COVID-19 Records

December 11, 2020 Global USA

Tony's Diary Package, pp.527-528 · fauci_diary:entry:00364

Page text: p.527, p.528 · original PDF

Date
2020-12-11 00:00 (day precision)
Type
diary entry · diary
author
Anthony S. Fauci
December 11, 2020 Global USA Numbers continue to be stunning with >200,000 news cases each day; >3000 deaths per day; 289,000 total deaths and 15,3000,000 cases • Received a call from Ethel and Kerry Kennedy explicitly inviting up to Hyannisport for 4th of July weekend. They were so nice over the phone. They said that they loved and admired me and were so please that the Kennedy family could honor me. -15,700,000/295,000. PRESS: NY 12 TV (NY, CT, NJ); JAMA Livestream with Howard Bauchner; MSNBC with Ari Melber;

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  1. 2020-12-08 00:00 Anthony S. Fauci open
    December 8, 2020 - Global 66,700,000/1,500,000; USA - 14,800,000/283,000 Daily New Cases in the United States Daily New Cases Cases per Day Data as of 0:00 GMT+0 300k 200k 100k ; Penal I Uta rel Ps Pes i {Sto ot StS oP eb re an St Ne OS eM St Ay re Se PP a a a FF PF aah gh GF FP FF Ph Pest et oe oF oF OF TW" WT Novel Coronavirus Daily Cases @ Daily Cases 9 -@ 3-day moving average [_] ~» 7-day moving average Harvey Alter to receive Nobel Prize in Physiology or medicine to be presented to hi at NIH (Natcher) by the Swedish Ambassador to the USA. I am invited and will use this as an excuse not to attend the "Vaccine Summit" at the White House today. Trump will use it as a PR stunt to claim credit for the vaccines. Pfizer (Bourla) and Moderna (Bancel) have pulled out of attending. Biden announced his medical team today in Wilmington, DE. I was announced as his "Chief Medical Advisor". I have made a video of my message to the group since I cannot attend (see above). • Had call with Joan Baez who wanted information about the effectiveness of masks in protecting you from acquisition of infection. Also, she is worried about her son and daughter-in-law who want to travel to South America. She wants to be able to tell them that I said that it was ill-advised. • Call with Ellen Sigal and then Larry Horowitz about FDA Commissioner. Lots of rumors and the usual anxiety about candidates. Josh Sharfstein is being considered but many people are pushing back. Kessler is being considered, but most everyone thinks that this is a bad idea. Janet Woodcock is emerging as a top choice. I like that. • Much concern that we did not contract with Pfizer for enough vaccine; we just did not accept their offer to provide more. Now it seems that this was a big mistake. Press are all over this. • Nancy Messonnier called. She is concerned that Gen. Perna is making decisions without proper knowledge and/or consultation with CDC. She has had long-standing problem with him. sent them for Wall Street Journal - 15,000,000/285,000 9 December 2020 The imarovenents in the Northern Plains, Rocky Mountain States and Heartland is beingdirectly offset by the surging cases and hospitalization onthe Weit Comet, Sunbelt, MidAtlantic and NE --these nore populous states will drive this over the mest 2-2 weeks and when combined with the pending Thanksgiving surge will represent the greatest threat to hosgital systems and general inpatient care Wie ore mow beginning to see the first evidence of impact of Thanksgiving family and friend gatherings -- see slides 10-19 --there are metrosthat were declining (heartland and upper micvyest) thatare mow increasing again and there are other northeast metros thet were rising that are now rising ata mone nopad rate. By ineset week I vill be able to define this more accurately and enaure we message about the upcoming Holidays Testing declined during Thankigiving time percd and nove testing haa resumed and test positivity niging deapite the inoneaded testing indhcating Community sired 36 States are in the COVID red 2one 9 alates are in Che Orenpe bone, J slates aren Hie yellow Done and 2 states and DC in green pone Hosnitalizations are starting to rise again --the primany rise from Thanksgiving sheould be over the neat 2 wrecks There ane now 35 Statesin the red (24) and orange (111) zone lor hospitalizations of COVID cases--peneral medical care