Anthony's Totally Secret Diary

Met in my office with Dr. Olivier Tshiani who was and is a main player in our PALM trial in DRC. Also present were Cliff lane, Rick Davey and Lori Dodd. Olivier was right there on site when the Mai Mai burned the ETUs at Katwa and Butembo and his car was stoned as he was travelling at night from the ETU to his compound where he was living in Butembo. He related stories of the very difficult security issues while doing the PALM study. He is a real hero. He had also previously spent 5 years in Nancy Sullivan’s lab. Here at VRC. Did TV interview with Cox TV this year’s influenza situation. Interviewed by Samantha Manning

Barney Graham’s team starts work on GMP vaccine in collaboration with Moderna Did taped interview for the Islam Radio Breakfast Show about anti-vaxx movement. Very good interview. Also, did another interview with Eileen Reilly of Axios Apparently, CDC is upset because I am saying that this is on a course to be as bad a year as 2017-2018 and 2014-2015. In fact, the flu infection “numbers” are exactly on tract with those years. However, there are less total deaths and hospitalizations. This is due to the fact that Influenza B has predominated early that this hits kids more severely. Since the elderly account for most of the deaths and hospitalizations, the total of these are down; however for this time compared to other years, the number of pediatric deaths is way up. And so it depends what you mean by a ‘bad’ season. I say it is a bad season and CDC says no. There was a discussion between Azar and Nancy Messonnier of CDC about this and about my statements, but no one thought of getting me on the conference call. Not good. Typical CDC!

Now 400 cases and 9 deaths. Chicago ORD and Atl airports added to entry screening with JFK, LAX, and SFO. Soon to funnel all flights with people from Wuhan (indirect) through these 5 airports. Another PCC with Anthony being hostile that the orgs (CDC, DHS, CBP) have not worked out how to get 100% of people coming from Wuhan screened. We are in Phase 1 (Screening at JFK, LAX, SFO). We are almost fully ready for Phase 2 (add ORD and ATL). Phase 3 is to funnel people who originate at Wuhan and want to go to USA through one of the 5 airports. Phase 4 is to screen individuals coming from many cities in China. Big argument between CDC (Redfield) and CBP/DHS regarding have 5 versus 12 USA airports do the screening. Marty Cetron was trying to explain how difficult doing 12 USA airports would be since CDC does not have staff in a few of these cities. To complicate it all, while we were in the PCC, China announced that it is cutting off all public transportation (air, ferries, train, buses, out of Wuhan City) Essentially a quarantine of the entire city of 11 million people except for absolute emergencies. This complicates the USA airport screening strategy since people will not be able to get out of Wuhan and to the USA easily. May try other means. Some confusion about what the best way to prevent establishment of infection in the USA. Anthony (with his attitude) is making matters worse. Phase I—Current Posture • Description: Foreign nationals who have been in China within 14 days prior to their actual or attempted entry into the United States are ineligible for admission under Section 212 (f) of the Immigration and Nationality Act (INA). Departments and agencies may exercise certain exemptions. Any person, but specifically U.S. citizens and legal permanent residents (LPRs) who have been: (1) in Hubei province within the past 14 days may be subject to 14 day mandatory quarantine; and (2) in China (outside Hubei province) within the past 14 days may be subject to screening and self-isolation for 14 days. All direct and indirect flights from China are funneled to 11 airports with enhanced CDC medical screening. CDC is coordinating with state and local health care clinicians to identify domestic cases, isolate cases, and conduct appropriate contact tracing. o Triggers: Already being implemented. • Objectives: (1) Contain the outbreak at its source, (2) minimize domestic importation of additional cases, (3) limit potential for domestic epidemic, and (4) prepare the domestic response mechanisms. • Messaging: Daily HHS and CDC briefings and on camera task force briefings as appropriate. On the interview below (FOX Business with David Asman) one of the panel asked me to comment of a clip he played where Trump said that everything is under control. Xi Jinping told him everything is under control. I had to answer that we are taking this very seriously and that Americans should not be frightened or worry, but we are taking it seriously. Let us see if this pits me against the POTUS. 552 cases – 17 Deaths Cases now in Hong Kong and Macao WTOP Radio on Seattle case; The Morning Goods (local radio talk show); TRT World Turkish TV; Reuters TV; Fox Business (Cavuto); Bloomberg print; FOX Business with David Asman; Italian TV (Mediaset); Taped CNN in the VRC talking about the vaccine; Hong Kong Phoenix TV; Univision TV (SpanishAmerican TV); Bloomberg TV Asia; 24 NEWS Israeli TV over the phone

GAME ON!!! Things are changing rapidly. Dr. Ma Xiaowei, the Chinese Minister of Health gave a press statement saying that the incubationperiod of nCoV is 1 to 14 days and that the virus is being transmitted when people are asymptomatic! This has enormous implications for how we handle people from Wuhan (like our diplomats who are now on the way back from WUHAN, having been ordered to evaculate). Should we quarantine them. I am very skeptical about the Chinese interprepation of their data. I spoke with Mike Ryan (WHO) from Geneva and he and Tedros are going to Wuhan soon. Mike is very skeptical that aymptomatic spread is present or at worst is a major driver of spread. Mike Osterholm also feels this way. I spoke with Nancy Messonnier and Bob Redfield this AM to coordinate our responses. Bob and I feel (and I told Elizabeth Cohen this) that we should be allowed to send our CDC epidemiologists to China to work with them so that we see the data first hand since we will base important response activities and strategies based on whether this is true. It would require our quarantining for a period of time even asymptomatic people who arrive from Wuhan. It now appears using epi data and genomic data that the first infection was in early December and was not connected to the market. The infections spread among people weeks before the Chinese reported that they were dealing with a new infection and that gave the virus time to establish itself in multigenerational (sustained) spread. Remember, early on the Chinese were saying that there is no human to human transmission and all the original 27 cases were from the market. Now we know the market was not the source, it was the amplifier. Having said that, somewhere the virus jumped from animals to humans. There is complete chaos in China now with president Xi Jinping declaring an emergency situation. The Chinese are building within days 1000 and 1300 bed hospitals and flying in hundreds of medical personnel from military. They have shut down travel within most of the country and have called off many Lunar New Year events. Schools closed at least until mid-February. Running out of supplies such as PPE. Had 8:00 PM call with Anthony Ruggiero, Phil Ferro, and Bob Redfield about the evolving situation. The deputiers and White House are pushing to close the borders for any traffic from China. Bob and I are against that. Anthony said that he heard that I wa in favor of that. Will have 11:00 AM meeting tomorrow from SCIF with Deputy National Security Advisor Matthew Pottinger regarding possibly closing borders from China entry. CNN phone interview with Elizabeth Cohen; CBC Canadian TV; CNN with Fredricka Whitfield (cancelled because of tragic accidental death of Kob Bryant in helicopter crash in LA); NewsHour from UK

Another truly amazing day. Sequested in the White House essentially all day working out a proposal to put before the POTUS that would restrict travel from China. The proposal was driven largely by CDC (Marty Cetron) who felt that given the volume of people coning in from China by direct and even more importantly indirect flights it would be logistically impossible to effectively screen people at many, many airports and the diversion of people from their place of origin to selective airports would further complicate things. Also, the cases continue to sharply rise with 12000 cases and 259 deaths. Also, a NEJM report from Germany indicated that a Chinese woman came from Shanghai visited a colleague in Stockdorf Bavaria. She infected him when she had no sxs, returned to China and got sik on the plane. The german man then got sick and infected 2 other Germans. This would have bn the first truly documented case of transmission from an asymptomatic person, thus, adding to the concern about the accuracy of screening at airports. In addition, the WHO declared a PHEIC yesterday prompting Azar to declare a Public Health Emergency here in the USA. I disagreed with the latter since there were only 7 infections (6 travel) at the time. All this led to the conclusion of travel restriction. This was late in the afternoon - around 1:30-2:00 PM. The entire task force (above) plus Kellyanne Conway, Jessica Zitto (WH Coms) and a variety oof senior WH officials gatherd in the Roosevelt Room to hammer out how we would present this to the POTUS. The policy decision was: 1) Ban travel to the USA of all non-citizens who have been to China within the past 14 days. If you were in China, you need to go somewhere else (Paris, UK, etc.) until 14 days pass from the time you were in China. 2) If you are a citizen and were in the Hubei Province (includes Wuhan) and you return to USA, you are institutionally quarantined for 14 days. 3) If you come from any other part of China other than Hubei, you have voluntary isolation for 14 days. We wanted to present this to the POTUS befor the Stock Market closed so that we do not look like we held off to avoid bad effects. We went into the Oval Office at about 3:00 PM. We had been scheduled to go in at 2:30 PM but things backed up. Presentation was made to the POTUS by Azar, Bob Redfield and me. Trump as he did a couple of ddays ago posed many questions to me making sure that I thought it was a good idea. I said this was an imperfect process, but the best choice we have right now. He questioned me about what the difference was between this and flu. He somewhat brashly suggested even more stringent restrictions and was dyswaded by Kellyanne. She clearly has influence over the POTUS. Potus agreed and we immediately went out to the WH Press Briefing room that was packed. Azar led the presentation, but many questions were ansered by me. Interesting that impeachment was going on and the senate did not get the 4 GOP votes to allow witnesses to be called. This also dominated the news. We thought this would get us on the Sunday Talk Shows, but impeachment bumped us. White House is now fully convinced that I be the science/health spokesperson for the USG. Bob Redfield just does not come across very weel. He takes forever to say something and it is usually wondering. This drives the WH and HHS comms people crazy and so they are putting me out on all the requests. When I got back to my office, got call from Jeremy Farrar who sounded very concerned and conferenced me in with Kristian Anderson, an evolutionary biologist from Scripps. They had also been talking with Eddie Holmes, another evolutionary biologistfrom Sidney Australia. There have been conspiracy theories that the virus was given GOF by inserted mutations and deliberately or accidentally released in Wuhan. One theory was written by Indian investigators that HIV sequences were inserted by a Chinese person in Canada and released in Wuhan. Everyone thinks that is crazy, but the Farrar phone call was different. The people on the phone felt that the mutations around the furine cleavage site of the spike protein could not have occurred naturally since it would require an evolutionary “jump that they found nowhere in bat isolates. They bring up the possibility that this could have been deliberately inserted and either accidentally released or deliberately released by a crazy person in the lab, the former being the most likely. Jeremy was calling me for advice. I suggest that we get a larger group of qualified evolutionary biologists/virologists together under the auspices of a convening body and carefully look at this. We agreed to convene by phone the next day. I called Brian Harrison and Garrett Grigsby who arranged for a call with Azar to decide what to do. Azar did not like the idea of WHO as convener because he feels (somewhat unfairly, I believe) that Tedros would immediately tell the Chinese and they would crush the attempt and/or think we are attacking them. We decided to have a 2-pronged approach strongly suggested by Kadlec who felt we had security responsibilities to investigate this ourselves. He would do this through OSTP and NAS. Meanwhile I would pursue a multinational approach with Jeremy. I decided to now bring in Francis. PRESS: The Today Show NBC; Lou Dobbs Fox; many print

Conference call at 2:00 PM with Jeremy, Francis and several other scientists gathered by Jeremy (see below). Participants in the Feb., 2020 call included: • Francis Collins, Director of the U.S. National Institutes of Health, U.S.; • Anthony Fauci, Director of the U.S. National Institute of Allergy and Infectious Diseases, U.S.; • Jeremy Farrar, Director of the Wellcome Trust; • Patrick Vallance, U.K. Chief Scientific Adviser and Head of the Government Science and Engineering; • Kristian Anderson, Director of Infectious Disease Genomics, Scripps Research Translational Institute, CA, U.S.; • Christian Drosten, Director of Human Virology at the German Center for Infection Research at Charité – Universitätsmedizin, Germany; • Edward Holmes, Professor of Viral Evolution at University of Sydney; • Andrew Rambaut, Professor of Molecular Evolution, University of Edinburgh’s Institute of Evolutionary Biology, U.K.; • Ron Fouchier, Deputy Head of Department of Viroscience, Erasmus Medical Center, NL; • Robert Garry, Professor of Virology, Tulane University School of Medicine, Louisana, U.S. ; • Mike Ferguson, Professor of Life Sciences at University of Dundee, U.K.; and • M.P.G. Koopmans, Head of Department of ViroScience, Erasmus Medical Center, NL. There was not total agreement about the likelihood of deliberate insertion. Ron Fouchier said he was sure that this could occur naturally and we should not waste our time and divert effort to pursue this. This is expected of him since he was the original GOF person with Yoshi Kawaoka. Also, Christian Drosten was with Ron; the rest felt that deliberate insertion was possible and given the fact that Dr. Zheng-Li Shi at the University of Wuhan has been working for years in GOF in coronaviruses to allow adaptation of the spike protein to bind to the human ACE2 receptor, we could not let this go. We decided to have Jeremy with Francis to contact Tedros with Stewart Simonson’s help (I arranged this) to see if Tedros would convene experts. Meanwhile, the DHS and DOT and FAA are working hard on the logistics of diverting plans to selected airports that are associated with the capability of screening with questions and quarantining or moving to voluntary isolation. Airports are: LAX, SFO, Seattle, ATL, ORD, Hawaii, Newark, IAD, Detroit, DFW JFK, and Seattle PRESS: CNN (truck came to my house since I was so busy with wall-to-wall conference calls and hundreds of e-mails.;

Task Force meeting daily. Repatriated people from Wuhan 150 tested negative; no positives thus far. Cases = 17,205 with 361 deaths; 26 countries have 180 international cases and within that there are 20 human to human transmission transmissions with no sustained transmission yet. Complicated issue with border crossings of Chinese at Canada and Mexico. Many come over, but screening capabilities are not like we have at airport. Travis AFB, Miramar, Lackland AFB are landing destinations for US Citizens coming from Wuhan so that we can implememnt institutional quarantines and medical care if needed. Spoke with George Gao tonight in China. George is the Director General of the Chinese Centers for Disease Control and Prevention. He confirmed that infected people can be asymptomatic and that asymptomatic people can transmit. This is important since the recent NEJM paper that said that a Chinese woman who went from Shanghai to Germany and infected a business associate while she was asymptomatic was in fact mildly symptomatic and so the NEJM paper is incorrect. However, the fact is still true. Also, George was very sensitive and understandably defensive since he was the one who said early on that there was no human to human transmission and that the original 27 cases in the wet market reported on December 31, 2019 were animal to human when actually human to human transmission was occurring weeks before. The Wuhan health officials did not tell him this and he thus gave out false information. This lapse likely allowed the outbreak to take hold since Wuhan went about their business with 40,000 pot luck festivals without social distancing. Failure of HIV vaccine trial HVTN-702 (Uhambo) conducted in South Africa >5000 participants showed no efficacy at all. DSMB stopped trial due to futility PRESS: WTOP Radio; CNBC; TRT Turkish TV (x2); CGTN Chinese TV; On camera interview with Jennifer Ashton in VRC – ABC News; Lou Dobbs FOX News.

60,349/1369 Sharp increase in that they are not using just lab test for DX; they are using chest x-rays and CT scans of lung. Meeting at White House with Chairs and Ranking members of big 4 committees with Anne Schuket, General Paul Friedrichs, Bob Kadlec in Roosevelt Room. Kevin McCarthy, Steve Scalise, Greg Walden. Chaired by Mick Mulvaney. Also, Eric Ueland of WH Lewg there. Good questions. Many compliments PRESS: CBS This Morning (for showing tomorrow); FOX News (Lou Dobbs)

69,275/1670 (Sunday) Big discussion on phone with Kadlec, Anne Schuchat and Kevin (ASPR) on whether to remove a person from the evacuation plane who recently showed to be positive. Original plan was that anyone who was infected would not board plane evacuating people from the Diamond Princess. Now Kadlec and Kevin want to board them since people on the bus waiting to board have already been exposed on the bus to several people who are infected. Washington Post story by Jasmeen Abutaleb has me defending Azar against slurs against him (covertly by administration officials). I also say that w need to be fair to the POTUS (see below): "In fairness to the president, someone told him something that has a basis in reality. ... There is some validity in saying respiratory viruses like flu and coronavirus are seasonal," Fauci said. "The only thing is when you're dealing with a pandemic-type virus that is brand new, there's no way of knowing what's going to happen when the weather gets warm." Some officials have complained that Trump's comments about the virus emanate from his briefings with Azar, who they say has been overly controlling in the response and has told other doctors not to get too far into the details of the virus and the outbreak with Trump. Azar is disliked by many in the White House, four administration officials say. Fauci, however, said Azar has brought medical professionals with him to nearly every briefing and insisted they be part of Oval Office meetings. Azar "always defers to the scientists. That's the reason why whenever we're in the Situation room and the president would like some briefing, Alex always takes me and (CDC director) Bob Redfield in with him," Fauci said. "He always wants us to give the straight scientific information to the president." PRESS: Face the Nation (Margaret Brennan);

71,438/1775. 454 infected on Diamond Princess cruise ship. Heated discussion last evening (see above) with Bob Kadlec, Will Walters (State Med), Anne Schuchat, Kevin (ASPR) about whether to board people on the evacuation 747 plane who were originally scheduled to come home as “uninfected” after they just found out that 14 of them are in fact infected. The written agreement is that no documented infected people should get on the evac plane. Walters, Kevin and to some extent Bob Kadlec (he was complicit) insisted that since they were already on the bus, we should allow them on the plane. They said that we would not know what to do with them if they stayed since we could not leave them on the ship and the Japanese did not have facilities to take care of them (I do not believe the latter). Anne Schuchat vehemently argued that they should not be allowed to board since the public and written agreement was that they would be put on a plane WITHOUT infected people and this would be breaking that agreement. Nonetheless, Walters pushed and Kadlec (ASPR) caved and went along. Of note, later on (today) Walters said that he checked with me and I was OK with the boarding – a lie! On the call today Azar was upset since the entire Cabinet was questioning why we let them board and when he asked our stance, he heard that we (HHS) disagreed. He was upset that we did not speak with one voice and this looked bad. On the call today, I told him that State (Walters) was going to do what he wanted to do anyway no matter what we said. Of note, on these issues in foreign countries, State has the last word. Several of the 14 infected people from ship who were evacuated went to Nebraska. Also 3 additional people were notified while on the plane that they were infected. We air evacuated 328 people from Diamond Princess. 61 Americans elected to stay in Japan on the ship, but the Japanese want them off the ship because transmission is occurring on the ship. There are now 800+ non-China cases, 365 of which are on Diamond Princess. Now 28 countries have cases and within these there are 183 human to human transmissions. Singapore is problem with 68% of their cases are human to human PRESS: WTOP Radio; FOX (Caputo) TV; FOX Business TV; CNN (Wolf Blitzer Situation Room).

78,804/2463. Cases of community spread now increasing greatly in Japan, South Korea, Italy. Bob Kadlec called me this AM with emerging problem. We need to house some of the evacuees from the Diamond princess who are continuing to convert to virus positive in a place where we can isolate them and have them ready for acute medical care if they become ill. There are about 30 people thus far negative for infection who may soon convert, mostly elderly and frail about whom Kadlec is concerned. It is projected that 1 of 10 will convert and likely will get seriously ill as has been the case with other elderly people from the Diamond Princess who got ill in Japan and went to Japanese hospitals. They are now at air force bases Lakeland and Travis, but the military does not want to have responsibility for them if they are infected since they are concerned about “force protection”. Also, and importantly, Bob Kadlec tried to get the people housed at Anniston, AL. Congressman Mike Rogers (R-AL) got furious and reemed out Kadlec saying he was going to destroy him. He got on the phone to President trump who was on a plane going to India and badmouthed Azar. Apparently, the POTUS called up Azar and was very pissed off. He told Azar he had to fix it or else, since the POTUS was originally angry that we even brought back infected Americans from the Diamond Princess. Azar then came to me asking me to help him “fix it”. And so that is the origina of this saga. The suggestion is to ship them to the NIH Safra Lodge so that they have access to NIH SCSU. This would be disruptive to NIH, but there does not seem to be many alternatives. Had discussions with Francis (boarding a plane to Grand Cayman) and Larry while on my C & O canal walk with Chris about how to address this difficult and frustrating issue. Francis on way to Grand Cayman for vacation. This leave it to Larry and I to “fix”. Had important conference call with NIH Clinical Center people – Jim Gillman, Tara Palmore, Rick Davey, etc. Tara makes good point that we realy cannot use the Safra lodge since even one infected person would nullify keeping uninfected people there. Decision was to skip the Lodge and put everyone in the Clinical Center. Gillman, Tara and Rick now huddling to figure out how to do this. I visit the Clinical Center group (Gillman, Tara, Rick, Henry Masur, David Henderson, nursing, etc in Clinical Center Room 6-3551 where they are convening to work this out. They present to me that they can make 11 beds available in the CC for evacuees who may convert. If they did the full 30 (i.e. +19), it would be dangerous for our staff since we cannot retrofit that many rooms with negative air flow and proper room for don/doff. We decide on 11 in CC and Rick works with Lauren Sauer at Hopkins for an additional 8 for a total of 19. We go with that. I contact Azar who contacts POTUS who is on plane to India with Melania. And so, it is “fixed”. Azar called me to thank me for “saving his ass”.

82,446/2808. Very interesting things evolving. Got phone call from Azar this AM (while in Building 31 cafeteria). Azar is frustrated with the operational incompetence of the CDC and asked me to start thinking abou a possible replacement for Redfield at CDC in case Azar needs to replace him. He prefers a woman, and someone who is not an obvious anti-Trump person. Azar admits that regardless of all the PR, the fact is that Pence is now in charge. Also, Azar told me that Pence ordered the lockdown of all press by everyone including Azar. Azar is trying to turn this around since it is obviously a bad idea. Got phone call fom Tom Bossert (former Deputy National Security Advisor to Bush and National Security Advisor to Trump until John Bolton forced him out). Tom saw the press briefing on TV last night and was appalled by the denialism of the problem by Trump. He wanted to know if I was trying to bring in some reality testing. I told him that this was difficult. I emphasized that we should be testing thousands of people and not just a few hundred. With the 1st community case in CA, it is clear that there are other infected people out there in the USA. Also, there is a 2nd community case in California. Turned into an amazing day. Chris Cuomo calls me up and says that he wants me on his show since he is going to rip apart the CDC for not having enough tests available to screen for community spread cases (i.e. no known geographic connection). He says that people from NYC and elsewhere are calling us saying that they have suspicious cases and they cannot get test kits from CDC. Actually, this is for at least 2 reasons: 1) the CDC has not worked out the glitches in their kits and the criteria for testing a PUI (person under investigation) included their having an epidemiologic connection to a case. This is crazy since by definition, a community-based case (which we are trying to screen for) does not have any recognizable epi link. I realize that we have to fix the CDC problem and I call Brian Harrison and we both walk into Azar’s office and explain that we need to get CDC, FDA together to loosen the regulatort constraints on getting tests out. It was my pushing that did it. They come up with a solution of regulatory relaxation of QC. Stock Market crashing! Also the issue of “muzzling Fauci” is going wild. See above: It started when the VP took over the Task Force and his Chief of Staff (Mark Short) and his comms person Katie Miller wanted to re-assess the communications. This was really triggered by the Nancy Messonnier’s statement. I had agreed to a number of TV hits and we got word from the VP office to Bill Hall that we need to stand down on all media for the time being so that we can re-submit clearances. This got interpreted that Fauci was being muzzled and triggered an amazing twitter storm that was widely and virally tweated to not suppress the “great Fauci”. I was getting hundreds and hundreds of emails of support. There is even a #freeFauci out there. Big surprise was at 10:35 PM tonight I got a phone call at home from President Trump who wanted to chat about the coronavirus situation in general. We spoke for about 2025 minutes. I encouraged him not to underplay the seriousness of the situation since if it turns out bad, it would look like he is covering up. I even spoke to him from a political standpoint that his chances for re-election might be more damaged if he downplayed the potential spread of virus in the USA than if he said we may face serious problems and even if the Stock Market goes down further, he was at least honest and the country would respect him for it. I thought that he heard what I said, but the next day, he again underplayed it.

86,000/2941. Important Day – Went to Situation Room for a Saturday AM (10:00 AM task force meeting) when it became clear that there was several new cases of “community spread” There were already 14 cases (12 from Wuhan and 2 spouses). Then we learned a few days ago that there were 2 cases in California that were community based and both were now on respirators. The NEW information from yesterday is that there are now 6 additional cases – 1 in Oregon of a 45 yo who is now in the ICU and 5 cases near Seattle Washington, one of whom died last night; another one is hospitalized; and a 73 yo in long term care is now in an ICU; one just returned from Korea and so that might be a link for that person, but the others are unknown source. A new chapter in the outbreak. 6 hour meeting in the White House Situation Room. We increased travel alert to Italy and Korea and no travel to Iran. Level 3 for Italy and Level 4 to Northern Italy. Level 3 for Korea and Level 4 for Daegu in Korea. I suggest and it is accepted as the “Fauci Rule” of asking these countries to do exit screening on people coming from their country to USA. Meeting led by VP Pence. Trump joins meeting and we decide to make announcement at press briefing in WH press Room of new findings (plus the fact that they signed an agreement with the Talaban to end the war in Afghanistan). Pence and Mick Mulvney want me standing right next to the POTUS on the podium so that I can be seen on TV, and I make remarks about the recent community cases. POTUS speaks, then VP Pence, the Azar, then me, and then Redfield. They wanted just me, but I pushed to have Redfield also make remarks. During the question period, the issue again comes up about whether I am muzzled. I go to microphone and say I am not nor have I ever been muzzled. VP Pence and Azar to be on Sunday Morning Shows tomorrow PRESS: NBC Today Show; MSNBC;

91,320/3118. POTUS and VP visit NIH today. Amazing day! Testified with Steve Hahn, Anne Schuchat, Bob Kadlec before Senate HELP Committee chaired by Lamar Alexander. Patty Murray complaining about lack of testing availability in Washington State where there is increased community spreading now with 6 deaths most in nurtsing home. In the middle of the hearing Sen Keane asked me why I was disinvited to the Democratic caucus lunch. It was scheduled that after the Hearing, Hahn, Birx and I should make comments first at the GOP Senate caucus lunch and then the Dem. In reality someone in the VP’s office screwed up and felt that I would not get to the NIH in time to greet the POTUS who was coming up on Marine One. They did not know that I was supposed to ride in the motorcade with Pence. Anyway when the VP’s office heard about the outrage of Keane, they immediately re-invited me. Keane thought that this wa another example of them “muzzling me”. A real cluster. However, the VP spoke so long at the Dem lunch that it was clear that the POTUS would arrive before me, who was supposed o greet him. Finally Azar and I raced up in his car with no motorcade to NIH. Amazing that the POTUS got to VRC/NIH before me and Azar and actually waited in the holding room for me. Yikes! We did our thing; I made a presentation, we had a press conference in the VRC. Graham and Kizzmetia Corbett made presentation on 2nd floor and then the POTUS invited me and Azar to return to White House with him on Marine One. After we got off Marine One, the POTUS and I held a press conference on the lawn. Amazing. We then had our Task Force meeting followed by another press conference. Importantly, I have been pushing for blanket testing throughout the country on symptomatic and asymptomatic people to get some data. CDC and FDA are promising this now, but I doubt if they can deliver. I am beginning to quedtion the competency of CDC and the innocent inexperience of Steve Hahn and FDA In the middle of this, Larry Corey calls me up and mentions that they did in Seattle a screening of people presenting with Flu like sxs in 4 emergency rooms, and of 380 people, 4 were positive for Coronavirus. This is bad since this is 1%. I told Larry to call Bob Redfield and let him know. This may be the beginning of a major outbreak in the USA PRESS: Good Morning America with George Stephanopoulos; multiple press conferences, including one on White House Lawn after getting off Marine One with the POTUS

Nancy Messonnier calls me asking for help in getting the message out that we must protect the vulnerable (elderly with co-morbidities). She wants to say it but she says the VP’s staff are pushing back. I promise to bring up at TF meeting. I do and get support to announce it, which I do at the WH press conference this afternoon. I say that people with underlying conditions, particularly the elderly, should start to practice some form of social distrancing as well as avoiding any non-essential travel, particularly airplanes. During task force meeting it became clear that there were at least 21 infections on the Grand Princess out of the 46 tested. All but 2 were in the crew. I and others strongly push to get these people off the ship to avoid another Diamond Princess fiasco. Leave crew on ship and test everyone and put inot holding facility (March or Travis) and then send the California passengers to self-isolation at home, provide charter flights for the non-Californians to their home, and have the UK, Canada and other countries come and make decisions for their citizens as to their disposition. POTUS in Florida tells VP that he would keep the people on the vessel, but if Fauci and others feel it is better to take them off, then take them off. Yet, when he does a press conference in Florida, he says does not favor taking them off ship. I am beset with having to deal with always being asked if I disagree with the POTUS. Continually being pressed about the lack of availabioity of tests when Hahn at FDA is saying that 750,000 tests are distributed and 1.5 million more are on the way next week. PRESS: NBC Today Show with Savannah Guthrie; JAMA Podcast with Howard Bauchner; Tape CBS 60 minutes for airing on Sunday March 8);

105,427/3583. 2 cases in DC and at least 3 in Montgomery County. I am going to start social distancing myself – am 7 monhs shy of 80 years old. Today is the Sunday show day. I emphasized on FOX (Chris Wallace) and Meet the Press that people with underlying conditions, particularly the elderly with such conditions should do social distancing, avoid all by absolutely essential travel, do not take long plane trips and absolutely avoid cruise ships. The meetingof the TF today emphasized getting people off the ship. There has been a delay with the union of longshoreman somewhat passive aggressing the USG. Pence to Call Gov. Newsom. Pence tasks Deb and I to put together some “Doctor Talk” statements in clear language. Pence clearly very happy the way I handled the 2 Sunday Shows that I did. Nice Profiles of me in Politico and NY Times today. Amazing outflow of thanks from hundreds of people!! Article from Denise Grady: Not His First Epidemic, Dr. Anthony Fauci Sticks to the Facts NEWS CLIPPING — NEW YORK TIMES — CONDENSED (4 SOURCE PAGES) “Where politicians fumble and other government health officials step back, he steps up to explain. Dr. Anthony Fauci, director of the National Institute of Allergy and Infectious Diseases, speaking before the House Appropriations Committee on…” compromising the clinical trials that were urgently needed to determine which drugs worked — an approach that was later applied to research in other diseases as well. “There are a lot of world class scientists, but Tony has a special set of skills,” Ms. Shalala said. “An ability to communicate, high integrity and an understanding of politics — and to know to stay out of politics in order to protect scientists.” Dr. Fauci acknowledged that his age puts him in one of the groups at highest risk for becoming severely ill from a coronavirus infection. But it has not slowed him down. He sleeps only about five hours a night, works most of his waking hours and jumps on the Metro to get around the Washington, D.C., area, from his office to the Capitol and the White House. Most days, he runs or power walks 3.5 miles. “I’m not worried about myself,” he said. “I’m worried about the job I have to do.” Andrew Jacobs contributed reporting. Alain Delaqueriere contributed research. Disclaimer: Any third-party material in this email has been shared for internal use under fair use provisions of U.S. copyright law, without further verification of its accuracy/veracity. It does not necessarily represent my views nor those of NIAID, NIH, HHS, or the U.S. government. PRESS: FOX Sunday with Chris Wallace; Meet the Press with Chuck Todd; Appeared on 60 Minutes (CBS) Special on coronavirus

111,354/3892. Stock market really crashing. Even though we are saying that 1.1 million tests are out there, and millions (4 mill this week) to follow, we still do not know how many tests have been performed and whether anyone can get a test who needs it. hate to say it, but some incompetence at CDC/FDA. We are geeting killed publicly by this vulnerability. Am now told by CDC that we only have 1 million nasal swabs to collect the specimens. And so now we have more tests than swabs! And the limiting factor is the swabs. Gov. Cuomo calls me up and asks my advice on whether to close schools in the orthodox Jewish section of Westchester where they have 90 cases (more than rest of NYC). I tell him yes. He also asks about closing subways. I tell him not yet, but let us stay tuned. I will push for more surveillance testing. Lab Corps and Quest On phone call with VP and all the Govenors. I talk about protecting the vulmerables with co-morbidities, particularly among the elderly I bring Cliff into the group on an almost fulltime basis. Cases in 35 states. >500 cases with 22 deaths Priority 1 is to get people off the Grand Princess. Had press conference. POTUS came. Had good conversation with him. He is getting very crummy with me. I sarcastically answered one of the persistent questions about the cruise ship issue by saying I personally would never get on a cruise ship. PRESS: CNN New Day with Alisyn Camerota and John Berman; FOX and Friends.

121,098/4366. >1000 cases in USA – 29 deaths (WHO numbers). Congressional House Energy and Commerce Oversight and Reform Hearing today – Carolyn Maloney (D-NY) Chair AMAZING DAY!! Before Hearing we were told that the POTUS wanted me at the White House at 12:30 PM for a meeting about travel restrictions that we had been discussing and the Hearing was supposed to end at 12;30PM .. I obviously had to leave at 11:45 AM. I left. The chair and committee was very annoyed. The twitter feed blasted that since I was being very forceful in saying that :”Things were going to get worse before they got better” and gave a very serious warning about what was ahead, that the POTUS yanked me out of the hearing (Amazing).. Multiple TV cameras and hundreds of camera clicks followed me out of the Rayburn Building as I had a car waiting for me to take me to the Oval Office. The days discussions were historic. I, Bob Redfield, Deb Birx and Azar argued and discussed for a couple of hours that we should retrict all travel from the Schengen countries (the 26 European countries) similar to what we did with China (see above). USCITS can come back but will be funneled through 1 of 13 airports and when they get here, they must self isolate fo 14 days. Non-USCITs can only come if they had spent the last 14 days outside of the Schengen. Reason was that 70% of all new global infections were in Europe (particularly Italy and France) and 30 of the 35 US States had infections that originated in Europe. Level 3 travel to Europe – only essential travel Steve Mnuchin and Larry Kudlow were against this since they felt it would cause a depression, not just a recession. We went back and forth multiple times. Jared Kushner and Bob O’Brien (NSC) weighed in with me and Bob/Deb. We went in and presented to the POTUS and he asked good questions, many of them to me. He agreed and was clearly concerned more about the health of the American people than he was about the economy, which he said would recover. We then went and asked the opinion of the CEOs of the major banks who were waiting for POTUS in the Cabinet room. We did not them what we had alredy decide, but we asked them what they thought about travel restrictions. They were favorably disposed. Speech written mainly by Steve Miller with help from Jared Kuschner. I helped in reviewing of the Speech which the POTUS gave at 9:00 PM from the Oval. POTUS writers took out some good stuff that I wanted in and kept in some stuff I did not like. However, in all it was a good speech. The VP and I called Pelosi, Schumer, Mitch McConnel, and Kevin McCarthy to give them a heads up After I went home and watched on TV, the CNN commentators (Chris Cuomo, Anderson Cooper, David Gergon, David Gregory) all discussed me as the adult in the room and the person wew should all trust. Finally, Nancy Pelosi called me at home and was enraged and yelled at me for about 25 minutes saying that we left out the UK because of Trumps relationship with Boris Johnson. She is completely incorrect. UKwas not part of Schengen. She did not care. She said that I have lost all of my credibility now by saying that I said this was a public health decision when it really was a political decision. Terrible phone call!!! I called up Olivia Troye (Assistant to VP) after the call and explained. We will try to address this tomorrow. Probably should get Steve Beigen (State) to explain Schengen to her. PRESS: WTOP Radio; Clips of me all over all the news on multiple networks/cable.

129,846/4931. 1267 cases in USA, 38 deaths. Cases in 44 states. Italy continues to surge Has House briefing in Capitol and Senate briefing in Dirksen. Then continuation of House Energy and Commerce Hewaring from the other day with Malonet as Chair. Again, they hammered us about testing. The Senators and Congressperrdsons were enraged, especially Patty Murry (D-WA). Steve Redd during the briefings and Bob Redfield during the Hearing continued to be incoherent in explaining about the difficulty regarding testing the “Public health” system that the CDc set up works well in individual small numbes of patient/physician related requests. However, it is not suited to mass screening. Calls with Se. Joe Munchin (x2); Gov. Cuomo; Sen. Rick Scott (R-FL) Very flattering article abpout me in the Washington Post by Karen Tumulty (see below) that explains the above: Anthony Fauci fights outbreaks with the sledgehammer of truth Dr. Anthony Fauci, the director of the National Institute of Allergy and Infectious Diseases at the National Institutes of Health, on Capitol Hill on Thursday. (Joshua Roberts/Reuters) By Karen Tumulty Columnist March 12, 2020 at 5:32 p.m. EDT A virus that is deadly and little understood. An administration in deep denial. Anthony S. Fauci has been here before. As the coronavirus epidemic escalates, the director of the National Institute of Allergy and Infectious Diseases (NIAID) has become a familiar media presence. Fauci’s expertise and credibility shine against the contradictory and false messages coming out of President Trump. The administration has at times sounded more concerned with protecting the president politically than stopping the spread of a potentially lethal disease. While Trump tries to play down the severity of a public health crisis that might affect his reelection prospects, Fauci has laid out the best assessment of the true danger in stark terms. In testimony Wednesday on Capitol Hill, he warned that the coronavirus has a mortality rate 10 times as great as that of the flu, and refuted Trump’s rosy promise that a vaccine will be ready “in a fairly quick manner.” Fauci also said flatly that the government is “failing” when it comes to the urgent imperative of making widespread testing available. The latest updates on the coronavirus After federal officials gave lawmakers a briefing on Thursday, a frustrated Rep. Anna G. Eshoo (D-Calif.) told me: “Everything was wrapped in confusion. The only one who answers the questions — he not only gives the science, but then he says, let me explain this in pedestrian language — is Dr. Fauci.” Then again, this is not the first time Fauci has found himself in the position of having to navigate a public health crisis fraught with political land mines. A renowned international expert on the immune system, Fauci took over NIAID in 1984, barely a year and a half after scientists had identified a mysterious retrovirus that was killing thousands of people. It would be nearly another year before President Ronald Reagan would publicly utter the name of the disease it produced: AIDS. Reagan’s sluggish handling of the epidemic left one of the deepest scars on his legacy. In 1986, Reagan’s surgeon general, C. Everett Koop, produced a report that described in graphic terms the potential toll of AIDS, projecting that 270,000 Americans might contract it by 1991. The report used explicit language, explaining that the disease was transmitted through “semen and vaginal fluids” and during “oral, anal and vaginal intercourse.” Conservatives approved of some of what was in Koop’s document: It warned against “freewheeling casual sex,” and asserted that the surest means of preventing AIDS were through abstinence and monogamy. But they weren’t so happy with the surgeon general’s recommendation that condoms be used as a fallback. Koop was concerned that his findings were being buried by the Reagan administration, so two years later, he and Fauci cooked up a bold idea: mailing an abridged version of his report to every single one of the 107 million households and postal boxes in the country. The problem, however, was that the surgeon general lacked the budget to do it. As Fauci recounted to me during a 2018 interview, he told Koop: “You know, there is a mechanism called an interagency transfer.” Fauci had the authority to provide funds to get the project off the ground, because combating AIDS related to his own agency’s core mission. Congress picked up the idea and ordered the largest mass mailing in U.S. history. It also stipulated that the seven-page brochure be “distributed without necessary clearance of the content by any official, organization or office” — in other words, that it not be edited to suit anyone’s political agenda. In addition to being printed in English and Spanish, “Understanding AIDS” went out in Chinese, Portuguese, Haitian-Creole, Vietnamese, Laotian, Cambodian and Braille. It debunked many myths about the disease, for instance stating unequivocally that AIDS is not spread by mosquitoes, and could not be caught through casual contact with saliva, sweat or toilet seats. Subsequent surveys found that nearly 87 million adults perused part or all of the booklet — making it the most widely read publication in the country in July 1988, with Reader’s Digest coming in a distant second with 48.5 million readers. Of course, there are many differences in scale and severity between the AIDS epidemic and the coronavirus threat. While most who contract coronavirus will recover, AIDS during the 1980s was a death sentence wrapped in stigma. But as Fauci well understands, all infectious diseases have something in common: Accurate information is one of the most powerful weapons for fighting them. Fauci has already shown how important it is to hit a microscopic enemy with a sledgehammer of truth. A yet-untold number of Americans will be betting their lives on him to do it again. Looks like I may have Polymyalgia Rheumatica or really bad Crestor myalgia PRESS: On Pebble Beach at the White House after the TF meeting: ABC Evening News; CBS Evening News; NBC Evening News; Then, I did a gaggle of 5 questions on Pebble Beach; CNN Coronavirus Town Hall with Sanjay Guptya and Anderson Cooper; Mar. 213, 2020 – 132,382/4981 USA 1694 Deaths. Primary health care facilities. Hot areas – WA, CA, MA, NYC I thought that it would be a quiet day since the TF meeting was called off. However, at 2:00 PM, I was called down to the White House since the POTUS wanted me next to him at the podium of the Rose Garden as he made the announcement of deckaring at “National Emergency” which would give him and the Secretary of HHS the power to remove many constraints in response to a national emergency. Also on the podium were the CEOs of the major private sector companies that would make tests readily available – CVS, Target, Walmart, etc. I was at the posium and answered many questions of the press in the Rose Garden. I will be on the 5 Sunday Showes 2 days from now (The “Fauci Five”). Prior to that, I was involved in helping to proof the speech he would give. There were some glaring errors in the speech that I corrected. Got to meet Hope Hicks who was very nice. Jared is playing a major role in all of this. After the presser the White House people showe me a minute by minute graph of the stock markert from the time the POTUS went to the podium and it went down to the 45 minutes of the speech and questions. The DOW went up in 45 minutes 1980 points, which was the greatest single increase in the market in history. The POTUS signed a copy of the graph for me and several of the CEOs My tooth crown fell out in flossing this AM and Dr. Eric Hosaka so nicely fixed it for me right away 2 hours after I called him Also, got and MRI for my leg pain. Alex Azar is obviously being pushed aside as he played a very minor role in the Rose garden Presser. PRESS: MSNBC Morning Joe; GMA (ABC);CBS The Morning; FOX and Friends; BBC World News; Rose Garden Presser with many cameras.

BIG DAY! 142,539/ USA = 2888 with 58 deaths and 662 new I did all 5 Sunday Shows today (my 3rd Fauci 5”) with This Week on ABC, Meet the Press on NBC, Face the Nation on CBS, FOX with Chris Wallace and CNN. All went very well Had press conference at White House. POTUS made intro and then left for us to take Questions. Brett Giroir brought a bunch of USPHS officers with their dark blue work uniforms and told the press how great they are. I spent an hour before the press briefing in the VP’s office. In preparing for the briefing which was geared to rolling out the high throughput tests in collaboration with the States and the private sector that will be operational in the next day or so, they wanted to spin it that this was unprecedented that no one has ever done this so quickly. Deb did not speak up which shows me that she is really inhibited by her Presidential appointee status. A little shame on her. I spoke up and said that several countries have already done what we are talking about, i.e. China, South Korea and so why not stop bragging and just say that we are entering a new phase of our response to COVID-19, i.e. a much more expansive testing capability. Hope Hicks and Jared Kuschner were my allies in this and both seem to now want to make sure that I am involved in everything and approve everything. The POTUS came in and misunderstood thinking that we (the USG) would be implementing the testing. He was pissed. Brett and VP corrected him. However, he remained in a bad mood. He then said that he wanted to show his face and make some remarks without Qs and As at the briefing. Hope felt this was dangerous and said he should not do it. He started to berate Hope in front of everyone say that he became president because he was good and dealing with the public and was pissed that Hope was trying to tell him what he could or could not do. I spoke with Bill de Blasio (Mayor – NYC) and convinced him based on what I was saying publicly and my conversation tonight to close the NYC schools (he had already decided based on what I was saying on TV). I went on to tell him he should close the bars and restaurants in NYC. He said that he would base this on my recommendation. I had a similar call with Ann O’Leary, the COS of Gov. Gavin Newsom of California. Ann said that based on my TV appearances today and yesterday, the Governor has decided to close the schools in California as well as the bars and restaurants. When I left the WH and crossed Pennsylvania and 17th Street, several cars honked their horns and shouted “thank you” out the window. Congress (Blount) call and wants to give us a lot more in a 2nr supplement.

WH wanted me to not wear myself out. Have had private car and driver since Mar. 13 (Friday). I will stay at NIH today and do some press tonight from truck at home. Very positive press with Laura Ingraham on FOX last night My diagnosis of PMR really bothering me. Will start on prednisone today. On WHO call, Dale Fisher (Australian working in Singapore) gave warning to other countries that after you lift the lock down, be prepared for a rebound and use the lockdown period to stock up on supplies, prepare alternative hospitals (gyms, schools, etc.) preserve PPE and not use them for unnecessary things. Also, from Italy, 12% of ICU patinets were 19-50 years od and ~30% were 50-70 yo; 50% of French patienets in ICU are under 60 yo. Bloomberg report on March 18 (Tommaso Ebhardt et al) said that in Italy 99% of thois who died had “othe illness”. However, 75% of these had hypertension. These latter must have been on anti-hypertensive meds and so the issue of ACE inhibitors absolutely must be pursued. On TF call we discussed the Defense Production Act and a possible EO. Also, the VP said over the phone that he wanted me at the Pressor today and Katie (good for her) pushed back and said that I should stay at NIH. VP looked surprised. Probably will hear more about this. Also, at TF meeting they decided to fully embrace FEMA and make a big announcement about that with the POTUS today. New York City and State are facing a “Sophie’s Choice” regarding PPE. They are very low and they have to make a decision of using PPE for testing versus giving to HCWs who are taking care of patients. Obviously, it goes to HCWs, but that will interfer with testing. This was related to me by phone call with Peter Staley, Mark Harrington, and James Krellerstein. Also, had phone call with Major de Blasio who wants to go to “shelter in place for the entire city. He is asking my advice since Gov. Cuomo is pushing back. I advised DeBlasio to go ahead and do it. I will try to speak with Cuomo. POTUS called me up from Oval. He has Alex Azar, Steve Hahn, Bob Redfield Scott Gottlieb, and Deb Birx in the office with the usual WH crowd. They want me in on the discussion. A friend of POTUS (Tom Ellison of Ellison Foundation ?) said that he heards that someone gave Hydroxychloroquine (HC) to 51 people and 51 got better. POTUS has heard similar stories, including Remdesivir (R) about other drugs and wants to make these available. To my amazement and dismay, Azar said that he could approve HC and Remdesivir now with the powers that he has. Steve Hahn and to some extent Deb and Bob started to chime in that this would give people hope. I took a deep breath and said that this was wrong and should not be done. If you want expanded access (EA) of HC which is an approved drug, you can do it in an EA protocol and still get wide distribution and possibly learn something. I stated that with R it is different since this was not approved. In the chorus of eeveryone agreeing with the POTUS that we need to give hope to people, I insisted that we can do both, but in the context of a trial. To his credit, POTUS agreed with me as long as we get the drugs out there. They wanted to announce this today, but I convinced them to do so tomorrow when I am there. Below is an e-mail that I sent right after the conversation: From: Fauci, Anthony (NIH/NIAID) [E] Sent: Wednesday, March 18, 2020 2:27 PM To: Redfield, Robert R. (CDC/OD) <olx1@cdc.gov>; Stephen Hahn <SH1@fda.hhs.gov>; Birx, Deborah L. EOP/NSC <Deborah.L.Birx@nsc.eop.gov> Cc: clane@niaid.nih.gov; Troye, Olivia EOP/NSC <Olivia.Troye@nsc.eop.gov>; Short, Marc T. EOP/OVP <Marc.T.Short@ovp.eop.gov>; Miller, Katie R. EOP/OVP <Katie.R.Miller@ovp.eop.gov>; Hicks, Hope C. EOP/WHO <Hope@who.eop.gov>; kellyanne conway <Kellyanne.e.conway@who.eop.gov> Subject: Follow-up of today's conversation Folks: When we put together the proposal for the protocols/distribution of Hydroxychloroquine (HC) and Remdesivir, I feel that it is important that we do not make the program the same for each. We need to link Remdesivir to a much more strict protocol as opposed to HC which is an approved drug and although it has some adverse events, we have tons of experience with it. I am comfortable with the HC plan as discussed in the Oval. In contrast, we know much less about the unapproved drug Remdesivir. I have more concern about the potential toxicities of this unapproved, investigational drug in the context of COVID-19 as well as the need to prove that it works before we widely distribute it. The bulk of the data that we have with Remdesivir is in Ebola where it did not have a clear benefit. We should consider leading with HC in a flexible distribution protocol and accelerating the clinical trial aspect of Remdesivir. Also, we clearly need to have a discussion with Gilead about drug supply and the plan for any accelerated study. Finally, and importantly, the Chinese already have a clinical trial of Remdesivir with more than 200 people enrolled in the advanced disease arm of the study. Someone should directly contact the Chinese investigators (Bin Cao, et al) and find out if they have any preliminary data on efficacy and safety. In my mind it is imperative that we find out what they know before we launch any distribution program. Happy to discuss. Thanks, Tony Anthony S. Fauci, MD Director National Institute of Allergy and Infectious Diseases Building 31, Room 7A-03 31 Center Drive, MSC 2520 National Institutes of Health Bethesda, MD 20892-2520 Phone: (301) 496-2263 FAX: (301) 496-4409 E-mail: afauci@niaid.nih.gov PRESS: Dave Webb Radio Show; Mike Gallagher Show; FOX Tucker Carlson; CNN Cuomo Prime Time;

>200,000/~10,000; USA – 9026/150; 2900 new. Italy >31,000 In the USA testing: ~70,000 tests with ~10% positive Met yet again with POTUS right before the press conference, which did not include me since it was predominantly an FDA issue with Steve Hahn. POTUS excited about making drugs (Chloroquine, Remdesivir, etc.) more accessible. Therapy was the theme of the day. They actually were going to go too far (see above) and make them all available on compassionate use. I convinced them not to. POTUS was hot to give out chloroquine or hydroxychloroquine since Jeff Ellison thinks that it is a great drug. Steve Hahn did a good job in stressing the need for safety and efficacy data. Katie Miller and Kelly Love are trying to not overload me and particularly Katie is sensitive to my time. Call with Gilead regarding remdesivir studies and supply PRESS: Marc Levin Radio; PBS NewsHour with Judy Woodruff; Facebook with Mark Zuckerberg and Priscilla Chan; CNN Town Hall with Anderson Cooper and Sanjay Gupta; NBC Evening News with Lester Holt

Cases continue to soar. 30,000 in USA with 400 deaths; Italy still escalating. My please to the TF regarding needing desparately to get PPEs and other supplies to NYC seems to be working since FEMA in pusing stuff to them. 250,000 tests now done not counting those from hospitals and medical centers Press is going wild with me. Front page in Washintgton Post yesterday and Op Ed by Maureen Dowd in NY Times today about me and my relationship with the POTUS. Profile by Peter Nicholas on me in The Atlantic. I am trying in several articles and on TV to clarify that the POTUS is tsalking about hope for therapies although there are no good data, while I must stick to the science and so fundamentally we are approaching this from different, but not conflicting standpoints. The press are crucifying the POTUS for “not listening to me and making crazy statements about “game-changing” therapies and praising me fot stivking to my guns. ORACLE (Larry Ellison – a bit of a loose cannon) . Mark Meadows wants CDC, FDA and me to help put together by 5:00 PM tomorrow an on line site for tracking availability of drugs like Hyroxychloroquine and Remdesivir and making these drugs available via a physician. Bad idea, but it will happen. I will go with this as long as it does not interfere with the conduct of RCTs. Cliff Lane helping out but employing NLM and NCATS people. I am giving him full authority since I have absolutely no extra time given what I am doing already. Also, Jared and Mark are very skeptical about the CDC modesl about the trajectory of the outbreak and what can be predicted regarding timing of modification of the mitigation. They want to see the data before they believe the models and get CDC out of the business of doing this alone and making policy – good for them – it is about time. I am getting Cliff to get MIDAS people in on this. Press conference (I did not attend) after the virtual TF meeting. POTUS went into detail with very granular numbers of all the things USG (mostly FEMA) is doing regarding sending masks, PPE, other equipment to high risk locations (Washingto State, CA, NYC, etc.) On TV programs, FEMA Pete Gaynor did not look good since he did not have any idea how many ventilators and other equipment was available. POTUS went on and on about all the things that we are doing. Very rambling and disorganized as he ad libs his speech I would have advised against this, since we are still getting calls that many locations do not have enough of anything. Also, they are talking about the now hundreds of thousands of tests that are out there and being done. However,as I have always said, testing for the sake of testing without reason only consumes PPEs of the people administering the tests. Looking at the presser from home on computer has made it clear how self-congratulatory the POTUS, VP and others appear on the stage. Title 42 enacted – use of National Guard to help. Role out of telemedicine without reguations so that people do not have to leave the house to interact with their physician. A lot of promises – I hope we can back them up. PRESS: CBS Face the Nation with Margaret Brennan; Multiple print features

Global - 414,000/18,400; USA - 68,600/1000; NYC 20,000/280. Continued pressure regrding POTUS aspitational goal of wanting to open up on Easter Sunday. Cases now coming into NIH with several staff infected. Admissions to the SCSU Received another of now several calls from Gov. Andrew Cuomo wanting guidance on interpreting the trend of new cases/day and what this means to predictions of where the outbreak is going in NYC. Had the usual good and warm/friendly conversation. He and Chris Cuomo are becoming friends. Also, we discussed his and my relationship with Trump. CRAZY, CRAZY – donuts are being named after me; T shirts have my picture on them and are being sold; San Francisco radio is dedicating a song to me – Curtis Mayfield singing “Keep on Pushing”; coloring pictures with crayons for my picture, face time with Trevor Noah; Instagram with Steph Curry Color me Fauci.docx Steph Curry Had An Instagram Live Chat With Dr. Fauci About Coronavirus That Was Super Informative Barack Obama and Justin Bieber posted some emojis. Tasneem NashrullaBuzzFeed News Reporter Posted on March 26, 2020, at 3:04 p.m. ET • Tweet • Share • Copy The journalists at BuzzFeed News are proud to bring you trustworthy and relevant reporting about the coronavirus. To help keep this news free, become a member and sign up for our newsletter, Outbreak Today. Instagram: @https://www.instagram.com/stephencurry30/?hl=en Thousands of people tuned in to NBA star Stephen Curry's Instagram live Q&A with Dr. Anthony Fauci about the coronavirus on Thursday because 2020 continues to be surreal.

