A single line often inverts meaning once you see what it
answers, so neighbouring messages are always shown.
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December 29, 2020 - Global - 79,900,0900/1,800,000; USA - 19,200,000/334,000 1.Most concerning are where COVID admissions are rising now showing significant community spread just prior to the Holidays and could have the most significant post Holiday surge - this is TX, GA, SC, NC, WVA. POTUS in Florida playing golf. Massive explosion in Nashville, TN - he has no comment at all. Case now at 19,000,000 with 332,000 deaths and he has not mentioned COVID-19 in days/weeks. Met by Zoom with Dr. Jeong, Eun-kyeong, Commissioner of Korea Disease Control and Prevention Agency to discuss ongoing and future collaborations in COVID-19. They were part of the ACTT therapeutic trials. Call with Peggy Hamburg. She is concerned about what she is hearing that Janet Woodcock will be FDA Commissioner and that David Kessler will be the "FDA person in the White House". She has trouble with both of them. She is feeling left out in that the Biden people are not conferring with her about anything. Am getting concerned that the administration of vaccines is lagging far behind the projected number of 40 million by end of December. They have actually administered only ~2 million this far with 2 day left in the year. Letter from Michael R. Bloomberg to Dr. Spoke with Adam Silver (NBA Commissioner) about rest of NBA season. They have come out of the "bubble" and wanted my take on what the immediate future looked like regarding infections. They have done very well and have had to cancel only 1 game. David Ho is helping to advise them and was on the Zoom call. Continue to get calls from Jeff Zientz just checking facts and policy with me when Biden is about to go out and make a speech Rounds with Clinical staff during COVID: man in America, »r Bill SKM_C754e2012291 8270.pdf PRESS: CNN New Day with Jim Sciutto; TV interview with Steve Clemons - "The Bottom Line" shown on Al Jazeera English; NPR Radio with Joe Palca Trump ends Obama's 12-year run as most admired man: Gallup
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December 30, 2020 - Global USA AREA OF CONCERN CONTINUUM Date: tziaeize20 Area of Concern Continuum by County The Areas "4 Stier ial Pain rare - 28DEC2020 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 Gurden-- Resolving -- communities that have a moderate level of burden, but are demonstrating improvement See Data Sources viethods slides for more information. sen 9 7) x B20} a Bisa} Pa es! & 1a] = SI) Be I wm yt on Heder finer aor Fiesotwineg at = ad : = . oe . . Foti Bua a Map un ka tay hen kr Hae ter Pionero Bid = (S026 Fhe SG Sb I ID 3G 36H General Gus Perna asked to speak with me this Am (7:30 AM) for advice and "comfort". There has been criticism about the roll-out of vaccines. @0 million doses were promised by the end of December and we only have 11 million. Also, only 2-3 million have been administered (the latter is not his responsibility). He realizes that there is disappointment and wants advice. I told him that above all he needs to be transparent and honest and not try to coverup any deficiency. This is a big operation and he should expect bumps in the road. He bemoaned that on the battlefield when he was on the radio he could tell from the background sounds and the "vibes' on the radio how the battle was going. With vaccines, even on conference calls, he really cannot get a good feel for what all the players are doing and how honest they are being. He does not trust Pfizer; he thinks that they keep moving the goal posts. He likes Moderna. He was very grateful for the call. Senator Marco Rubio is acting like a real asshole. He is publicly calling me a liar about my statement in the NY Times about my assessments for the percent vaccinations needed for herd immunity. I had said that I modified my assessment of 70 to 75% to be 70 to 85% because we really did not know the precise number and I wanted to encourage people to get vaccinated to achieve herd immunity. Actually, I made that change by extrapolating the measles situation where measles vaccine is 98% effective whereas SARS-CoV-2 is 94-95% effective. Measles begins to lose herd immunity at around 89-90% of population vaccinated and so I brought up the SARS-CoV-2 to 85% with the range being 70 to 85%. For that he called me a "liar" Big hypocrite as he continues to kiss Trump's ass - the world's biggest liar. -- 19,700,000/341,200 "Sen. Marco Rubio: Dr. Fauci lied about coronavirus -- I am appalled by his arrogance" Placing blind faith in unelected celebrity scientists has its limits, and we must not be afraid to call them out
