVID-19 Cases In the U.S. Confirmed Canes (Thousards| a0 Bi aya as ayflz ayo a2 of Sia svi? S24 Sai ea Gal ei28 r= Wiz Wi Ty26 Bfe ary efia ayaa oN la gyao ST TLL Tay LB Li? qa afi? WaL air ziLa WoL ay28 ay This is an extraordinary offer then I will have to sit down with my team particularly John Mascola who was on the call with us to determine what aspect of this multifaceted plan that David proposed would be owned by us here at NIAID versus what we would give to HHS/ASPR/BARDA. I asked John to think about a team that we could put together in the beginning of the week to come back to David with a plan. Obviously, we will have to go 2 Francis Collins and thoroughly briefed him and get his buy in. PRESS: Zoom interview with Spike Lee for a documentary that he is filming; Politico by Sarah Owermohle and Erin Banco Fauci takes on a new role: Biden's Covid whisperer Few others cast as long a shadow as Fauci -- who over the last year has given America a crash course in epidemiology -- especially with top health posts vacant.
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March 13, 2021 Global - 118,800,000/2,600,000; USA - 29,200,000/530,700 PRESS: Filmed with Mark Manucci for PBS
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March 14, 2021 - Global - 119,200,000/2,600,000; USA - 29,200,000/531,800 300,000/532,400 New Daily Confirmed COVID-19 Cases In the U.S. a0 a PIE LE anit THe brit aft TET bet at ont feREe ETRT GET TET STALL B/TT TEAIT ine One Ele Ene ELE fa ogre Bit fated St Ea Tes prs ao bea ys ons as Gly zi ons tre SWE 2020/2021 PRESS: NBC "Meet the Press" with Chuck Todd; CNN State of the Union" with Jake Tapper; Fox News with Chris Wallace; Gray TV "Full Court Press" with Greta Van Susteren
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March 15, 2021 - Global - 119,600,000/2,600,000; USA -29,300,000/532,400 Got call tonight from Larry Horowitz saying that Drew Weissman and his collaborator are planning to hold a press conference to discuss their studies in mice showing that an intramuscular injection of the mRNA vaccine leads to an immune response in the amniotic fluid of the pups in a pregnancy model. The FDA has already received the DART (Development and Reproductive Toxicology) studies from Moderna and Pfizer. According to Emily these studies were clean. The FDA has heard about the Weissman studies and feels that they are invalid. The two companies also feel that the studies are invalid. However, we cannot blow them off for obvious reasons. Even if the Weissman studies prove to be invalid, the fact that they are holding a press conference is going to create a huge mess. Hopefully, we can get this sorted out and have a repeat of studies to counter this finding. More later. Jeff Zients has heard about this and called me tonight at 9:30 PM. I told him we have to get the FDA out their showing that they have DART studies and explaining what their studies showed. Cases coming down: Yet Europe is seeing an upswing of cases resulting mostly from B.1.1.1.7: '9,300,000/533,100 Today I received on a virtual zoom the Ivan Alan Award for Social Courage given by Georgia Tech University and it's President doctor Angel Cabrera. There was a video about my accomplishments and Rochelle Walensky joined us to celebrate the award. Rochelle was very generous in calling me her hero, her mentor, and her friend. I should point out at this point that Rochelle has become closer and closer to me in our very collegial relationship. In addition, I should point out that I have been getting a number of awards and prizes that I had not even documented in these notes. It is a shame that things are moving so quickly that I don't even have time to savor for a moment the many awards that I have been getting. PRESS: Did White House Press briefing today with Rochelle and Andy;
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March 16, 2021 - Global - 120,000,000/2,700,000; USA - 29,300,000/533,100 I took the led in pushing Janet Woodcock (FDA) and Rochelle Walensky (CDC) to make sure that all their ducks were in order. In fact, Janet checked and both Pfizer and Moderna had clean DART studies on record and CDC was following closely 2000 vaccinated pregnant women from a cohort of 31,000 and no red flags. All good so far. Participated in a very nice function at the National Cathedral where Francis Collins and I and Eliseo Perez-Stable gave brief remarks to various ministers from surrounding counties such as Montgomery, Arlington, Fairfax, District of Columbia, and others. The purpose was to have these African American pastors get publicly vaccinated in the cathedral so that their constituents would follow. It was one of many outreach efforts that Francis and I and others have been doing over the past months to stimulate interest in getting vaccinated. Summary of vaccines below: Company Platform Non-clinical results #who got Protection from Protection from Efficacy against vaccine hospitalization COVIDseveredz --_--milder COVID from COVID-19 (some at home) mRNA-1273 Neutralizing Abs; Strong 97% (1 in vaccine I 97% (30 cases in MRNA in lipid Thi CD4+, CD8+; arm after 2nd --_| placebo arm; 0 in MOderNd panoparticle protection from dose vaccine reported but challenge (macaques) hospitalized) 1 severe per FDA) BNT162b2 I Neutralizing Abs; Strong I~18,600 I 100% 100% (9 cases in I 95% MRNA in lipid Tht CD4+, CD8+; placebo arm; 0 in nanoparticle protection from vaccine- 1 initially challenge (macaques) severe but not) JNJ-78436725 I Neutralizing Abs; Strong I~22,000 I 100% 85.4% across 3 sites I 72% US; 61% Non-replicating Thi CD4+>Th2; CD8+; I US, Latin (7 deaths, 16 Latin America; human challenge protection _| America, hospitalizations, all I 65% S. Africa adenovirus/ONA (macaque) S.Africa in placebo arm) (96% 81.351) 'AZO 1222 I Neutralizing Abs; Strong I ~8588 100% 100% (15 in placebo I 70% overall; % Non-replicating Thi CD4+ > Th2; CD8+; = all hospitalized; 0 I 76% 1 dose; s. Astrazeneca I Chimp Adenovirus- protection from in vaccine) Africa trial DNA challenge (macaques) halted for mild NVX-CoVv2373 I Neutralizing Abs; Strong I ~8833 100% 100% (10 severe in I 96.4% UK]89% NOVAVAX spike protein/RBD + Thi CD4 > Th2; challenge I (Phase 3 placebo in UK/SA; 0 I B117 UK; 55% Matrix M adjuvant protection (macaques) _| UK; 2b SA) in vaccine) 'SA (94% 81351) Sputnik y I A@26and ads I NAbs;IFN-ysecretion I~14964 -- I 100% 100% (20 in placebo; I 91.6% adenovirus/ONA PMBCS, cellular response vaccine) '9,400,000/534, '9,400,000/535,200 1d PRESS: MSNBC "Morning Joe" with Joe Scarborough; ABC "GMA3" with Jen Ashton; Wall Street Journal - CEO Council with John Bussey; Podcast with The Economist; National Cathedral Function with Press