A single line often inverts meaning once you see what it
answers, so neighbouring messages are always shown.
-
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
-
October 22, 2020 - Global - 41,100,000/1,100,000; USA - 8,300,000/221,400 Surging continues as does hospitalizations and soon deaths. Atlas continues to spew forth nonsense about letting children and young people get infected and just protect the vulnerable. How do you protect the vulnerable not in nursing homes, i.e. in the community. He feels that wearing masks are worthless and contact ID, MO, MT, NE, OK, SD, I AL, IA, IN, KS, KY, MS, Red states N Sta' Dark Green states (>10% positive) 5- iti 20sitive) (<3% positive) AK, AR, AZ, CO, FL, GA, IL, MI, MN, NC, NM, OR, SC, TX, VA CA, HI, LA, MD, NJ, OH, I CT, DC, DE, MA, ME, NH, UT, WI ND, NV, TN PA, WV, WY NY, RI, VT, WA 22 October 2020 Diffuse community spread in both urban and rural counties continues and we are 1-2 weeks fram these new cases filling hospitalsin urban and rural areas making load balancing difficult significantly straining the hospital system and 2-3 weeks from escalating fatalities. tt will be critical ta ensure that the North East, C4, TX, Fl held during this surge. There are early upticks across FL metros, Across the North East and upper midwest previously stable cities are seeing increases, Philly, CHI, Detroit. Daily hoepital admissions are higher than summer peak [summer curge lead to LOOK fatalities). Fatalities are increasing in IL, OH, PA, Wi, iN Overall same escalating slope from summer butin more states and ata higher baseline 36K vs 21K which will lead te potentially 80K cases/day rapidly ifthis escalatingis not mitigated, Week over week we are O-7E hiaheron average. Thisis net due te increased besting (many states have decreased testing rates) but bread and ever increasing com©munity spread. There are ne states, regions, or communities with enough prior COVID infection ta provicke ary substantial protection from new comunity spread which will lead ta hespitalizations and fatalities. This is very evident by the rising cases again across the Sunkeelt and neaving inte the Nerth Last. We are now seeing concerning trends in the Sunbelt in states that stopped most of their mitigationettorts 2 = 3 weeks ago. This sequence af events rust slop with the initial silent spread with agaressive sentine| surveillance lesting. Ggeressive besting in the contagious but asymptomatic population with isolation effectively contained and mitigated prior to infectional thee mare vulrerakehe community members. Providing appropriate isolation options for infected individuals from multigeneraticn taueee bolls will ke key. We have found from careful analysis, modelling and triangulatian of all the data that community spreadean be contreelled wit hut a lockdown as we hawe chores but the tinee be act is critical and must be with the original detection of the silerct spread, ensuring infected individuals know how to limit their infection of others and with messaging on universal masking, physical distancing, and essential limitation of publicand private gatherings indoors especially small grat herings with friends and family, Consistent mecaging about masks, physical distancing and hand watching with limitation on indoor gatherings eepecially with family and friends i¢ es¢ential at this tine point -- this it about empowerment of Americans with data for decision making. 8,400,000/222,400 tracing and isolation is actually locking down. The WH is letting him do this. Borders on criminal. Got call from Mark Meadows from Nashville with the last Presidential debate takes place. Mark said that they want to put up a plexiglass plate between Trump and Biden and Trump feels that this is a distraction. Mark called me to ask my opinion and I confirmed that it is unnecessary. The POTUS is not infected nor is Biden. Mark thanked me and a few minutes later Dr. Kens Sands (Physician for the debate) called me at Mark's suggestion to discuss the details of our data that the POTUS is no longer transmissible. I gave him eth CT number of 34.3 CT and the negative antigen tests and cultures. He was satisfied. Amazing → POTUS days I am an "idiot" and a "Disaster" and then counts on me to verify about his health.
