A single line often inverts meaning once you see what it
answers, so neighbouring messages are always shown.
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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
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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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August 11, 2021 David Kessler is pissed at Peter Staley. David feels betrayed that Peter mentioned his name and my name in his interview with Yasmeen. Last night I called up Courtney Rowe and had a long about the pros and cons of responding to Yasmeen who has been trying to get a comment from me regarding the article. We came to the conclusion that it would not do any good since the quote could be misinterpreted. I agree with Courtney. However we may have a problem that the article may set us back in getting jeff's support to push for billions of dollars to expand capacity to be directed 2 low and middle income countries. I will try to repair any damage that has been done to this effort. I had a good conversation with Peter this morning and I believe Peter realizes that he may had done some damage by mentioning my name and David's name in his interview with Yasmeen. It is again a delicate balance of trying to get an activist-driven push to get the right thing done and still operate within the system that alone has the capability of getting the right thing done with all of the political sensitivities involved. Email from David Barr to David Kessler:
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August 12, 2021 - Global USA Now averaging (7 day) >100,000 cases per day Hospitaliations in children increasing per 100,000 population United States I 0-17 Years New Admissions of Patients with Confirmed COVID-19 per & Gas 100,000 Population by Age Group, United States 46,832
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2021-08-13 00:00
Anthony S. Fauci
August 13, 2021 Cases continue to surge We had multiple zoom calls and conversations today concerning the proper approach to his booster vaccinations. In addition, based on this submission to the FDA on data in diminished response in the immune compromised, the ACIP recommended that people who are immune compromised including transplant patients, cancer patients on chemotherapy, any patients on severe immunosuppressive therapy, people with advanced HIV disease, and people with primary immune deficiencies receive a booster dose. We also had considerable conversations about the best way to roll out the recommendations to boost the entire population in an orderly fashion starting likely sometime in mid to late September. The COVID team agrees that this is the way to go; however, it must be done within the context of the FDA regulatory framework. I am pushing my people who are doing clinical trials on booster doses to get data as quickly as possible to the FDA and the CDC so that they can analyze it for the purpose of making policy. Jeff is very sensitive to the fact that he does not want us to look like we have come in too late to the boosting game. This is actually not the case since as mentioned above , if anything, the UK is actually behind us. There will certainly be international concern by the fact that we in the USA are giving 36,300,000/618,600 boosts to otherwise healthy people while the rest of the world is lacking even their first boost . However, the argument that I am giving is that the USA is donating more doses and money two international vaccines for low and middle income countries then the entire rest of the world combined . At this point we have contracted for 500 million doses to be distributed in the following cadence: 200 million doses by the end of 2021 and 300 million doses before the first half of 2022 ends . In addition, we have already given away 110 million doses to 60 countries. This includes 80 million of our own doses. In addition, the USA has either given or pledged $4 billion to COVax. There is an interesting concept that is heavily debated among us. Although we all agree that we need to do as described above, we are not fully appreciative of what the decrease in incidents of infection actually means if the current rate of hospitalization and death appears to remain stable. Are we vaccinating people with a boost because we feel that ultimately those increases in infection will lead to increases in hospitalization and deaths, or are we concerned that even if vaccinated people get infected and spread the infection that we are trying to suppress transmission in addition to serious disease. Stay tuned for how this all rolls out. PRESS: WTOP with JJ Green; Twitter responses with WH Digital team; CBS Radio Los Angeles; CBS Radio NYC; White House twitter with digital team;
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Aug 13, 2021 rca nape Ancor yo 4 anthagani. PhD Oct 2020 visualization by Kristen P; someone who wants to kill me. All of this together with the stress associated with the fact that the president and others in the administration rely heavily on me four major decisions and I have very little staff relatively speaking who could help me. PRESS: CBS "Face the Nation" with Nancy Cordes
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August 14, 2021 - Global - USA - 36,300,000/618,600 140,000 cases in the USA today. We had continued discussions today with Jeff and David Kessler as to how we are going to deal with the activists (Peter Staley et al) in our attempts to cooperate with them in getting doses to the developing world. We need to get them to understand that we are with them and trying to expand the number of doses we give ; However, they need to understand that we have already given more than the entire world combined. So they really need to recognize that we've done a lot at the same time that they work with us to do even more rather than attacking us for not doing enough. Moderna has not acted in good faith. They have actually put in their patent application and have explicitly said that Barney Graham, John Mascola, and Kizzy Corbett are not inventors of the M RNA 1273 patent. This is absolutely outrageous and I have had conversations with Francis Collins, Larry Tabak, and earlier this evening with Jeff indicating that we have to get a heavy hitting law firm to argue our case. I suggested as did Jeff that we employ the firm of Williams/Connelly to represent us. We are planning to roll out next week the program of giving a booster shot to everyone starting with those in long term care facilities and the elderly, but ultimately including everyone related to their anniversary date of their last shot. Clearly, we will get both praise and criticism for this.
