Jul 29, 2022
Tony's Diary Package, p.1047 · fauci_diary:entry:00892
Page text: p.1047 · original PDF
- Date
- 2022-07-29 00:00 (day precision)
- Type
- diary entry · diary
- author
- Anthony S. Fauci
Jul 29, 2022
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 27, 2022 Paper in Nature today validates my disagreement with the CDC last year when Vivek and I pushed back against their saying that you do not need to test after 5 days of isolation after infection since most of the transmissions occur in the first few days of infection and after day 10 you are OK (see prior notes): How long is COVID infectious? What scientists know so far "ay PHYSICIAN TO THE PRESIDENT THE WHITE HOUSE 27 July 2022 MEMORANDUM FOR: KARINE JEAN-PIERRE ASSISTANT TO THE PRESIDENT AND WHITE HOUSE PRESS SECRETARY
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July 27, 2022 at 2:51 p.m. EDT Variety: Dr. Fauci, Roberta Flack and Zora Neale Hurston Documentaries on the Way, PBS Boss Announces Went to a terrific social function at the incredible home of Adrienne Arsht at 6 Chevy Chase Circle. It was a cabaret night where American Pops Orchestra founder/leader had a contest played old songs and had the audience guess the singer. I thought that I might win since I got only 2 wrong, but Renee Fleming won with an even better score. Had interesting conversation with Brett Baier where he finally admitted that the 2 recent Science papers by Worobey, Andersen, Rasmussen et al convince him that the lab leak theory is really not true. PRESS: New York Daily News interview with Tim Balk; NPR WBUR Boston with John Ringer; Dr. Anthony Fauci says government response to monkeypox must address anti-gay stigmas Muri Assunção, New York Daily News
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July 28, 2022 Cases and hospitalizations continue to rise slowly with very little increase in deaths. I recommend to Becerra to declare PHE. Monkeypox: Global.health: 20,671 confirmed MPX cases, 42 suspected in 84 non-endemic countries. 4600 in USA. 2 children infected in USA from mother who had sex with bisexual man The Montreal Gazette concerning my comments (virtually at the UNAIDS report unveiling): Dr. Anthony Fauci, director of the National Institute of Allergy and Infectious Diseases in the United States and chief medical adviser to U.S. President Joe Biden, said the UNAIDS report is "a reminder that the global plague" of HIV/AIDS "continues to rage," even though much of our attention diverted to the global pandemic of COVID and now, monkeypox. "All of us in the global HIV community must work to reach vulnerable communities," he said, and the report is a reminder that "we can do better in this, the fifth decade of AIDS. The priority must be to )fda.hhs.gov>; Dawn.Oconnell@hhs.gov>; Levine, Rachel YASH) <Vivek.Murthy@hhs.gov Michael.Varroneé€ implement better treatment modalities, while improving and optimizing the next generation of interventions." The COVID pandemic and, now, monkeypox, mean "people are exhausted with epidemics and pandemics. We have to fight twice as hard to get HIV back on the radar screen, where it belongs," Fauci said. I was involved in a very difficult zoom cool this evening with Peter Marks. Rob Califf, Vivek, David Kessler, Julia Tierney (FDA), Hillary Marston, among others about the potential conflict that might occur tomorrow when Ashish has convinced the president to come out and say that anyone who's not been boosted recently should get boosted. However, we now know that both moderna and Pfizer will have the BA.5 bivalent boost available the first week of September. This will create a major messaging problem since we are telling people to get boosted with the vaccine that doesn't cover the current BA.5 variant when the actual variant-specific boost will be available 5 weeks from now. Somehow or other Ashish took the initiative to convince the president to say this without consulting with the FDA or the CDC. If these mixed messages go out it will be a major cluster. I tried to bring this up to them and suggested strongly that they have a zoom in the morning before any of these announcements are made in order to get a common message otherwise it will look like one of the worst mixed messages to come out in a long time. I'm starting to see right now the advantage of having Jeff as the coordinator since he understands the interactions among the different agencies of government whereas Ashish is smart, a very good communicator and is well meaning, but he is more about looking like he's taking the lead on things than coordinating. Later in the evening, I had dinner over jeff's and Mary's house which was a great evening. Guests at the dinner besides Chris and I were: Susan Rice, Secretary of Defense Lloyd Austin and his wife Charlene, Deb Harmon, Wally Adeyemo. The discussion was very stimulating particularly Susan Rice telling us stories of her escapades during the Obama administration and secretary Austin telling us about the tension in his multiple responsibilities. One of those discussions of the night was the desire of Nancy Pelosi to go to Taiwan which everybody feels is a very bad idea given the geopolitical situation. However for some reason she feels she needs to go there and everyone seems to be against it.
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July 29, 2022 See e-mail chain below regarding the confusion about mixed messages related to my note yesterday:
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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