July 16, 2022
Tony's Diary Package, p.975 · fauci_diary:entry:00824
Page text: p.975 · original PDF
- Date
- 2022-07-16 00:00 (day precision)
- Type
- diary entry · diary
- author
- Anthony S. Fauci
July 16, 2022
PRESS: CNN with Laura Coates
In context
A single line often inverts meaning once you see what it answers, so neighbouring messages are always shown.
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July 12, 2022 Was called to the White House for a meeting with Ron Klain, Ashish Jha, Sec. Becerra, Richelle Walensky and Dawn O'Connell. Ron was really ****** that he is getting a lot of Flack from New York City who feels that they are not getting enough doses of monkey pox vaccine. Ron is upset with the formula of distribution among the states. He feels that doses are being sent to places with few cases and not being used and there are lines of people waiting to get vaccinated in New York City and they are making a big stink about this causing what may turn out to be a political problem for POTUS. I kept quiet through most of the discussion which was pretty tense between secretary Becarra and Ron. However, it became clear to me that the lesion was that the contractor who is shipping the doses from Denmark to the United States do not appear to realize that this is an emergency and they're talking about sending one plane per week with about 140,000 doses per plane. I brought up the point when Ron mentioned that I was being very quiet and he wanted to know my opinion. I said that it is inconceivable to me that we cannot do better than 140,000 doses shipped per week when we have about a million doses in Denmark sitting ready to be shipped. I believe that this is an example of people not pressuring to get things done during an emergency and accepting business as usual. The astounding fact is that they said that the reason they have to rely on the plane flying back from the United States to Denmark to reload with another bunch of vaccines is that they only have limited carriers to put the vials in when they are shipped on the plane. What are they talking about?? One can make carriers with 3D printers. In addition, I don't understand why they can only do 140,000 at ran , but Vhite House warns a time. After the meeting I emailed Dawn and expressed to her my astonishment that we can't do better than this. She checked and found out that all of a sudden they could now ship 400,000 doses of vaccine per plane instead of 140,000. In addition I encouraged her to work with the Department of Defence to get more planes in the air. This is another example of a serious logistic snafu that could have easily been solved if somebody was just thinking with a clear head. ------------------------------------------------------------ Good coverage of the White House press conference where I emphasize the need to take the current situation seriously without letting it disrupt our lives: The Hill - Fauci: Take new subvariant seriously, but don't 'let it disrupt our lives' by Peter Sullivan - 07/12/22 11:10 AM ET NY Times - Sheryl Stolberg As BA.5 spreads, the White House warns that Covid is not over. : "Variants will continue to emerge if the virus circulates globally and in this country," Dr. Anthony S. Fauci, Mr. Biden's chief medical adviser for the pandemic, said at a White House news briefing. "We should not let it disrupt our lives. But we cannot deny that it is a reality that we need to deal with." PRESS: White House Press Briefing; MSNBC with Chris Lansing; Nexstar with Don Kauffman; Interview with Eileen O'Reilly for Axios; Fox TV with Neil Cavuto;
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July 13, 2022 Hospitalizations going up. Deaths stable at ~300/day. BA4/5 >80% of isolates with BA5 >50% Europe having a big surge of BA5. Met with Bob Barnett again last night planning the announcement of my stepping down and the subsequent linking up with publishers and speaking bureaus after I actually leave. Cases sp. admits Deaths eported** ositivity** Key MetrICS Total Most recent to date day* 88,782,908 185,786 4,941,848 5,451 1,017,391 918,921,058 omitted due to 9.3% reporting lag 7-day daily average 123,365 5,775 497,488** 17.6% Week-on-week change +14.2% +12.0% +10.1% -9,4%** +0.6 pct. pts. x O 8 GOP in Congress inappropriately trying to shut down all research collaborations with China: Draft bill would ban CDC, NIH from funding lab research in China House of Representatives measure catalyzed in part by suspicion that pandemic virus escaped from Wuhan laboratory • 12 Jul 2022 • 6:00 PM • ByJocelyn Kaiser PRESS: CNN "New Day" with John Berman
