December 8, 2014 - I am getting particularly concerned with what I feel is noncollegial

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1. 2014-12-03 00:00 Anthony S. Fauci open
   Dec. 3, 2014 - At his request, went to the Rayburn Office Building office of Chairman Timothy Murphy (R-PA). Murphy was upset with me at a recent Hearing (see above) when he said that I was making condescending statements about quarantine and why we should not have quarantines. He invited me down to his office to discuss further at a 10:00 AM meeting. With him was Committee Staffer Alan Slobodin (of past outside activity investigation fame) and Murphy's Chief of Staff Susan Mosychuk and his legislative Director Brad Grantz. Murphy had also been giving Tom Frieden grief about the same issue. Meeting actually went well - cordial, respectful. The underlying theme was still the need in his mind for quarantining of all West African entrants to USA or better restrict travel of West Africans (3 countires0 to USA and provide an "air bridge" to bring in USA HCWs. Also, he was concerned that with the latest proposal for 32 additional Ebola-ready hospitals in the USA that we should quarantine the USA HCWs after seeing Ebola patients. He was OK with just direct, active monitoring of the NIH, Emory and Nebraska HCWs, but he felt that since the other 32 hospitals were less trained and so would likely have a greater chance of getting infected, then they should be quarantined since (as a former Clinical Psychologist) he feels that people deny sxs and so he does not trust them. He is against the part of the $6.18 billion supplemental request for Ebola on the grounds that we do not needs all the additional hospitals (I actually do not entirely disagree with him as I have expressed to our own people). The meeting ended cordially.
2. 2014-12-04 00:00 Anthony S. Fauci open
   Dec. 4, 2014 - Gave Ebola talk at the new FDA facility in White Oak. Quite a place! Huge! They loved the talk. Also, new infectious diseases issue. The H3N2 component of the 2014-2015 influenza vaccine is mismatched to the early circulating ve strain of H3N2, which is predominant over H1N1 and B, the latter of which match the vaccines. The match for H3N2 is only 48%. I was on WTOP explaining this. Could be a bad influenza winter.
3. 2014-12-05 00:00 Anthony S. Fauci open
   December 5, 2014 - I participated with Ron Klain at a Georgetown University event chaired by Pres. Jack DiGoia in Gaston Hall at the Healey Building. We discussed various aspects of the Ebola outbreak. I have grown to become truly fond and respectful of Ron Klain since he assumed the position as the Ebola Response Coordinator for the USG. He will be leaving the USG employment and will return to his position as CEO of Case Holdings and General Counsel for Revolution, L.C. Also did some press with the London Times print and Bloomberg TV today. Had a call with Jack Whitescarver. I am concerned with him since he does not appear well. His hematocrit is low and he is short of breath. I believe he is having a slow gastrointestinal bleed and is likely experiencing mild to moderate congestive heart failure.
4. 2014-12-06 00:00 Anthony S. Fauci open
   December 6, 2014 - I participated at the PRIM&R conference in Baltimore where I gave the keynote address on ethical considerations in HIV/AIDS. This was on a Saturday morning. Christine is a major player in this organization and spent the weekend there. I drove to Baltimore on Friday night and had dinner with Chris at the Baltimore Hilton Hotel Bar (lots of fun) and stayed with her in her hotel room that night. The following morning (Sat. Dec. 6) gave my talk to an audience of around 2500 people and got a standing ovation. Drove back to DC and had dinner with Alec Whyte at Matisse restaurant. Caught up on stuff. Always great to see Alec
5. 2014-12-08 00:00 Anthony S. Fauci
   December 8, 2014 - I am getting particularly concerned with what I feel is noncollegial behavior on the part of the UK, particularly Dame Sally Davies (Chief Health Officer of UK) as well as the Oxford group personified by Adrian Hill and Jeremy Ferrar who are bad mouthing our randomized controlled trial idea behind our backs. However, this is the stuff that we deal with all the time. I am also getting concerned that the incidence of infection of Ebola in Liberia is so low that this may have an issue with our conduct of the randomized controlled trial in Liberia. Cliff will leave Dec. 10 for Liberia for the third time in 5 weeks. We have to consider the possibility of doing a trial also in Sierra Leone. Had contentious IC Director meeting concerning the issue of presenting reports (that I believe are flawed) to the Advisory Committee to the Director (ACD) on the Intramural research Program (IRP) and the AIDS Portfolio. Issue is that some outside group (ACD) want to homogenize the IRP to make it "trans-NIH" as opposed to being directed to the mandate of the IC in question. I am totally against this since this flies in the face of the NIAID mandate of being a "strike force" for emerging IDs such as AIDS, SARS, and dy Ebola. People like Eric Green (NHGRI) disagree with me. I do not like or trust Eric as I believe that he resents me because he is intimidated by my accomplishments and notoriety. That is life. Also, the "elephant" in the room with the distribution of the AIDS money by OAR that no one wants to address is that NIDA is spending about $180 million on drug abuse issues when ~7% of USA cases are drug abuse and one can stop this with needle exchange. I feel they should get some money, but not that much when we do not have enough to conduct vaccine trials that could end the pandemic.