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December 31, 2020 - Global - 81,500,000/1,800,000; USA - 19,700,000/341,200 1. Most concerning are rising case counts during a dramatic decline in testing - CA, TX, FL and where COVID admissions are rising consistent with significant undetected community spread prior to the Holidays and potentially the most significant post Holiday surge - this is FL, TX, GA, SC, NC, WVA. 2. New admissions rising in OK, TX, AL, MS, GA, FL, NY, MA, WVA, KY High Plateau in CA, AZ, NM, AR, TN, MD, CT, NJ 3. States with the most hospital staff stress are those states in the dark red zone and still rising - CA, AZ, GA and those states in the red zone and still rising - OK, TX, MS, AL, SC, TN, DE, NY 4. The Coasts (80% of the population) are now driving the increasing cases, hospitalizations and deaths. PRESS: NBC Today Show with Craig Melvin; WBAL Baltimore Radio; MSNBC with Andrea Mitchell; Confirmed Cases (Thousands) S00 25) 1s iit Bl Barer itor en AT ES FEF ee New Confirmed COVID-19 Cases in the U.S. roe 3 x Cay eee Daty Mowing Avarage 0,000,000/345,000 he en 0 Day Mowing Avoraga CA, AZ, GA and
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January 1, 2021 - Global - 81,900,000/1,800,000; USA - 20,000,000/345,000 Records continue to be broken with 125,000 hospitalizations and >3000 deaths. GOP and Trump planning to challenge the January congressional certification of the electoral votes. Disgraceful assault on democracy. • Spoke with Mitt Romney this AM who ran by me an OpEd he wants to submit pointing out the lack of success and weaknesses of the vaccine rollout plan and suggestions of how to improve it. Clearly there is a problem (see below) Problem with vaccine rollout. Plan was to have 40 million doses delivered by December 31 with 20 million in the arms and 20 million in reserve. This far 14 million delivered and 2.7 million in the arms. Clearly, they need to catch up. There is no central "plan" similar to no plan for testing and no plan for PPE. 1. Most concerning are rising case counts during a dramatic decline in testing - CA, TX, FL and where COVID admissions are rising consistent with significant undetected community spread prior to the Holidays and potentially the most significant post Holiday surge - this is FL, TX, GA, SC, NC, WVA. 2. States with the most hospital staff stress are those states in the dark red zone and still rising - CA, AZ, GA and La + = E= COMMRMED CASES OM 4 TOY ROWING AWEEEGE 16000 + 14000 + loo COMPRMED CASES OM 4 TOY ROWING AWEEEGE + OOOO + Lia = wi + eno + OK, TX, MS, A -- 20,100,000/347,000 CONFIRMED CASES DAILY IN NEW YORK-NEWARK-JERSEY CITY, NY¥-NJ-PA 7 DAYROLLING AVERAGE MEW CASES PEA Lone? ae I aziwestty wei I 4 Others Savsercet Cosinty, Hl Pdorris County, Pll Arecicln ned Courrtg, BY Mionrouth Counte. Al Oresn County, fll Aichreard County, He inion County, Hl avons ie Coaunty, Hl Hudbar Caurtp, Au Pal cidleces Courttp, Bl Bergen Coutts. Ml Come County, Hl Aiew Yark Gauri, iit Weatchcaler Courts, MY Grarc Courtty, Ay Pass oeu Coutts, HF Suifalk Courts, MY lings Coury, Balt Quceta Counts, Mr CONFIRMED CASES DAILY IN LOS ANGELES-LONG BEACH-ANAHEIM, CA 7 DAYROLLING AVERAGE MEW CASES PEA Lone? ae I aztiwentiy ave I ME Grange County, CA ces aragelies Coney, 0, 0,300,000/350,000 those states in the red zone and still rising - OK, TX, MS, AL, SC, TN, DE, NY 3. The Coasts (80% of the population) are now driving the increasing cases, hospitalizations and death
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2021-01-02 00:00
Anthony S. Fauci
January 2, 2021 - Global - 82,400,000/1,800,000; USA - 20,100,000/347,000 Deaths now averaging around 3000 per day. Hospitalizations continue to break records. Trump totally focused on disrupting the transfer of power and declaring the election invalid. Big day coming up on January 5 when the Congress certifies the Electoral Votes.
