December 23, 2020 - Global - 76,900,000; 1,700,000; USA - 18,200,000/321,700

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1. 2020-12-19 00:00 Anthony S. Fauci open
   December 19, 2020 - Global USA Deb's daily comment: Coasts and Sunbelt continue to deteriorate. AZ, MS, FL, GA are not mitigating to the level of summer mitigation policies. There is deep confusion out there about vaccine volumes and clarity on the 1b and 2 categories to most efficiently vaccinate and potential to use the current supply to save lives over the next 30 days. The word is the ACIP was supplied modeling in October that showed no impact of vaccination on lives saved but it was modelled without taking into account a surge of cases and hospitalizations. IF this is true this needs to be addressed and remodeled and that new data supplied to the ACIP. Deb Another record broken: Covid-19 Live Updates: U.S. Sets Daily Record With Over 250,000 Cases 7. 8. 19 December 2020 The Northern Plains, Upper Mid-West, Rocky Mountain States and Heartland continue to improve decreasing test positivity, cases, hospitalizations, Strong vigilance messaging should continue to ensure decline through the upcoming Holiday season, Cases are rising again in Europe -- slide 6. The Coasts (80% of America) are now driving the increasing cases, hospitalizations and soon deaths. The rate of rise is deeply concerning. The top 10 states cases yesterday CA >49,000, TX 216,000, Fl 13,000, NY >12,000, TN > 10,000, PA =9,000, Ohio =9000, NC =8000, GA >8000, AZ >7500. These are all historic highs compared to the summer surge. Slide 5. The East and West Coast, Sunbelt, IN, OH, KY, TN surging cases will drive cases and hospitalizations over the next week stressing their hospital systems and and inpatient care : if the rate of rise can be blunted with messaging of vigilance this surge could be blunted with significant improvements seen in the New Year, States that mitigate late or with populations still gathering will continue to increase, Hospitalizations : there are now 37 States in the red (24) with CA, NJ, PA, CT, MD, GA, AL, MS, TN joining the red alert category and orange (13) zone for hospitalizations of COVID cases -- overall medical care deteriorates when states enter the red zone. Recommendations by CDC on who is immunized first will determine the future stability of the hospital systern and hospitalization rates - current plan will not change the pandemic impact an hospitals, It will be essential that monoclonal Ab and Remdesivir are used earlier and more consistently among vulnerable Americans There is insufficient vaccine or prioritization for vulnerable Americans to change hospitalization and fatalities trends in Dec-Jan : GOVs will need to understand that to change hospitalizations and fatalities they will need to immunized those most at risk for severe disease, WVA prioritization of essential workers over 50 and citizens over 65. The movement of the surge into populous states especially without adequate policies or without individual Americans mitigating will continue to drive hospitalizations and fatalities, many states do not have adequate public space mitigation policies and fatalities will continue averaging over 2600/day 19K,week, 75K/month at a minimum reaching over 340K by New Years and 410K by the end of January 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, Multiple household gatherings continue to drive cases, Daily new confirmed COVID-19 cases Shown is the rolling 7-day average. The number of confirmed cases is bower than the number of actual cases: the main reasen for that is limited testing, LOG +) Add country 250,000 United States 200,000 sii 150,000 100,000 50,000 Germany United Kingdom Italy France 'al Spain Jan 23,2020 Mar ii Apr 30 Jun 19 Aug 6 Sepa? Dec 18,2020 ree: Johns Hexpking University CSSE COVID-19 Data - Last updated 1? December, 06:04 (London time) Cc er B® Jan 23,2020 2 () Dec 18,2020 al -- 75,100,000/1,700,000; USA --
2. 2020-12-20 00:00 Anthony S. Fauci open