USA now has more cases than any country in the world Global – 542,788/24361 To my surprise yesterday, the POTUS sent a letter to Governors outlining a plan to reopen county by county while moniroring the spread of virus in the low risk counties. This was half-baked and never shown to Deb or I before it was sent out. It was derived by Jared and Kevin Hassett (modeler) and I cannot see how it can be implemented. I am surprised at Jared, who is usually very measured. This is reckless since it would require monitoring with much testing by CDC and they do not even know about it. Poor Bob Redfield is totally out of it. IMPORTANT DAY – There has been a disconnect between what we in the TF have been saying about the availability of PPE (particularly masks) and ventilators and whether the people in the trenchs (ICUs) sare actually getting them. We keep saying that the equipmen is out there and the medical centers just need to get them and the medical centrers are saying that they are trying to get them and either they do not know how or the USG is outbidding them for the equipment. I got on the phone via Cliff’s treatment guidelines committee that he is organizing and listened to ICU docs from all over the country. The are very fearful of running out of PPEs within days to a weeks. Ventilators are mostly a NYC issue; they may fall behing and still there is this tension of Cuomo asking for 30,000 vents and USG (us) sayng that the vents are in the warehouses; they just need to get them. I promise the group I would try to fix this nonsense. At the TF meeting, I took over and said we really have to stop this shit and fix this. We are acting like these people have everything they need and the fact is they do NOT. I was very empnatic and the VP (good for him) listened. We had FEMA (Pete ) and Adm Pete on the screen and the Adm acted like a rigis navy officer saying thsat they did their job and got the vents and PPEs to the warehouse and now it is up to the locals to get it distributed. I essentially said that this is bullshit and we need to communicate to them how they can actually get the material. I asked is it our job to just check our own boxes or are we trying to actually get the job done in real life. Clearly, Adm Pete is not happy with me, but so what! Hope Hicks, Kellyanne Conway strongly agree with me as does Marc Short and the VP. The VP order to make this happen. Also, the POTU finally invoked the DPA to have GM make ventilators and we are stopping (via me) saying that NYC has enough. Just give them what they ask for and if it is overkill, they they can return them and give to others. Important discussion with Deb Birx that I have some concern about. She is using a model from Chris Murray to plot out how to delay the POTUS from pulling the plug for at least 2 weeks more. Critical issue that I feel strongly about and discussed with Cliff is that if we are going to lift restraints on certain areas, we must have the capability of flooding the system with people to do identification, isolation (out of the home) and contact tracing. Otherwise, we will precipitate a surge as is NYC, NOLA, and other locales. Big discussion coming over the weekend. POTUS signed $2.2 Trillion (uo to $6.2 trillion) relief package for the economy to give aid to laid off workers and other vulnerables. POTUS signed bill in the OVAL and actually delayed the signing until I wsa called from the lower West Wing lobby to be there for the signing. When I entered the OVAL the POTUS said, “Anthony, come here with us. I cannot sign this without you being here”. The entire crowd in the OVAL including several Senate (McConnell) and House (McCarthy) leaders and Cabinet members present applauded me as I entered. Very embarrassing. I am not comfortable with this attention. After the signinf, the POTUS asked me and others to make comments before the many TV cameras that were let into the OVAL Very laborious press conference where the POTUS rambled on. He wasted the opportunity to just focus on the relief package and went inot his diatribe against previous administrations. SECURITY ISSUES – Threats on the “dark web” abainst me, Chris and the girls. They know everything about us including where my daughters live and work. Strange people hanging around my house and taking photos of the house. DC police now stationed at my house in addition to ISG agents with me all the time. HHS is giving me heavy security with ISG agents (Lonetto et al) guarding me 24 hrs. Agent George Adams assigned to me. PRESS: Bloomdaddy Radio Show – Pittsburgh; Morning News with Brian Haldane Radio Baton Rouge – both right wing radio shows; Press in the OVAl with the signing; some press at the Presser. MAR. 28, 2020 (Saturday) – 509,000/23300; USA 104,200/1700; NYC – 26700/450. Cases still escalating. First day with full sceurity Lindsey Graham trying to help. Will go on TV and opush my message of holding off the POTUS to pull the plug too soon. Gov. J.B. Pritzker called with report of death of a 9 month old from COVID-19 in Chicago. Prtiztker concerned that this will generate panic in mothers throughout the USA. May be 1st infant in USA to die of COVID-10 The USNS Comfort taking off from Norfolk, VA to NYC to supply beds and treatment for non-COVID-19 patients in order to free up on shore beds for COVID. Also, the USNS Mercy has already arrived in LA for same purpose The “swag” around me is getting really ridiculous. You can but Fauci T-shirts, mugs, donuts, sweat shirts, candles, pillows, etc. Geeeez!! I do not like this one bit. AMAZING interaction with POTUS. Today Trump tweeted that he was considering quarantining the NY tri-state area (NYC, NJ. CN). This triggered a major news buzz. Gov. Cuomo called me; I was in my NIH office getting ready to do the Saturday TF meeting from the NIH SCIF. Cuomo asked me to help dissuade the POTUS since he (Cuomo) would have to forcibly push back on this and would defy National Guard troops sent to enforce the Q. At the TF meeting we had major discussions lead by VP. I helped convince people that a quarantine was not tenable and that we should recommend to POTUS to do a “strong travel advisory” that the governors would strongly support instead of having the Feds enforce a quarantine. I thought that I was finished for the night and would go home to an evening off when the VP said I should come down to his office and we should, together with Deb, Chad Wolff, Steve Mnuchin, Mark Meadows, Marc Short meet with the POTUS to tell him our recommendation to announce tomorrow. We met with the POTUS in the living quarters (not the OVAL) for about 1 hour. I led the discussions since the POTUS kept referring to me. It was a disturbingly rambling discussion since he kept talking about TV ratings, and HC, and influenza and virtually everything else as I was trying to keep him on track (with the help of the VP). Finally, we got him to agree to “travel advisory” and not quarantine. We wanted to announce tomorrow, but he wanted to tweet this tonight. He also said he wanted to get the Governors on board and so he wanted to call Gov Cuomo (NY), Gov Murphy (NJ), Gov. Ned Lamont (CN). And so, we adjourned to the Lincoln Study and finalized the language for the Advisory right at the Lincoln desk where the Emancipation Proclamation was signed. I kept insisting that they do not slip and let the CDC (from whom the Advisory must come) to use their words of “DO NOT TRAVEL”. Also, I insisted through the rambling and lack of attention span that the POTUS explicitly say that this is NOT a quarantine. Finally, he individually called the 3 Governors starting off by saying “I am here with Tony and a few other people…..” Cuomo was OK but questioned to be explicit as to just what “Advisory” meant. We go it straightened out and before he went to the other Govs, he called up Sean Hannity to schmooze about TV ratings (I am not kidding). Finally, he got to the other Governors and we stopped for the nigh. Marc Short will work with CDC to get the right language out and the POTUS will tweet this later. I texted Cuomo saying that I had pushed back and we had avoided the quarantine. He responded: “I know that. It wasn’t his conscience. He would have made a terrible mistake for the nation. I would have had to organize the Governors to rebel. Last thing we need. Thank you….on behalf of all of us.” WHAT A NIGHT!!! PRESS: Desus and Mero Showtime TV;

Perhaps some early indication of leveling of new admissions in NYC. Careful. Complete craziness with this Fauci cult hero stuff. See below in Washington Post today: Fauci socks, Fauci doughnuts, Fauci fan art: The coronavirus expert attracts a cult following Doughnuts bearing the likeness of Anthony S. Fauci, director of the National Institute of Allergy and Infectious Diseases, rest on a plate at Donuts Delite in Rochester, N.Y., on March 25. (Shawn Dowd/Rochester Democrat & Chronicle/AP) By Antonia Noori Farzan March 31, 2020 at 5:15 a.m. EDT Early last week, Nick Semeraro wanted to find a way to honor Anthony S. Fauci. As the owner of a small doughnut shop in Rochester, N.Y., he had been closely tracking the latest news about the coronavirus pandemic. And night after night, he’d been impressed by how Fauci, the director of the National Institute of Allergy and Infectious Diseases, approached the crisis in a calm, knowledgeable manner. So, as a tribute, Semeraro put the renowned immunologist’s face on a doughnut. Expecting to sell a few hundred, he was shocked when the store sold out day after day, with thousands flying off the shelves. Donuts Delite was besieged with requests to ship the buttercream-frosted creations all over the country, and one Fauci fan drove three hours just to pick up a dozen. Soon, bakeries in Wisconsin and Pennsylvania followed suit, using edible paper to decorate pastries with Fauci’s likeness. “We had no idea it was going to blow up this big,” Semeraro told CNN. “We didn’t know everyone else felt the same way we did.” While Fauci was already a respected scientist before the outbreak, his appearances during White House press briefings have made him a household name and an unlikely celebrity. With his straightforward demeanor and willingness to contradict President Trump, he’s begun to develop the same kind of cult following as Supreme Court Justice Ruth Bader Ginsburg and former special counsel Robert S. Mueller III, who inspired countless “Plank like RBG” tank tops and a bizarre illustrated children’s book, respectively. Even as whole swaths of the global economy collapse, the pandemic has created a robust cottage industry of Fauci-themed merchandise, including bottle openers, magnets and mugs. On Etsy, you can buy “Honk for Dr. Fauci” bumper stickers, prayer candles depicting “St. Fauci” and socks printed with Fauci’s face. Graphic T-shirts bear slogans such as “I Need a Hero” and “In Dr. Fauci We Trust.” NEWS CLIPPING — WASHINGTON POST — CONDENSED (1 SOURCE PAGE) “If so inclined, you can even decorate your home with an “I Heart Dr. Fauci” throw pillow, or purchase a replica of Fauci’s jersey from the time he captained the basketball team at Manhattan’s Regis…” Fauci has remained characteristically modest about his new status as a cult figure. “Well, that’s very nice,” he responded when McCarthy and Terris mentioned that people all over the country were praying for him. Of course, that means that his fan base has only continued to grow. “I never met a guy that, worldwide, he is so loved,” Semeraro, the Rochester doughnut shop owner, told CNN. “And a month ago, we never knew his first and last name.” Disclaimer: Any third-party material in this email has been shared for internal use under fair use provisions of U.S. copyright law, without further verification of its accuracy/veracity. It does not necessarily represent my views nor those of NIAID, NIH, HHS, or the U.S. government. Chris Cuomo has COVID-19. Big issue today is whether w should be recommending masks for everyone. We probably were too strong in saying masks do not work. I mentioned this on CNN (Sciutto) this AM. Still local issues regarding availability of ventilators and PPE and tests. TF discussions still make it seems like they are out there, I I have no confidence that they are really getting to the people who need them. Important phone call tonight organized by David Barr with many ICU and other docs throughout the country. They calim that PPE is running out, vents are needed and teting that takes several days to get results are essentially useless to them. I promisedto bring their concerns to the TF. Trump continues to become more and more enamored of me. Joe Grogan organizing small group of me, Deb. Redfield, Hahn, Giroir to solve practical issues. I am concerned that we are not really connecting the dots from TF to the trenches. Is Giroir really up to this. Means well. I also have doubts about Pete and FEMA We shocked the public when Deb and I mentioned at the Press Conference that there could be 100,00- to 240,000 deaths in the USA even with maximal mitigation. I explained that this is the “model”, but we can definitely get the deaths down below that since it is the data that always trumps the model PRESS: CNN Newsroom with Jim Sciutto; White House Press conference. April 1, 2020 - Cases still going up. USA - 188,000/3700. Global – 751000/36400 NYC- 43100/1100 Some very early signs in NYC that the number of “new cases’ in starting the stabilize. However, the deaths always lag and these will continue to increase over the next week or two. Did major briefing of the GOP House leadership organized by Liz Cheney and Kevin McCarthy Continued crazy stuff: Petition to name me “Sexiest Man Alive”; videos games named after me; Fauci Bobblehead; dishes in redstaurants named after me, and on and on. Had good conversation with Bill Gates tonight who wants the BMGF to partner with me (NIAID) and BARDA in the advanced development and scaleup of vaccines, therapeutics. Also, wanted to discuss a strategy for opening up the country after the wave subsides. Really very fine podcast with Sanjay Gupta – personal, but very informative Washington Post for tomorrow: Media Perspective Dr. Fauci symbolizes everything about the Trump-era media climate Anthony Fauci, director of the National Institute of Allergy and Infectious Diseases, attends a White House briefing. (Jabin Botsford/The Washington Post) By Margaret Sullivan Media columnist Press is over the top. My picture and stories about me are in the national news virtually every day. Today and yesterday and tomorrow was flooded with stories. Too much; impossible to even read all of the stories PRESS: Fox Radio NYC – Rosanne Scotto; CBS Norah O’Donnell taped for tonight; NY Times Daily Podcast; White House Press conference April 2, 2020 – USA – 215500/4600; NYC – 47400/1400 Global – 824000/41000; Washington Post now reporting that I have a security detail (George Adams). Also, DC police now guarding my house 24 hrs/day. Gave briefing to the GOP Senators for 45 minutes similar to House briefing yesterday. Terrific Sirius XM – Coach K podcast – wonderful person who was so generous and complimentary in his comments to me. He called me “the point guard for the world” Spoke with Gov. Phil Murphy of New Jersey who wanted to run by me his approach to COVID and see if I thought that he was doing all the right things. He was. He is frustrated that some people still do not adhere to Guidelines even though he is pushing hard and slappiung penalties on people. PRESS: CBS This Morning; NBC Today Show with Savannah Guthrie; CNNTown hall with Sanjay Gupta and Anderson Cooper; April 3, 2020 – Global - 879000/46000; USA 245000/5500; (real numbers are probably more; these are CDC numbers – global is 1,000,000/50,000) Deaths and cases still soaring. Meeting today virtually (Francis Collins leading) with the Public Private Partnership to address research and development for COVID-19. Mikael Dolstien (Pfizer); Paul Stoffels (J & J), etc. Intense media blitz on me continues. Mentioned by all Late Night TV Shows. Question of universal wearing of masks dominating conversation Press conference today: I was originally supposed to be sitting on the side for questions and at the last minute, they told me that I was not needed. This was not unreasonable since the presser was about masks and Jerome Adams had been pushing this and CDC released the guidelines about masks and so it made sense that I did not need to be there. I mentioned this to Jim Acosta (CNN) and he made a story that I was excluded from the prsser. This created a firestorm where CNN made it a story saying that I wa excluded since I had said last night 9CNN Townhall) and this AM (Fox and Friends) that all states should practice “stay at home’, and the POTUS has refused to “mandate that”. They painted it as an exclusion of Fauci since he disagreed with the POTUS, which was not the case. WELCOME TO WASHINGTON. I believe that the White House (mostly POTUS staff) are starting to get really pissed off at me. The press conference turned out to be a shit-storm since Jared Kushner got up and trie to explain things and the press killed him. Also, the POTUS said he would not wear a mask, which undermined what Jerome and Bob had just said. Glad that I was not there. The ridiculous attention to me continues; fan clubs, Swags, am constantly on TV; countless profiles of me. For example: T heThe Anthony Fauci Fan Club Twitter account wants you to know one thing: “If you don’t have a crush on this man, do you even care about public health?” The account, which quickly skyrocketed to over 13,000 followers in just the past few days, was launched by three Maryland-based microbiologists who, at first, created a group chat to “gush over” Fauci in private. “We can’t be the only ones who are feeling this way,” one said of the esteemed immunologist. “Did I mention he’s easy on the eyes?” said another. The microbiologists aren’t alone. Over the last few weeks, Dr. Fauci stands have created Facebook fan clubs, TikTok videos, donuts, browser games and even prayer candles in celebration of the scientist leading the Trump administration’s novel coronavirus response. A 79-year-old career scientist isn’t usually the type of person the internet feverishly stans over. But under these extreme circumstances, Fauci has emerged as the comforting leader the internet, and the US, needs now more than ever. Anthony Fauci Fan Club@FauciFan “It is the moment to exercise and practice fandom,” Abigail De Kosnik, director of the Berkeley Center for New Media and a fandom specialist, told The Verge. De Kosnik says fandom around Fauci is thriving right now because it’s one of the only ways we can “connect to the outside world” and interact with strangers since we can’t see anyone physically. “Fandom is what remains.” For years, political figures — like Fauci — who have spoken truth to power in tumultuous times in history have become the ideal breeding ground for fandom. According to Know Your Meme, Ruth Bader Ginsburg’s rise to internet celebrity stardom corresponded with the creation of a Tumblr blog entitled Notorious R.B.G., invoking the name of the famous hip-hop artist, The Notorious B.I.G. The blog launched in celebration of Ginsburg’s lauded 2013 dissent in the Shelby County v. Holder case that struck down parts of the Voting Rights Act. That dissent paired with the blog’s memes was just the flint in creating a fire of RBG fan content and merch that continues today. The excitement around Fauci is creating a similar community, focused around bringing hope and joy to one another during this pandemic. The fandom has grown rapidly with stans posting a slew of memes and merch all across the internet. Etsy and Amazon are littered with T-shirts that feature the scientist. One asks “What would Fauci do?” Another Etsy seller has made prayer candles featuring Fauci depicted as an angel with a halo around his head. Pastry shops across the country are selling donuts with Fauci’s face surrounded in red, white, and blue buttercream. Fauci’s constant status in American life amid the pandemic has made it even more noticeable when he’s absent. When Fauci did not make an appearance at a White House press briefing last month, the hashtag #WhereisFauci went viral on social media, as though Fauci stood up the internet. Andrew Banas @AndrewWHAM The fandom is cross-generational, too. On Facebook, the Dr. Anthony Fauci Fan Club group touts nearly 40,000 members of all ages. They post news articles to keep each other informed, but they also share memes honoring Fauci. In one, Fauci appears on the front page of People magazine as the “sexiest man alive.” In another, Fauci’s face is photoshopped onto the body of Captain America. One user posted a Trump-like campaign sign, but instead of featuring the president’s own infamous slogan, it reads, “Fauci: Make Science Great Again 2020.” “Just saw this, and thought I’d share,” the poster wrote. “Humor helps me endure.” “HUMOR HELPS ME ENDURE” On TikTok, influencers like celebrity blogger Perez Hilton have posted videos featuring Fauci’s viral press briefing facepalm from earlier this month. “This is how I feel right now,” Hilton wrote in the video’s caption. In another, Coldplay’s “The Scientist” plays as images of Fauci dissolve into one another beneath the caption, “BREAKING NEWS: Dr. Fauci has been hospitalized from carrying the entire nation on his back.” Fauci fandom has also provided comic relief and emotional support for people struggling through this unprecedented crisis. On the Facebook page earlier this week, one member made a plea for reassurance. “Will we ever be able to go back to ‘normal’? My anxiety is telling me this is going to last forever...” The post received over 100 replies, a majority of them offering optimistic statistics or messages of support reassuring the user that they weren’t alone — valuable messages at a time when large swaths of the US’s population are stuck indoors with their lives entirely uprooted from what they were before. In a moment like this, Fauci has become a comforting figure for those who are struggling. “He’s kind of like this kind, old, wise mentor figure that we’re thirsty for right now,” Scott T. Allison, a professor of psychology who specializes in heroism and leadership at the University of Richmond, told The Verge. “He’s the grandfather who will tell it to you straight and tell it to you lovingly.” And Americans agree. According to Business Insider, Americans trust Fauci more than President Trump and Treasury Secretary Steven Mnuchin to handle the COVID-19 pandemic. No one knows how long this pandemic will last, as Fauci mentions at nearly every briefing. As it continues, today’s circle of Fauci stans could change the face of fandom in the future, De Kosnik said. “We could see a different fandom arise around this calmer, more rational and more ‘square’ celebrity or performer,” she said. The appeal of a whimsical or “bad boy” type celebrity could taper out if uncertainty in daily life continues to grow. A nerdy pragmatist could become the new focal point for fandom. Or maybe it’ll just redefine who we see those traits in. “You might say that Dr. Fauci is a badass — a person who does his job, and does it well, and to hell with the consequences and to hell with what the boss might think,” Allison said. “We should all have such courage.” PRESS: Fox and Friends; PBS NewsHour with Judy Woodruff April 4, 2020 – Global 972600/50300; USA 277200/6600; Gov. Greg Abbott of Texas – questions about my statements recently that all states should do stay at home. He was vey nice ad wanted clarification of what that meant forTexas and was he already doing what I was saying. In fact, he was for the most part. Also, spoke with Gov. Ned Lamont of Connecticut. Same issues as Gov. Abbott Washington Post had article ridiculing Jared for his appearance at the Press conference. They are being a bit unfair. Thick politics going on fueled by POTUS ridiculous behavior of blaming people for things. He keeps talking about TV ratings of the press briefings, which fuels the press backlash at him. In Task Force meeting had a big (unusual) argument with Peter Navarro who handed out a folder that he says shows studies that Hydroxychloroquine is effective in COVID. I strenuously objected and he then attacked me saying that I was the one who was against blocked travel from China when in fact I pushed the POTUS to do so. Weird guy!! VP and Marc Short acted like Peter was nuts. See below Axios description of the “confrontation between Navarro and me: Scoop: Inside the epic White House fight over hydroxychloroquine Jonathan Swan NEWS CLIPPING — AXIOS — CONDENSED (1 SOURCE PAGE) “Photo: Drew Angerer/Getty Images The White House coronavirus task force had its biggest fight yet on Saturday, pitting economic adviser Peter Navarro against infectious disease expert Anthony Fauci. At issue: How enthusiastically should the White…” • Navarro, on the other hand, is convinced based on his reading that the drug works against the coronavirus and speaks about it enthusiastically. • Some of Trump's favorite TV hosts, including Fox's Sean Hannity, and friends including Rudy Giuliani, have also been touting the malaria drug for the coronavirus. Trump has made no secret who he sides with. • "What do you have to lose? Take it," the president said in a White House briefing on Saturday. "I really think they should take it. But it's their choice. And it's their doctor's choice or the doctors in the hospital. But hydroxychloroquine. Try it, if you'd like." POTUS continues to ramble at presser. Prior to the presser, POTUS invited me and Deb into his inner office at the OVAL and started telling me that as a Catholic how much of a shame it would be if we did not do a classical Easter and Good Friday and Palm Sunday. He wanted to figure out how to do a version of it like outdoor mass or stay in car and do drive in theater-like mass. Hope Hicks and I convinced him to essentially put Easter on hold for this year. Then he went on and on (almost pleading) with Me (mostly) and Deb saying that he cannot keep the country closed beyond the 30-day extension. He rambled on and on that we are destroying this great country and started rattling off the names of various sports commissioners (NBA, MLB, NHL, etc.) who said that their sports would be destroyed if we did not open up. Also, he said industry (all the industrial giants) would be forever destroyed. He said that he understood where Deb and I were coming from, but he could not let the country die and so one way or another, he is opening up in 30 days. He went on and emphasized this over and over at the press conference, which immediately followed his conversation with me and Deb. PRESS: White House Press Conference – 1hr 25 minutes. I had the opportunity to push mitigation sayin that it was our ony weapon right now and I praised the HCWs saying they were true heroes. April 5, 2020 – (Sunday) – Major news-outlets (Wash Post, NY Times) starting to write detailed stories of how the USG (esp. Trump) dropped the ball in response to COVID-19. CDC getting bashed (in some respects rightly so). Much Monday morning quarterbacking. Thus far, I am coming out OK, but the response in general in being bashed. Global – 1,100,000/57000; USA – 311000/7700; Cases predicted to continue to rise and deaths increase over next week. Nice article in Washington Post on the relationship between Deb Birx and me. Beautiful profile of me on BBC audio featuring Chris and Peter Staley. I was sitting on steps of EEOB on a conference call reviewing countermeasure portfolio (BARDA) when a photographer from across the landscape (on Pebble beach) shot me and focused on my pokadot socks. It got tweeted around the country. “Birx has her scarfs and Fauci has his socks” Geeeez. Very amusing and notable dynamics at the TF meeting today. It is Sunday and we were supposed to have a relatively low-key meeting without a subsequent press conference. HOWEVER, as we began the TF meeting, we learned that the POTUS was joining us. He came in and in his usual rambling self starting going all over the lot and then said that we should have a press conference in 30 minutes since he wanted to give “good news’. Deb had been saying that the cases were starting to stabilize in NYC and in a couple of days we could speak about it. Jared wanted to talk about some good stuff regarding supply chain tomorrow. POTUS would have none of it. He wanted a press conference now. Everyone started scrambling to prepare. Of note, ADM John Polowczwk (“Adm P”) gave some data on supply chain. The POTUS loved and told John to get over to the WH for the press conference. John was dressed in his Combat Fatigues and clearly was terrified of appearing on TV when the rules are that you should wear the standard formal dress (not dress level) for TV appearances out of the combat zone. He felt that he would be reprimanded by superiors at the Pentagon. It was clear that he was very nervous and almost frozen. When people in the room explained to POTUS what was going on, POTUS said “Last time I looked, I was Commander in Chief and so get your ass down here now”. Then POTUS said: “Get Gen. Milley (Chair of the Joint Chiefs) on the phone and clear this up. Just then a Deputy Chair General go on the phone (not sure who it was) and said: “John, you are good to go. Get over to the White House in your combat fatigues.” All ended well, although Joh was still clearly nervous as he stood before the cameras at the WH briefing Room. Press: Face the Nation with Margaret Brennan; Press briefing in the White House press room after the TF meeting. April 6, 2020 – Global – 1,100,000/63,000; USA – 338,000/10,000; Today did call with Governors (me, Deb, Redfield, Giroir et al). Turned out it was mostly Governors’s staff and health people as opposed to actual Governors. Individual Calls with Gov. Ricketts (NE) and Gov. Reynolds (IOWA). They were concernced about my comment that “I cannot understand why all states have not done stay at home orders”. They are really already doing as much or more than some states that have officially issued stay at home orders and they are being criticized as a result of my comments. We worked it out over the phone. I will support them and clarify where I can to support them. At the Press Briefing today, I took the opportunity to say that the Govs of NE and Iowa are doing an excellent job ad are functionally doing exactly what those states that have stay-at-home orders are doing. Trump dud his usual rambling stream of consciousness show at the briefing. Intense publicity about me continues with stories of granmothers who have crushes on men. Petitions to vote me “Sexiest Man Alive”. Major stories about my basketball career at Regis. Janet Tobias pushing to get footage and access to TF workings with me. I am very reluctant since the optics are bad. My main goal is to stop this outbreak, not to participate in a documentary. She can do her thing as long as it is not intrusive to our work. I am concerned that we really do not have a clerar plan to “open up” the country at end of April. No one is really in charge or even knows what they are doing. This is not my area and so I can only provide 40,000 foot perspective, which is not good. PRESS: Appeared at the White House Press Briefing. April 7, 2020 - Global – 1,200,000/68000; USA – 369,000/11,000 Press still hot and heavy about me. Multiple stories per day directly or indirectly involving me. The debate about the use of HC still dominating the discussion. Big article in the Washington Post about the long relationship between Deb Birx and me. Big challenge today is to firm up a plan on how to approach to re-opening of the country. I am concerned that there really is no plan and no one is really in charge. Off-hand mention of “another task force”. Jared is getting involved with us. Deb supposedly leading it. Deb unhappy with Brett Giroir and bad-mouthing him a bit as he goes his way continually reporting about how many “tests” are out there. I do not have a good felling about this. However, the meeting that we had in the Roosevelt Room tonight made me feel better. The entire team gathered after the Press conference for 2 hours starting at 7:30 PM. Paul Mango provided a framework for “re-opening” delineating all the things that need to be in place. Again, much depends on the easy availability of testing. Present were: Joe Grogan, Kellyanne Comway, Jared Kushner, Bob Redfield, Steve Hahn, Seema Verma, Deb Birx, Brian Harrison. At presser I discussed the issue of greater pecent of deaths among AfricanAmericans dues to the health disparities (hypertension, diabetes, obesity, asthma) that predispose to poor outcome (pneumonia and death). After all this, at night 9:30 PM Cliff Lane came over my house and we went over the Guidelines document that he and the group prepared. I will brief Azar on Thursday and then officialy submit it as a “workstream”. This is an example of the type of articles that are appearing. This appeared in The Atlantic today (April 7, 2020): Why America Is Thirsty for Anthony Fauci During the pandemic, a 79-year-old immunologist is becoming as crushable as a pop star. KAITLYN TIFFANY 6:30 AM ET Enjoy unlimited access to The Atlantic for less than $1 per week. Sign in Subscribe Now NEWS CLIPPING — THE ATLANTIC — CONDENSED (3 SOURCE PAGES) “ALICIA TATONE / THE ATLANTIC • • • Link Copied • “If you don’t have a crush on this man, do you even care about public health?” It’s a question that wouldn’t have made even…” There are other crushes of the coronavirus crisis, most notably New York Governor Andrew Cuomo, whose daily press conferences in state-branded attire have become appointment television for people living in the epicenter of the country’s outbreak. Vogue has praised his competence and “imaginary boyfriend” potential, while the New York Post spoke with moms on Long Island who gushed about eating ice cream in bed, watching him speak calmly and convincingly of New York’s ability to overcome the pandemic. While descriptions of Fauci dwell on how “adorable” he is, Americans’ fascination with Cuomo is openly grimier. Last week, for instance, Twitter was abuzz with speculation as to whether a strange-looking wrinkle under the governor’s polo was, in fact, a nipple ring. A fake dating profile written for the governor by City & State didn’t mention sweetness or charm, but interests such as “fishing” and “yelling,” as well as the personality type “laid-back, loose dude, who is always in a cool mood.” In a recent blog post titled “Help, I Think I’m in Love With Andrew Cuomo??” the Jezebel writer Rebecca Fishbein ran down the list of things she despises about him politically, then confessed, “When I stream his presser on the governor’s website—every day around 11:30 a.m., complete with a PowerPoint presentation—I feel comforted. I feel alive. I feel protected. I feel ... butterflies.” She’s heard from plenty of New York women who agree. “A lot of women who are older than me have been emailing me being like, No I really love him; he has all of his hair,” she told me. Fishbein lived in New York City during 9/11, and she remembers people feeling similarly about then-Mayor Rudy Giuliani. And after Hurricane Sandy in 2012, she said, she knew people who thought that then-New Jersey Governor Chris Christie was heroic enough to feel gooey over. “It [does] not last long, but I think there’s this feeling that somebody is telling you, in what seems like a straightforward manner, what’s going on,” she said. This can mutate into a crush with ease. “It’s just your mind playing tricks on you.” Read: Why people are confessing their crushes right now This is literally true, says Helen Fisher, a biological anthropologist who studies dating and relationships at Indiana University’s Kinsey Institute. “In times of crisis, people have a fight-or-flight response. That drives up the testosterone in the brain,” she told me. “Testosterone triggers various brain systems that can trigger sexual arousal. Testosterone also has a positive correlation with dopamine, and dopamine is linked with feelings of romantic love.” You don’t need me to explain that the past month has been saturated with feelings, or that your nerves can only tap-dance for so long before your brain starts to do strange and shocking things. Similar hormones are involved in both crushing and panicking, and rushes of adrenaline can lead to attraction, which is presumably why The Bachelor involves so much bungee jumping and helicopter travel. Crushing on a public official is not particularly fruitful, but it’s hard to think of a reason not to indulge in it a little bit. Even in normal circumstances, a crush is a diversion from everything we’re worried about. Pointless crushes may be, if anything, even more necessary during a pandemic, when the only other stimuli are horrifying. Crushes spike up and surprise us—uncomfortable but fun, sweet but nauseating. Thirsting over Fauci won't stop the pandemic, but at least it can keep us busy. I recently stumbled across a video of a woman named Jill playing guitar and singing, in a school-teacher voice, a love song for him. “Please stay safe doctor,” the song ends, “you’re our only hope.” We want to hear what you think about this article. Submit a letter to the editor or write to letters@theatlantic.com. KAITLYN TIFFANY is a staff writer at The Atlantic, where she covers technology. ConnectTwitter ALSO, see article today in The Nation by Jeet Heer entitled “Dr. Anthony Fauci has a target on his back”. The story says that the right wing, including Rudy Giuliani, is out to get me because of my stance on HC and because I am responsible for shutting down the government and ruining the economy. From today regarding deaths: The fatality rate remains unclear, estimates of the proportion of people contracting the virus who never show symptoms ranges from 25 to 50 percent and there is no clear explanation for why it proves so deadly for some people who are relatively young and previously in good health. PRESS: Local Radio hits – Jason Rantz Show KTTH Seattle; The John and Ken Show (California – KFI AM640 Los Angeles); Multiple local (from around the country) TV hits in EEOB; White House press conference. April 8, 2020 – Global – 1,300,000/73,000; USA – 398,000/13,000 As we predicted, yesterday was the most deaths in single day in USA. However, indications from NYC aree that cases, hospitalizations, intensive care and intubations have been down for past few days. Remember – deaths always lag by about 2 weeks behind new cases. Could be first clear sign of turnaround. Now focusing on how to “re-open” the country safely (see meeting last night) Bobblehead raising money: Fauci bobblehead raises $100,000 for American Hospital Association Growing concern about fact that African-Americans are dying much more than other racial/ethnic groups. Certainly due largely to the increase in underlying conditions among them such as hypertension, diabetes, obesity, asthma PRESS: FOX TV – America’s Newsroom; Eric Bolling Sinclair TV; White House Press Conference. April 9, 2020 (Thursday) – Global -1,400,000/80,000; USA– 430,000/15,000; Getting ready to submit the COVID-19 Treatment Guidelines that Cliff led. Briefed AZAR by phone he liked it but wanted to make sure that Nancy Messonnier was OK with it since we did not want CDC to be coming out with objections. I called Nancy and found out in a poignant call that she no longer is involved in the COVID response. I do not believe that Azar knows this. Who removed her??? Tim Uyeki is representative for CDC on the Guidelines Panel. TF Conference call with Senate GOP and Dems – usual questions about when to re-open the country Another example of craziness. This below in the New Yorker: By Andy Borowitz April 8, 2020 NEWS CLIPPING — BLOOMBERG — CONDENSED (1 SOURCE PAGE) “Photograph by Lo Scalzo / Bloomberg / Getty WASHINGTON (The Borowitz Report)—In what he described as a “potentially major breakthrough,” Dr. Anthony Fauci has convinced Donald Trump to attack COVID-19 as if it were an…” Reportedly, Trump appeared shaken by Fauci’s analogy. “Damn it, Tony, when you put it that way, we’ve got to do something about COVID-19,” he said. Speaking to reporters, Fauci said that he was “cautiously optimistic” that his inspectorgeneral analogy would finally spur Trump to action, but added, “Jared could still screw this up.” ………………………………………………………………………………………. Again, countless print press stories about me directly or indirectly. Far, far too many for me to even think about reading. Some day, maybe, go back and read. Eveyone asking about the plasn for re-opening the ountry PRESS: ABC -Good Morning America with George Stephanopoulos; NBC Today Show with Savannah Guthrie; CBS This Morning; WH Press Conference coverage April 10, 2020 – Global – 1,440,000/85,000; USA – 465,000/17,500 Concern building about the economy and when we can open the country. 17 million jobs lost within the past 4 weeks. Larry Kudlow and Steve Mnuchin are concerned that even with the massive infusion of relief dollars that we may o irreparable damage to the economy if we do not open soon. Call with Randell Stephenson – CEO of ATT wanting counsel on how to get his workforce back towork safely Call with Gov. Asa Hutchinson of Arkansas – doing a good job in AR; want counselon retunring to normal Call with Gov. Mark Gordon of Wyoming – same discussion. What advice and counsel of returning to normal. Call with Gov. Doug Burgum of North Dakota All these Governors are calling me because of my credibility and reputation to run their plans by me and ask for my opinion and help (message back to TF and POTUS). Unfortunately, I really cannot do much but get their messages back. Very frustrating POTUS actually joined the TF meeting right at the beginning andstarting talking about ratings of the press conferences being the best ratings on all of TV. Yikes! POTUS was again rambling at the press conference with stream of consciousness not really answering questions and spouting how well we are doing. Press focusing on whether we are prepared to re-open. Press keeps dwelling on fact that we likely do not have enough testing capability. POTUS mentioned (to my and Birx’s surpise) that he has already asked some people to be on another Task Force to help him decide on re-opening. He even mentioned that there would be prominent physicians on the call. Deb is worrie d about this. I am not surprised. During press briefing reporter asked PTUS a question about Gov. DeSantis (RFL) wanting to open his schools in May and would not that endanger lives of people since there are many cases in Florida. He did not answer and then the reporter asked what my opionion was. I spoke generically saying I am not aware of the situation in Florida, but in general, if there are active cases in community, children in school could spread the virus. Later that afternoon DeSantis called my cell and explained that he wa evaluating the situationon a week by week basis and did not make any definitive decisions and the districts that he was considering opening the schools were districts with very few infection. PRESS: CNN New Day with Alisyn Camerota and John Berman; Sirius Doctor Radio – Marc Siegal; Press conference (see above); FOX Martha McCallum; FOX Jesse Watters; Brian Williams - MSNBC April 11, 2020 – Light day. TF, but no press conference. Important discussion about the fact that the sensitivity of the Abbott ID Now (15 minute test) machine is queationable. We have not had a single positive at the WH with press and secret service and staff. We will bring a machine to NIH to use on people with documented COVID-19. I am still concerned about our ability to dothe tsting that we keep reassuring the public that we can do. Deb very much suspicious and restrained hostile towards Brett Giroir whom she does not trust. Gave extra copies of the HHS Guidelines to Marc Short. They plan to have me present it to POTUS on Monday, April 13. April 12, 2020 (Easter Sunday) – Global – 1,800,000/110,000; USA 500,000/20,000. In general, early indications of leveling off. Print news (NY Times especially) writing multiple articles about howTrump was late to respond/slow to act even thugh he was given warnings by many people. I look good to neutral in the reports. Big article in New YorkTimes today by Eric Lipton, David Sanger, Maggie Haberman, Michael Sherar, Mark Mazzetti and Julian Barnes. I was spoofed last night on Saturday Night Live (SNL). Media buzz in my answer to Tapper’s question whether lives would have been saved if we had shut down earlier. I said yes with a lot of qualifiers; however, the press is not reporting the qualifiers. Such is life….. PRESS: CNN State of the Union with Jake Tapper; MSNBC TV with Rev. Al Sharpton April 13, 2020 – Potential big problem (we shall see). NY Times reporting on an answer to a question that I gave on CNN yesterday (see above). Jake Tapper asked me if we had closed down earlier, whould that have saved lives. I said it is complicated; he persisted and I said obviously, if you close earlier there would have been lives saved, but the decision was complicated. I could have answered the question better and with more clarity, but the Times is now saying that I was implying that the POTUS was to blame for additional deaths according to me. The far right is tweeting to fire me. The POTUS even re-tweeted the tweet that said to fire me. We shall see how the day goes……. I called up Marc Short and explained that I was answering a hypothetical question and I told the truth. Marc was very supportive and said the POTUS was not upset and understood. I met with VP – he called me to his office 15 minutes befor the TF meeting and we discussed this. He was terrific. I said I was angry at having been put into this position, I am completely apolitical, and I am loyal to the people that I work with. I offered to explain to the press at the daily White House press conference. Right before I walked in, I huddled with the POTUS and told him what I would do. He was very relieved and grateful saying that his right wing base is causing a lot of trouble and he was total OK with me. I went out and explained that I was being hoest in my answer to Jake, but that I was not implying that anyone was responsible for more deaths. I explained that the 2 times I recommended to the POTUS to go to ‘mitigation” (15 day, then 30 day) he took my (and Deb’s) advice and started to mitigation guidelines despite the fact that some people were pushing back (did not mention any names) Right after that, he went on an anti-media rage showing a filiming recently put together that day by staff showing how he was on top of everything and responded swiftly. Again, repetitive stream of consciousness. I was uncomfortable sitting there. Phone call with Jake Tapper. Jake wanted to make sure the interview did not cause me any problems. Global – 1,700,000/106,000; USA – 560,000/22,000; PRESS: C-SPAN TV; April 14, 2020 - Press buzz still continues. Feature story in today’s Washington Post: “Despite assurances, debate over Fauci’s fate continues” by Toluse Olorunnipa, Seung Min Kim and Josh Dawsey. Also, Mike Gerson wrote an editorial in the Post attacking Trump for attacking me (re-tweet that energized Trump’s right wing fringe to attack me. Global - 1,800,000/112,000; USA – 580,000/24,000. Daily cases starting to level off over past couple of days. Did not do Presser today. Topic was economic. He rambled on in typical manner. He reversed himself from yesterday when he said that he has “absolute power” to tell the Governors what to do in the “re-opening”. He stunned the press with that announcement and people like Caitlin Collins pushed him on saying that since it is not true. He blew it off yesterday. Today he said that he leaves it to the Governors Press still buzzing about the tension between me and the POTUS – multiple articles. It is clear after a meeting that I was called to with the VP at 10:30 AM with Deb. Jared, Brett, and some from Jared’s team thsat they have salready decidedthat they will “re-open” the country on May 1 no matter what I or Deb say. Deb (as expected) is totally bought in on this. I am quite skeptical that they have a program in place to respond to a rebounbd. CDC certainly in incapable and Bob even admits that his team is mor “academically oriented” as opposed to pandemic emergency oriented. Also, testing is still an issue. PRESS: Good Luck America Snapchat Interview (Skype); Bobby Bones Country Music DJ Skype interview; NBC CoronavirusSpecial tsaped for tomorrow AM April 15, 2020 – Global – 1,900,000/120/000; USA – 603,000/25,000 Print media still pitting everything I say as contradicting POTUS. They are also digging into what I said it February indicting that I said the virus would not be a problem; however, when you read my entire sentence, I said at this time (when there were a couple of cases in the USA) there is not a serious threat, but this could change very rapidly and so we need to be prepared. They leave out the last part of the sentence. Peter Nicholas of The Atlantic (Peter Nicholas)wrote a piece saying I was humiliated and “shamed” by getting in front of the cameras and backing off the CNN interview with Tapper. Fuck you, Peter. Has discussion with Chris this AM (in bed) about my considering resigning from the Task Force. The CDC/FEMA, etc in my mind have no idea what they are doing. There really is no plan. Deb is secretive and worried about her job wanting to please the VP asnd POTUS and the press briefings are a total Shit Show with POTUS rambling. I am afraid that if I resign it will be a global explosion and might also look to my many admirers like I am deserting the cause, but this is getting very tough. Phone call with Bill Gates and Trevor Mundel regarding working together on vaccines and therapeutics. Bill, like I, is very skeptical about serologic tests – could be misleading is saying that someone is protective if Ab is positive. He is concerned as I am. He feels that there are ethical considerations. Deb Birx last night put together the plan to re-open based on a combination of the plans put forth by Tom Frieden, Scott Gottlieb, Zeke Emanuel. I edited it today with her. VP asked me to leave the TF and work with her. I edited what she had already done. It was really a done deal before she showed it to me. I emphasized that what was missing was guidelines about what to do if there is rebound. It was almost as if she had not even thought of that. She said she would do this tonight. This is really seat-of-the-pants stuff with patching together overnight a plan that has enormous implcations for the health and safety of the nation. I will hang in there to help as much as I can. Marc Short is becoming a good rriend. He shuffled me out of the WH before they started asking me to hang around for the endless press conference. I ha told Marc that it would be great if I could go nly to those pressers where I was really needed. He got the message and the VP agreed. And so, I am off today. Clearly the press will ask where I am. Amazing profile of me today on Nightline: https://bit.ly/2VvC0HP Multiple editorials (print news Washington Post, etc.) and opinion pieces (Newsweek) written about me. Cannot keep up or even read all of them. Country needs someone to look up to in the face of Trump presidency. Interesting psychodynamics. Brewery in Georgia named a beer after me “Fauci Spring” Cartoon in thee Boston Globe: 1:30 PM EDT Italian Virus Hospital Offers Fauci Work If Trump Fires Him By NICOLE WINFIELD Associated Press PRESS: Good Day FOX TV NYC – Rosanna Scotto; Cox TV; WSJ story on my relationship with Shelly Wolff; ABC TV – David Muir; CBS Evening News – Norah O’Donnell April 16, 2020: Global – 2,000,000/125,000; USA – 640,000/32,000. Today is day when newe Guidelines for re-opening will be announced. I was shocked last night when she e-mailed me and said that all my edits had been accepted by the “Comms people”. However, they wanted to take out the part about recommending masks. I wrote back (see bold below): Okay. Great. If we explicitly say follow CDC guidelines regarding use of masks and use during mass transit, then I cannot see how there can be any objection. From: Birx, Deborah L. EOP/NSC <Deborah.L.Birx@nsc.eop.gov> Sent: Wednesday, April 15, 2020 9:52 PM To: Fauci, Anthony (NIH/NIAID) [E] <afauci@niaid.nih.gov> Subject: Re: WH Comms kept all of our words Haven’t done rebound yet. Will do early am. Pushing back on mask saying follow cdc guidance and wear during mass transit. Sent from my iPhone On , at 9:49 PM, Fauci, Anthony (NIH/NIAID) [E] <afauci@niaid.nih.gov> wrote: We should push back a bit on the masks. I think that it is important. Since when do comms people dictate public health suggestions? Walk out of the streets and people are wearing them anyway. We should be on board with them. I would be happy to do that tomorrow. We are meeting with the VP tomorrow morning. Can you arrange for you and I to meet with the relevant person so I can give it a pitch? Also, let me see the part that I did not see regarding what one does when rebound of virus occurs in the midst of a diminution of current mitigation. Thanks, Tony From: Birx, Deborah L. EOP/NSC <Deborah.L.Birx@nsc.eop.gov> Sent: Wednesday, April 15, 2020 9:43 PM To: Fauci, Anthony (NIH/NIAID) [E] <afauci@niaid.nih.gov> Subject: WH Comms kept all of our words Except took out the mask in public – kept all the thresholds. What do you think? I am OK if covered in CDC guidelines I guess. Deb …………………………………………………………………………………………………. In private conversation with Marc Short, I explained to him my concern about being brought into the writing of the guidelines that they wanted me to endorce, and yet I only saw them for the first time last night. Marc said that Deb told him she had run them by me and Bob Redfield. Bob said that the first time he saw them was last night. I gently confronted Deb with this and she garbled an embarrassed response. Sen. Joe Manchin (D-WV) called my cell concerned about whether his state is ready to re-open. His consitutuents are frightened about coming out since they realize there is no treatment and they could die from the disease. Worked on the guidelines a bit and now got them right. POTUS, VP Deb and I presented these at the Presser. Generally well-received, everyone still fixated on the issues with testing After my Laursa Ingraham hit, Jake Tapper (CNN) texted me saying sarcastically: “Hard to beliee Paura Ingraham went to Dartmouth, isn’t it. All of us alumni are very proud. Also, if I did not mention it above, I now have OIG security portal to portal car with armed guards. Still getting death threats and obscene calls to my daughters and Chris. US Marshalls going after these idiots. DC Police continually patrolling my home. PRESS: White House Press Conference releasing :Opening Up America Again” guidelkines; FOX TV Laura Ingraham. April 17, 2020 – Global – 2,000,000/132,000; USA -660,000/34,000; Did briefing with the VP and Deb and Steve Hahn and BobRedfield and Brett Giroir to the Dem Senate Caucus led by Chuck Schummer. Very hostile. Kept coming at us abut testing and how inadequate it is. I have been telling the TF that this is an issue that will not go away. Angus King (Maine) tee-ed off on VP about the fact that we are unprepared. Patty Murray was her old self wanting a testing plan, etc. etc. This rompted us to devope the entire TF to testing and decided to do a presser. I took over and chided the group that we cannot be telling people that we have more test and materials than we need since this would be insulting to them. We cannot blame anyone and we must admit that the supply (which we claim is adequate) is not “connected to” nor does it reach the people who are demanding it. Bottom line is that they are not getting what they want and ewe need to fix the fact that it really is a distribution problem. Also, Senators (and the press and the public) are under the impression that we should test everyone for the virus. Hope Hicks, Katie Miller, the VP came over to me qnd said and indicated by their expression “Thank God that you are in the room!” We explained this at the presser Another indication of the craziness in the world. This came out today: From: Billet, Courtney (NIH/NIAID) [E] Sent: Friday, April 17, 2020 1:32 PM To: Burklow, John (NIH/OD) [E] <BurklowJ@OD.NIH.GOV>; Myles, Renate (NIH/OD) [E] <mylesr@mail.nih.gov>; Mcgraw, Michael (NIH/OD/ORS) [E] <mcgrawm@ors.od.nih.gov> Cc: Harper, Jill (NIH/NIAID) [E] <JHarper@niaid.nih.gov>; Folkers, Greg (NIH/NIAID) [E] <GFOLKERS@niaid.nih.gov>; Conrad, Patricia (NIH/NIAID) [E] <conradpa@niaid.nih.gov>; Routh, Jennifer (NIH/NIAID) [E] <jennifer.routh@nih.gov>; Stover, Kathy (NIH/NIAID) [E] <kathy.stover@nih.gov> Subject: FW: Media request - Fauci sexual assault allegation / possible smear Just when you thought life couldn’t get any crazier, we are now getting media inquiries about this “press release” from a firm we can find no trace of online. The address they provide for their “press conference” is the Chinese Embassy. I have a call in to Dr. Fauci to let him know about this, but he is at the White House and not answering his cell phone. Lt. McGraw, can you help get to the bottom of who these people are? There is a phone number at the very bottom. Should we also be sending this to OIG? NEWS CLIPPING — THE PRESS — CONDENSED (2 SOURCE PAGES) “Can you please advise on how to respond to inquiries? Do we respond, or refer them to NIH? We would propose to say something like: “The allegations are preposterous and the press release is apparently…” Rodriguez, who was 20 at the time, had several drinks with Dr. Fauci at the bar and proceeded to accompany him to his suite overlooking the harbor. The following is Ms. Rodriguez’s accounting of the night. He looked rich and powerful, and I love smart men with grey hair. He told me all about his fantastic career in medicine, so I went upstairs. He made it clear that he expected sex once we got to the room and by then I was so drunk the room was spinning. He threw me on the bed and pulled up my dress. I was too drunk to resist, but I begged him not to. He only said, “don’t you know who I am, you little bitch?” He became angry when he failed to get an erection - he looked like he was in his mid-70s - so he got up and popped two Cialis pills. He then told me to stay on the bed while he returned a call. I was so scared I obeyed. About 15 minutes later, he returned to the bed and shoved me down again. Now he was erect, and I was defenseless. Suddenly, I had the presence of mind to grab a pen from the nightstand, with which I jabbed him in the shoulder. I then ran out of the room and out of the hotel, never to return. It was the most harrowing and terrifying experience of my life. Now, when I see him on TV touted as some kind of hero, I want the nation to know the truth. This is my truth. This is my story. CONTACT: Rhonda Abramson Vice President, Whitley, Moran, Telander LLP http://linkedin.com/in/rhonda-abramson-349413199 (310) 893-3545 Story in “The Daily Dot”: Someone is spreading a sketchy sexual assault claim against Dr. Fauci The people behind it seem to not exist. , 5:56 pm* Tech Claire Goforth The White House/Flickr The coronavirus outbreak has made Dr. Anthony Fauci, longtime director of the National Institute of Allergy and Infectious Diseases, a household name. 4:57 PM -