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August 15, 2021 (Sunday) Heat wave throughout the country. I had a very intensive day with the medical team trying to fashion to coherent message to justify the announcement that we plan to make this week that we will be giving a booster shot to everyone who wants one regardless of age or underlying condition. This has been a very difficult situation since the data for diminution of efficacy regarding hospitalization and death are unclear because of the confounding variables of some studies dominated by delta , some studies dominated by alpha , and some studies with a combination of both. In addition, when we talk about hospitalizations , it is unclear from several of the studies whether those who were hospitalized were almost exclusively the elderly and /or people with underlying conditions. Jeff is bent on having a coherent sharp message about this when in fact that is very difficult to do given the paucity of data. If we are too precise we will be called out because we cannot back it with data. If we are general, Jeff feels that the public will be confused. I am trying to convince him that it is OK to say that we do not know nor do we have all of the data to make a decision and sometimes you have to make a clinical or public health decision just based on clinical judgment. In this case the judgment is that delta is a very bad virus and even though we don't have firm data yet that younger people are getting seriously ill, we don't want to be late to the game. I used the metaphor of Wayne Gretzky who always said it is important to skate where the puck will be rather than where the puck is. We do not wait until younger people start requiring hospitalizations before we decide that we want to give them a boost. My job in all of this is to give the immunological basis for providing a boost. Bottom line is that the controversy will be not that we need to give a boost, but do we really need to give it to everyone instead of just to the elderly and those who have underlying conditions. One of the most important aspects about all of this is that when you boost someone with a third dose at about six months or so after the original prime boost the level of antibody goes dramatically high and I believe that this would provide durable protection against delta and any other variants that come along. My concern is that the Medical Group will not articulate this concept well enough and I will have to be out there trying to pick up the pieces as is usually the case. Summary of what has been going on hat I might not have had he time to document. I am more and more astounded by the fact that our society is so dystopic in that untruth and out and out lies seemed to win the day . In addition, I am concerned that even good scientists playing a game of using their longstanding concern with gain of function to call attention to this by what is going on regarding the argument about the origin of the virus. There is no question in my mind based on so many factors including history, molecular makeup with the virus, among others that this virus naturally emerged from an animal reservoir. Yet , people like David Relman and others are not realizing that by their focusing on the gain of function which they believe is what we funded at Wuhan could possibly be the cause of SARS Co V2 when in fact they know that this is molecularly impossible. I have evolved into something that would have been unimaginable to me just a few years ago. There are some positive aspects to it ; However, for the most part I feel like it is no longer me. I am now probably one of the most recognizable faces in the world. Millions of people idolize me and the far right radical group absolutely hate me. I cannot go out in public to a restaurant or even walk through a crowd since someone immediately recognizes me and wants to take a picture or congratulate me or just say that they said hi to me. This is driving my security group crazy as they are afraid fair among these legions of admirers will be New Pediatric COVID Hospitalizations in the USA sa ae ' : ei ¥. ef i gs 7s : mS fF: ft : z ¢ ¢ "i ; ee; z wi "w Jan 20210 Apr 2021 Jul 2021 updated
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AUGUST 16, 2021 Pediatric hospitalizations surging: Someone leaked our plan for boosters. The press are texting me all evening. I am not answering. PRESS: