COVID-19 Records

September 24, 2020 - Global USA

Tony's Diary Package, pp.361-363 · fauci_diary:entry:00276

Page text: p.361, p.362, p.363 · original PDF

Date
2020-09-24 00:00 (day precision)
Type
diary entry · diary
author
Anthony S. Fauci
Topics
Testing and surveillanceVaccinesBiosafety and biosecurityMedia strategy and public messaging
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)

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.

StatementGradeAttributionStance
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. quoted / not their view quoted_external inside quotation marks asserts
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) quoted / not their view quoted_external inside quotation marks asserts

In context

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

  1. 2020-09-21 00:00 Anthony S. Fauci open
    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
  2. 2020-09-22 00:00 Anthony S. Fauci open
    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
  3. 2020-09-22 00:00 Anthony S. Fauci open
    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
  4. 2020-09-23 00:00 Anthony S. Fauci open
    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
  5. 2020-09-24 00:00 Anthony S. Fauci
    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)
  6. 2020-09-25 00:00 Anthony S. Fauci open
    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
  7. 2020-09-26 00:00 Anthony S. Fauci open
    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'
  8. 2020-09-26 00:00 Anthony S. Fauci open
    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;
  9. 2020-09-27 00:00 Anthony S. Fauci open
    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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