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July 14, 2022 Global - 5546,897,312/6,356,812; USA - 88,932,987/1,018,035 Cases, hospitalizations, and deaths now going up: Rochelle called me up tonight and arranged to have a zoom with me to get my advice about pressure she is getting from the White House who is responding to New York pressuring them to get more monkey pox vaccines (see above on July 12). This relates to the meeting we had a couple of days ago with Ron Klain where he was very concerned that we are being Primary Series Completion, Booster Dose Eligibility, and Booster Dose Receipt by Age, United State: 5-11 Years 28,744,500 12-17 Years 25,304,508 18-49 Years 139,763972 50-64 Years US 63,659, 65+ Years 54,792,626 Fully Vaccinated 30.0% (8.63M) ---------- E18 LLL LLLLLILIIIIINL) 25% 0236 Received 'ia 2.5% (721k) Fully Vaccinated 60.1% (15.2M) Ens LLL LLLLLLLIIIIITILILILILILILILLLLL TILL LI TILL, 57.7% 45% ae Received 16.5% (4.18M) Fully Vaccinated 68.9% (96.3M) aes //// LLL rece rr 27.1% (37.9M) 1st Booster 1st Booster ist Booster Fully Vaccinated 82.0% (52.2M) Se tx Boone Ene © LLL LLL LL LILI TILL LILI LLL LI LLL LILI TILL LLL LI LLL LLL LIL Li 204% 51.26) Received 45.2% (28.7M) ene MMMM LLU LL fos i 9.1% (5.79M) 2nd Booster Fully Vaccinated 91.7% (50.2 _------------------------------e| ist Boose LLL LLL Received 64.5% (35.4M) Sorel eed LLL races 22.7% (12.5M) --- ® » x» a © » #0 » Percent perceived as being unresponsive with regard to vaccines and the POTUS is getting a lot of pressure from NYC for more vaccines. The White House wants her to distribute the vaccine according to the number of cases and she feels correctly that that is not a totally fair way since there is a consideration for the at-risk population in certain locations that don't yet have a lot of cases. Also, southern states with black MSM are not really tresting since they are stigmatized and cases are not being recognized. I counseled her that it is a battle she will lose if she insists on distribution other than just by case numbers. She will lose the fight with the WH. In 1 to 1 and 1/2 weeks there will be hundreds of thousands of vaccines shipped from Denmark. At that point we can do what I would strongly suggest is to blanket the at risk community with vaccines for everyone who is at risk particularly those who are on prep for HIV or who are infected with HIV and are suppressed with their viral load due to antiviral drugs. Those are the ones that are out there having sex and not feeling vulnerable because they are on antiviral therapy. I told her to hang tight for week or so and the problem will solve itself. PRESS: Rickey Smiley Radio Show; KAMR TV Amarillo, TX; NBC Livestream News with Phil Lepof; CNN with Erin Burnett;
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July 15, 2022 Global USA After talking with Ashish this morning, Rochelle decided to allocate vaccines for monkeypox at 75% according to the number of cases and 25% for the level of risk and a given community. That seems like a reasonable compromise which I agree with and will back Rochelle on. As mentioned above, in two weeks this will be a moot point since there will be hundreds of thousands of doses of vaccines arriving from the outside. We are not keeping up very well on booster shots: PRESS: Univision Digital with Borja Voces; Skimm TV ONLINE with Maria Corpus; Bloomberg TV "Balance of Power" with Joe Mathieu
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July 16, 2022 PRESS: CNN with Laura Coates
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July 17, 2022 (Sunday) Important conversation with Ashish Jha. But she's called me up and wanted my opinion and backing on what he wants to bring up to Ron Klain. He wants to propose putting billions of dollars into a program that would mimic operation warp speed in which he has been calling "hyperdrive". The purpose is to put a full court press on getting you closely administered vaccines to prevent infection and transmission as well as next generation platform and imagine designs for greater breadth and durability of response. These latter concepts word described by me to him. The reason Ashish wanted my help was that he heard from Ron that unless we're proposing something that is more than just incremental and that would actually be transformative and play a major role in turning around how Americans think about COVID, then he doubts that Ron will take the step to go to the president to have the president use a chit with the Congress to get the money. The trick about all of this is that Ron will want a product to go into the arms of Americans within 18 months to coincide with approaching the end of the administration and the election for the presidency. I told Ron that I would back him on the transformative nature of the two pillars that I mentioned above, but I have considerable skepticism as to whether or not we can do this in 18 months. I suggested to Ashish that week altogether a group comprised of him, me, Peter Marks and Rob Califf from the FDA as well as some knowledgeable people from biotech and pharma. Unless we have corporate sponsors we are not going to go anywhere with this and we will never be able to do it in 18 months. Ashish will set-up the meeting and hopefully we can make a determination and get back to the president. Ashish feels that if we cannot convince Ron about this then there is no way that we can get the money.
