RE: Testing

Extracted statements

Rule-extracted, not adjudicated. The grade says what may be done with each one; read the document above before relying on any of them.

In context

A single line often inverts meaning once you see what it answers, so neighbouring messages are always shown.

1. 2020-08-27 06:31 Anthony S. Fauci
   Brett: I am sorry that there was so much press seemingly pitting you against me regarding approval or not of the changes in the CDC guidelines. I want to make something clear from my perspective and hopefully we can move on as good colleagues. According to the press reporting, you stated that the guideline change was "approved" by the task Force including and specifically by me. If what we did was the process for "officially approving" as important a document as the CDC guidelines, then the process is clearly flawed. There was no official "group discussion" at any meetings that I was at. The document was passed around to us individually before or after a TF meeting and indeed I did quickly look at it. I considered the document as a done deal that would not change no matter what we said. To your credit, you did make one minor change that I suggested. Importantly, had I appreciated that Deb, the Task Force Coordinator, had such a real problem with it (see her e-mail below), I would have looked at it much more carefully and discussed her concerns with her in detail, and re-read it in that context. I understand from Deb that a discussion did occur at the Aug 20 meeting (see below) when I was out being operated on at GWU hospital. Upon careful examination of the document now, I see why the community is up in arms about it since that change can and is being interpreted by many as indicating that we do not believe that asymptomatic spread and thus 27 August 2020 Continued improvement in most of the original red states but increases up into AR, KS, 1A, IL, ND, SD More than 50% of deaths coming from 4 states: GA, CA, TX, FL Continued week overimprovementin cases, hospitalizations and deaths (slides 4-5) Continued improvement in mortality rates in all age groups including those over 70 (slide 6} Test positivity continues a Nationwide decline and across most of the country but increasing new positives in the upper midwest MI, IL, MN (slide 9,10) and rising test positivity in MD, SD, lA, MT, WY Included specific sections on points to consider: AZ: continued improvement but yesterday there were 100 + reported deaths illustrating the substantial lagging indicator (slide 22); AL showing improvements except rising cases in Tuscaloosa (UnivAL) (slide 23,24) Section on children (slide 29) showing most children were infected at the height of the vacation season and now improving; (slides 30-33) showing childcare outbreaks started with staff and then spread ta children and families masks for staff had a significant impact. Section on hospital reporting of COVID cases and PPE (slide34-36) significant improvement in reporting including PPE 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 inthe beach areas with high community spread COVID-19 Daily Rapart Reported on August 27,2000 Case counts Test positivity cate Forces! Lewteng pdiee [files aeerage) See Me sR || 7 yea Fs Deaths gate DOS) cadens (Death counts a a hint ie Si ler i kt Sewer Aawreyar cara reer ra aris em. Le Keer, Sarees: areroeed in oeak es wine community spread is important enough to test for it. We can argue within the confines of the Situation Room that the intent of the guidelines are clear and crisp and helpful. However, the overwhelming proportion of the public health community are baffled by these changes. This is an unforced error. I am happy to discuss with you. Again, sorry for the misunderstanding. Best, Tony Powder Attack!!! - Today, I received a letter at home from Jacksonville, FL looking like the very many letters that I get each day, usually asking me to sign a baseball card or an index card. The letter had typewritten address as opposed to WORD processor. It was very thin. I brought it o work and around 10:30 AM started opening the "fan mail". I opened this one and took out a SMITHSONIAN ASSOCIATES STREAMING single sheet of white paper that was folder in 1/3s. As I opened the folding, fine white powder essentially shot up for the paper an got on my hands, my tie, shirt ants, face, desk and chair. I immediately called Kim and told her not to come into the room but to get George and Brett (security) who were down the hall. They came and we put the letter and envelope in a plastic bag and called NIH Hazmat. The entire team came and hade me strip naked to spray me down. I then went downstair to take a long shower and put on my running shots to go home with. All my closes and everything that I touched went into a plastic bag for forensics. George and Brett took me home and we waited for the analysis that finally showed no protein (anthrax or ricin). Sheet of paper had typewritten statement: "MANDATORY LOCKDOWNS...MEDICATIONS, REAP WHAT YOU SOW. SIC SEMPER MARXUM PRODITORES. ENJOY YOUR GIFT" Alan Alda and Anthony Fauci Talk Science in Live-Streamed Smithsonian Associates Event PRESS: GOP convention dominating. Yet, much press around the CDC guidelines mess (see above); New York Times: How Dr. Fauci Found Himself Talking to Julia Roberts, Lil Wayne and Just About Any Podcaster Who Asked rgot Sanger-Katz, Sheryl Gay Stolberg dan Global USA 28 August 2020 Continued improvement in most of the original red states but worrying signs across the USA from rising cases in college towns -- included again the AL example : cases were declining now rising in Tuscaloosa (UA) and Lee (Auburn) if this results in spread to the local community this will drive another round of increased hospitalizations and deaths -- we will pull data from all college towns with Universities with more than 15,000 students : we need another call with University Presidents with student bodies over 15,000 Universities did not have an adequate plan for outbreaks from testing to isolation to containment : this has been discussed in all 21 States visited and will continue this week in the visits to MN, ND, WI, IL, Ml, PA -- concerns remain with SD Test positivity rising in lA, SD, MT, ND, WY -- most rapid rise in SD from 7% to 10% More than 50% of deaths coming from 4 states: GA, CA, TX, FL Case declines appear to be stalling -- will track closely over the weekend but day to day comparator from week to week suggests cases could be increasing next week -- driven by the IA, TN and Universities If everyone was to become infected over time with current total cases and increasing by the most optimistic prediction that 5x as many are actually infected that is 25M with 180K deaths -- that would take us to 2.2M deaths even with the improved case fatality rate -- the majority of Americans have not been exposed yet to this virus -- remember most nursing homes (approx 75%) haven't been exposed to COVID 19 -- these types of comments are not helpful Will need strong Labor Day messaging to prevent another Memorial Day spreading event that has By Quoctrung Bui, Margot Sanger-Katz, Sheryl Gay Stolberg, Noah Weiland and Kitty BennettAug. 27, 2020

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