delerionated when slates enter the ned zone -- there ancimenre states in this category everday -- decisien by cO00 on who is limvunized first will determine the furbure stability of the hospital aystem and loapetalization tates - cunent plan will mo. change the pandemic dynamics impact on hospital. Fatality Gaily rates are move bevice (he Sunime: surge ane will soon excead the Soaring surge This Wilnvter surge will ba bigger, broader, and mora daadly. Bringing tagether the states of the Soaring and Sumner surge inte one overwhelming therrat increasing hospitalaiions and deaths > evenwith De inmoeations this will be catastrophic without increased milgation now -- states without adequate public polices will have the highest fatality rates per populations equal to the Spring rates despite Improvements In care dua te the lack of mitigation. We do not have enough vaccine for vulnerable Americans to change hospétalization and fatalities trends in Dec-Feb--we need to be clear to Lie vimerican foonle vaccines will hares an impact in the Soring but MOT over ther niet 3 imeenths, Behavior change and proaction testing te find hath the asyinntamiatic: and symptomatic transmitters ae our only interventions and states are still mot testing correctly to find both The movenient of the surge into pogulous states especially without adequate polices or withaut individual Americana mltigating will drive fatalities, mast states do mot have adequate mitigation policies and fatalities will continue averaging aver P500dawy 17K week, TOK! month at aiminimumn reaching over 330K by Mew Years and 4508 by the end of February without calls for action at the Federal, State, and Lecal level and using PSAs to combat the COVID myths throughout the country Itwillbe wery cvident over the newt 20 days that mitigation polickes and behavioral change saved Ives and the lack of mitigation resulted in prewentabde deaths • Katie and Stephen Miller called me to thank me for the baby gift I sent them for daughter We had a nice discussion about life after Trump. • I was awarded "Sicilian of the Year" by the Magazine I Love Sicilia PRESS: KTWV Los Angeles Radio; BBC "Hard Talk", TV and Radio; Wall Street Journal CEO Council;
  2. 2020-12-09 00:00 Anthony S. Fauci open
    December 9, 2020 - Global - 67,800,000/1,600,000; USA - 15,000,000/285,000 Deaths reached record of 3000 today! Just waiting to realize the full brunt of the Thanksgiving holiday. Trump still totally preoccupied with trying to overthrow the election. Biden carefully putting his team together +3355. skh 12n/1-13/7 +1648 1,375,502 I Me357 oi +5, i 15483 5 I 450.5% 1L/2a-11/9 1.2% +174 1,004,175 bd 140,958 ' +1), 6% 97,408 : +10.2% 10,26 ALES Vuyfi7-n23 I yo.0% bah 1,197,199 412.2% Mo07o fa BRATa ot FIN VO,7E4 476.9% Wis td-10 16 17m f +h 1,067,067 I +1 3h 128,975 H #14 eS I : ath A501} a4 11/3-11/5 BSN I 4ELEH ct 109,904} WIS. 61281 0° #1kAH A woyfe7-ay2 I 7am! +1b1% s9,399 I +157% G8 S753! +12R2% 5e09 4.0% 1020-108 I 410.3% 494,095 I w2LSM 29,165 t 4.6% 86198 : W104 5.585 I «105% 10yf19-10/19 57m I +E. 40,977 I +14.0% 3,020 i +0.1% am I *7eh 505s I 1.4% L060 12 ame of 421m asage3 I aH Pe a ee maz 0G 41H ages {I .1Sk of 2's Le I hui Tr ae TAU} +5 rT a i hae Of22-a RE am I 201460 40K 7433300) #4. 3182.28 4A SAL dak a re 289,951 +1h2% 7,024 I oT a San i 41.6% 98-5) 14 TT ee 251,781 i -LLEs 3880: SH IF I 5K 5a af L-ay7 51s I 5.6% Pr ee 53} TH 0S} 4.0 TT Pee af25-/31. 54h 3.6% 291,472 -12% Ee a962 if LK 6,433 5.1% Bs 18-324 5.6% AL7% 256,785 17.2% e780} TSH amu} 5.0% B77 BRK ph i Ln ee Ga Wo oo 11. 12. wuth -- 15,300,000/289,000 10 December 2020 The improvements in the in the Northern Plains, Rocky Mountain States and Heartland are currently holding (slide 5) and the declines are more rapid in the States mitigating -ND, 14, but Nationwide this is being offset by the surging cases and hospitalization on the West Coast, Sunbelt, Mid-Atlantic and NorthEast --these more populous states will drive cases and hospitalizations over the next 2-3 weeks and represent the greatest threat te hospital systems and peneral inpatient care By next week I will be able to better define the impact of Thanksgiving travel and gatherings rmore accurately and ensure we message about