COVID-19 Records

August 6, 2021 - Global - 200,800,000/4,300,000; USA - 35,500,000/614,000

Tony's Diary Package, pp.836-837 · fauci_diary:entry:00655

Page text: p.836, p.837 · original PDF

Date
2021-08-06 00:00 (day precision)
Type
diary entry · diary
author
Anthony S. Fauci
Topics
Media strategy and public messagingIntelligence community assessmentsVaccinesWHO and international investigation
August 6, 2021 - Global - 200,800,000/4,300,000; USA - 35,500,000/614,000 67,000 7-day average Cases continue to climb. There has been a lot of discussion about whether or not we should move quickly in instituting a program. I have been a very strong and vocal advocate to give booster shots immediately to people who are immune compromised such as those who are transplant recipients, those war on cancer chemotherapy, and those who are immunosuppressed because the border immune diseases. I have been explicit about that and have also been pushing the CDC to give us at least some preliminary data on the cohort studies that they say will inform us about the durability of protection among various groups of people. Other countries including France, Israel, and Germany, have decided to give boosts to the elderly right now. The UK has decided that they will start doing this in September. In this context, Jeff is getting very disillusioned with Rochelle and the CDC in their traditional way of not giving anyone even a slight hint of what the data shows until they are ready to announce it officially. A typical example of this has occurred today. I will be on a lot of press calls today and over the weekend and the CDC just announced that they have an MMWR that will be coming out together with a couple of papers in JAMA. I have no idea what is in these publications. This is unacceptable . Similar to what Sylvia burwell discuss with me years ago about firing Tom Frieden, Jeff is seriously thinking about either bringing in someone else to assist Rochelle or outright getting rid of her. I have argued that we should absolutely not fire her, and I have offered to speak with her about this issue. I had a long call with Rochelle tonight and explained the entire situation to her. I confirmed that I totally support her, but she really has to address the ingrained and somewhat ossified culture of the CDC. I particularly pointed out to her that she just cannot hold back information from Jeff and the White House team because she is waiting for her team to finalize data. If she has preliminary data she needs to tell us about it since we may need to talk about policy that would depend on such data. She just cannot give us an MMWR on the same day that is coming out. The last time this happened she said she could not give it to us because it was "under embargo ". I pointed out to her that this enraged Jeff since the CDC owns MMWR and as director of CDC she needs to realize that no one is trying to influence what goes into MMWR but it is important that she does not surprise Jeff or the president with something that she knows and that we do not know. I love Rochelle and she knows that. I explained to her what she needs to do to make things right with Jeff . A human explained to her the story from years ago when I saved Tom Frieden from getting fired by Sylvia Burwell because of how he messed up the ebola situation as a result of his listening to "his guys ". I believe that Rochelle gets it and will survive this very difficult time. I support her totally. PRESS: WJXX -Jacksonville TV; Bloomberg TV interview - Madison Mills; 1 hour with USA Today Editorial Board; Zoom Call with Michael Spector for his adio-book; MSNBC peacock TV with Joshua Johnson

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In this context, Jeff is getting very disillusioned with Rochelle and the CDC in their traditional way of not giving anyone even a slight hint of what the data shows until they are ready to announce it officially. own voice, substantive speaker_own asserts
The last time this happened she said she could not give it to us because it was "under embargo ". quoted / not their view quoted_external sentence carries quotation marks asserts

In context

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  1. 2021-08-03 00:00 Anthony S. Fauci open
