A single line often inverts meaning once you see what it
answers, so neighbouring messages are always shown.
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July 30, 2022 (Saturday) Just got a call at 12 noon from Kevin O'Connor that the president has had a rebound with a positive antigen test today. He is asymptomatic. This is the real problem since there are no guidelines from the CDC which dictate what to do when you have someone who you are testing virtually every day. The CDC health advisory on what to do following a rebound after Paxlovid treatment does not mention testing at all. the duration of isolation is based purely on symptoms and time from resolution of symptoms. Here again it goes back to my objection many months ago of the guidelines the CDC put out about reentry into society following infection. I had insisted back then that even though it might not be practical for everyone to get testing and often people need to get back to work after five days, they still should have put some guidance in for people who can get tested period now we are flying in the dark. Ron Klain is going to want him out as soon as possible; however, given that he is known to now be antigen positive he has to isolate for five days and then the question will arise of how often to test him and if he is positive should he be let out even with a mask. Cliff Lane feels strongly that he should be in isolation so long as he is antigen positive and can go out once he has two negative tests in a row. Got a call from Ashish making sure that we are on the same page. Also, he asked me if we should start a 2nd course of Paxlovid. I told me not to unless the POTUS gets significant sxs PHYSICIAN TO THE PRESIDENT THE WHITE HOUSE 30 July 2022 MEMORANDUM FOR: KARINE JEAN-PIERRE ASSISTANT TO THE PRESIDENT AND WHITE HOUSE PRESS SECRETARY
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July 31, 2022 I gave the special session plenary lecture at the International AIDS Society (IAS) meeting in Montreal via a virtual presentation. I have given a plenary lecture and virtually every one of the IAS meetings since 1984. I reflected on what has transpired since the last meeting in Montreal which was in 1989. My presentation triggered a prolonged standing ovation from the audience. The session was chaired and moderated by Laura Waters of the UK. The president remains antigen positive for the second day in a row following his rebound. His CT values are 16 to 18. He has had no additional symptoms although he still has somewhat of a lingering cough. The plan is to keep him isolated until he asked two negative antigen tests in a row. PHYSICIAN TO THE PRESIDENT THE WHITE HOUSE Lg 31 July 2022 MEMORANDUM FOR: KARINE JEAN-PIERRE ASSISTANT TO THE PRESIDENT AND WHITE HOUSE PRESS SECRETARY
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August 1, 2022 I have been somewhat concerned about Monkeypox the very beginning, but I am getting more and more concerned about it as time goes by. It clearly is spreading rapidly throughout the world the community of MSM with an estimated doubling time of about seven days; my concern is that we are all seeing some spray into the non-MSM communities such as the recent is very much bothering me is the continued plans to have MSM and gay pride galas at the same time that we are having acceleration of COVID as well as outbreaks of monkeypox (see above my conversation with Jen Ashton) I got my usual follow up call from Kevin O'Connor regarding the President's condition. He is concerned that his viral load is going in the wrong direction, namely, his CT value went from 18/16 to 16/14. He called me together with Walter Reed ID physician Wes Campbell to see if I agreed with them that they should not restart Paxlovid since the president does not have any new symptoms and his oxygen saturation is 98%. His chest is clear despite the fact that he has his typical nagging cough that antedated his illness. I agreed with them that they should not start a second course of Paxlovid. The administration will announce tomorrow that they are appointing a monkey pox Coordinator (Bob Fenton) and a Deputy Coordinator (Demetre Daskalakis). Clearly the response or at least the perception of the response of the government to monkeypox has not been good. They are hoping to reinvigorate the response by this appointment. Tonight, Kevin Munoz (WH Comms) called me and he asked me if it was OK to put a quote in the press release supporting this decision. The White House feels that because of my street credibility with the gay community that this would make the choice more acceptable. I agreed and provided a brief quote. Overwhelming evidence of benefit of vaccines and boosts: United States: COVID-19 weekly death rate by vaccination status, All ages,