the upooming Holidays Please review the tlme sequences of cases (slides 9-14), hospitalizations (slides15-20) and mortality (slides 21-24) 36 States are in the COVID red zane 9 states are In the orange zone, 3 states are in the yellow zone and 2 states and DC in green zone Hospitalizations are starting to rise again -- the primary rise from Thanksgiving should be over the next 2 weeks There are now 35 States in the red (24) and orange (11) zone for hospitalizations of COVID cases -- general medical care deteriorates when states enter the red zone -- there are more states in this category everyday -- decision by CDC on whe is immunized first will determine the future stability of the hospital system and hospitalization rates - current plan will not change the pandemic dynarnics impact on hospitals. Fatality dally rates are now twice the Summer surge and are now passing the Spring surge priar to the impact af CA cases it will be critical that monoclonal Ab and Remdesivir are used earlier and more consistently among vulnerable Americans This Winter surge will be bigger, broader, and more deadly but can still be changed with messaging to states and health care providers. There is insufficient vaccine or prioritization for vulnerable Americans to change hospitalization and fatalities trends in Dec-Feb-- we need to be clear to the American people vaccines will have an impact in the Spring but NOT over the next 3 months. Behavior change, proactive testing, and improved use of therapeutics can change the course of this current surge The movement of the surge into populous states especially without adequate policies or without individual Americans mitigating will drive fatalities, most states do not have adequate mitigation policies and fatalities will continue averaging over 2500/day 17K/week, 7OK/month at a minimum reaching over 330K by Mew Years and 450K by the end of February without calls for action at the Federal, State, and Local level and using PSAs to combat the COVID myths throughout the country it will be very evident over the next 30 days that mitigation policies and behavioral change saved lives PRESS: Interview with Ed Yong of The Atlantic; CNN discussion of 1918 Influenza wuth Anderson Cooper (to be shown in a week); Fireside Chat with Sanjay Gupta for the Harvard T.H. Chan School of Public Health "When Public Health Means Business"
  3. 2020-12-10 00:00 Anthony S. Fauci open
    December 10, 2020 - Global -68,200,000/1,500,000; USA - 15,300,000/289,000 217,000 cases today! 1ardian of the Year" Global USA @rily new confirmed COVID-19 cases per million people Shown is the rolling 7-day average. The number of confirmed cases is lower than the number of actual cases; the main reason for that is limited testing. Cunear I toc United States Europe Canada South America Asia Africa Australia
  4. 2020-12-10 00:00 Anthony S. Fauci open
    Dec 10, 2020 I zoomed with the Novovax site investigators encouraging them in their trial and stressing the importance of recruiting minorities into the trial. The FDA's advisory committee VRBPAC meets today for Pfizer product. They recommend approving the EUA Received the Ripple of Hope Award from the RFK Foundation. Wonderful virtual ceremony with co-awardees: Colin Kaepernick, Dolores Huerta (Activist), Dan Schulman (CEO PayPal), Dan Springer(CEO, Docusign). Very warm and moving tributes. I am chosen as Time Magazine "Guardian of the Year" PRESS: CBC Canadian Radio; CNN with Chris Cuomo;
  5. 2020-12-11 00:00 Anthony S. Fauci
    December 11, 2020 Global USA Numbers continue to be stunning with >200,000 news cases each day; >3000 deaths per day; 289,000 total deaths and 15,3000,000 cases • Received a call from Ethel and Kerry Kennedy explicitly inviting up to Hyannisport for 4th of July weekend. They were so nice over the phone. They said that they loved and admired me and were so please that the Kennedy family could honor me. -15,700,000/295,000. PRESS: NY 12 TV (NY, CT, NJ); JAMA Livestream with Howard Bauchner; MSNBC with Ari Melber;
  6. 2020-12-12 00:00 Anthony S. Fauci open