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July 18, 2022 Sarah Ohermohle wrote an article in Politico where I mentioned that I would be leaving the NIH sometime before the end of President Biden's first term to which is January 2025. This is being interpreted by many in the press that I'm announcing my retirement. This is obviously not the case because I have given no date for stepping down and I am not retiring when I leave government service. However given the interest in me it is not surprising that this is now gone viral: Anthony Fauci wants to put Covid's politicization behind him The disease fighter says he's plotting his departure and reflecting on how he wants to be remembered. Financial Times: Kiran Stacey ion sheryl Stolberg): ur and Betsy McKay US chief medical adviser Anthony Fauci to step down in Joe Biden's first term Kiran Stacey 4-5 minutes Washington Post:
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July 18, 2022 at 11:45 a.m. EDT New York Times (Sheryl Stolberg): Fauci Says He Will 'Almost Certainly' Retire by January 2025 Dr. Anthony S. Fauci, 81, said he expected to see out President Biden's current term. Wall Street Journal - Stephanie Armour and Betsy McKay Anthony Fauci Plans to Retire by End of Biden's Term One of the leading public faces of the U.S. public-health response to Covid-19 says he hasn't decided on exact date ---------------------------------- I had a very good talk today with Sam Bankman-Fried and his brother Gabriel Bankman who runs a foundation called "Guarding Against Pandemics". Also on the call were their associates Jacob Swett and Annabel Snidow. (see above) . We spoke about how Sam with his billions of dollars could partner with the NIH and pushing the scientific agenda for the prototype pathogen approach of pandemic preparedness. Sam is a good friend of senator Joe Manchin and Joe is the one who originally pointed Sam in my direction to see if somehow we can all work together to having some sort of a partnership where the Congress puts in a certain amount for pandemic preparedness using the prototype pathogen model and Sam puts in an equal amount to support the effort through NI AID. We left it that they put together a proposal and that I serve as the scientific advisor for the amount of money that Sam wants to put into this even though I must be careful and will be careful about not getting involved in writing any legislation since Manchin has been talking about writing this into a reconciliation bill. PRESS: CNN with Kate Bolduan; Reuters interview with Julie Steenhuysen; NBC Online Web; NPR with Rob Stein (talking about the Politico article (see above)
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July 19, 2022 I had an important conversation this morning with Peter Staley in which I asked his advice about messaging to the gay community regarding monkey pox. There seems to be a debate in New York City among public health officials versus some gay leaders. The tension is whether or not to tell gay men to hold off on multiple sexual partners until they get a PrEP version of the vaccine. Some people are saying that that would increase the stigma against gay men. However, Peter agrees with me that there is nothing wrong with and probably a good idea to tell gay men to just hold off and cool it for the next couple of weeks until we get enough vaccine to vaccinate all people who are at risk namely those who've had multiple sexual partners within the last 14 days. I will be out in the press talking about this and I just wanted to check with Peter as to whether he agreed with me and in fact he does. BA.5 dominating isolates: https: 100% 90% 80% 70% 60% 50% 40% % Viral Lineages Among Infections 30% 20% 10% 0% covid.cdc.gov/covid-data-tracker/#variant-proportions Q F = 4/23/22 4/30/22 5/7/22 5/14/22 N q ~~ NOWCAST 7/9/22 7/16/22 USA WHO label Lineage # USClass %Total 95%PI Omicron BA5 VOC 77.9% 75.8-79.9% BA.4 VOC 12.8% 11.3-14.4% BA.2.12.1 VOC 86% 7.8-9.5% BA.2 VOC 06% 0.6-0.7% B.1.1.529 voc 0.0% 0.0-0.0% BA.1.1 voc 0.0% 0.0-0.0% Delta B.1.617.2 VBM 0.0% 0.0-0.0% Other Other* 0.0% 0.0-0.0% * Enumerated lineages are US VOC and lineages circulating above 1% nationally in at least one week period. "Other" repr the agg lineages which are circulating <1% nationally during all weeks 'meciead: ** These data include Nowcast estimates, which are modeled projections that may differ from weighted estimates generated at later dates # AY.1-AY.133 and their sublineages are aggregated with B.1.617.2. BA.1, BA.3 and their sublineages (except BA.1.1 and its sublineages) are aggregated with B.1.1.529. For regional data, BA.1.1 and its sublineages are also aggregated with B.1.1.529, as they currently cannot be reliably called in each region. Except BA.2.12.1, BA.2 sublineages are aggregated with BA.2. Sublineages of BA.4 are aggregated to BA.4. Sublineages of BA.5 are aggregated to BA.5. PRESS: The Hill Health Summit Interview and streaming with Steve Clemons; Good Housekeeping with Zee Krstic; WHUR 96.3 FM DMV/ HBCU Network with Harold Fisher;WJLB 97.9 Detroit with Bushman; WNYM (FOX-NYC) TV with Lori Stokes;