Tony's Diary Package — page 996

)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. July 29, 2022 See e-mail chain below regarding the confusion about mixed messages related to my note yesterday: From: Fauci, Anthony (NIH/NIAID) [E] <afauci@niaid.nih.gov> Sent: Friday, July 29, 2022 7:35 AM To: Marks, Peter (FDA/CBER) <Peter.Marks@fda.hhs.gov>; Califf, Robert <RMC001@fda.hhs.gov>; Tierney, Julia (FDA/OC) <Julia.Tierney@fda.hhs.gov>; Tabak, Lawrence (NIH/OD) [E] <Lawrence.Tabak@nih.gov>; O'Connell, Dawn (OS/ASPR/IO) <Dawn.Oconnell@hhs.gov>; Levine, Rachel (HHS/OASH) <Rachel.Levine@hhs.gov>; Murthy, Vivek (HHS/OASH) <Vivek.Murthy@hhs.gov>; Kessler, David (HHS/IOS) <David.Kessler@hhs.gov>; Varrone, Michael (HHS/OGC) <Michael.Varrone@hhs.gov>;