-
October 23, 2020 Global - 41,600,000/1,100,000; USA - 8,400,000/222,400 Last night was final Presidential Debate. POTUS still insisting that we are turning the corner and all parameters are down. This is completely untrue as per the summary below from Deb Birx. Also, after the moderator brought up the fact that POTUS called me and others "idiots" he continues to say that I am a nice guy Confirmed Cases [Thousancs) So Bo So a0 zo io New Daily Confirmed COVID-19 Cases in the U.S. Dh Day eee Day Mowing Avarage E.5 but have been wrong many times. He brings up the "incomplete" quote where I say that: ".....at this time, we do not need to do anything different", yet he leaves out the second part of the sentence: "......however, it really is an evolving situation, and we have to be prepared for the worst". This was a quote from me on CNN on January 20, 2020. On Jan. 21, the 1st travel-related case was detected in the USA. On Jan. 24 the 2nd travel-related case was detected and on Jan. 30 the 1st person-to-person spread of SARS-C0V-2 was confirmed in the USA. Therefore, I was warning that we needed to be prepared for the worst even before the 1st case was detected in the USA. Also, he said again that I am a Democrat and brings up my early (and very brief) statement on masks. Fact checkers showed he lied dozens and dozens of times during the debate. • Did Fireside Chat with the Aspen Group - Sibelius, Thompson. Very well received. Had dinner at my home with Jake and Jennifer Tapper. Relaxed, good time. Jake clearly believes that Trump is totally nuts. Hit 83,000 new cases today. The single day record since the beginning of the outbreak: Surge continues: 1. 2. 3. 4, 22 October 2020 Rapid viral spread in both urban and rural counties continues and these new cases are filling hospitals in urban and rural areas making load balancing difficult significantly straining the hospital system -- we are 1-2 weeks from escalating fatalities. It will be critical to ensure that the North East, CA, TX, FL hold during this surge but there are early upticks across TX, FL metrosand across the Sunbelt, All-time record high numbers of cases expected tomorrow or next week and test positivity and hospitalizations continue to rise making it clear there is diffuse community spread and not testing -- current testing and Ag tests have not been aligned to detect the silent spread as universities have done -- Universities with routine required weekly testing has allowed universities to find the asymptomatic cases and isolated those cases quickly and dramatically decrease "community" spread among students -- the same approach can work at the community level... Across the North East and upper Midwest previously stable cities are seeing increases, Philly, CHI, Detroit. Daily hospital admissions are higher than summer peak (summer surge lead to 100K fatalities). Fatalities are increasing in IL, QH, PA, WI, MN This is not due to increased testing (many states have decreased testing rates) but broad and ever increasing community spread. There are no states, regions, or communities with enough priar COVID infection to provide any substantial protection fram new community spread which will lead to hospitalizations and fatalities. This is very evident by the rising cases again across the Sunbelt and moving inta the North East. 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 ta 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 friendsis essential at this time point -- this is about empowerment Americans with the knowledge and data for decision making. - 8,500,000/223,400 PRESS: MSNBC - Chuck Todd - Meet the Press Daily; BBC TV Andrew Marr Show; CNN with Erin Burnett
-
October 24, 2020 Global - 42,100,000/1,100,000; USA - 8,500,000/223,400 Much discussion in the press that the outbreak is out of control as we enter the cooler months. POTUS keeps saying that we are "turning the corner" and this will be under control very soon. Press pitting this against what I and other credible scientists are saying. 1. 2. 3. 4, 6. 7. 10, 11. ll oll tel 10. il. 24 October 2020 Rapid viral spread in both urban and rural counties in most states, Cases are filling hospitals in urban and rural areas significantly straining hospital personal- we willsee escalating fatalities. Cases are again increasing across the Sunbelt with upticks in the North East. Cases will continue to hit all time highs week over week as the core mitigation efforts and targeted testing for asymptomatic infection in those under are not occurring. Current testing and Ag tests have not been aligned to detect the silent spread as universities have done -- Universities with routine required weekly testing has allowed universities to find the asymptomatic cases and isolated those cases quickly and dramatically decrease "community" spread among students -- the same approach can work at the community level. Slide 2 Daily hospital admissions are higher than summer peak (summer surge led to 100K fatalities), We are now well above those daily admissions. There has not been an improvement in CRF since July (when improved by 62%) -- ensuring access to new promising therapeutics is critical Increased cases are 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 fram new community spread which will lead to hospitalizations and fatalities. This is very evident by the rising cases again across the Sunbelt and maving into the North East. 