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January 3, 2021 - Global - 82,600,000/1,800,000; USA - 20,300,000/350,000 Confirmed Cases {Thousands} a & os a o EToF il Mi ae a eee ae e be £ New Confirmed COVID-19 Cases in the U.S. Ml g ir walle wh in mee Mil MS Daly mmm 7 Day Beng: Anscrreng Bry e¢ 'a, meen Day Moving Aver ago 1.6 Data remains unstable but early signals are increasing test positivity (49) states and in some states rising cases - tracking closely. Concerned about upcoming post-holiday surge 1. Reporting remains unstable and will create this current valley and peak (slide 3⁄4) due to reporting alone - watching slope of rise. 2. Testing is down 40% over the past 7 days creating a high admission rate/case across all age groups and any increase in cases concerning 3. 49 states have rising test positivity and 17 rising cases despite reporting issue - this normal precedes a significant surge is hospitalizations Total deaths have not reached 350,000!! Tweet from Trump: Confined Cases (Thousamds] Donald J. Trump @ @realDonaldTrump - 44m ooo Something how Dr. Fauci is revered by the LameStream Media as such a great professional, having done, they say, such an incredible job, yet he works for me and the Trump Administration, and I am in no way given any credit for my work. Gee, could this just be more Fake News? © 14.1K Tl 7A3Ak ) 564K ra 0,600,000/350,700 New Confirmed COVID-19 Cases in the U.S. Ey pelzd ai ) Mit A . y fii ME Os eee oy Moving Avorage = eee 0 Dy Mowing Averogo it il ! HA I] i i iD i = I Fin a YM dey tay ty tp, 'iy ep a 2020/2021 Got a call from Jeff Zients wanting to confirm the I still am in favor of Janet Woodcock for FDA Commissioner. He was getting some negative signals from some people that she was involved in the EUA for hydroxychloroquine. I explained to Jeff that this was really Mark Meadows pressuring Steve Hahn who caved in. PRESS: ABC "This Week" with Martha Raddatz; NBC "Meet the Press" with Chuck Todd;
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January 4, 2021 - Global - 83,700,000/1,800,000; USA - 20,600,000/350,700 Expecting the post-holiday surge Daily new confirmed COVID-19 cases eh Shown the rodling 7-day average. The number of confirmed cases is lower than the qumber of actual cases; the main reason for that is fimibed testing (Gea toe Add country 250,000 'United States: 200,000 . 150,000 100,000 50,000 United Kingdom Germany ea France Jan23, 2020 Mar ii Apr 30 Jun 1 Aug 8 Sen 2? Nowlé Jan3.2021 Source: Jokns Hoptins University COSE COVIG: 19 Date = Laet updated 4 January, 0506 (London Grey cceyY Jan 23,2020 (9 C7) Jan3, 2021 1. I have included the European data in slides 3 and 4 - most of the European increases being driven by the UK 2. You can also see from slide 3 the rate of rise of our Fall/winter surge was more dramatic consistent with the USA having its own more infectious variant Things starting to move with my involvement with the Biden team. Biden is concerned about making sure that he reaches 100 million doses of vaccine in the 1st 100 days. We are meeting by zoom with him tomorrow and today and tomorrow we had/will have pre-brief meetings to discuss our plan - led by Jeff Zients. Present were Natalie Quillian, Vivek Murthy, Marcella Nunez-Smith, Rochelle Walensky, David Kessler, Asma Mirza, and Sonya Bernstein. Plan is to develop community vaccination centers, use mobile units to get to rural areas, etc. Nursing staff in the OR at the Brigham and Women's Hospital all wearing Fauci caps. Email sent to me by Atul Gawande. ,700,000/352,000 PRESS: Did zoom interview with the Newsday Editorial Board; MSNBC "All In" with Chris Hayes