Twitter Ads info and privacy 64 people are talking about this Last month, as the threats escalated, Fauci was assigned a security detail. The latest attack on him comes in the form of an accusation of sexual assault. Earlier this week, the Daily Dot received a press release from a woman claiming that Fauci sexually assaulted her in 2014. The release included the details of the allegation and said she and her representatives plan to hold a press conference on Tuesday in Washington, D.C. All allegations of this nature are given equal consideration. But the more the Daily Dot looked into the details, the more things didn’t add up. The accuser didn’t respond to multiple requests to speak with her. The woman, whose name is not reported here because it couldn’t be confirmed, claims to be represented by Rhonda Abramson and Richard Whitley of Whitley, Moran, Telander LLP. The Daily Dot could find no record of any business by that name. The email, which came from the accuser’s Gmail, included Abramson’s LinkedIn account and phone number. There she claims to live in the Washington, D.C. area and to have worked for two companies. Unlike Whitley, Moran, Telander, those companies’ existence was readily confirmed. However, both told the Daily Dot that they have no record of Abramson’s employment. “We have never employed her, have never heard of her, and have been fielding calls and emails on this for a couple of days,” said Dave Seman, managing principal of Paladin Political Group, which Abramson claims to have worked at until last month. “We have requested LinkedIn flag her profile for fraud.” A human resources representative at the second company, where Abramson claims to have worked from 2007 to 2011, said that the position she lists doesn’t exist. Abramson herself seems to also not exist. Reverse image searches for her LinkedIn profile picture turn up nothing. An initial search for her picture on Have They Faked Me was negative, but barely; a second search a day later was positive. This means either that fake photos have likely been made using this image, or that the image itself is fake. Abramson did not respond to numerous messages via voicemail, text, and LinkedIn. All calls went to voicemail. Although she’s not responding to inquiries, Abramson did find time to post the press conference details on LinkedIn yesterday. Richard Whitley is similarly impossible to find. The Daily Dot found no one by that name, or any of the variations of Richard, in Washington, D.C on LinkedIn or Facebook. Even the location of the press conference is strange. According to the assault allegation, it took place at the Four Seasons in Baltimore in 2014, which is on International Drive. The address for the press conference is also given as an International Drive, but in Washington, D.C. That address most closely matches that of the Chinese Embassy. However bizarre, it is possible this location was chosen because the coronavirus originated in China. Given the nature of the allegation and his history, the Daily Dot contacted far-right pundit Jacob Wohl to ask if he knew anything about it. Wohl has previously been involved with leveling often far-fetched sexual allegations against various individuals Republicans consider their enemies: Sen. Elizabeth Warren (D-Mass.), Pete Buttigieg, and Robert Mueller. Each allegation was later resoundingly discredited. Plus, sham press conferences in the D.C. area are kind of his thing. Wohl said he had nothing to do with the accusation against Fauci. “This is the first I’ve heard of it,” he said. He also said that his frequent co-conspirator and right-wing lobbyist Jack Burkman isn’t involved and that no one had contacted him with allegations against Fauci. Wohl said that he’s presently in California and has no plans to be in D.C. this Tuesday. It’s beginning to seem unlikely that anyone, least of all Abramson or Whitley, will attend the press conference. As of press time, Fauci had not responded to questions sent to the National Institute of Allergy and Infectious Diseases press office. This story will be updated if a response is received following publication. ……………………………………………………………………………………. This is really pissing me off. They threaten my life, harass Chris, send obscene texts to my children and now this bullshit! PRESS: The Breakfast Club NYC Radio (D.J. Evy, Angela Yee, and Charlamagne tha God; Podcast with Will Smith; White House Press Conference (Testing) April 18, 2020 – Global 2,100,000/140,000; USA – 700,000/36,000 Far right agitating to get back to work. Much agitation! Daily articles involving me continue to appear. Article in Today’s Washington Post. Talks about my one hour call with the Congressional Black Caucus and how they trust me,but do not trust Trump to help them. They are afraid that I will be fired. I am getting worn down with all this PLUS my PMR, prednisone and now I have lost 8 lbs over the past couple of months Mary McNamara column in Los Angeles times: Column: Is Anthony Fauci the Sexiest Man Alive? Who the hell cares? Dr. Anthony S. Fauci speaking at the White House Friday. (Carolyn Kaster / AP) By MARY MCNAMARACULTURE COLUMNIST AND CRITIC APRIL 18, 2020 6 AM For the love of God, can someone please tear up the petition to make Dr. Anthony Fauci People magazine’s Sexiest Man Alive? If not, can we please at least stop talking about it? I get that it’s a compliment; for some, heaven help us, the ultimate compliment. Fauci’s unflappable and highly competent demeanor has been a beacon of strength and surprise amid the squishy, tweet-driven, ass-covering, daily-contradictory triumph of personal feelings over irrefutable facts that has been the Trump administration’s reaction to this pandemic. Let others voice outrage about churches closing down, or sputter about the indignity of wearing masks; express concern about the Dow Jones or explain why it is now perfectly safe for Floridians to go back to the beach (which they only recently vacated) because, well, just because. ADVERTISEMENT Dr. Fauci will continue to stand in front of microphones talking only about the things he knows. Not what he wants, wishes, thinks or feels. What he knows. No matter how blatantly Fox News anchors attempt to shift his on-air narrative, no matter how often the president contradicts him in public and to his face, Dr. Fauci quietly but firmly sticks to the facts. So now expert is the new sexy, from the specs to the striped socks — immunology the new rock ’n’ roll. We all feel it, that swoon of relief when Fauci begins to speak, but here’s an idea: Let’s not succumb. Let’s all take a deep, socially distanced breath and choose to resist complimenting the person who very possibly stands between 328 million Americans and complete disaster by granting him an accolade he would share with Chris Hemsworth (no offense, man). Resist the desire to “humanize” the head of the National Institute of Allergy and Infectious Diseases by asking him for dating advice or make him more “accessible” by tarting him up with some pop culture makeover. You think I’m overreacting? There’s already a bobblehead, a late-night fan club, a prayer candle and socks; can a reality show be far behind? Because that’s how it works when you start slinging around the term “sexy.” Sexy sells and this economy is going to need some fast, hot sales in the near future. Who wouldn’t tune in to see Fauci judge which contestant comes up with the best COVID-19-preventing protocols? But if life is really going to look different in the coming months, let’s begin with this. Let’s not make Anthony Fauci a rock star. Because he doesn’t need to be a rock star. He needs to be what he is — a physician and expert immunologist who emerged from the AIDS crisis with a unique understanding of the relationship among science, humanity and public policy. A man with the near-miraculous power to separate his ego from his mission, to bring science to an avowedly anti-science presidential administration, to express expertise in front of a president who doesn’t believe in experts. Let’s not destroy that highly delicate balance by dragging sexy into it. Unlike his late-night fans, or his president, for that matter, Fauci does not need to be concerned with television ratings. Wouldn’t it be nice if it stayed that way? As scientific fact forces the culture to shift away from desire to reality, we have a chance to honor the line between pop culture influence and genuine expertise. We know what life looks like when we blur that line. It looks like Drs. Oz, Phil and Drew, men who became media personalities because they were often willing to tweak facts for the sake of ratings and are now being slammed for their inability to stay silent about things they do not understand. Like COVID-19, because, guess what? None of them are immunologists or epidemiologists, and “Dr. Phil” doesn’t even have a medical degree. “We need our mojo back,” Oz said recently on “Hannity,” before suggesting that getting kids back in school was worth raising the COVID-19 mortality rate. As if some bizarre form of national swagger was worth making schoolchildren canaries in a coal mine. (He has since walked back his remarks after overwhelming criticism.) We have a chance to return expert culture to actual experts. The emergence of personal testimony as a valuable social force — whether through memoir, daytime talk show or the blogosphere — was a democratizing triumph of popular culture. Millions of people, ignored by or refused entrance to traditional means of disseminating information, were suddenly being heard. And it changed the world. It also made everyone an expert. But the personal is a complement to, not a replacement for, the empirical; feelings can stem from or help create facts, but facts exist apart from feelings. So while many of us may have felt that COVID-19 was just a form of the flu, Fauci and others knew, through their expert ability to analyze data, that it was not. With any luck, Fauci’s expertise will not just save us from the pandemic, but it will also remind us that there are times when expertise is the most important commodity. Not strong branding, social-media influence, likability or audience connection. In our rush to become the next YouTube/social media/”America’s Got Talent” star, some of us have forgotten the importance of skill sets that have less to do with personality and more to do with perseverance. Dr. Fauci is 79 years old; he has served as the director of the NIAID since 1984. He knows what he’s talking about not because he’s cool (which he very well may be) but because he’s been talking about it for a very long time. Fauci has become a star by repeatedly telling the truth even when it’s a truth no one wants to hear. That’s not sexy. That’s astonishing. But I don’t think People magazine has a category for that. …………………………………………………………………………………………………………… E-mail from Holy Cross: My Fellow Classics Major, I'm sure you've already received numerous emails about Holy Cross's Giving Day today -- BUT have you received one especially for you as a Classics Major? Around the nation, people have deemed Fridays to be #Faucifriday in appreciation for our very own Dr. Anthony Fauci. If you weren't aware, Fauci was, in fact, a Classics major at Holy Cross!!! So, in support of Fauci Friday and the college's giving day, let's show the Power of Purple by giving back to our beloved school. You can even designate your gift towards the lovely Classics Department if you so desire. To make your gift, please visit: https://www.givecampus.com/4vai5d Thank you all for your support as alums. Stay safe and healthy! AJ Wells Class of 2018 Class Chair ……………………………………………………………………………… PRESS:Greta Van Sustern TV Show – “Full Court Press” to air tomorrow April 19, 2020 – Global – 2,200,000/150,000; USA – 725,000/38,000 Much agitation (spurred by the POTUS’s stupid “Liberate Michigan, VA, etc) about people wanted to open up. Rallies with chants of “Fire Fauci” Had conversation with Jake Tapper who is asking where the 27 million tests by end of March came from (Brett Giroir). Fact is I have no idea how he got that number. Deb Birx has no confidence in Giroir, nor do I. We are saying that we have 1.5 to 2.0 Million tests per week available. I hope so. Still there is the reality and perception that we do not have enough tests. Sunday shows kept focusing on testing, testing, testing Mark Meadows approved our putting out Guideliens for Clinical Management (Cliff Lane’s groups) after he made some simple, good suggestions that did not imoact integraty of the document. It will come out under the NIH instead of the Task Force or HHS (Alex Azar afraid the POTUS would be upset at the HC guideline (no evidence for or against its use) because of the POTUS hailing it. April 20, 2020 – Global – 2,250,000/153,000; USA – 745,000/35,000 Goodday for me since for the 3rd day in a row, I do not need to be at press conference and stand (or sit) there and listen to his stream of consciousness. I had a major pushback (raising my voice) to Deb and Bob and Steve and Joe Grogan in the Sit Room before the TF meeting (mostly Deb) that we are relying on numbers from from Bret and Deb has absolutely no confidence in Brett. Everyone in the country and the world is saying that we do not have enough testing and Brett keeps saying that we do when the people in the trenches all so no. We are looking like idiots and I told the group that. Deb is weak!! She says that she has gone to to VP 3 times saying that Brett is a disaste and the VP “cannot do anything about it”. Deb claims that this is because Brett is backed by Jared and the VP does not want to go there. Holy Shit!!!!! Anmother example: There are number for projected tested over the next few months that Brett is going to put infront of the POTUS. Deb does not believe them and says they are overinflated. I told her to take them out since she is the “Coronavirus Coordinator”. Agains she balked until someone in the room (? Works with staff secretary) said that they have a screening process that they rarely use with Trump since there are so many ways into him (Hope, Jared, etc), but thye might use that process to block this false information from getting to the POTUS. Article online in Washington Post (tomorrow in print) giving the history of Brett and how he was fired from his job in Texas as heard of a vaccine initiative since he “over-promised and did not deliver”. Georgia and South Carolina starting to open us even though they do not even fulfill the criteria for gating, much less going into Phase 1. I predict that this will result in major rebound and said that on GMA (see below). PRESS: ABC Good Morning America with George Stephanopoulos; YES Radio Yankees Network with Jack Curry; NFL PSA April 21, 2020 – Global – 2,300,000/158,000; USA – 780,000/41,000; VP is travelling and so no TF meeting today. Big stir on TV shows last night about some states wanting to open and violating the guidelines for “Opening America Again”. POTUS making things worse by hiscrazy pronouncing “Liberate Michigan, Liberate Virgina”. Really crazy – he himself and us (me, Deb) are stressing to abide by the guideliens and he is rabble-rousing by his statements. Typical Trump. Stir a lot of “Fire Fauci out there among the far right. Call from Sem Lindsey Graham saying that he spoke with POTUS today and Graham is afraid that POTUS will not push back against what Georgia Governor is doing by “opening up” the state and he wants me to do so. I do not need him to tell me to do that. I told him that I would. Call from Ari Emanuel (he calls often) asking when I thuink this will end. He has already lost several hundreds of millions of dollars on cancelled bookings for theater, concerts and other events that he runs. Received call from Dionne Warwick who received an e-mail from a friend asking whether vaccuines developed for dog corna virus could help with vaccine development for SARS-CoV-19. Not a stupid question. Spoke by phone with Governor of Puerto Rico Wanda Vasquez Garced together wiyh her Secretary of State. They wanted to know if I approved of what they were doing to mitigate in PR and they had some good questions. Woman who claimed that I raped her (see above) never materialized. April 22, 2020 – Interesting day - Rick Bright has gone rogue. Due to his poor performance as head of BARDA, Alex (+/-) Kadlec removed him from his post. We (Francis and I) thought that he would stay at BARDA and spend 50% of time at NIH in order to coordinate BARDA with NIH vaccine activities, We all had always felt that he was making bad decisions in his giving hundreds of millions of dollars to Phartma companies without any requirements to coordinate with NIH and his choices were poor to begin with. HOWEVER, in what turned out to be the most incompetent and botched HR move, they fired him by just taking his name and picture off the HHS/BARDA website without even telling him. They then assigned him to be an NIH employee under Francis taking with him from BARDA $1 Billion to work on diagnostics with Bruce Trumberg of NBIB. Rick reacted by going public, hiring a lawyer, claiming whistleblower status and saying he was fired because he was pushing back against HHS and political pressure to fund bad science and certain companies and that he objected to pushing HC. In fact, there are e-mails and memos showing that he himself was pushing HC and giving millions to get it out there. He is an abject LIAR! I have been calling Chris Cuomo on his cell (he is sick at home with COVID-19) every night (usually after 10:00 PM when his show ends) for the past 2 weeks. His fever lingers and his wife Christina and son Mario are both infected, less severe than he. They both have loss of taste and smell and sinusitis. Georgia Governor Kemp is actually ignoring the guidelines for “Opening Ameica Again” by skipping to phase 2 and opening beaches, massage parlors, tatoo shops. Crazy!. A couple of days ago Deb waffled about condemning it, but today she convinced the POTUS to back off in supporting Gov. Kemp (R-GA). During the presser, I came out unambiguously saying that Kemp was wrong and if I were his advisor, I would tell him not to do that since it risks a rebound. It seems that the WH is putting me out to the press much less than usual over the past week to week and ½. We shall see. The relationship between me and Katie and Hogan and Devin seems really good and so I do not know what is going on. Could be just a coincidence. My PMR is under control – starting to slowly taper the 15 mg prednisone. Have been on pred. for 36 days PRESS: White House Presser April 23, 2020 – Global – 2,500,000/170,000; USA – 827,000/47,000; Interesting day. Was asked to come to Pentagon (with Deb Birx) by Chairman of Joint Chiefs of Staff Mark Milley. He had Deb and I brief him and his immediate staff on how the Armed Forces could best prepare for the future wave (in the Fall and beyond) of COVID-19. All about “force protection”. We did this in the famous “Tank”. Howver, before we did that he wanted to take a bunch of photos with him, his wife, and Vice Chair Gen. John Hyten and Gen.Paul Friedrichs. Also, he had me sign his surgical masks and a basketball that was originally signed by Coach K of Duke. I had a wondeful time!! TF was uneventful. I was not at presser….. HOWEVER, the presser was a disaster for the POTUS. All he did was fight with the press Someone from DHS presented data showing that sunlight, heat and humidity “kills’ the virus. Actually, they presented this at the TF meeting and the POTUS did not even know about it. When the DHS guy presented it, the press tore it apart as a gimmick from the POTUS. Also, the POTUS incredibily made the comment that one should consider injecting or swallowing these disinfectants (including chlorax-like substances) as a “cure”. Deb almost fainted on stage, Thank God I was not there, After the presser, CNN with Erin Burnett presented a segment of the clash between the scientists (almost exclusively me) and the POTUS. They showed a point-by-point contrast of me versus the POTUS. Let us see what the reaction is tomorrow at the TF meeting. After the presser (about 1 hour) Deb Birx texted and then called me saying it was good that I was not there since after the presser, the POTUS called her into the Oval and started yelling at her saying “You and Fauci have destroyed the country and the economy. I should never have listened to you. You have completely destroyed us.” He kept saying this over and over again and was yelling at her. I encouraged her that we are OK and at the end of the day she and I will be loved by the people we care about. She was relieved and after wrote me a text sincerely thanking me. PRESS: None April 24, 2020 – Global – 2,600,000/177,000; USA – 860,000/49,000. Press having a field day trashing the POTUS for his statement about “drinking bleach”. Consuming the press. Will brief Governors today with the POTUS. Governor talk went well. Cuomo stated what I had been saying all along that we need a “partnership” between USG and States. Note the POTUS goes back and forth and has often said that the States are on their own and when I say “partnership” there was some concern that I was contradicting POTUS. Fir first time the POTUS had a presser and walked out without answering any questions. Axios wrote that he may greatly diminish pressers. He used to love them due to the “ratings” of viewers. However, his people are now telling him that it is greatly hurting his approval ratings. April 25, 2020 – (Saturday) – Very brief TF at the WH today. No press conference. Much discussion about the plasn of the states to open. A lot of buzz in the media about Azar very likely getting fired. Reuters wrote a smear piece on him and attacked Brian Harrison (his COS) for be a dog breeder since he raised labradoodles at some ime in his life. Very unfair. Also, it is clear that theyare gradually keeping me off the press conferences with the POTUS and not allowing me on TV/radio nearly as much. NBC reported that of the last 7 press confercens, I was at 1 and I usually get 2-3 media hiots per day and I have only done 2 last week – FOX with Laura Ingraham and GMA with Stephanopoulos. Katie Miller no longe doing press assignments. Now it is Kayleigh McEnany and Alyssa FarahAlexa. See below from April 24: Fauci's absence from recent coronavirus briefings draws notice The national health expert was in attendance for just one of this week's seven briefings. President Donald Trump reacts as Dr. Anthony Fauci steps away from the podium after speaking and answering questions at the daily coronavirus task force briefing at the White House on April 22, 2020.Jonathan Ernst / Reuters April 25, 2020, 3:22 PM EDT / Updated April 25, 2020, 4:14 PM EDT By Monica Alba, Kristen Welker and Carol E. Lee WASHINGTON — Until this week, Dr. Anthony Fauci was a near-constant presence at the daily coronavirus task force briefings at the White House. As the head of the National Institute of Allergy and Infectious Diseases for 35 years, his expertise on the global pandemic has been a reassuring force for millions of Americans concerned about how COVID-19 has uprooted their lives. Of the roughly 50 press conferences on the health crisis so far, Fauci had only missed a handful. But now, for the first time since regular press conferences began on the topic, Fauci was only present for one of seven briefings this week. While Fauci gave media interviews throughout the week, his absence at the podium Friday was notable given the president’s controversial remarks a day earlier about using light and disinfectants to possibly treat the deadly respiratory illness. And though Fauci regularly shares his decades-long infectious disease knowledge publicly, one administration official suggested there’s a preference that Fauci do more of that behind closed doors so it doesn’t appear he’s on such a different page from the president. “You are here in a certain role, you’ve got to give advice privately,” this official said. Members of the president’s task force have taken notice of Fauci’s diminished public profile, as well. There is mounting frustration among some of them with Fauci, who has, at times, publicly contradicted President Trump. Adding to the tensions, some officials complain they feel caught off guard by some of Fauci’s media interviews. When asked why he was only at the briefing once this week, an administration official tells NBC News that Fauci "does have other responsibilities at NIH. Just because he is not at the briefing does not mean he’s not actively involved in task force meetings and briefings." White House Deputy Press Secretary Judd Deere was more direct, telling NBC News that "despite the media’s ridiculous efforts to somehow create distance between the president and his top health experts, it is simply fake news." "President Trump has relied on and consulted with Dr. Adams, Dr. Birx, Dr. Fauci, Dr. Hahn, Dr. Redfield, and many others," Deere added, "as he has confronted this unforeseen, unprecedented crisis and put the full power of the federal government to work to slow the spread, save lives, and place this great country on a data-driven path to opening up again." The most recent example of discord came on Thursday when an interview with “TIME” revealed the doctor had a dismal view of the country’s testing capability. “We absolutely need to significantly ramp up, not only the number of tests but the capacity to actually perform them,” Fauci said. “I am not overly confident right now at all that we have what it takes to do that.” When asked later in the day if he agreed with Fauci, the president said: “I don't agree with him on that, no, I think we're doing a great job on testing.” On Wednesday, the only day Fauci joined for the briefing this week, he refuted the president’s assertion that coronavirus “may not come back at all” this year and, if it does, it would just be “embers” or “pockets.” Minutes later, Fauci took to the lectern to state definitively: “We will have coronavirus in the fall. I am convinced of that.” While Fauci has appeared on most Sunday shows through March and April, he did not appear last weekend and is not currently slated to be on any of the political programs in the coming days. Given Fauci’s absence from the briefings this week, several of the president’s aides and allies have started to wonder what it means about their relationship. Officials close to the task force, however, insist Fauci’s role is seen as critical to the pandemic response and maintain his job is safe. And, the decision to skip the briefings may be Fauci’s own, given that he called the sometimes two-hour, marathon events “really draining” recently. Aides also said Fauci is a regular attendee at the closed-door meetings that often take place right before the televised pressers. Experts agree Fauci’s storied career in the industry means he seeks little praise and doesn’t need the president’s approval to perform his duties. “If you’re somebody who aspires to have impact in public health as a physician or provider, you should look no further than Dr. Fauci or Dr. Birx, which spans administrations,” said Dr. Vin Gupta, a pulmonologist and global health policy expert who is an NBC News medical contributor. “I think at the end of the day, the president needs Fauci more than Fauci needs any of this.” His job is considered the “ultimate balancing act,” according to Dr. Kavita Patel, also an NBC News contributor. Watching the president continue to ad-lib medical advice from the White House briefing room “has to be frustrating” for Fauci, whose day job entails research on a potential vaccine, but he is likely aware that the pandemic response will take months and months so he takes a longer view. “He is a runner, and I am sure part of this is viewing COVID-19 task force as a marathon not a sprint,” she said. Besides the president and Vice President Pence, the only coronavirus task force member who has appeared at more briefings is coordinator Dr. Deborah Birx. Neither doctor attended Friday’s briefing, which was the shortest to date. And, in a first at these kinds of newsers, Trump and Pence took no questions. White House officials provided no explanation for the abbreviated appearance and lack of medical professionals like Birx and Fauci. Earlier this month, the president elevated a tweet that contained the hashtag “FireFauci.” Advisers close to both men denied that was ever under consideration and the two later said publicly they had a good relationship and will continue to work together. Even so, the president does not have the direct authority to dismiss Fauci. The president could, in theory, direct Health and Human Services Secretary Alex Azar to see to it that Fauci is fired. Azar would then have to direct the NIH head to oust Fauci. As a federal employee, Fauci can only be fired “for cause.” If he were to be removed, however unlikely, it would cause “irreparable harm,” Gupta said. Occasionally in recent weeks, when Fauci hasn’t been seen among the group of aides emerging from the bright blue doors of the West Wing to start the briefings, observers on social media have wondered aloud: “Where’s Fauci?” The answer for most of this week, at least: no longer at the president’s side in the daily briefings. Monica Alba Monica Alba is a political reporter for NBC News. Kristen Welker Kristen Welker is a White House correspondent for NBC News. Carol E. Lee Brad Pitt plays me on Saturday Night Live and thanks me in serious tone after his skit. https://people.com/tv/brad-pitt-portrays-dr-anthony-fauci-on-snl-athome/ Song about me: https://www.youtube.com/watch?v=Vp5rc8FCR8I&feature=youtu.be&f bclid=IwAR1FbjNMKUOiSiDjZLHahjlsZs562qv1ueN6avimgocc0nhlOwoTkIafXQ April 26, 2020 – (Sunday) – Global – 2,750,000/190,000; USA – 930,000/53,000 I was not on Sunday shows. Deb was on CNN with Jake Tapper and did not answer the question of whether it was a mistake for the POTUS to talk about injecting or swallowing bleach. Jake wrote me a text afterwards and said: “Birx has lost her way I fear. She has chosen to focus on defending the president and attacking the press. Odd.” Had very important teleconference that I called for , but was chaired by Francis Collins and Bob Kadlec. The entire call was to align BARDA with the mission of NIH. Up to now, BARDA did what they wanted as a “parallel” component to NIH in HHS without any real consultation or coordination. They are OK for taking a hand-off from us on a product that we do early concept and development and then give to them to fund a company to make a product and oput inot SNS. However, when it comes to the emergency of making a vaccine and they (without even consulting with us) give hundreds of millions of dollars each to several PHARMA companies to go their own way with no stipulations or requirements for coordination with us, then that is unacceptable. We discussed the need to re-boot with regard to BARDA and NIH and have them fund companies with the condition that they coordinate (protocol design, lab data, DSMBs, etc.) with NIH. Peter Marks (FDA) will help lead this new approach. Francis and Bob Kadlec are totally on board. Now the devil is in the details. April 27, 2020 – Global – 2,800,000/195,000; USA – 955,000/54,000 Stay heads up to a marked decrease in WH Comms allowing me to go on national media compared to 2 weeks ago. Let us see what happens. Big topics this week is the opening plans of various states and how they align with the “Opening America Again” Guidelines Briefed the Governors on the “Blueprint for Testing to Open Ameica Again”. They all sounded like everything was fine with testing and praised the POTUS (at least the GOPs did), and Brett gave his usual overly optimistic report on how many tests we will have out there. However, when the press asked the Governors about their ability to test, many (mostly DEMS) still complained. Bobbleheads of me being made in massive quantities in China: Video: Bobblehead dolls of US disease expert Dr Anthony Fauci being made by Chinese factory https://bit.ly/3eRnRh0 Great news from Emily Erbelding: The randomized placebo controlled trial of Remdesivir in hospitalized patients with COVID-19 disease has fully enrolled 1063 patients throughout the world (ACTT-1 Study). The DSMB met and indicated that remdesivir had a 31% higher rate of recovery compared to the placebo group (p < 0.001). The death rate approached significance (P=0.059). Data sets not complete and will likely require a few mored days to tidy up. However, the site invrestigators will be notified tomorrow night at 7:00 PM for ethical reasons – to make sure that those who might be on the placebo limb would have the opportunity to get Remdesivir and all other placebo-controlled trials need to consider Remdesivir as now SOC. This information will almost certainly leak and so I have decided to ask Mark Meadows if I could announce these preliminary data at a presser at the WH tomorrow (Wednesday). PRESS: Telemundo Un Nuevo Dia (TV); April 28, 2020 – Global – 3,000,000/200,000; USA – 1,000,000/56,000 Meeting with Joe Grogan group in Roosevelt Room. Joe is pissed that the individual guidances for special situations, i.e. restaurants, Child care centers, etc, do not align with the various phases of re-opening. Also, CDC again were late and off on their own regarding guidelines for surveillance. CDC is tone deaf to how everyone feels that they are not up to the task. Briefed Kayleigh McEnany and Mark Meadows about the Remdesivir trial. Mark and Kaylee agree that I should announce this at a presser tomorrow. I warn Mark that we cannot allow the POTUS to ad lib and over-promise since I will be very conservative. Called up Mersad Parsey at Gilead out of courtesy to infrom him that I will be announcing this at the Presser. Amazingly, (or not) he asked me to hold off until Thursday informing the PIs at the sites tonight so that they can formulate a statement and policy to not allow an unfavorable or too favorable response of the Stock Market. I immediately told him that no way do I want to discuss the stock market with him and this was inappropriate. He backed off. PRESS: Bloomberg News (John Lauerman, print); Economics Club Podcast with David Rubenstein; Ryan Zimmerman Podcast; New York Times Sports Editor print interview; CNN “The Lead” with Jake Tapper. April 29, 2020 – Global – 3,000,000/203,000 USA – 1,100,000/58,000; Eventful day. Was supposed to present the Remdesivir findings at the usual 5:00 PM press conference at the WH. Marc Short called me when I was at NIH office and said to rush down to Wh since the POTUS was going to have a press availability with John Bell Edwards (Democratic Governor of Lousiana). George Adams drove me down to Wh with lights flashing and we got there in 17.5 minutes (Yikes). I present the data to multiple cameras in the Oval Office with POTUS sitting there. POTUS took me aside and said”Be enthusiastic, Tony. Be Optimistic, we need to open up the economy. It is very important”. I told him that I would tell it like it is. He nodded OK. I gave ameasure, accurate presentation. Great success. In afternoon, HHS (with Paul Mango, Alex Azar, Bob Kadlec, Peter Marks, Bob Johnson, Francis Collins, Bruce Tromberg) presented our new vaccine strategic plan to the TF led by Deb Birx. Deb immediately tore everything apart (somewhat overly done). Poor Peter Marks took the brunt of it. She said we should have brought in all the companies that have a track record with their platforms and guided them and funded them to go after COVID-19 instead of waiting for companies to come in themselves and ask for money. She does not like “newer technology” such as mRNA, DNA, and even some virasl vectors. She likes antigens, whole killed, etc. A bit overdetermined in her prejudice. However, she did have a point that btu did not fully realize that this is the problem that I have had with BARDA for years. They just give out money without coordinating anything. Very tense meeting!! The rest of the world still pushing that we are not doing enough testing. Clerarly a trend towards the Comms folks (Kayleaigh and Alyssa) focusing on economic re-entry and trying to hold back to POTUS from his disastrous press confererences and so the pressers are being cut back. None today; only the above Oval with Gov. Edwrads Becoming rather friendly with Jared. Clearly, he respects me PRESS: Made presentation at presser in Oval Office on the ACTT-1 trial. Got picked up by multiple networks/cable. April 30, 2020 – Global – 3,020,000/210,000; USA – 1,030,000/61,000; New York Times had my picture and front page of Sports Section today with the headline saying that I believe that professional sports may need to be cancelled this season. That was not what I said. Like I said clearly in the Ryan Zimmerman interview, it would depend on the status of the virus in any given City. We could do sports only on TV or we could have the stadiums half full or completely full or not at all. They headlined the latter. The media frenzy continues on and on with me: Announcement today that Joe Grogan will resign as Director of the Domestic Policy Council on May 24 (3 weeks). Another example of the changes that Mark Meadows is making along with shaking up the Comms group. Amazing story about me in Forbes: https://www.forbes.com/sites/williammeeh an/2020/04/30/anthony-s-fauci-md-part-iiithe-7-principles-of-faucian-leadership/#7b76aef7313d Had another tense meeting in Roosevelt Room led by Joe Grogan and Deb. Deb. again attacked (somewhat justifiably) the lack of leaderhip at HHS central. Steve Hahn piled on too even obliquely criticizing Azar. Problem is that we are suffering now from the weakness and complete inadequacy of BARDA. We (NIAID – particularly John Macola/Cliff and Carl can do the massive masterprotocol trial of multiple candiates. The central leadership is lacking. Alex has failed to hold Bob Kadlec responsible and Bob has completely delegated BARDA to a group of weak people who are fixed in ways that you can get awaywith in normal times, but defimitely not when you are in a global health crisis wher the country and the world depends on us to develop a vaccine and therapies. Right now, vaccine is critical. I will meet tomorrow with Francis, Cliff and John to plan how to handle this. Did a Zoom call with a whole host of movie stars and athletes organizef by Kim Kardashian: Here is the list 1.Michael Kives 2.Lydia Kives 3.Nico Mizrahi 4.Ben Schwerin 5.Eric Stonestreet 6.Jamie Schneider Mizrahi 7.Kate Hudson 8.Mikey Hess 9.Katy Perry 10.Orlando Bloom 11.Chris Rock 12.Scooter Braun 13. Yael Cohen 14.Chris Paul 16.Josh Gad 18.Misha Nonoo 19.Dwayne Wade 20.James Corden 21.Gwyneth Paltrow 22.Ashton Kutcher 23.Mila Kunis 24.Kevin Durant 25.Kendall Jenner 26.Kim Kardashian 27.Ariana Grande 28.Paula Abdul 29.2 Chainz 30.Michael Buble 31.Usher 32.Demi Lovato 33.Brad Falchuk 34.Michael Jordan PRESS: NBC Today Show with Savannah Guthrie; Zoom call with Hollywood stars; CNN Coronavirus Town Hall with Sanjay Gupta and Anderson Cooper

Global - 3,350,000/239,000; USA – 1,142,000/67,000 Continued tension in GOP states wanting to re-open in defiance of many of the recommended guidelines and Dem states the opposite. It is almost a political and ideological dichotomy CNN – Jake Tapper did a segment last night on the inadequate response of the Trump administration to the pandemic. I came out relatively well. VP Call with Governors from Sit Room. Again, it seemed like a lot of happy talk, particularly from GOP governors saying that they are doing well and 40 states have submitted their plans for re-opening. They seem to indicate that most have what they need regarding tests, etc. Yet, when you spek to the locals, that is not always the case. Real crazy-town today. VP wanted to come to VRC to thank people in the labs at VRC working on a COVID-19 vaccine. However, despite the problem he got into at Mayo, his staff (Olivia Troye) told me he would not wear a mask. This despite the fact that he did wear one at GM and admitted that it was a mistake not to wear one at Mayo. Turns out the reason is that Trump did not want him to wear a mask since it would be a bad signal in his quest to re-open the country (totally crazy!). Nonetheless, we worked out a compromise whereby he would come to VRC, not go upstairs and would have a Task Force meeting in the first floor conference room. No one would wear masks, but the yunger researchers would not present to him. This defeats the purpose of the visit, which was to thank the young researchers. We thought that we had it all worked out with Francis greeting the VP and I and John Mascola take over. Not so easy. Francis calls me in distress late that evening and says that he looked at his recent message to NIH community that says everyone should wear a mask on campus, every place and at all times. Therefore, we have to disinvite the VP. Much stress. Marc Short came to the rescue with a plan to do this without creating a shit-storm. We cancelled the visit to VRC, will bring John, Barney and Francis to White House and have the TF meeting concentrating on work at the VRC where John and I will explain our vaccine efforts for COVID. (WTF???). All this because the VP listened to the POTUS and would not wear a mask. That night I did CNN with Cuomo (see below). We spoke about the new models showing 3000 deaths pe day and about 134,000 total deaths if we back off on mitigation the way the POTUS is pushing. During the interview, Chris gave a wonderful explanation to viewers how close and good friends we are and how I checked in on him every night including weekends for weeks during his COVID illness. Never saw something like that on TV. He praised me such that Megan (who was watching live) said it almost brought her to tears. PRESS: CNN with Chris Cuomo

Global – 5,600,000/354,000; USA – 1,700,000/102,000 Had major confrontation with the people from Moderna, mostly Tal Zaks, aandStephane Bancel who wanted to push backon the collaboration (mostly do their own thing). Moncef, John, Larry and I set them straight. Also Mikael Dolsten and people from Pfizer also wanting part of our resoruces (clinical sitesd) without joining the collaboration. Several conference calls to straighten this out. It is not going to be easy. Had long conversation on “background” with Bob Woodward who is writing a book on the early response to COVID in the USA. I provided him with some history of our response in early January and into February. Will tlak more with him tomorow PRESS: Wall Street Journal interview re: Chinese vaccines for COVID; Canadian Radio re: Larry Kramer; Young Money Radio – Lil Wayne and Dr. Dre;