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. It is critical te act now finding the continued source of 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 profound limitation on indoor gatherings especially with family and friends is essential at this time point -- this is about empowerment Americans with the knowledge and data for decision making. 8,600,000/224,2200 25 October 2020 Rapid viral spread in both urban and rural counties in most states. 11 States are in the red zone in the orange zone (19 total) : included Alaska so FEMA can check on their capacity -- cases are primarily Anchorage >> Fairbanks Testing has been flat or declining in all but? of these 19 states over the past 1-2 weeks : cases are nat increasing due to increasing tests Cages are filling hospitals in urbarnand rural areas significantly straining hospital personal--we are now seeing escalating fatalities. Cases are againincressing across the Sunbelt with upticks in the Marth East, Cases will continue te hit all tine highs week overweek as the core mitigation efforts and targeted testing for asymptomatic infection in thase under are netoaccurring. (Lastweek we were up nearly 9k high aver high and with current slope it means we could cress LOOK in 2-3 weeks) Current testing and Agtests have not been alianed to detect the silent spread as universities have dane -- Universities with routine required weekly testing has allowed universities to tind the asymptomatic cases and isolated those cases quickly and dramatically decrease "community" spread among students -- the same approach can work at the conmnounity level. Slide 2 Daily hospital admissions are higher than summer peak (summer surge bed ta 100K fatalities). We are new well abowe these daily admissions. There has not been an improvement in CAF since July (when improved by 62%) -- ensuring access to mew promising therapeutics is critical This sequence of events must stop with the initial silent spread with aggressive sentinel surveillance testing. Aparessive testingin the contagious but asymptomatic population with isolation effectively contained and mitigated prior ta infectionaf the more vulnerable community members. Providing appropriate isolation options for infected individuals trom multigeneration house holds will be key. It is critical to act now finding the continued source of silent spread, ensuring infected individuals knay how ta limit their infection af others and with messaging on universal masking, physical distancing, and essentiallimitation of publicand private gatherings indoors especially small gatherings with friends and farnily. Consistent meeaging about masks, physical distancing and hand washing with profeund limitation on indoor gatherings especially with family and friends is eseential at this time point = this is about empowerment Americans with the knowledge and data fer decision making. Adam Silver, Commissioner of NBA, wrote me a nice letter thanking me for helpingto make the NBA season successful and safe
-
2020-10-25 00:00
Anthony S. Fauci
October 25, 2020 - Global - 42,500,000/1,100,000; USA - 8,600,000/224,2200 Confirmed Cases (Thousands) New Daily Confirmed COVID-19 Cases in the U.S. Bo ro / Wl i, F ry\ I I } N / h a0 A I ra a Fal ' i I zo Ti] 0SSH Ts Hs segues ses esresessss sy eee Fy Moving Avorage Mew Positive Tests Reported By Day Cer Larmnyees Testing (COPE caer pnt. reining es ley croe ranges af bata pilin beets "° University of Wisconsin (33K students) cf Tested only symptomatic students and thase Be exposed, Isolated and quarantined © 3500 + students infected [ Pits BS no 1S uo ae a FE al - - at FPP POP PF OP LE EEE SIE EEE BE ES ES ES Boston University (32K students) Tested all students weekly ® Found both symptomatics and asymptomatics I>75%) © |solated and quarantined 150 total students infected oti I Ht I Aug 2020 Sep 2020 Oct 2020 ty Bs, of De "a4 5 $ The slide below demonstrates why it is important to test both symptomatic ad asymptomatic people. WH (with pushing by Atlas) is saying you only show test symptomatic people, Colleges are good example See below: Ave. daily cases per million in rural areas I iy /00 The Worst Virus Outbreaks in the U.S. Are Now in Rural Areas VP and WH saying that VP is "essential personnel" and so an continue his work. Had conversation with Marc Shot by phone today. I reached out to him to offer any help or advice that he might require. He was very appreciative. Mark Meadows on TV with Jake Tapper on SOTI (CNN- Sunday) saying we cannot control the pandemic, but we will fight it with therapies and vaccines. This is the Scott Atlas approach. This is interpreted by many and played up by Biden that the administration has essentially "given up" on trying to control the pandemic and have admitted failure. - 8,600,000/224,600 26 October 2020 1. Rapid viral spread in both urban and rural counties in most states. 