   December 20, 2020 - (SUNDAY) - Global - 75,100,000/1,700,000; USA - 17,600,000/315,300 Global USA See Deb's notes below: 1. The Northern Plains, Upper Mid-West, Rocky Mountain States and Heartland continue to improve decreasing test positivity, cases, hospitalizations. Strong vigilance messaging should continue to ensure decline through the upcoming Holiday season. 2. The Coasts (80% of America's population) are now driving the increasing cases, hospitalizations and soon deaths. The rate of rise is deeply concerning as it is similar to the Northern Plain States. New strain of virus - B.1.1.1.7 arising in UK with concern that it is spreading much faster that other strains. Some EU countries are banning flights from UK. Probably an overreaction since there is no evidence that the strain is more virulent or that it escapes vaccineinduced immunity. We (VRC/NIAID) will start examining for these issues. PRESS: Despite the approval of Moderna vaccine a few days ago, I was not allowed on any Sunday TV shows. FOX and MTP wanted me. Need to emphasize the dysfunction of the White House Comms group, particularly Roma Daravi. It seems that she has a thing with me. Washington Post (Yasmeen Abutaleb et al): The inside story of how Trump's denial, mismanagement and magical thinking led to the pandemic's dark winter
3. 2020-12-21 00:00 Anthony S. Fauci open
   December 21, 2020 Global USA Much concern and discussion about the mutant virus (see above) that is in UK and South Africa. I will be speaking with the Biden people about this today. 1. The Northern Plains, Upper Mid-West, Rocky Mountain States and Heartland continue to _-- 18,000,000/319,000 improve decreasing test positivity, cases, hospitalizations. Strong vigilance messaging should continue to ensure decline through the upcoming Holiday season. 2. The Coasts (80% of the population) are now driving the increasing cases, hospitalizations and soon deaths. The rate of rise is concerning, however due to aggressive mitigation there is a more rapid stabilization of cases then we saw in the Fall with the center of the country which should lead to an earlier peak if the Holiday Season surge can be blunted. Had Zoom call with Biden. Also, present were Ron Klain, Jeff Zientz, Rochelle Walensky; Natalie Quillian; Vivek Murthy. Discussion centered around: 1) state of the outbreak (me); 2) Mutants from UK (me); 3) vaccine rollout (Vivek). I strongly recommended not banning travel from UK. Ron Klain and Biden were not so sure. Ron suggested that we might have a 10 day ban over the holidays. I pushed back and said that this would not help since the virus would come from other places. I suggested that we very explicitly state that we are watching this very carefully and are all over it. The potential effects of the mutation is : 1) increased transmissibility; 2) increased virulence; 3) evasion of protection from vaccine (and to some extent from mAb). All of these are testable. Bottom line - do not do anything precipitous, but watch it closely PRESS: BBC Interview with Jeremy Farrar to be aired on December 28, 2020;SiriusXM Sports - Mad Dog with Chris Russo; Telemundo TV with Randy Serrano; Fivethirtyeight ABC Podcast with Anna Rothschild; PBS NewsHour with Judy Woodruff;
4. 2020-12-22 00:00 Anthony S. Fauci open
   December 22, 2020 - Global -76,300,000/1,700,000; USA - 18,000,000/319,000 EA ABC News @ A physician shows off her Dr. Anthony Fauci-themed hoodie after receiving the COVID-19 vaccine at a hospital in Glendale, CA. abcn.ws/37EqLnC Hospitalization at 118,000 - record for the pandemic. East and West coasts now surging. PRESS: Good Morning America (ABC) with CeciliaVega; BBC World News TV; Briefed New York Daily News editorial board; CBC TV (Canada) News Show - "The National"; Fox News with John Roberts; Politico Instagram Live with Sarah Owermohle; CNN The Situation Room with Wolf Blitzer Trson: -18,200,000/321,700 Slate ranked me the #1 most influential 80 year old and older person:
5. 2020-12-23 00:00 Anthony S. Fauci