Global – 5,800,000/363,000; USA – 1,800,000/104,000 Sunday – as expected, no shows for me. Also, conditions influenced by widespread riots and disruptions going on in multiple cities in response to a Minneapolis policeman who killed an unarmed black man (George Floyd), which was videotaped by a passerby. This has dominated the news. A race horse owner just bought a horse to run in the Belmont Stakes and named the horse “Fauci”! I made it into a “Doonesbury” cartoon June 1, 2020 – Global – 6,000,000/368,000; USA – 1,800,000/104,000 Disruptions continue. Trump either silent or fueling the problem. McEnany looking more and more preposterous as she gives single person press briefings. Riots getting worse. Disruption and property destruction around White House and now into my very neighborhood blocks from my home up at Foxhole Center. Walgren’s and Vourhius vandalized. Did Zoom interview led by Father Dan Lahart for the Regis High School graduating seniors. Students loved it. Jake Tapper did a piece on CNN quoting me as saying that I have not seen or spoken to the POTUS in 2 weeks from May 18 (Governors call) through June 1. Media picked up on it and made it a big deal PRESS: Interview with London Times for profile of me; TV interview with Italian TV (Sky TV)- Giovanna Pancheri; Washington Times interview on the effect of demonstrations/rioting on containment of COVID-19; June 2, 2020 – Global – 6,100,000/371,000; USA – 1,800,000/105,000 Riots continue in several cities. Washington, DC particularly bad. There was violence earlier yesterday, but then it was a peaceful demonstration. The POTUS ordered the police to clear the way through Lafayette Park so that he could do a photo op with a bible at St. John’s Church across the street. The police came in and scattered the mostly peaceful crowd and injured several with rubber bullets and clubs. Things getting very bad. Task Force in Sit Room meeting regarding usual stuff – testing, supply chain,etc. Meeting with POTUS in Oval Office re: vaccines. As usual, POTUS was very warm and friendly with me. When he walked into the Oval with us waiting, I was standing next to the door and he said “I love you, Tony. I feel like giving you a big hug”. And throughout the meeting where Moncef described our vaccine activities to him, he kept referring to me. After it was over, he called me close to the desk and asked how I was doing and said “How are you; you are looking real good”. Ran into Alyssa Farah outside the White House. Real strange. She said that she really liked my performance on CNN with Town Hall and also with Jim Sciutto. She asked how my other hits went. I told her that I did not have any other hits and that all my requests for clearance over the past week have been turned down. She acted very surprised and said she would look into this. Again, she claimed that there was confusion and lack of coordination with VP’s Comms staff and theirs. Something funny here. I am meeting with Michael Caputo tomorrow AM in my house for breakfast. PRESS: Wall Street Journal – Tech Health Interview (ZOOM); Podcast with JAMA – Howard Bauchner June 3, 2020 – Global – 6,200,000/378,000; USA – 1,800,000/106,000 No TF today. Only a Governors call on Nursing Homes to which I was not invited. Probably mostly Seema Verma. Also, despite people (including Kellyanne Conway) assuring me that we are returning to 3x/week press briefings without the POTUS (i.e. with the VP), nonetheless, the press briefing today was Kayleigh by herself at the podium. Had breakfast at my house this AM (6:30 – 7:30 AM) on the back deck with Michael Caputo who wanted to discuss with me Comms strategy involving me. Good conversation. He says that there really is confusion at the level of the WH about putting me out. Clearly Alyssa wants to put me out there (not for every request, but certainly not 0 for 8 on a given week. He says that Alexa Hennings is the scheduler who books TV appearances in the one blocking me for unclear reasons. He will try to fix that sine he spoke with Alyssa over the phone yesterday (likely as a result of my meeting her outside the WH) and Alyssa wants to get me on more. Complicated situation. Also, Michael want me to do more PSAs and even a documentary. He is trying to establish novel paradigms for COMMS involving me. Also, we spoke a lot about his history with Russia and Roger Stone. He and his family have been greatly harassed by Antifa and he understands my harassment by the dark web. He is clearly an unusual guy who has been operating “at the edge” for some time. However, he seems like a pretty good human being. Anthony Fauci namesake is a favorite at Belmont Park By Justin Tasch June 3, 2020 | 9:21am | Updated Dr. Anthony Fauci Getty Images composite Fauci could be a big winner Wednesday. No, not Dr. Anthony Fauci, the infectious disease expert, but the horse named after him which will run in the third race at Belmont Park today as racing returns to Elmont, the first sporting event in New York in 80 days. Fauci, jockeyed by Tyler Gaffalione and trained by Wesley Ward, is a 4-to-5 favorite. Had a very difficult experience today. The POTUS called my cell and screamed at me because I had mentioned to the Press (likely on a Howard Bauchner podcast or a Politico interview that the duration of immunity for common coronaviruses was 6 months to 1 year and that although we do not know the duration of vaccine immunity, it is possible that we may have to use additional boosts. Apparently the press blew this up and said that the vaccine will only protect for a very short time. The POTUS was very angry. He said I cannot keep doing this to him. He said he lover me but the country is in trouble and I am making it worse. He said the stock market only went up 600 points and it should have gone up 1000 points and so I cost the country $1 trillion. Quite a phone call. 10:00 PM – Katie Miller called me up and said she had a message from the POTUS and the VP. Both of them (POTUS and VP) asked Katie to tell me that they both loved me and are sorry about what happened. They understand and feel that the press will continue to pit me against the POTUS and so please be careful. PRESS: Politico interview with Sarah Wheaton June 4, 2020 – Global – 6,300,000/380,000; USA – 1,850,000/107,000 Had call with NYC Health Commissioner Oxiris Barbot and Deputy Commissioner Demetre Daskalakis to discuss the possibility of doing a multicenter study of the Multisystem Inflammatory Sydnrome in Children (MIS-C). NYC has 140 cases. Just today informed that I have been chosen for the: 2020 Sammies Federal Employee of the Year award. The ceremony will take place in September. PRESS: Live Instagram with Jose Andres; Alan Alda Podcast; Did interview with Jonathan Swan of Axios. I got off interview quickly since it appeared I would be pitted against the POTUS with his questions. June 5, 2020 - Global – 6,400,000/385,000; USA – 1,870,000/108,000 Had Zoom with activists David Barr, Peter Staley, Mark Harrington, James Kellerstein about community engagement with COVID-19 research and the issue of releasing data before publication. Moderna becoming a pain in the ass about the collaboration with mRNA vaccine. Wanting to pull back on prior agreements. We will pull the BARDA money if they do so Did “Fireside Chat” withn Brookings Institute with David Rubenstein. I made favorable comments today on CNBC about vaccines and decreasing of # of cases and the stock market went up by 3%. I should (but will not) contact the POTUS and say that he told me on Tuesday that my remarks blunted the increase in the Stock Market and cost him “one trillion fucking dollars”. And so now my remarks actually made him “4 trillion fucking dollars”, and so he owes me $3 trillion. PRESS: WTOP Radio; Interview with the American Journal of Managed Care on the upcoming virtual IAS 2020 meeting; CNBC with Meg Tirrell; Radio interview with John Catsimatidis (NYC) – Cats Roundtable; Telemundo TV June 6, 2020 – Global - USA Finally got a haircut with Sabine today after 11 weeks!! Quiet day. Catching up on NIH-related Talks. June 7, 2020 – Global – 6,700,000/393,000; USA -1,930,000/709 Sunday – no health people on Sunday Shows. Nation gripped with protests, demonstrations and violence over death of George Floyd and other assaults on blacks. A couple of days ago the POTUS ordered the clearance of Lafayette Park to get to St John’s Church to do a photo op with a bible. Police crushed a peaceful crowd. Major PR reaction. Gen Milley and Sec. of Defense Asper being sharply criticized for being there and participating in the process. They were probably taken by surprise of what they were involved in. Milley wearing combat fatigues (not good). Protests spreading worldwide. Disturbing trend over past few days in number of new cases per day with 29,000 today. This is not rapidly going down regarding new cases, in fact going up. USG claiming that this is due to doing more testing, but that cannot explain it all. Could be result of crowds during Memorial Day and if so, we can expect more as country opens, in some cases prematurely. Also, deaths keep coming down. June 8, 2020 – Global – 7,000,000/399,000; USA- 1,950,000/111,000 PRESS: Univision TV; WRC TV – Doreen Gentzler; NY Times interview; WGN TV Chicago; iHeart Latino Radio with Enrique Santos; Spectrum News TV; taped Bio Fireside Chat (for tomorrow); June 9, 2020 - Phone call with Sen. Richard Burr (R-NC) about “after action” evaluation of our response. Big controversy when the WHO’s Maria Van Kerkhove said that transmission from asymptomatic person was “very rare”. She got blasted for this since there was no data to indicate this. We feel that there is substantial transmission since asytmptomatics have equivalent viral load in nasopharynx as do people with Sxs. Also data from Teddy Roosevelt aircraft carrier and prisons and nursing homes and meat packing plants indicate that transmission occurs a lot from asymptomatics. Lovely “thank you” by the Weill Cornell Medicinegraduating students for my sending them a video brief “Commencement Address” for their “virtual graduation”. Several state are showing increases in number of cases and % of tests that are positive. Coud be the beginning of a rebound. NYC has opened as had DC. Other states getting “itchy” to open. Major sentiment to move forward. We will soon face the problem that if we see blips that are not contained by contact tracing, will the administration say damn the torpedoes, full speed ahead or will they pull bak. I suspect the former. Weill Cornell Medicine Student Thank you Video https://vimeo.com/426254316 Password: wcm PRESS: Yahoo Finance TV; Interview with Melissa Healey of LA Times; June 10, 2020 – Global – 7,100,000/405,000; USA – 1,980,000/113,000 Reports of multiple states including North Carolina, South Carolina, Alaska, Arizona, California, Utah, Tennessee,etc. having the highest single day number of cases reported. Cannot just be due to increased testing. Concern that the opening of states will be followed by increased infections that will be difficult to contact trace since many are asymptomatic. Spoke with the David Barr group again last night and they feel that they will not be able to adequately contact trace if a uptick occurs. Also, there is a growing urge for peope to “get out”. Did a Zoom call with Francis Collins and the activists – Peter Staley, James Krellenstein about PrEP for COVID. PRESS: Good Morning America ABC; NPR – Science Friday with Ira Flatow (taped); CBC Canadian TV; Newsy Documentary; Bill Nye “Science Rules”; Voice of America TV with Lesia Bakalets; Interview with the Daily Telegraph; June 11, 2020 – Global USA Had good conversation (having these every 2 weeks) today with Bill Gates on status of mAb (Regeneron, Lilly, etc.). Also, discussing other therapies. Also, discussed vaccines. Great article in Elle magazine about Christine. Big issue with companies that we are dealing with for COVID-19 vaccine. Moderna is acting like and asshole in that they want the USG money but are resisting having the NIAID network (Larry) control the trial They have the IND and so the trial is really theirs. Moncef and I and John Mascola had important call where Moncef indicated that he himself is concerned that a single network with one leader can be responsible for 3 (Moderna, Astrazeneca, J & J) and possible 5 (Sanofu, Novovax) trials. Abd so we decided that Moncef would put in writing that the companies can run their own trials in our network, but they must harmonize with regard to protocol design (with some variations), single DSMB, consistent lab results, and same primary and secondary endpoints. If they do not agree, then BARDA does not give them money. I am still concerned about Deb’s negative opinion and tendency towards EUA. Spoke with Gary Bettman, Commissioner of NHL about their plan for a “bubbled” season → test all players and isolate them in a bubble and play the season like a tournament.. MLB and NFL considering such a plan. PRESS: CNBC “The Street” with Jim Cramer (interviewed by Katherine Ross); “The Stadium” TV Marquis Network. June 12, 2020 - Global – 7,300.000/415,000; USA – 2,050,000/114,000 Did Council on Foreign Relations Zoom meeting; Crazy situation where WH approved nothing and then after the Podcast with Caputo, he said “The WH did not want you to do Wolf Blitzer yesterday since it competed with the POTUS on TV and so I asked for today, but they gave no response and so let us just go ahead and do it.” Tough to figure out what if any strategy they have about getting me out to the media. There is a resurgence of cases in those cities that are opening up and now the model is projecting 1000 deaths per day with total of 170,000 deaths PRESS: RAI – Italian National TV; Yahoo News TV; ABC News Podcast with Jonathan Karl; WAMU Diane Rehm Podcast; Local TV stations in Buffalo, New York City, Los Angeles, Seattle, Portland, Oregon, Atlanta; Podcast with Michel Caputo; CNN Situation Room with Wolf Bitzer; June 13, 2020 - Global – 7,400,000/418,000; USA – 2,116,000/117,000 Got call from Alex Gorsky (CEO and Chairman at J & J) expressing concern on the part of the company CEOs regarding whether Gen. Gus Perna (as competent as he is supposed to be in military matters) can actually pull off the massive distribution of vaccine when it is ready including providing needles, syringes, etc. I have the same issue since Gus seems like a good person but every time Alex or Esper says something, he says “Yes sir, we are on it and will get it done” Seems too over-confident. Does he really know what he is doing? Got call from Gov. Cuomo at 8:00 AM but missed it because I was running on the C & O Canal. When I called him back he as on a helicopter and will call me back later. When he called back, he expressed how much in denial the POTUS is. He speaks with the POTUS regularly and tells him he needs to admit that cases are increasing, and he is going to help in suppressing them instead of denying them. NYC is doing well by carefully opening according to my recommendations. Cuomo says that I am the only one left in the USG who is speaking truth. He has given up on Deb and somewhat on Bob (who actually has been speaking up lately) Denial on part of administration saying that increases in case in CA, AZ, TX, NC are merely increases in testing and/or real increases, but mostly Americans returning from Mexico to get care since Mexico is exploding with infections right now. Clearly there are increases in cases and hospitalizations PRESS: None but many shows are showing recent clips to make points. June 14, 2020 (SUNDAY) – Global – 7,600,000/425,000; USA – 2,100,000/116,000 Riots continue with more police killing of African American men, this time in Atlanta with killing of Rayshard Brooks as he was running away after scuffle with police leading to firing of officer and resignation of Police Chief Erika Shields. Becoming clear that the increase in infections in CA, AZ, TX, NC, etc. are real increases in addition to increased testing. Had conversation with Fred Hiatt (Washington Post Editor of Editorial Page) about my evaluation of the situation. I indicate that it should n0t be pure public health versus “damn the torpedoes, full speed ahead”, i.e. not shut down versus “liberate the state/city”. We should expect some cases as we open. It is critical to how we handle these with identification, isolation, and contact tracing. PRESS: No Sunday Shows, but showing clips of my prior comments. June 15, 2020 – Global – 7,700,000/428,000 USA – 2,100,000/116,000; Governor’s call today at WH and I was not invited. BARDA requesting FDA to pull back the EUA for Hydroxychloroquine and Chloroquine, I was always against the EUA for HC and Ch since I did not believe that it fulfilled the criteria (some indication of efficacy) for an EUA: see link below. Also, this is the issue that Rick Bright has blown the whistle on, i.e. saying that he was pressured into recommending to FDA (when he was head of BARDA) to issue the EUA. Got call from Michael Caputo today asking if I thought that the POTUIS should cancel his campaign rally. I told him definitely yes. https://www.fda.gov/media/138945/download Call from Jeremy Berg at Pitt sending me as Cell Host & Microbe by a Chinese group Shi-Hui Sun et al: A mouse model of SARS-CoV-2 Infections and Pathogenesis. 28: 110, July 8, 2020 (Online first) indicating that the Chinese were making CRISPR.Cas9 knockin mice for ACE-2 that were made 30 weeks ago, which would be August, 2019. Why would they be doing that last summer??? They could have been studying SARS, but they already had mouse models. Possible they just wanted to use a better technique (CRISPR) OR they knew that SARS-CoV-2 already existed and the outbreak was already ongoing. Spoke with Howard Zucker, Commissioner of Health for NY State. He wanted advice about a possible National Policy for opening up universities. I referred him to CDC, but also to Silvia Burwell to see what she is doing with AU. PRESS: NEJM Poodcast about our HIV paper in the series for the 50th Anniversary of NAM; June 16, 2020 – Global USA Laura Ingraham calls me “Deep State” for asking people to wear masks. RECOVERY trial from UK showed good effect of Dexamethasone on COVID-19 patients on ventilators or Oxygen, but not on early patients. Media pushing a major breach between me and the White House. Big issue is that Pence wrote an OpED in the WSJ saying that there were no increase in cases; the apparent increase was due to increased testing. He got blasted since I (and to some extent Deb) said that the increase in cases was due to BOTH increase in testing AND actual increase in cases in CA, AZ, NC, TX, AL, etc.. Politico writes: With help from Myah Ward VEEP IN THOUGHT — Since February there has been a rift inside the White House between the scientists and the politicians over how to contain the spread of coronavirus. Anthony Fauci has been the consistent advocate of a forceful response and an opponent of any sugar-coating of the perils Americans face. President Donald Trump has been the reluctant warrior against the disease who took some major steps early on but soon grew impatient of the stay-at-home restrictions, the masks, and — most of all — the economic calamity that might jeopardize his re-election. Vice President Mike Pence, the chair of the president’s coronavirus task force, often played the role of bridge between the factions. At the awkward task force briefings that dominated afternoon television in March and April, the three roles of the three men played out as theater: Fauci the doomsayer, Trump the misinformed optimist, and Pence the child of a troubled marriage trying to smooth things over during mom and dad’s public fights. PRESS: Interview with AP (Marilyn Marchione); Nature – Heidi Ledford; WAMU Radio 1A; Wall Street Journal on Dexamethasone study; Jesuit Conference podcast; Daily Beast – Erin Banco; LA Times Bill Shaikin about MLB opening; WCBS Radio, NYC – Linda Lopez; Financial Times -Hannah Kuchler June 17, 2020 – Global USA Serius problem emerging with Moderna who are insisting (see discussions above) on implementing the protocol for mRNA in a way that both Larry Corey and John Mascola feel strongly is contrary to the safe followup of people who get infected and also contrary to good science in being able to get good end point data. We have tried, but theyhave a CMO who is incompetent (Tal ). Their CEO Stephane Bancel has a company that has never made a product or done a trial despite the fact that by somewhat questionable PR have built up a cash ase of billions of dollars. We may have to threaten them with the withholding of BARDA. This will be a sticky issue and likely very time consuming. I will have to work through Francis, Azar, Marc Short, Mark Meadows, POTUS. Yikes! Did virtual meeting with Council on Foreign Relations Independent Task Force on Prepring for the Next Pandemic – organized by Sylvia Burwell Borowitz satirist continues to poke fun at Trump, Pence, Kushner by way of making up ridiculous satires about our relationship: https://www.newy orker.com/humor/borowitzreport/white-house-staff-seething-with-envy-after-fauci-reveals-he-has-not-spoken-totrump-in -two-weeks Went toTask Force at WH at 4:00 to 5:30 PM. Depite the fact that I was concerned about all the hevy publicity pitting me against the VP, everyone (including junior to moderate staff) were genuinely glad to see me. Pence was joking with me from the time he came into the room. He said he wants to steel my tricks. He held up the WSJ and said when they asked me about the second wave, I should have done what Tony did and say “Second wave?? What second wave? We are still in the first wave” PRESS: Tea Leaves Podcast – Asian Group; June 18, 2020 – Global USA Communiation between Deb Birx and me on June 18: Thank you. I haven’t been sleeping because of this. What do you think about going into MS with Lumina as the diagnostic sequencer and massive tracking molecularly? Sent from my iPhone On , at 7:26 AM, Fauci, Anthony (NIH/NIAID) [E] <afauci@niaid.nih.gov> wrote (read from bottom to top): As you recall, I have always been in favor of massive testing. Now is the time. We are swimming in the dark. Let us discuss at the TF tomorrow. Anthony S. Fauci, MD Director National Institute of Allergy and Infectious Diseases Building 31, Room 7A-03 31 Center Drive, MSC 2520 National Institutes of Health Bethesda, MD 20892-2520 Phone: (301) 496-2263 FAX: (301) 496-4409 E-mail: afauci@niaid.nih.gov The information in this e-mail and any of its attachments is confidential and may contain sensitive information. It should not be used by anyone who is not the original intended recipient. If you have received this e-mail in error please inform the sender and delete it from your mailbox or any other storage devices. The National Institute of Allergy and Infectious Diseases (NIAID) shall not accept liability for any statements made that are the sender's own and not expressly made on behalf of the NIAID by one of its representatives. From: Birx, Deborah L. EOP/NSC <Deborah.L.Birx@nsc.eop.gov> Sent: Thursday, June 18, 2020 8:00 AM To: Fauci, Anthony (NIH/NIAID) [E] <afauci@niaid.nih.gov> Subject: Re: 18JUNE2020 Data Thank you. I haven’t been sleeping because of this. What do you think about going into MS with Lumina as the diagnostic sequencer and massive tracking molecularly? Sent from my iPhone I have been obsessing about the increases in cases that do not seem to be related to openings or closings or massive crowds. I believe that ultimately we will see increases related to all of the above; however, right now we may be looking for the lost keys under the light of the lamppost. There is something inherent here that we are missing and that is insidiously keeping the outbreak alive in the USA, and that is more concerning than anticipated spikes associated with identifiable events. Anthony S. Fauci, MD Director National Institute of Allergy and Infectious Diseases Building 31, Room 7A-03 31 Center Drive, MSC 2520 National Institutes of Health Bethesda, MD 20892-2520 Phone: (301) 496-2263 FAX: (301) 496-4409 E-mail: afauci@niaid.nih.gov The information in this e-mail and any of its attachments is confidential and may contain sensitive information. It should not be used by anyone who is not the original intended recipient. If you have received this e-mail in error please inform the sender and delete it from your mailbox or any other storage devices. The National Institute of Allergy and Infectious Diseases (NIAID) shall not accept liability for any statements made that are the sender's own and not expressly made on behalf of the NIAID by one of its representatives. From: Birx, Deborah L. EOP/NSC <Deborah.L.Birx@nsc.eop.gov> Sent: Thursday, June 18, 2020 6:37 AM To: Redfield, Robert R. (CDC/OD) <olx1@cdc.gov>; Hahn, Stephen <SH1@fda.hhs.gov>; Fauci, Anthony (NIH/NIAID) [E] <afauci@niaid.nih.gov> Subject: FW: 18JUNE2020 Data Remain concerned about CA, FL, TX – followed by SC, MS, NC, GA, AL. Bob let me know where exactly you went as we need to ensure surge to the next set of States next week. The reason I pushed back on calling it “just reopening” because it implies it just a thing and everything is just cases we expected but I think this is serious and specific populations especially the underdiagnosed Hispanic communities are at enormous risk. Tony and Bob, I need your teams to explore pools of 10 on thermofisher and Roche. We need to be able to tst 10X right now in communities when you get your team on the ground. We also need creative ways for housing and work among asymptomatics – ie working and housing in teams to decrease spread. Open to all discussion. Hopefully we can meet and strategize tomorrow. We need a breakthrough in masks. Pulled 2 paper but maybe we can strengthen guidance. Also sending the antibody paper. Deb Amazing interview with Bobv Cousy who praises me so wonderfully: http://hoopshd.com/2020/06/17/a-couple-of-crusa ders-hoopshd-interviews-bob-cousyabout-dr-anthony-fauci/ Selected quotes from Cousy: Dr. Fauci has become even more well-known this year during his press conferences as a member of the White House Coronavirus Task Force: what is it about him that causes the country to trust him? He gets offstage as quickly as possible, which is an attribute I admire greatly. I am not trying to share his spotlight but over the past few decades when someone asked who my heroes were I would say Dr. Tony Fauci. Lately I have added Bryan Stevenson to the list after reading his book “Just Mercy” about 5 years ago. Tony spent his career at NIH simply helping people with his intellect/knowledge/desire. I think that he is the most unassuming superstar and just wants to help the world. I would like to think that he was engendered with that philosophy by the Jesuits. Got call from Chris Wallace at Fox News saying he has been trying to get me on his show for weeks and wanted to know how I was doing. I told him to keep trying and maybe he will get it. Michael Caputo called me and told me that the Comms people in the WH want to keep me off TV until next week because of my message that is contrary to the VP and POTUS – no kidding. OWS meeting today talking about modelling where the infections are going to surge for the vaccine trial. Monsaoui met with Pfizer who said that would sell the vaccine for $100/dose. This is a non-starter. A price should be ~$25/dose. During this emergency, we can take over Pfizer or invoke the Defense Production Act (DFA) and dictate the price, and so we have a “hammer” with them. I have been speaking about the danger of states/cities leap-frogging over the progressive checkpoints in the guidelines to “Open America Again” as well as the danger of those in states who trying to do it right now wearing masks and/or congregating in crowds. And sure enough, we are now having significan increases in cases and hospitalization in FL, TX, AZ, OK. Particukarly problematic in OK where the Trump campaign rally is taking place tomorrow in Tulsa. My comments about the difficulty in getting the football season going this Fall and Winter has been very widely overed in the Sports Press PRESS: McLatchey print interview – Michael Wilner; Washington Post Podcast with Allie Caren; Dan Patrick Sports News – TV; Vice News TV; Correire Della Sera print interview; Financial Times – HIV compared to COVID-19 June 19, 2020 – Global - USA Spoke with Fr. Dan Lahart to give him advice and discussion about whther to open up Regis for the Fall term or do it virtually. I explained that it would depend on the viral dynamics at the time of opening. Their problem is that >95% of the students get to Regis by riding on a subway and so they really have a defined daily risk that would be reflected by the virus activity in the city. Last day of my HHS Security Detail. The whole crew George Adams, Brett Rowland, Andre Jacobs, Greg, Mike, and also Mike Lunetto came over for photos and to brief me about future protection. POTUS tweeted about me today saying that I have nothing to do with the NFL…. “Tony Fauci has nothing to do with NFL Football. They are planning a very safe and controlled opening. However, if they don’t stand for our National Anthem and our Grand Ameican Flag, I won’t be watching”. Sign in Greenwich Village: PRESS: CBS News Radio NYC; WABC Radio NYC video podcast; Global Health Affairs Interview with Susan Dentzer June 20, 2020 – Global USA Things are really heating up. Someone leaked to media that Deb and I advised against the Tulsa Campaign rally. We never really discussed it at the TF meeting. I got textpinged by several reporters (Jon Karl, Norah O’Donnell, Jim Sciutto, Jim LaCosta about this. I honestly said that I could not conbfirm this since we never discussed thr Tulsa rally specifically. Nonetheless, today papers are saying that this is the case. Clearly someone is leaking things without knowing the facts. Karl told me that the word was out even before the TF meeting ended. And so, someone is leaking even before we finish. I am getting progressively disillusioned with Deb Birx. She is happy talking the increased cases and the VP who is desparately looking for good news listenes to her and actually thinks that thngs are going well when, in fact. 13 states are clearly having surges of cases. She makes the case that 37 cases are stable or decreasing and underplays the13 that are “on fire”. In fact after the TF meeting on Friday (yesterday, the VP wants us to present this to the POTUS who probably hates me by now, even though he says that he “loves me”. He has tweeted about me 3 times yesterday and today. Deb has ststed that we should noit do clinical trials since “I want to see every infected person in a nursing home get plasma early on and steroids later. Forget the trial, we need to do this on EUAs. She says the same thing about vaccine trials. Clearly, she is trying to provide Trump with his October surprise. I may need to blow the whistle on her. It is reported that several(6) staff from the WH rally advance team have tested positive upon screening. Katie Miller called me and asked if she were protected from reinfection since she is in Tulsa with the Campaign rally and she did not want to wear a mask because of the Trump group not wearing masks as a symbol of resistance against the scientists. I told her that she and Steven should wear masks since Tulsa is a hot bed and she needs to think of the fact that she is in 2nd trimester of pregnancy. David Perlman of he SF Chronicle. He was a great science reporters and one who first interviewed me during the earlier years of HIV/AIDS Trump-Fauci tension building up by the press. White House remains friendly, but press reports stressing the difference between the POTUS and me. I am now being ttacked more by the far right. Higly tense political situations. I quite frankly do not really care. I will keep doing what I am doing. Am being constantly pinged (texted) by the press asking my opinion of various statements that are coming out. Kayleigh McEnany essentially saying that I will not be out in the press. Alyssa Farah is the one hope in Comms since she clearly wants me out their. Kayleigh constantly lying to and insulting the press. They are all on to her. POTUS makes silly statement at the rally in Tulsa that the more you test, the more cases there will be (implying that testing causes cases) and then said that he told his people to “slow down the testing”. This triggered a rash of press calls to me that I answered on background or off the record. NIH Clinical Trial Evaluating Hydroxychloroquine and Azithromycin for COVID19 Closes Early The National Institute of Allergy and Infectious Diseases (NIAID), part of the National Institutes of Health, has stopped enrollment in its clinical trial evaluating whether hydroxychloroquine and azithromycin can prevent hospitalization and death from coronavirus disease 2019 (COVID-19). This action was taken because NIAID, the study leadership and the independent data and safety monitoring board (DSMB) overseeing the trial determined that the rate of participant enrollment has been inadequate for the trial to meet its objectives in a timely manner. No safety concerns were associated with the trial. PRESS: June 21, 2020 (Sunday) – Cases still surging in 13 to 20 states. Global – 8,500,000/459,000; USA – 2,300,000/120,000 Much concern about surge of cases, particularly in Florida and South Carolina and Georgia and Oklahoma. Also, tensions regarding the Tulsa campaign rally. June 22, 2020 – Global – 8,700,000/462,000; USA – 2,300,000/120,000 Belowis a very good article in Politico that describes in detail whast the problem has been in ther USA response to COVID-19 How the U.S. and Italy traded places on coronavirus While Trump touted America’s reopening and watched infections climb, European leaders maintained strict rules and drove cases down. The historical Piazza della Signoria square in Florence, Italy, in early June. | Andrew Medichini/AP Photo By DAN DIAMOND and SARAH WHEATON 06/22/2020 04:30 AM EDT Three months ago, public health officials feared that America would be swamped by Covid-19 like Italy. Today, the U.S. would be lucky to swap its coronavirus crisis for theirs. Italy’s sudden surge of coronavirus in March swamped hospitals, pushed the nation into a strict lockdown and forced its doctors to ration life-saving ventilators. About 200,000 Italians were sickened and 29,000 died from the virus by May 1 alone. Global health officials seized on Italy — as the first country outside of China to be battered by the virus — as a disturbing case study for the rest of the world. In private meetings, White House officials worried that Italy was a preview of the storm about to hit the U.S. health system. But Italy announced just 264 new Covid-19 cases on Saturday — the same day that the United States reported nearly 32,000. The European nation opened its restaurants and stores a month ago, albeit under new, national safety measures, even as U.S. states wrestled with inconsistent, hasty reopening efforts that have been blamed for new virus spikes. And Italy’s outbreak has dramatically ebbed from its mid-March peak, while America’s new per capita cases remain on par with Italy's worst day — and show signs of rising further, with record hospitalizations in states like Arizona, Florida and Texas last week. “I think there are going to be states in our country that can replicate Italy,” said Ashish Jha, head of Harvard’s Global Health Institute, noting that New York has made its own dramatic strides in containing the virus. “But I would rather spend this summer in Rome with my family than in Phoenix.” Italy is not alone in driving coronavirus down to manageable levels. Its Western European neighbors Spain and France grappled with damaging outbreaks that killed tens of thousands and prompted lockdowns, only to drive daily new cases below 500. Meanwhile, Germany was able to fend off the virus with relatively low mortality, which some credit to the nation’s robust test-and-trace strategy. The collective recovery of the European nations — punctuated by Italy’s apparent turnaround — stands in stark contrast to the muddle facing many parts of America, where the death toll has now topped 120,000. “I would rather spend this summer in Rome with my family than in Phoenix.” Ashish Jha, head of Harvard’s Global Health Institute Jha and other public health experts say that America’s piecemeal, politicized approach to fighting coronavirus has left the United States ever-further behind the Western European nations that were similarly threatened by the virus but moved more judiciously to fend it off. They also say that Western Europe is a better comparison point for the United States than nations like South Korea and Singapore, which had been scarred by previous viral outbreaks and were more prepared to handle the arrival of Covid-19. After the damaging initial spike in cases, European Union members' total daily case count is now about oneeighth of the U.S. daily cases — despite having roughly the same population. “Both we and Western Europe were really slow to act,” said Jeremy Konyndyk of the Center for Global Development, who helped oversee international aid efforts during the Obama administration. “But the worst performers in Europe with the bad luck to get hit first, like Italy and Spain … they are now down 85, 95 percent in terms of case counts from the peak.” “In the US, we’ve struggled to get it down one-third — and in the last few days, it looks like it could rebound again,” Konyndyk added. Partisan fights bog down U.S. response Public health experts cited multiple factors for why the fortunes of the United States have differed from Western Europe — starting with the intense politicization that worked against a disciplined response, and the federal government’s decision to let individual states take the lead in reopening. The decisions of some states to end their lockdowns as early as possible — at levels of infection considerably higher than those that triggered reopening in Western Europe — appear to have consigned the United States to a far longer battle with the virus. President Donald Trump and some Republican governors have bristled at public health experts’ advice, questioning predictions on viral spread and pushing back on recommended lockdowns. GOP-led states like Georgia and Texas reopened their economies despite requests from public health experts to wait for more testing and fewer cases. Meanwhile, Trump’s allies and pundits on Fox News pushed malaria drugs as possible Covid-19 cures, despite scant evidence, leading to largely fruitless efforts that consumed the time of senior federal officials — including scientists whose time would have been better spent pursuing other therapies. “There are plenty of people, on cable TV and elsewhere, who exploited that the virus was primarily in New York and other places to say that it's a blue state problem,” said Harvard’s Jha. “They’d ask, ‘Why are we shutting down Montana when the problem is Manhattan?’” Democrats, meanwhile, didn’t condemn hundreds of thousands of people for violating restrictions on mass gatherings to protest police brutality this month. Instead, governors like New Jersey’s Phil Murphy and Michigan’s Gretchen Whitmer broke the lockdown orders that they had extended just days before to join the protests themselves — moves that confused many Americans about the need for social distancing and fueled charges of hypocrisy from conservatives. Even basic protections have been politicized in the United States. Trump has eschewed a mask in public and has sometimes mocked others for wearing face coverings — despite requirements that people wear masks in certain states and ample science that they work to prevent the virus’ spread. The president also swiped at mask-wearers in a Wall Street Journal interview last Wednesday, suggesting that some Americans are wearing coverings to signal their disapproval with him. He has repeatedly voiced his hesitation about the widespread coronavirus testing urged by public health experts, including controversial remarks at his rally on Saturday. "When you do testing to that extent, you're going to find more people," Trump said during his rally in Tulsa, Okla. "You're going to find more cases. So I said to my people, slow the testing down please." White House officials claimed Trump was joking. But in Italy, there’s been much less disagreement over scientists’ recommendations — including lockdowns that were more restrictive than those applied in the United States — particularly after the virus swiftly tore through the nation in early March, peaking at 6,557 new cases announced on March 21. (Adjusted for population, that would be equivalent to about 35,400 new cases in the United States.) While some protested, residents largely went along with restrictions that effectively banned jogging, instituted one-at-a-time entry policies for grocery stores and saw the Pope livestream his Easter Mass from an empty St. Peter’s Basilica. That still wasn’t enough to spare Italy from horrific consequences in the early spring: Doctors had to make decisions on the fly about who would get life-saving care when there weren’t enough beds to go around. Dead bodies had to be stored in sealed-off rooms until funeral services were available in the worst-hit regions. “The Italian crisis provoked by Covid-19 is the most serious event in Italian history after World War II,” Italian doctors Ciro Indolfi and Carmen Spaccarotella wrote in April's Journal of the American College of Cardiology. “It is a national human, health, and economic tragedy.” NEWS CLIPPING — THE PRESS — CONDENSED (4 SOURCE PAGES) “But the devastation hit home in a way that prompted broad acceptance of lockdown measures. Political leaders largely embraced the need for personal protection and have even policed each other. Prime Minister Giuseppe Conte regularly…” his own grim conclusion about America’s often scattershot response to coronavirus. “We may end up being the worst of any country in the world in terms of our response,” Jha said. “Italy… they're going to do way better than us.” Continued press activity around my comment about NFL likely not being able to play in the Fall inless in a bubble. Causing a big uproar with crazies saying I did this so as to hurt Trump since he needs “return to normal” to get re-elected. Did a Q and A by Zoom with the Directors of all of the Smithsonian Institutes (>12) on COVID-12. Good back and forth. Mark Meadows called me about helping with a friend of his hospitalized in NC with COVID-19 and compliating bacterial pneumonias HBO is going to do a scripted series about me: ‘Outliers’ Anthology Series From Brian Grazer & Malcolm Gladwell In Works At HBO Max With Dr. Anthony Fauci As First Subject By Nellie Andreeva Nellie Andreeva Co-Editor-in-Chief, TV @DeadlineNellie More Stories By Nellie NBC Commits To Filming 5 Pilots This Year, Rolls 5 To 2021 As ‘La Brea’ & ‘Debris’ Get On Path To Possible Series Orders ‘Perry Mason’ Draws Largest Premiere Night Multi-Platform Viewership For HBO Series In Almost 2 Years ‘The Young And The Restless’ Eyes July Production Restart Date VIEW ALL June 22, 2020 9:43am NEWS CLIPPING — NEW YORK TIMES — CONDENSED (1 SOURCE PAGE) “• Facebook • Twitter • Print • Email • Show more sharing options Sage Grazer/Celeste Sloman/Shutterstock EXCLUSIVE: HBO Max has put in development Outliers, an anthology series based on Malcolm Gladwell’s New York Times bestselling…” Kayleigh continues to make a fool of herself on TV with ridiculous answers to questions. PRESS: Interview with John Lauerman (Bloomberg News – London); WNYC NPR Radio with Brian Lehrer; Radiolab Public Radio Interview podcast Jab Abumrad; ESPN 98.7 Radio Interview (30 minutes) June 23, 2020 – Global – USA Big day today with House Energy and Commerce Hearing on COVID-19. Me, Redfield, Hahn, Giroir. VP called me at 10:00 AM when I was driving with Farncois to the Hearing. He called from Air Force 2 (on way to Wisconsin) and we spoke for 25 minutes. He wanted to know if I needed anything. He is a good guy, but he was really calling (sub-text of his words) to urge me to go lightly in my explanations and to not forget to bring out some of the positive things that are being done. He still is a guy with the glass half full and not half empty. He even admitted this in the conversation. Hearing was very long (6 hours). I had some cantankerous exchanges with Rep. McKinley (R-WV) who was giving me shit about saying early on that we should not wear masks to save them for the HCWs at a time when there was a shortage. I said “Ok, we are going to play that game” This went viral on social media. Also, I sqwitched in the middle of the Hearing from a black mask to a Washington Nationals mask, which went viral and 2 days later led to a big photo of me with the Nats mask in the Sports Section of the Washington Post. POTUS tweeted about me right before the Hearing: And so now I am his friend when he sees that I have high approval ratings. Totally amazing!! PRESS: Winston Salem State Radio Podcast with Chancellor Elwood Robinson – WSSU – Future Focus Now, WSNC 90.5 June 24, 2020 – Global – 9,000,000/470,000; USA – 2,350,000/122,000 Based on my discussions last night with David Barr and the group he brought together of people in the trenches of COVID-19 in NYC, New Orleans, DC, Seattle and Chicago, it is clear that the surge is caused by people opening up and throwing caution to the wind leading to community spread. We (me) say that in orde to contain these increases in nfection that will inevitably occur when you open, we need to identify, isolate and contact trace. They are saying that this doesnot work. Contact tracing is a sham. It is done by phone, people do not trust government, there is no isolation after the tracing when tracing does occur and people go right back into multi-generational homes and infect the vulnerable. This was confirmed in 2 conversation that I had with Mak Ghaly the Secretary of California HHS. Here is his e-mailfrom today: Hi, thanks for talking this morning and including me in on this conversation. In Califronia, we have built up a statewide contact tracing platform called CALConnect and we are on our way to have nearly 10,000 contact tracers throughout the state as our phase I program. This said, contact tracing can be improved by 1) increasing the availability of disease investigators skilled at conducting the initial deep dive into an identified case 2) hiring an army of contact tracing workers who look like the community they work in and speak the same language as those they are working to contact trace and support 3) must fund and make widely available safe places for supported isolation and/or quarantine- underused hotels make sense. 4) must help fund two weeks of wage replacement so that low income individuals don’t have to make a short term choice between feeding their families or spreading coronavirus. In my view funding these ideas at the federal level is a way to do both community stimulus and response with one single investment strategy. I will report this to the TF. I am afraid that we are not equipped to handle resurgences at the community level. Did taped briefing to the US Conference of Mayors. Deb and I realize that Bob redfield is over his head and not really mounting an adequate response. He is passive. Good guy, but not fit for the job. PRESS: NPR “Morning Edition” – Rachel Martin; Front page story and picture of me in Washington Post and New York Times about the House Hearing yesterday; NPR Sacramento CapRadio – Sammie Caiola – Facebook Live June 25, 2020 – Global USA Called Deb this AM trying to figure out how to stop this disaster. Contact tracing does not work. We need pooled testing. She will talk to Jared and I offered to call Mark Meadows. Spoke with Mark for 20 minutes at 7:45 AM. I laid it on heavy and he gets it. He will call an emergency meeting at the WH and agrees that we need to do pooled testing. I told him that our response regarding contact tracing and isolation was a “Fucking disaster and an abject failure” Also, he fully appreciates that the CDC is not up to the task. They cannot respond o a domestic or global pandemic. Had good conversation with DeMaurice Smith Director of the NFL Players Association (NFLPA). I clarified the misunderstanding re: my saying there will not be an NFL this Fall/Winter. Did 1.5 hour Zoom with CondeNaste led by Anna Wintour. This is the overarching organization of mlost of the major magazines such as Vanity Fair, Wired, Self, Vogue, Bon Apetit. I have been invited to appear on Dancing with the Stars – no thanks! PRESS: Toronto Radio KISS 92.5; picture of me with my Nats Mask in the Sports Section of the Washington Post June 26, 2020 – Global – 9,300,000/480,000; USA – 2,420,000/125,000. 40,000 new cases yesterday, the most for a single day. Spoke woth Gary Bettman, Commissioner of the NHL giving advice about their opening. My talk with Mark Meadows yesterday precipitated a major firestorm of disagreement in the WH. Some elements led by VP and his staff (particularly Katie) felt we should have a TF meeting and then have a Press Conference with me and Deb leading and run by the VP. Apparently, Kayleigh and Alyssa and the POTUS team (probably Jared and the economy team) were against this. Triggered much rancor, but finally we did it. Clearly, the lines are dividing in the WH. Clearly, I am precipitating this since Deb still cannot get herself to speak up even though she lives in the WH. At the Press Conference, unfortunately, the VP continues to stress the bright side about how well we have done when the southern part of the country is on fire. I came in and spoke of the danger to the entire country even though the map looks like there are more good parts than bad parts of the country. I stressed that we are a heterogeneous country, but we are not disconnected within the country and an outbreak anywhere is a danger even to those sections that have done well. I stressed that the young people have both a personal and a societal responsibility. If they get infected, they are feeding the dynamics of the outbreak and are part of the problem, not part of the solution. It is up to them. The press killed the VP following the press conference saying that he did happy talk when the country is in serious trouble. They are correct. At least the press that I added a reality check to the story. Had out Security team over the house for a “separation party” since they are being withdrawn since the death and violent threats have decreased over the past 2 weeks. Team leader George Adams plus Andre Jacobs, Ken Marty, Brett Rowland, Mike Salva Had a wonderful time. We had really bonded with these guys over the past few months. PRESS: Much press associated with my remarks at the press conference today. Will spill over to tomorrow; Meg Tirrell of CNBC will show parts of our interview today with the Milken Institute; Interview with Elizabeth Cohen (CNN) for the Aspen Institute and Aspen Ideas – she will use this for CNN tonight. June 27, 2020 – Global – 9,700,000/494,000; USA – 2,500,000/125,000; 45,000 cases today – highest amount ever. Florida is having increased hospitalizations as is Arizona and California. Clear, there is a SERIOUS PROBLEM. Deb, Bob Redfield, Steve Hahn and I had a Zoom call that Deb and I arranged. It is clear that we need to change strategies and rely (see above) on massive community testing and effective tracing in person and on foot at the community level. Our efforts have failed for a number of reasons. Bob still insisting that there were likely these many infections all along, but we were missing them since many were asymptomatic and now we are picking them up. That is crazy since there are more hospitalizations and the percent positives of testing are increased in several states. The VP saying yesterday that we are doing really well becomes more ludicrous. There will likely be 100,000 cases per day by August. Cliff and I will try to help out Deb by getting NIH-funded elements to help in the community testing. PRESS: Stories from yesterday’s disastrous press conference. June 28. 2020 – Global – 9,66,000/492,000; USA – 2,500,000/126,000; 5th day in a row of new record set for number of daily cases. Pence (inexplicably) continues on TV to say we have done very well and ours is a success story. He is getting blasted. I have been completely blocked from TV by the Comms team at the White House. Next couple of weeks will be critical as hospitalizations increase. VP is finally wearing a mask. Believe that Deb likely convinced him PRESS: Interview with Apoorva Mandavilli of New York Times on “pooled testing”; Wolf Blitzer showed an interview of me by Elizabeth Cohen as part of the Aspen Ideas Festival in a Special Sunday Night Edition of the Situation Room. June 29, 2020 – Global – 10,000,000/500,000; USA – 2,550,000/127,000 47,000 new cases yesterday. 50% of all new cases from CA, AZ, TX, FL. Clearly big problems with resurgences very likely related to young people at bars and in big parties related to opening, Memorial Day and crowds. Mostly young people with average 1.5 decades younger than a couple of months ago. Governors’ call in Sit Room with VP leading the call. Clearly, they get it now and are worried. I spoke about making the public health response to vehicle to re-opening as opposed to the obstacle to re-opening, i.e. obey guidelines and always use mask and physical distancing even when opening. Gov Ray Cooper (D-NC) called me and spoke for 45 minutes on his dilemma about whether to open the Charter Schools that are scheduled to open in 2 weeks, right after 4th July. He was agonizing since he wanted to do the right thing. Since this is the first decision among Governors regarding opening for the Fall term, he feels that he will be the example. He is seeing an uptick of cases and he is near FL and so is worried that if he opens, he may have to lose again if he gets surge like FL and TX, I recommended that he delay decision for 2 weeks. His health officer is Mandy Cohen. Had important conversation with Pence right before the afternoon task Force meeting. I came early and walked up to VP suite and luckily he was sitting in his office with Marc Short and ? Natalie. I told him that I am being blocked from TV and I needed to get on TV to give the ‘risk reduction” message and that I would avoid being pitted against him or the POTUS merely by not playing that game. I mentioned the recent interview on NPR with Michel Martin where she asked a Fauci versus Pence/Trump question and I responded that this was not helpful and I was there as a health official and not to get into politics. Michel gracefully backed down. I also told him about the dangers of having me and others on stage with him when he talks happy i.e. glass half full as opposed to glass half empty. He got it, but still wanted to do press conferences with us. He did promise that he would get me out there on TV since he really liked my message. First time anyone ever spoke that way to VP. He truly likes me a lot (and vice versa). Now we have to get the POTUS press people to agree. Interesting intrigue in the White House. POTUS people versus VP people. Katie and Marc are all with me. PRESS: FOX Radio and podcast (National) June 30, 2020 – Global – 10,000,000/500; USA – 2,600,000/127,000. 37,000 cases yesterday. Multiple other states (total of 31) are showing increased cases and several showing increased hospitalizations. Testified at the Senate HELP Hearing chaired by Lamar Alexander (R-TN) and ranking minority Patty Murray (D-WS). Focus was on opening schools, but it became free-wheeling. Elizabeth Warren was her usual muted hostility towards me, probably since she is aiming to by Biden’s VP and she wants to she she is tough on administration. Also, Rand Paul was his usual self obliquely accusing me of arrogance and conceit in making projections without data. He referred to my discussing whether Sports could open. Actually my responses won him over and he gave me a big wave and smile when he left the hearing room. Rest of the hearing went very well. I predicted that if we do not do something about the recent surge that the entire country is in danger and we could reach 100,000 cases in a single day. This made NY Times immediately online. I said “Bars are bad news”. Outdoors better than indoors. In a speech today, Joe Biden said that if he is elected POTUS one of the first things he would do in addressing COVID-19 is to reah out to me and ask me to continue my leadership role in this effort and “join his administration”. Clearly, this will piss off Trump and the White House. PRESS: Much media coverage of the Hearing today. July 1, 2020 – Global – 10,200,000/504,000; USA – 2,620,000/128,000. Most involved states now pulling back on opening and closing bars and cancelling events for the upcoming 4th July. Spoke yesterday with Marc Khaly from California (see above). He is going to cancel all crowding activities over the weekend. He calls me regularly for advice. News reporting that there is now a schism in the White house with Trump, meadows, Kayleigh and Hope leaning towards economics and deeply suspicious of me versus the VP and his team (Katie, Fevin O’Malley) favoring me and being much more realistic with the VP for the 1st time wearing a mask regularly. Media speculating that Penceis now thinking about his own political future and wants to be on the right side of history. My relationship with Pence getting much stronger. Laura Ingaham (FOX) is now spreading conspiracy theory (Huff Post) that I am actually “Medical Deep State” and am actually going to be Joe Biden’s running mate: Laura Ingraham Spews Yet Another Wild Conspiracy Theory About Anthony Fauci The Fox News personality called the nation’s top infectious disease expert “Dr. Doom” and criticized him for “undermining Trump’s agenda.” ------------------------------------------------------------------------------------------------- ------------------------------------------------------------------------------------------ I reached out to Congressman Joseph Kennedy (D-MA) since we had a garbled interchange at the House Hearing last week and it looked like he was annoyed with me. I wanted to set the record straight and develop a relationship with him. I was good friends with great uncle Teddy. We had a Zoom conversation today for 30 minutes and it was terrific. I believe that this is the beginning of a friendship. He was very gracious on the Zoom. Had dinner over Jake Tapper and Jen Tapper’s home in DC. Terrific couple. Friendship building. PRESS: Front page Washington Post story on my statement that we could get 100,000 cases/day if we do not control the outbreak. NPR – All Things Considered – Mary Louise Kelly; BBC Radio Morning Show July 2, 2020 – Global USA Big problems - >53,000 cases yesterday. Highest ever for a given day. I am concerned that we might be on “exponential” increase as we enter into the 4th of July weekend. POTUS and his people have essentially dropped out and do not even recognize that an outbreak is ongoing on. They are denying all requests for me to appear on any major TV programs. Caputo is a con man who is completely full of shit. He says he wants me out there on TV and yet I am being blocked, very likely by him who knows nothing about public health. He is a close friend on Roger Stone, for goodness sakes! Got call from Ross (POTUS speechwriter) who wants to include in a speech the beneficial effects of remdesivir and dexamethasone in advanced disease and even mortality. Phone Call with Rev. Jesse Jackson, Sr. PRESS: BBC The World Radio Program; SiriusXM NFL Radio; Multiple outlets quoting things that I said on BBC, Harvard Business Review and other podcasts July 3, 2020 – Global – 10,5000,000/513,000; USA – 2,750,000/129,000 More daily record being broken with cases now at 57,500. Caputo (sleezebag) and White House comms playing games with me in that they are not allowing me to go out on TV as we enter the 4th July weekend to instruct people on how to avoind infection. They do not respond to multiple requests for me to appear. I spoke yesterday to Judy Woodruff (PBS NewsHour) and Andrea Mitchell (NBC News), bot of who want me on their show as does Jim laCosta (CNN). Rep. Andy Biggs (R-AZ) and LtGov Dan Patrick (TX) attacking me for what I am saying about how to avoid infection. Dan Patrick denying that TX skipped over checkpoints in opening and accused me of lying about this. I never specifically said they did. I said “some states” skipped over guidelines” Guilty conscience?? CNN did a fact check and called him out as completely incorrect. Interesting exchange involving Michael Caputo, me an Alyssa Farah. Michael is full of shit, for sure. He claims to be trying to ge me on TV saying that the WH is blocking. And so I wrote an e-mail to him with copy to Alyssa today: Michael: I am sorry to disturb you on this holiday weekend, but I feel compelled to again reach out to you. As you are painfully aware, our country is in a very serious situation with resurgences of COVID-19 cases in multiple states at record levels. I believe that it is our moral responsibility to get out the public health messages about personal and societal responsibility to urge people (particularly young people) to protect themselves and others from getting infected as we enter the holiday weekend. Messages from public health officials like myself and my colleagues are critical to this effort and will save lives. As you know, I have been asked by virtually every network and cable outlet to get out there and deliver this potentially life-saving message. Yet every single one of these requests of late, which we re-submit every day, has been ignored or denied. We are missing an opportunity to save lives. Please consider this. Best regards, Tony Alyssa immediately texts me with the following: “Hey, Dr. Fauci, just getting up to speed. WH comms is supportive of you going out, which I’ll convey to Caputo. What programs do you think make sense? I think it would make sense to add you into the Sunday shows and then look at network TV next week”. I tell her my choices and then she texts back: “I’ll get with your team and lock some of these in. Apologies for this happeneing again”. I had told her that my choice would be Meet the Press. They then tried toget me on MTP, but they were already booked up. July 4, 2020 - Global – 11,000,000/525,000 USA – 2,800,000/130,000 Andrea Mitchell called my cell very apologetic about not being able to have me on the show since they already booked a couple of governors who were giving exclusives to NBC. I mentioned to her my concern about them keeping me off the air. She was shocked and thought that when I did not come on after requests that it was because I did not want to go on a show. It is clear that Michael Caputo in totally full of shit. The WH is now saying that they are giving the ball back to Pence to decide what happens with COVID-19 and that there will be more media appearances from health experts. We shall see. Florida had 11,000 cases yesterday. Everything is surging. July 5, 2020 – Sunday – Hahn on 2 Sunday Shows. I am blocked (see above). Surges continue in multiple states with new records every day. Particularly FL. In NY Times this AM, comment about people in some states, particularly TX (Dan Patrick – Lt. Gov as an example) are making me the symbol of what they are tired of. Theyare saying to hell with the outbreak, “we are done with it”, even though people are getting sick and hospitalized. POTUS had 4th Juy celebration on South Lawn (I and Chris were invited) that was crowded and no one wearing masks. I did not attend. Not just USA, there are major outbreaks in Brazil, Mexico, Asia (Japan, North Korea, etc). I have been having several 30 minute deep background conversations with Bob Woodward who is writing a book on the Trump response to the outbreak. Margaret Brennan on “Face the Nation” came out and explicitly said that the Trump administration was blocking my appearing onTV including their show where they continually ask for me and have been refused. This clearly triggered a response either/or in HHS and the WH because Caputo texted me in the afternoon and asked what my priority shows would be for next week. I said NewsHour with Judy Woodruff and Today with Savannah Guthrie. Savannah would be on vacation and so we went with CNN Town Hall with Sanjay Gupta and Anderson Cooper. We shall see what actually happens. Jennifer Rubin wrote column in Washington Post: Distinguished person of the week: Fauci finally breaks through Opinion by Jennifer Rubin Columnist July 5, 2020 at 7:45 a.m. EDT In Senate testimony and interviews, Anthony S. Fauci, director of the National Institute of Allergy and Infectious Diseases, sounded the alarm: We are not winning in the battle against the novel coronavirus. Even more important than that was his insistence that we all wear masks in public. Consider what he told the Senate Committee on Health, Education, Labor and Pensions on Tuesday when Sen. Bernie Sanders (I-Vt.) asked if masks should be given away for free: “There’s no doubt that wearing masks protects you,” Fauci said. “Anything that furthers the use of masks, whether it’s giving out free masks or any other mechanism, I am thoroughly in favor of.” President Trump has been the main impediment to mask-wearing, choosing to turn a vital public health measure into a sign of tribal identity. Fauci nevertheless has persisted in his message. This is hardly the first time Fauci has tried to get Americans to adopt the simple, lifesaving practice. (“Everybody should wear a mask when out [in] public,” he said in June. In late May he told CNN, “I want to protect myself and protect others, and also because I want to make it be a symbol for people to see that that’s the kind of thing you should be doing.” The advice took on fresh urgency as he warned that the country could experience as many as 100,000 new cases a day. The Post interviewed Fauci and other health experts about wearing masks. He was unequivocal. “It dominates everything I do. The only time I don’t wear one is when I am alone, when I am home with my wife, or when I am speaking in public — provided there is 6 feet between me and the people to whom I am speaking, as was the case when I answered questions at the recent congressional hearings.” Last week the rate of infections spiked past 55,000 in a single day, and suddenly Republicans who had pooh-poohed mask-wearing and echoed Trump’s disdain for masks were speaking up. Senate Majority Leader Mitch McConnell (R-Ky.) finally proclaimed, “We must have no stigma, none, about wearing masks when we leave our homes and come near other people. Wearing simple face coverings is not about protecting ourselves, it is about protecting everyone we encounter.” Too bad he didn’t say that months or weeks ago — or tell Trump to stop discouraging mask use. We seemed to reach a tipping point when Texas Gov. Greg Abbott (R) finally put out a statewide order requiring masks. Other states fell into line as the infection and hospitalization rate soared. Arizona Gov. Doug Ducey (R) issued a shutdown order and encouraged mask-wearing as the virus threatened to overwhelm his state’s hospital capacity. Pennsylvania, Oregon and Kansas also implemented state mandates on maskwearing. Even Vice President Pence — who refused to wear a mask when visiting the Mayo Clinic in late April — during his visit to Arizona called on Americans to wear masks. If only Republicans had listened to Fauci months ago, the U.S. death count might not be roughly 130,000 and the pandemic might not be surging in states where leaders shrugged off mask-wearing and prematurely opened. This is, however, a case of better late than never. By successfully cajoling lawmakers and ordinary Americans to wear masks, Fauci will save thousands of lives before a vaccine is ready. For his constant efforts, defying and ultimately breaking through the deadly fog of the Trump cult, we say, “Well done, Dr. Fauci.” July 6, 2020 – Global USA Records continue to be broken in various states. Did a COVID session virtually at the IAS with Slim Karim and Deb Birx. Task Force meeting at WH. VP still focuses on fact that despite the increase in cases, the deaths are still down. I mentioned to him that I did not think that the deaths will ever reach the degree (>2000/day) that it was when NYC was surging, but increased cases will and are leading to increased hospitalizations. Wrong Direction. Coronavirus updates: Seven-day Washington Post : average case total in the U.S. sets record for 27th straight day By Derek Hawkins, Marisa Iati and Ja cqueline Dupree July 5, 2020 at 10:14 p.m. EDT PRESS: Profile interview with the Financial Times; Philly Beaumont Radio The Times of London; KCBS Radio San Francisco; Clips of me on CNN July 7, 2020 – Global - 11,300,000/532,000; USA – 2,900,000/130,000 Did press briefing via Zoom in Alabama with Sen. Doug Jones (D-AL) – went very well. Here we go again. Got call from Francis Collins who got a call from Marc Short who said the WH is upset with me because I gave the interview with Sen. Doug Jones (see above) and he is a Democratic Senator is a tight race with a Republican and they are suspicious that I am favoring the Dems. BTW, the interview was approved by HHS Leg and ASPA. Caputo called saying that the WH was just going to approve the requests for me to appear on NewsHour and CNN, but because I said that relying on decrease deaths to say that all is well with COVID-19 is a “false narrative” and we should not be complacent … I said this on the Sen. Jones interview. Now the POTUS is also tweeting that I am wrong on this as I have been wrong on many things including masks and closing down travel, which is complete bullshit. PRESS: Interview with Denise Grady of New York Times regarding Moderna tension; Corriere della Sera Italina newspaper – Giuseppe Sarcina; ABC News FiveThirtyEight Podcast – Anna Rothschild; July 8, 2020 – Global 11,500,000/536,000; USA – 3,000,000/131,100 TF meeting at the Dept. of Education – I was in Sit Room and not part of the press conference that followed. Purpose of the TF was to push for opening of schools. Good thing that I was not part of the press conference (Deb, VP, Sec. DeVos) since much negative public response. Clearly Trump is pushing to open the schools no matter what. There is concern about the safety of the children and teachers. Yet, Trump together with Redfield (being pressured) is saying that the CDC guidelines should not stand in the way of opening schools (what???). Glad that I am not involved in that discussion. Spent 1 hour on Zoom with Sean Penn and his organization – CORE – coronavirus relief. Great conversation. They provide testing in various cities and wanted my opinion of how they can optimize their impact. I strongly advised them to focus on a process that has an impact and endpoint, not just testing to increase the numbers. I recommended that they work with cities (like LA, Atlanta) that can utilize their efforts to actually do effective identification, contact tracing, and isolation. Sean and his group were very grateful for the time that I spent with them. Tension building up with the press (especially CNN) stressing Trump versus Fauci. Trump tweeting negative things about me. When asked about my comment of “false narrayive”, he said I am wrong on a lot of things. He said that I said not to shut down China (this coming from Peter Navarro) (when I actually said to shut it down). He is also saying that I was against masks before I was for them. Someone is obviously feeding him this shit. Caputo told me that I am being kept off TV (even though they were leaning to approve requests) because of my comment about “false narrative” concerning relying on deaths going down. Even some crazy stuff on the Dark Web about Chris saying that she is Ghislaine Maxwell’s sister: The debunking is under way! PRESS: Wall Street Journal podcast – Kate Linebaugh; Sirius Radio “Doctor Radio” – Marc Siegel July 9, 2020 – Global USA >60,000 new cases yesterday! Things not going in the right direction at all, yet continued happy talk from the VP and the White House. Clearly I am the “skunk at the picnic”. Bob Redfield defending the fact that Trump forced CDC to change guidelines that Trump felt was too strict to open the schools. Bob is losing a lot of credibility. Trump wants to open the schools at all costs. Clearly he does not care about the safety of the chidren, PRESS: Hill TV with Steve Clemons – The Future of Healthcare; Press conference at IAS on COVID-19; CNN continues to quote me in opposition to Trump and as the ony person telling the truth. July 10. 2020 – Global – 12,000,000/546,000; USA – 3,110,000/133,000 Another record day with 68,000 cases. Approaching my prediction of ~100,000. Important meeting with Pence who asked to see for 20 minutes before today’s Task Force meeting. He obviously is concerned over the press making an open conflict between me and Trump. He explained how much respect and affection he had for me. He then asked me for advice about how we are doing. I said that I would be coldly honest with him. He agreed to accept that. I then told him that he is completely losing credibility when we have >60,000 new cases with increased hospitalizations and deaths and he starts off at the Pressers saying “We are in a good place”. I stressed that it would be best to establish credibility first by coming out right off and saying we have a big problem, but we are trying to address it in the Southern states that are involved as well as prevent such resurgences in other states. Then and only then could he say that we are in a better place and shape to respond than we were before. BUT, you must admit the problem first. He agreed and was clearly grateful that I was open and honest with him. I then told him that 19 years ago in this same room I sat with VP Cheney to discuss the Anthrax attacks. I have a photo of Cheney and me right here Pence asked where in the room I did this with Cheney and where was the picture taken. He then called in the WH photographer and took a photo of exactly where Cheney and I were sitting. He seemed to really enjoy that historic context. At the end of the TF meeting, he again thanked me for his conversation. Also, Mark Meadows called me and asked that we meet next week to straighten out the conflict between me and Trump. We shall see how that meeting turns out. I see him on Monday. PRESS: Podcast with American Dissected; CNN (especially Don Lemon, but also several others at CNN) hammering away at the Fauci versus Trump issue. July 11, 2020 – In USA – 3,300,000 cases and 136,000 deaths. Numbers still soaring with ICU beds filling up in Florida. Heard from Washington Post (Jasmeen Abutaleb) that she is writing a big article for tomorrow (Sunday) about the conflict between me and the POTUS. Yikes! Let us see how that turns out. Had call with Marc Ghaly Heath Commissioner from California (Los Angeles) wanting advice about how to respond to the surge of cases in California. July 12, 2020 – Cases still soring. Florida >13.500 today Big firestorm over the Post article and the fact that unspecified White House officials have compiled a list of things I said that were incorrect. This is oppositional research agsinst one of their own (me). The blowback has been incredible. I have been contacted by virtusally every reporter (Post. NY Times, mutiple CNN – Sanjay Gupta, Jim Sciutto, networks) that I have ever dealt with and they are consistently outraged by the disinformation campaign of the WH against me and the attempt to discredit me. They all want to help. I called up Marc Short (whom I trust) to ask his take on this. He was “embarrassed” and disturbed by this action by the White House. He believes that it could not have happened without Mark Meadows’s buy in and approval. This shows the schism between the VP’s people and the POTUS/Meadows people. Marc was quite disturbed that this is going on. Also, Brett Giroir tried to throw me under the bus on Sunday TV saying that I am not always correct – playing into the discrediting scheme. Sign (below) photo sent to me from Sylvia Burwell. a PRESS: Big deal – Front page story in Washington Post: “White House sidelines an increasingly candid Fauci” by Yasmeen Abutaleb, Josh Dawsey, and Laurie McGingle – much comment about this on the Sunday Shows. July 13, 2020 – Global USA Yesterday Florida had >15,000 infections – most for any state since the beginning Met with Mark Meadows. He denies knowing anything about the WH drive to discredit me. This is tough to believe in that multiple nerws outlets (networks and Cables0 have been given a list of my “mistakes and errors” directly from the White House. No way that he did nt knw abut it. Nonethelerss, he said he will make sure that it stops. Too late, they already did the character assassination. Major, Major show of support for me for multiple and varied sectors. Most peole expressing outrage that the trump administration woud be so bumbling and incompetent to try to discredit the most credible scientist in the world. Gave Fireside Chat Podcast for Stanford Univerity MC’d by Lloyd Minor, dean of Stanfod Medical School. Met virtually with Mark Lerner and officials from Washinfgton Nationals to discuss potential obstacles to their opening at Nats Stadium on July 23. I will throw out the first pitch. Another all with Dionne Warwick about COVID-19. She is advising Biden people. Chris Cuomo on the top of his show blasts Trump administration regarding trying todiscredit me. Peter Staley blasts Trump regarding me on Anderson Cooper 390 (CNN) PRESS: TV and print have flooded the media in support of me and condemnation of the Trump administration. Opinions Fauci has been an example of conscience and courage. Trump has been nothing but weak. A sign outside a home in Rockport, Mass., reads "In Fauci We Trust." (Brian Snyder/Reuters) Opinion by Michael Gerson Columnist July 13, 2020 at 5:09 p.m. EDT July 14, 2020 - Global - 12,800,000/568,000; USA – 3,400,000/136,000 Outbreaks still raging in Florida – records being broken. >60,000 cases yesterday Deep state is going more crazy than ever in attacking me as the academic community is mobilizing to defend me. Real crazy. See below: I did a fireside chat online at Georgetown hosted by John Monahan. It was taken up my multiple press including C-SPAN, which then fed into CNN and other networks. It was a good venue for my getting the message out. Phone call with Alyssa Farah. She apologized profusely about the “screw up” with her junior staff who put out the list of how I got things wrong. She admits that it only hurts the POTUS to disrespect me and question my credibility. I told her that the White House (either Meadows or the POTUS) need to shut up Stephen Moore and stop his publication of “Dr. Wrong” paper. If he does not the entire academic community will dump all over the POTUS. Peter Navarro wrote OpEd in USA Tosday saying everything that I have ever said was incorrect. I went on a Goergetown Fireside chat (see above) and in ashort sentene I said that the current outbreak was “comparable to 1918”. I did not mean in numbers, but for a sensitive person, it could mean that I wa predicting 50 million deaths. Well, tonight Francis Collins called me up saying that he just got off the phone with Mark Meadows who was screaming at him about what I said. Mark wanted this “walked back”. Clerly Markis vey sensitive about playing down the pandemic because of the ucoming election and anything that indictes that this is a big problem drives him nuts. I got on the phone with Mark (he was still very angry), but I calmed him down and said that I would clarify this on my next TV appearance. He then indicated that he really liked me very much and respected me and values ou relationship. I apologized for what happened and he accepted the apology. Just an example of the tension that the pandemic in the context of the upcoming election is causing. PRESS: Trevor Noah https://bit.ly/2CyI0tH ; CNN – see above at Georgetown again strongly pitted me against the POTUS regarding a particular statement when I was asked about “who can we trust”. I said “medical and public health experts who speak based on science and data and who tell the truth”. I said “trust me”. CNN took that as strongly implying “do not trust Trump” July 15, 2020 – Global USA Continue record-breaking numbers of cases with increased hospitalizations and now even deaths. The press are all over the issue of the White House trying to discredit me. Alyssa Farah put out tweet saying that the USA Tody OpEd by Peter Navarro was never cleared or approved. Adm. Michael Mullen, former Chairman Joint Chiefs called me to empathize and give me encouragement and support. Very nice of him since I had never met him. Very nice conversation The Lincoln Project put out a vewry provocative Fauci versus Trump link: Lincoln Project ad https://bit.ly/2AYJAEy Dan Scavino retweated this cartoon mocking me. This caused outrage among my supporters: Letter from Congressman Krishnamoorth to AZAR regarding attackes on me: 2020.07.15 Letter from Krishnamoorth Amazing Day!! The setting is the extreme tension in the press and in the White House about the USA Today OpEd by Peter Navarro and the “list” of my mistakes sent out by WH Comms. On my way by car to the WH for the TF meeting, I received a call from the POTUS. He started off by saying that this tension of me versus him is terrible and needs to stop. He “loves” me and know we have a very special relationship and have bonded right from the beginning. He is furious about the Navarro OpEd and said (as Mark Meadows walked into the room and he put me on speaker phone): “I am going to tell Navarro if he says or writes one fucking word against you I am going to kick his fucking ass out the fucking door. Mark, make sure Novarro understands, one more word and he is out the fucking door and he won’t come back”. He then started to talk to me about how bad or not things were. He wanted me to be “positive”. I took the opportunity to say” “Mr. President, with your permission, can I be absolutely frank with you? We have a problem and we need to own it. We need to admit that the situation is serious, otherwise we completely lose credibility. We should own the problem and then emphasize how we are going to fix it as opposed to denying the problem”. He was not entirely happy with this but said that he understood the point that I was making. It was a very good conversation. Then after the TF meeting ended, I got a note from the Sit Room staff that Mark Meadows was on the phone from Air Force One and wanted to speak with me. He had seen the interview from The Atlantic and was angry that I had not “walked back” my statement about the 1918 pandemic on that interview. He was again angry and said he thought that I agreed that I would walk back the statement today. I told him I was going to wait until tomorrow when I am on the NewsHour with Judy Woodruff. That was not good enough for him. He wanted it done today. He was also pissed that I had mentioned to the press that we had met and I spoke about the nature of our conversation. He was clearly over-reacting since even he admitted the press knew about our meeting, but I do not think I said anything else to them except that we had met. Anyway, on the way back to NIH I called Sanjay Gupta and asked him to quote me tonight on his TV hit on CNN and say that I wanted to clarify that on the Georgetown interview, I did not mean to imply that COVID-19 would be as bad (50-100 million deaths) as was 1918. Sanjay agreed to do this. I texted this information back to Mark on Air Force One and he replied: “Thanks for getting back with me. We are going to make this work.” The media is totally buzzing about the tension between me and White House. Amazing support for me and blowing off of Navarro and the “list” PRESS: The Atlantic Pulse with Ed Yong; Interview with New Yorker Magazine on COVID vaccine with Dhruv Khullar; July 16, 2020 – Global USA Cases continue to surge. >67,000 cases yesterday. Hospitalizations and deaths going up. Problem emerging here. Mark Meadows is starting to be a problem. He wanted me to “walk back” the statement comparing COVID-19 to 1918. I was planning to do it on a schedule appearance on NewsHour today (Thursday). However, Mark called me yesterday and was upset that I did not do it already. He could not wait 1 day. I said OK and called Sanjay Gupta and asked him to quote me on his show and also write it on his blog that I wanted to clarify. I thought that he did a good job. Then this AM I get another angry call from Meadows saying the clarification was not strong enough (??really). Then on the phone he went on that I need to back off with media since this cannot be a “Tony Fauci show”. He did not like the fact that I did an “In Style” piece and did not want any more profiles of me. If that was not enough, he hung up and then 120 minutes later called and said he read something where I was reported to say that the incubation period was greater than 14 days and wanted me to retract this. I do not remember ever saying that and so he sent me an article where Chuck Todd mentioned that I said that. I pushed back and got angry myself saying that I never said that and so I do not know what he wants me to do. I will try to track down that statement. I also will see if I can state again the 1918 clarification on my Face Book live chat with Mark Zuckerberg this evening. Trouble brewing here. For the first time, I am seriously considering resigning from the Task Force. I cannot tolerate people following my every word. You know he has staff looking up things about what I have said in the past. Teleconference with Matt Pottinger and Bob O’Brien to discuss opening the travel between USA and Europe. Right now there are exceptions for travel for business, but not for tourism. PRESS: Did terrific FaceBook Live with Mark Zuckerberg – 1.8 million viewers; July 17, 2020 - Global – 13,400,000/580,000; USA – 3,600,000/138,000 Records being broken daily. Yesterday 74,000 new cases. Hospitalizations and deaths increasing. Big issue – Despite all the walking back stuff regarding the 1918 comment, Mark meadows in an appearance on FOX News and reported by The Hill, Mark Meadows said that my comment was “irresponsible”. This is really bad. He is losing control of himself with the screaming at Francis and me and the demanding walking back on trivial issues like my comment on 1918 and the “non-issue” about the incubation period being greater than 12 days (which I never said) and now this comment about “irresponsible”, I am thinking about resigning from the Task Force. I called up Marc Short for advice. Mark was on Air Force Two with the VP coming back from Wisconsin and could not respond but called when he landed at Andrews. He said that he too is having trouble dealing with Meadows who is says can be very difficult. Mark told me to hang in there and not do anything drastic just in response to Meadows. Short was totally supportive and clearly indicated that Meadows was a problem for him also. Did Chamber of Commerce live podcast – came out very well. Did Medscape Podcast with Eric Topol and Abraham Verghese Did WebMD with John Whyte Concresswoman Maxime Waters called wanting me to directly address millennials. Good conversation. Crazy Michael Caputo says he now has total control of approvals for HHS people for TV, but wants a “murder Board” before each appearance since “if we screw up, his job is in trouble”. Total bullshit since the 1st “Murder Board” for Francis (CNN) and me (NewsHour) was a joke with his staff who know nothing trying to question Francis and me. Slso, Caputo calls me and says that he is takng over the decision about who goes on TV and not the White House. He wants an organized program of equal distribution among the HHS docs. He sounds delusional. He is declaring independence from the WH. Syas that they will decide Sunday Show, but nothing else. PRESS: PBS NewsHour with Judy Woodruff; New York Times article by Michael Grynbaum refute Navarro’s USA Today OpEd with title: “Newspaper Says Op-Ed Attacking Fauci Was Misleading”; Many clips on CNN drawing from Chamber of Commerce podcast July 18, 2020 – Global – 13,800,000/594,000; USA – 3,640,000/139,000. Cases continue to surge. News cycle dominated by reports of conflict between me and the Trump insiders (see below) Petitions from multiple scientific organizations going around to sign on in support of me. Comm situation becomes even crazier. Despite Caputo saying that he is now “calling the shots and not the White House (see above), Alyssa Farah called me and said that Jake Tapper wants me this week and she will put me on for Tuesday. I explained to her what Caputo said and she told me not to pay attention to him since he is a big problem. She even said that it would be better if he stopped tweeting about Roger Stine and concentrated on his job, things would work better. Anyway, I am caught in the middle. Let us see how this turns out. PRESS: Article in New York Times by Mark Leibowich - “Whats Happening” to Dr. Fauci is the Buzz. – Description of the tension against me and for me; Long article in Washington Post by Philip Rucker, Laurie McGinley, Josh Dawsey and Yasmeen Abutaleb “Attacks on Fauci undercut response”. Also article in CNN blog by Vivian Salama, Pamela Brown, Kristen Holmes and Kate Bennett quite critical of Birx for selling out to trump and compatring me and Deb; Also another New York Times Article by Giovanni Russonello “Most Americans Put Their Faith in Fauci”; Boston Globe by Kevin Cullen: “The Crusader doctor and the non-crusading judge” – comparing me from Holy Cross and Chief Justice John Roberts from Harvard – cute article July 19, 2020 (Sunday) - Continuing surge Francis Collins on Meet the Press – did well. They continually ask him if WH has told him to fire me. Francis responded that this is “unimaginable”. John Lewis dies of pancreatic cancer Many societies are writing statements in explicit support of me. It isvery moving and humbling. Kellyanne Conway called me today saying how angry she was at the unseemly criticism of me by some in the White House. She has spoken to the POTUS about this and he is strongly supportive of me Mark Mradows and I going back and forth regarding his nitpicking every word of mine on interviews. Latest was his concern that I said that NYC did a good job in getting back to basline and opening safely. He says NYC did a terrible job and I should not be setting them as an example. He is incorrect and misunderstood what I was saying. I meant that they went down to baseline and are not opening safely. WEgo back anad forth and finally call a truce. USA Today piece by Gov. Larry Hogan: Hogan: Governors like me rely on experts for COVID facts. Dr. Fauci has never let me down. As Trump downplayed COVID, Fauci offered clear-eyed views of the evidence and what we faced. I shudder to think where our country would be without him. Larry Hogan Opinion contributor PRESS: New York Times article by Michael Shear, Noah Weiland, Eric Lipton, Maggie Haberman, and david Sanger entitled “Passing off virus burden, White House fueld crisis” – criticizes Deb Birx a lot. I comme out well; Major 3 page article in Washington Post by Molly Roberts entitled “Anthony Fauci built a truce. Trump is destroying it” – very favorable profile July 20, 2020 – Global – 14,000,000/598,000; USA – 3,800,000/140,200; • Kentucky, Louisiana, Oregon and South Carolina all set new single-day records for new cases on Sunday. Idaho, Nebraska, Iowa and five other states have seen their seven-day averages for daily new fatalities rise by more than 40 percent in the past week. • More than 100 Florida hospitals have run out of ICU beds for adults. The state has reported more than 10,000 new covid-19 cases on 12 different days in July. Had call with Bill Gates (usual call every couple of weeks) Was on Governors’ call from the Situation Room today. Made comment about the importance of the “fundamentals” on 1) masks; 2) close bards; 3) limit restaurant occupancy; 4) avoid crowds; 5) personal hygiene – wash hands. The Nats mask that Iwore to the Hearing is being put into the Cooperstown MLB Hall of Fame! PRESS: Nice profile on me in Corriere della Sera - https://bit.ly/2ZIWDU7 ; Slate Magazine “What’s Next” podcast; Podcast/Instagram with Maria Schriver July 21, 2020 – Global – 14,300,000/604,000; USA – 3,800,000/141,000. Surge continues in Southern States. Florida in trouble. POTUS had press conference on COVID-19 without having me, Deb, or other TF members with him Meadows and now Rand Paul have been actively criticizing me for saying that NYC got it right in that after their peak, they brought the infections down and now have few hospitalizations and few deaths. They are incorrect. See below numbers for NYC: PRESS: NPR Radio – “Morning Edition” Rachel Martin; New York Times interview wih Jennifer Senior; Nice article in U.S. News and World Report; CNN with Jake Tapper – The Lead; Interview with John Casey of The Advocate July 22, 2020 – Global USA Death threats are ramping up again and so my security with George Adams is coming back. George will take Christine and meto the game tomorrow night and provide security. Had a great Zoom conversation with Ryan Zimmerman (Zim) who gave me tips on throwing out the first ball on Thursday. He was wonderful. Very nice man. Interesting day at the Task Force. Called the POTUS I mentioned to the VP that the POTUS did a good job on the solo press conference yesterday. I told VP to tell the POTUS that I said so. The VP told me to call him myself since he has such great respect for me. Katie Miller gave me the phone number of the POTUS’s personal secretary, Molly Michael. I called her and she ultimately (30 minutes later) connected me. I told him it was a good idea (like I had told him last Thursday) to own the problem, admit that things are bad and describe how he is going to do something about it. I also told him that it was good that he did it solo and kept it to 30 minutes. He was very glad to hear from me and said it was”a really great call” Gov. Andrew Cuomo called me asking how I was. I told him that I was upset that the far right was trying to discredit me. He strongly suggested that I resign; he does not seem to appreciate the difference between resigning from TF and resigning from NIAID. He said I will lose credibility if I stay and that my legacy needs to be preserved. He said if I quit he will make sure that I am hired as an uber-consultant and could do very, very well in the private sector. Sorry, not for me. Nearly 3,500 Public Health Experts Signal Support for Fauci Current and Former Health Officials, Physicians, and Scientific Experts Sign Letter Denouncing White House Attacks on NIAID Director July 22, 2020 ShareThis Nearly 3,500 of the nation’s leading public health experts are speaking out against White House attacks on National Institute of Allergy and Infectious Disease Director Dr. Anthony S. Fauci and are calling on President Donald Trump not to sideline science or scientists as the country continues to reel from the COVID-19 pandemic. The signers include two former Commissioners of the Food and Drug Administration, two former directors of the Centers for Disease Control and Prevention, a former Secretary of the Department of Health and Human Services, a former Surgeon General, several leading medical journal editors, and hundreds of the nation’s most prominent physicians, researchers, and public health experts. NEWS CLIPPING — USA TODAY — CONDENSED (1 SOURCE PAGE) “The open letter to President Trump was drafted by former FDA Associate Commissioner Dr. Peter Lurie, now President of the Center for Science in the Public Interest, and epidemiologist and longtime AIDS activist Gregg Gonsalves,…” Practice and Community Engagement at the Johns Hopkins Bloomberg School of Public Health Dr. Joshua Sharfstein; and Editor-in-Chief of the Science family of journals Dr. H. Holden Thorp. “As current and former public health officials, researchers, and public health professionals, we call on our political leaders, members of the media and all Americans to reject the sidelining of science, to speak out against the silencing of scientists, and to champion open and public scientific discussions of the issues facing our country as we struggle to make progress against the SARS-CoV-2 pandemic,” the letter continues. “For that, we need the clear voices of government experts, including Dr. Fauci, to be available to the American public without limitation. That is the only path that can bring success in our efforts to control the virus.” “Science and scientists had been under relentless assault during the Trump administration before the COVID-19 pandemic, and that assault has not let up,” said Lurie of the Center for Science in the Public Interest. “We must reverse the administration’s hostility to science and certain scientists if we’re to deploy the public health measures and develop the treatments and vaccines that are our only hope for bringing the pandemic under control.” “We have so much work to do to end the SARS-CoV-2 pandemic in the United States. We’ve seen too much death, too much economic devastation already. Public health and science offer us a way out, a way to vanquish this virus. But to do that we have to embrace the best science and scientists this country has to offer, not denigrate the very expertise that is vital to our survival at this moment,” said Gonsalves of Yale School of Public Health. Topic: COVID-19 Integrity In Science Anthony Fauci Contact Info: Contact Jeff Cronin (jcronin[at]cspinet.org) or Richard Adcock (radcock[at]cspinet.org). Telephone call with Marc Ghaly fro CA again asking for advice on how to control the surge in CA. A problem is that even when you close the bars, people have backyard barbecues that are as bad as bars. He is also concerne about the upcoming harvest season with migant workers. 75% ofinfection are among LatinX PRESS: Randy Rainbow Pleads for Dr. Fauci's Help to 'Gee, Officer Krupke' https://bit.ly/3jtogIN; July 23, 2020 – Global - 14,800,000/612,000; USA – 3,950,000/143,000 Uneventful day with usual NIH meetings. Did not go down to White House. Getting nervous about throwing out the first ball at Nats stadium tonight in the Opening Day ceremony of Nats versus Yankees game. Amazing night at NATS Stradium where I threw out the first pitch to open the 2020 Baseball season with Nats – NY Yankees game. Unfortunately, I threw a “bouncer” to the right of the plate. I felt really badly but the overwhelming public reaction to it was sympathetic and positive. Mark Lerner (owner of Nats) had me sign dozens of baseballs to be given out to people and one that will go into the Baseball Hall of Fame together with 2 Louisville Slugger bats. I signed a Nats Jersey that will hang on the wall in Nats stadium next to a similar shirt signed by President Obama. Game got rained out in the 6th inning and we went home. Yankees were leading 4-1. PRESS: Interviewed with David Axelrod for “The Axe Files” podcast; Wall Street Journal Article on AIDS activism; July 24, 2020 – Global – 15,000,000/619,000; USA – 4,020,000/144,000 Routine day. Went for my “annual” physical with Ted Li. All is well. PRESS: FOX News with John Roberts; On front page picture of me glove tapping with Sean Doolittle; Podcast with CSIS (Steve Morrison); Interview with Ben Cohen of Wall Street Journal; podcast with Khan Academy; WINS NYC Radio; July 25, 2020 – Global USA Texas now have to triage who gets into intensieve and who does not (too far gone and/or too old. Very difficult situation. California takes over from NY as state with the most cases. Florida still surging. Deaths in the USA up to 1000/day for 4th day in a row. They have created a baseball card with a photo of me throwing out the first pitch. Judy Mikovits is planning to be on conspiracy TV shows via Sinclair news network saying that Fauci created the coronavirus in China and brought it to the USA Over the past week POTUS has done 3 press conferences alone. I have commented to the press that I think that this is good since he is now giving a sober message that things will get worse before they get better and that people should wear masks and avoid crowds. He has cancelled the GOP Convention in Jacksonville Florida. I commented that I liked the fact that the pressers were short and concise. CNN sarcastically commented that I really giving a vailed criticism of his prior pressers. July 26, 2020 (Sunday) – 5th Day in a row for 1000 deaths/day. Brett Giroir on Tapper (State of the Union) talking bullshit about testing with Jake pressing him. I gave Jake some questions to ask him. Mark Meadows on This Week with George Stephanopoulos saying that public health measures are not working and we will have to rely on interventions such as vaccines and therapeutics. This is his way of backing out of a failure and trying to get an “October Surprise”. Heads up for him trying to push an early approval of vaccine or even influencing the decision about convalescent sera, which actually do not look too good right now. Spent better part of yesterday and this AM working out the tension between the COVPN sites, Larry Corey and Moderna. Larry acting out since he is angry that Moderna and perhaps AstraZeneca are going with CROs instead of the COVPN sites. Larry understandably feels left out and disrespected. He has a point but he is poisoning the relationship with the companies, which is a bad idea since like it or not, we (Operation Warp Speed – OWS) allowed the company instead of NIH to hold the IND and so it is their trial. Larry hostility spilled over to the site PIs and they leaked to the press disparaging things about Moderna, which set off a media pickup, etc. I called Larry, then set up a Zoom yesterday with Moncef Slaoui, Matt Herpburn, John Macola to figure out how to fix this. I volunteered to convince Larry that he is inadvertently becoming the “problem”. Zoom call today with Larry and the above 4 to come to some sort of understanding: Larry and COVPNs would not be left out of the action, but Larry must stop criticizing the Company. Tomorrow we have Zoom with all of us + the COVPN PIs. Jake Tapper woke me up at 11:23 AM (I went to bed early) furius at POTUS for tweeting about the fact that Jake severly questioned Brett Giroir on SOTU CNN show today. Jake was really pissed at the craziness of it all. July 27, 2020 – Global – 15,800,000/640,000; USA – 4,200,000/147,000 Today is launching of Phase 3 trial of Moderna mRNA-1273. First patient received the vaccine in Savannah Georgia at 6:45 AM. Fastest ever in the USA from sequence to phase 1 and fro sequence to now phase 3 We had in Building 1 a virtual press conference at 10:00 AM with me, Francis Collins, Matt Hepburn, and Stefan Bancel announcing the start of the Phase 1 trial. Met with the POTUS in the Oval Office today briefing him (with Azar, Collins, Gen. Perna, Moncef, Jared Kushner) about therapeutics and vaccines. He was typical stream of consciousness and rambling on. It is clear he wants therapeutics quickly. He accepted that the vaccine might not be ready before the election, but he was not happy about it. He kept pushing about when therapy would be ready. Francis and I were surprised when some of the WH staff sitting behind us told him that the convalescent plasma data looked real good and we would have definitive results tomorrow. Had no idea what they were talking about since we know that the plasma data are a mess and we are bringing in statisticians (independent) to look at the data. The baseball card of my opening day pitch by Todd has broken the all time record for sales with 51,512 print sales in just 24 hours. Craziness continues. Threats against me are increasing greatly and so George Adams and my “modified” security detail is back PRESS: Press conference re: start of Moderna vaccine trial (mRNA-1273); did Face Book Live with Francis Collins and Steve Hoge on the Moderna phase 3 trial; CNN Situation Room with Wolf Blitzer; FOX News with John Roberts. July 28, 2020 - Global USA On GMA, George Stephanopoulos brought up that the POTUS has retweeted a tweet from a Breitbart based group that said that I was misleading the American public and thsat I was a fraud. George asked me to respond and I blew it off saying that I do not tweet or even read tweets. After the interview, George texted me saying: “Thank you, Tony. So impressive”. The POTUS is playing a weird game of acting Okay with me in person and saying that our relationship is fine to the press and then retweeting stuff that attacks me. He is a very strange guy. Task Force meeting today. Continued surge in Florida. Threats now to yellow states of Ohio, Kentucky, Indiana, and others sine they are seeing increases in percent positives of their tests. PRESS: Good Morning America – ABC with George Stephanopoulos; Black Entertainment TV – Marc Lamont Hill; Wired print interview with Steven Levy; AP Website TV – Mike Stobbe; Fireside Chat – American Federation of Teachers – FaceBook Live July 29, 2020 – Trump bemoaned to the press at a press conference yesterday that my approval ratings were better than his. And he did not understand why. Amazing!! He really stepped in it yesterday when he endorsed a group of whacko doctors who said that Hydroxychloroquine cures COVID-19. Woman (African) doctor named Stella Immanuel who beiieves in alien DNA and demon sperm said you do not need masks and HC cures COVID-19. Trump not resally knowing much about her, endorses her because she pushed HC. Don Lemon (CNN) on his show last night crucified Trump for this. Again the narrative continues of me versus Trump. CNN and the media in general are having a field day with this and hammering Trump. Met with group of “Doctors” (Deb, Seema, Brett, Bob) in a new format led by Adam Boehler and Brad Smith + Morgan Ortagus (Comms) to tighten up policy Tucker Carlson calls Anthony Fauci a “hypocritical buffoon” Carlson: “Criticize Fauci, and you will disappear from the internet” WRITTEN BY MEDIA MATTERS STAFF PUBLISHED 07/28/20 8:47 PM EDT SHARE • • • • COMMENT • PRESS: BBC Radio News; ESPN podcast with Pablo Torre; BBC/PBS World News TV with Katy Kay; MSNBC with Andrea Mitchell; 4 local TV stations – Telemundo; Univision; 2 others July 30, 2020 – Global – 16,600,000/565,000; USA – 4,400,000/151,000 Participated in a “Call to Action to Donate” ceremony at the American Red Cross Headquarters. Did tour with Azar and the POTUS and visited with a person giving blood. Then had roundtable with POTUS, Azar Hahn, Adams, Collins, Birx. Adam Schechter of Quest, Gail McGovernPres and CEO of ARC. Had phone conversation with Ted and Annette Lerner (Owners of Washington Nationals). They wanted to thank me for all that I am doing for the country and to wish me well. Promised that we will be seating together at a nationals game. PRESS: Press briefing associated with visit to Red Cross; Black Press USA Fireside Chat Face Book Live; CNN Town Hall with Sanjat Gupta and Anderson Cooper July 31, 2020 – Still >1000 deaths per day. Slight flatteningin AZ, but other states still surging. Yellow states starting to increase. Red states - >10% positive; Yellow states – 5 to 10% positive; Green states - <5% positive House Hearing today – Select Subcommittee on COVID-19 – Chair – James Clyburn – Rayburn-2154, Major clash with Jim Jordan (R-OH). Go to You Tube to see. I believe that I made him look silly. Important call form Larry Horowitz who works closely with nancy Pelosi. Apparently, There was a meeting in the WH with Steve Mnuchin, Mark Meadows, Nancy Pelosi and Chuck Schummer. Steve and Mark told Nancy and Chuck that AstraZeneca will have vaccine in September and that it will be given an EUA. Theyare talking about the ChADOX vaccine that Adrian Hill is testing in Brazil and South Africa, It is a 10,000 person trial. Apparently, Peter Marks does not know anything about this and Larry just informed him. Bottom line is that they are going to pressure Steve Han (who likely will cave in in the idea of an EUA) to issue one even though Peter has serius issues with this. An EUA will likely get in the way of completing the RCTs that are going on. Clearly. This is politically driven and will be a ploy for Trump to get reelected. PRESS: Much coverage on CNN of my encounter and confrontation with Jim Jordan. CNN Jim Sciuttto, Don Lemon and Chris Cuomo dumped all over Jordan. August 1, 2020 - Global – 17,400,000/675,000; USA – 4,500,000/153,000 Uneventful Saturday. Southern states still surging; >1000 deaths yesterday. The new approach of jumping on the mostly yellow states that are starting to show a slight increase in percent positive is referred toas the “embers approach” Had conversation with Ian Lipkin. Ian is responsible for the medical/public health aspects of the Democratic Convention in Milwaukee. He called me to go over all the things he has put into place – masks, testing everyone, airflow, limit numbers, physical distance, etc. – to ask if he has missed anything. Seems he has done all he can do. The decision to hold the convention or not is up to the politicians. Since they have decided to go with it, Ian has done his job in making it as safe as possible. PRESS: Usual CNN pitting me against the POTUS August 2, 2020 (Sunday) – Global – 17,700,000/681,000; USA – 4,600,000/154,000. I was not on any Sunday shows despite requests for from them. Brett Giroir on Meet the Press and Deb on SOTU. POTUS continues to tweet that I am incorrect in what I am saying. He rejects that I say that the USA only shut down by 50+% while EU shut down by 90% and then goes on with the non-sequitur that we have more cases BECAUSE we are testing more. The press in blasting him for supporting the wild woman Stella Immanuel. August 3, 2020 – Global USA Far right and FOX News continuing to attack me. Tucker Carlson calling me a “Fraud” and a “hypocritical buffoon”. Fireside Chat with Dartmouth Medical School faculty. PRESS: Local TV – KDFW-TV – Dallas; KABC-TV – LA; KSNV-TV – Las Vegas; WTVJ-TV – Miami; KTLA-TV – Los Angeles; WGN-TV- Chicago; KGTVTV – San Diego; Voice of America TV with Greta Van Sustern; JAMA Podcast with Howard Bauchner; US News and World Report (Brian Kelly interview); Face Time Live Press conference with Gov. Lamont (D-CT) August 4, 2020 – Global - 18,000,000/688; USA – 4,700,000/155,000 Amazing Day – We were supposed to have a routine TF meeting today. We were waiting in the Sit Room for a 3:00 PM start and the VP was late at 3:15 PM. Marc Short then came in and said that the POTUS wanted some of us ogo to the Oval Office. We we got there, the entire senior staff was there (everyone). The VP sat the following around the Resolute Desk – me, Deb, Redfield, Giroir, Azar. The POTUS then started eyeing and throwing around the Fuck word: “What the fuck are you people doing? Deb you are saying that the pandemic is now in the rural areas. First the cities, now the rural areas. Where is it now. I am saying we have it under control and you say it is everywhere. Tony, you are always contradicting me. Giroir, you say HC does not work (he said this on SOTU on Sunday). I took it and many good doctors swear by it.The whs fucking message. You need to be positive”. Then he started raving that we are seeing more cases only because we are doing more testing. The other countries look good because thery are not testing. At that point, Kellyanne Conway took over and made the point that we can say what we feel is correct, but if it contradicts the pOTUS, they need to hear about it in the Oval or Sit Rooms and not hear about it for the first time on TV. Everyone remained silent. At that point I gifures enough is enough. I said: “Okay Mr. president. We are now in the Oval office and so you need to hear it diretly from me. Increased testing does not cause cases. When you increase testing you will of cours pick up asynptomatics whm you might otherwise not notice. However, when you have increased percent positives and increased hospitalization, and increased deaths, that means that there are truly more cases. He then changed the subject and started talking about the fact that deaths are down. After I broke the ice, then Deb, Redfield, and Giroir chipped in. All in all it was a manifestation that he is desparate and still does not understand the pandemic. Very interesting encounter. After that we went to the Doctors Huddle with Brad Smith and Adam Boehler to talk about tesing and schools. More later. PRESS: Historical Record of A. S. Fauci – Part 2 August 5, 2020 – Global – 18,100,000/692,000; USA – 4,750,000/156,000. Met with POTUS yesterday in Oval (see part 1). Photo below: Had Peter Navarro discuss HC with NIH Guidelines Panel. He was his typical arrogant self and rejected RCTs as being flawed and stuck with the observational studies. He maintained: “I am wrong, no one is harmed, if you are wrong, thousands of people die”. He denies that HC can have any deleterious effects. His partner on the call was Mark Hatfill (Yikes!) PRESS: Did The Forum at the Harvard T.H. Chan School of Public Health – “When Public Health Means Business” with Sanjay Gupta moderating – carried live by CNN; Bloomberg TV – David Westin; Brain Pop TV; Politico podcast – Dan Diamond; Reuters TV; Interview with Walter Isaacson on Amanpour and Company TV August 6, 2020 – Global – 18,400,000/698,000; USA – 4,800,000/158,000 Got semi-agitated call from Mark Meadows at around 7:45 AM saying that he is going to keep me off all TV until we sit down and talk. He admits that I am probably being misquoted, but the press is pitting me against the POTUS. They are trying to drive a wedge between us. My interview with CNN this AM was terrific, and when I saw that it was Mark who was calling I thought that he was calling to tell me that the CNN interview was great. Apparently, I had said yesterday that the virus would not be “eradicated”, which is true (only smallpox). This is against what the POTUS said. I explained this to Mark and he seemed to understand that I was saying that it could not be eradicated, but I emphasized that it could be controlled. I suggested that he watch the CNN interview. He stated that the POTUS has a great deal of affection for me and he does not want to see a rift. He said he would watch CNN New Day and get back to me. I may be off TV for a while. Call from Sen. Pat Toomey (R-PA) asking about a few things. Is it a good idea to widely test for antibodies in PA to determine penetrance of infection? I told him yes. Also, questions about use of saliva POC tests. Good conversation. Discussion with Don Milton and Kimberly Prather on aerosols. They are particle and aerosol physicists and it is clear that particles larger than 5 um can aerosol including those up to 50 or 100um. Important implications for masks and indoor ventilation and physical distancing. Did a briefing with Qs and As to the Congressional Asian Pacific American Caucus (CAPAC) led by Rep. Judy Chu and including Mazie Hirono, Grace Meng, Bobby Scott, Tulsi Gabbard, Brad Sherman, Susan Davis, Mark Takano. Went very well. PRESS: WVLK Lexington, KY Morning News Radio; CNN New Day with John Berman; Bloomberg News on Vaccine hesitancy – Anna Edney August 7, 2020 – Global - USA Made rounds again today (felt really good) – saw Mr. Davis (HIV, IRIS, Steroids and Ramsey-Hunt Syndrome); Also saw Sharon Rockefeller in for Steve Holland and will get removal of rectal stump that is chronically infected with fistula due to radiation. OWS Weekly Call – All 6 companies now have advanced purchase agreements. Also, Pfizer still not giving any information even though they have adv. Purchase agreement. This is unacceptable and they need to be blasted in my memoir. Also, we are averaging 800 enrollments/day in the Moderna trial: 2020-08-07 OWS board briefing Vx & Call from Larry Horowitz (works with Nancy Pelosi) (should have described above). He had warned me a few days ago about Meadows trying to pressure Hahn and Marks to grant UA (or even BLA) prematurely to vaccines (likely AZ) in time for the election. I called Peter Marks a couple of days ago (together with Collins and Lane) and explained that we would back him if he holds the line. He called the AZ package “a hot mess’ and definitely not in shape for an EUA Plasma drive on Times Square Did Fireside Chat (virtual) at Brown University with Ashish Jha (new Dean at Brown School of Public Health) - PRESS: Face Book Live – Brown Fireside Chat (see above) August 8,2020 – Global – 19,200,000/716,000; USA – 4,900,000/160,200. POTUS acting even more erratically. Keeps insisting that increased case numbers are due only to increased testing, ignoring the increases in percent positive, hospitalizations and deaths (>1000/day). Inconsistent message to me whether they want me on TV. David Muir (ABC World News Tonight) requested me and we accepted and thought that it was cleared and then silence. Same for NBC Morning News with Savannah Guthrie. And so, I decided to call Alyssa Farah and straighten things out. She was her usual wonderful self when I explained that I needed to know where I stood with the WH and being on TV. She said that she would want me on every day and every night. However, the POTUS keeps saying that the Doctors are contradicting him and he is very impulsive and so when he sees or hears about a contradiction he blows up and says either Birx should not be on TV or Fauci should not be on TV. Comms people obey and then after a couple of days, they know that he calms down and even forgets and they then get me and Deb back on the air. Alyssa also said that Kayleigh McEnany reminds him that I have an 80% approval rating and it is not a good idea to keep me off TV. They want me on TV, but they have to play to POTUS and Mark Meadows impulsive and mercurial behavior. Interesting call. PRESS: Appeared in Washington Post: As Fauci battles the pandemic and politics, his grateful neighbors celebrate him as a hero NEWS CLIPPING — WASHINGTON POST — CONDENSED (1 SOURCE PAGE) “Ida Bergstrom and her sons Lars, 11, left, and Nils, 14, are selling yard signs to show support for Anthony S. Fauci, who is the nation's top infectious-disease expert and one of their neighbors. (Bill…” and feels strongly that no EUA is justified. She wrote it up and will officially submit it and make it oubic. HOWEVER, she was told by Steve Hahn to wait until Monday (today) so that he can “speak with Meadows”. Question is whether Steve merely wants to inform Meadows out of courtesy, or he might cave to meadows. We shall see. Patrizia is OK. She will stay strong. August 9, 2020 – Global – 19,500,000/722,000; USA – 5,000,000/161,000 Birx gets compared with me in a Guardian article: Dr Deborah Birx: voice of scientific reason or apologist for Trump? The coordinator of the White House coronavirus taskforce built her reputation fighting Aids but is she compromising it by indulging the president’s whims? Dr Deborah Birx speaks during a meeting in the Oval Office with Trump. Photograph: Rex/Shutterstock Tom McCarthy @TeeMcSee Published on Sun 9 Aug 2020 05.00 EDT Months of frustration with Donald Trump’s denial of the coronavirus crisis in the United States boiled over last week when the Democratic House speaker, Nancy Pelosi, publicly attacked a top member of Trump’s coronavirus team, Dr Deborah Birx, for standing by the US president despite his record of lies and misinformation about the virus. Her position contrasts sharply with Dr Anthony Fauci, her former supervisor and current scientific peer on the White House coronavirus taskforce, who has clashed more frequently with Trump – but has if anything risen in the public estimation for doing so. The question for Birx is whether, after the current health emergency is past, she will be remembered as a Fauci-like figure who was able to work with Trump without becoming personally compromised – or as something else. We know sooner or later that when EU opens up, there cases will go up if they are not careful, and some of them are not careful: From an American Artist in Paris” Whether or not to open schools has been a major topic of discussion as we approach the school opening timetable. I have been saying consistent that we should have as a default position our attempt/intention to open schools because of the psychological effects on children and in some areas, the dependence on schools for breakfast and lunch. Also, the potential deleterious downstream effects on working parents. HOWEVER, the primary consideration must be the health, safety and welfare of the children and the teachers, and the potential spreading to others (i.e. family members). I have stated that one size does not fit all and decisions should be based on the level of infection in the community: PRESS: Front page article in Washington Post blasts Meadows and Trump for ignoring me and Birx and carefully monitoring everything that I say in order to keep us on message and when we do not, they do not approve requests for interviews. Glad that the sources were many and so they do not think that I leaked. August 10, 2020 – Important NBC print article (blog) about the difference between Birx and me: Trump calls Birx's COVID-19 warnings pathetic — but the real test is what she does next Doctors like Fauci and Birx find themselves in an unenviable position, as do so many employed by the Trump administration. But given our national crisis, there is little room for excuses. Dr. Deborah Birx, the White House coronavirus response coordinator, arrives for a coronavirus task force briefing in the Rose Garden at the White House on April 27.Jabin Botsford / The Washington Post via Getty Images file , 4:30 AM EDT By Jalal Baig, oncologist Dr. Anthony Fauci is, by now, a household name. But the good doctor's mostly unalloyed advocacy of scientific and public health truths has come with clear political and personal costs. As the coronavirus has spread, Birx has hewed much closer to the White House’s oftenproblematic pandemic script. There are constant rumblings of Fauci's firing by President Donald Trump, who excoriates him regularly for committing "a lot of mistakes." In addition, the director of the National Institute of Allergy and Infectious Diseases has drawn the ire and ridicule of lawmakers like Sen. Rand Paul, R-Ky., and Rep. Jim Jordan, R-Ohio, for opining on matters deemed to be beyond his preserve. Most bloodcurdling are the "serious threats" that have been made against him and his family. Fauci's counterpart on the White House coronavirus task force, Dr. Deborah Birx, the response coordinator, is in a different position. House Speaker Nancy Pelosi called Birx "the worst" in a closed-door meeting with members of the Trump administration at the end of July. Then during a follow-up appearance on ABC's "This Week" on Aug. 2, Pelosi accused the official of enabling Trump's spread of coronavirus misinformation. These concerns are not unfounded. As the coronavirus has spread from raging fires in scattered epicenters to a national inferno, Birx has hewed much closer to the White House's oftenproblematic pandemic script. For months, she stayed publicly mum in the face of Trump's politicized and patently false claims about the contagion, occasionally gushing about his nuanced appreciation for science. Yet, when Birx finally countered some of Trump's conspiracy theories and half-truths this month, she predictably found herself in his crosshairs. She stated the obvious last week, describing infections as "extraordinarily widespread"throughout the nation. This irked Trump, who accused Birx of taking "the bait" from Pelosi and attacking the administration's response. Birx, a colonel in the Army who serves at the pleasure of the president, highlights the metamorphosis that seemingly competent and objective individuals undergo inside Trump's White House. As David Smith wrote in the Guardian, "Like other White House officials before her, she is said to be sacrificing a hard-won professional reputation at the altar of Trump's vanity." Now, as America enters a new, critical coronavirus phase, Birx finds herself at a fork in the pandemic road. Will she continue to walk the line between truth and the politicized "truth" Trump desires to hear? Or will she opt to clearly put her medical oath over job security? August would be an ideal time for Birx to grow a spine. With the protracted first wave of the virus inching closer to the dreaded fall and with schools now reopening, the country remains all but rudderless in its response to the coronavirus pandemic. After the federal government abdicated its role to helm a coordinated response, 50 states scrambled to cobble together 50 different plans. NEWS CLIPPING — NEW YORK TIMES — CONDENSED (2 SOURCE PAGES) “Trump, meanwhile, has continued with his dangerous musings on the virus. As physician Dhruv Khullar observed in the New Yorker, "The work of saving lives has been complicated by misinformation, rhetoric, and political calculation." Apart…” Patrizia Cavazonni stood by her guns and Steve Hahn did not over-rule her regarding the EUA or Hydroxycholoquine PRESS: ABC TV – David Muir – ABC World News Tonight; August 11, 2020 – Global USA Very serious e-mail from Deb Birx this AM and my response to her: Deb: I am totally with you. I will, and I trust we all will, continue to give the message that we have been giving. This is an historic pandemic and it is our responsibility to do everything we can to contain, control and eliminate it. We cannot just let the virus do its thing since people will die. Children get infected and some of them get very sick and they almost certainly play a role in the community spread. W e should hold strong on this. Perhaps we can still be value-added, but we need to discuss that if the POTUS is following Atlas’s advice and not ours, then what are we doing there? Best, Tony Anthony S. Fauci, MD Director National Institute of Allergy and Infectious Diseases Building 31, Room 7A-03 31 Center Drive, MSC 2520 National Institutes of Health Bethesda, MD 20892-2520 Phone: (301) 496-2263 FAX: (301) 496-4409 E-mail: afauci@niaid.nih.gov The information in this e-mail and any of its attachments is confidential and may contain sensitive information. It should not be used by anyone who is not the original intended recipient. If you have received this e-mail in error please inform the sender and delete it from your mailbox or any other storage devices. The National Institute of Allergy and Infectious Diseases (NIAID) shall not accept liability for any statements made that are the sender's own and not expressly made on behalf of the NIAID by one of its representatives. From: Birx, Deborah L. EOP/NSC <Deborah.L.Birx@nsc.eop.gov> Sent: Tuesday, August 11, 2020 6:59 AM To: Fauci, Anthony (NIH/NIAID) [E] <afauci@niaid.nih.gov>; Redfield, Robert R. (CDC/OD) <olx1@cdc.gov>; Hahn, Stephen <SH1@fda.hhs.gov> Subject: Oval yesterday A very dangerous meeting in the OVAL yesterday. I had been excluded from all oval meetings since 22April until a couple of weeks ago when the President began speaking to Tony and I and thus the southern hot pink graphic showing the Southern outbreak. Since then I am sometimes included in a brief meeting before his press briefing (approx. 2-3 times total). A couple of weeks ago a Dr Scott Atlas showed up at the WH with a very different take on the epidemic. Dr Atlas thoughts 1. No matter what we do it the outcome will be the same – in other words in most places the virus has already run its course. There is enough herd immunity to protect the rest of the population if we protect the vulnerable 2. Schools can open and should open everywhere – I countered that this would cause a new round of community spread and eventually lead to new hospitalizations and deaths – but I had no impact 3. Children are not at any risk to infection and do not spread the virus in any manner – the do not transmit the virus 4. HTN and associated co-morbidities are not that critical – ie all BB, MLB, FB except for line backers that are overweight are at no risk as physical fitness overcomes the virus effects 5. Masks are over rated and not needed 6. Testing is very over rating – thus the source of the President’s call for new testing guidance 7. Case identification is bad for the President’s reelection – testing should only be of the sick The president has decided we were wrong about “heat” and the summer and therefore our opinions at this point are irrelevant. (As was discuss by CHOP months ago and all models predicted outdoors (thus summer) would decrease R1 by 15-20% due to some increase in social distancing but this could immediately be over come with decreased mitigation such as social distancing and etc and thus the situation we are in.) He noted that it was the task force that got us into this ditch by promoting testing and falsely increasing case counts compared to other countries. The conclusion was Dr Atlas is brilliant and the President will be following his guidance now. I don’t know what can be done at this point but I will make another run at this and will continue the state by state approach to try to contain the virus but doubt my abilities to change the President’s mind concerning what needs to be done – strict mask use, expansion of testing, strict social distancing and limiting access to all public venues where social distancing and masks cannot be used, limit school reopenings where there is uncontrolled community spread – the red counties – until the outbreak can be contained, limiting in yellow counties with strict social distancing and mask use. Open to all thoughts but I don’t think I can be very effective at this point. Deb Met with POTUS in Oval Office together with Collins, Deb, Moncef Slaoui, Gus Perna and the entire WH staff with our group sitting in front of the desk. Meeting was supposed to be our briefing the POTUS on vaccine progress. However, it turned into the free-floating stream of consciousness about vaccines, treatments, stock market, Russian vaccine, approval ratings, testing too much, influenza, etc, etc. My relationship with him is now back on track as I joked with him a lot during the meeting. Lasted about 40 minutes. Had teleconference from my home with Mascola, Dieffenbach, Mike Cohen, Peter Gilbert, Larry Corey regarding the revealing of the AMP data (Antibody Mediated Prevention). HPTN 703 – Women in Southern Africa and HPTN 704 – MSM and TGW in Americas and Switzerland receiving VRC01 infusions every 2 months for 10 months. Data are clear: overall no prevention of HIV infections. However, very clear from sieve studies that VRC01 prevented acquisition of VRC01 sensitive isolates. Big win! This is first step in a multi-mAb regimen similar to combination ART PRESS: Terrific Face Book/Instagram with Tiffany Haddish; August 12, 2020 – Global – 20,000,000/735,000; USA – 5,120,000/164,000 4800 items regarding me on sale: Fauci items on Etsy - n=4804 https://www.etsy.com/search?q=fauci Discussed on a “chat” with Pastor Miller of St. Luke’s Lutheran Church in Silver Spring in a session for children. She also said a prayer for me. Bets Malone has written a song about me to the words of “You Made me Love You”. Going viral on you tube. Totally crazy Important meeting at Task Force – Trump has brought in a Dr. Scott Atlas, a radiation oncologist from Stanford Hoover Institute. He is a FOX News Commentator and Trump has seen him on FOX. He is against everything we are saying. He wants to open schools in red Zone, feels that children do not get sick (or even transmit when they get infected) and so we should let herd immunity form. He wants to protect the vulnerable but does not realize that we do no do that effectively. He wants to only test symptomatic people. He obviously does not believe in community spread. This is going to be a real problem. The rightwing press is saying that Trup brought him in to counter me and Birx. Atlas now has an office in the EEOB and he is Special Assistant to the POTUS. He is also now a member of the Task Force. PRESS: Did Fireside Chat with the “Trilateral Commission” led by Meghan O’Sullivan and Juliette Kayyem (Harvard Kennedy School of Government) August 13, 2020 – ~1500 deaths yesterday – deadliest day of summer. Global – 20,200,000/737,000; USA – 5,200,000/165,1000. Had very nice Zoom conversation with Gov. Raimondo (D-RI) about school opening. RI is in green zone and so it was an easy conversation. The Fauci cult is getting even stronger. E-mail from Children’s Hospital at Northwestern in Chicago” Amazing surprise: Irwin Redlener called me. He is a friend of Joan Baez and said that Joan is now an accomplished portrait artist and she is a great admirer of mine and has painted a portrait of me. Irwin wanted to know if it was OK for him to give Joan my cell phone number. I said of course and within an hour Joan called me and we had a wonderful conversation with her calling me an American hero. She texted a copy of the portrait to me. I gave her my home address and she will send me a print of it. See below: PRESS: Local Radio and TV in North Carolina – 1) 106.1 FM: KC O’Dea Show (Radio); 2) Bo Thompson WBT (Radio); 3) WGHP Fox 8 Brad Jones TV Greensboro; 4) WXII TV Davonte McKennith – Winston-Salem. PBS NewsHour with Judy Woodruff. Instagram Live with Matthew McConaughey. Pew Trust Podcast August 14, 2020 – Excess death calculations has us actually at 200,000 deaths from COVID-19. Global USA Did Task Force today. Had brief discussion with Scott Atlas. He is concerned about being seen as the “anti-Fauci”. He says that he is not in favor of “let it rip” to develop herd immunity. He believes in herd immunity, but he feels that we should just protect the elderly and vulnerable in nursing homes. He may be backing off on what he was “supposed” to have said. Clearly, Deb Birx and to some extent Redfield feel that he is dangerous. He might be, but I really need to hear from him what is position is on a variety of subjects. Joan Baez sent me a beautiful note this evening. Hi Tony, Just a thought.. People have told me over and over how important I was I'm their lives..I never really either believed them or paid them much attention. But maybe too much modesty, false or otherwise, is as silly as blowing ones own trumpet to loudly. I wonder if you have any idea (probably not) how important you are to us, our health, our sense of hope, and that we won’t go under, not just yet. I am not optimistic about the future of our country, or the world for that matter. But that doesn’t mean I’ve given up. I’m fortunate to paint, and paint well. Same as I sang well. I had the blessed luck to end my singing career shortly before Covid upended the entertainment industry. My first portrait exhibit was called “Mischief Makers”. It consisted of people who had spoken truth to power, many risking their lives to make change without the use of violence. Without even thinking about it, you are doing nonviolent resistance every time you stand up in front of the cameras with people all around you who are doing everything possible to negate common sense and science.. knowing your life oddly and unexpectedly is more fragile than you’d thought, by the splits and divisions, mistrust and hatred - mostly people by who are encouraged to do evil, are now very close by. Corragio Tony! If I, or anyone from my community of activists and friends can help you out in any way, please just let us know. Meantime, my British mom used to say, "Carry on the good works and take care.. good people are scarce." Yours, Joan On rereading this I see that parts of it might be appropriate to put up on my face book page. Let me knkw if that makes you uncomfortable in any way. PRESS: August 15, 2020 Brett Giroir getting slammed by the press for saying that we do not need to do widespread testing. He is acting annoyed with the press (which is a bad idea) when they push him and mention that all the health experts disagree with him. The Fauci cult continues: Fauci Bobblehead Raises $200k for Healthcare Workers Two new Fauci-themed bobbleheads are on preorder. They will also raise money to support healthcare professionals. By Christopher Ruvo The National Bobblehead Hall of Fame and Museum has revealed that a bobblehead it produced of Dr. Anthony Fauci has raised more than $200,000 to aid in the fight against COVID19. Dr. Anthony Fauci The museum generated the money by donating $5 from every Fauci bobblehead sale to the American Hospital Association’s Protect the Heroes Campaign in support of the 100 Million Mask Challenge and other initiatives that protect healthcare workers on the front lines of the coronavirus pandemic. Other bobbleheads, including one of Dr. Deborah Birx, helped generate an additional $70,000 in donations for the cause. Given the success of the Fauci bobblehead charitable initiative, the Milwaukee, WI-based museum has created two more Fauci bobbleheads that are now available for preorder. The first commemorates the Fauci “facepalm” incident from earlier this year, while the second features the original Fauci bobble design with a red tie. The museum will continue to donate $5 from every purchase to Protect the Heroes. Dr. Fauci ‘facepalm’ bobblehead Dr. Fauci red tie bobblehead “After releasing the first bobblehead of Dr. Fauci, we received a lot of requests for a facepalm version, and when the original bobblehead sold out, we wanted to give a few options for the many people out there just finding out that a Dr. Fauci bobblehead exists,” said National Bobblehead Hall of Fame and Museum co-founder and CEO Phil Sklar. “We look forward to raising more funds and awareness for the Protect the Heroes Campaign during these unprecedented times.” Fauci, 79, is the executive director of the National Institute of Allergy and Infectious Diseases. A central figure on global health issues like HIV/AIDS, Ebola and Zika, Fauci has been the medical expert at the forefront of the U.S. battle against coronavirus. The “facepalm” theme of the one new bobblehead arises from a press briefing in March in which Fauci appeared to chuckle and cover his face with his hand in reference to something President Donald Trump said. Fauci said he was only covering his face because a lozenge was stuck in his throat, but the image went viral. The problem is that now I am one of the most recognizable and well-known people in the world. This is very strange; however, it is triggering increased hate mail and threats. My security detail (Brett Rowland, Andre Jacobs, Mike Salva, Ken are getting more careful and concerned. Outbreak still roaring: PRESS: None August 16, 2020 (Sunday) – No Sunday shows for me. They are putting out Scott Atlas and Brett Giroir. New emphasis is that we do not need to widely test, we just need to protect the vulnerable in Nursing Homes by testing personnel often and occupants. They are forgetting about the many vulnerables in the community (diabetics, obese, HT, elderly) who will get infected by community spread. PRESS: Glenn Kessler (fact checker for Washington Post) wrote a piece in todays Post indicating that Trump was incorrect in his statements that I was wrong on: 1) saying that everything is OK and we do not need to worry; 2) that I opposed China travel ban; 3) that I was against masks. August 17, 2020 – Global USA • Did Fireside chat with Gallaudet University • Discussion with Cong. Sanford Bishop (D-GA) – member of CBG – particular interest in Vets. • Gave COVID lecture to ASM Microbe meeting. Afterwards did fireside chat with Peggy Hamburg PRESS: Taped interview with J.J. Green, national security correspondent for WTOP radio; August 18, 2020 – Global – 22,000,000/773,000; USA – 5,400,000/170,000 I continue to be kept out of the classic press but am getting in through indirect ways. Still have >1000 deaths per day. Scott Atlas now the main person that Trump listens to. I have reached out to Scott to give him a fair chance to explain to me exactly how he feels about children getting infected and the issues with letting community spread happen. We obviously differ here. He and White House feel that we can let children get infected in schools since they do not get sick and we just need to protect the vulnerable in Nursing Homes. Fallacious thinking since there are many not in Nursing Homes who are vulnerable such as obese people, diabetics, hypertensives, etc. ALSO, many reports coming out now about long term cardiovascular and brain effects in younger people who were not even sick enough to go to the hospital, and who were merely home in bed for a couple of weeks. ALSO, more younger people dying. Of note, I was the only one of the Doctors in the TF who was noit invited to be present in the Sit Room for the Governors’s call today. Joan Baez texted me saying that she now has 3,000,000 views on her Face Book note to me. Her comment was: “Over three million views. Is this fun or what?” PRESS: Healthline Town Hall; Commonwealth Club of California Fireside Chat; Bloomberg Quicktake Live August 19, 2020 Global – 22,000,000/776,000; USA – 5,500,000/171,000 Interesting that Scott Atlas announced at a Doctor’s Huddle that I was on board in seeing the rationale for his statements. Joan Baez Face Time now has 4,000,000 views re: my portrait and her words about me. POTUS called up Collins and started ranking that Francis and I are hurting him by getting in the way of the EUA for convalescent plasma he was yelling at Francis saying that he and I (and Cliff to some extent) are undermining him. See article in the NY Times today as well as Politico that said that Trump feels that Francis and I are pushing back on the EUA for “political reasons”. PRESS: “60 Minutes – Australia” TV; Radio Lab – NY Public Radio – Tracy Hunt; Podcast with Frank Sesno – covered on C-SPAN; IDSA Podcast with Carlos Del Rio; Interview with Der Spiegel (German print); New York Times article by Noah Weiland reports that Francis Collins and I and Cliff Lane are pushing back on the possibility of an EUA for convalescent plasma until more data come in since we feel the current data does not justify an EUA at this point. It reports that we are working with the FDA on this. However, some are interpreting that we are pushing back against the FDA, which is not true. Peter marks is on board with us. August 20, 2020 – Global USA • Surgery today to remove polyp from vocal cord at GWU Hospital by Dr. Steven Bielamowicz. • Becoming really nice pen pal with Joan Baez. • PRESS: Much press coverage of my surgery started by Sanjay at CNN and then went viral August 21, 2020 – Global USA • Washington Post is writing a story that is intended to be a hit job on Pence and Short. Katie Miller asked me to counter with some statements and I did PRESS: Continued coverage of my surgery in press. August 22, 2020 – Global – 22,800,000/795,000; USA – 5,600,000/175,000 • POTUS called my cell at around 7:37 PM while I was outside on back deck with Chris and Jenny. It was the White House Operator saying the POTUS wanted to speak with me. I could not speak sine Dr. Bielamowicz said to not utter a word until tomorrow (Sunday), Chris answered and gave message to WH operator. POTUS called back and said he hoped I was doing well. I was concerned that he might think I was disrespectful for not answering the phone and so I texted Katie Miller ad explained the situation and asked if she or Stephen Miller could get the message to the POTUS and explain why I could not speak. She teted back and said that VP Pence would take care of it and tell the POTUS. I could not figure out why he called. He could have read about my surgery and was checking on me. Or there is a lot of tension against Francis Collins ad me in the WH because we have questioned the data supporting an EUA for convalescent plasma. They re holding it up until further data are available tomorrow and POTUS is saying the scientists (particularly FDA) are “deep state”. He throws that around a lot. Katie thinks he was calling to thank me for saying in interviews that we can get things back without shutting down again. We may never know. PRESS: Australia “60 Minutes” TV interview to be shown tomorrow (Sunday in Australia); August 23, 2020 (Sunday) – Global USA Very bad and disgraceful day for FDA and Steve Hahn and Alex Azar – They caved to pressure from Trump to issue EUA for Convalescent Plasma (CP). Francis Cliff and I among others a few days ago looked at the data and since there was no control and the analysis was post hoc with end points that were NOT predetermined, we could not say that there was any effect. When they tortured the data, they came up with a 35% decrease in deaths among people 3 days from dx, .80 years old and not on ventilator. Very narrow group. We had agreed to wait for further data from the same Mayo Clinic study to do a predetermined end point analysis to see if it strengthened the original data. The new data was collected, but before we could see it, Mark Meadows decided to “break the log jam” and got Steve Hahn and Alex to cave in and issue the EUA tonight, the night before the beginning of the GOP convention tomorrow night. I am afraid that this will happen with the upcoming vaccine trials. PRESS: New York Times and Washington Post coverage of old statements by me and Francis and Cliff about our skepticism of the EUA data August 24, 2020 – Global – 23,300,000/806,000; USA – 5,700,000/177,000 • Got call from Albert Bourla (CEO of Pfizer) expressing concern about AstraZenica likely trying to get an EUA for their vaccine before the big companies (Moderna, Pfizer, J & J complete their phase 3 trials. We discussed what to do. He suggested that he ask the companies to sign an agreement that they will all strive for completion of phase 3 studies before decisions are made. I suggested that we get the scientific community involved who should demand to see the data upon which the FDA would make any decisions. The Nashville, TN Public Defender has established the “Fauci Award”: Introducing the Dr. Fauci Award! This Nashville Defenders Award recognizes staff members who embody the admirable qualities and character of the Director of the National Institute of Allergy and Infectious Diseases, Dr. Anthony S. Fauci. Amongst the numerous positive qualities demonstrated by Dr. Fauci which include a commitment to perseverance in the face of adversity, compassion, cleanliness, good health, and concern for the education, protection, and welfare of others above his own personal interests. Dr. Fauci has stood in the face of power and fought back, maintaining his integrity and keeping his mission in the forefront. PRESS: Article (online today, print tomorrow) in Washington Post by Ashley Parker, Josh Dawsey and Philip Rucker quoting me as defending Pence - Politics Mike Pence hopes four years of subservience to Trump will lift his political future Interview with Julie Steenhuysen of Reuters on COVID-19 vaccine trials; New York Times – Sheryl Stolberg is doing a profile on me and my recent surgery and other things. August 25, 2020 – Global USA Steve Hahn admits publicly that he “exaggerated” the data showing effect of CP on death rate. He originally said that out of 100 patients, 35 lives were saved, which is absolutely incorrect. He now admits that but he does not back down on declaring a positive effect. Data analysis from Mike Lauer and Dean Follmann show absolutely no effect. See Below from Martha’s Vineyard Spain is starting to “explode: PRESS: August 26, 2020 – Global USA • POTUS holding more briefings with Scott Atlas and others (Dr. Jay Bhattacharya, Dr. Joseph Ladapo, Dr. Martin Kulldorff, and Dr. Cody Meissner) to the exclusion of Deb Birx. Making it very awkward for her. I have been out of the briefing loop for some time now. • We have been seeing surges that follow crowded events – Memorial Day, 4th of July, and now with Labor Day coming up, there is concern that we will see another “surge” as people move around, travel and return home from beaches, etc. We are playing “whack a mole” Sign in East Village, NYC: • Big shit show today about the change in CDC testing guidelines where they said if you are exposed to a documented case of COVID-19 you need not get tested if you are asymptomatic. This version was circulated at a TF meeting a couple of weeks ago and we were asked to look at it and sign on. I did so cursorily, made a change but did not grasp the implications of this change that means we put no emphasis on symptomatic spread. The guidelines were further discussed at a Aug 20 TF meeting when I was under general anesthesia for vocal cord surgery. When the shit hit the fan and the public health community went nuts at these changes, Brett Giroir said at a press conference that the TF, explicitly mentioning me, approved this, it got me vey upset. Clearly at the Aug 20 meeting, Deb Birx did not agree (she told me so). Also, I did not give it a lot of attention and I was not in the room for the final discussion when Deb objected. Sanjay Gupta (CNN) reported the disconnect between me and Brett which caused a bit of a media storm. Behind these changes was Scott Gottlieb • Telephone conversation between Peter Marks, Steve Hahn, Francis Collins, Cliff Lane, Mike Lauer, Dean Follmann, and Rich Forshee (FDA) about the basis of their declaring an EUA on CP. We (NIH) feel that FDA clearly caved to the White House and we were trying to examine the data that was the basis for their decision. Clearly Hahn was very defensive and Peter was “hurt” because he thought that the NIH was attacking the FDA. We settled it, but it is becoming clear that Steve is a bit more political than we are. Seems to be star struck about being around the White House and likely caved to Meadows. Who is looking for good news before the election. PRESS: Shit show about CDC guidelines changing and Brett Giroir saying that I approved them (see above) August 27,2020 – • I wrote an email to Brett trying to make peace: -----Original Message----- From: Fauci, Anthony (NIH/NIAID) [E] <afauci@niaid.nih.gov> Sent: Thursday, August 27, 2020 6:31 AM To: Birx, Deborah (nsc.eop.gov) <Deborah.L.Birx@nsc.eop.gov>; Giroir, Brett (HHS/OASH) <Brett.Giroir@hhs.gov> Cc: Redfield, Robert R. (CDC/OD) <olx1@cdc.gov> Subject: RE: Testing Brett: I am sorry that there was so much press seemingly pitting you against me regarding approval or not of the changes in the CDC guidelines. I want to make something clear from my perspective and hopefully we can move on as good colleagues. According to the press reporting, you stated that the guideline change was "approved" by the task Force including and specifically by me. If what we did was the process for "officially approving" as important a document as the CDC guidelines, then the process is clearly flawed. There was no official "group discussion" at any meetings that I was at. The document was passed around to us individually before or after a TF meeting and indeed I did quickly look at it. I considered the document as a done deal that would not change no matter what we said. To your credit, you did make one minor change that I suggested. Importantly, had I appreciated that Deb, the Task Force Coordinator, had such a real problem with it (see her e-mail below), I would have looked at it much more carefully and discussed her concerns with her in detail, and re-read it in that context. I understand from Deb that a discussion did occur at the Aug 20 meeting (see below) when I was out being operated on at GWU hospital. Upon careful examination of the document now, I see why the community is up in arms about it since that change can and is being interpreted by many as indicating that we do not believe that asymptomatic spread and thus community spread is important enough to test for it. We can argue within the confines of the Situation Room that the intent of the guidelines are clear and crisp and helpful. However, the overwhelming proportion of the public health community are baffled by these changes. This is an unforced error. I am happy to discuss with you. Again, sorry for the misunderstanding. Best, Tony Powder Attack!!! – Today, I received a letter at home from Jacksonville, FL looking like the very many letters that I get each day, usually asking me to sign a baseball card or an index card. The letter had typewritten address as opposed to WORD processor. It was very thin. I brought it o work and around 10:30 AM started opening the “fan mail”. I opened this one and took out a single sheet of white paper that was folder in 1/3s. As I opened the folding, fine white powder essentially shot up for the paper an got on my hands, my tie, shirt ants, face, desk and chair. I immediately called Kim and told her not to come into the room but to get George and Brett (security) who were down the hall. They came and we put the letter and envelope in a plastic bag and called NIH Hazmat. The entire team came and hade me strip naked to spray me down. I then went downstair to take a long shower and put on my running shots to go home with. All my closes and everything that I touched went into a plastic bag for forensics. George and Brett took me home and we waited for the analysis that finally showed no protein (anthrax or ricin). Sheet of paper had typewritten statement: “MANDATORY LOCKDOWNS…MEDICATIONS, REAP WHAT YOU SOW. SIC SEMPER MARXUM PRODITORES. ENJOY YOUR GIFT” Alan Alda and Anthony Fauci Talk Science in Live-Streamed Smithsonian Associates Event PRESS: GOP convention dominating. Yet, much press around the CDC How Dr. Fauci guidelines mess (see above); New York Times: Found Himself Talking to Julia Roberts, Lil Wayne and Just About Any Podcaster Who Asked By Quoctrung Bui, Margot Sanger-Katz, Sheryl Gay Stolberg, Noah Weiland and Kitty Bennett