6. 2014-12-09 00:00 Anthony S. Fauci open
   Dec. 9, 2014 - Participated in the The Atlantic STEM summit at GW (cold and rainy day). Was interviewed by my old media friend Frank Sesno (formerly of CNN and NPR) who now heads the Public Affairs Institute at GW. Nice crowd, good questions, well-received.
7. 2014-12-10 00:00 Anthony S. Fauci open
   Dec. 10, 2014 - Gave talk at Italian Embassy on Ebola followed by being interviewed by Ted Koppel, my old buddy from "Night Line". Great interview. Ted praised me as a national hero. Today "Time" magazine named the "Ebola HCWs" as "Persons of the Year" great choice as they put themselves in serious harm's way.
8. 2014-12-11 00:00 Anthony S. Fauci open
   Dec. 11, 2014 - Will receive new patient at SCSU. nurse ftrom San Francisco volunteering in Sierra Leone with NGO got needle stick injury taking care of documented critically ill Ebola patient. High risk exposure. Flying in today. Woods_MedEvacFile. docx Saw this evening. Donned and doffed just droplet precautions since she is asymptomatic. Showered out anyway. is comfortable, received VSV post-exposure prophylaxis. Presented Ebola talk to ACD (Advisory Committee to the Director) of NIH. Great reception. Moncef Slaoui (GSK) is member of ACD and he was cordial and agreed completely about the need for an RCT for Ebola Vaccine. Ian Lipkin (also on ACD) strongly felt against it and wants open access. Am surprised at Ian since I thought he was more of a scientist. Note that he is not a clinical investigator; he is a good friend of mine. He is moved by all the suffering and death. The Swiss Phase 1 trial on VSV has been put on hold due to 4 cases out of 39 of "arthritis" (mild). We have seen arthralgias and myalgias (expected) in our VSV trial at the Clinical Center, but not arthritis even at 10x the dose of the Swiss study. Puzzling.... Gave entrance interview with producer from CBS who wants to do a profile on me.
9. 2014-12-12 00:00 Anthony S. Fauci open
   Dec. 12, 2014 - Went to White House today for meeting 1:45 PM to 3:00 PM in the Roosevelt Room. Crystal clear, crisp and cold December day. Meeting was to review the situation with the Ebola-ready hospitals and Assessment Hospitals in the USA and to discuss the shifting of resources from Liberia (low infection rate now) to Sierra Leone (rising infection rate). Present at the meeting were: POTUS, VP Biden, Lisa Monaco, Susan Rice, Denis McDonough, Ron Klain, Sylvia Burwell, Chairman, Joint Chiefs Martin Dempsey, Tom Frieden by teleconference from Atlanta, Samantha Powers by teleconference from NYC - UN, Assistant Secretary Heather Higginbottom from State, Nancy Lindborg from USAID, Raj Shah - USAID. Ron Klain asked me to review for the POTUS the status of the vaccine plans as well as to explain the situation with the VSV adverse event of arthritis (see above). POTUS asked a few other questions of me. He referred a few times to his trip to NIH. Good meeting Did WTOP today

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