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January 5, 2021 - Global - 84,200,000/1,800,000 USA - 20,700,000/352,000 Deb's notes: Made this shorter to make serious points. First and foremost our Fall surge slope is nearly identical to the UK slope suggesting we have had our own more transmissible strain since then and it was responsible for the Fall surge in the Northern Plain states. My concern then was this type of surge moving into the more populous states as it has now in CA and now Tx and the sunbelt is unstable as well as the midAtlantic and NorthEast. Viruses are always in search of escape mutants than are more transmissible yet preserving replication capacity. This is happening around the globe and the immunologic pressure on viruses drive this potential and we continue to increase the immunologic pressure through percent of population infected, use of plasma and monoclonal Ab and now immunization. Key to RNA viruses with this of high mutation potential is to rapidly immunize the population especially those most likely to have high replication potential - those over 65. We have to accelerate the immunization of those over 65 ASAP. We can't hold back on the rest of Tier 1 awaiting 1a. We have been in 1a for a month without adequate progress. Deb In the USA the Fall surge slope is mirrored in the post Thanksgiving and now post Christmas surge and nearly identical to the UK ; : Daily New Gases in the United States Daily New Cases in the United Kingdom ¥ Daily New Cases Daily New Cases Casas pee Cay Capes per Day f Oata as of 0:00 GAT+0 Data as of O00 OMT eo pik Bot, = " a - oom 3B fon: F = a E ; : Sg = = otk if a 100k i a ; W gm fk : WNT LP AL ob dh AD of AB oh ch oh ak oh ab oe dh a of ne ate ae air als oe 28 P ' i al : as fs x = ae atk a2 eg gF at tag gh gP P ot PtP a taet of of a al a? gf of gh ett Ps? PSP ah dk stat gh ata or PoP ah ce ae a Pe cit si nih de st OF Pe ef ee eee a eh oe ee a oP oe oe a a gt gt © pally Cases C)-* Pay moving average gy @ Dally Cazes ( > F-day moving average = Fall evolving into Winter Surge Rate of Rise Summer Surge Rate of Rise Spring Surge Rate of Rise Superimposing rate of case rise showing significant difference between the prior surges and the Fall Trump going completely crazy. Was recorded on an hour-long telephone call with Secretary of State of Georgia Brad Raffensperger to change the votes and asked for 11, 780 votes to be changed (he lost Georgia by 11,779). Clearly a criminal act of trying to influence an election. More cowardly GOPs are backing Trump in the House Kevin McCarthy (R-CA) and Senate (Ted Cruz (R-TX) and Josh Hawley (R-MO) nline interview with Lauren Neergaard; 21,000,000/356,000 • Big discussion and debate in the press about whether to give more single doses of vaccine and wait few months before the second dose. The UK is doing this with the AZ vaccine. There is no scientific data to justify this. They are doing it because they want to give more people first doses. Our problem is not more people than doses, it is that we are not injecting as many people (4 million) with the doses that we have (14 million). Much discussion in the press about this. • Had Zoom meeting with Biden and Harris. Meeting led by Jeff Zients. Present was Ron Klain, Natalie Quillian, Marcella Nunez-Smith, David Kessler, Vivek Murthy, Rochelle Walensky, Bechara Choucair. Topic was that Biden wants to announce in a speech 3 transforming steps that he will initiate regarding vaccines. Natalie presented our plan and there was discussions about using pharmacies first and then as we get more doses, opening up "Community Vaccine Centers". I described status of the outbreak. Biden is much more in favor of federal presence than is the Trump administration. Slide deck is below: Slide Deck - COVID Policy Briefing 1 5.pd PRESS: Interview with Newsweek UK; AP Online interview with Lauren Neergaard;
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Jan 5, 2021