    December 12, 2020 - Global - 69,500,000/1,600,000; USA - 15,700,000/295,000. FDA has approved an EUA for the Pfizer mRNA vaccine for people 16 years and older!! USG authorized an additional 100 million doses of Moderna mRNA (in addition to the original 100 million that we contracted for. Although some states that are mitigating are showing stabilization, several others are showing the impact of the Thanksgiving holiday. • Had Zoom call with Jeff Zientz and Natalie Quillian about what the Biden team should be doing as they hit the ground on January 21. I mentioned: 1) the importance of a clear and consistent message from above; 2) the importance of testing (diagnostics) for asymptomatic people for the purposes of surveillance and screening such as in schools (mentioned my conversation with Raj Shah and the Rockefeller Foundation people) about testing school teachers 2x per week and K-12 children 1x per week. Also early testing is key for early treatment; 3) Treatment - importance of early treatments with either direct anti-virals or perfect the mAb and hyper immune-Ig; 4) Make sure that vaccines are smoothly and equitably distributed. There has been much play in the media over the past few weeks about what they are calling the "Fauci effect" whereby the medical school admission have gone up about 50% over the past year due in large part to students realizing what I have been doing and able to accomplish as a physician and this is inspiring them to go to medical school. See story from NPR below: 'Fauci Effect' Drives Record Number Of Medical School Applications • Facebook • Twitter • Flipboard • Email
  7. 2020-12-13 00:00 Anthony S. Fauci open
    December 13, 2020 (Sunday)- Global - 70,200,000/1,600,000 USA - 16,000,000/298,000 Vaccine dose from Pfizer now being shipped to various locations. Cases continue to explode throughout the country. 12 December 2020 Featuring the States and the USA overtime from cases, test positivity, new hospital admissions, and fatalities The irniprovements in the inthe Marthern Plaing, Rocky Mountain States and Heartland are currently holding and the declines are rore rapid inthe States mitigating but Nationwide this is being offset by the surging cases and hospitalization on the West Coast, Sunbelt, MidAtlantic and Nerth-East-- these more populous states will drive cases and hospitalizations over the next 2 weeks stressing hospital systems and general inpatient care: if the rate ef rise can be blunted compared te the Fall surge this could preserve the hospital systerna and staffing The irniprovements are in states with approx BOM Americans and these deteriorating approx 270M American--6 populous States aver 10,000 cases yesterday--CA (29K), TX (20K), OH [L1E), FL[LOK), NY (10K), PA (10K) Hospitalizations are starting torise again -- the primary rise from Thanksgiving should be over next week There are raw 32 States in the ned (21) and orange (11) sone for hespitalizations of COVID cases -- general medical care deteriorates when states enter the red rene -- improvements in many Nerthern Plain and Hacky Meuntain states--decision by COC enwhe is immunized first will determine the future stability of the hespital aystern and hospitalization rates - current plan will net change the pandenvic irnpact an hespritals. Fatality daily rates are now twice the Summer surge and are mow pass the Spring surge it will be critical that monoclonal Ab and Remdesivir are uted earlier and more consistently: among vulnerable Americans There is insufficient vaccine or prioritization for vulnerable Gmericans to change hospitalization and fatalities trends in Dec-Feb -- we need to be clear to the Qmerican peaple vaccines will havean impact inthe Spring. Behaviar change, proactive testing, ared improved use of thasrapesutics can change the course of this current surge The movement of the surge into populous states especially without adequate policies or without individual Americana nltigating will drive fatalities, most states do not have adequate mitigation policies and fatalities will continue averagingaver 2500/day L7Kfweek, TOK! month ata minimum reaching over 330K by New Years and 450K by the end of February without calls for action at the Federal, State, and Local level and using PGs to combat the COVID myths throughout the country and reenforcing messaging of the behaviors needed to blunt the pandemic Daily New Cases in the United States Daily New Cases Cases per Day Data as of 0200 GMT+0 200k Novel Coronavirus Daily Cases i ty ot ti fb mB wk ob Bb oh hh LT cb ak ab 'sy Se a LC oa oe yo. oa gk sk ak ak sk gk gk ah vt ge ae I a i a Sha a % My " a q Ceres te tee oe eo ee eo PSS tte oS Pet et ot ® Daily Cases () "> ?