August 28, 2020 – Global USA • Amazing that there were no leaks to the press following the powder attack. Still >40,000 cases per day Email exchange with Kellyanne Conway on the announcement of her leaving the WH: Dear Dr. Fauci – What a kind and welcome note. Thank you for taking the time. Indeed, it has been a pleasure working with and learning from you over the past 6 months in the face of a global pandemic. You may be “America’s Doctor,” but you also are accessible and affable. Thank you for your many kindnesses. I hope you are feeling better following surgery, and that you will heal quickly and completely. God bless you. Always here for you, if I may help in any way. Fondly, Kellyanne KAConway@gmail.com 202-251-9943 From: Fauci, Anthony (NIH/NIAID) [E] <afauci@niaid.nih.gov> Sent: Monday, August 24, 2020 7:22 AM To: Conway, Kellyanne E. EOP/WHO <KAC@who.eop.gov> Subject: miss you Kellyanne: I was sorry to read in the Post today that you will be leaving the White House at the end of the month. However, your reasons appear to be quite sound and your usual good judgment seems to have prevailed. I really will miss seeing you around the Sit Room and the Oval. You light up the room and I always feel a little better when you are around. Take care of yourself and I hope that we continue to run into each other in the future. Warm regards, Tony Anthony S. Fauci, MD Director National Institute of Allergy and Infectious Diseases Building 31, Room 7A-03 31 Center Drive, MSC 2520 National Institutes of Health Bethesda, MD 20892-2520 Phone: (301) 496-2263 FAX: (301) 496-4409 E-mail: afauci@niaid.nih.gov pandemics, would you want to stay in a role where you were suddenly constantly criticized and undermined by your current administrator and were receiving death threats? Al Jazeera TV (UK); August 29, 2020 – Global – 24,600,000/834,000; USA - ,99,000/181,000 Found out from George Adams and Brett Rowland that similar powdered letters from the same person (from Jacksonville. FL) also were sent to Nancy Pelosi, Bernie Sanders, AOC, Bill Gates, among other “liberals” . August 30, 2020 (Sunday) – Global – 25,000,000/840,000 USA – 5,900,000/182,000 Sunday shows dominated by recent GOP convention and the blatant lies that Trump spewed forth during the convention. Also, to hold a conventin event directly at the White House is a gross violation of the Hatch Act. Concern now about post-labor day (coming up) surge of cases as people congregate. Spoke with Joan Baez today – She wants to use the portrait of me to advertise the need for science and adhering to public health messages. In essence, she wants to use the portrait in PSAs. She really is wonderful. August 31, 2020 – Global USA Trump stoking violence (racial tensions) in Kenosha, WI and Portland, OR QAnon misrepresenting data from CDC that says that about 9000 out of the >180,000 deaths reported for COVID-19 had only COVID-19 on the death certificate. The remainder also had other underlying conditions. QAnon is saying that all the other deaths had nothing to do with COVID-19. The POTUS loves this and is tweeting that Fauci and Birx shut down the country for only 9000 deaths. What an idiot!! See below: Cases/day are not dramatically falling. Looks like they may be plateauing again Got called down to White House to do the Governors’s call. PRESS: Washington Post Article indicating that Scott Atlas is pushing for a “herd immunity” approach to the outbreak and said he was the “anti-Fauci” in the White House. New York Times article will come put today with same story. September 1, 2020 – Global 25,300,000/848,000; USA – 6,000,000/184,000 Did the usual weekly Miami Mayor’s call with Deb and Redfield. Mayor Suarez and Major Jimenez Another inappropriate explosion by Mark Meadows. The NUH Treatment Guidelines came out in response to the EUA for convalescent plasma (CP). It just repeated what it had said before saying that there was not sufficient evidence for or against the use of CP and that clinical trials should continue. In essence, this is what the EUA said. However, the press went nuts saying that NIH contradicted the FDA and the POTUS who said that CP was a “major historic breakthrough”. In fact, the EUA and the Guidelines were aligned. It was the POTUS, AZAR, and Hahn who over-exaggerated. In any event, Meadows called up Francis Collins and started screaming saying that he needs to “fix this”. Meadows said until he does, Fauci and you will not get in front of a TV screen “even for a podcast with a 3rd grader”. Francis sent out a tweet to explain that there was no difference between the EUA and the Guidelines and Meadows was satisfied. Another day in Paradise….. PRESS: ABC Good Morning America; Taped Today Show (NBC) - Sheinelle Jones – concerning my vocal cord surgery; NBC Nightly News September 2, 2020 – Global – 25,600,000/854,000; USA - 6,000,000/184 PRESS: MSNBC with Andrea Mitchell; September 3, 2020 – Global – 25,800,000/860,000; USA – 6,100,000/185,100 Big concern about a potential upsurge following Labor Day Weekend. I am emphasizing this on TV hits (see below) PRESS: CNN with Jim Sciutto; Katie Couric podcast; Marc Siegel Doctor Radio; NBC Nightly News September 4, 2020 – Global – 26,300,000/864,000; USA – 6,100,000/186,000 PRESS: Global News Canada TV; STAT interview – Joseph Andrew; CNN Situation Room with Jim Acosta September 5, 2020 Global – 26,500,000/871,000; USA 6,200,000/187,200 PRESS: New York Times print interview regarding Labor Day weekend and COVID; September 6, 2020 – Global USA PRESS: Sunday dominated by election September 7, 2020 - Global USA PRESS: Spoke with Robyn Ross of the Washington Post Magazine. She is writing a piece on my “Bobblehead”. September 8, 2020 – Global USA Had weekly Miami Mayor’s call with Deb Birx and Miami Mayors Gimenez and Suarez September 9, 2020 – Bob Woodward’s book “Rage” just came out today causing a media fire storm since it has Trump saying that he knew along along that COVID-19 was very serious, but he played it down to not frighten the American public. Some potentially damaging stuff about me. Woodward always said my discussions with him were “background” and not “on the record”. Yet he has others giving quotes by me that sounds like on the record. For example: CNN: Dr. Anthony Fauci, the administration's top infectious disease expert, is quoted telling others Trump's leadership was "rudderless" and that his "attention span is like a minus number." "His sole purpose is to get reelected," Fauci told an associate, according to Woodward. Washington Post: The book charts the Trump administration’s failings and missteps on the pandemic, including the decisions and actions of Pottinger, Centers for Disease Control and Prevention Director Robert Redfield, infectious-disease expert Anthony S. Fauci and others. Fauci at one point tells others that the president “is on a separate channel” and unfocused in meetings, with “rudderless” leadership, according to Woodward. “His attention span is like a minus number,” Fauci said, according to Woodward. “His sole purpose is to get reelected.” In one Oval Office meeting recounted by Woodward, after Trump had made false statements in a news briefing, Fauci said in front of him: “We can’t let the president be out there being vulnerable, saying something that’s going to come back and bite him.” Pence, Kushner, chief of staff Mark Meadows and senior policy adviser Stephen Miller tensed up at once, Woodward writes, surprised Fauci would talk to Trump that way. Woodward describes Fauci as particularly disappointed in Kushner for talking like a cheerleader as if everything was great. In June, as • Went on FOX News with John Roberts and unfortunately gave impression that I was defending Trump since I answered John’s question about did I ever see Trup play down COVID. I answered that we briefed him in the Oval and he would come out and not really contradict us. I should have said that he does play down COVID such as when he said it would “disappear like a miracle”. PRESS: CBS This Morning; LBC UK Radio; Latin Leaders Magazine; FOX News with John Roberts; Celine Grounder podcast; Instagram with Jennifer Garner September 10, 2020 – Did podcast and PSAs with Dennis Quaid Gave Grand Rounds to the Harvard Hospitals (all of them together). Much positive feedback PRESS: Interview and photo shoot with Alice Park for TIME Magazine September 11, 2020 - Global – 28,000,000/905,000; USA – 6,400,000/191,400 • I corrected with Andrea Mitchell on MSNBC (see below) what I should have said to John Roberts on FOX • Had great dinner over my house with Peter Staley (and his dog Stella) with Chris, Janet Tobias and John…. PRESS: Interview with Newsweek – Fred Guteri; MSNBC with Andrea Mitchell; CNN Situation Room with Wolf Blitzer September 12, 2020 September 13, 2020 Important Day!! – POTUS called me up at around 11:20 AM (Sunday) and started a diatribe about my interview on Friday with Andrea Mitchell on MSNBC. He went on and on about how negative I was on the show. He said that I was great on Thursday with John Roberts (FOX) and so “what happened” to make me negative. I tried to explain to him that the entire message was not all negative. I was really saying that there is a risk with the upticks in ND, SD, MT and other states for a surge if we do not intensify the public health measures of masks, distance, crowds, etc. I emphasized that what I was saying is that we can control this without having to shut down. As soon as I mentioned the word “shut down” he went off saying we will never again shut down as if I was suggesting that we would when I was saying just the opposite. He then went off on asking about vaccines and saying that I should take credit for success instead emphasizing failures. It really was stream of consciousness. We ended the call on a friendly note, but it was clear that he did not want me to do this anymore. He mentioned whether or not I like Trump, I should not do this. I told him that I do not dislike him and he knows that. He agreed. I will either have to stay off TV or continue to disappoint him since I cannot change my message. This evening when I went up to Chef Geoff’s to pick up carry out hamburgers for me and Brett Rowland, every outdoor table serving Chef Geoff and Al Dente was occupied and every person at the tables gave me a roaring round of applause as I left Chef Geoff’s with my food. It blew me and Brett away. Very moving. September 14, 2020 – Global – 29,000,000/922,000; USA – 6,500,000/194,000 Michael Caputo went crazy. Article in NY Times has him raving about conspiracy theories; “Trump Health Aide Pushes Bizarre Conspiracies and Warns of Armed Revolt” by Sharon LaFraniere Europe is starting to surge: September 15, 2020 – Global – 29,200,000/927,000; USA 6,500,000/194,000 Had virtual press conference with Gov. Phil Scott (R-VT). They are doing very well with test positivity of 0.2% Had call with Miami Mayors (weekly event) with Deb and Bob Redfield Did 1 hour briefing of Congressional Progressive Caucus (liberal Dems) Task Force meeting. VP gave me a signed enlarged photo of he and I. PRESS: See above press conference in VT; NPR with Joe Palca (pre-recorded for later date); September 16, 2020 – Global - 29,400,000; 931,000; USA – 6,600,000/195,100 Did Congressional Hispanic Caucus Institute Leadership Conference with Sanjay Gupta moderating PRESS:Bloomberg News Podcast – David Rubenstein; Business Insider interview; BMJ Podcast; Wall Street Journal podcast interview; Wall Street Journal online event September 17, 2020 – Global USA Was a panelist on the “CEO Global Perspectives Series Webcast (Oxford, UK) with Michael Earl (Moderator) and Sir John Bell (co-panelist). Great discussion comparing UK and USA experience. Presented to ONE Board on COVID-19 – Bono, Josh Bolten, and Sheryl Sandberg was on the Zoom Michael Caputo diagnosed with squamous cell carcinoma metastatic to cervical lymph node. – head and neck cancer. PRESS: WTOP Radio; MSNBC TV – Chris Hayes September 18, 2020 – New cases today at 43,000 Testing has decreased and so hospitalizations per 100 case has increased since we are missing asymptomatics (see note above) PRESS: Interview with La Repubblica; September 19, 2020 Global – 30,400,000/950,000; USA – 6,700,000/198,100 The 4 Presidents from the Washington Nationals came to my house today to present me with the “Sammie” Award as the Outstanding Federal Employee. Had many cameras filming the event. September 20, 2020 (Sunday) Global USA Yet again, I am not allowed on Sunday Shows while Brett Giroir is doing SOTU. Signs in NYC subway stations: Lot of discussion about the transverse myelitis in a volunteer in the UK Chimp Ad Oxford trial. May have had a prior case, but was designated as multiple sclerosis. Trial re-started in UK; not yet in USA (the AZ trial) Scott Atlas deliberately trying to undermine Deb Birx interpretation of the data September 21, 2020 – Global USA Was on weekly Governors call via phone. Explained to them about vaccine protocol, i.e. Data to DSMB to Company to FDA for EUA/BLA to VRPAC advisory committee. All transparent to scientific community. 104 million tests performed in the USA Had wonderful time at Adrienne Asche’s home 2221 – 30th Street, NW. Outdoor concert with NPO (National Pops Orchestra led by Luke Frazier. Adrienne called me out and Luke Dedicated a song to me (Climb Every Mountain). Everyone masked and physically distant with champage at each separate table of people alone or withspouses. Present were Ambassadors from Iraq, Mexico, Colombia, and UK PRESS: Did a series of YouTube chats with Trevor Noah; Fat Joe; The Onyx Family; and The SloMo Guys; The Daily Beast – Erin Banco; CNN Jeremy Diamond Story broke in the Daily Beast: A Notorious COVID Troll Actually Works for Dr. Fauci INSIDE JOB Bill Crews is a PR official at the National Institutes of Health. But he also has another job: an anonymous RedState editor who rails against the agency for which he works. Lachlan Markay September 22, 2020 Global USA PRESS: CNN Citizen Conference with Sanjay Gupta; Interview with The Atlantic Festival with Alexis Madrigal was carried on CNN and other networks September 23, 2020 – Global – 31,400,000/966,666; USA – 6,900,000/200,000 For Time Magazine 100 Most Influential People, I was ranked #1 among the “Leaders” category THE 100 MOST INFLUENTIAL PEOPLE OF 2020 BACK TO HOME Anthony Fauci Stefan Ruiz for TIME BY JIMMY KIMMEL SEPTEMBER 22, 2020 9:34 PM EDT A s the COVID-19 pandemic began to spread to the U.S., there was one person millions of Americans immediately knew we could turn to for guidance: Dr. Anthony Fauci. As director of the National Institute of Allergy and Infectious Diseases, Dr. Fauci has advised six Presidents over 36 years. When COVID-19 reared its ugly head, he was among the first to step forward with facts and only facts. Dr. Fauci doesn’t sugarcoat his words and refuses to be pressured by politicians. He delivers the truth, as difficult as it may be to hear, earnestly and with one goal: to save lives. His courage and candor have earned our trust. We are all fortunate to have a man of his wisdom, experience and integrity to help us navigate these difficult waters. Kimmel is the host and an executive producer of Jimmy Kimmel Live! LEADERS • Anthony Fauci • Kamala Harris • Tsai Ing-wen • John Roberts • Xi Jinping • Donald Trump • Caesar • Angela Merkel • Joe Biden • Jair Bolsonaro • Nancy Pelosi • Narendra Modi • William Barr • Anne Hidalgo • Tedros Adhanom Ghebreyesus • Mary Kay Henry • Nemonte Nenquimo • Ursula von der Leyen • Jung Eun-kyeong • Bonnie Castillo • Jean-Jacques Muyembe Tamfum • Yousef Al Otaiba Note of appreciation from Senator Feinstein: Note to Dr. Fauci 9.23.20.pdf Had Hearing today at the Senate HELP committee Chaired by Sen. Alexander (RTN) and ranking minority Sen. Murray (D-WA). Had hostile interaction with Se. Rand Paul. I really stuffed him as he spouted out bullshit acting like he is a experienced epidemiologist. Did Smithsonian sponsored “chat” with Alan Alda. We are very fond of each other. Went very well. Interviewed with Jon Cohen for an HBO documentary that Jon is doing with David France on COVID-19 PRESS: Much press about my encounter with Sen. Paul September 24, 2020 – Global USA Still >40K cases per day: • Made major presentation (virtually) to the World Vaccine Congress • Given the mixed messages from FDA and CDC (with CDC stumbling all over themselves in first saying do not test asymptomatics and then saying yes, test them. Also, first saying aerosol is important and then saying it is not). POTUS now saying he may not wait for the 60 day “wait for safety rule” following the time 50% of the vaccines receive their last dose for the implementation of an EUA. FDA (Steve Hahn) says he will listen to his career scientists and have this be part of the EUA criteria, while the POTUS has hinted he would over-rule this and get an EUA out right away, i.e. before the election. PRESS: Did press conference with Governor Murphy (D-NJ) – appeared live on ABC; did Face Book LIVE with Francis Collins on Janssen Vaccine; Did “Fireside Chat” with Carlos Del Rio moderated by Sanjay Gupta (clearly will appear on CNN) September 25, 2020 - Global – 32,100,000/980,000; USA – 6,900,000/292,300 Have not mentioned this, but threats and harassments of my children continue, particularly of letters and texts to Megan. These assholes have her home address and write to her threatening me, which is quite disturbing to her. We have sent all of this to Brett Rowland (security) who is Herd Immunity Study PRESS: Appeared in Newsweek: Rand Paul Cited Against Fauci Actually Refutes Senator's Claim By Hannah Osborne On 9/25/20 at 7:56 AM EDT UK Channel 4 TV News; Late, Late TV Show in Ireland by Zoom; Instagram with Peter Staley; JAMA Podcast (usually gets picked up by networks); USA Today Interview; Interview with Donald McNeil of NY Times re: Herd immunity and Scott Atlas September 26, 2020 – Major conflict between Deb and Atlas. See below with Deb’s daily report. Atlas says that we do not need to test for asymptomatics since the only thing that counts is preventing vulnerable people from dying. He does not see the connection between asymptomatic young people (without hospitalization and deaths rising → older and vulnerable (with later hospitalization and deaths rising). We are heading to a major clash between deb/me/Bob versus Atlas Jon LaPook has been wanting to do a 60 Minutes Special focused on me and Comms has been disking around without responding. Francis and I sent e-mails to Alyssa Farah and she apologized saying that she will approve 90% of requests for me and refuse ONLY those that are obviously politically charged. Up to this point, 95% of requests for me have be refused or ignored by the WH/HHS. They truly are dysfunctional even though I believe that Alyssa is a good person. Medai-Ite Joe Biden Promises to Hire Dr. Anthony Fauci ‘Minutes After The Race Is Called’ By Tommy Christopher , 12:28 pm 116 Comments September 27, 2020 – Global – 32,700,000/991,000; USA – 7,060,000/204,000 Things really getting crazy. Irish thought that I was physically present in Dublin for the Late Late show interview (see above on Sept. 25) and they demonstrated against me: Protesters outside RTÉ last night were convinced top US doctor had flown in for the show By Sarah Finnan September 26, 2020 at 9:15am Share: Protestors outside 'fake news HQ RTÉ' last night seemed to think that top US doctor Anthony Fauci had flown in from DC especially for the show. PRESS: Sunday and still no show appearances – all turned down by HHS and/or WH. RAI TV live in Italy; September 28, 2020 – Global USA Dr. Fauci Top 20 Highly Cited Papers (Based on Web of Science, 09/28/2020) 1. Roberts AB, Sporn MB, Assoian RK, et al. “TRANSFORMING GROWTHFACTOR TYPE-BETA - RAPID INDUCTION OF FIBROSIS AND ANGIOGENESIS INVIVO AND STIMULATION OF COLLAGEN FORMATION INVITRO.” Proceedings of the National Academy of Sciences of the United States of America. 1986;83(12):4167-4171. [2,613 citations] 2. Hoffman, G. S., G. S. Kerr, R. Y. Leavitt, C. W. Hallahan, R. S. Lebovics, W. D. Travis, M. Rottem, and A. S. Fauci. 1992. "Wegener Granulomatosis: An Analysis of 158 Patients." Annals of Internal Medicine 116 (6): 488-498. doi:10.7326/0003-4819-116-6-488. [2,060 citations] 3. Koenig, S., H. E. Gendelman, J. M. Orenstein, M. C. Dal Canto, G. H. Pezeshkpour, M. Yungbluth, F. Janotta, A. Aksamit, M. A. Martin, and A. S. Fauci. 1986. "Detection of AIDS Virus in Macrophages in Brain Tissue from AIDS Patients with Encephalopathy." Science 233 (4768): 1089-1093. doi:10.1126/science.3016903. [1,663 citations] 4. Pantaleo, G., C. Graziosi, J. F. Demarest, L. Butini, M. Montroni, C. H. Fox, J. M. Orenstein, D. P. Kotler, and A. S. Fauci. 1993. "HIV Infection is Active and Progressive in Lymphoid Tissue during the Clinically Latent Stage of Disease." Nature 362 (6418): 355-358. doi:10.1038/362355a0. [1,649 citations] 5. Fauci, A. S., B. F. Haynes, P. Katz, and S. M. Wolff. 1983. "Wegener's Granulomatosis: Prospective Clinical and Therapeutic Experience with 85 Patients for 21 Years." Annals of Internal Medicine 98 (1): 76-85. doi:10.7326/0003-4819-98-1-76.. [1,646 citations] 6. Hunder, G. G., D. A. Bloch, B. A. Michel, M. B. Stevens, W. P. Arend, L. H. Calabrese, S. M. Edworthy, et al. 1990. "The American College of Rheumatology 1990 Criteria for the Classification of Giant Cell Arteritis." Arthritis & Rheumatism 33 (8): 1122-1128. doi:10.1002/art.1780330810. [1,609 citations] 7. Lane, H. C., H. Masur, L. C. Edgar, G. Whalen, A. H. Rook, and A. S. Fauci. 1983. "Abnormalities of B-Cell Activation and Immunoregulation in Patients with the Acquired Immunodeficiency Syndrome." New England Journal of Medicine 309 (8): 453-458. doi:10.1056/NEJM198308253090803. [1,579 citations] 8. Kehrl, J. H., L. M. Wakefield, A. B. Roberts, S. Jakowlew, M. Alvarez-Mon, R. Derynck, M. B. Sporn, and A. S. Fauci. 1986. "Production of Transforming Growth Factor β by Human T Lymphocytes and its Potential Role in the Regulation of T Cell Growth." Journal of Experimental Medicine 163 (5): 1037-1050. doi:10.1084/jem.163.5.1037. [1,559 citations] 9. Fauci, A. S. 1988. "The Human Immunodeficiency Virus: Infectivity and Mechanisms of Pathogenesis." Science 239 (4840): 617-622. doi:10.1126/science.3277274. [1,523 citations] 10.Leavitt, R. Y., A. S. Fauci, D. A. Bloch, B. A. Michel, G. G. Hunder, W. P. Arend, L. H. Calabrese, et al. 1990. "The American College of Rheumatology 1990 Criteria for the Classification of Wegener's Granulomatosis." Arthritis & Rheumatism 33 (8): 1101-1107. doi:10.1002/art.1780330807. [1,392 citations] 11.Chun, T. -W, L. Stuyver, S. B. Mizell, L. A. Ehler, J. A. M. Mican, M. Baseler, A. L. Lloyd, M. A. Nowak, and A. S. Fauci. 1997. "Presence of an Inducible HIV-1 Latent Reservoir during Highly Active Antiretroviral Therapy." Proceedings of the National Academy of Sciences of the United States of America 94 (24): 13193-13197. doi:10.1073/pnas.94.24.13193. [1,317 citations] 12.Masi, A. T., G. G. Hunder, J. T. Lie, B. A. Michel, D. A. Bloch, W. P. Arend, L. H. Calabrese, et al. 1990. "The American College of Rheumatology 1990 Criteria for the Classification of churg-strauss Syndrome (Allergic Granulomatosis and Angiitis)." Arthritis & Rheumatism 33 (8): 1094-1100. doi:10.1002/art.1780330806. [1,287 citations] 13.Fauci, A. S., B. F. Haynes, and P. Katz. 1978. "The Spectrum of Vasculitis. Clinical, Pathologic, Immunologic, and Therapeutic Considerations." Annals of Internal Medicine 89 (5 I): 660-676. doi:10.7326/0003-4819-89-5-660. [1,272 citations] 14.Arend, W. P., B. A. Michel, D. A. Bloch, G. G. Hunder, L. H. Calabrese, S. M. Edworthy, A. S. Fauci, et al. 1990. "The American College of Rheumatology 1990 Criteria for the Classification of Takayasu Arteritis." Arthritis & Rheumatism 33 (8): 1129-1134. doi:10.1002/art.1780330811. [1,234 citations] 15.Kerr, G. S., C. W. Hallahan, J. Giordano, R. Y. Leavitt, A. S. Fauci, M. Rottem, and G. S. Hoffman. 1994. "Takayasu Arteritis." Annals of Internal Medicine 120 (11): 919-929. doi:10.7326/0003-4819-120-11-199406010-00004. [1,111 citations] 16.Pantaleo G, Graziosi C, Fauci AS. THE IMMUNOPATHOGENESIS OF HUMANIMMUNODEFICIENCY-VIRUS INFECTION. New England Journal of Medicine. 1993;328(5):327-335. [946 citations] 17.Fauci AS, Dale DC, Balow JE. GLUCOCORTICOSTEROID THERAPY - MECHANISMS OF ACTION AND CLINICAL CONSIDERATIONS. Annals of Internal Medicine. 1976;84(3):304-315. [931 citations] 18.Morens, D. M., G. K. Folkers, and A. S. Fauci. 2004. "The Challenge of Emerging and Re-Emerging Infectious Diseases." Nature 430 (6996): 242249. doi:10.1038/nature02759. [899 citations] 19.Fauci AS, Macher AM, Longo DL, et al. ACQUIRED IMMUNODEFICIENCY SYNDROME - EPIDEMIOLOGIC, CLINICAL, IMMUNOLOGICAL, AND THERAPEUTIC CONSIDERATIONS. Annals of Internal Medicine. 1984;100(1):92-106. [887 citations] 20.Folks TM, Justement J, Kinter A, Dinarello CA, Fauci AS. CYTOKINE-INDUCED EXPRESSION OF HIV-1 IN A CHRONICALLY INFECTED PROMONOCYTE CELLLINE. Science. 1987;238(4828):800-802. [872 citations] PRESS: Good Morning America TV; The Netherlands TV – Nieuwsuur; Canadian Journalism Foundation World News Day with Brian Stelter (Web TV); Steph Curry – State of Inspiration Interview; Aspen Institute – Fireside Chat with Helen Clark former PM of New Zealand September 29, 2020 - Global - 33,200,000/1,000,000; USA – 7,100,000/205,000 Cases increasing in certain regions (see below). Hospitalization starting to creep up. Deaths will follow. Total deaths have plateaued and so as deaths go down in certain regions, which is true, deaths that increase in other regions result in a net flat curve. Again, today big dispute between Deb (backed by me) and Atlas. Atlas feels that after a city/town/state reach their peak, the turn around has nothing to do with any intervention that we apply. He insists that the city/state has reached herd immunity. He also cherry picks papers on T cell immunity and says that cross-reacting T cell immunity accounts for: the 22% ab positive in NYC + 25 % T cell immunity = herd immunity. He feels that all we need to do in protect the vulnerables in nursing homes and we will be OK. No need to test and no need to worry about community spread. 1st Presidential Debate tonight. Horrible “shit show”. Trump was embarrassing, continually interrupting Biden, bullying all the way, making no sense, lying. Moderator Chris Wallace could not control him. Trump refused to denounce White Supremacists and when asked about the “Proud Boys”, Trump said” “Stand down, stand by” essentially endorsing them. Alos, he misquoted me saying that I am against masks. He also said that I praised him for saving lives by shutting down China travel. Reporters (Chris Cuomo, Jim Sciutto, Maggie Fox, etc) continually texting me during the debate wanting me to counter what he said about me and masks PRESS: The Texas Tribune Festival – Fireside Chat with Lawrence Wright (The New Yorker); Interview with Wall Street Journal – Caitlin McCabe. September 30, 2020 – Global USA NEWS CLIPPING — WASHINGTON POST — CONDENSED (2 SOURCE PAGES) “Addressed the Congressional Hispanic Caucus on COVID-19 led by Rep. Joaquin Castro (D-TX) and Rep Escobar. Addressed State, local and Tribal Officials on COVID-19 Presented plenary to American Academy of Pediatrics Addressed Quad Caucus together…” there was no shortage of surgical masks and that masks are effective at stopping the spread of the virus. “I have been on the airways, on the radio, on TV, begging people to wear masks,” Dr. Fauci said. “And I keep talking in the context of wear a mask, keep physical distance, avoid crowds, wash your hands and do things more outdoors versus indoors.” — Simon Romero October 1, 2020 Hope Hicks is infected!!! PRESS: The National Press Club – NFID – Influenza Press Conference; The Tight Rope with Tricia Rose and Cornell West Journalist Michael Specter examines Fauci’s career and the challenges of facing COVID-19 with Trump’s White House in his new audiobook “Fauci,” the first biography to be published on the doctor. Specter writes that he first met Fauci in 1986. Even then, Fauci was a mainstay in both the political and medical communities. He has since served with every U.S. president since Ronald Reagan. October 2, 2020 – Global – 34,200,000/1,000,000; USA – 7,300,000/207,300 POTUS is infected with SARS-CoV-2!!!! I was very close to VP on Tuesday, Sept. 29. VP is negative today. Melania also positive. Media frenzy! Much discussion that WH knew that Hope was positive BEFORE the POTUS went on a trip and could possibly have exposed others. I just got tested via NIH today – negative. POTUS admitted to Walter Reed with increasing sxs. Received Regeneron monoclonal antibody. I had called Sean Conley and told him that this is what I would do. He agreed. Later in day received Remdesivir. I reached out again to Sean Conley to help again. No response. WH really shutting down comms with outside world. Kellyanne Conway, RNC Chair and two senators ( Senator Thom Tillis, Republican of North Carolina and Senator Mike Lee), Republican of Utah) infected plus Bill Stepien (Trump’s Campaign manager); all were at the Rose Garden ceremony for Supreme Court Justice Amy Coney Barrett. It appears that this ceremony was a super-spreading event since all infected people were there and the timing is perfect Katie Miller called me last night and this AM. Stephen Miller has sxs – is getting tested now at Walter Reed – he is negative! I told her to stay physically separate from Steven even if he tests negative. PRESS: Getting scores of calls from press and request to appear on every show. White House has indicated no press of any type until further notice. They do not want me or other government docs out there until further notice. Press (CNN) asking on air why Fauci and other TF members are not be able to speak. October 3, 2020 - Global – 34,500,000/1,000,000; USA – 7,300,000/208,100 Sean Conley and the WR team are giving mixed messages about how well or not the POTUS is doing. Conley saying he is doing fine. Others saying his vital signs are troublesome, he is on oxygen and coughing with fever. His condition could be deteriorating. PRESS: In Science magazine: Why Anthony Fauci is happy being the "skunk" on the Coronavirus Task Force By Jon Cohen , 1:05 PM October 4, 2020 – Global USA Still confusion about condition of POTUS. He came on TV last night wearing a blue suit with no tie saying that he felt fine and will be in hospital for a few days Bob Grady texted me last night and said he talked with Chris Christie (he is infected and in the hospital) and Chris would like to speak with me. Gave me his cell phone. I spoke with Christie. He was extremely grateful and “honored” that I called. He is doing fairly well. Had some fever and aches. His O2 sat off oxygen is 96-98. He is asthmatic and obese and realizes his risks and so he has already started Remdesivir and will start today at 12:00 noon the Lilly mAb. Mark Meadows called my cell while I was walking on the C & O Canal at around 8:30 AM to ask my advice about when the POTUS could go out publicly again. I mentioned that the CDC guidelines say 10 days from the onset of sxs. His sxs started Thrusday, Oct. 1 and so 10 days would be Saturday, Oct.10. Mark told me that on Friday his temp was 103 and his O2 sat was in the 80s. That triggered the Remdesivir. Today (Sunday) he is up and about in his room and is afebrile. O2 sat is improved and he feels much better. I told Mark to send the POTUS my best wishes. Had conversation with Katie Miller who is in hotel separated from Stephen since he was exposed strongly. I spoke with Stephen yesterday and told him that he should stay away from Katie until he has multiple negative PCRs. Today was his 4th negative and so I told Katie that she can leave the hotel and go home to Stephen. Provided that they wear masks. At least seven people besides the president who were there (the Amy Coney Barret event in the Rose Garden) have tested positive in recent days: first lady Melania Trump, former White House adviser Kellyanne Conway, former New Jersey governor Chris Christie (R), University of Notre Dame President John Jenkins, Sens. Mike Lee (R-Utah) and Thom Tillis (R-N.C.) and an unnamed journalist. Contacted by Sean Conley. Got together by conference call with Walter Reed medical team plus Cliff Lane plus Bob Redfield to discuss course of POTUS infection. Also, discussed possibility of getting infected high level officials out in public with some sort of “filtering device” while they are still infected as opposed to waiting 10 days. I told them that this would create a firestorm of pushback from the press since it would be breaking all the CDC guidelines. I suggested that they might use the 2 negative PCRs over 24 hours as opposed to the 10 day from onset of sxs rule. Sean said that they gave the POTUS dexamethasone since his O2 level dropped into the 80s, but he bounced back quickly with O2 administration. They started dex just as a precaution. White House comms (including Alyssa) as well as Sean giving confusing messages to the public about the POTUS health. Mark Meadows was honest and said that his situation was precarious requiring O2 on Friday night and the POTUS got angry with Mark sine he did not show a happy face. Sean was obviously intimidated by POTUS and so he sugar-coated the briefing. Bottom line is that POTUS is doing rather well. He had a limo drive him up and down Rockville Pike waving to the crowds of supporters. He wore a cloth mask instead of a N95 and press criticized him for endangering the Secret Service who were in the car. October 5, 2020 – Global – 35,100,000/1,000,000; USA – 7,400,000/210,000 1. The overall picture continues to deteriorate raising concerns across the United States (beyond the improvements across the South that are currently holding) the absolute numbers and the concerning trendlines across the upper North West and Mid West and now the North East – although some of these changes are subtle when you triangulate them and take into account the changing weather conditions in these areas small clusters can rapidly and silently spread to large outbreaks – this spread is preventable with aggressive mitigation : this is not about shutting down but using the clear evidence based mitigation that has worked – attached both states of concern and the stable southern state 2. The silent spread among the asymptomatic individuals leads to silent community spread that then spreads to the more cautious group including the vulnerable members of households : the way to prevent this is to ensure personal mitigation through masks, physical distancing and personal hygiene combine with early identification of community spread and protecting the vulnerable individuals in their household. 3. These data driven laser focused interventions will be essential as we move into the fall : there needs to be a clear recognition of in household, small gatherings among neighbors and family events are active spreading events when there is even one asymptomatic COVID positive individual – although outdoors are safer both the level of the viral load and closeness of contact can lead to increasing spread 4. The overarching concern relates to the balance of personal mitigation behaviors and the weather driving more activities indoors with the lower humidity increasing the K value (dispersion factor) with lower humidity the droplets partially evaporate allowing for longer suspension in the air and together – poor personal mitigation and cooling weather with heating will increase the R value and the clear evidence of aerosol contribution 5. Any baseline immunity in the population (ranging from <1-10%) in all states except LA, NY, NJ (where mortality was 3-4X all other states) can be offset and overcome by this weather element and increased indoor activities – this is the concern about continued spread in states where the weather is changing (cooling) and the need for immediate mitigation actions by the leadership and the public collectively : conversely the improved weather across the south with movement outdoors from air conditioning will lower both R1 and decrease dispersion (K) – 6. There also needs to be careful proactive attention to the NE – cases rising in NYC and Boston 7. Will be key to increase testing in the communities and states where test positivity is rising to prevent further community spread to prevent increases in hospitalizations and fatalities 8. This first several tranches of BINAX to states should be prioritized to states with high community spread White House people continue to get infected – latest is Kayleigh McEnany POTUS called me up from his hospital room at Walter Reed. 1:08 PM. He rambled on about the suite he was in and how expensive it was to build it. Says it is better than the White House. Asked me if I have ever been there. I told him about the time I went there to help in the treatment of President Nixon’s pneumonia. He then commented on my voice and my successful vocal cord surgery. He then described his therapies (Remdesivir, mAB (Regeneron) and Dexamethasone). He praised Len Schleifer and now the real reason he called. He said that he was very sick when he came into the hospital and “felt like fucking shit”, However, a few hours after receiving the Regeneron mAB, he felt better than he has felt in years (I believe that DEX is contributing to this as well as to his obvious hyperkinetic state). Bottom line is that he wants me to get the Regeneron mAb out as an EUA. I explained that the mAb was in clinical trials. He said the most important clinical trial has been done – i.e. on him the POTUS. That is all we need to know. He wants me to get back to him and get it out to millions of people. He said it was not about the election, it was about saving lives. I told him that it was an FDA regulatory issue. He then said that they would listen to me. He said he was aware of the Lilly mAB,but thinkgs that Regeneron is better (Len probably told him so). POTUS then said get both Reg and Lilly an EUA. We are obviously going to have a problem since there is not enough data for an EUA. Mark Meadows called me about what the appropriate PPE would be for others to wear around the POTUS when the POTUS returns (today) to the WH. Also, he wanted my opinion of what PPE the Senators who are infected or who will be infected should wear when they vote for ACA and Supreme Court justice confirmation. PRESS: CNN New Day – discussion of my Sammie Award – Federal Employee of the Year; WTOP Radio; Times Radio UK; CNN with Chris Cuomo; The New Yorker Festival – Audio – Biography – “Fauci” on YouTube livestream with Michael Specter; The Sammies presentation livestream. Extraordinary comments by a large number of celebrities: https://www.facebook.com/rpublicservice/videos/351805602538815/ October 6, 2020 – Global - 35,300,000/1,000,000; USA – 7,400,000/210,000 QUITE A DAY!! Fauci gets his own action figure BY JUDY KURTZ - 10/06/20 12:23 PM EDT 297 • Fireside Chat for Cornell (Ithaca) Homecoming – Kate Snow • Holy Cross fireside chat • Fireside chat with American University Political Union with Sylvia Burwell Dennis Quaid called to thank me for doing the podcast with him. Had long conversation by phone with Chris Christie who is in Morristown Hospital. I am advising Gov. Christie on his medical course. He has received Remdesivir and is doing fine. His asthma is acting up, but his O2 is 97-98%. Some docs are recommending that he go home since he is doing well. I told him that since he is only 4-5 days into his illness and people crash on day 5 to 8, he should stay in hospital instead of going to his beach home. He should make surethat he walks around and treats the hospital like a hotel and not stay in bed to avoid thromboembolic phenomenon. He is really pissed at Trump for his reckless behavior and his disregard for infecting others. Christie is sure that Trump infected him since Christie helped prepare Trump for the Presidential debates. Christie want to be the voice opposite to Trump in saying that COVID-19 is serious and we should not brag about not dying from it, and we should not trivialize it or brag aboutndefeating it since it is still killing 210,00 people in the USA. He related that Trump told him that he was surprised that “strong men like you and me got infected”. Christie told him that it has nothing to do with how strong one is. The virus can infect anyone. Stephen Miller is infected! Very strange. Stephen was exposed to POTUS, Hope, others and tested negative by Abbot now, antigen tests and 2 PCR tests over the past 6 days. I had told him that he could re-unite with Katie who is in a hotel. He did. Now he is positive. In retrospect, he was mildly symptomatic for the entire 6 days, but since he tested negative, he felt that he was not infected. Now we know that he was probably infected but his level of virus was so low that it was not detected (tells you something about the tests). Spoke multiple times to Katie who is on way to her parents in Florida. Spoke to her at Houston airport and after she landed. Told her to get tested again (she was negative today by the Abbott test). I warned her that in this political scene, the Dems will ask her if she was near the VP (which she was) and whether she is sure that she in not infected from Stephen. They will not believe her unless she gets a PCR test. Otherwise they will say that VP may be a contact who needs to be sidelined for 10 days. I strongly advised her to get a PCR test tomorrow. The VP debate is tomorrow. Scott Atlas crossed a line today. See e-mail below: Marc: I am sorry to bother you with this as we approach the important VP debate, but this needs attention. You had mentioned to me about trying to reconcile differences between the other doctors on the Task Force and Dr. Atlas and I told you that I certainly am amenable to doing so. Below is a note that a reporter (Ashley Collman) sent to me asking for my response to an interview that she had with Dr. Atlas that they are planning on publishing. I am not planning to respond publicly since that would be beneath my dignity. However, a line has been crossed here am I strongly suggest that Dr. Atlas be removed from the Task Force and quite frankly from the White House itself. Not withstanding his outrageous comments about me, which are factually incorrect (I never said that “everyone should wear goggles” and I never “ridiculed” Sen. Paul and I, by the way, have actually written the book on natural immunity), what he has been preaching about public health measures has put the POTUS and the White House staff at risk, resulting in the infection of our President and several White House staff and other government officials. As I mentioned, I am not going to address this publicly, but it must be addressed internally. Thank you for listening. Best regards, Tony Anthony S. Fauci, MD Director National Institute of Allergy and Infectious Diseases Building 31, Room 7A-03 31 Center Drive, MSC 2520 National Institutes of Health Bethesda, MD 20892-2520 Phone: (301) 496-2263 FAX: (301) 496-4409 E-mail: afauci@niaid.nih.gov The information in this e-mail and any of its attachments is confidential and may contain sensitive information. It should not be used by anyone who is not the original intended recipient. If you have received this e-mail in error please inform the sender and delete it from your mailbox or any other storage devices. The National Institute of Allergy and Infectious Diseases (NIAID) shall not accept liability for any statements made that are the sender's own and not expressly made on behalf of the NIAID by one of its representatives. From: Ashley Collman <acollman@businessinsider.com> Sent: Tuesday, October 6, 2020 9:20 AM To: Conrad, Patricia (NIH/NIAID) [E] <conradpa@niaid.nih.gov> Subject: Business Insider reporter - request for comment Hi Patricia, My name is Ashley Collman and I'm a reporter for Business Insider. My colleague Hilary said I should contact you if I'm trying to offer Dr. Fauci the opportunity to comment on a story. I spoke to Dr. Scott Atlas yesterday, who had some things to say about Fauci. Atlas slammed Fauci for using "media contacts to make public criticisms of other people out of insecurity." He also criticized Fauci for saying "everyone should wear goggles" and for "ridiculing" Sen. Rand Paul for suggesting that some people have a natural immunity to the virus. "To ridicule that statement shows a complete lack of understanding and a lack of the current scientific research," Atlas said. He added: "I think a lot of the criticism stems from people who are either politically motivated or are interested in maintaining their own stature in the public eye." Let me know if Fauci would like to say anything in response to these comments from Atlas. Best, Ashley Collman Senior News Reporter Alyssa Farah texted me (at 3:39 PM) and said that Meadows will now prevent Atlas from doing any media; however, Atlas appeared on Laura Ingraham (FOX) with misleading statements that Influenza was more dangerous for young people than COVID-19. What a stupid statement! And so, it is OK to have the elderly and the 80 million people in USA with underlying conditions get seriously ill from COVID just because young people do well (mostly). Ridiculous. Deb Birx went in to see Meadows and apparently Meadows said he will fix the problem with Atlas, but it may take 48 hours. We shall see. PRESS: Podcast with ESPN 30 on 30 – “Day in the Life of Tony Fauci on March 11, 2020; October 7, 2020 – Global USA Alex Azar met yesterday with Atlas and his 3 stooges – Jay Bhattacharya (Stanford), Sunetra Gupta (Oxford) and Martin Kulldorff’s (Harvard). Seems that he is buying into Atlas VP debate tonight between Pence and Harris. Much more civil than the POTUS debates. Pence did not directly answer several questions using the technique that I have seen him use of avoiding answering the questions and talking about something else in response to the question. My name was mentioned multiple times during the debate. Harris said she would take an OVID-19 vaccine if I said so, but not if Trump said so. Also, Pence mentioned my name saying that I said that Trump saved many lives by shutting down travel from China. October 8, 2020 – Global 36,000,000/1,000,000; USA – 7,500,000/211,100 Below is really October 8, not October 6 Much discussion centered around the upcoming 2nd POTUS debate. Issue is whether Trump (recently infected) can safely do it in person. The Commission wants to do it virtually; however, Trump says he will not debate except in person. Mark meadows has called me twice for advice about the CDC guidelines of when a person post-infection can safely go out. The guidelines say 10 days from onset of sxs and 2 PCR tests (24 hours apart) that are negative. His last PCR had a CT of 28.9. It needs to be 35 or greater to be considered negative. More to come. Great podcast with Bill Gates and Rashida Jones Now total 34 people infected in the White House super-spreader event in the Rose Garden. Also, Kellyanne and Chris Christie helped him prepare for the debate PRESS: Print interview with Italy’s La Repubblica newspaper; Italy TV Sky TG24; MSNBC with Andrea Mitchell; Podcast with Rashida Jones and Bill Gates; Radio ONE NYC; PBS NewsHour with Judy Woodruff; Memphis Commercial Appeal: Dr. Anthony Fauci: a trusted and dependable voice during COVID-19 | Opinion With so much false information about the coronavirus being thrown at us, Fauci has evolved as a voice we can trust. He speaks truth, gives us the facts, and pulls no punches. Lynn Norment Columnist October 9, 2020 – Global USA We are clearly seeing resurgences in various parts of USA , esp. the upper midwest and the Northwest (see below). This is exactly what we (Deb and I) predicted would happen if young people did not abide by public health recommendations (masks, crowds, etc). It also validates my insisting to the VP that although I did not like being the “skunk at the picnic”, the upticks in case positivity clearly predicted the increase incases → hospitalizations → deaths. Also, shows that Atlas and his 3 stooges are completely incorrect. Gov. Cuomo called me up. Deb wanted me to speak with him about the surge in NYC since she knows that we are friends. I asked his brother Chris to have him call me. Andrew feels that the NYC surge is driven almost exclusively by the Hasidic Jews who feel that they have “herd immunity”. Obviously they do not (see Atlas). In the middle of the conversation, the POTUS calls me (see below) POTUS called me this AM at 9:10 AM. He is still very hyper and is saying that the Regeneron product “cured” him. He had with him on speaker phone Sean Conley and the entire Walter Reed team. He had them say that the drop in viral titer from 10 to the 8 to 10 to the 3 was the fastest they have ever seen. They obviously do not have that much experience. When I asked what the CT was, they said it was 33, which means he still has replication virus in his nasopharynx. Could be that Dex is slowing the clearance of virus. He wants me to help get REG mAB an EUA to save hundreds of thousands of lives. He is clearly hyper. He told the crew that I was the best persuader in the world. He used to think that he was, but he now feels that he is 2nd. Weird conversation; friendly, but weird. PRESS: AP video interview with Kelly Daschle; CBS Radio interview; Irish Newspaper – Sunday Indepemdent; October 10, 2020 – Multiple calls with Katie Miller, Stephen Mill and Mark Meadows. Big issues is when to get the POTUs back into the public (campaign rallies). Mark Meadows called me about this X2 today. The POTUS has been 10 day since onset of sxs, which is the CDC guideline for being able to return to public. However, his CT was less than 35. Today it is 34.6, but other viral parameters for replication are showing no replication. I convinced Mark to not allow the POTUS to go to Florida today (Saturday) but to wait until Monday and do a Ehite House balcony show today. Also, Stephen Miller is chomping at the bit to get out in public since the campaign is short-handed with so many people infected. Stephen has crazy numbers. CT was 27.8 yesterday and 16 today!. Looks like a lab error. Will check again tomorrow GOP campaign put out an ad misleading) having me say that the POTUS did everything possible. The press are calling out the GOP since they know that this is totally out of context. I called Stephen Miller and asked him to look into this. PRESS: Continue to do taping for the NAT/GEO documentary as well as the 60 Minutes Special that will come up next week. Crazy situation with Alyssa Farah and Jon Karl who rally wants me on “This Week” tomorrow (Sunday). First she promised him that there wa a 99.5% chance that he could have me. She said this on Wednesday. Jon texted her every day for confirmation and she just ignored his texts until it was too late (Saturday afternoon). Totally incompetent and disrespectful to Jon and ABC, but not atypical for them (WH Comms) October 11, 2020 (Sunday) See above re: Jon Karl. They are completely blocking me for Sunday shows. Also, big stink about the POTUS hiding data regarding how infective he might be (see above) Multiple conversation with Sean Conley, docs at Walter Reed and me. Also, Savannah Guthrie representing NBC wants assurances that it is safe for the audience that the POTUS does a Town Hall on Thursday (Oct.14). Mark wants us at NIH to repeat the PCR and CT values to get an independent voice here since the press does not trust Sean Conley or the Walter Reed people since they believe that these folks are afraid of the Commander-in-Chief. However, Mark does not want to admit that we need to go to NIH and so he wants NIH to do the PCR but have me not say that it was done at NIH, but only say that I will vouch for the results. Really ridiculous. Cliff will do the swab on Thursday and run it at NIH. I needed to respond to the misrepresentation of my support forTrump by the GOP campaign and so when Kaitlan Collins contacted me about it, I issued a statement that she tweeted: "In my nearly five decades of public service, I have never publicly endorsed any political candidate. The comments attributed to me without my permission in the GOP campaign ad were taken out of context from a broad statement I made months ago about the efforts of federal public health officials." It went totally viral on twitter and several networks and cable reported it. The GOP campaign hit back by giving other quotes from me saying that I did indeed support what the POTUS was doing. However, they left out all f my criticisms, and besides in none of those quotes did I endorse the POTUS. Now the GOP campaign is tweeting everything that I ever said positive about our effort trying to call me a liar about denying that I am favoring Trump. This is turning into an ongoing war between me and the GOP campaign. Nate Silver tweeted that the GOP campaign is really stupid to pick a fight with Tony Fauci just a couple of weeks before the election. Jon Karl called out Alyssa Farah on “This Week” saying that she would not let me on the show. He then asked for any medical or TF person including Redfield, Birx, Hahn, Giroir, or even Pence. She ignored that and tweeted that Karl did not ask for anyone else but me. Karl got furious and tweeted his tweet to her showing her up to be a liar. She responded and said she must have “missed the text”. PRESS: Opinions Distinguished person of the week: Fauci calls out Trump’s recklessness Opinion by Jennifer Rubin Columnist at 7:45 a.m. EDT October 12, 2020 Global – 37,400,000/1,100,000; USA – 7,700,000/214,100 Continued confusion about whether I am allowed on shows. Jake Tapper was told by Alyssa that it is OK to put me on his show. When Patty and CNN tried to make the arrangements, WH comms said that they did not know anything about this. Jon Karl and Wolf Blitzer also trying in vain to get me on. All day and evening press dominated by the conflict between me and the GOP Campaign regarding their campaign ad featuring me. The press are making Trump look very bad saying that trump is not running against Biden, he is running against Tony Fauci. The Epi outbreak situation is deteriorating (See below) PRESS: CNN Jake Tapper – “The Lead”; CNBC – Shepherd Smith; complete filming for CBS “60 Minutes” for next week with Jon LaPook; October 13, 2020 Global USA Increases in cases continue (see map below) Mark Meadows has asked me to certify that POTUS is not transmittable for SARS-CoV-2. This relates to the fact that NBC (Savannah Guthrie) execs do not want to host the Town Hall with Savannah moderating on Thursday (10/15/2020) unless they are sure that POTUS will not infect Savannah or anyone else connected with the Town Hall. I offered to have a PCR done here at NIH and to go over all the data with Cliff and certify if appropriate. Cliff went to WH and Sean Conley did nasal swab on POTUS and Cliff brough it back to NIH. Result was CT of 34.3. We then went over all his data including multiple negative cultures and multiple negative antigen tests (see attached document) and clinical course of >10 following onset of sxs and we determined that he was not infectious. I related this to Savannah by phone at 10:00 PM tonight Summary of findings[3].pdf PRESS: Good Day NY TV with Rosanna Scotto; Public Radio – “The World” October 14, 2020 – Globus USA Very concerned about the uptick of cases throughout the country in ~30+ states, which is a good predictor of surges. Important as we enter Fall and Winter Season. Also, baseline infections are ~40,000 to 50,000/day. A FEW DAYS AGO, Julia Roberts sent me beautiful flower arrangement. I emailed her my thanks. Scott Atlas still causing problems with his “herd immunity” issue. Continued press coverage of tension between me and POTUS “Barrington Declaration” – Misleading people into thinking that it only measn do not close down country and just protect the vulnerable, when in fact is means go for herd immunity, which will kill many, many people. Ha long talk tonight with Jared Kushner asking his help in getting rid of Scott Atlas. Much activity in the community asking Deb and I to threaten to resign if the White House does not get rid of Atlas. PRESS: Major article in Washington Post by Yakamura, Dawsey and Yasmeen Abutaleb discussing tension and “feud” between POTUS and me; CBS.com live stream with Norah O’Donnell; CBS Evening News; WABC Radio Interview – Conversations in Healthcare; Open discussion of conflict with WH: Trump’s COVID Task Force Is Now Openly Rebelling Against Him From Fauci to Birx to Redfield, the president’s top health officials appear to be at their wits’ end. Erin Banco Asawin Suebsaeng Sam Stein October 15, 2020 Global USA As the election nears, the cases increase and surges are inevitable as we enter cooler weather. Trump is on the campaign trail spewing nonsense. He is really out of control. A true embarrassment. I did Face Time and some screen shots with a young boy at Children’s National Medical Center who has recurrent brain tumor. He is from Hollywood, FL. His name is Benjamin. Chris Christie’s physician called me to ask advice on getting Gov. Christie back in circulation following COVID-19. He still is PCR positive, has been 13 days since onset of sxs. Do not yet know CT level. I told them to get it and get back to me. Seems like the POTUS is desperately attacking me. This from the New York Post: Here's the Trump quote: "Tony Fauci, he's a nice guy. He said this is not a threat. This is not a problem. Don't worry about this... he said do not wear a mask. Do not wear a mask under any circumstances. Don't wear a mask — don't, don't, don't, right? So we don't wear a mask. Then they say, oh wear a mask. I never saw, did you ever see any conflicts? but he's a nice guy so I keep him around, right? We'll keep him around. "He is a Democrat. everybody knows that. He's Cuomo's friend. Cuomo did the worst job of any governor in the United States. Almost 40,000 people died more, and 11,000 at least — and you know I gave him this big convention center, 2,800 beds, he didn't use it. I gave him a ship. I gave him the great hospital ship meant for wars... it's incredible, they didn't use it. Instead they sent sick people back into nursing homes, right? It's a disgrace." -- Steven Nelson New York Post Signal/cell: 202-805-0625 When the POTUS said this to the crowd in North Carolina, as he mentioned my name, the crowd booed and he encouraged this. On the evening cable shows CNN Anderson Cooper said this was a terribly childish thing to do to a career public servant like me. PRESS: Good Morning America with George Stephanopoulos (ABC) – I blew away the Great Barrington Declaration; Yahoo Finance Interview; PBS Firing Line with Margaret Hoover. October 16, 2020 – Global USA Surges continue. See Birx slides below Cases continue to climb: October 17, 2020 (Saturday) Got call at 5:53 AM from Deb Birx who reported to me about yesterday’s activities at the WH. Atlas did not come to White House. However, at the “huddle” in the AM he tried to undermine everything that Deb and I have been saying about how to contain the surges. He explicitly wants to never do contact tracing and never isolate any person who is infected. He feels that this constitutes a “lockdown’ and feels that the POTUS does not want to lock down. We (Deb and I) have repetitively said that we do not want to lock down. Atlas has convinced the entire White House. My conversation with Jared a couple of days ago obviously did not convince him since he told Deb yesterday that the POTUS likes differences of opinion and so we should just work it out. THIS IS VERY REMINISCENT OF AIDS DENIALISM WITH THABO MBEKI when it went beyond differences of opinion and >300,000 South Africans died without ART because he believed from Duesberg et al that HIV did not cause AIDS Cases continue to surge (see graph below). Could possibly start to overwhelm hospitals in some more rural areas. October 18, 2020 – Global – 39,600,000/1,100,000; USA – 8,100,000/218,500 Surge continues: Baby Blues by Jerry Scott and Rick Kirkman Hilarious song about mask wearing: https://bit.ly/37jp8fs Not allowed on any shows. Meet the Press and Face the Nation asked for me. WH gave Alex Azar to Meet the Press PRESS: (Sunday) –CBS “60 Minutes” with Jon LaPook October 19, 2020 – Global USA Things getting worse and worse, and still the White House espouses the “herd immunity” nonsense from Scott Atlas. I am ashamed of Alex Azar for embracing this. See PRESS below. Trump is on tear trashing me saying that I am a “disaster”, going on about my throwing arm at the Nats opener, tweeting constantly about me, saying if he had listened to me 500K people would be dead by now. Calling the Task Force people “idiots” He is really sounding totally crazy. He must have driven over the edge by the incredibly well-received profile of me last night on CBS “60 Minutes” The response of my supporters with e-mails, texts, and tweets has been overwhelming. Some examples of hundreds of e-mails and texts: Text from Joan Baez – “I hope you’re celebrating. It’s an honor to be attacked by that miserable fuck”. Text from Hilary Rosen – “14 more days. Hang in there. We need you. That fuckhead isn’t fit to tie your shoes. Xo Hilary” CNN jumped all over zTrump for doing this. PRESS: CBS/KNX Radio – Los Angeles; Washington Post article describing situation on the TF Trump’s den of dissent: Inside the White House task force as coronavirus surges By Yasmeen Abutaleb, Philip Rucker, Josh Dawsey and Robert Costa at 6:00 a.m. EDT Trump to campaign staff: "Fauci is a disaster" From CNN's Kaitlan Collins https://twitter.com/realDonaldTrump October 20, 2020 – Global - 40,300,000/1,100,000; USA – 8,200,000/220,000 Had call with “Miami Mayors again (Deb and I). They are starting to see upticks in test positivity in certain groups (younger people – 30-40 y.o.), but not the general population since they are decreasing the number of tests; however, it might not be totally reflective of what is going on. Gov. DeSantis is legally preventing the Mayors from doing what needs to be done. They cannot close bars or restaurants. DeSantis is preventing them from doing what needs to be done. Mayors are frustrated. Phone call with Governor Inslee (D-WA). He wants my help in doing a PSA or an interview to encourage the people of Washington state to abide by public health guidelines since they are experiencing a slight surge in cases when they were previously doing very well. NEWS CLIPPING — WASHINGTON POST — CONDENSED (1 SOURCE PAGE) “PRESS: Front page articles in the Washington Post and the New York Times on Trump attacking me. See NY Times below by Stolberg, Haberman and Weiland; CBS Radio NYC Trump Calls Fauci ‘a Disaster’ and…” Fauci reportedly quotes ‘The Godfather’ in response to Trump criticisms By Yaron Steinbuch October 20, 2020 | 7:00am | Updated October 21, 2020 Global – 40,500,000/1,100,000; USA – 8,200,000/220,400 Se. Patrick Leahy (D-VY) called me to encourage me in light of the POTUS attacks on me. His mother’s side of the family is Italian and he said to me “Coraggio” or courage, which his grandmother used to tell him when he was a prosecutor in Vermont. PRESS: Article in Washington Post by Molly Roberts – “Why Fauci Won’t Quit”; Article and cover in Washingtonian magazine: Washington’s Very Top Top Doctor Each November, Washingtonian honors the best physicians in our region. This year, Anthony Fauci deserves special recognition. Written by Sherri Dalphonse | Published on October 20, 2020 October 22, 2020 – Global – 41,100,000/1,100,000; USA – 8,300,000/221,400 Surging continues as does hospitalizations and soon deaths. Atlas continues to spew forth nonsense about letting children and young people get infected and just protect the vulnerable. How do you protect the vulnerable not in nursing homes, i.e. in the community. He feels that wearing masks are worthless and contact tracing and isolation is actually locking down. The WH is letting him do this. Borders on criminal. Got call from Mark Meadows from Nashville with the last Presidential debate takes place. Mark said that they want to put up a plexiglass plate between Trump and Biden and Trump feels that this is a distraction. Mark called me to ask my opinion and I confirmed that it is unnecessary. The POTUS is not infected nor is Biden. Mark thanked me and a few minutes later Dr. Kens Sands (Physician for the debate) called me at Mark’s suggestion to discuss the details of our data that the POTUS is no longer transmissible. I gave him eth CT number of 34.3 CT and the negative antigen tests and cultures. He was satisfied. Amazing → POTUS days I am an “idiot” and a “Disaster” and then counts on me to verify about his health. October 23, 2020 Global – 41,600,000/1,100,000; USA – 8,400,000/222,400 Last night was final Presidential Debate. POTUS still insisting that we are turning the corner and all parameters are down. This is completely untrue as per the summary below from Deb Birx. Also, after the moderator brought up the fact that POTUS called me and others “idiots” he continues to say that I am a nice guy but have been wrong many times. He brings up the “incomplete” quote where I say that: “…..at this time, we do not need to do anything different”, yet he leaves out the second part of the sentence: “……however, it really is an evolving situation, and we have to be prepared for the worst”. This was a quote from me on CNN on January 20, 2020. On Jan. 21, the 1st travel-related case was detected in the USA. On Jan. 24 the 2nd travel-related case was detected and on Jan. 30 the 1st person-to-person spread of SARS-C0V-2 was confirmed in the USA. Therefore, I was warning that we needed to be prepared for the worst even before the 1st case was detected in the USA. Also, he said again that I am a Democrat and brings up my early (and very brief) statement on masks. Fact checkers showed he lied dozens and dozens of times during the debate. • Did Fireside Chat with the Aspen Group - Sibelius, Thompson. Very well received. Had dinner at my home with Jake and Jennifer Tapper. Relaxed, good time. Jake clearly believes that Trump is totally nuts. Hit 83,000 new cases today. The single day record since the beginning of the outbreak: Surge continues: PRESS: MSNBC – Chuck Todd – Meet the Press Daily; BBC TV Andrew Marr Show; CNN with Erin Burnett October 24, 2020 Global – 42,100,000/1,100,000; USA – 8,500,000/223,400 Much discussion in the press that the outbreak is out of control as we enter the cooler months. POTUS keeps saying that we are “turning the corner” and this will be under control very soon. Press pitting this against what I and other credible scientists are saying. Adam Silver, Commissioner of NBA, wrote me a nice letter thanking me for helpingto make the NBA season successful and safe October 25, 2020 – Global – 42,500,000/1,100,000; USA – 8,600,000/224,2200 The slide below demonstrates why it is important to test both symptomatic ad asymptomatic people. WH (with pushing by Atlas) is saying you only show test symptomatic people, Colleges are good example See below: Marc Short tests positive for COVID-19. VP continues to campaign despite CDC guidelines about quarantine sine VPO is with Marc constantly. VP and WH saying that VP is “essential personnel” and so an continue his work. Other VP staff that are now infected include political advisor Marty Obst; his personal aide Zach Bauer, known as a “body man,” who accompanies him throughout his day; and two other staff members. Had conversation with Marc Shot by phone today. I reached out to him to offer any help or advice that he might require. He was very appreciative. Mark Meadows on TV with Jake Tapper on SOTI (CNN- Sunday) saying we cannot control the pandemic, but we will fight it with therapies and vaccines. This is the Scott Atlas approach. This is interpreted by many and played up by Biden that the administration has essentially “given up” on trying to control the pandemic and have admitted failure. Some buzz around my statement on CNN Erin Burnett that I would favor mask mandates if people do not voluntarily wear masks. I clarify with Sheryl Stolberg of New York Times that local (state, city, county) mandates (if any) are better than national mandate. Adam Silver (Commissioner of NBA) sent me a letter thanking me for helping to make the NBA season successful and safe: SKM_C754e2010251 5200.pdf October 26, 2020 Global – 43,000,000/1,200,000; USA – 8,600,000/224,600 Surging continues: POTUS insists on having large rallies 1 week before the election. Crowds are close together, many without masks. He is desperate and defiant. On Friday, October 23, the FDA’s FDA’s Vaccines and Related Biological Products Advisory Committee (VRBPAC) held a meeting chaired by Arnold Monto of Univ. of Michigan and also member Paul Offit (U Penn) to discuss the pros and cons of issuing an EUA after 50 events in a 150 event trial (such as with Moderna and Pfizer). Thankfully, they weighed heavily on keeping the trial going and not unblinding it after the first sign of efficacy, which would negate the further gathering of important data. This is exactly what we had hoped for. Much pressure from Trump and Meadows to get an answer quickly or at least promise that an answer will come quickly. With the VRBPAC recommendation, vaccine (if effective) would not begin to be distributed before January, and not November/December. Over the weekend Gil Omenn called me and said that he had a recent meeting with President Obama and the President did not want to contact me directly sine he felt that this might cause me difficulty with the Trump people. However, he wanted Gil to convey to me how proud he was of me for what I have been doing and standing for and he wanted to express to me how much he admired me. • Went to Clinical Center to visit a young woman (Leslie Adelman) who has Von Hipple-Lindau disease and had a hemangioblastoma in her cerebellum removed last week. Since she was in the hospital she asked her neurosurgeon Dr. Kareem Zaghloul if it were possible to meet me. I, of course, said yes and went to see her. Quite a time. Nurses and physicians all wanted pictures with me. Leslie was delighted. Made my day. Sign in Kensington: . Dr. Anthony Fauci PRESS: Yahoo Finance TV; October 27, 2020 – Global USA Surges continue: Great Great Fireside Chat with Sharon Lewin et al (Peter Doherty) at Melbourne, Australia. Sharon said that I am a “household name” in Australia. The Australians had zero new infections in the entire city of Melbourne yesterday proving that pure public health measures such a mandatory mask wearing ($1000.00 fine) and avoiding crowds actually works. Alyssa Farah and Roma Daravi (White House comms) are continuing to jerk me around regarding clearances for TV requests. I get 20 requests and they ignore them. We complain, and then Alyssa says that she has no problem with any of them. “Go ahead and work with Roma to schedule”. Roma gives us one or two and then we do not hear from them (ignore us) for another week. All the while they are approving Azar and other docs on the task force (Hahn, Redfield, Adams, etc.) Clearly, they do not want me on Major TV, but are afraid to admit it. This must be pointed out in the book! PRESS: WAMU podcast with Diane Rehm; Carnegie Endowment for International Peace – Fireside Chat; Rolling Stone Interview with Jeff Goodell October 28, 2020 – Global USA Went on rounds today with a patient with COVID-19 in the SCSU. When I entered the SCSU nurses’ station, the group of 5 nurses screamed in delight that I had visited and we took a whole bunch of picture. Brett Rowland (security) was the photographer. White House still claiming that everything is under control and that all that matters is deaths. That is absurd. Deaths are in fact increasing; however, they are completely disregarding the morbidity associated with getting infected and not dying, which could be protracted. Here’s A Timeline Of President Donald Trump’s And Dr. Anthony Fauci’s Relationship. USA Today (10/28, Behrmann, Santucci, 10.31M) reports, “The relationship between President Donald Trump and Dr. Anthony Fauci, the nation’s leading infectious disease expert, has publicly eroded as the coronavirus pandemic has raged through the United States, with the two officials often disagreeing on issues from what drugs to use and a vaccine timeline to something as simple as the fact that COVID-19 isn’t ‘going to disappear.’” According to the article, “over the course of the virus’ spread, Trump’s relationship with Fauci, who has worked under both Democratic and Republican administrations since 1984, has vacillated from support to disdain.” USA Today provides “a timeline of the pandemic, reports about their relationship, and public statements from the two men regarding the virus and each other.” PRESS: Marc Siegal “Doctor Radio” Sirius Radio; Interview with Joel Achenbach – Washington Post; JAMA Podcast with Howard Bauchner; BBC Radio; CNBC – Shepard Smith; Chicago Ideas with Brandis Friedman – Brad Keywell; October 29, 2020 – Global – 44,000,000/1,200,000; USA – 8,800,000/227,000 POTUS in complete denial that there is a raging pandemic and everything is spiking. He keeps insisting that we have “turned the corner” or “rounding the turn”. Some potentially nefarious stuff going on. The FDA career scientists are hesitant to grant EUAs to Lilly’s and Regeneron’s mAb based on the current data. Alex Azar is really pushing them and furious because he thinks FDA is “slowwalking” the process so as not to have it out before the election in 5 days. Clearly, Alex wants to please the POTUS so that they can say that they have a breakthrough (similar to Convalescent plasma nonsense) right before the election. Azar then asked NIH (Collins), CDC (Redfield) and ASPR (Kadlec) to weigh in since the legislation that established the EUA process (dating back to the Anthrax situation in 2001) requires the CDC, NIH, and ASPR Directors to weigh in on EUA decisions (even though they have not done so in the past). Cliff and I had long conversation with Francis on his way down to HHS to discuss with Azar. We encouraged Francis to support the career scientists at FDA since they do not want to rush this through. They need more time to gather important information since what they have now is rather weak. October 30, 2020 – Global – 44,600,000/1,200,000; USA -8,900,000/228,100 • Did Fireside chat with Silicon Valley leadership Group Annual Forum • Was on Governors call led by Azar. After call Gov. Greg Abbott called me to ask about availability of mAbs Kelly Ripa throws her support behind coronavirus task force leader Dr. Anthony Fauci by stepping out in a sweater bearing immunologist's name By David Lawrance and Christine Rendon For Dailymail.com Published: 23:12 EDT, 29 October 2020 | Updated: 23:12 EDT, 29 October 2020 Earlier this month she had her own brush with COVID-19, when her Live With Kelly And Ryan co-host Ryan Seacrest had to be tested for the virus. Following Ryan's thankfully negative result, Kelly Ripa gave a nod to one of the faces of the U.S. Government's coronavirus taskforce when she stepped out in New York City in a statement garment on Thursday. The TV personality, 50, donned a white sweater bearing the name 'FAUCI,' an apparent reference to the famed immunologist Dr. Anthony Fauci, who has become something of a folk hero in the midst of America's coronavirus pandemic. NEWS CLIPPING — WASHINGTON POST — CONDENSED (1 SOURCE PAGE) “PRESS: Familiar Fauci anecdotes, told with a Brooklyn accent Anthony Fauci, head of the National Institute of Allergy and Infectious Diseases, has been in the spotlight during the coronavirus pandemic. President Trump recently called him…” politics and public policy. She is the author of "Janesville: An American Story." at 8:00 a.m. EDT Months before travel was hobbled by coronavirus fears, I was returning home one evening from Raleigh-Durham International Airport when I noticed a familiar figure at the gate — slight, bespectacled, hair side-parted and gray. Anthony S. Fauci and I have spoken now and then over the years, and we began to chat. When it was time to board, it turned out our seats were adjacent. So, I was treated to vivid war stories about the arc of his medical and scientific work in infectious diseases, and about his interactions with a succession of presidents during the AIDS crisis. New York Times – 10/29/2020 – Thomas Kaplan: Mr. Biden has also signaled that Dr. Anthony S. Fauci, the government’s top infectious disease expert, will have a prominent role in a Biden administration. The Biden campaign has said Dr. Fauci, the longtime head of the National Institute of Allergy and Infectious Diseases, “will have full access to the Oval Office and an uncensored platform to speak directly to the American people — whether delivering good news or bad.” — Thomas Kaplan and Abby Goodnough October 31, 2020 – Global – 45,400,000/1,200,000; USA – 9,020,000/229,100 Surging continues to accelerate 3 days before the election. Trump out on campaign trail with big crowds, many who do not wear masks. Almost at the 100,000 per day level that I predicted at the Senate Hearing a few months ago: Tonight, I virtually received the Leonardo da Vinci Award of the National Italian American Foundation at their Virtual Gala online from 6:30 PM to 8:30 PM. Hosted by Pat Harrison, Joe Piscopo and Maria Bartiromo. There was a wonderful series of testimonials to me from an amazing group of people: Robert DeNiro, Al Pacino, Leonardo DiCaprio, Francis Ford Copolla, President George W. Bush, Bono, John Turturro, Neil Sedaka, Dion DiMucci wrote and sang a song to me, Maria Tomei (she also grew upon Bensonhurst and commented about that), Isabella Rossilini, Mike Piazza, among many others. Very moving and humbling PRESS: ONLINE version of Washington Post article came out this evening (se below). Firestorm started. Apparently, the Post called the White House to inform them of my “negative towards the WH” interview. Mark Meadows called Collins (supposedly he tried to contact me but told Francis I did not answer my phone. He likely called my office phone that I no longer answer). He yelled at Francis saying that he has not seen the article yet but he has heard that I solicited an interview with the Post and did so without clearance. Francis called me and ascertained that in fact they called me and I did get clearance. See below (Sunday). November 1, 2020 – Global – 45,900,000/1,200,000; USA – 9,110,000/230,000 Big ISSUE!! – Blockbuster situation in Washington Post in an interview that I gave on Friday evening to Josh Dawsey and Jasmeen Abutaleb. I spoke about the fact that cases were dramatically increasing throughout the country (see prior days above) and that we needed to do something different like doubling down on public health measures. I also strongly blasted Scott Atlas. In the article, much to my dismay, Dawsey (less than Abutaleb) wanted to keep the word “seriously in a passage that I thought was off the record, but he said that it was not (I am pissed at him). Here is the passage: Fauci said former vice president Joe Biden’s campaign “is taking it seriously from a public health perspective.” Trump, Fauci said, is “looking at it from a different perspective.” He said that perspective was “the economy and reopening the country.”. Also, in the article. Judd Deere blasted me saying I was being political: Judd Deere, a White House spokesman, offered blistering criticism of Fauci for his comments in a statement to The Washington Post on Saturday. Deere said Fauci “knows the risks [from the coronavirus] today are dramatically lower than they were only a few months ago.” “It’s unacceptable and breaking with all norms for Dr. Fauci, a senior member of the President’s Coronavirus Task Force and someone who has praised President Trump’s actions throughout this pandemic, to choose three days before an election to play politics,” Deere said. “As a member of the Task Force, Dr. Fauci has a duty to express concerns or push for a change in strategy, but he’s not done that, instead choosing to criticize the President in the media and make his political leanings known by praising the President’s opponent — exactly what the American people have come to expect from The Swamp.” I thought that I was in big trouble. However, some interesting things happened. Alyssa Farah texted me at 7:00 AM on Sunday and said: I am so sorry that fool Scott Atlas keeps attacking you. I’m even more sorry I’m not in a better position of influence to see him out the door. I’m trying to make people see he’s a disaster. I immediately called her up and explained that I was not pitting my support for Biden over the POTUS. She understood perfectly and said she totally supported me and thanked me for what I do. Then, at 9:30 AM, the POTUS called me from Air Force One. We had a 15 minute conversation where he did his usual rambling. He started by saying that I really need to be positive. “Tony, I really like you, and you know that, but what the fuck are you doing? You constantly drop bombs on me. Everybody wants me to fire you, but I am not going to fire you, you have too illustrious a career, but you have to be positive. The country cannot stay locked down. (I never said that we should lock down). You have got to give them hope. I like you but so many people, not only in the White House, but throughout the country hate you because of what you are doing. I am going to win this fucking election by a landslide. Just watch. I always did things my way. And I always win, no matter what all these other fucking people think. And that fucker Biden. He is so fucking stupid. You are 10 times smarter than he is. I am going to kick his fucking ass in this election. I will win by a landslide. Just wait and see. I will win Florida, Pennsylvania, Ohio, all the key states. Just wait and see. The smallest crowd that I had was 25,000 people. Biden had 5 people blowing their fucking horns in their cars. Tony, you have to be positive. I do not want to keep you off TV, but when you are out there, you have to be positive. (I tried to interject some words that I am being positive by telling people what they need to do to avoid infection – he heard none of it and just kept talking over me. He did not seem hostile, but he was just rambling). Then when he was finished, he said: “OK, Tony, I will see you in a couple of days. Take care”. Although I do not think that I will be fired, I am not out of danger just yet. Another crazy thing. Scott Atlas did an interview from the White House with Russian Television blasting the response of the USA scientists (including me). CNN is jumping all over this. PRESS: ‘A whole lot of hurt’: Fauci warns of covid19 surge, offers blunt assessment of Trump’s response Josh Dawsey and Yasmeen Abutaleb at 7:00 p.m. EDT President Trump’s repeated assertions the United States is “rounding the turn” on the novel coronavirus have increasingly alarmed the government's top health experts, who say the country is heading into a long and potentially deadly winter with an unprepared government unwilling to make tough choices. CNN Blog: White House unleashes on Fauci after criticism of Atlas and Trump's pandemic response By Kelly Mena Cartoon pitting me against Trump: https://www.youtube.com/watch?v= oCS-1w-OdU