   December 23, 2020 - Global - 76,900,000; 1,700,000; USA - 18,200,000/321,700 Mayer Bowser of DC declared December 24, 2020 "Anthony S. Fauci, M.D. Day in Washington, DC: "Dr. Fauci has been a hero to our nation during this incredibly difficult year, working tirelessly to save lives and guide our nation's response to and recovery from the pandemic," said Mayor Bowser. "We are incredibly proud to count him among the many DC residents who are sacrificing so much to keep our communities healthy and safe. I issue this honor on behalf of all Washingtonians in gratitude and recognition of Dr. Fauci's service to our nation and our city." Qa Mayor Muriel Bowser @ In honor of Dr. Fauci's 80th birthday tomorrow, I proclaim Thursday, December 24, 2020, "Dr. Anthony S. Fauci Day" in Washington, DC. We are incredibly proud to count Dr. Fauci among the many DC residents who are sacrificing so much to keep our communities healthy and safe. r ---- a . a Z OP. " rockasalsore TH ANTIOONY © PALIT DAY wu "Surprise" tribute to me from the 1st responders at NIH and Montgomery County: https://drive.google.com/file/d/10Vi4mozXkpCjolo9phs0XoWpwoxSJ_oj/view?usp=sharing A group of activists from "the old days" surprised me with a surprise birthday party on Zoom in my office at 4:30 PM. Organized by Peter Staley and Janet Tobias. On the Zoom were: Gregg Gonsalves, Peter Staley, David Barr, Mark Harrington, Jim Eigo, James Kellerstein, Peggy Hamburg, Judy Auerbach, Wafaa El Sadr, Matthew Rose, Moises Agosto Had Zoom call last night with Vivek Murthy, Rochelle Walensky and David Kessler. Vivek wanted to discuss in more detail what our advice would be to Biden regarding the mutant virus in the UK. We discussed options of 1) shutting down travel from UK; 2) requiring pre-boarding testing from UK flights or even all flights from EU and South Africa or even all foreign flights; 3) also discussed post-landing strategy such as giving people BINAX tests to take home and test themselves after they arrive. Seems we will recommend at least pre-boarding testing, probably from all of EU and RSA. Surge continues in some areas and decreases in others. Deb's notes: There is a growing evidence showing aggressive public mitigation and clear messaging together does flattening the curve. When one compares TN to OH, NC, WVA, KY - surrounding states. TN fatalities/pop is 30-40% higher as states with more aggressive mitigation as it decreases the area under USA State = Texas a Elorida Tennessee New York & Pennsylvania New Jersey 'a Mirginia USATotal Total Cases 18,473,716 1,931,301 1,614,482 1,212,581 B23,573 B96,545 569,413 461,345 620,350 167,377 -- 4B.B47 ! 406,796 310,890 229,651 468,219 327,374 591 408 Aew Cassa I} aie 449,102 17000 Total Deaths 326,772 22,923 26,161 6,136 36,581 14,059 4,654 9,236 Tao 11,759 10,399 5,442 New Total Deaihe Recovered +1841 © 10,802,408 7,344,445 771,742 1,413,096 706,133 438,036 463,027 343,789 67,734 454,354 564,718 50,873 403,488 215,503 27,887 69,516 137,607 295,682 231,247 332,258 116,477 Active Cates 1,136,636 275,225 465,765 85,406 397,337 211,565 365,639 166,876 303,624 110,628 73,919 208,342 278,345 136,599 66,769 165,099 84,368 246,761 270,657 46,107 44,478 63,383 53,841 T1424 46,946 46,114 50,235 36,423 30,158 70,993 69,549 47,497 55,704 63,997 1,404 1,592 5e5 2,066 545, B40 1,105 1,706 57m BET Total Tests 25,860,404 14,483,012 14,728,047 5,340,916 23,474,668 6,918,202 3,050,663 7,271,494 12,520,975 4,024,800 6,419,622 7,295,525 4,688,292 3,559,695 946,123 5,288,642 10,239,836 6,991,516 3,880,863 Tests! 1M pop 236,620,567 714,860 755,726 499,513 665,736 Fa2,073 1,206,703 540,401 419,121 622,075 566,096 1,728,885 612,087 821,565 649,269 467,465 324,758 Fe5,S72 1,485,648 SOT 7a 632,327 Population 39,512,223 28,995,881 21,477,737 6,829,174 19,453,561 12,801,989 7,278,717 11,689,100 12,871,821 3,565,287 10,488,084 8,882,190 8,535,519 7,614,893 2,913,314 6,732,219 6,892,503 10,617,423 6,197,428 the curve - decreasing hospitalization and deaths per populations. When all is done excess mortality will be greater in states with less mitigation when normalized for population age and other multivariants. Deb 1. The Coasts (80% of the population) are now driving the increasing cases, hospitalizations and soon deaths. The East and West Coast, Sunbelt, IN, OH, KY, TN, WVA surging cases will drive cases and hospitalizations over the next week stressing their hospital systems and and inpatient care The Vaccine Before Christmas
6. 2020-12-23 00:00 Anthony S. Fauci open
   Dec. 23, 2020 at 8:00 a.m. EST
7. 2020-12-24 00:00 Anthony S. Fauci open