-day moving average =F Most of the states across the Northern Plains, Rocky Mountains, and Heartland, Upper Midwest Improving -- either at plateau or declining (approx 60M American or 18% of the USA populations) Statement from Birx below: GUARDIAN OF THE YEA Dr Anthony Fauci -- www.cathygraphics.com PRESS: CNN HEROES - INTERVIEW WITH ANDERSON COOPER Global USA - 16 14December 2020 Today I am featuring beth the the improvernents and deteriorations we are seeing -- we are seeing improvements in the in the Northern Plains, Rocky Mauntain States and Heartland States -- currently they are currently holding and the declines are more rapid in the States mitigating -- slide ¥ and 13 shows the significantly stabilization in the middle of the country The progress in the middle of the country is being offset by the surging cases and hospitalization on the West Coast, Sunbelt, Mid-Atlantic and North-East -- these more populous states will drive cases and hospitalizations over the next 2 weeks stressing their hospital systems and general inpatient care : if the rate of rise canbe blunted compared to the Fall surge this could preserve the hospital systems and staffing The Improvements in the noted states are home to approx 60M Americans and those currently deteriorating approx 270M Americans and the next 2 weeks will be critical to slow the spread im these highly populous states There are now 33 States in the red (23) with CA, NJ, PA, CT, MD, GA joining the red alert category and orange (10) zone for hospitalizations of COVID cases -- feneral medical care deteriorates when states enter the red zane decision by COC on whe is immunized first will determine the future stability of the hospital system and hospitalization rates - current plan will not change the pandemic impact on hospitals. Fatality daily rates are now twice the Summer surge have passed the Spring surge It will be essential that monoclonal 4b and Remdesivir are used earlier and more consistently among vulnerable Americans -- we have added a treatment alert to the GOV report to cover this critical element There ts insufficient vaccine or prioritization for vulnerable Americans to change hospitalization and fatalities trends in Dec-Feb especially with the state prioritizations -- GOVs will need to understand that to change hospitalizations and fatalities they will need to immunized thase most at risk for severe disease -- It needs to be clear te the American people vaccines will have an impact in the Spring, BUT thelr behavior change, State level proactive testing, and Improved use of therapeutics can change the course of this current surge -- we each have a roll to change the current course of the surge The movement of the surge inte populous states especially without adequate policies or without individual Americans mitigating will drive fatalities, most states do not have adequate mitigation policies and fatalities will continue averaging over 2500/day 17K/week, TOK/month at a minimum reaching over 330K by New Years and 450K by the end of February without calls for action at the Federal, State, and Local level and using PSAs to combat the COVID myths throughout the country and reenforcing messaging of the behaviors needed to blunt the pandemic
  8. 2020-12-14 00:00 Anthony S. Fauci open
    December 14, 2020 - Global USA - 16 Vaccine doses are being shipped as I write this. Vaccinations will start today. Discussions ongoing whether to vaccinate the White House staff. Also Jeff Zientz wants to speak with me about when the President-elect and VP-elect should be vaccinated. • Bitter-Sweet day - vaccinations start but we reach landmark of 300,000 Americans have died of COVID-19 Daily New Cases in the United States Daily New Cases Cases per Day Data as of 0:00 GMT+0 200k 200k ) 100k Novel Coronavirus Daily Cases rN cull lit i sii OPO? SPS AE SP at AP SSP PD AE oP AP PN OP St NY DY SY AY AY STS taht i boll de Part ae Oe a ' en at i. ote > SEPP GGG PPP HF HP PP Pp rH Mo of Fw See @ Daily Cases 9 -@ 3-day moving average [_] ~» 7-day moving average -- 16,300,000/300,000 re • Call from Sen. Joe Manchin (D-WVA) asking whether I recommend that he and others get vaccinated. Also, wanted to know which was better Moderna or Pfizer. I]assured him that they were equal. • Received virtually the 2020 John Maddox Prize for Standing Up for Science from Nature magazine PRESS: BILD German Online TV interview; MSNBC with Hallie Jackson; Bloomberg Law interview with Jeanne Bauman; BBC Newsnight TV interview;