Global USA During rally in Florida, the crowd started chanting “Fire Fauci” and the POTUS said: “Don’t tell anybody but let me wait til a little after the election. I appreciate your suggestion”. I got dozens of texts immediately following the posting of the tweet from people lending me their support and horror about what he is suggesting. Interesting that he told me yesterday that he is not going to fire me. Many kids dressed up as me for their Halloween costumes: Nice talk with Marc Short today. He is totally supportive as is (as he says) the VP. I continue to get dozens of e-mails and texts of support from all over the world. The press is all over this. Rosa DeLauro just called me and said: “We all love you. Fuck him. There is no way in the world we are going to let him fire you.” PRESS: Multiple stories running now about the threat to fire me. November 3, 2020 – Election day!! Red hot discussions in press of POTUS firing me. Dominating the news. Also, someone leaked one of Deb’s daily briefing (see right above) making it look like she is bucking the POTUS similar to what I did in the Post on Friday. Lincoln Project (Republicans against Trump) says: You have a choice on election day. Either fire Fauci or Trump. Who do you want to fire? Unfortunately, I am right in the middle of the fight for a Presidential election. YIKES!!! Harrison Ford And Lincoln Project Back Anthony Fauci, Advocate Firing Donald Trump By Ted Johnson, Dominic Patten November 2, 2020 5:48pm Important situation evolved today. White House (meadows) clais that Washington Post (Dawsey) told him that I initiated the interview from Friday. NOIT SO!!! E-mail below is self-explanatory: Brian: As per our recent telephone conversation, let me summarize. Francis Collins called me this afternoon after his regularly scheduled meeting with the Secretary. Apparently, the Secretary is under the impression (someone related this to him) that I initiated the interview with the Washington Post that is now so controversial. That is categorically incorrect and I have proof of that. The e-mail below indicate that the reporter Josh Dawsey reached out to me for an interview (e-mail below dated October 29, 2020 at 11:48 AM). I did what I always do and requested clearance. The e-mails below show that this occurred and I was cleared to speak with him. I would like very much to clear up this misunderstanding that I reached out to the reporter, which I absolutely did not. Please read the e-mail chain from bottom up. Many thanks. Best regards, Tony From: Conrad, Patricia (NIH/NIAID) [E] <conradpa@niaid.nih.gov> Sent: Tuesday, November 3, 2020 3:55 PM To: Fauci, Anthony (NIH/NIAID) [E] <afauci@niaid.nih.gov> Subject: Fwd: CLEARED - RE: Covid -- WashPost request Sent from my iPhone Begin forwarded message: From: "Conrad, Patricia (NIH/NIAID) [E]" <conradpa@niaid.nih.gov> Date: October 31, 2020 at 4:09:33 PM EDT To: "Fauci, Anthony (NIH/NIAID) [E]" <afauci@niaid.nih.gov> Subject: Fwd: CLEARED - RE: Covid -- WashPost request Sent from my iPhone Begin forwarded message: From: "Leifman, Laura (NIH/NIAID) [E]" <laura.leifman@nih.gov> Date: October 30, 2020 at 10:21:52 AM EDT To: "Billet, Courtney (NIH/NIAID) [E]" <billetc@niaid.nih.gov>, "Conrad, Patricia (NIH/NIAID) [E]" <conradpa@niaid.nih.gov>, NIAID OCGR NSWB <NIAIDOCGRNSWB@mail.nih.gov> Cc: "Routh, Jennifer (NIH/NIAID) [E]" <jennifer.routh@nih.gov> Subject: CLEARED - RE: Covid -- WashPost request Patty, ASF is cleared to talk with Josh Dawsey. ------------------------------------------------------------------------------------------------------------- ------------------------------------------------------------------------------------------------------------- ------------------------------------------------------------------------------------------------------------- ---------------------------------------------- From: "Lemar, Naweed (OS/ASPA)" <Naweed.Lemar@hhs.gov> Date: October 30, 2020 at 10:19:38 AM EDT Subject: Re: Interview request: COVID-19 as we head toward winter Ok V/R, Naweed Lemar U.S. Department of Health & Human Services Direct: 202-260-6962 Mobile: 202-816-2427 Email: naweed.lemar@hhs.gov From: Leifman, Laura (NIH/NIAID) [E] <laura.leifman@nih.gov> Sent: Friday, October 30, 2020 9:19 AM To: Billet, Courtney (NIH/NIAID) [E] <billetc@niaid.nih.gov>; Conrad, Patricia (NIH/NIAID) [E] <conradpa@niaid.nih.gov>; NIAID OCGR NSWB <NIAIDOCGRNSWB@mail.nih.gov> Cc: Routh, Jennifer (NIH/NIAID) [E] <jennifer.routh@nih.gov> Subject: RE: Covid -- WashPost request This is in clearance now. From: Conrad, Patricia (NIH/NIAID) [E] <conradpa@niaid.nih.gov> Sent: Friday, October 30, 2020 6:51 AM To: NIAID OCGR NSWB <NIAIDOCGRNSWB@mail.nih.gov> Cc: Billet, Courtney (NIH/NIAID) [E] <billetc@niaid.nih.gov>; Routh, Jennifer (NIH/NIAID) [E] <jennifer.routh@nih.gov> Subject: FW: Covid -- WashPost request Please send for asap clearance. Hoping to do today From: Auchincloss, Hugh (NIH/NIAID) [E] <auchinclossh@niaid.nih.gov> On Behalf Of Fauci, Anthony (NIH/NIAID) [E] Sent: Thursday, October 29, 2020 11:49 AM To: Billet, Courtney (NIH/NIAID) [E] <billetc@niaid.nih.gov>; Conrad, Patricia (NIH/NIAID) [E] <conradpa@niaid.nih.gov> Subject: FW: Covid -- WashPost request From: Dawsey, Joshua <josh.dawsey@washpost.com> Sent: Thursday, October 29, 2020 11:48 AM To: Fauci, Anthony (NIH/NIAID) [E] <afauci@niaid.nih.gov> Subject: Covid -- WashPost request Hi Dr. Fauci, Josh Dawsey from the Washington Post again. Hope you are well. My colleague Yasmeen Abutaleb and I are working on a story about what the pandemic is likely to look like this fall/winter -- and what the administration should be doing about it. Wonder if you could answer a few questions. 1. Have you briefed the president on the spike in cases in recent weeks, and have you prescribed any course of action that you think is best to contain the virus? If so, what is the action? 2. What are you projecting as far as cases and deaths this fall? 3. In what ways is the country better prepared to handle this wave of cases? In what ways is the country worse prepared to handle this wave of cases? I'd love to get as granular as possible here. 4. Why does the coronavirus task force meet less frequently than it once did? Do you have access to high-level decision makers at the White House as you once did? 5. What did you think of Mark Meadows comment that we can't control the virus? Was that good public health messaging? What about the president's comments that covid is overblown and that coverage of covid -- and the dangers of the disease itself -- will recede after Election Day? 6. Have you warned the White House or the campaign, besides your public comments, about the dangers of these large rallies? 7. Have you spoken to anyone on the Biden transition team about controlling the pandemic, should he win? 8. Do you believe the president is getting good health advice from Dr. Scott Atlas? We are told you have repeatedly disagreed with Atlas. Is that true? If so, why? 9. We are told that you wanted to appear on television in upcoming weeks to warn the country about the disease this winter, but were scuttled from doing some appearances. Is that true? If so, do you know why? If you have a second, I'm also happy to talk by phone. Just figured you might be busy. I'm at 843-267-6747. PRESS: News of the day dominated by press indicating me versus the POTUS and the story that he is going to do a purge even if he is not re-elected and that the purge will start with me. Front page in Washington Post; Politico: Politics Trump threatens to fire Fauci ‘after the election’ By Lev Facher @levfacher Jimmy Kimmel: [On Trump casually alluding that he is thinking of firing Dr. Fauci] “Firing Dr. Fauci, that’s a smart move. He’s the only good person in the whole Administration. But go ahead and fire him, because a group of people who sell nightcrawlers out of their vans started a chant.” November 4, 2020 Global – 47,400,000/1,200,000; USA – 9,400,000/232,000 Surging continues. Predictions that we will have 1000 deaths/day for the next couple of months if things do not change In the AM, election still too close to call – Biden – 224; Trump – 213 at 5:30 AM Biden picking up numbers as the day goes on. 5 critical states. Trump already claiming fraud. Wants to stop counting in the “mail-in” states since the counting is going against him. Threatens to bring to Supreme Court even though it was agreed upon by the states that all votes would be counted. Photo below from Liz Sabo: PRESS: 2020 election results may influence Trump's treatment of Dr. Fauci. That matters. If Trump does succeed in silencing Fauci somehow, it would come at a particularly precarious time for America. Dr. Anthony Fauci, director of the National Institute of Allergy and Infectious Diseases.Frankie Alduino / Redux Pictures Fauci has spent the past few months speaking up about the stark realities of the pandemic — honesty that is out of step with the White House's messaging and which seems to have resulted in his being sidelined. But Fauci's true courage and wisdom are most evident in how he has managed to strike a difficult balance: avoiding overt political attacks while still speaking truth to power. By walking this very tricky line, Fauci has probably avoided getting kicked off the coronavirus task force, ensuring that he could continue working from within the administration. This couldn't have been easy. I don't think the Trump administration realizes how much this unassuming and kind man embodies scientific excellence. But he's also got backup. There is a legion of citizen scientists, public health experts and medical workers who aren't giving up. Silencing one man, even a giant in the field of infectious diseases, won't silence those in our field. For months, efforts like the Johns Hopkins COVID-19 Dashboard, the COVID Tracking Project and others have been providing the kinds of critical intelligence that should have been coming directly from the CDC. Over the last few months, our professional societies have started to become vocal advocates for evidence-based action, calling out this administration's deceptive and false claims. Longstanding and revered scientific publications have come out against Trump for his lack of leadership and respect for science. , 6:19 AM EST By Dr. Nahid Bhadelia, infectious diseases physician and NBC News/MSNBC medical contributor Picture of me in the editorial page with statemen that I should be heeded and not fired. November 5, 2020 – Global – 47,900,000/1,200,000; USA – 9,500,000/233,000 Yesterday number of cases in single day hit 100,000 as per my Senate Hearing prediction!! Biden at 253 electoral votes. Closing in on victory. Trump threatening to sue in several states and let the courts decide. He has no case, but anything can happen. POTUS on TV tonight saying that all the mailed in ballots that are going Biden’s wayare illegal. He is making no sense. He wants to stop the counting in Pennsylvania and Georgia where he is ahead but Biden is rapidly catching up as mailed in ballots are being counted. Trump told his followers to vote in person and so that is why he took the early lead. However, many democrats mailed in and that is why their votes are no turning things around. Biden is leading in Arizona and Nevada and so Trump is OK with continuing the voting there. Did a Fireside Chat with UCLA Health interviewed by Judith Currier. Also, big surprise, Karem Abdul-Jabar was on and said “from one basketball player to another” thank you for all you have done. He kidded me about my errant pitch at the Nats opener. Steve Bannon said on his radio show with a guest that someone should behead me and FBI Director Wray and put our heads on a spike as an example to Federal bureaucrats/ Steve Bannon and his co-host discuss beheading Dr. Anthony Fauci and FBI Director Christopher Wray Bannon: “I'd put the heads on pikes, right, I'd put them at the two corners of the White House as a warning to federal bureaucrats” Written by Media Matters Staff Kyle Griffin @kylegriffin1 Twitter has banned an account associated with Steve Bannon and YouTube removed one of his videos after Bannon called for the beheadings of two federal officials. nbcnews.com/politics/2020-… 11/5/20, 8:20 PM Got call from Ron Klain this evening. Ron mentioned that Biden will give a speech tonight and he wanted to mention in the speech that I am his top person on health issues and outbreaks. However, he did not want to cause me trouble with Trump and so he asked if it was OK with me. I told Ron that I likely would be fired within 15 minutes of Biden saying that in the speech and so please do not. Ron agreed and said that Biden wanted me to know that even though he is not saying it, be assured that I am his point main when it comes to COVID or any other infectious diseases issues. I told Ron that I cannot wait to work with him and Biden. He said they could not wait to have me. November 7, 2020 – Global - 49,100,000/1, 200,000; USA – 9,700,000/236,000 Every day, a new record is set. Election called for Biden!!! 138,000 cases yesterday with >1100 deaths. My prediction of “A whole lot of hurt coming our way as we enter the cooler months of the Fall and colder months of the winter” Am getting many calls from the press about whether I have been contacted by Biden’s team. All my responses have been…..”no comment” Now you can determine your level of Fauci with this handy meme A public health professor memed Anthony Fauci’s facial expressions to gauge her students’ moods By Kim Lyons , 1:30pm EST Share this story • ••ShSSahHreaA rtRehE itAsh liols n so hFnaa rTciewnbgiot otoepkrt (i(ooonppseennss iinn nneeww wwiinnddooww)) Dr. Anthony Fauci says a lot with his facial expressions. Photo by Al Drago / Pool / Getty Images Anthony Fauci is probably one of the most recognizable faces of the coronavirus pandemic in the US. So when a public health expert needed a way to measure how her students were coping with all of the stresses of 2020, she created a chart to gauge their “level of Fauci.” “We all kind of need something that’s positive, that makes sense to us,” Karen Sautter Errichetti, an assistant professor in public health and community medicine at Tufts University School of Medicine, said. She’d noticed that her community of public health and medical professionals was feeling pretty depressed. So to lighten the mood and get the students interested, she and her co-instructor Reece Lyerly start every class with a meme of some sort. Nothing caught on quite like the Fauci meter, which she introduced to her students back in September. The hardest photo to find was one of Fauci full-on smiling, she notes. PRESS: Steve Bannon Loses Lawyer After Suggesting Beheading of Fauci Mr. Bannon, the former adviser to President Trump, said the heads of the F.B.I. director and Dr. Anthony Fauci should be put on pikes, leading Twitter to ban one of his accounts. November 8, 2020 (Sunday) – Global USA Call from Deb Birx concerned (as I am) of the potential dissociation of what we will be doing with the TF until January 20 and what Biden’s people are planning via their Task Force. Since I am/will be on both, perhaps I can convince them to form some sort of collaborative transition to smoothly address the coming 90 days. Trump vowing to fight until the end. He claims that he won. Also, Deb mentioned to me that Jared, Marc Short and the VP are trying to “talk down” the POTUS from attempting to discredit the election and create havoc that will go nowhere. Cases are now exploding throughout the country. Every day a new record is set!! Clearly, the Atlas strategy that once an area is hit hard, they are protected against the next surge is utter nonsense. Areas are surging that got hit previously and so no herd immunity with 25% of people infected. Received a call at 7:45 PM from Albert Bourla (CEO of Pfizer) informing me that the DSMB looked at the data of 94 infections (first interim look) from their mRNA vaccine and the results were 4 infections in vaccine and 90 in placebo for a 95% efficacy!!!! This will be announced tomorrow. November 9, 2020 - Global – 50,300,000/1,300,000; USA – 10,000,000/238,000 Has Task Force meeting today. First one since October 20. VP Pence seemed in good spirits and stated that we will either be here for an additional 90 days or for 4 more years. Whichever it is, we will do our job. He did say that we will make sure that “every legal vote gets counted”. I was surprised that there was not even a hint in Pence’s voice that declaring the vaccine successful a few days AFTER the election was a conspiracy of some sort. I have not even heard any of that from the Oval Office. Let us see over the next couple of days. PRESS: CNN with Wolf Blitzer November 10, 2020 – Global – 50,500,000/1,300,000; USA – 10,000,000/238,000 Patterns are the same. Weekends see a dip in cases due to lack of weekend reporting. Then we get into the week and we break daily records. Country still on fire and getting worse. 122,000 cases yesterday! POTUS still insisting that the GOP won the election. Completely alternate universe. Kayleigh and GOP Senators (Graham, McConnell, Ted Cruz) all prostituting themselves by supporting the POTUS’s baseless claims. Heading towards a constitutional crisis. See below the states that are increasing: Janet Tobias interviewed President George W. Bush for her documentary and he was really funny. He sent me a message “…..hang in there; the country needs you” and he said “…I would have been able to kick your ass in running; the security detail used to be not able to keep up. I hear that you power walk now and I damn sure can’t run anymore at 74, let alone 79”. I received virtually a citation from Eric Adams Borough President of Brooklyn at a ceremony on the steps of Borough Hall. It was called COVID Heroes. The other heroes cheered me on during my acceptance speech. Had my every 2 week meeting with the David Barr-organized people in the trenches to talk about the dire situation with >100,000 infections per day and major increases in hospitalizations: LaQuandra Nesbitt (DC), Alison Arwady (Chicago), Sharon Balter (LA), Jeff Duchin (Seattle), Demetre Daskalakis (NYC), Preetha Iyengar (NOLA). Clearly Scott Atlas is dead wrong. PRESS: MSNBC with Andrea Mitchell; Connecticut East – NOVA podcast; CNN Jake Tapper – “The Lead”; Interview with Sheryl Stolberg (New York Times) November 11, 2020 – Global USA Steady surges continue with 10 days in a row of>100,000 cases/day. Trump fired Sec Mark Esper and several DoD civilian officials (high ranking) have resigned. Fear is that Trump is stacking the DoD with loyalists if he really wants to do a coup and steal the election/democratic process. Very scary times. The GOP leadership that are backing Trump (McConnell, McCarthy, Jordan, Blount) are incredibly shameful. Reminds me historically of Hitler getting duly elected to Chancellorship and then forcibly taking over the country. Amazing!! Scott Atlas criticized me to Politico (see below). I e-mailed Alyssa Farah and told her that this was unacceptable. She wrote back to me (see below) saying she would take care of this. Within 30 minutes, Atlas called me up and said that we should stop criticizing each other and that he is extremely qualified and I need to recognize this. I was gracious and said let us agree to say that we just have differences in opinion and interpretation of data and stop any personal attacks. In fact, he really does not know what he is talking about, but I am not going to battle. coronavirus ‘A political animal’: Atlas attacks Fauci, escalating feud between Trump’s pandemic advisers The remarks represent a continuation of the criticism Trump leveled at Fauci in the run-up to last week’s election. Dr. Scott Atlas, a top coronavirus adviser to President Donald Trump, is a physician with no expertise in infectious diseases or epidemiology. | Tasos Katopodis/Getty Images By QUINT FORGEY 11/11/2020 07:47 AM EST Email from Alyssa Farah: I Will immediately raise with Dr Atlas. This is unacceptable. He goes rogue and it’s wildly unhelpful. I’m so sorry you have to deal with this. I’ve advocated for his dismissal for months to no avail.. Sent from my iPhone Got call from VP Pence at 1:10 PM today. He wanted to tell me how much he respected me as a scientist and as a person. He heard that I had called Marty Obst every day while he was ill with COVID-19 as well as my calling Marc Short every day. He thought that this was wonderful. Also, he liked my recent messaging that “help is on the way with a vaccine” and so we should all hang in there with public health measures. Very nice call! PRESS: Fireside Chat with Financial Times – Hannah Kuchler; interview with INSERM regarding my INSERM Award November 11, 2020 – Global – 51,800,000/1,300,000; USA – 10,300,000/241,100 140,000 case yesterday; 60,000 hospitalizations; 1300 deaths PRESS: Good Morning America with Robyn Roberts; Vice News with Liz Landers; Chatham House with Emma Ross and David Heymann; American Philosophical Society Fireside Chat with Mark Thompson; VICE TV NEWS CLIPPING — POLITICO — CONDENSED (1 SOURCE PAGE) “interview; Sinclair TV Broadcasting – Jan Jeffcoat; Reuters healthcare Forum – Julie Steenhuysen; 2020 Ignatius Forum at the National Cathedral (covered by all the TV networks) Politico (see below) Fauci and Biden team steer clear…” November 13, 2020 – Global - USA – Pandemic surge continues. Curve is exponential Moving along with the deployment of vaccine, Pfizer is putting in for their EUA. There should be 20 million doses of vaccine ready to deploy in December. Moderna will be doing the initial examination of data within days and likely will have comparable efficacy data to Pfizer. Their will have 15 million doses for deployment in December. Thus, 20 + 15 = 40 million doses for 15 - 20 million people in December. Aim to is get nursing homes (NH) covered quickly. 1.5 million people in NHs + 1.5 million staff = 3 million people (6 million doses) • Did major photo shoot with People Magazine Ron Klain called me up. He said that he wanted to ensure me that I have friend in the COS to the POTUS. He asked for suggested candidates for CDC. I recommended: Rochelle Walensky, Ashish Jha, Rich Besser, Carlos Del Rio, Josh Sharfstein (Ron feels that he would be better for FDA – I agreed). POTUS had press conference today with the OWS people (Slaoui and Perna and Azar) – Trump spouted how well we are doing here in the USA. After that he had Slaoui talk about the success of the vaccines (Pfizer and Moderna) which is good news PRESS: CBS This Morning; November 14, 2020 – Global – 53,200,000/1,300,000; USA – 10,700,000/244,000 Still raging – 184,000 cases yesterday (Friday) and 69,000 hospitalizations; >1400 deaths). Every day is a record. Hospitals soon to run out of ICU beds and personnel. NEWS CLIPPING — BLOOMBERG — CONDENSED (1 SOURCE PAGE) “Crazy situation of Trump supporters including “Proud Boys” marching on DC to protest that Biden “stole the election” Did major photo shoot with Bloomberg News in anticipation of being one of the 50 most influential…” Joe Biden and Dr. Fauci praise the work of Jesuit Refugee Service Michael J. O’LoughlinNovember 12, 2020 November 15, 2020 – Surge continues. 244,000 deaths (1300 yesterday); 10,900,000 infections, 167,000 cases yesterday. Big issue now is the logistics of distribution of the vaccine. Locals are saying that the USG has not given them enough money (bullions instead of hundreds of millions) to be able to distribute the vaccine. Crazy Scott Atlas is out there urging people of Michigan to “rise up” against the restrictions put on by the Michigan Governor Gretchen Whitmer to quell the outbreak. WH Comms still lets him out despite the fact that Alyssa tells me she thinks he is destructive. Clearly someone (POTUS, Meadows) wants him out there: Trump coronavirus adviser Scott Atlas urges Michigan to 'rise up' against new Covid-19 measures By Paul LeBlanc and Jeremy Diamond, CNN DSMB for Moderna met today! Wonderful results. 95 events. 5 in the vaccine group and 90 in the placebo group. Point efficacy = 94.5%; P = 10-15 ; 11 severe events – 11 in placebo, 0 in vaccine. Effect consistent across all subgroups and ages. Press announcement tomorrow Doing several embargoed interviews this evening. PRESS: CNN State of the Union with Jake Tapper November 16, 2020 – Global – 54,300,000/1,300,000; USA – 11,000,000/246,000 Continual surge: 138,000 new infections yesterday. POTUS has no interest at all in the Pandemic. He is focusing on blocking Biden from being POTUS. He is embarrassing the USA. However, 72,000,000 voted for him. Difficult to understand. Craziness has overtaken part of our country (1/2). Jared Kushner did call me up right before the press briefing related to the Moderna vaccine announcement (see below) *******The administration (POTUS, Pence, Meadows, etc) keep emphasizing that we have never been as well prepared to respond to this pandemic. They refer to hospital beds, ventilators, PPE, etc. They are missing the fact that the pandemic is raging and they are really doing NOTHING to stop its spread. They have essentially given up (see comments above from Mark Meadows) in stopping it and concentrating on having enough supplies to address the cases as they come in. In fact, smaller states (southwest, northwest) are rapidly running out of ICU beds and personnel. They are wrong on both accounts. Freddy Ford (George W. Bush’s Chief of Staff) emails me and mentions that W. wants to receive vaccine publicly to indicate his support for vaccines, and could I help out. Sir Elton John and husband David Furnish call me up and want to talk about how we can link the interest in COVID-19with sustained interested in ending the COVID pandemic. Great conversation; they are very “proud of me”. I suggest linking testing for COVID to getting tested for HIV and getting people on PrEP. They loved the idea. PRESS: NBC Today Show with Savannah Guthrie; CBS with Jon LaPook; WTOP Radio; Press briefing by Francis Collins, me, Stephane Bancel, Matt Hepburn; Stephen Hoge, John Mascola related to Moderna announcement November 17, 2020 – Global – 54,800,000/1,300,000; USA – 11,100,000/246,200 The surge continues. ICU beds in Montana are running out.. Recent (Nov. 13) NPR interview of ICU nurse in Billings MT: RIHA: We are currently at a critical level of patients in our ICU. So as you mentioned, we're the largest hospital operating system in Montana. And under normal operating circumstances, we have a 24-bed ICU in our hospital. When I left last night at the end of my shift, we currently had 44 ICU patients that were under the care of our service with a very, very full emergency room and likely more ICU patients coming in. In Task Force meeting today, Deb, I (by virtual), Bob sounded the alarm. Mark Meadows blurted out and objected to our call for a consistent message about masks and testing asymptomatics. He feels that no matter how much you test, you still will have outbreak. He got tested every day and he claims to have been infected while wearing a mask – NONSENSE. He was not wearing a mask before he got infected. He has bought into Scott Atlas. This is disgraceful. Deb suggested that we have a doctor White House press conference once per week. I pointed out that we must have a consistent message from the White House. I was not so subtly referring to Scott Atlas saying that masks do not work. PRESS: NPR Morning Edition; New York Times “Dealbook” November 18, 2020 – Global – 55,100,000/1,300,000; USA – 11,300,000/248,000 Still very much out of control. Trump is absent when it comes to outbreak. He recently fired a civil servant Christopher Kreb, cybersecurity official. This is having press speculate that he might fire me. Exponential spread: PRESS: BBC World News TV; Elizabeth Rosenthal Kaiser Health Podcast (NY Times); USA Today Editorial Board Interview; USA Today interview Adrianna Rodriguez November 19, 2020 - Global USA 164,000 cases yesterday; 1900 deaths Did Miami Mayors call. New Mayor of Miami-Dade – Daniella Levine Cava, replaced Mayor Carlos Gimenez who has been elected to Congress. Mayor Francis Suarez is Mayor of Miami City. Real problem is that the Mayors want to do the correct thing, but the Governor has ordered that bars and restaurants open at full capacity. The best that he will give the Mayors is a 2 hour curfew, i.e. close bars at 10:00 PM. He is a Trumper and a real problem. Screw people dying; save the economy. Major staff shortages in hospitals in Midwest and other areas. This completely belies the stunning denial that Mark Meadows, POTUS, even the VP, certainly Scott Atlas are manifesting. They believe that the increase in cases is due to increases in testing. They just deny that hospitalizations and deaths are increased greatly. Amazing that even in regions where the virus is surging and hospitals are overflowing, the people in the region are calling it “fake news” OWS (General Perna) briefs VPOTUS on vaccine distribution. He is promising a lot. Did nice podcast fireside chat with The Hastings Center Sharon Stone, Dr. Anthony Fauci to be Honored During Virtual Research in Action Awards Sharon Stone and her good friend Dr. Anthony Fauci are among the honorees at Treatment Action Group's virtual Research in Action Awards PRESS: Nexstar TV; White House Press conference (discussed vaccines and public health measures. Pence ran it and did not allow questions after the presentations. The reporters in the audience (Kaitlan Collins, Jon Karl and others) went nuts with anger; CNN with Chris Cuomo; November 20, 2020 – Global – 56,600,000/1,400,000; USA – 11,700,000/251,700 Still surging out of control. Records being broken daily. 1700 deaths yesterday. 80,000+ people in hospital. 198,500 cases today. Hospitals started to be strained. Record hospitalizations. Media dominated by COVID and Trump clearly trying to overturn the results of the election. Incredibly he is bringing in State legislators to the White House to try and convince them to cast their electoral votes for him even though the populace voted for Biden and Biden won Michigan. The GOP leaders are remaining silent with very few exceptions. They are all afraid that TRUMP will target them either as a private citizen or if he runs in 2024. Shameful cowards!! I am so disappointed in Pence whom I really like. Giuliani is babbling incoherently as the top lawyer trying to overturn the election. It really seems that he is mentally decompensating. PRESS: MSNBC – Chuck Todd and Meet the Press Daily; Univision TV with Jorge Ramos; Katie Couric TV Website; Fox TV – “Bill Hemmer Reports”; Wisconsin TV – ABC – WISN-TV, Adrienne Pedersen Anchor November 21, 2020 (Saturday) – Global – 57,300,000/1,400,000; USA – 11,800,000/253,600 192,700 cases yesterday. Continual trend of worse and worse every day. Records of hospitalizations and deaths and daily cases continue to surge. See below. Trump and cronies (Giuliani et al) losing each of the court and other attempts to overthrow the election Had important Webex meeting at 9:00 AM (sunny) with Peter Marks, Cliff Lane, Francis Collins about the data from convalescent plasma that has been basis of EUA. Date are statistically significant, but very unimpressive. Need to treat 70 patients to benefit 1. Had Zoom with NIH people (Francis Collins, John Mascola, Kim Taylor, Gary Gibbons, Eliseo Perez-Stable, Cliff Lane) and with the Janssen people (Paul Stoffels, Mathai Mammen, Stacey Hargraves, Peter Ronco, Macaya Douoguih, et al) to review the status of the Janssen trial and to encourage getting greater diversity in the trial. Got call from Larry Horowitz tonight telling me that Peter Marks told him that Trump called up Steve Hahn today and told him that Alex Azar said that Steve lost the POTUS the election by holding up the news about the Pfizer vaccine. Trump was cursing Steve on the phone and then hung up. Steve did not know if he was going to get fired and told this to Peter who called up Larry. Still not sure what is going to happen. November 22, 2020 – Global – 57,900,000/1,400,000; USA – 2,000,000/255,100 200,000 cases yesterday See UK below. Mitigation (closing bars, gyms; restricting indoor dining; confine dinners and activities to immediate households) works as shown in UK and even USA during the summer rise and decline: Some states may actually be starting to turn around as they start mitigating: Got a call from Nancy Messonnier expressing great concern that after the doses get delivered by Gen. Perna to the local state locations, that there is confusion in how to get the doses distributed. She says that the local health departments who have been given this responsibility either have no idea what they are doing or they need the resources that they do not have. She says her communications with Redfield are rare and she is distraught. She has more access to me than to Redfield. PRESS: Face the Nation (CBS) – with Margaret Brennan; November 23, 2020 – Global – 58,400,000/1,400,000; USA – 12,200,000/256,000 Very concerned that the travel over Thanksgiving will exacerbate the current surge. Some states that are mitigating (IL, NM) and doing much better than those that are not (IN, SD) Really good news in that both Moderna and Pfizer on further analysis of ther data are reporting very good efficacy after first dose and prior to second dose. AstraZeneca is reporting today 70% efficacy (on average) with ½ dose prime and full dose boost. Strange that ½ + full did better than full + full Katie Miller’s daughter Mackenzie born a few days ago. Went to NICU due to Transient Tachypnea of the newborn (TTN). Katie had strangulated hernia that required surgery. All is well now. • Toronto Goes Into 28-Day Lockdown As COVID-19 Cases Surge. Remember when we got hit badly early on and Canada did so well people said we did not do it right, but Canada did. We could not figure out what “it” was. Now with the Fall surge, Canada is getting badly hit as is every place else. PRESS: RAI Italian TV; La Stampa/Vatican Radio interview with Paolo Mastriolli; Hcehinger Boston Radio (NPR); Yahoo Finance TV interview; Washington Post Live with Robert Costa; PBS NewsHour with Judy Woodruff; Zoom with Washingtonian Top Doctors November 24, 2020 Global - 58,700,000/1,400,000 USA – 12,300,000/257,000 Surge continues. Europe starting to level off since they are shutting down in many countries. Despite CDC saying not to travel over holidays, millions of people, particularly students are crowding airports Biden tweeted today that he has not spoken to me but his staff has and I have been “very, very helpful”. I had told he press that I had not heard from the Biden team since my conversations with Ron Klain were supposed to be confidential since over the past several days Ron has contacted me about my advice for CDC Director and FDA Commissioner. I recommended Rochelle Walensky for CDC. Ron called he and liked her. Also, Ron told me that there was push back by some against Josh Sharfstein whom I recommended for FDA. In order not to have a contradiction with Biden, I have told CNN (Kaitlan Collins, Jim Acosta, etc.) GMA PRESS: NBC Radio The Takeaway; Healthline Live Stream; MTV Interview; FOX News Local DC; Yahoo News TV; November 25, 2020 – Global USA 11:00 AM call with Azar regarding the role of ACIP in the recommendation for the prioritization of the distribution of vaccine starting in December. Azar feels (with advice from Bob Charrow) that ACIP has no statuary authority of being involved in the process. Azar wants to act early to without ACIP involvement get vaccine to both HCWs and nursing home and other vulnerables (aged). This would require using all of the first supply as the prime (and not withholding half the doses for the boost), thus allowing us to vaccinate more of the high priority group and depend on the integrity of the supply chain to supply the booster doses. His intent is good, but I point out that this would be a PR disaster since we have been saying all along that an independent body (ACIP) would be very much involved in these recommendations. It would be interpreted as sidestepping a established process by political influence. My argument turns the tide to get ACIP involved with us from the beginning. They may agree with us (which is great) or they may not whereby we can say we included them in the process, but we do not accept their recommendation Ron Klain texted me last night after midnight. I was asleep. He sent me video of Joe and Jill giving Thanksgiving message to be careful over Thanksgiving. I will speak with Ron Today. Ron just texted me and said that they decided on Rochelle Walensky for CDC director on my recommendation!! PRESS: Good Morning America (ABC) with George Stephanopoulos; C-SPAN Washington Journal; WINS Radio (NYC); WGN TV (Chicago); Byron Allen and GRIO, an African-American online TV interview; Huffington Post (Jeff Young) – writing a piece on “A Day in the Life of Dr. Fauci”; McClatchy (Mike Wilner) print interview on vaccines; Kaiser News Interview (Lauren Weber); Interview with Scientific American (Charles Schmidt); November. 26, 2020 (Thanksgiving) Global – 59,800,000/1,400,000; 12,700,000/261,300 USA Surge continues Trump not addressing the outbreak at all Consumed with blasting sway at people and pardoning people like Gen. Flynn. Georgia Senate re-run about to occur to determine control of the Senate. Went on walk with Will and Joli to Mall and was “mobbed” by well-wishers who wanted photos with me. Went to the steps of Lincoln Memorial and read the speech of Lincoln on the opposite wall of the Gettysburg Address. Strikingly referable to today: “Men who worship the same God can be so far apart on fundamental issues….” PRESS: U.S. News