    August 3, 2021 - Global - 198,000,000/4,200,000; USA - 35,200,000/612,000 We continue to average about 70,000 cases per day An ironic situation is going on in Florida where Governor DeSantis has a state that has the most infections per day in the country and is still insisting that mask mandates are not allowed at the local level by the schools or by anyone else. In addition, he continues to raise money by slamming me with T shirts as well as by his slogan "don't Fauci my Florida". Besides being a total jerk, he is causing people to die in his home state. Did Governor's call today - Chaired by Gov. Asa Hutchinson (R-AK) White House has asked me to interview candidates for the position of FDA commissioner. And so today I am interviewing Sudip Parikh whom I knew when he was the staff director for the Senate Appropriations Committee. I was impressed with his interview since he is a very smart and energetic person. I also interviewed James Hildreth who is currently president and CEO of Meharry medical school. I have known Jim for a long time and he is highly qualified. ay Francis S. Collins @ @N|HDirector - 27m Let me clarify the masking message that I garbled on @NewDay this morning. Vaccinated parents who live in communities with high COVID transmission rates should mask when out in public indoor settings to minimize risks to their unvaccinated kids. No need to mask at home. OD tl 168 QO it Richard H. Ebright @ @R_H_Ebright Replying to @NIHDirector and @NewDay You should similarly "clarify" your similarly "garbled" statements about funding gain of function research of concern. 4:37 PM - Aug 3, 2021 - Twitter Web App 1 Retweet 27 Likes Gov. Cuomo is in serious trouble politically. A report came out today detailing 11 instances of sexual harassment. President Biden as well as Nancy Pelosi has called for his resignation . If he does not resign, he will likely be impeached. Richard Ebright (Rutgers) has proven again that he is truly an asshole. Francis Collins was on CNN this morning and misspoke saying that adults who have children at home should wear a mask at home , which is clearly not correct. However , Frances very quickly corrected his statement by putting out a tweet , apologizing , and saying that he was incorrect. Yet immediately after that doctor Richard Ebright followed this up with a very nasty tweet . See below: This evening I was asked by Erin Burnett on CNN to clarify the situation once and for all. I stated that Francis misspoke but to his great credit he immediately apologized and corrected the mistake. I e-mailed Susan Rice tonight asking her to call me, and she returned call at around 9:00 PM. I wanted to explain more fully to her the misperception about the "likelihood" that a vaccinated person would get infected. In a discussion we had yesterday where I briefed some of the economic leaders including Janet Yellin and Susan Rice, the question came up as to what it means when there is a 79% efficacy of a vaccine against the delta variant. Many people interpret this to mean that there is then a 21% chance that a vaccinated person will get infected . This is obviously incorrect since you must compare it to the unvaccinated people. Since not all the unvaccinated people get infected by any means, then the 79% protection compared to the unvaccinated people means that a very, very small proportion of vaccinated people will get infected. Susan was very grateful for the phone call and said as he has often dos when she sees Daily tests 2M 1.5M 1M 0.5M Ror Percentage positive tests Global USA rie liity! vosancaneeneiilllll {I Daily totaltests I) Daily positive tests (7-day moving average) Mili nan, iat Jul 2020 Oct 2020 Jan 2021 Apr 2021 vali Jul 2021 20% 15% 10% he) Positivity Rate me that she "loves" me. We have become good friends over the years dating back to the Obama administration, and I really like her. PRESS: Axios interview with Eileen O'Reilly; Podcast with Creative Artists Agency - agent for many entertainment and sports figures; Podcast with CSIS - Steve Morrison; CBS Evening News with Nikki Battiste; CNN with Erin Burnett; Did a Webinar with Virginia Governor Northam;
  2. 2021-08-04 00:00 Anthony S. Fauci open
    August 4, 2021 - Global USA Had 100,000 cases yesterday!! 104,000 cases today I received the call today from former Vice President Dick Cheney - This is medically confidential and not for publication in my memoir. The VP was asked to give the eulogy for former Secretary of Defense and dear friend Donald Rumsfeld. Cheney had a heart transplant several years ago and is on immunosuppressive regimen. It is likely that his immune response two the vaccine is suboptimal. He called his cardiologist , Jonathan Reiner, at GW and asked his advice about coming to Washington to give a eulogy for Rumsfeld given the current situation with the delta variant. Reiner recommended that he called me. I made it very clear to Cheney that I strongly recommended he get the third boost of the mRNA since he is highly susceptible to getting infected if he comes into contact with an infected person. We spend some time discussing the courage of his daughter Liz Cheney and sticking up against the far right Republicans who want to whitewash the January 6th insurrection. I told him that she was a chip off the old block and I really appreciated the fact that she has been sticking up for me. Cheney said he admired very much my