Gates Package — page 265

ire /E of From: "Tramont, Ed (NIH/NIAID)" </O=NIH/OU=NIHEXCHANGE/CN=NIAID/CN=ETRAMONT> To: "Fauci, Anthony (NIH/NIAID)" <AFAUCI@niaid.nih.gov> Subject: RE: PAVE - please clarify Date: Sat, 25 Oct 2003 21:18:28 -0400 Importance: Normal Tony, We have already started a dialogue with Jose - he is going to be "stationed" in Washington. This "American takeover" stuff is a smoke screen, there is precious little money being put towards vaccines except for ours; Hence, - my suspicion is that they are angling to play Gates off against us. Ed -----Original Message----- From: Fauci, Anthony (NIH/NIAID) Sent: Saturday, October 25, 2003 3:51 PM To: 'Rick Klausner' Subject: RE: PAVE - please clarify Rick: As I had mentioned in my e-mail and illustrated in the slides that I sent to you, you are correct that PAVE is for USG coordination, but also, if others want to participate, they are most welcome. Importantly, PAVE only relates to clinical trials and Enterprise is the whole picture including clinical trials. Thus, PAVE fits into the concept of Enterprise. That is the message that needs to get out It is true that the distrust of the USG is enormous, but I do not think that I can cure that; I can only try to not make it worse and hopefully dispell it a bit. In any event, your idea about having Jose visit NIAID to raise the level of communication is an excellent one. I will communicate this to Ed and Peggy. Take care of your self. Warm regards, Tony -----Original Message----- From: Rick Klausner @gatesfoundation.org] Sent: Saturday, October 25, 2003 10:37 AM To: Fauci, Anthony (NIH/NIAID) Subject: RE: PAVE - please clarify Tony, I keep looking at my email to you to see whether it sounded angry, which I was not, or just confused and truly looking for clarification. Maybe this is what happens through the terseness of a quick email. I am confused about PAVE and fully recognize that much of this confusion is because of information/perceptions that come via the filter of others. This was particularly intense at the HVTN meeting and especially with Europeans and Africans who seem (they are explicit) to be worried, threatened, wary of "an American Takeover" (I am not sure what is beneath it except that the distrust of the USG is so enormous around the world). When I say that PAVE is for USG coordination, that you and we are working closely together and well, and that the enterprise is truly about a global compact - not a US hegemony for HIV vaccines, they counter that that is not what they are being told when they (Non US people) are asked to be part of new planning committees. I do not push to understand because I do not want to communicate that we have no communication with NIAID about PAVE. My line - you need to know- to everyone is that we are in agreement and I also say that PAVE is a really important step that is perfectly compatible with the Enterprise. My frustration is that I do not know what is going on and when I turn to Helene (who I hope is in contact with Ed and Peggy as I am always reinforcing to her how important that is) she also doesn't know and also feels confused. I think that it would be helpful to ask Jose to visit NIAID (he starts with us Nov 1) and work to raise the level of communication. I am also sure that we can straighten this out and we can be as helpful to all of this as possible. Rick -----Original Message----- From: Fauci, Anthony (NIH/NIAID) [mailto:AFAUCI@niaid.nih.gov] Sent: Friday, October 24, 2003 5:20 PM