/ 8:44 PM Fauci, Harris top 'Time' 2020 Person of the Year nominees November 27, 2020 – Global – 60, 300,000/1,400,000; USA – 12,800,000/263,000 Now concerned about the post-Thanksgiving surge Record number of hospitalizations at >80,000 November 28, 2020 – Global – 61,300,000/1,400,000; USA – 13,000,000/264,000 Reporting of cases will be inaccurate for the next couple of days due to Holiday. However, we can expect a post-Thanksgiving surge. Did filming with Janet Tobias and John Hoffmann for the NatGeo documentary. Went to the old RFK Stadium/Armory complex to view and film the 250,000 white flags put up by artist Susan in memory of those who died from COBID-19. Very reminiscent of the HIV/AIDS Quilt project. The crew filmed Chris and I walking through the acres of small white flags. Also filmed us from above with a drone. Trump bringing his argument before the Supreme Court. He has lost every court case (>30) except for one. The Supreme court issue relates to a lower court rejecting his claim that the Pennsylvania election was rigged. He and his lawyers (led by Rudy Giuliani) are an extreme embarrassment to the GOP and to the country. The rest of the world is looking at what is going on here incredulously. We look like a Banana Republic. I never would have imagined in my wildest dreams that our democracy would be so shook. It is still amazing how the ZGOP leaders do not abandon Trump. They are just afraid of him and what he can do after he leaves the Presidency to their political careers – Profiles in Cowardice. Received Deo et Patriae Award from Regis High School and President George W. Bush sent a letter of congratulations: Letter from President George W Got call from Ron Klain tonight at 5:15 PM. He wanted to fill me in on recent appointments (not announced yet) to make sure that I am OK with them: Josh Sharfstein (FDA), Vivek Murthy (Surgeon General), Rochelle Walensky (CDC), Jeff Zients (COVID-19 Czar), Gina Raimondo (Secretary of HHS). Ron said that Biden wanted to call me soon but he did not want to compromise me with the Trump people. They will clear with Meadows that the transition team can start getting in place and then Biden will call me. Got call last night from Mark Ghaly (Deputy Director for Community Health for the LA County Dept of Health Services). He has called me several times for advice. Frantic call saying that they are surging in LA County and very soon hospital beds will be overrun. He wants to do a 3 weeks shutdown of the city to “stop the surge” and wants my support since there is a large pushback to locking down. I agreed to support him. November 29, 2020 – Global – 61,900,000/1,400,000; USA – 13,100,000/266,000 Now at end of Thanksgiving weekend. Expect further surges (Birx’s daily report): Photos below of Fauci making rounds with Clinical Center inpatient and Clinic Staff – from October 2020 Fauci makeing rounds with Clinica PRESS: NBC Meet the Press with Chuck Todd; ABC This Week with Martha Raddatz November 30, 2020 – Global – 62,400,000/1,500,000; USA – 13,300,000/266,100 We will see in the next few weeks whether the travel associated with Thanksgiving leads to a surge upon a surge. 95,000 people are currently hospitalized with COVID-19 – new record for this outbreak. Biden putting together his team. Very diversified with women and people of color. Trump still flailing about challenging without any hint of evidence that various states were won by him. He still has his Greek Chorus of people backing him although little by little they are being less vocal and explicit about backing him. The GOP is in a crisis in that many have lost credibility by not explicitly condemning Trump. They are all afraid since he does have almost ½ the country with him. He will definitely run in 2024 and they are afraid that they will lose his support if they come out against him. Terrible situation for democracy. Got call from Gov. JB Pritzker (D-IL) praising me for what I have been doing and asking for my backing for him to keep stringent public health measures (short of lock down). He is getting pushback from bars and restaurants and even from hard core people who do not want to wear masks. He said that I am so credible and respected that he would like to quote what I have said as backup for himself. He liked my statement on Sunday shows of “Close the bars; open the schools”. He is very frustrated with people not wearing masks and told me he would like to just say: “Wear a fucking mask!” Sen. Rand Paul continues to act like an idiot: Rand Paul says Fauci owes parents and students an apology over pandemic measures BY DOMINICK MASTRANGELO - 11/30/20 12:01 PM EST 488 Sen. Rand Paul (R-Ky.) scolded Dr. Anthony Fauci in a tweet on Sunday, suggesting the nation's leading infectious disease expert apologize for his warnings about the danger coronavirus poses to school-aged children. "Dr. Fauci owes [Rand Paul] an apology," one of Paul's Twitter followers said. Paul responded: "No, he owes one to every single parent and school-age child in America. I told him this multiple times this summer." Fauci and Paul have clashed several times since the pandemic began, with the Kentucky Republican accusing Fauci of fear-mongering rhetoric and what he says is incorrect praise of so-called lockdown measures implemented to stem the spread of the virus. “Dr. Fauci, every day we seem to hear from you things we can’t do. But when you’re asked, ‘Can we go back to school?’ I don’t hear much certitude at all. ‘Well, maybe.’ ‘It depends.’ Guess what? It’s rare for kids to transmit this. I don’t hear that coming from you. All I hear is, ‘We can’t do this, we can’t do that, we can’t play baseball,’” Paul said while demanding schools reopen during a Senate hearing in late June. “It’s important to realize that if society meekly submits to an expert and that expert is wrong, a great deal of harm may occur when we allow one man’s policy or one group of small men and women to be foisted on an entire nation." Fauci responded to Paul at the hearing, saying he feels "very strongly we need to do whatever we can to get the children back to school." During the early days of the pandemic, Fauci and other public health officials urged local school districts to consider all factors before deciding if it was safe to have children and teachers return to classrooms. On Sunday, Fauci clarified his position on school closures amid a nationwide spike in coronavirus cases this fall. "The default position should be to try as best as possible, within reason, to keep the children in school, to get them back to school," Fauci said on ABC's "This Week." "If you look at the data, the spread among children and from children is not very big at all, not like one would have suspected. So let's try to get the kids back. But let's try to mitigate the things that maintain and push the kind of community spread we are trying to avoid. And those are the things you know well. The bars, the restaurants ... those are the things that drive the community spread. Not the schools." • Did weekly Governor’s call today led by VP Pence. • Moderna applied to FDA for an EUA for their mRNA vaccine. Their final data were very impressive. 94% efficacy and 30 severe outcomes, all in placebo, none in vaccine. Pfizer did this submission last week (Nov. 20) • Fireside chat with American Society of Hematology • Did a nice 60 minute Facebook Live with Mark Zuckerberg PRESS: WUSA TV interview (Gabe Cohen); WTOP Radio; Yahoo News and Sports; iheart Radio; Cheddar TV; WedMD Magazine interview (I will be one of their public health “heroes”; Facebook Live with Mark Zuckerberg; BBC World News Radio; December 1, 2020 – Global – 62,700,000/1,500,000; USA – 13,400,000/267,300 Many GOP (such as Roy Blount) still supporting Trump who is becoming more and more unhinged. He is losing every court case that he appeals to overthrow the vote in a number of states. He rales that it is all a stolen election and that he won by a landslide. Very embarrassing. Blount refuses to call Biden the President -Elect. Scott Atlas resigns! I imagine that is because everything that is happening now with the surges has finally proven him to be incorrect on virtually everything that he has said. The one area where he was correct was in saying that school children are not the drivers of the outbreak. However, he was dead wrong in saying that mitigation does nothing and that when states peak and come down, it is because they have reached herd immunity. Yet, now we are seeing states and cities that peaked high months ago and now are peaking even higher. So much for heard immunity. Rand Paul still coming after me saying that I should shut everything down. The press is contradicting him by showing quotes from me to the contrary. What a jerk! I am staying above the fray. Alex Azar is becoming more sycophantic towards Trump as we get to the end of the administration. See below: Azar Touts Swift Progress On COVID-19 Vaccine Development. Fox News (11/30, Nelson, 27.59M) reports that on Monday, HHS Secretary Alex Azar said progress on the COVID-19 has been unprecedented. He told Fox News, “Think about this: 10 months into this pandemic hitting our shores, thanks to what President Trump has done, we believe we’re going to have people getting vaccinated, millions of people, before Christmas this year. It’s just unheard of in the history of public health, this accomplishment.” He added that “the vaccine will be ‘shipped’ within 24 hours of FDA approval and then it would be up to ‘nursing homes, hospitals, and pharmacies to get that dispensed.’” California Governor: State At “Tipping Point” Of Pandemic. Reuters (11/30, Whitcomb, Caspani) reports California Gov. Gavin Newsom (D) “said on Monday the state was at a ‘tipping point’ in the COVID-19 pandemic that would soon overwhelm hospitals as political leaders nationwide turn to increasingly aggressive measures to hold back the latest • Had important call with Gov Cuomo who called me up. He was explaining to me why he had an independent panel look at the COVID-19 vaccines. He said that the skepticism about the FDA already existed (i.e. their doing an EUA for Hydroxychloroquine) and he was trying to ameliorate it. He also was concerned about managing expectations about how quickly the vaccines will make a big and broad difference. He and I agree that the difference will not be until mid to late summer. He told me about his conversations with Trump and how Trump wants to mend the fences with Cuomo despite the fact that he has been trashing him. He wants to change his residence back to NYC saying that it would be good for NYC. Cuomo pushed back and told him that he did not agree that it would be good for NYC. Also, Trump apologized for calling Chris Cuomo “Fredo”. Cuomo believes that Trump is a psychopath and an evil man who just wants to manipulate for his future, which he knows is bleak. Cuomo also expressed disdain for Azar saying that he is a sycophant to Trump and does not understand that black and brown people will not get fair access to vaccines with the paltry amount of money that the USG is giving to the states for the implementation of the vaccine distribution. USG gave $200 million to NY, when they really need $1 billion. Cuomo told me the best thing that could happen for my legacy would be for Trump to fire me and then have Biden re-hire me. • Had call with Rob Manfred, Commissioner of MLB – He needed advice about the timing of Spring Training (February for pitchers) vis-à-vis the roll out of vaccines and when there would be enough people vaccinated so that he can both get his players vaccinated and have a degree of herd immunity present so that he can have spectators in the stands. I told him that by April there could be massive vaccinations IF people uptake the vaccine. We could have most people vaccinated by early summer which means they can start with half full stadiums and then by the World Series they could conceivably have packed stadiums. He might delay start of Spring Training from February to March. Also, he wants to offer stadiums and parking lots for massive vaccination programs. I told him that would be a CDC/local public health department issue. • Had Miami Mayors call. – The mayor of Miami-Dade County – Daniella Levine Cava now has COVID-19. Former Mayor Jimenez has COVID-19. Still remaining issue that Governor DeSantis is blocking the mayors attempts to mitigate. For example, he will not allow closing the bars and indoor restaurants. • Had call with Gary Bettman (NHL) about the coming hockey season • Task Force call – The VP still extracts “happy talk” out of a very sober report from Birx about the surge and the fact that we are perilously close to having our health care system over-run by the surge upon the surge. He and the Greek Chorus of the TF just cannot accept that we are in serious trouble. Very frustrating Some states starting to plateau while others continue to surge. See below: Danger of hospitals being overrun and lack of adequate staffing (see graphs below): • Received Lifetime Achievement Award together with Henrietta Fore (Director of UNICEF) and David Beasley at elegant “virtual” gala. Praised by Barbara Bush in an interview and several celebrities • Heated discussion at TF meeting regarding the NIH Guidelines not being specific enough in its recommendations for mAb and CP. Typical Deb Birx wanting to push therapies more than the data justify. In the discussion, Pence was convinced by Deb and others (with no medical background) chimed in that saying “no evidence for or against the use of …….” Had long conversations with Cliff tonight and he is very reluctant to change the wording. VP was insistent that we indicate more strongly that the drugs work since Deb says that the clinicians are not using the drugs since they do not see a strong indication in the guidelines that the drugs work. Trying to work with Cliff who is adamant PRESS: Did Press Conference with Gov. Jared Polis (D-CO); WNBC NY TV; December 2, 2020 – Global – 63,400,000/1,500,000; USA – 13,600,000/270,000 Situation remains tenuous. Note from Deb Birx associated with her daily slide set: The situation we find ourselves is deteriorating beyond words. Please help me convey to senior leaders that is the worse combination of factors that we have seen since the beginning of the pandemic. Combining the Spring and Summer surge into a winter surge is what is deeply concerning. Despite my warnings there are OVP staff that undermine this message everyday and have greater access to the VP. I know its hard to see it coming, I know its hard to fathom, but it is coming even independent of the Thanksgiving potential due to the movement into populous states and nearly 50% of the country still believes this is being over blown, that it’s a hoax, that masks don’t work and I think the most damaging there is a set curve independent of mitigation – ie it doesn’t matter what you do it will look the same. Yes there is an epidemic curve to both mitigated and unmitigated surges BUT the peak is higher and the duration of the surge is 2X longer without mitigation. Yes when hospitals get overwhelmed people do take more precautions and flatten the curve but that results in nearly 2X the fatalities as a mitigated response. Inadequately mitigated is nearly 2X the area under the curve as mitigated – 2X the hospitalizations and potentially 2X the deaths. Finally unlike the spring the asymptomatic group under 35 will not mitigate in the same way and will continue to drive infections and that is why more precautions must be implemented now – both state level mitigation policies and personal mitigation efforts. Deb 2600+ Deaths today. Worse since the NYC surge in early Spring • Call from Mark Meadows saying that it was OK to do press conference with Gov. Cuomo. Also, he really wanted a reality check on the fact that the MHRA of the UK has given their equivalent of an EUA to the Pfizer vaccine. He wanted to know if our FDA was dragging their feet. I totally supported the FDA, Peter Marks, and Steve Hahn and said that the UK were “hot-dogging” it and that even the EMA were blasting the UK for hot dogging. It seemed that Mark was on the brink of firing Hahn. Hope I blocked that • Got call from Jeff Zients in preparation of my briefing the Biden “landing team” tomorrow. Jeff wanted to alert me that Biden will be calling me right after the briefing. • Received the Eleanor Roosevelt Prize for Global Human Rights Advancement from the American Bar Association Center for Human Rights • PEOPLE Magazine names me 2020 Person of the Year together with George Clooney, Selena Gomez and Regina King PRESS: CNN: Elton John honors Anthony Fauci on World AIDS Day; CNN Heroes with Anderson Cooper; KTVQ TV – Billings, MT; ABC News PRIME (Online); Fox TV News; Frank Bruni writes in the NY Times: Anthony Fauci is the steely superhero of my deep state, and he’s flanked and fortified by all the government health officials who also pushed back against the quackery of Scott Atlas, the Trump-flattering pandemic adviser who resigned on Monday December 3, 2020 - Global – 64,000,000/1,500,000; USA – 13,800,000/273,000 Records being broken: 3000 deaths yesterday; >100,000 hospitalizations; >200,000 new infections. With gauntlet of Today I met with President elect Biden’s landing team. It was a good meeting that was led by Jeff Zientz, Vivek Murthy, and included David Kessler, John Auerbach, Tom Inglesby, among others. We went on to discuss the challenges associated with the rollout of the vaccination campaign. In addition, I gave them my advice on what the most effective communication strategy would be for the upcoming administration. In addition, they wanted might take on what the challenges with be in the coming months of January, February, march, and beyond. It was an excellent conversation in which they all expressed their gratitude and respect for me for the work that I have been doing over the past several months. At exactly 3:00 PM, 1 hour as to the beginning of the meeting there was a prearranged call with President elect Joe Biden together with chief of staff Ron Klain. President-Elect Biden was very glad to chat with me and immediately stated that he wanted me to continue in my position as director, NIAID. In addition, he wanted me to be his chief medical adviser. Then, Ron and President elect Biden asked me a series of questions concerning some of the decisions that they would likely have to make in the coming months. Mayor Bill De Blasio called me up asking for advice about the surges that are occurring in NYC and how much of a lock down he should implement. He wanted to keep things mostly open until after the holidays and then shut down. I told him that this was a big mistake since by that time, the damage will have been done and he will have precipitated a major surge. I urged him to close the bars and restaurants and subsidize the establishments so that they do not go under. If he does that and discourages private, large gatherings, he could get away with keeping the shopping areas open. I apologize to the UK on BBC radio for implying that their process of the approval of the vaccine was rushed and sloppy PRESS: CBS News “The Takeout” with Major Garrett; Sky News UK TV; MSNBC with Andrea Mitchell; New York Times interview with Tara Pope Parker; KQED NPR Radio, San Francisco; BBC World News; New Zealand Herald (Dick Brass) print media; Bloomberg: December 4, 2020 – Global – 64,500,000/1,500,000 USA – 14,000,000/276,000 Did photo shoot and interview with Alice Park of TIME Magazine. • I called up Rosa De Lauro to congratulate her on being chosen by Nancy Pelosi as Chair of the Appropriations Full Committee. She had tears in he eyes thanking me nd saying how excited she was that Biden has announced that I would be his Chief Medical Advisor. • Spoke with Don Fehr of the NHL Players Association about the likelihood of the NFL having a season and what my projection for 2021 was. More records broken – 200,000 cases; 2885 deaths; >100,000 hospitalization. Hospitals are starting to get over-run. California starting lock-downs to avoid hospital crisis (see above figure) PRESS: NBC Today Show with Savannah Guthrie; Multiple press stories about Biden speaking with me, asking me to stay on as NIAID Director and offering me the title of Chief Medical Advisor; Greta Van Susteren “Full Court Press” TV (VOA); “Today with Kaye” Baltimore Radio Show; CNN Town Hall with Anderson Cooper and Sanjay Gupta; Biden said he asked Fauci to stay on and be a chief medical adviser in his administration By Jim Acosta, Jim Sciutto and Kate Sullivan, CNN December 5, 2020 – Global – 65,000,000/1,500,000; USA – 14,300,000/278,000 Surge continues with more records broken. California locking down because they are at 15% or less of beds available and thousands of cases of coming in for hospitalizations. Trump still insisting that the election was “rigged” and that he won by a landslide. More than 30 court cases have been thrown out as frivolous. Alyssa Farah resigns. Good for her. One of the few good people in the administration. This might mean that I am not allowed out in the media any more since she has always advocated for me. December 6, 2020 (Sunday) – Global – 65,900,000/1,500,000 USA – 14,500,000/280,000 Had important Zoom call today (11:00 AM) with Jeff Zients and Jake Sullivan – Jeff and Jake are going to make some policy announcements for the Biden tam next week (Tuesday0 and they wanted to make sure that it was cleared by me. They had 3 issues: 1) the 100 days of mask wearing. I advised that they say “at least 100 days” or give some indication that it might be longer since when they get to 100 days, we may need to extend; 2) they want to say that they will distribute100milindoses of vaccine in teh1st 100 days of the Biden administration. I warned that this might actually be an underestimate. They first need to check that we will actually have a supply (check with Perna, but also make sure that we do not seem that this is undershooting. Since we are now saying that we will have 40 million doses by the end of December and even more by the end of January, then 100 million by the first 100 days of the Biden administration is far too little; 3) Schools – I suggested that they always lead with saying that the default position is to open and keep open the schools. They also want to announce on Tuesday the important role that I will have to be the Chief medical Advisor for the Administration. They will send me the wording to make sure that I am OK with it. Gov. Cuomo called me today (1:30 PM) – He wanted to touch bases with me in anticipation for the fact that I will be joining him tomorrow on a press conference for the state of MY. He wanted to brief me on what he was going to say. He and I have a growing and strong relationship. Received a call (3:00 PM) from Olivia Dalton from the Biden Transition team asking me to participate in an event (I asked to do it virtually) in Wilmington where Biden will announce his “health team” including me. We discussed my virtual remarks and other issues. Deb Birx on MTP pleading (as I have been doing) with the public to abide by public health mitigation methods. Example of state by state increases in deaths and cases: December 7, 2020 – Global – 66,400,000/1,500,000; USA – 14,600,000/281,3000 Bracing for post-Thanksgiving surge! Deb’s Daily Report: Data and reporting has stabilized and we are back on the same accelerating curve as before the delayed reporting and substantial declines in testing over the past 10 days. This week we expect to see the beginning of the post Thanksgiving surge as this would be when the silent spread starts to impact the more vulnerable Americans. We now have only 2 states (HI, VT) and DC in the green zone, 12 in the yellow and orange zone and 36 in the red zone. We are now seeing significant resurgence in all states except VT and HI and rapidly increasing cases across America that will lead to escalating hospitalizations the end of this week into next week and then fatalities. This is the worse situation we have faced and although vaccinations will help towards the end of Jan the next 7 weeks will be overwhelming if we don’t work with states to increase their mitigation and provide the highest level of Administration support to the behavioral changes needed by every American. Deb See below for dire situation in NYC and Los Angeles At Task Force meeting on prior agreement between Deb and I, Deb says that the country is in dire straits and we need to give the message from above that this is serious and we must double down on mitigating. I jump in and say that we must be out there warning the people that if they do not mitigate, the hospitals will be over-run. The elephant in the room is that the POTUS is ignoring this and the message must come from him since the people who are not paying attention and who will not wear masks or not travel or not congregate are his people. The VP after the discussion got going for the first time ever got defensive and even hurt that we (mostly Deb) were implying that the administration was not taking the pandemic seriously. The issue is that maybe we are taking it seriously, but the POTUS and his people certainly are not. That is the lesion. The POTUS is undermining everything that we are trying to do. Deep down the VP has to realize this and still he fiercely defends the POTUS. Tragic! PRESS: CNN New Day with John Berman; Press conference with Gov. Cuomo (Boradcast from Albany, NY; Fireside chat with Norah O’Donnell (CBS) at the Milken Institute Future of Health Summit; Interview with Katy Kay for the Bloomberg American Health Summit; taping for ABC Special on Vaccines December 8, 2020 - Global 66,700,000/1,500,000; USA – 14,800,000/283,000 Harvey Alter to receive Nobel Prize in Physiology or medicine to be presented to hi at NIH (Natcher) by the Swedish Ambassador to the USA. I am invited and will use this as an excuse not to attend the “Vaccine Summit” at the White House today. Trump will use it as a PR stunt to claim credit for the vaccines. Pfizer (Bourla) and Moderna (Bancel) have pulled out of attending. Biden announced his medical team today in Wilmington, DE. I was announced as his “Chief Medical Advisor”. I have made a video of my message to the group since I cannot attend (see above). • Had call with Joan Baez who wanted information about the effectiveness of masks in protecting you from acquisition of infection. Also, she is worried about her son and daughter-in-law who want to travel to South America. She wants to be able to tell them that I said that it was ill-advised. • Call with Ellen Sigal and then Larry Horowitz about FDA Commissioner. Lots of rumors and the usual anxiety about candidates. Josh Sharfstein is being considered but many people are pushing back. Kessler is being considered, but most everyone thinks that this is a bad idea. Janet Woodcock is emerging as a top choice. I like that. • Much concern that we did not contract with Pfizer for enough vaccine; we just did not accept their offer to provide more. Now it seems that this was a big mistake. Press are all over this. • Nancy Messonnier called. She is concerned that Gen. Perna is making decisions without proper knowledge and/or consultation with CDC. She has had long-standing problem with him. • Katie and Stephen Miller called me to thank me for the baby gift I sent them for daughter Mackenzie. We had a nice discussion about life after Trump. • I was awarded “Sicilian of the Year” by the Magazine I Love Sicilia PRESS: KTWV Los Angeles Radio; BBC “Hard Talk”, TV and Radio; Wall Street Journal CEO Council; December 9, 2020 – Global – 67,800,000/1,600,000; USA – 15,000,000/285,000 Deaths reached record of 3000 today! Just waiting to realize the full brunt of the Thanksgiving holiday. Trump still totally preoccupied with trying to overthrow the election. Biden carefully putting his team together PRESS: Interview with Ed Yong of The Atlantic; CNN discussion of 1918 Influenza wuth Anderson Cooper (to be shown in a week); Fireside Chat with Sanjay Gupta for the Harvard T.H. Chan School of Public Health “When Public Health Means Business” December 10, 2020 – Global -68,200,000/1,500,000; USA – 15,300,000/289,000 217,000 cases today! I zoomed with the Novovax site investigators encouraging them in their trial and stressing the importance of recruiting minorities into the trial. The FDA’s advisory committee VRBPAC meets today for Pfizer product. They recommend approving the EUA Received the Ripple of Hope Award from the RFK Foundation. Wonderful virtual ceremony with co-awardees: Colin Kaepernick, Dolores Huerta (Activist), Dan Schulman (CEO PayPal), Dan Springer(CEO, Docusign). Very warm and moving tributes. I am chosen as Time Magazine “Guardian of the Year” PRESS: CBC Canadian Radio; CNN with Chris Cuomo; December 11, 2020 Global USA Numbers continue to be stunning with >200,000 news cases each day; >3000 deaths per day; 289,000 total deaths and 15,3000,000 cases • Received a call from Ethel and Kerry Kennedy explicitly inviting up to Hyannisport for 4th of July weekend. They were so nice over the phone. They said that they loved and admired me and were so please that the Kennedy family could honor me. PRESS: NY 12 TV (NY, CT, NJ); JAMA Livestream with Howard Bauchner; MSNBC with Ari Melber; December 12, 2020 – Global – 69,500,000/1,600,000; USA – 15,700,000/295,000. FDA has approved an EUA for the Pfizer mRNA vaccine for people 16 years and older!! USG authorized an additional 100 million doses of Moderna mRNA (in addition to the original 100 million that we contracted for. Although some states that are mitigating are showing stabilization, several others are showing the impact of the Thanksgiving holiday. • Had Zoom call with Jeff Zientz and Natalie Quillian about what the Biden team should be doing as they hit the ground on January 21. I mentioned: 1) the importance of a clear and consistent message from above; 2) the importance of testing (diagnostics) for asymptomatic people for the purposes of surveillance and screening such as in schools (mentioned my conversation with Raj Shah and the Rockefeller Foundation people) about testing school teachers 2x per week and K-12 children 1x per week. Also early testing is key for early treatment; 3) Treatment – importance of early treatments with either direct anti-virals or perfect the mAb and hyper immune-Ig; 4) Make sure that vaccines are smoothly and equitably distributed. There has been much play in the media over the past few weeks about what they are calling the “Fauci effect” whereby the medical school admission have gone up about 50% over the past year due in large part to students realizing what I have been doing and able to accomplish as a physician and this is inspiring them to go to medical school. See story from NPR below: 'Fauci Effect' Drives Record Number Of Medical School Applications • Facebook • Twitter • Flipboard • Email December 7, 20207:56 AM ET JON MARCUS PRESS: TWEET FROM BIDEN - I've seen him take on HIV/AIDS, H1N1, Ebola, Zika, COVID19, and every infectious disease in between, over his nearly forty years of service to our country. Trusted. A truth teller. A patriot." — President-elect Biden on Dr. Anthony Fauci I was portrayed on Saturday Night Live by Kate McKinnon. A spoof with me and Deb Birx. They slammed Deb December 13, 2020 (Sunday)- Global – 70,200,000/1,600,000 USA – 16,000,000/298,000 Vaccine dose from Pfizer now being shipped to various locations. Cases continue to explode throughout the country. Statement from Birx below: PRESS: CNN HEROES – INTERVIEW WITH ANDERSON COOPER December 14, 2020 - Global USA - 16 Vaccine doses are being shipped as I write this. Vaccinations will start today. Discussions ongoing whether to vaccinate the White House staff. Also Jeff Zientz wants to speak with me about when the President-elect and VP-elect should be vaccinated. • Bitter-Sweet day – vaccinations start but we reach landmark of 300,000 Americans have died of COVID-19 • Call from Sen. Joe Manchin (D-WVA) asking whether I recommend that he and others get vaccinated. Also, wanted to know which was better Moderna or Pfizer. I]assured him that they were equal. • Received virtually the 2020 John Maddox Prize for Standing Up for Science from Nature magazine PRESS: BILD German Online TV interview; MSNBC with Hallie Jackson; Bloomberg Law interview with Jeanne Bauman; BBC Newsnight TV interview; December 15, 2020 - Global – 71,400,000/1,600,000; USA – 16,300,000/300,000 Brian Morgenstern is the new White House media person who seems to have taken over from Alyssa Farah. He has been OK with getting me out there, but there was a recent issue where Jon Karl (ABC) has been asking for me a lot and not getting approved. Jon is rather pissed. Jared Kushner called to congratulate and thank me for our efforts to develop safe and effective vaccines for COVID-19. PRESS: ABC - Good Morning America with George Stephanopoulos; NPR “Morning Edition” with Rachel Martin; VOX (Online TV) – “Today Explained” with Sean Rameswaram; Nature’s 10: ten people who helped shape science in 2020 Anthony Fauci: Science’s defender • A storied US doctor became his nation’s conscience on COVID-19 even as detractors threatened his life. By Heidi Ledford Credit: Al Drago/Getty In his more than 40-year career as an infectious-disease researcher, Anthony Fauci has been hailed as a hero and damned as a murderer. His most dedicated fans have created baseball cards and bobble-head dolls in his likeness, whereas others have issued death threats and harassed his children. As head of the US National Institute of Allergy and Infectious Diseases (NIAID) in Bethesda, Maryland, Fauci has guided six presidents and an anxious nation through fears of bioweapon attacks and outbreaks of HIV, Ebola and Zika. Now, his role advising the government and communicating to the public during the coronavirus pandemic has made him the nation’s doctor. He has offered guidance on the US response to the outbreak, often in conflict with the wishes of President Donald Trump, and he has made time to treat individuals with COVID-19 and HIV in the clinic. “Seeing the patient really gives you a different feel for what the disease is,” says Fauci, who works 18 hours a day, 7 days a week. The scale of the COVID-19 pandemic — and the politicization of the public-health response to it — has forced Fauci to go far beyond anything he’s done before, says epidemiologist Michael Osterholm, director of the Center for Infectious Disease Research and Policy at the University of Minnesota in Minneapolis. “He has been a very key part of trying to help the public understand what the science means and what we can do about it — and that includes, of course, our elected leaders,” says Osterholm. Those efforts were met with resistance, but Fauci is no stranger to friction. At the height of the AIDS epidemic, in 1988, playwright Larry Kramer called Fauci a “murderer” and an “incompetent idiot” on the cover of the San Francisco Examiner magazine. Kramer and other AIDS activists felt that the NIAID’s clinical trials for HIV drugs were moving at a glacial pace while thousands of people were dying. When a group gathered outside his office to protest, Fauci invited some in for a chat. Over time, he built a relationship with them that would lead to changes in the way people with AIDS got access to experimental drugs. It was a revolutionary approach at a time when people with a disease had little say in the science aimed at treating them. “That was a tough period,” he says. “There were many scientists who thought that I was caving in”. Warm but blunt, with a pronounced Brooklyn accent, he has often worked well with political leaders. Former US president George H. W. Bush called him a hero for his work on AIDS, and Fauci worked with his son, former president George W. Bush, to design the President’s Emergency Plan for AIDS Relief (PEPFAR), a global programme to provide treatment for people with HIV. But this year, his staid and steady advocacy for public-health measures to slow the spread of COVID-19 earned him stiff criticisms from President Donald Trump and others who were eager to play down the severity of the pandemic and get the US economy restarted. Trump has suggested that he might fire the scientist, and a stream of vitriol has poured from some of the president’s followers. Steve Bannon, a former Trump adviser, said that he would like to see Fauci’s head on a pike outside the White House. Fauci now has federal guards overseeing his security. The threats made him “more pissed off than afraid”, he says. “I’m out there trying to give a public-health message to save people’s lives.” But some researchers were also frustrated with Fauci’s public performance. He often stood next to Trump during press briefings as the president repeatedly misrepresented the severity of the pandemic. Although Fauci sometimes contradicted Trump, he did not directly confront the president. Such briefings stopped in April. Fauci has since become more outspoken, says Mark Harrington, executive director of Treatment Action Group, a New York City think tank that focuses on the treatment and prevention of AIDS, tuberculosis and hepatitis C virus. “He’s been speaking truth to power for the last few months in a way that none of the other people in the task force or federal government have been doing,” Harrington says. Fauci, who turns 80 in December, has no plans to retire soon. He has agreed to stay on at the NIAID and to serve as president-elect Joe Biden’s chief medical adviser. Osterholm says he expects Fauci to continue to have an active role in front of the cameras. But Harrington is looking forward to the day when Fauci can focus his attention again on other pressing concerns, such as HIV and hepatitis C. “He needs to be able to do his day job,” he says. “It’s a big job.” December 16, 2020 – Global – 72,000,000/1,600,000; USA – 16,500,000/303,000 Surge continue in some areas and leveling in others. On phone last night with the David Barr group. Chicago (Alison) doing better, but LA (Sharon) doing worse. Bitter sweet situation as vaccines rolling out (Moderna coming within the next couple days) while records being broken with deaths and hospitalizations: PRESS: CBS This Morning with Gayle King; Interview with Rodney Edwards of Irish Independent Sunday print paper; CNBC “Healthy Events” with Meg Tirrell December 17, 2020 – Global – 72,900,000/1,600,000; USA – 16,800,000/306,000 The surge continues. Some states improving; others getting worse (see below for CA, TX, among others) 3656 deaths yesterday – another record!! Red flag in CA, TX, PA, FL, TN as their absolute number of cases and rate of rise of cases is deeply concerning. If these populous states have the same depth and breadth of the surge experienced in the Northern Plains hospitalizations and fatalities will dramatically increase over the next 2 weeks. Deb • Had good conversation with Christopher Whitty (Chief Medical Officer of the UK) and Sir Patrick Vallance (Chief Scientific Advisor to the UK Government) regarding comparing notes between UK experience and USA experience. Of note, the UK is seeing more than just the two instances of anaphylactic reactions to the mRNA vaccine of Pfizer • VRBPAC approves the Moderna product. Waiting for FDA to officialy issue the EUA. Likely will start vaccinating with Moderna in a few days PRESS: WUSA TV with Gabe Cohen; FOX TV with Bill Hemmer; Alan Alda Fireside Online Chat – “Soldiers of Science” December 18, 2020 – Global – 73,300,000/1,700,000; USA – 17,000,000/310,000 Moderna’s mRNA vaccine gets EUA from FDA. Likely start vaccinating within a few days (likely Monday, 21 December) Just found out that NIH will finally get doses of vaccine from Moderna (see above) which means I will likely get vaccinated on Tuesday, 22 December. I am insisting that I receive vaccine ONLY if Clinical Center ICU people ALSO receive it at the same time as I do, • Cases continue to surge. Deb’s comments: Continued deterioration in CA, AZ, NV,TX, FL, PA, OH, NJ, NY and will need staffing support in most of these states except FL and TX – most concerning is CA and NV for ICUs and hospital staffing. States are now using their vents that are in their state stockpiles which is the first we have seen this occur since summer. There is significant diversity in approach to vaccination – many states approach are self defined co-morbidities which could lead to long lines if its not a combination of age plus – ie first group essential worker over 50 and general population over 65 combination of risk of exposure and risk of severe disease. Mortality from the states that have been improving is still very high daily. Deb Did ceremonial vaccination with the Pfizer Product of VP Pence, Karen Pence and Jerome Adams in EEOB-350 at 8:03 AM. I gave remarks at the ceremony talking about the challenges ahead, the bitter-sweet nature of the situation with Bitter (record number of cases) and Sweet (Vaccines here). Also light at the end of the tunnel PRESS: NBC Today with Savannah Guthrie; on CNN for live coverage of the White House vaccination of the VP; Taped CNN Sesame Street with Sanjay Gupta and Erika Hill; WCBS Radio NYC; Stanford Fireside Chat with Alan Alda; Fireside chat with Andy Slavitt; Fireside Chat with the California State University systems; CNN Town Hall (done together with Jerome Adams) with Don lemon and Sanjay Gupta December 19, 2020 – Global USA Deb’s daily comment: Coasts and Sunbelt continue to deteriorate. AZ, MS, FL, GA are not mitigating to the level of summer mitigation policies. There is deep confusion out there about vaccine volumes and clarity on the 1b and 2 categories to most efficiently vaccinate and potential to use the current supply to save lives over the next 30 days. The word is the ACIP was supplied modeling in October that showed no impact of vaccination on lives saved but it was modelled without taking into account a surge of cases and hospitalizations. IF this is true this needs to be addressed and remodeled and that new data supplied to the ACIP. Deb Another record broken: Covid-19 Live Updates: U.S. Sets Daily Record With Over 250,000 Cases December 20, 2020 – (SUNDAY) – Global – 75,100,000/1,700,000; USA – 17,600,000/315,300 See Deb’s notes below: 1. The Northern Plains, Upper Mid-West, Rocky Mountain States and Heartland continue to improve decreasing test positivity, cases, hospitalizations. Strong vigilance messaging should continue to ensure decline through the upcoming Holiday season. 2. The Coasts (80% of America's population) are now driving the increasing cases, hospitalizations and soon deaths. The rate of rise is deeply concerning as it is similar to the Northern Plain States. New strain of virus – B.1.1.1.7 arising in UK with concern that it is spreading much faster that other strains. Some EU countries are banning flights from UK. Probably an overreaction since there is no evidence that the strain is more virulent or that it escapes vaccineinduced immunity. We (VRC/NIAID) will start examining for these issues. PRESS: Despite the approval of Moderna vaccine a few days ago, I was not allowed on any Sunday TV shows. FOX and MTP wanted me. Need to emphasize the dysfunction of the White House Comms group, particularly Roma Daravi. It seems that she has a thing with me. Washington Post (Yasmeen Abutaleb et al): The inside story of how Trump’s denial, mismanagement and magical thinking led to the pandemic’s dark winter December 21, 2020 Global USA Much concern and discussion about the mutant virus (see above) that is in UK and South Africa. I will be speaking with the Biden people about this today. 1.The Northern Plains, Upper Mid-West, Rocky Mountain States and Heartland continue to improve decreasing test positivity, cases, hospitalizations. Strong vigilance messaging should continue to ensure decline through the upcoming Holiday season. 2.The Coasts (80% of the population) are now driving the increasing cases, hospitalizations and soon deaths. The rate of rise is concerning, however due to aggressive mitigation there is a more rapid stabilization of cases then we saw in the Fall with the center of the country which should lead to an earlier peak if the Holiday Season surge can be blunted. Had Zoom call with Biden. Also, present were Ron Klain, Jeff Zientz, Rochelle Walensky; Natalie Quillian; Vivek Murthy. Discussion centered around: 1) state of the outbreak (me); 2) Mutants from UK (me); 3) vaccine rollout (Vivek). I strongly recommended not banning travel from UK. Ron Klain and Biden were not so sure. Ron suggested that we might have a 10 day ban over the holidays. I pushed back and said that this would not help since the virus would come from other places. I suggested that we very explicitly state that we are watching this very carefully and are all over it. The potential effects of the mutation is : 1) increased transmissibility; 2) increased virulence; 3) evasion of protection from vaccine (and to some extent from mAb). All of these are testable. Bottom line – do not do anything precipitous, but watch it closely PRESS: BBC Interview with Jeremy Farrar to be aired on December 28, 2020;SiriusXM Sports – Mad Dog with Chris Russo; Telemundo TV with Randy Serrano; Fivethirtyeight ABC Podcast with Anna Rothschild; PBS NewsHour with Judy Woodruff; December 22, 2020 – Global -76,300,000/1,700,000; USA – 18,000,000/319,000 Hospitalization at 118,000 – record for the pandemic. East and West coasts now surging. PRESS: Good Morning America (ABC) with CeciliaVega; BBC World News TV; Briefed New York Daily News editorial board; CBC TV (Canada) News Show – “The National”; Fox News with John Roberts; Politico Instagram Live with Sarah Owermohle; CNN The Situation Room with Wolf Blitzer Slate ranked me the #1 most influential 80 year old and older person: The Most Influential 80-Plus-Year-Olds in America Here are the top 20. By Molly Olmstead December 23, 2020 – Global – 76,900,000; 1,700,000; USA – 18,200,000/321,700 Mayer Bowser of DC declared December 24, 2020 “Anthony S. Fauci, M.D. Day in Washington, DC: “Dr. Fauci has been a hero to our nation during this incredibly difficult year, working tirelessly to save lives and guide our nation’s response to and recovery from the pandemic,” said Mayor Bowser. “We are incredibly proud to count him among the many DC residents who are sacrificing so much to keep our communities healthy and safe. I issue this honor on behalf of all Washingtonians in gratitude and recognition of Dr. Fauci’s service to our nation and our city.” “Surprise” tribute to me from the 1st responders at NIH and Montgomery County: https://drive.google.com/file/d/10Vi4mozXkpCjolo9phs0XoWpwoxSJ_oj/view?usp=sharing A group of activists from “the old days” surprised me with a surprise birthday party on Zoom in my office at 4:30 PM. Organized by Peter Staley and Janet Tobias. On the Zoom were: Gregg Gonsalves, Peter Staley, David Barr, Mark Harrington, Jim Eigo, James Kellerstein, Peggy Hamburg, Judy Auerbach, Wafaa El Sadr, Matthew Rose, Moises Agosto Had Zoom call last night with Vivek Murthy, Rochelle Walensky and David Kessler. Vivek wanted to discuss in more detail what our advice would be to Biden regarding the mutant virus in the UK. We discussed options of 1) shutting down travel from UK; 2) requiring pre-boarding testing from UK flights or even all flights from EU and South Africa or even all foreign flights; 3) also discussed post-landing strategy such as giving people BINAX tests to take home and test themselves after they arrive. Seems we will recommend at least pre-boarding testing, probably from all of EU and RSA. Surge continues in some areas and decreases in others. Deb’s notes: There is a growing evidence showing aggressive public mitigation and clear messaging together does flattening the curve. When one compares TN to OH, NC, WVA, KY – surrounding states. TN fatalities/pop is 30-40% higher as states with more aggressive mitigation as it decreases the area under the curve – decreasing hospitalization and deaths per populations. When all is done excess mortality will be greater in states with less mitigation when normalized for population age and other multivariants. Deb 1.The Coasts (80% of the population) are now driving the increasing cases, hospitalizations and soon deaths. The East and West Coast, Sunbelt, IN, OH, KY, TN, WVA surging cases will drive cases and hospitalizations over the next week stressing their hospital systems and and inpatient care The Vaccine Before Christmas By Kevin A. Wilson (with apologies to Clement Clarke Moore) ‘Twas some days before Christmas—how many I’m not sure (The days ran together; everything was a blur). All the houses were locked down from COVID-19, With everyone wishing for the promised vaccine. The children were nestled and sleeping just fine. They were all tuckered out from their classes online. And mamma in her kerchief and I in my cap Had just sanitized our hands and hung up our masks. The year had been hard. We were due a vacation. But the thing wanted most? Emergency use authorization. Then out on the lawn there arose such a clatter, I assumed it was another 2020 disaster. I ran to the window and put on my mask, But what would I see? I was too scared to ask. The neighbors were quiet and socially distant, Awaiting the time they’d be COVID resistant. But despite travel bans, there then did appear A miniature sleigh and eight tiny reindeer. But this wasn’t Santa. His gut wasn’t paunchy. It was the trusted presence of Anthony Fauci. More rapid than eagles, at warp speed they came, And he whistled, and shouted, and called them by name: “Now Pfizer! Now Sanofi! Now Johnson & Johnson! “On Moderna! On BioNTech! On Adaptive and Amgen! To the top of the porch! To the top of the wall! Now vaccinate, vaccinate, vaccinate all!” As a virus expelled by a cough or a sneeze When it meets plexiglass rises up on the breeze; So up to the house-top the pharma all flew, With the sleigh full of hope, and Dr. Fauci, too. And then, in a twinkling, I heard on the roof The prancing and pawing of each little hoof. As I drew in my head, and was turning around, Down the chimney Fauci came with a bound. He was dressed in a suit, as was always his way, And his neatly cut hair was a smart silver-grey. A chart in one hand, a syringe in the other, And a medical bag—a gift from his mother. The wisdom in his eyes and the knowledge in his head Soon gave me to know I had nothing to dread. With his reassuring smile covered up with a mask, His no-nonsense style led him straight to the task. He sprung to my side as I rolled up my sleeve, And he stuck in the vaccine as quick as you please. He flew to the bedroom, gave mamma a shot, Then vaxxed both our kids without waking them up. Inoculations complete, he returned to the chimney, And gave me a pamphlet about what he put in me. NEWS CLIPPING — BLOOMBERG — CONDENSED (1 SOURCE PAGE) “Then raising his finger but not touching his nose, And giving a nod, up the chimney he rose. “C’mon, team!” he said. “We’ve a great opportunity. If we vaccinate more we can reach herd immunity!”…” Anthony S. Fauci, director of the National Institute of Allergy and Infectious Diseases and head of the U.S. pandemic response, on Dec. 12. (André Chung for The Washington Post) By Joel Achenbach at 8:00 a.m. EST December 24, 2020 – Global – 77,500,000/1,700,000; USA – 18,400,000/325,000 I am 80 years old! Amazing number of Birthday wishes coming in. Truly moving…. Birthday video from the OR Nursing/DPM staff in the NIH Clinical Center: Dr. Fauci.pptx Beautiful and loving tribute to me from my children on a video: https://drive.google.com/file/d/1wgTkwmAlUhlnLKzIhWPlIR4E4WPpUMh6/view?usp=drivesdk Joan Baez texted me: “HAPPY FUCKING BIRTHDAY AND MANY MORE” Nature magazine picked me as one of Nature’s 10 – People who shaped science in 2020. Over the past 3 weeks I have been on the cover of TIME magazine X2, once as one of the 100 most influential people in the world again as the “Guardian of the Year”. Also, on the cover of People magazine By Kevin A. Wilson (with apologies to Clement Clarke Moore) ‘Twas some days before Christmas—how many I’m not sure (The days ran together; everything was a blur). All the houses were locked down from COVID-19, With everyone wishing for the promised vaccine. The children were nestled and sleeping just fine. They were all tuckered out from their classes online. And mamma in her kerchief and I in my cap Had just sanitized our hands and hung up our masks. The year had been hard. We were due a vacation. But the thing wanted most? Emergency use authorization. Then out on the lawn there arose such a clatter, I assumed it was another 2020 disaster. I ran to the window and put on my mask, But what would I see? I was too scared to ask. The neighbors were quiet and socially distant, Awaiting the time they’d be COVID resistant. But despite travel bans, there then did appear A miniature sleigh and eight tiny reindeer. But this wasn’t Santa. His gut wasn’t paunchy. It was the trusted presence of Anthony Fauci. More rapid than eagles, at warp speed they came, And he whistled, and shouted, and called them by name: “Now Pfizer! Now Sanofi! Now Johnson & Johnson! “On Moderna! On BioNTech! On Adaptive and Amgen! To the top of the porch! To the top of the wall! Now vaccinate, vaccinate, vaccinate all!” As a virus expelled by a cough or a sneeze When it meets plexiglass rises up on the breeze; So up to the house-top the pharma all flew, With the sleigh full of hope, and Dr. Fauci, too. And then, in a twinkling, I heard on the roof The prancing and pawing of each little hoof. As I drew in my head, and was turning around, Down the chimney Fauci came with a bound. He was dressed in a suit, as was always his way, And his neatly cut hair was a smart silver-grey. A chart in one hand, a syringe in the other, And a medical bag—a gift from his mother. The wisdom in his eyes and the knowledge in his head Soon gave me to know I had nothing to dread. With his reassuring smile covered up with a mask, His no-nonsense style led him straight to the task. He sprung to my side as I rolled up my sleeve, And he stuck in the vaccine as quick as you please. He flew to the bedroom, gave mamma a shot, Then vaxxed both our kids without waking them up. Inoculations complete, he returned to the chimney, And gave me a pamphlet about what he put in me. Then raising his finger but not touching his nose, And giving a nod, up the chimney he rose. NEWS CLIPPING — ABC NEWS — CONDENSED (1 SOURCE PAGE) ““C’mon, team!” he said. “We’ve a great opportunity. If we vaccinate more we can reach herd immunity!” Then he yelled back to me, as the sleigh quickly rose, "I’ll be back in a fortnight for…” By Ben Cohen at ben.cohen@wsj.com and Louise Radnofsky at louise.radnofsky@wsj.com December 25, 2020 – Global – 78,00,000/1,700,000; USA – 18,600,000/328,000 Trump at Mar-a Largo while country in crisis. Cases still surging in certain areas (see below). Relief bill in purgatory since he does not want to sign it because of disagreement about amount of relief ($600 versus $2000). Everyone had agreed to $600 even though the Dems wanted more. White House staff agreed to the bill. Sent to Trump for signature, except that now that he has finally looked at it, he wants the $2000 per person, which is what the Dems wanted to begin with, and the GOP objected to. And so now, he is bucking against his own GOP. In the meantime, people are starving without aid. Also, the USG might shut down since the Omnibus budget bill has not been signed either. Amidst all this, Trump is pardoning a large number of people (>40), almost all who were involved in the issues surrounding the probe of him and the impeachment matters. He also pardoned Gen. Flynn, Roger Stone, and Charles Kushner. Deb’s daily report: Aggressive post Holiday testing of those who gathered and rapid utilization of Mab in those at highest risk for severe outcomes will be critical over the next 2-3 weeks to blunt the impact of Holiday gatherings. Deb 1. Summarizing the current state of the pandemic : overall the USA is at a high plateau for cases and hospitalizations and due to lagging fatalities reporting in improving states we won't see the fatality plateau until the next 2 weeks 2. I summarized the top 10 states in this data summary for cases in order : CA, FL, NY, GA, PA, OH, TX, AZ, IL, IN – slides 11-20 – of these states only PA, OH, IL are improving the others are escalating or at a high plateau. 3. Data will be unstable for the next 2 weeks with both Christmas and New Years but will be tracking new admissions and rate of new admissions 4. The current pandemic state is a combination of continued improvement in the center of America and continued deterioration in CA, NV, TX, across the sunbelt and up the East Coast and including TN and WVA PRESS: Print version of Joel Achenbach’s feature on my birthday appeared in the Washington Post. December 26, 2020 – Global – 78,400,000/1,700,000; USA – 18,700,000/330,000 1. Data will be unstable for the next 2 weeks with both Christmas and New Years but will be tracking new admissions and rate of new admissions 2. 24 States did not report yesterday on critical pandemic parameters and will cause a surge in cases and fatalities due to this reporting issue in the next few days 3. Summarizing the current state of the pandemic : overall the USA is at a high plateau for cases and hospitalizations and due to lagging fatalities reporting in improving states we won't see the fatality plateau until the next 2 weeks Adrienne Arsht sent me an amazing video that she asked Robert Pullen (Kennedy Center) to put together to celebrate my 80th birthday. They gathera whole bunch of celebrities to sing to me and offer words of praise and congratulations: Orlando Bloom, Mila Kunis and Ashton Kutcher, Amy Poehler, Lily Tomlin, Sophia Bush, Matthew McConaughey, Steve Buscemi, Magic Johnson, Joan Baez, and many others. It was very moving. Situation unchanged. Still outrage that Trump is messing up the relief bill. Harmony Foundation gave me: Top US doctor among 10 to get Mother Teresa Award Mohammed Wajihuddin / TNN /