courage and fortitude and standing up for what was right and he t Journal podcast with Ryan Knudson; Australian Global USA 5,500,000/614,000 is proud to tell friends that he knows me and used to work closely with me. I told him that the feeling was mutual when I talk about him to my friends. Call with Eric Goosby - Eric is concerned that we are not utilizing the infrastructure of PEPFAR to solve the distribution problem of vaccines in sub saharan Africa. Eric points out that the obstruction here interestingly is Gayle Smith who is now the special director in the Department of State for global affairs. Eric points out that it is the same competition intention between USAID and other global entities of the federal government. Gayle and USAID want to be the focal point of the failing distribution of vaccines in Africa, while PEPFAR already has an extraordinarily effective infrastructure that was built for HIV. Eric is frustrated that we are not using that infrastructure. Did Zoom with Senator Dick Durbin who wanted a briefing on breakthroughs and boosters PRESS: Katie Couric podcast; Wall Street Journal podcast with Ryan Knudson; Australian broadcasting TV "7/30"
  3. 2021-08-04 00:00 Anthony S. Fauci open
    Aug 04, 2021 = Aug 10, 2021 New Adrrissons por 100,000 Population New Agents per 100,000 Popadation 0.0% Percent change from peak 7-cay ava of Aig 04, 20001 - Auge 20, 2000 ct 20a0) fan 20) Apr ad ful Soa) dan 2021 Aor 2021 jul S334 Aga Greap ------ 6 - 1? Your LE - 2 Year =~ 30-9 fee a a ee 54-55 Vem ff) 6 Year ------ 70+ Year =~ =~ All Agen Based on reporting fen all homseoy [Mek 2G) Dae 1h pececeia eeparring Seta, GaSe egsroed in The reogr cece 7 ape dant oeprereeeS by Tue thuged bar! prow be ienenarened win cpupen Sera) gh#s io Satere dita Papp oder duets eucgped 6 the CE Beevetae of daca Pil, ae a cae tS clecely hg 2th rete eageta Sart aede Detevesee $ D0) pineal were deerectoet erattngoigy adptidel Qin crit to t8n dilte sae hie ares aida that dee SEE Sony LOOT AbpOe Thas Thee eee BOR en PE ree oe are aca. Damn prior a dagea 1, 2000 are erunaieee Ken Lpetutest: ag 2, JOC Urpin Aaumene! Denna, tne Hear CSI Ie eget, Deno Sriegy ore Eapruten Werepraae liscussion Had a good call with Hans Kluge, WHO Regional Director of Europe. Good discussion about mutual interests concerning COVID-19 and issues such as vaccine hesitancy. Had a very important Zoom with Chris Whitty and Patrick Valance see above) from the UK. Jeff has suggested that I call up Chris and Patrick and ask them what the strategy is in the UK regarding booster shots. To my surprise, I found out that they have not yet implemented booster shots for the immune compromised. They plan to do that in September. However, the bigger surprise was that although they are planning to give booster shots to the elderly starting with those who are 70 years old and older and then moving to the 60 years old and older, they will not boost anyone less than 50 years old . This means that they have no intention of boosting the general population who are not immune suppressed. Of note, this is consistent with their strategy that they care less about transmission of virus among individuals than they do about keeping people out of the hospital . That's why they feel that although the general population might have a decrease in effectiveness of the vaccines leading to infection and transmission, they are not concerned since the protection against severe disease is holding strong. This is consistent with their strategy of not wearing a mask and sending the children back to school without masks. In other words, they feel that we will have to live with transmission of the virus so long as we protect people from getting severe enough disease to be hospitalized. Jeff and president Biden were concerned that we would be behind other countries in protecting our citizens when in fact we are ahead of them, certainly ahead of the UK. PRESS: White House Press Conference; ABC "Good Morning America" with Amy Robach; NBC "Today" with Craig Melvin; CBS "This Morning" with Vladmir Duthiers; Confirmed Cases (Thousands) tab in a wa [=I a bei a Ba oa = in o = =] = oni o ais ae afiz ae S10 Sima oft 6/21 nie New Daily Confirmed COVID-19 Cases in the U.S. fa lial bt Ea g ra o ial i a = > a B Cal fa = Pa £ Lit Pa > cal bal B = = -- = "- a mi rt a =, -- oe of of mm &€ &€ FA 30S FW oF 2020/2021 ala aes afi aya ae Siz 141.4 ABC "World News Tonight" with David Muir; NBC "Nightly News" with Lester Holt; PBS "NewsHour" with William Brangham; KMBC (ABC) TV - Kansas City, MO with Mike Mahoney; KDFW TV (FOX) Dallas-Fort Worth with Steven Dial; WPLG TV (ABC) Miami with Ben Kennedy; Univision TV with Lourdes del Rio; Telemundo National TV with Jose Diaz-Balart; Univision Atlanta TV with Rafael Olavarria; MSNBC "The Reid Out" with Joy Reid; CNN AC/360 with Anderson Cooper;