   December 24, 2020 - Global - 77,500,000/1,700,000; USA - 18,400,000/325,000 I am 80 years old! Amazing number of Birthday wishes coming in. Truly moving.... Birthday video from the OR Nursing/DPM staff in the NIH Clinical Center: Dr. Fauci.pptx Beautiful and loving tribute to me from my children on a video: https://drive.google.com/file/d/1wgTkwmAlUhlnLKzIhWPlIR4E4WPpUMh6/view?usp=drivesdk Joan Baez texted me: "HAPPY FUCKING BIRTHDAY AND MANY MORE" n 2020. Nature magazine picked me as one of Nature's 10 - People who shaped science in 2020. Over the past 3 weeks I have been on the cover of TIME magazine X2, once as one of the 100 most influential people in the world again as the "Guardian of the Year". Also, on the cover of People magazine
8. 2020-12-25 00:00 Anthony S. Fauci open
   December 25, 2020 - Global - 78,00,000/1,700,000; USA - 18,600,000/328,000 Trump at Mar-a Largo while country in crisis. Cases still surging in certain areas (see below). Relief bill in purgatory since he does not want to sign it because of disagreement about amount of relief ($600 versus $2000). Everyone had agreed to $600 even though the Dems wanted more. White House staff agreed to the bill. Sent to Trump for signature, except that now that he has finally looked at it, he wants the $2000 per person, which is what the Dems wanted to begin with, and the GOP objected to. And so now, he is bucking against his own GOP. In the meantime, people are starving without aid. Also, the USG might shut down since the Omnibus budget bill has not been signed either. Amidst all this, Trump is pardoning a large number of people (>40), almost all who were involved in the issues surrounding the probe of him and the impeachment matters. He also pardoned Gen. Flynn, Roger Stone, and Charles Kushner. Deb's daily report: Aggressive post Holiday testing of those who gathered and rapid utilization of Mab in those at highest risk for severe outcomes will be critical over the next 2-3 weeks to blunt the impact of Holiday gatherings. Deb 1. Summarizing the current state of the pandemic : overall the USA is at a high plateau for cases and hospitalizations and due to lagging fatalities reporting in improving states we won't see the fatality plateau until the next 2 weeks 2. I summarized the top 10 states in this data summary for cases in order : CA, FL, NY, GA, PA, OH, TX, AZ, IL, IN - slides 11-20 - of these states only PA, OH, IL are improving the others are escalating or at a high plateau. 3. Data will be unstable for the next 2 weeks with both Christmas and New Years but will be tracking new admissions and rate of new admissions 4. The current pandemic state is a combination of continued improvement in the center of America and continued deterioration in CA, NV, TX, across the sunbelt and up the East Coast and including TN and WVA eeco. P1b = Od S102 _-- 18,700,000/330,000 Total Cases in PRESS: Print version of Joel Achenbach's feature on my birthday appeared in the Washington Post.
9. 2020-12-26 00:00 Anthony S. Fauci open
   December 26, 2020 - Global - 78,400,000/1,700,000; USA - 18,700,000/330,000 1. Data will be unstable for the next 2 weeks with both Christmas and New Years but will be tracking new admissions and rate of new admissions 2. 24 States did not report yesterday on critical pandemic parameters and will cause a surge in cases and fatalities due to this reporting issue in the next few days 3. Summarizing the current state of the pandemic : overall the USA is at a high plateau for cases and hospitalizations and due to lagging fatalities reporting in improving states we won't see the fatality plateau until the next 2 weeks Adrienne Arsht sent me an amazing video that she asked Robert Pullen (Kennedy Center) to put together to celebrate my 80th birthday. They gathera whole bunch of celebrities to sing to me and offer words of praise and congratulations: Orlando Bloom, Mila Kunis and Ashton Kutcher, 'Dec 25, 2020, 09:38 IST _-- 18,900,000/33 1,000 uu Amy Poehler, Lily Tomlin, Sophia Bush, Matthew McConaughey, Steve Buscemi, Magic Johnson, Joan Baez, and many others. It was very moving. Situation unchanged. Still outrage that Trump is messing up the relief bill. Harmony Foundation gave me: Top US doctor among 10 to get Mother Teresa Award Mohammed Wajihuddin / TNN / Dec 25, 2020, 09:38 IST PRESS: Good historical documentation of the CDC screw-up with the COVID-19 test by David Wilman in the Washington Post - The CDC's failed race against covid-19: A threat underestimated and a test overcomplicated The Atlanta headquarters of the Centers for Disease Control and Prevention. (Ron Harris/AP) By David Willman

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