  9. 2020-12-15 00:00 Anthony S. Fauci open
    December 15, 2020 - Global - 71,400,000/1,600,000; USA - 16,300,000/300,000 Brian Morgenstern is the new White House media person who seems to have taken over from Alyssa Farah. He has been OK with getting me out there, but there was a recent issue where Jon Karl (ABC) has been asking for me a lot and not getting approved. Jon is rather pissed. 15December 2020 Featuring the major metros : the major metros throughout the Northern Plains, Upper MidWest, Rocky Mountain States and Heartland are holding and despite a post Thanksgiving uptick are continuing to improve and with strong vigilance meséaging could continue te decline through the upcoming Holiday season. These states and metres have declining test positivity, cases and hoepitalizations : deaths should beginning te decline in the next week, The coastal metros East and West Coast, Sunbelt except Texas and NM, and IN, OH, K¥, TN have surging cases and these more populous metros will drive cases and hospitalizations over the next 2 weeks stressing their hospital systems and general inpatientcare; if the rate af rise can be blunted with messaging of vigilance this surge could be blunted with significant improvements inthe New Year. The improvements in the noted states are home to approx G0M Americans and those currently deteriorating approx 270M Americans and the mext 2 weeks will be critical to show the spread in these highly populous states There are raw 33 States in the ned (24) with GA, AU, PA, CT, MID, GA joining the red alert category and orange (10) rene for hospitalizations eFCOVID eases -- general medical care deteriorates when states enter the red rane decision by COC on whe is immunized first will detonmine the future stabilityal the hespital system and hospitalization rates - current plan will net change the pandemic impact on heaspritals. It will be essential that monoclonal Ab anc Rendestvir are weed earlier and more consistently among vulnerable Americans There is insufficient vaccine of prioritization for vulnerable Americans to change hospitalization and fatalities trends in Dec-Feb : GOVs will need to understand that to change hospitalizations and fatalities they will need to immunized those most at risk for severe disease It needs to be clear ta the American people vaccines will have an impactin the Spring, BUT their behavior change, State level proactive testing. and improved use of therapeutics can change the course of this current surge we each have a rallto change the current course of the surge The movement of the surge inte populous states especially without adequate policies or without individual Anvericans mltigating will drive fatalities, most states do not have adequate mitigation policies and fatalities will continue averaging aver 2500/day L7Kweek, TOK! month ata minimum reaching over 330K by New Yearsand 450K by the end of February without calle for action at the Federal, State, and Local level and using PSAs to combat the COVID myths throughout the country and reenforcing mescaging of the behaviors needed to blunt the pandemic 'elop safe and effective shape Jared Kushner called to congratulate and thank me for our efforts to develop safe and effective vaccines for COVID-19. PRESS: ABC - Good Morning America with George Stephanopoulos; NPR "Morning Edition" with Rachel Martin; VOX (Online TV) - "Today Explained" with Sean Rameswaram; Nature's 10: ten people who helped shape science in 2020 • Anthony Fauci: Science's defender A storied US doctor became his nation's conscience on COVID-19 even as detractors threatened his life.

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