12 States are in the red zone 7 in the orange zane (19 total) there are now only 17 statesin light and dark green status 2. Testinghas been flat or declining since mid September so thisis net testing driving up cases but significant viral spread with rising test + 3. Cases arefilling hospitals in urbanand rural areas signiticantly straining hospital personal--we are now seeing escalating fatalities which will continue well inta December. Tracking daily hospital admissions. 4. Cases are again increasing across the Sunbelt with upticks in the Marth East. Included are major metro profiles with continued hiah plateaus (midwest metros), rapidly rising cases (Chicago, El Paso), or recent upticksin cases (NYC, BOS, Philly) 5. Cases will continue te hit all tine highs week overnweek as the core mitigation efferts and targeted testing far asymptomatic infection int those under are notaccurring. (Lastweek we were up nearly 9K high over high and with current slope it means we could cross LOOK in 2-3 weeks] Current esting and Ag tests have not been aligned te denect the silent spread -- the camrmunity of university stucbents show us that rapid Holation of asymptomatic as well as symptomatic aes nal onky stopped cammunity spread but enabled mere activities and marein person classes = controlling the pandemic community by community increases opportunities notdecreasing. The universities that did nat isolated the asymptomatic infections had many more studentsin isolation and quarantine (30%) showing the failure ofthis approach 7. There has not been an improvement in CAF since July (when improved by 62%) -- ensuring access to new promising therapeutics is erithcal 8. tis critical toact now finding the continued source of silent spread, ensuring infected individuals know how to limit theirinfection af others and with messaging on universal masking, physical distancing, and essentiallimitation of publicand private gatherings indoors especially small gatherings with friends and farnily. 9. Consistent messaging about masks, physical distancing and hand washing with profound limitation on indoor gatherings especially with family and friends is essential at this time point -- this is about empowerment Americans with the knowledge and data for decision making. Red states w stat ight Gren sta Dark Green states (>10% positive) 8% % positi (<3% positive) AK, AR, AZ, CO, FL, GA, IL, AL, IN, KY, MS, NV, SC, TX I MI, MN, NC, NM, OR, PA, VA, WY 1A, ID, KS, MO, MT, ND, NE, OK, SD, TN, UT, WI CA, CT, HI, LA, MD, NJ, I DC, DE, MA, ME, NH, NY, OH, WA, WV RI, VT Some buzz around my statement on CNN Erin Burnett that I would favor mask mandates if people do not voluntarily wear masks. I clarify with Sheryl Stolberg of New York Times that local (state, city, county) mandates (if any) are better than national mandate. Adam Silver (Commissioner of NBA) sent me a letter thanking me for helping to make the NBA season successful and safe: SKM_C754e2010251 5200.pdf
-
October 26, 2020 Global - 43,000,000/1,200,000; USA - 8,600,000/224,600 Surging continues: NWN TO THE PREVIOUS 7 DAYS CASE INCIDENCE IN LAST # DAYS AN eee LT Percent Ghange in Gases per 1K by Gounty -- in the Week 1TOC T20R0-290¢ T2020 bsg Papel Cases per 100K by Goanty -- in the Week 17OCTIO20-2POC TAO TMr, ty f q i 1. Crowds are POTUS insists on having large rallies 1 week before the election. Crowds are close together, many without masks. He is desperate and defiant. On Friday, October 23, the FDA's FDA's Vaccines and Related Biological Products Advisory Committee (VRBPAC) held a meeting chaired by Arnold Monto of Univ. of Michigan and also member Paul Offit (U Penn) to discuss the pros and cons of issuing an EUA after 50 events in a 150 event trial (such as with Moderna and Pfizer). Thankfully, they weighed heavily on keeping the trial going and not unblinding it after the first sign of efficacy, which would negate the further gathering of important data. This is exactly what we had hoped for. Much pressure from Trump and Meadows to get an answer quickly or at least promise that an answer will come quickly. With the VRBPAC recommendation, vaccine (if effective) would not begin to be distributed before January, and not November/December. Over the weekend Gil Omenn called me and said that he had a recent meeting with President Obama and the President did not want to contact me directly sine he felt that this might cause me difficulty with the Trump people. However, he wanted Gil to convey to me how proud he was of me for what I have been doing and standing for and he wanted to express to me how much he admired me. • Went to Clinical Center to visit a young woman (Leslie Adelman) who has Von Hipple-Lindau disease and had a hemangioblastoma in her cerebellum removed last week. Since she was in the hospital she asked her neurosurgeon Dr. Kareem Zaghloul if it were possible to meet me. I, of course, said yes and went to see her. Quite a time. Nurses and physicians all wanted pictures with me. Leslie was delighted. Made my day. Sign in Kensington: . Dr. Anthony Fauci 4. 