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Aug 1, 2022 article by Sheryl Stolberg: ing vaccines out to the community nd and Joseph Goldstein: ear My comment in NY Times article by Sheryl Stolberg: "Centering the response operation at the White House gives the administration more flexibility to coordinate efforts across a range of agencies that might be involved, including FEMA, the Health and Human Services Department and the Department of Homeland Security. It also creates a designated team that has no responsibilities other than to combat monkeypox -- a move that makes sense", said Dr. Anthony S. Fauci, Mr. Biden's chief medical adviser. NY Times keeps hammering HHS for slow response in getting vaccines out to the community for monkeypox. Article by By Sharon LaFraniere, Noah Weiland and Joseph Goldstein: NYT: "U.S. Could Have Had Many More Doses of Monkeypox Vaccine This Year" I met with Rino Rappuoli in my office today. They are planning to make him the chief scientific officer of a pandemic preparedness program by the Italian government in Sienna. Rino wants me, either before or after I leave the NIH to help them in an official way to set-up their program. that he's writing about risks in society. t ea ¥ IYI LI IVY Ga, SOME Total Most recent 7-day daily Week-on-week ilable to date day* average change Cases --_---91,5 28,339 161,295 119,044 ». admits 5,073,655 5,679 6,321 Deaths 1,026,723 ported** 931,583,461 Tee 526,166** 5.2%** sitivity** 9.4% reporting lag 0.4 pct. pts. inistered 603,693,871 313,724 0.6% ccinated 223,245,563 42,196 +10.3% I gave an interview with Nate Silver about a book that he's writing about risks in society. Rand Paul together with Roger Marshal, Rick Scott, Josh Hawley, Ron Johnson is holding a "hearing" on origins with the witnesses: Richard Ebright (Lab Director Waksman Lab. Of Microbiology, Rutgers), Kevin Esvelt, (Assistant Professor of Media Arts and Sciences MIT Media Lab) and Steven Quay (CEO, Atossa Theapeutics) all totally non-credible. Angel Rasmussen is blasting them on twitter as hacks. Once per year the minority are allowed to call a hearing and so Paul et al are using this as a publicity stunt. The majority has not even showed up. It is a total farse. I got a follow-up from Chase Crawford from my legislative staff who listened to the hearing and the result was expected in which Ebright came out strong saying that we did do gain of function and that I lied Quay also said that. However Esvelt said that some may call this gain of function whereas other scientists would say it's not since gain of function is such an ill defined term. He came the closest to reality. The rest of them would just pounding away that NIH funded gain of function and it likely caused the outbreak and that I lied saying that we did not. COVID:
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2022-08-03 00:00
Anthony S. Fauci
August 3, 2022 Spoke with Kevin O'Connor. POTUS stable, but still Ag positive. PHYSICIAN TO THE PRESIDENT THE WHITE HOUSE 3 August 2022 MEMORANDUM FOR: KARINE JEAN-PIERRE ASSISTANT TO THE PRESIDENT AND WHITE HOUSE PRESS SECRETARY
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Aug 04, 2022 - Aug 10, 202 United States I 0 - 17 Years United States I All Age Groups 'a Prior 7-Day Average Jul 28) 2021 + dug 03, 2028 Poak 7-Day Average
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August 4, 2022 The Wrap: Fox News host Tucker Carlson continued to imply that infectious disease expert and White House advisor Dr. Anthony Fauci somehow is responsible for creating the coronavirus pandemic during Wednesday night's episode of "Tucker Carlson Tonight." *****Critically important issue with CDC. Usual problem The CDC surprised us all by announcing that they are going to come out tomorrow with an updating of their guidelines across several areas including how one addresses getting back in to the public after a bout of COVID. The updated recommendations that they give are really inherently inconsistent. A number of things about them are troublesome, but the one that really stands out is the fact that they say that if you are infected you must isolate for five days and if you decide to test and have tests available you cannot go out into society with positive tests until after day 10. If you test negative for two days in a row within the 10 day period, you can go out into society but you still have to wear a mask until day 10. Importantly and disturbingly, if you test positive on day 10 since you have already reached the 10 day mark you can then still go out into society without a mask!!!! On the other hand, if you decide not to test at all, on day five you can go out into society with a mask and then on day 10 after day 10 you could take the mask off without knowing whether you're positive or not. This seems just so inherently inconsistent that it's going to be very difficult to explain that to the public. When Ashish heard that this was going to be announced tomorrow he demanded that Rochelle brief us on it tonight. When she did it became clear that the above contradictions existed (see above). Prior to that meeting, Rochelle called me up during the day and tried to explain what they were doing and it immediately didn't make any sense to me. I called up Cliff and he agreed with me. They seem to think that a positive test on day 10 doesn't necessarily mean that you're dangerous to go out into society because you should really be not infective after day 10 when in fact if you have a documented positive antigen test on day 10 all the data indicate that you definitely are transmissible since a positive antigen test means that you have replication competent virus. And so, the recommendations for those who cannot test because they don't have access to test are inherently contradictory to the recommendations for those who can test. This is going to drive Ron Klain completely crazy. In fact, Ashish called me up and said that Ron Klain is already so furious with Rochelle (even before he has heard this) that he fears that her job is in serious danger. Covid perhaps plateauing: Key Metrics ue to recent vaccination data orrections in ID, LA, TX and WY, some Total Most recent 7-day daily Week-on-week accination metrics are not available - to date day average change Cases 91,676,264 147,486 itso Conf. COVID hosp. admits 5,078,926 6,190 6,112 Deaths 1,027,370 NAATs reported** 932,121,140 omitted due to 500,250** -11.4%** Test positivity** 