Diary Prequel Package — page 57

San smallpox. There just were not that many widespread smallpox outbreaks to boost the population of Europe consistently during that time frame. In fact, from 1950 through 1971, there were only 680 cases of smallpox in the countries in question. Therefore, I would have to conclude (not definitively, but likely) that previously immunized people do have a variable, but significant, degree of residual protective immunity against death from smallpox. I hope that you find this information useful. Please give me a call if you have any questions at (301) 496-2263. Thank you and best regards. Sincerely, Anthony S. Fauci, M.D. Sept. 29, 2002 - Received ICAAC Award and gave the ICAAC Award lecture in San Diego on "Bioterrorism in the spectrum of emerging and re-emerging diseases". Audience was 10,000 people and received rave reviews for the lecture. Sept. 30, 2002 - Got another top secret briefing from the CIA. Apparently Russia is still making genetically modified microbes for offensive use. Also, was briefed on Iraq's capabilities. It is my impression that the CIA information is really very soft. They have sources, but they are difficult to validate. Oct. 4, 2002 - Engaged with Julie Gerberding, Jerry Hauer, Kevin Keane in a briefing of State and local Public Health officials on the likely roll out plan of smallpox vaccination in3 stages (500,000 smallpox response teams and emergency personnel, then 10,000,000 health care workers, primary care people, police and fireman, etc. followed by making vaccine available to general public after the Acambis product is licensed in early 2004. This was followed by a press conference, which did not go well since Jerry Hauer said that we were not going to make any "announcements". Note that there have been many leaks about the 3 stage plan and the press was clearly annoyed that the press conference started with a statement that we were not going to tell them anything important. However, Julie proceeded to get up and say that we recommended the above plan. She left the stage for a few minutes and I corrected her (politely) by saying that we are not "recommending" anything, we are merely giving a likely option. The Secretary recommends something to the President and that is confidential. The reason for this is that we do not want to put the President in the position of possibly going against his top health advisors, i.e. boxing in the President. Julie returned and confirmed my correction. The press rightfully thought that we were sloppy (not me, but DHHS). We called the main players - Larry Altman, Laura Mackler of AP, Ceci Connolly of Washington Post and Sheryl Stolberg of NY Times to clarify the situation. All of this is happening because the WH is taking so long to come out with a policy and we are compromised because if we do not say that we favor a certain plan, then it looks like we do not know