10. Health Influencer MM-+M FR Global USA 2/7 October 2020 Rapid viral spread in both urban and rural counties in most states, 11 States are in the red zone & in the orange zone (19 total) Hospitalizations are rising in all state categories (red, orange, yellow, light green) except for dark green states at this time -- see daily report Rising community cases leads to rising cases in institutional workers especially LTCF in ND 62% of all LTCF have a positive staff 51% in SD and 42% in MT etc -- community spread does not distinguish between workers or the vulnerable leading to ever increasing hospitalizations and fatalities Fatality rates in people over 70 remains at 10-11% of all cases, Increased access to novel therapeutics will be needed to change this. Cases will continue to hit all time highs week over week as the core mitigation efforts and targeted testing for asymptomatic infection in those under are not occurring. (Last week we were up nearly 9K high over high and with current slope it means we could cross 90K the end of this week and 100K/day the end of the next week --its not the absolute case number but these numbers are an indication of community spread and community spread leads inevitably to infection to those vulnerable to serious complications and deaths) See slide 5 showing the greatest number of counties in the USA ever in high community spread Daily hospital admissions are higher than summer peak (summer surge led to 100K fatalities). We are now well above those daily admissions, 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. It is critical te act now finding the continued source of 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, One unified consistent messaging about masks, physical distancing and hand washing with profound limitation on indoor gatherings especially with family and friends is essential at this time point -- this is about empowerment Americans with the knowledge and data for decision making. PRESS: Yahoo Finance TV;
-
October 27, 2020 - Global USA Surges continue: AREA OF CONCERN CONTINUUM I Area of Concern Continuum by County cori tiles shay propess rach smyseet tie epidensc. Trine 250C T2020 are 7 possible ACC cassfications based on current and recent history of case and testing data forthe location: (1) LowBurden--commnuinitins with mininnal activily (2) Moderate Burden--communties with moderate disease activity (merging Hotepot-- communities with ahigh likelihood to become hotspots. in the next 1-7 days (4)Hotspot-- communities that have reached athreshold of disease activity considered asbeing offhigh burden (Sustained Hotepot--communitias that have had alhigh sustained case burden and may be higher nek for expenencing healincare resource limitations (6) High Burden--Resolving--communites that wererecently identified as hotspots and are nowimpnoving (?)Moderate Burden--Fesohing --communities that have a moderate level of burden, but are demonstrating improvement See Data Sources Vethods sides for more information. ADC Category Low or F ' Modarate Counties by ACH Cat ower tine Burden 3880) = Emerging het! Hetapot ee |e Sustained Lsoo! % Hetapat C (> te Righ ar Lead Low or Mee Bares » Moderate = a baal Lod Burdan - aa -_ camera Fiasab ing Bag ae Oe Be BI rn . TOR FO FO INO BOO BOOT OO MOG CIO B21 Great Great Fireside Chat with Sharon Lewin et al (Peter Doherty) at Melbourne, Australia. Sharon said that I am a "household name" in Australia. The Australians had zero new infections in the entire city of Melbourne yesterday proving that pure public health measures such a mandatory mask wearing ($1000.00 fine) and avoiding crowds actually works. Alyssa Farah and Roma Daravi (White House comms) are continuing to jerk me around regarding clearances for TV requests. I get 20 requests and they ignore them. We complain, and then Alyssa says that she has no problem with any of them. "Go ahead and work with Roma to schedule". Roma gives us one or two and then we do not hear from them (ignore us) for another week. All the while they are approving Azar and other docs on the task force (Hahn, Redfield, Adams, etc.) Clearly, they do not want me on Major TV, but are afraid to admit it. This must be pointed out in the book! PRESS: WAMU podcast with Diane Rehm; Carnegie Endowment for International Peace - Fireside Chat; Rolling Stone Interview with Jeff Goodell Global USA sident
-
