Oval yesterday
Tony's Diary Package, pp.287-289 · fauci_diary:email:00009
Page text: p.287, p.288, p.289 · original PDF
- Date
- 2020-08-11 06:59
- Type
- email · email
A very dangerous meeting in the OVAL yesterday. I had been excluded from all oval meetings
since 22April until a couple of weeks ago when the President began speaking to Tony and I and
thus the southern hot pink graphic showing the Southern outbreak. Since then I am sometimes
included in a brief meeting before his press briefing (approx. 2-3 times total). A couple of weeks
ago a Dr Scott Atlas showed up at the WH with a very different take on the epidemic. Dr Atlas
thoughts
1. No matter what we do it the outcome will be the same - in other words in most places
the virus has already run its course. There is enough herd immunity to protect the rest
of the population if we protect the vulnerable
2. Schools can open and should open everywhere - I countered that this would cause a
new round of community spread and eventually lead to new hospitalizations and deaths
- but I had no impact
3. Children are not at any risk to infection and do not spread the virus in any manner - the
do not transmit the virus
4. HTN and associated co-morbidities are not that critical - ie all BB, MLB, FB except for
line backers that are overweight are at no risk as physical fitness overcomes the virus
effects
5. Masks are over rated and not needed
6. Testing is very over rating - thus the source of the President's call for new testing
guidance
7. Case identification is bad for the President's reelection - testing should only be of the
sick
The president has decided we were wrong about "heat" and the summer and therefore our
opinions at this point are irrelevant. (As was discuss by CHOP months ago and all models
predicted outdoors (thus summer) would decrease R1 by 15-20% due to some increase in social
distancing but this could immediately be over come with decreased mitigation such as social
distancing and etc and thus the situation we are in.) He noted that it was the task force that got
us into this ditch by promoting testing and falsely increasing case counts compared to other
countries.
The conclusion was Dr Atlas is brilliant and the President will be following his guidance now. I
don't know what can be done at this point but I will make another run at this and will continue
the state by state approach to try to contain the virus but doubt my abilities to change the
President's mind concerning what needs to be done - strict mask use, expansion of testing,
strict social distancing and limiting access to all public venues where social distancing and
masks cannot be used, limit school reopenings where there is uncontrolled community spread -
the red counties - until the outbreak can be contained, limiting in yellow counties with strict
social distancing and mask use.
Open to all thoughts but I don't think I can be very effective at this point. Deb
Met with POTUS in Oval Office together with Collins, Deb, Moncef Slaoui, Gus
Perna and the entire WH staff with our group sitting in front of the desk. Meeting
was supposed to be our briefing the POTUS on vaccine progress. However, it
turned into the free-floating stream of consciousness about vaccines, treatments,
stock market, Russian vaccine, approval ratings, testing too much, influenza, etc,
etc. My relationship with him is now back on track as I joked with him a lot
during the meeting. Lasted about 40 minutes.
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Had teleconference from my home with Mascola, Dieffenbach, Mike Cohen, Peter
Gilbert, Larry Corey regarding the revealing of the AMP data (Antibody Mediated
Prevention). HPTN 703 - Women in Southern Africa and HPTN 704 - MSM and
TGW in Americas and Switzerland receiving VRC01 infusions every 2 months for
10 months. Data are clear: overall no prevention of HIV infections. However,
very clear from sieve studies that VRC01 prevented acquisition of VRC01
sensitive isolates. Big win! This is first step in a multi-mAb regimen similar to
combination ART
PRESS: Terrific Face Book/Instagram with Tiffany Haddish;
Links shared
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