COVID-19 Records

October 19, 2020 - Global USA

Tony's Diary Package, pp.412-413 · fauci_diary:entry:00304

Page text: p.412, p.413 · original PDF

Date
2020-10-19 00:00 (day precision)
Type
diary entry · diary
author
Anthony S. Fauci
Topics
Media strategy and public messaging
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

In context

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  1. 2020-10-15 00:00 Anthony S. Fauci open
    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.
  2. 2020-10-16 00:00 Anthony S. Fauci open
    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:
  3. 2020-10-17 00:00 Anthony S. Fauci open
    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
  4. 2020-10-18 00:00 Anthony S. Fauci open
    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
  5. 2020-10-19 00:00 Anthony S. Fauci
    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
  6. 2020-10-19 00:00 Anthony S. Fauci open
    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
  7. 2020-10-20 00:00 Anthony S. Fauci open
    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
  8. 2020-10-20 00:00 Anthony S. Fauci open
    October 20, 2020 I 7:00am I Updated
  9. 2020-10-21 00:00 Anthony S. Fauci open
    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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