October 28, 2020 - Global USA Went on rounds today with a patient with COVID-19 in the SCSU. When I entered the SCSU nurses' station, the group of 5 nurses screamed in delight that I had visited and we took a whole bunch of picture. Brett Rowland (security) was the photographer. White House still claiming that everything is under control and that all that matters is deaths. That is absurd. Deaths are in fact increasing; however, they are completely disregarding the morbidity associated with getting infected and not dying, which could be protracted. Here's A Timeline Of President Donald Trump's And Dr. Anthony Fauci's Relationship. USA Today (10/28, Behrmann, Santucci, 10.31M) reports, "The relationship between President Donald Trump and Dr. Anthony Fauci, the nation's leading infectious disease expert, has publicly eroded as the coronavirus pandemic has raged through the United States, with the two officials often disagreeing on issues from what drugs to use and a vaccine timeline to something as simple as the fact that COVID-19 isn't 'going to disappear.'" According to the article, "over the course of the virus' spread, Trump's relationship with Fauci, who has worked under both Democratic and Republican administrations since 1984, has vacillated from support to disdain." USA Today provides "a timeline of the pandemic, reports about their relationship, and public statements from the two men regarding the virus and each other." 8. 28 October 2020 We are now seeing both small and large metros in the previous hot spots in the spring and summer beginning to exhibit significant community spread and with cooling this spread could significant accelerate as in CHI and hit new alltime records, There is no evidence that previous experience with significant viral spread is in any manner protective of this fall surge Hospitalizations are rising in all state categories (red, orange, yellow, light green) except for dark green states at this time -- we are seeing record numbers of new admissions with no month over month improvement in thee fatality rate since July Fatality rates in people over 70 remains at 10-11% of all cases. Increased access to novel therapeutics will be needed to change this. Cases will cantinue to hit all time highs week over week as the core mitigation efforts and targeted testing for asymptomatic infection in those under are not occurring. (Last week we were up nearly 9K high over high and with current slope it means we could cross 85 90K the end of this week and 100K/day the end of the next week--- its not the absolute case number but these numbers are an indication of community spread and community spread leads inevitably to infection to those vulnerable to serious complications and deaths) This sequence of events must stop with the initial silent spread with aggressive sentinel surveillance testing. Aggressive testing of the contagious but asymptomatic population with isolation effectively contained and mitigated spread prior to infection of the more vulnerable community members. It is critical ta act now finding the continued source of 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. One unified consistent messaging about masks, physical distancing and hand washing with profound limitation on indoor gatherings especially with family and friends is essential at this time point -- this is about empowerment Americans with the knowledge and data for decision making. States will begin to react with the spring mitigation efforts but this won't control the indoor house spread. . . National Picture NEW CASES PER 100,000 LAST WEER NATIONAL RANKING OF NEW CASES PER 100,000 LAST WEEK a Kew Comes per 130K I in the Laat Weel Halicnal Malicnal ark State anit St NEW CASES PER 100,000 IN THE WEER: OME MONTH BEFORE TWO MONTHS BEFORE THREE MONTHS BEFORE = BBC PRESS: Marc Siegal "Doctor Radio" Sirius Radio; Interview with Joel Achenbach - Washington Post; JAMA Podcast with Howard Bauchner; BBC -- 8,800,000/227,000 . -8,900,000/228, Radio; CNBC - Shepard Smith; Chicago Ideas with Brandis Friedman - Brad Keywell;
-
October 29, 2020 - Global - 44,000,000/1,200,000; USA - 8,800,000/227,000 POTUS in complete denial that there is a raging pandemic and everything is spiking. He keeps insisting that we have "turned the corner" or "rounding the turn". Some potentially nefarious stuff going on. The FDA career scientists are hesitant to grant EUAs to Lilly's and Regeneron's mAb based on the current data. Alex Azar is really pushing them and furious because he thinks FDA is "slowwalking" the process so as not to have it out before the election in 5 days. Clearly, Alex wants to please the POTUS so that they can say that they have a breakthrough (similar to Convalescent plasma nonsense) right before the election. Azar then asked NIH (Collins), CDC (Redfield) and ASPR (Kadlec) to weigh in since the legislation that established the EUA process (dating back to the Anthrax situation in 2001) requires the CDC, NIH, and ASPR Directors to weigh in on EUA decisions (even though they have not done so in the past). Cliff and I had long conversation with Francis on his way down to HHS to discuss with Azar. We encouraged Francis to support the career scientists at FDA since they do not want to rush this through. They need more time to gather important information since what they have now is rather weak.