  4. 2021-08-05 00:00 Anthony S. Fauci open
    August 5, 2021 - Global USA I had a very busy day today. Jeff arranged for me to brief both the house and the Senate via zoom on the latest in the COVID situation. In addition , I joined the first gentleman Greg Emhoff in discussing with a bunch of young communicators the importance of their work in getting their young peers vaccinated. This is the second time that I have done an event with the first gentleman. In addition, I met by zoom with Kathy Russell the head uh White House personnel to debrief her on the interviews I did with FDA candidates James Hildreth and Sudip Parikh. During the debriefing when they asked me if there were any other candidates that I would recommend, I strongly recommended Zeke Emanuel. However, as usual there was a concern about the fact that he can be a bit of a loose cannon. This is unfortunate since he is a very talented guy , intellectually brilliant, and very visionary. He is also a good friend. The nonsense of the far right in trying to discredit me continues. A day does not go by without either the far right GOP congressman or senator criticizing me and even calling for my removal together with the far right media , particularly FOX, being sharply critical of me in every respect. PRESS: ABC "Good Morning America" with George Stephanopoulos; Rickey Smiley Radio Show; Taped CNN Fareed Zakaria for this Sunday;
  5. 2021-08-06 00:00 Anthony S. Fauci
    August 6, 2021 - Global - 200,800,000/4,300,000; USA - 35,500,000/614,000 67,000 7-day average Cases continue to climb. There has been a lot of discussion about whether or not we should move quickly in instituting a program. I have been a very strong and vocal advocate to give booster shots immediately to people who are immune compromised such as those who are transplant recipients, those war on cancer chemotherapy, and those who are immunosuppressed because the border immune diseases. I have been explicit about that and have also been pushing the CDC to give us at least some preliminary data on the cohort studies that they say will inform us about the durability of protection among various groups of people. Other countries including France, Israel, and Germany, have decided to give boosts to the elderly right now. The UK has decided that they will start doing this in September. In this context, Jeff is getting very disillusioned with Rochelle and the CDC in their traditional way of not giving anyone even a slight hint of what the data shows until they are ready to announce it officially. A typical example of this has occurred today. I will be on a lot of press calls today and over the weekend and the CDC just announced that they have an MMWR that will be coming out together with a couple of papers in JAMA. I have no idea what is in these publications. This is unacceptable . Similar to what Sylvia burwell discuss with me years ago about firing Tom Frieden, Jeff is seriously thinking about either bringing in someone else to assist Rochelle or outright getting rid of her. I have argued that we should absolutely not fire her, and I have offered to speak with her about this issue. I had a long call with Rochelle tonight and explained the entire situation to her. I confirmed that I totally support her, but she really has to address the ingrained and somewhat ossified culture of the CDC. I particularly pointed out to her that she just cannot hold back information from Jeff and the White House team because she is waiting for her team to finalize data. If she has preliminary data she needs to tell us about it since we may need to talk about policy that would depend on such data. She just cannot give us an MMWR on the same day that is coming out. The last time this happened she said she could not give it to us because it was "under embargo ". I pointed out to her that this enraged Jeff since the CDC owns MMWR and as director of CDC she needs to realize that no one is trying to influence what goes into MMWR but it is important that she does not surprise Jeff or the president with something that she knows and that we do not know. I love Rochelle and she knows that. I explained to her what she needs to do to make things right with Jeff . A human explained to her the story from years ago when I saved Tom Frieden from getting fired by Sylvia Burwell because of how he messed up the ebola situation as a result of his listening to "his guys ". I believe that Rochelle gets it and will survive this very difficult time. I support her totally. PRESS: WJXX -Jacksonville TV; Bloomberg TV interview - Madison Mills; 1 hour with USA Today Editorial Board; Zoom Call with Michael Spector for his adio-book; MSNBC peacock TV with Joshua Johnson
  6. 2021-08-07 00:00 Anthony S. Fauci open