9.4% reporting lag 18.1% -0.5 pct. pts. Vaccine doses administered 604,235,972 77,443 -75.3% Persons fully vaccinated 223,035,566 N/A N/A Persons <5 years w/ 1+ doses 155,125 omitted due oA 14,026 N/A weekly reporting Persons 5+ years w/ 1+ doses 260,670,020 N/A N/A Booster doses administered 107,490,375 N/A N/A ecent day, 7-day daily average, and week-on-week change exclude historical cases and ¢ le aths exceeding f the total new cases or deaths reportedi the US that day. *Most recent day: 8/3/2022 (cases/deaths hospitalized). ** Testing data may be incomplete due to delays and/or differen in stat rep rting. { ita ma t backfilled over time, resulting in chan . T-day daily average: 28-8/3 (vaccine yses/deaths), 7/27-8/2 (hospitalized), 7/22-7/28 (test volume 26-8/1 (te t posi ity M ) iy have incomplet i rtin Week-on-week change: The 7-day dail ) pared to the lay Cases/ (Deaths: DC State-Reported Data, CDC Aggregate County ,COVID hospital admissions: T tal of confirmed adult and pediatric hospit ission ital Dataset. Total i I due to limit ting before this date. Tests: Viral nucleic i As plif NAAT fro m Unified Testing Dat 1 Test positivity: Positive tests divides i r of te rformed and Th ek: n-wee =creased 0.47 percentage points from 18.52% to 18.0 nh ict equals a elative change Waccliess Inified COVID-1 Facring Habis. Dasa administe are thet ta t t i nd niza that re id accinated indicat who received tt econd do f Pfiz er-Bic NTech or Moderna vaccines and those who r ived one dose of r > 19 ne. Values reflect total by r t date, not nistered date. The ¢ Red ol peak who received a booster dose ir anyone who is fully vaccinated and has received another de f COVID i ' tl 1, Red highlights: In i ( of +0.1 r greater (cases, admissions, deatl r NAAT p it it f5 or greater. Green highlights: Indicate a week-on-week changs POTUS continues to improve: PHYSICIAN TO THE PRESIDENT THE WHITE HOUSE 4 August 2022 MEMORANDUM FOR: KARINE JEAN-PIERRE ASSISTANT TO THE PRESIDENT AND WHITE HOUSE PRESS SECRETARY
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August 5, 2022 Met with Hans Kluge - WHO Regional Director for Europe. He is seeking my advice on multiple issues such as COVID, MPX, and vaccine related polio. He said the Europeans rely very heavily on my opinion: WHO/Europe @ @WHO_Europe Warm greetings as our Regional Director Dr @hans_kluge meets with Dr Anthony Fauci, = Chief Medical Advisor to @POTUS. Discussions include how Europe & the US can tackle #monkeypox, and prepare for a possible #COVID19 surge in the months ahead. #TransAtlanticHealthPartnership 3:13 PM: Aug 5, 2022 from Washington, DC - Twitter for iPhone Heard from Rochelle last night. Latest decision is that they wil hold off on the above announcement. Had meeting with Bruce Tromberg, Rochelle, Robbie Goldstein and CDC folks together with FDA folks (Rob Califf and team) and Steve Sha to try to get an agreement about guidelines for testing for isolation/quarantine when to stop isolation/masking, etc. We are coming to an agreement that is not perfect, but that is workable. Had another Zoom with the same team + Dawn O'Connell to explain to her our POTUS still positive on day 7 following rebound. ****Had a really major victory today resulting from a great collaboration between FDA, CDC, BARDA, me and John Beigel who was responsible for the design of a trial that would confirm that the study published in the journal Vaccine in 2015 by Frey et al and Bob Belshe showed that 1/5 the dose of the MVA monkey pox vaccine administered intradermally was as effective as a full dose of the subcutaneous administration. When we made this known to Bavarian Nordic (BN), lower level marketing people in the company objected strenuously, very likely because they saw this as a diminution in the need for full doses. Amazingly, they distorted the data and tried to marshal congressional support for blocking the use of the doses in the 1/5 dilution intradermally. This was an egregious attempt to interfere with the sound public health maneuver. To make a long story short when John Beigel showed all the data from the 2015 paper come it became clear that this was a very important way to expand the number of doses that were available. We finally got the leadership of BN to agree to continue to ship us the doses since their lower level people as indicated above were trying to block shipment in order to prevent us from distributing the vaccine in the 1/5 dilution. After much discussion with the FDA, we finally convinced them to issue an emergency use authorization (EUA) for the administration of the MVA vaccine in the1/5 intraderma; dilution. This is a major victory for the prevention of monkey pox because it turns 300,000 doses into 1.5 million doses and 1,000,000 doses into 5,000,000 doses. I consider this one of the major victories that I was a part of in trying to expedite the response to monkey pox. PRESS: WTOP Podcast with Luke Garrett & Megan Cloherty; CNN with Erica Hill; MSNBC with Andrea Mitchell;
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August 6, 2022 Continued drama now involving Larry Horowitz calling me up talking about how angry Ron Klain is at Rochelle for wanting to come out with a statement that the vaccines do not protect against infection at all. I have to look at the data but I think that although protection against true infection is low to modest at best, it is not zero and so I cannot figure out, and I am sure that this is what is bugging Ron, why the CDC needs to put that statement out now exactly at the time when we are pushing people to get the new BA.5 variant in early to mid-September.