    August 7, 2021 The surge continues: Confirmed Cases (Thousands) tab in a wa [=I a bei a Ba oa = in o = =] = oni o ais ae afd Fi 5/10 Tra! Gf] New Daily Confirmed COVID-19 Cases in the U.S. T fe J Dial et wm tl =a il aed & &§ FR FR BS BEB : Soe fo eR Ba of F = artes 2020/2021 afi aya Sie 6S 120.2 62a He a1 Governor DeSantis is a complete disgrace. He is blocking the local authorities from mandating masks in various locations including schools. He is doing this while at the same time Florida is virtually on fire with surging cases. Approximately 20% of all the cases in the country right now are in Florida. When you add Florida with Texas you get about 40% of all the cases in the country. At the same time he together with his Greek chorus of Rand Paul and other GOP members of Congress together with all of the stooges at Fox News (Carlson, Hannity, Ingraham), continues to actively criticize me and talk virtually every day about my being wrong on everything I say and then I should be fired. This is an obviously calculated plan of disparaging me and any other scientists (but focusing heavily on me) that speak up against their crazy strategy. I am convinced even more that this is part of the total dystopia going on in certain elements of the country and it is all linked to "The Big Lie" involving the election and the denial of January 6. I really am worried more about the country then about myself since if this goes on I fear that our democracy is in dire danger. We had an important conversation today with Glenda Gray and Linda-Gail Bekker of the Republic of South Africa. The discussion centered around the fact that Glenda and Linda GAIL want to do a randomized placebo-controlled trial using the Moderna M RNA. The purpose of the study is to determine if and how well mRNA vaccine works in persons with HIV. We have a real problem with doing a randomized placebo-controlled trial and so we got on the phone with David Kessler, the people from NIAID including Cliff, John Mascola, Mary Maravich, Carl D., and others. I came up with a solution that everyone liked. That was to do a trial where each arm gets a prime in boost dose of Moderna and then one group gets randomized to placebo and the other group gets randomized to a third dose boost. This will kill two birds with one stone. It will avoid the controversial use of a placebo and at the same time tell you whether the mRNA vaccine works in persons with HIV and whether and whether or not they need a boost for optimal response. Confirmed Cases (Thousands) aS aE 4afiz 5f1G Global USA New Daily Confirmed COVID-19 Cases in the U.S. RL? '2 Tes) a/13 t] Iii layas LUIS 1/22 Le 2020/2021 ala ares a4 ae a/1l [hed Tey a3 ais Grae 124.9 wt FE a]
  7. 2021-08-08 00:00 Anthony S. Fauci open
    August 8, 2021 - Global USA PRESS: CNN "GPS" with Fareed Zakaria; NBC "Meet the Press" with Chuck Todd Ron DeSantis Dr. Fauchi Global USA
  8. 2021-08-09 00:00 Anthony S. Fauci open
    August 9, 2021 - Global USA Cases 140,000 yesterday. It seems that my prediction of 200,000/day will come true unfortunately. We're having continual and difficult discussions concerning boosters. With my strong persuasion we have now finally arrived to the reality that we must give an additional dose to immunocompromised people as quickly as possible. The real issue that we are struggling with is when how and to whom we should give boosters among the population in general. Clearly, we want to stagger it so that we don't have rush to the gate. We're trying to get as much data as possible to validate a decision to start giving it to the elderly at approximately 8 months following their initial vaccination. Share of people who received at least one dose of COVID-19 Our World vaccine, Aug 8, 2021 Total number of people who received at least one vaccine dose, divided by the total population of the country. In Data © Add country Europe 50.3% North America 50.26 South America 46.5% Asia 30.3% Oceania 26.3% Africa 3.956 0% 10% 20% 30% 40% 50% Source: Official data collated by Our World in Data - Last updated ? August 2021, 11:20 (London time} Mote: This data is only available for countries which report the breakdown of doses administered by first a QurWorld|nData.orz/coronavirus « CC BY -- Global USA I continue to struggle with having to defend the CDC against reasonable concern about the fact that they are generally behind the curve when it comes to accumulating data that would inform proper public health action. He gets back to previous conversations that we had concerning the entrenched culture at CDC who feel that they know best and they are not accountable to anyone. Under non pandemic conditions this goes un-noticed. However, in the middle of an outbreak of this proportion it is a glaring deficit. PRESS: Black News Channel (TV); Hugh Hewitt Radio; Navajo Times Interview; BBC World News TV
  9. 2021-08-10 00:00 Anthony S. Fauci open
    August 10, 2021 - Global USA The soaring of cases continue. It is really looking rather ominous in that there have been numerous reports of gatherings of completely vaccinated people in a moderate to small sized party 20 thirty 40 people where you have outbreak of infections among these individuals. It is very clear that this virus is very different in its ability to transmit compared to the alpha variant. There have been a number of discussions regarding the use of additional booster shots. I have been a strong proponent and have led the discussion in getting additional booster doses to the people who are immunosuppressed, and to get these doses to them imminently. We have had she several meetings with Jeff and the team and in some cases with the FDA to try and expedite this. It becomes an issue of the clinical data in a somewhat preliminary form balanced against the need of the FDA to have firm data before they modify the EUA. The tension between Jeff and the CDC continues in that the culture does not allow the CDC to share data in real time in a situation in which you actually need data in real time to make a decision. The lack of confidence in Rochelle and the rest of the CDC is manifested by the fact that Jeff is having me as opposed to Rochelle brief the President about things that appear to be strictly epidemiological. The same holds true for briefings of the principles and the governors. I don't know what to do to help Rochelle change the culture of the CDC because this is a decades-long problem. Vivek is in total agreement with me on this issue. I met with the President today in the state dining room of the White House to discuss together with the administrator of FEMA Deanne Criswell and Assistant to the POTUS for Homeland Security Liz Sherwood-Randall among others and together with Natalie and Jeff. The topic of the discussion was how we were going to handle the obvious heavy hurricane season that is approaching in the context of major outbreaks of COVID in the gulf states that have the lowest levels of vaccination and the highest levels of infection. I presented the epidemiology data and Liz and Deanne presented the hurricane data. My impression was that the president was not particularly happy with Deanne's presentations since she was not able to give him the answer to a lot of his questions. Nonetheless being the gentleman that he is he did not really act annoyed with her although as I get to know his body language better I could sense that he was disappointed. As indicated above David Kessler and I and most recently with the support of Jeff have been trying to push the concept of getting the US government to make a major investment in Lonza company that makes the mRNA four Moderna. We're making some progress in the implementation of the concept of the US government bankrolling Lonza to expand this capability to supply billions of doses of vaccine to the developing world. We had been working on this in collaboration with Peter Staley, James Krellenstein, and David Barr. Unfortunately, Peter in his enthusiasm to get things done quickly, orchestrated a letter signed by 175 public health advocates essentially criticizing the Biden administration for acting too slowly in getting vaccine to the developing world. They sent the letter to the president simultaneously with sending it to the Washington Post and my media friends Yasmeen Abutaleb and Dan Diamond wrote an article in the Post indicating that David Kessler and I were working with them to get the higher ups in the administration to agree with the plan but that we had not been successful. Unfortunately, this may have blown our entire plan of getting this done under the radar screen. It is likely that this could now interfere with what David and I were trying to do. Yasmeen called several times for an interview; however, I did not see any purpose in getting involved in this controversial issue and also she had already written the story. See below: Wpost: 'Act now' on global vaccines to stop more-dangerous variants, experts warn Biden Vivek called me tonight after resume call with Dawn O'Connell and told me that a number of scientists and public health people that were originally on the advisory committee to Biden's election group we're writing to Ron Klain urging the administration to fire Rochelle Walensky as the CDC director. I believe this is very unfair since after I have spoken to her she r@hhs.gov dst story is really trying very hard to gain control of the agency and to change there are somewhat ossified culture. PRESS: MSNBC "Morning Joe" with Mika Brzezinski; Did Instagram and TikTok interviews with "influencers" including Actor Edgar Ramirez, Kathleen Barnes, Jax James, Merrick Hanna Chris Olsen/Ian Paget, Wisdom Kaye

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