, 09:38 IST PRESS: Good historical documentation of the CDC screw-up with the COVID-19 test by David Wilman in the Washington Post - The CDC’s failed race against covid-19: A threat underestimated and a test overcomplicated The Atlanta headquarters of the Centers for Disease Control and Prevention. (Ron Harris/AP) By David Willman at 8:00 a.m. EST Add to list December 27, 2020 – Global – 79,200,000/1,800,000; USA – 18,900,000/331,000 Deb’s note for the day: Hospitalizations had stablized and specific metros were significantly declining so we will be able to see a post-Holiday surge in cases and hospitalizations and predict depth of surge impact by 10 Jan. 1. Data will be unstable for the next 2 weeks and decreases cannot be interpreted with both Christmas and New Years but will be tracking new hospital admissions 2. 24 States did not report yesterday on critical pandemic parameters and will cause a surge in cases and fatalities due to this reporting issue in the next few days 3. Summarizing the current state of the pandemic : overall the USA is at a high plateau for cases and hospitalizations and due to lagging fatalities reporting in improving states we won't see the fatality plateau until the next 2 week s Some areas going done and others are still surging. Big question will be whether we will have a post-holiday (Christmas and New Year surge). Letter from VP Pence - December 18 Photo with VP Pence - December, 2 Raising concern about what Trump might do as a last-ditch effort to prevent Biden from assuming the Presidency. He is already calling for demonstrations in Washington at the time of the January 6 ratification of the electoral votes by the Congress. He could induce riots and then invoke martial law to “control” the riots. Also, he could not sign the Omnibus budget bill and cause a government shutdown that could interfere with the inauguration PRESS: CNN State of the Union with Dana Bash; The Guardian: Interview 'New disease, no treatment, no cure': how Anthony Fauci's fight against Aids prepared him for Covid-19 Benjamin Ryan December 28, 2020 – Global – 79,900,000/1,800,000; USA – 19,100,000/332,200 POTUS changed his mind and signed the Omnibus budget bill avoiding a closure of USG. Spoke with Deb. This AM (this is one of many early morning 6:00 AM calls that I have with her just to check in and schmooze about what is going on. She is concerned (probably correctly so) that the Biden people think that there is some COVID-19 response structure here and there is not. There is her and backup from CDC and she railed on about how bad the CDC is (I agree with her in part). She feels that they completely blew COVID-19 by acting like it was influenza and they plugged in the “syndromic” model where you follow and test only those who are symptomatic since it took them forever to admit that COVID-19 was spread symptomatically and was very much different from influenza. PRESS: Taped podcast with ABC Jonathan Karl for later viewing; December 29, 2020 – Global – 79,900,0900/1,800,000; USA – 19,200,000/334,000 NEWS CLIPPING — BLOOMBERG — CONDENSED (2 SOURCE PAGES) “1.Most concerning are where COVID admissions are rising now showing significant community spread just prior to the Holidays and could have the most significant post Holiday surge – this is TX, GA, SC, NC, WVA.…” % Mentioning Number of top 10 finish Bill Gates 1 21 LeBron James 1 1 Dalai Lama 1 11 Combined first and second mentions; rankings based on total number of responses GALLUP, DEC. 1-17, 2020 December 30, 2020 – Global USA General Gus Perna asked to speak with me this Am (7:30 AM) for advice and “comfort”. There has been criticism about the roll-out of vaccines. @0 million doses were promised by the end of December and we only have 11 million. Also, only 2-3 million have been administered (the latter is not his responsibility). He realizes that there is disappointment and wants advice. I told him that above all he needs to be transparent and honest and not try to coverup any deficiency. This is a big operation and he should expect bumps in the road. He bemoaned that on the battlefield when he was on the radio he could tell from the background sounds and the “vibes’ on the radio how the battle was going. With vaccines, even on conference calls, he really cannot get a good feel for what all the players are doing and how honest they are being. He does not trust Pfizer; he thinks that they keep moving the goal posts. He likes Moderna. He was very grateful for the call. Senator Marco Rubio is acting like a real asshole. He is publicly calling me a liar about my statement in the NY Times about my assessments for the percent vaccinations needed for herd immunity. I had said that I modified my assessment of 70 to 75% to be 70 to 85% because we really did not know the precise number and I wanted to encourage people to get vaccinated to achieve herd immunity. Actually, I made that change by extrapolating the measles situation where measles vaccine is 98% effective whereas SARS-CoV-2 is 94-95% effective. Measles begins to lose herd immunity at around 89-90% of population vaccinated and so I brought up the SARS-CoV-2 to 85% with the range being 70 to 85%. For that he called me a “liar” Big hypocrite as he continues to kiss Trump’s ass – the world’s biggest liar. “Sen. Marco Rubio: Dr. Fauci lied about coronavirus — I am appalled by his arrogance” Placing blind faith in unelected celebrity scientists has its limits, and we must not be afraid to call them out By Sen. Marco Rubio | Fox News Had 2nd conversation with Rochelle Walensky where I am advising her on her new position as CDC Director. I briefed her on the fact that as good as some of the CDC people are, as an institution they have hubris and are often incorrect. She needs to follow her good instincts and question what they are doing in a friendly, non-threatening manner. PRESS: WTOP Special Radio with J.J. Green; UK TimesRadio interview; C-SPAN TV interview with Gov. Newsom of California; MSNBC “The Last Word” with Lawrence O’Donnell December 31, 2020 – Global – 81,500,000/1,800,000; USA – 19,700,000/341,200 1. Most concerning are rising case counts during a dramatic decline in testing – CA, TX, FL and where COVID admissions are rising consistent with significant undetected community spread prior to the Holidays and potentially the most significant post Holiday surge – this is FL, TX, GA, SC, NC, WVA. 2. New admissions rising in OK, TX, AL, MS, GA, FL, NY, MA, WVA, KY High Plateau in CA, AZ, NM, AR, TN, MD, CT, NJ 3. States with the most hospital staff stress are those states in the dark red zone and still rising – CA, AZ, GA and those states in the red zone and still rising – OK, TX, MS, AL, SC, TN, DE, NY 4. The Coasts (80% of the population) are now driving the increasing cases, hospitalizations and deaths. Mackenzie Miller (Daughter of Katie and Stephen Miller) admitted couple days ago first to Georgetown Hospital and then transferred to Children’s National. Developed acute onset of unresponsiveness. Improved significantly on IV fluids and antibiotics and acyclovir. Baby (6 months old) exposed to grandmother who has cold sore and so HSV encephalitis suspected. MRI (brain), EEG, physical (some hyporeflexia) all OK. Have spoken with her ID physician Reinhard Wiedermann and will speak with neurologist Elizabeth Wells. Am on phone frequently with Katie and Stephen. PRESS: NBC Today Show with Craig Melvin; WBAL Baltimore Radio; MSNBC with Andrea Mitchell; January 1, 2021 – Global – 81,900,000/1,800,000; USA – 20,000,000/345,000 Records continue to be broken with 125,000 hospitalizations and >3000 deaths. GOP and Trump planning to challenge the January congressional certification of the electoral votes. Disgraceful assault on democracy. • Spoke with Mitt Romney this AM who ran by me an OpEd he wants to submit pointing out the lack of success and weaknesses of the vaccine rollout plan and suggestions of how to improve it. Clearly there is a problem (see below) Problem with vaccine rollout. Plan was to have 40 million doses delivered by December 31 with 20 million in the arms and 20 million in reserve. This far 14 million delivered and 2.7 million in the arms. Clearly, they need to catch up. There is no central “plan” similar to no plan for testing and no plan for PPE. 1. Most concerning are rising case counts during a dramatic decline in testing – CA, TX, FL and where COVID admissions are rising consistent with significant undetected community spread prior to the Holidays and potentially the most significant post Holiday surge – this is FL, TX, GA, SC, NC, WVA. 2. States with the most hospital staff stress are those states in the dark red zone and still rising – CA, AZ, GA and those states in the red zone and still rising – OK, TX, MS, AL, SC, TN, DE, NY 3. The Coasts (80% of the population) are now driving the increasing cases, hospitalizations and death January 2, 2021 – Global – 82,400,000/1,800,000; USA – 20,100,000/347,000 Deaths now averaging around 3000 per day. Hospitalizations continue to break records. Trump totally focused on disrupting the transfer of power and declaring the election invalid. Big day coming up on January 5 when the Congress certifies the Electoral Votes. January 3, 2021 – Global – 82,600,000/1,800,000; USA – 20,300,000/350,000 Data remains unstable but early signals are increasing test positivity (49) states and in some states rising cases – tracking closely. Concerned about upcoming post-holiday surge 1. Reporting remains unstable and will create this current valley and peak (slide ¾) due to reporting alone – watching slope of rise. 2. Testing is down 40% over the past 7 days creating a high admission rate/case across all age groups and any increase in cases concerning 3. 49 states have rising test positivity and 17 rising cases despite reporting issue – this normal precedes a significant surge is hospitalizations Total deaths have not reached 350,000!! Tweet from Trump: Got a call from Jeff Zients wanting to confirm the I still am in favor of Janet Woodcock for FDA Commissioner. He was getting some negative signals from some people that she was involved in the EUA for hydroxychloroquine. I explained to Jeff that this was really Mark Meadows pressuring Steve Hahn who caved in. PRESS: ABC “This Week” with Martha Raddatz; NBC “Meet the Press” with Chuck Todd; January 4, 2021 – Global – 83,700,000/1,800,000; USA – 20,600,000/350,700 Expecting the post-holiday surge 1. I have included the European data in slides 3 and 4 – most of the European increases being driven by the UK 2. You can also see from slide 3 the rate of rise of our Fall/winter surge was more dramatic consistent with the USA having its own more infectious variant Things starting to move with my involvement with the Biden team. Biden is concerned about making sure that he reaches 100 million doses of vaccine in the 1st 100 days. We are meeting by zoom with him tomorrow and today and tomorrow we had/will have pre-brief meetings to discuss our plan – led by Jeff Zients. Present were Natalie Quillian, Vivek Murthy, Marcella Nunez-Smith, Rochelle Walensky, David Kessler, Asma Mirza, and Sonya Bernstein. Plan is to develop community vaccination centers, use mobile units to get to rural areas, etc. Nursing staff in the OR at the Brigham and Women’s Hospital all wearing Fauci caps. Email sent to me by Atul Gawande. PRESS: Did zoom interview with the Newsday Editorial Board; MSNBC “All In” with Chris Hayes January 5, 2021 – Global – 84,200,000/1,800,000 USA – 20,700,000/352,000 Deb’s notes: Made this shorter to make serious points. First and foremost our Fall surge slope is nearly identical to the UK slope suggesting we have had our own more transmissible strain since then and it was responsible for the Fall surge in the Northern Plain states. My concern then was this type of surge moving into the more populous states as it has now in CA and now Tx and the sunbelt is unstable as well as the midAtlantic and NorthEast. Viruses are always in search of escape mutants than are more transmissible yet preserving replication capacity. This is happening around the globe and the immunologic pressure on viruses drive this potential and we continue to increase the immunologic pressure through percent of population infected, use of plasma and monoclonal Ab and now immunization. Key to RNA viruses with this of high mutation potential is to rapidly immunize the population especially those most likely to have high replication potential – those over 65. We have to accelerate the immunization of those over 65 ASAP. We can’t hold back on the rest of Tier 1 awaiting 1a. We have been in 1a for a month without adequate progress. Deb Trump going completely crazy. Was recorded on an hour-long telephone call with Secretary of State of Georgia Brad Raffensperger to change the votes and asked for 11, 780 votes to be changed (he lost Georgia by 11,779). Clearly a criminal act of trying to influence an election. More cowardly GOPs are backing Trump in the House Kevin McCarthy (R-CA) and Senate (Ted Cruz (R-TX) and Josh Hawley (R-MO) • Big discussion and debate in the press about whether to give more single doses of vaccine and wait few months before the second dose. The UK is doing this with the AZ vaccine. There is no scientific data to justify this. They are doing it because they want to give more people first doses. Our problem is not more people than doses, it is that we are not injecting as many people (4 million) with the doses that we have (14 million). Much discussion in the press about this. • Had Zoom meeting with Biden and Harris. Meeting led by Jeff Zients. Present was Ron Klain, Natalie Quillian, Marcella Nunez-Smith, David Kessler, Vivek Murthy, Rochelle Walensky, Bechara Choucair. Topic was that Biden wants to announce in a speech 3 transforming steps that he will initiate regarding vaccines. Natalie presented our plan and there was discussions about using pharmacies first and then as we get more doses, opening up “Community Vaccine Centers”. I described status of the outbreak. Biden is much more in favor of federal presence than is the Trump administration. Slide deck is below: Slide Deck - COVID Policy Briefing 1 5.pd PRESS: Interview with Newsweek UK; AP Online interview with Lauren Neergaard; January 6, 2021 - Global – 84,800,000/1,900,000; USA – 21,000,000/356,000 Spoke on chat with Chiefs of Police and with Presidents of Jesuit Schools (led by Fr. Dan Lahart of Regis) Made rounds on COVID-19 patient at Clinical Center. I have been doing this about 1X per week. Saw patient today with COVID disease - 73 y.o. AA male, ex-marine, ex-State Trooper. Says this is worse he has ever felt. • My group (Mascola, Graham, Lane, Marston briefed the ART team led by Lu Borio and Marcella Nunez-Smith and David Kessler. We spoke about the mutant viruses in UK and RSA and their impact on mAbs and vaccines. 1. There is a significant increase in test positivity rate and a high hospital admission rate/case across all age groups 2. I have included the top 10 states for cases and it is a mix of states that were surging prior to the Holidays NY, TX, FL, GA, AZ and states that were improving or stabilzing prior to the Holidays CA, PA, OH, IL, NJ and tracking these states will be key to estimating the impact of the Holidays on cases and eventually hospitalizations The Fall surge in the Northern Plain states was more aggressive and we warned if this type of surge hit populous states this would threaten the health care system – this is what we are seeing in CA and to be clear this is spreading across the Sunbelt and into the North East. Trump incites riot as protestors storm the Capitol, break windows and occupy Pelosi’s office. Capitol Police utter failure to control them. Democrats take both Senate seats in Georgia Election - Jon Ossoff and Raphael Warnock. Biden electoral votes certified by Joint Session of Congress. Sens. Hawley and Cruz fight to the bitter end to their shame. Several senators who originally had supported the attempt to overthrow the election have changed their mind because of the shock of the storming of the Capitol PRESS: Podcast Fireside Chat with David Rubenstein for the Economic Club of Washington, DC; BNN Bloomberg Canadian TV; January 7, 2021 – Global – 85,500,000/1,900,000; USA – 21,300,000/360,000 Record number of deaths yesterday - >3963. Today another record at 4000. Surging continues. Slow start in the implementation of administration of vaccines. Was supposed to have 20 million doses distributed and administered by December 31. Today there have been 15 million distributed and 5 million administered. PRESS: NPR – “Morning Edition”, Noel King; France24 TV (Arabic language); WJLA TV; New York Times: NYT: Fauci says he thinks that January will get worse, and that the vaccination effort needs more time. January 8, 2021 – Global USA 4111 Deaths!! Record hospitalizations. I have been on the phone with Jeff Zients a few times today. I checked the number for projected requirement of vaccines to fulfill the promise of 100 million doses in arms in 1st 100 days of Biden administration. The number in the Biden slides (Kessler derived) was 275 million doses and 135 million people (getting 2 doses) by end of April. I called Moncef Slaoui and got the actual numbers and they totaled 189 million. I called Jeff and let him know. He checked with Kessler who then checked with Moncef and they figures that the doses that had already been allocated prior but not given yet would make up for the difference. I am concerned that we (Biden team) will not meet the promise. Too many vicissitudes in vaccine production. Perhaps Janssen will bale us out with the 25 million doses in March and 40 million in April (single dose required). Then, Biden team announced that they would not hold back any doses to save for 2nd shot, but will immunize everyone then can with doses they have. This places a lot of faith in the precision of the production/delivery of doses. They may have to pause with 1st doses to catch up with 2nd dose requirement. At 8:00 PM tonight as I was over Rob and Ellen’s “open Garage” dining room, Jeff Zients called me again asking for a favor. A Politico reporter is already getting ready to write a story spreading rumors that Biden is upset with his COVID team and Jeff is asking a favor for me to go on “background” and tell the reporter that they are doing a very good job. I told Jeff that I would of course be happy to do this. PRESS: NPR International – “The World”; C-SPAN doing “Facts and Faith” at VCU talk with Virginia Governor Northam. Speaking to Black Faith leaders January 9, 2021 - Global - 87,600,000/1,900,000; USA – 22,000,000/368,000 The pandemic is getting more scary. Every day more and more cases and deaths. Patients in the hallways in California. Nurses and MDs exhausted. It seems that people are getting infected who are being careful and have no idea why they are getting infected. N501Y mutation is here in the USA, but it is not dominant. We may actually have out own mutant that we have not recognized since the CDC has not really been looking. NEWS CLIPPING — POLITICO — CONDENSED (2 SOURCE PAGES) “Had conversation this AM 12:10 PM to 12:50 PM with 2 reporters from Politico (Adam Cancryn and Tyler Pager). Call set up by T.J. Ducklo (see note about regarding call from Jeff Zients). See above…” historical record of A.S. Fauci – Part 3 January 10, 2021 – Global – 88,400,000/1,900,000 USA – 22,100,000/371,100 And the surge goes on….. There is a real concern that we have our own mutant that is resulting in an increased surge in cases. People are saying they have no idea how they got infected since they have been observing public health recommendations. See below comments from Birx. After Thanksgiving the Northern Plains MN, IL, MI held and did not significantly deteriorate. In contrast this current post Holiday surge is causing deterioration in all metros including metros that were stable and metros that did not experience a significant post Thanksgiving surge. NYC has returned to case counts equal to the Spring recognizing we are testing at much higher rates but this surge is just beginning in NYC and with this current rate of rise of cases could drive significant cases, hospitalizations and deaths especially if it deteriorates at the rate of LA. Proactive setting up of infusion sites now is critical in all large metros and active immunization of those over 65. We have enough vaccine in the States to immunize nearly 15M senior which would be nearly 25% of all seniors over 65. We need to treat this current situation as the emergency it is. Deb Deb’s report: 1. Reporting has stabilized and we have returned to the pre-thanksgiving rate of cases as the current resurgence moves into the populous states from CA to TX to FL and resume a full log phase rate 2. EVERY METRO over 500K residents is deteriorating except Honolulu. - even those that had been stable now have rising cases slides 6-52 : NYC area is now reached cases greater than the Spring surge 3. All of the most populous states are deteriorating or continuing to deteriorate – CA, TX, FL, NY – only CA maybe showing signs of reaching a high plateau – TX, FL, NY will become the new epicenter of this surge over the next 3 weeks – I believe we have had our own evolved and more transmissible strain or strains since September by reviewing all the epidemiologic data – this fall/winter has a more rapid rate of rise from the beginning which predated Thanksgiving and continues at the rate post the Holidays (slide 3) – this rate of rise is now independent of the weather as it is occurring across the South, LA, etc - the surge is more difficult to mitigate - which will require more aggressive action to control and all actions need to be taken now to flatten this curve and preserve the health system) Normally the weekly high for fatalities is Wednesday – deeply concerning that both Weds Thurs and now Friday have deaths near 4000/day See graphs on slide set below (frightening): 10Jan2021DataSum mary.pptx Major discussion among Congress in invoking the 25th Amendment to remove Trump. Pelosi is going to go ahead with impeachment proceedings even though there would be no time to convict, they can impeach. Several people in the White House and Cabinet are resigning – Elaine Chao, Matt Pottinger. POTUS is attacking Pence for not going along with his attempts to overthrow the election. Poor Pence. He had been so loyal, but I am pleased to see that the goodness that I recognized in him is coming out, albeit a bit late in the game. The crazies in the Trump following are calling for the execution of Pence, similar to Crazy Steve Bannon calling for my beheading. PRESS: WGN Radio (Steve Dale) – Chicago; Satire from The Borowitz Report Fauci Says Immunity from Trump Requires Two Doses of Impeachment By Andy Borowitz January 11, 2021 – Global – 88,800,000/1,900,000; USA – 22,300,000/373,200 Surge continues unabated. Deb’s notes: 1. Reporting has stabilized and we have returned to the rapid prethanksgiving rate of cases as the current resurgence moves into the populous states from CA to TX to FL 2. Nearly all METROs over 500K residents is deteriorating. - even those that had been stable now have rising cases slides 22-26: NYC area is now reached cases greater than the Spring surge 3. All of the most populous states are deteriorating – CA, TX, FL, NY – only CA maybe showing signs of reaching a high plateau – TX, FL, NY will become the new epicenter of this surge over the next 3 weeks – as viruses evolve and strains are imported– the fall/winter has a more rapid rate of rise predating Thanksgiving and continues at the rate post the Continued discussion about invoking the 25th Amendment. Trump have been permanently banned from Twitter and at least temporarily from Facebook (maybe permanent). Trump stating that “it is only beginning”. Intelligence chatter indicating that there will be massive demonstrations and even violence associated with the inauguration. Mick Mulvaney made some interesting comments on a CNN Special on “insurrection”. When asked why so many people stuck with Trump when all the signs were there that he was acting crazy. Mick said that when you lie with him in the WH day after day, you see that he has accomplished a lot and you tend to downplay in your mind the signs of craziness. I even saw some of that during the time that I went to the WH every day for months in the Spring and Summer. Marc Short called me and asked for me to make connection with the Biden people and invite someone to today’s Task Force Meeting so that the Biden Team can get a feel for how the current task Force works. I called Jeff Zients and Jeff gave them Cyrus Shahpar who is on the Biden team and works for Tom Frieden. Did a chat with Bishop TD Jakes including Kizzy Corbett. Trying to Spoke with Pat Foye of the Metropolitan Transportation Authority (MTA). They want me to do a 1 minute PSA to encourage their employees to get vaccinated. PRESS: Rural TV Network – “Rural Health Matters”, Nashville, TN TV; POLITICO: ‘There is a palpable concern’: Biden presses advisers over 100 million Covid shot goal (This relates to my conversation with Zients/Ducklo) CDC: No sign of homegrown U.S. coronavirus variant, but scientists need to look harder By Joel Achenbach, Kim Bellware and Hamza Shaban January 12, 2021 – Global – 89,400,000/1,900,000; USA – 22,500,000/375,100 4400 deaths today John Mascola working with David Ho to determine the possibility that the UK (N501Y; B.1.1.7) and/or the RSA mutants evade the antibodies induced by vaccines. According to Ho, the RSA mutants are much more troublesome in that they do not eliminate the protection of vaccine induced antibodies, but they definitely decrease by 2 to 3-fold their potency. David is now working on studying the UK mutant. Stay tuned. The next 4 weeks will be determined by whether the large Southern, upper Mid-West, Mid-Atlantic and North-East metros will be able to contain the rapid accelerating viral spread or have the prolonged log phase followed by the high plateau of LA (now entering month 3). Deb 1. Reporting has stabilized and we have returned to the rapid pre-thanksgiving rate of cases as the current resurgence moves into the populous states from CA to TX to FL : cases are up 7% from last week's same time period. 2. Nearly all METROs over 500K residents is deteriorating. - even those that had been stable now have rising cases slides 7-45: NYC area is now reached cases greater than the Spring surge Throughout “the 2019 flu season from Sept. 29 to Dec. 28, the CDC reported more than 65,000 cases of influenza nationwide,” while “during the same period last year, the agency reported 1,016 cases.” • Had discussion with Chris Whitty and Patrick Vallance of the UK regarding their mutant and their vaccine program. They confirmed that the mutant is spreading widely in UK and other EU countries and also that there is no increase in virulence of escape from vaccine-induced antibodies. They also mentioned that they are more concerned about the RSA variant (mutants). • Did Fireside Chat with Barbara Bush on “Future Forum for Preparedness” (her Global Health Corps) Had discussion with Azar, Pence, and the OWS crew about vaccine rollout. We will as of tomorrow (announce at the Governor’s call) that we are changing our rollout strategy. We are going to be more flexible and not strictly wedded to the ACIP/CDC guidance of Phase 1a. We should continue that, but move on the people >65 years old and people 16 (or 18) to 64 with underlying conditions Am communicating with Stanley Tucci. He has heard through the media that I make Tympani: From: Stanley Tucci <sta914@gmail.com> Sent: Tuesday, January 12, 2021 2:28 PM To: Fauci, Anthony (NIH/NIAID) [E] <afauci@niaid.nih.gov> Cc: Lottie Birmingham <lottie.birmingham@icloud.com> Subject: Re: Stanley Tucci and Timpano Dr. Fauci, Thank you so much for your timely response and your kind words. The books will be whisking their way towards you imminently. It is my hope that someday we might prepare and enjoy a Timpano together. All the best to you and your family. With great respect and admiration, Stan On 12 Jan 2021, at 6:54 pm, Fauci, Anthony (NIH/NIAID) [E] <afauci@niaid.nih.gov> wrote: Mr. Tucci: Thank you for your very kind note. I was thrilled to hear from as I am a great fan of your acting and am looking forward to watching your CNN Special. I would be honored if you could send me autographed copies of your cook books. My address is 3012 – 43rd Street, NW; Washington, DC 20016. I hope that you are doing well during these difficult times. Please stay safe. Warm regards, Tony Jeff Zients called me to get approval of a statement that Biden will put out criticizing the Trump administration for opening up the floodgates of the Phases for vaccines (see above) given that there is not enough vaccine to go around at this point. Indicated that I did not like the statement sine it was a gotcha. Jeff did not like that but nonetheless changed it somewhat according to my suggestions. Here Are 18 Celebrities (And Public PRESS: Figures) Who Have Gotten The Coronavirus Vaccine From politicians to performers. by Matt Stopera BuzzFeed Staff January 13, 2021 – Global – 90,100,000/1,900,000; USA – 22,700,000/379,000 The surge continues. Could this be that we are dealing with our own highly contagious variant, but we do not realize it since the CDC sequencing surveillance has not been very comprehensive as has the UK surveillance? See below 1. Reporting has stabilized and we have returned to the rapid prethanksgiving rate of cases as the current resurgence moves into the populous states from CA to TX to FL : cases are up 7% from last week's same time period, as CA improves, the high population states of TX and FL will surge and the fatalities will increase, many states are reaching 0.2% rates per population deaths 2. Nearly all METROs over 500K residents is deteriorating. - even those that had been stable now have rising cases slides 15-18: NYC area is now reached cases greater than the Spring surge Trump impeached for 2nd time! Several Republicans vote in House for impeachment. Unlikely to come to trial in Senate until after inauguration. Biden does not want distraction from his 100 days agenda. Had zoom call with President of Ecuador – President Lenin Moreno Garces. We discussed the situation in Ecuador, vaccines and a whole bunch of questions that he had. Seems like a very smart person. I promised to advocate for equitable availability of vaccines throughout the world including Ecuador. Had Zoom call with Biden team – (Marcella Nunez-Smith, David Kessler, Rochelle Walensky, Vivek Murthy, Connolly Keigler and Maju Varghese). David led discussion regarding the inauguration. Originally there was supposed to be 250 people on the platform 6 feet apart ()POTUS and VP and Family, supreme court justices, leaders of Congress. 6 feet apart, all masked, all tested. Then then wanted 29,000 on the West Front. Maju Varghese was operationally responsible for arrangements. These 29,000 were cut down to 2000 by David (who is overall responsible for arrangements). The meeting today was to determine if we were OK with this. We all (Marcella, Rochelle, Vivek) voted that there should be no one on the West Front. I made the argument that some of the GOP Congressmen could make trouble by not wearing masks the way they refused when the Capitol was attacked and they were crowded in a room. Also, if someone gets infected, the press will jump on us. David will bring this back to Biden and Klain. Had regular every 2 weeks call with Bill Gates – Bill and Trevor Mundel know about the issue with the mutations that David Ho is working on. We discussed working together to track them as well as using Gates money to jump-start the development of mRNA vaccines to match the mutations (B.1.1.7 variant) with the N501Y mutation. We need to be ready to respond Front Page Story of Italian Magazine “I Love Sicilia” SKM_C754e2101131 7230.pdf Some Black Muslims accusing me of trying to experiment on Blacks. He mistakenly (deliberately) is ignoring that I, Pence, Biden, Harris have all gotten vaccinated. He is saying that Blacks would be the herd immunity that would protect whites: Beyond Tuskegee: Targeting of Black people for Covid-19 vaccine By Anisah Muhammad, Contributing Writer On January 10, Student Min. Muhammad, a researcher, scholar and author, delivered the Nation of Islam’s Sunday address at Mosque Maryam, titled, “Beyond Tuskegee: Why Black People Must Not Take the Experimental Covid-19 Vaccine.” “Why beyond Tuskegee? The vaccine mafia who want Black people to be the first injected with this experimental vaccine have centered the Tuskegee experiment in their narrative, most prominently Dr. Fauci. Let’s say we get 75 percent, 80 percent of the population vaccinated,” Dr. Fauci said on Dec. 9. “If we do that, if we do it efficiently enough over the second quarter of 2021, by the time we get to the end of the summer, i.e., the third quarter, we may actually have enough herd immunity protecting our society that as we get to the end of 2021, we can approach very much some degree of normality that is close to where we were before.” As of July 1, 2019, the U.S. Census Bureau reports that 76.3 percent of Americans are White. Bob Woodward came to my house tonight to deliver the transcripts of the tapes of his interviews of me for his book “Rage”. He said that it would help me with the writing of my book, He really wanted to come over and tape an interview with me about my current dealing with Biden. I explained the interactions with Biden (see above). Nothing controversial; however, it was clear why he wanted to come over. He is writing yet again another book. We met outside in the cold due to COVID-19 I wrote a belated birthday note to Joan Baez (her birthday was Jan.9, 1941). I had forgotten due to recent events at the Capitol, and so I wrote her a note apologizing. She wrote back: “Of course I accept!. There was a postcard circulating in Frace under a liberal administration in the eighties, “nous sommes tous dans la merde”. We are all in the shit. I don’t speak French anymore, but the post card stands out. Yes, we are the same age! You are a rock star and I am a badass, and age is very much beside the point. Thinking of you. Joan” PRESS: WPIX TV New York City with Dan Mannarino; Children’s Hour Public Radio; WMBD radio and WYZZ TV (Central Illinois); The Children’s Hour Public Radio; January 14, 2021 – Global – 90,800,000/2,000,000; USA - 23,000,000/383,400 Note from David Ho. Mutants are becoming very troublesome: Here is an overview first. Will share detailed organized data in a couple of days. I am available to chat at a mutually convenient time. Patrick Vallance from the UK is reaching out to me to get preliminary results as well. We have constructed SARS-CoV-2 pseudoviruses that contain all 8 mutations in the UK variant and all 9 mutations in the SA variant. In addition, we have also constructed pseudoviruses that contain each of the 16 mutations (501Y mutation is shared) individually. This entire panel has been tested on a collection of ~30 spikespecific neutralizing monoclonal antibodies, 20 convalescent plasma, and 18 vaccinee sera (Moderna and Pfizer). First, both UKdelta8 and SAdelta9 showed increased replication capacity in vitro, which is consistent with their increased transmissibility in vivo. Overall, the impact on virus neutralization is profound, with the SA variant being worse than the UK variant. It is quite clear that these two variants could now resist several classes of neutralizing monoclonal antibodies already used in the clinic or still in development, and in most cases we understand which of the mutations are conferring the resistance. This information is particularly relevant to companies like Lilly and Regeneron, which have approved clinical products that are severely affected by these results. In addition, a large majority of convalescent plasma samples showed an appreciable loss in activity against the new variants, suggesting re-infection may be more likely when confronted with either of these two strains. Finally, we also observed a significant impact on vaccinee sera in that every serum sample tested showed a substantial loss in neutralizing activity against the SA variant, whereas the loss in activity against the UK virus is not as large or as universal. Again, we believe the latter findings should be shared promptly with the field, because these new strains threaten the effectiveness of the current vaccines. Importantly, the strategy that the UK is now contemplating (giving one dose and delaying the second dose) is quite dangerous in that one or two additional critical mutations on top of either strain (under suboptimal antibody concentrations induced by one shot without a booster) could render current monoclonal antibodies and vaccines useless. Our data are germane to that debate. Our data are more or less complete, except for live virus neutralization results. We are still waiting for the UK and SA to be distributed by the US government to our lab. We expect to have the live viruses soon, and could generate the confirmatory results in about 7-10 days after receiving the viruses. • Received the Ken Shine Prize in Health Leadership from the University of Texas at Austin Dell Medical School • Briefed the Congresssional Blue Dog (moderate Dems) and Moderate GOP members led by Rep. Stephanie Murphy (D-FL) and Rep John Katko (R-NY) • Met with Rep. Espaillat (D-NY) who want me to meet with a contingent from the Dominican Republic. I will do so, but after the inauguration • Got call from Beth Cameron (NSC) informing me that Biden want me to be the Head of WHO delegation and to announce on January 21 (4:10 AM ET) that the USA is back in the WHO. • Biden give big speech (7:15 PM) announcing $1.9 trillion budget package including $415 Billion for COVID response PRESS: KSEE24 TV (NBC Affiliate in Fresno, CA) January 15, 2021 – Global – 91,500,000/2,000,000; USA – 23,200,000/387,300 Had Zoom briefing of Biden and Harris to prep them for the speech that Biden will give at 3:45 PM on the vaccine rollout plan. We briefed him at 2:30 to 3:30 and he and Harris (only he spoke) gave briefing to the Nation. Biden announced today that he has asked Francis Collins to stay on. I had some influence on this. Eric Lander will be head of OSTP. Considerable concern about the new mutants in UK, Brazil and especially South Africa – David Ho is studying this carefully and finds that the UK variant results in a 2-fold decrease in ability of vaccine-induced antibodies to neutralize. For the South African variant it is 4 to 5-fold decrease. Had Zoom with David and John Mascola and others and David went over the Mutant data. Bottom line is that against the UK mutant the vaccine (Moderna)-induced sera is weakened by 2-fold; however, against the RSA (and by extrapolation although did not look the Brazilian) mutant the sera are diminished by 5-fold) MAJOR IMPLICATIONs for vaccine development and for policy such as letting people into the country PRESS: Ebro in the Morning Radio Show in NYC; Today Show NBC TV with Craig Melvin; CTV - Canadian TV – Sunday Show (Ian Wood); WUSA TV Jan Jeffcoat; January 16, 2021 – Global – 92,300,000/2,000,000; USA – 23,400,000/391,000 Jeff Zients gave me the entire Biden plan to look at and approve - I mentioned to him in detail the recent data from David Ho. We will set up a call for Sunday with the Biden team (doctors) since now several teams such as Michel Nussenzweig, Jess Bloom and others are finding the same thing as Ho. I want the call on Sunday since Michel is publishing his data in BioRx on Monday. I will bring John Mascola on the call with me to describe with some slides. Also, I have pushed with JZ to get Ned Sharpless re-appointed as NCI Director otherwise his resignation letter will go into effect on January 20. I asked JZ to get in touch with Ron Klain and re-appoint hi. JZ called me back this evening and said he spoke to Ron and Ned will stay as NCI Director. Post-holiday surge seems to be stabilizing. See Deb’s comment below: 1. For the first time in weeks all indicators except fatalities are flat or declining. This suggests with full data triangulation that we have reached in most of the country the post Holiday peak and declines should continue to follow with continued mitigation. Testing rates have resumed to pre Holiday levels as for the first time week over week cases have declined (SLIDE 4) from last week's high – but testing for asymptomatic cases must increase to sustain the gains. Finding the containing the silent spread will be key to holding the current gains 2. CA is stabilizing at a high plateau and if AZ, FL, TX, NY can hold at their current plateau or early declines we could see National improvement beginning next week and improvement in fatality rates in 30 days but not without reaching 450K in 4 weeks and 500K fatalities over the next 8 weeks based on current case load and rate of rises 3. Most of the rapidly rising metros appear to be reaching peak or at a high plateau and some like Chicago and NYC are beginning to decline. The key will be continued aggressive mitigation 4. New COVID hospital admissions are stable at a high plateau nationally but if the larger states and metros can hold or improve the rates should steadily decline if we can keep everyone focused on vigilance as we vaccinate PLEASE SEE SLIDE 3 SHOWING ICU BED OCCUPACY – SHOWING CLEARLY THE PRIMARY CURRENT STATES WITH THE WINTER SURGE PRESS: January 17, 2021 – Global – 92,300,000/2,000,000; USA – 23,700,000/395,000 We may have reached the peak of the surge upon a surge 1. For the first time in weeks all indicators except fatalities are flat or declining. This suggests with full data triangulation that we have reached the post Holiday peak in most of the country and declines should continue with continued mitigation. These gains can be sustained and can accelerate if behavior change holds 2. Test positivity is declining. Testing rates have resumed to pre Holiday levels as for the first time week over week cases have declined from last week's high – but testing for asymptomatic cases must increase to sustain the gains. Finding the containing the silent spread will be key to holding the current gains. 3. Cases are declining or stable across the country (down 8.8%) • John Mascola and I presented to JZ and the Biden medical team the results from David Ho’s work on the UK and RSA mutants. (see above). We explained that this requires careful messaging since people would interpret incorrectly that this nullifies the vaccine which it does not. JZ has tasked me to write a 2-paragraph description to send to Biden tonight. I did so and now we have a meeting tomorrow AM to discuss possibility of travel restrictions from RSA and Brazil. PRESS: Meet the Press (NBC) with Chuck Todd; Che Tempo Che Fa Italian Sunday TV Show; MSNBC Lawrence O’Donnell January 18, 2021 – Global – 94,000,000/2,000,000; USA – 23,800,000/397,000 Zoom meeting at 7:30 AM with JZ and the team + Jake Sullivan – discussed the restrictions on travel to RSA, Brazil and perhaps other countries. Leaning towards requiring PCR 72 hrs before board to USA followed by Ag test upon boarding followed by Ag test within 3 days of landing + quarantine. Will present to Ron Klain and POTUS after inauguration. Deb Birx’s next to last TF note: This is the last metro case analysis. We are seeing mostly significant improvements or major metros holding at a high plateau. I am worried about the 12 metros that are still increasing and one of them is DC. I walked some of the areas downtown on Sat while I was moving out of my State Dept office and there are major feeding tents set up around downtown for the workers and National Guard – these can be super spreading locations and the National Guard is from around the country including hotspots. National Guard troops must be tested and must be tested when returning but I worry we are creating a massive viral spreading event as troops deploy to DC and then return home and the co-mixing of local metro police with National Guard. That said by all indicators we are stabilizing as a country and improvements should continue. New hospital admissions are down across the country and is super spreading events can be managed we should continue to see improvements as more states will be able to utilize health personnel to support massive vaccination. On the personal level getting the elderly – the highest risk group over 75 - immunized is incredibly difficult. We have the entire family working to secure sites for my parents but you need to be tech savvy and able to constantly refresh sites and search multiple county and state websites. Then you have to be able to transport and move them to the vaccine sites. We think we may have secured a PG county option for this week but if elderly do not have tech support or outreach and transportation support this will be incredibly difficult for them. Deb 1. For the first time in weeks all indicators except fatalities are improving and are either flat at a high plateau or declining over 7 days. This suggests with full data triangulation that we have reached the post-Holiday peak in most of the country and declines should continue with continued mitigation. These gains can be sustained and can accelerate if behavior change holds and testing increases to find the asymptomatic cases to prevent community spread Had farewell conversation with Vice President Pence. I called up Marc Short to ask him to have the VP call me today since I was not sure that I would be able to attend (virtually) the last TF meeting this Tuesday. The VP called and we had a very touching and person discussion saying how much he respected me and how the TF would not have been able to accomplish what it did without me. He was very touched. I told him how important it was for his legacy that he acted with such dignity and resolve over the last days when he refused to go along with Trump’s attempt to get him to overthrow the election results. WE parted by saying we will always be there for each other. Received material from Beth Cameron for my announcement on early AM of Jan. 21 that we will re-join the WHO. I will edit it and get it re-approved. Very nice that I have been chosen to be head of delegation to the WHA in Geneva (virtually) to make this announcement. Summary of some events over past few days/weeks: Jeff Zients calls me multiple times per day checking facts, etc. I brought up to him that it would be a good idea for continuity that he keep on Francis as NIH director since if he does not act to tear up the required letter of resignation, Francis automatically is gone and we have an acting (which would not be bad since Larry Tabak is great). Ned Sharpless is in the same boat as presidential appointee at NCI. And so I mentioned to Jeff that we should keep Ned on and he made it happen. And so, in fact I am responsible for keeping the NIH and NCI Directors in their jobs. A surprise is that Harold Varmus called me up and expressed great concern that Francis was staying on. He said many substantial members of scientific community (Bruce Alberts, Shirley Tilghman, etc) are quite concerned and feel that it is time for a change. I explained to Harold that this was probably temporary and related to need for continuity related to COVID-19 efforts. He is trying to get momentum to have this reversed. Harold has always felt that change is important PRESS: TNT “The Arena” with Cari Champion; January 19, 2021 – Received booster dose of Moderna vaccine today together with Francis Collins and Alex Azar. Said goodbyes to Alex and Brian Harrison (his COS). Alex described how terrible it was dealing with the White House people. He specifically mentioned Marc Short. He feels that Marc, Joe Grogan, and Deb. Birx undermined HHS. Deb Last e-mail: 1. The country is in a better place than we have been since before Thanksgiving. All indicators except fatalities are improving and are either flat at a high plateau or declining over 8 days. Monday represents weekend reporting but last night was the lowest case number since the beginning of Nov. Full data triangulation that we have reached the post Holiday peak in most of the country and declines should continue with continued mitigation. These gains can be sustained and can accelerate if behavior change holds and testing increases to find the asymptomatic cases to prevent community spread – we must find those asymptomatic cases to ensure new aggressive variants rapidly spread undetected Last coronavirus Task Force meeting. VP asked Ben Carson to start with a prayer. VP Pence saying goodbye and how proud he is of what the group has accomplished. He read a letter that he is sending to all of us thanking us. He also has chronicled the “accomplishments” of the TF and the government’s efforts. He will send such a letter and the list of accomplishments to Biden. He thanked all of us sincerely and expressed multiple times how much of a privilege it was to work for us. He asked that we help the incoming Biden people in the transition (a little late!!!) Alex Azar warned that their work would be denigrated by the incoming group and their press people, but that is “natural”. Alex delineated everything that he felt we did right. He spoke of our accomplishments in testing, PPE, etc. One would argue about that. Deb Birx spoke about how great it was in working with everyone. She spoke of trust and belief in your colleagues. Wow, this is interesting given how often she threw CDC under the bus and how she and Marc Short were in disagreement on everything, and how she hated Brett Giroir and badmouthed him all the time saying that he always promised more than he could deliver. Brett Giroir praised the VP and said that the VP brought out the best in everyone. VP Pence asked me to say words. I praised him and also praised the VP’s staff. I did not mention Marc Short and Katie Miller, but they knew I was referring to them. Bob Redfield praised the VP as well as Deb Birx. Pete Gaynor explained what a honor it was to work for the VP. VP then thanked a number of people including Jerome Adams, VP staff, Marc Short, Katie Miller and others, Ben Carson, Keith Kellog. VP signed off to a resounding round of applause! PRESS: The PBS Masters people have started filming in earnest for their documentary; interviewed by Adi Ignatius and others for the Harvard Business Review; NYT: As Fauci receives his second dose, he urges Americans to get vaccinated; CNN with Jake Tapper; January 20, 2021 - Global – 94,000,000/2,000,000; USA – 24,000,000/400,300 Inauguration Day! Trump refusing to attend inauguration and left with a flare that was very sparsely attended. Biden was at Mass as Trump flew off to Mar-a-Largo. Trump’s speech was surrealistic talking about all the great accomplishments of his Presidency. He also strongly hinted that he will be back with a “movement”. He is a very dangerous man!! I am preparing for my early AM speech to WHO Executive Board tomorrow. Beth Cameron has given me much leeway on the Speech (which her staff put together). Mutants of SARS-CoV-2 getting much play in the scientific “preprint” arena. Final papers will soon come out. We will put restrictions (requirement for pre - and post - flight testing + quarantine) from RSA. Will brief POTUS Biden tomorrow. Am still quite achy from vaccine booster shot from yesterday. Here are my remarks for WHO tomorrow early (4:00 AM) morning: Remarks of Dr. Anthony S. Fauci at Got a call from Jared Kushner from Air Force 1 on his way to Mar-a-Largo thanking me for what we did with COVID-19 Spectacular Inauguration speech by Biden! Poem by Amanda Gorman was amazing (she is 22 years old). Lady Gaga sang the national anthem; J-Lo sang, as did Garth Brooks. Biden hit the right tone. The speech was in my mind comparable to those of Lincoln, Kennedy, FDR Quotes from speech: “Let us not lead by example of power, but by the power of example”; “We must end this uncivil war” PRESS: Dr. Fauci to lead U.S. delegation at WHO CNBC - meetings as Biden plans to reverse Trump withdrawal Published Wed, 8:41 AM EST Noah Higgins-Dunn@higginsdunn January 21, 2021 – Global – 95,000,000/2,000,000; USA – 24,300,000/405,000 Made speech at Executive Board of WHO (4:00 AM ET) to announce that USA is rejoining WHO. Also, we are rescinding Mexico City Policy. I spoke as representing newly inaugurated President Biden Remarks of Dr. Anthony S. Fauci at Tedros response: WHO Director-General's remarks at the 148th session of the Executive Board 21 January 2021 Thank you, my brother Tony, and welcome to the WHO Executive Board as head of delegation for the United States of America. Thank you, my friend, for your personal support for WHO over many years, and especially in the past year. We have benefited immensely from your participation as a member of our regular global health leaders calls, since the start of the pandemic. And thank you for your incredible leadership against the pandemic in the United States. This is a good day for WHO, and a good day for global health. I send my deep thanks and warm congratulations to President Biden and Vice President Harris, and to the American people. Terrific day! Briefed Biden and Harris in the State Dining Room of the White House. Together with JZ, Natalie Quillian, Rochelle Walensky, Marcella Nunez-Smith. Really relaxed and warm interchange with both Biden and Harris. Then, I went with Jen Psaki and did a press briefing in the White House press room (first time in a long time). They really want me out there and there is no pushback at all for my appearances. CNN went into major panel discussions about the fact that Biden chose me as the first scientific press briefing. PRESS: Did full press briefing in the White House press room. Washington Post article by Philip Bump: Fauci, unchained The government’s leading infectious-disease expert exults in being able to speak frankly Fauci says it's 'liberating' to 'let the science speak' Good Morning America (ABC) with Michael Strahan; CBS Sunday with Ted Koppel; CNN with Chris Cuomo; January 22, 2021 – Global – 96,000,000/2,000,000; USA – 24,500,000/409,000 Some confusion about whether 100 million doses in 100 days or 100 millionb people in 100 days. Finally straightened it out and it is “doses” not “people”. Press are starting in aready in first criticizing that the goal is too lofty and now they are saying that the bar is tyoo low since we are already getting 800K per day. You just cannot win. PRESS: CNN New Day with John Berman; Black News Channel with former Mayor Sharon Pratt; WTOP Radio with Mike Murillo; University of Montana Student newspaper (Jacob Owens); NPR – “All Things Considered” – Mary Louise Kelly; NBC LX TV with Tabitha Lipkin and Ashley Holt; Conference of Mayors Panel – with Vivek Murthy – picked up by networks, cable, and C-SPAN; MSNBC – Rachel Maddow; January 23, 2020 – Global – 97,000,000/2,000,000; USA – 24,700,000/413,000 PRESS: Vaccine Town Hall with Ebro Darden & Kizzy Corbett; MSNBC with Alex Witt; Interview with Donald McNeil for the New York Times on my experience with the Trump administration; MSNBC “Politics Nation” with Rev. Al Sharpton; Stat: The 10 Biden officials to watch on the Covid-19 response By RACHEL COHRS @rachelcohrs JANUARY 21, 2021 January 24, 2021(Sunday) – Global – 97,500,000/2,100,000; USA – 25,000,000/416,000 Deb Birx had a 45 minute taped interview with Margaret Brennan right after me. It was moving in some respects, but a fair bit of revisionist history. PRESS: CBS “Face the Nation” with Margaret Brennan; CBS Sunday with ted Koppel; Donald McNeil interview in the NY Times: NYT: Fauci on What Working for Trump Was Really Like January 25, 2021 – Global – 99,000,000/2,100,000; USA – 25,000,000/418,000 • Did really good WORLD ECONOMIC FORUM Panel chaired by John Mickethwait (Bloomberg) with panelists: Prime Minister of Greece Kyriakos Mitsotakis; Nancy Brown (CEO of American Heart Association) and Frans van Houten (CEO of Royal Philips) • The vaccine is now being referred to as the “Fauci Ouchie” • Many interviews today focusing in part on the fact that Deb (on Face the Nation) and I (in the interview with Donald McNeill) opened up about the difficulties in dealing with Trump Administration. A lot of discussion about the RSA and UK variants and the potential effect on mAbs and importantly vaccines. Thus far, even though the mutants diminish somewhat the efficacy of the vaccines, the antibody response of the vaccine is still within the cushion of efficacy. Recent data indicate that the UK strain is also increased in virulence as well as transmissibility. On an interview with Erin Burnett (CNN) I went PRESS: Good Morning America (ABC) with George Stephanopoulos; Today Show with Savannah Guthrie; CBS This Morning with Tony Mason; Latino USA Radio with Maria Hinojosa (NYC); Fireside chat with Leroy Hood on receiving the 2021 Precision Medicine World Conference Luminary Award; WBUR Boston NPR Radio; WGN Radio Chicago – Bob Sirott Show; ABC TV News Live Lindsey Davis; Spectrum News TV with Alex Cohen; CNN with Erin Burnett; January 26, 2020 - Global – 99,000,000/2,100,000; USA – 25,200,000/420,000 VP Harris visited NIH for her booster shot with Husband Greg Emhoff. She and I did a PSA together. Had moving conversation with Moncef Slaoui who felt that the Biden people were discrediting and bad-mouthing OWS that Moncef led. In fact, Moncef did a fabulous job in getting 2 vaccines (Moderna and Pfizer) approved (EUA) that are highly efficacious with other candidates (Janssen, AZ, Novavax) not far behind. He feels badly for the OWS team and for himself. I told him that he has done a fabulous and historic job in what he accomplished. I told him that to me and many others, he is a hero. He was very touched by the conversation. • Got on my usual Tuesday evening Zoom call with health officials throughout the country (Hosted by David Barr) and asked question of what the problem was with doses of vaccine. Was it that we had doses but could not logistically get them into the arms of people OR was it that the demand far outstripped the supply. Overwhelmingly they said that there was not enough supply. Group was: Sharon Balter (LA), Jeff Duchin (Seattle), Jennifer Avegno (NOLA), Allison Arwady (Chicago), La Quandra Nesbitt (DC), Marci Layton (NYC) • Spoke with basketball mega-star Karl-Anthony Town. Terrific young man. He has COVID-19. His mother died of COVID-19. He is Columbian and was brought to my attention by Congressman Espaillat from NYC who is Columbian. PRESS: FOX America’s Newsroom with Dana Perino and Bill Hemmer; NBC TV Special with Richard Engel; January 27, 2020 - Global USA Really good relations developing with the WH Comms team led by Jen Psaki and particularly Courtney Rowe. Dramatic difference from Trump WH Comms Did “Fireside Chat” with NEJM – Eric Rubin and Lindsey Baden • 315 cases of the B.1.1.7 lineage (UK) in 28 states; RSA lineage B.1.351 is worrisome as it is evading mAbs and diminishing neutralizing caoacity of Abs from vaccines. Very important historical review in USA Today about the development of the Moderna vaccine: USA Today: Luck, foresight and science: How an unheralded team developed a COVID-19 vaccine in record time https://bit.ly/36i7ffM PRESS: White House Press Conference with Walensky, Fauci, Slavitt, and Zients; The Hill TV with Steve Clemons; Fox America Reports TV with John Roberts and Sandra Smith; PBS South Florida Town Hall; CNN Town Hall with Sanjay Gupta and Anderson Cooper – on with Rochelle Walensky; Daily Beast: Dr. Fauci Shoots Down Fox News Host Bill Hemmer’s Trump Questions ‘READY TO MOVE ON’ “It just seems like there’s this aggressiveness toward the Trump administration,” Fox News anchor Bill Hemmer pressed. Dr. Anthony Fauci wasn’t having it. Article in The Atlantic by Peter Nicholas – will clearly cause a stir: How Anthony Fauci Got Through the ‘Bullshit’ The new White House chief medical adviser reflects on the last year working for the Trump administration. Peter Nicholas Fox News pundit Steve Hilton pushed a FOX News: ridiculous conspiracy theory that Dr. Fauci is behind the coronavirus January 28, 2020 – Global – 100,200,000/2,200,000; USA – 25,500,000/428,000 Tedros called me up and aske me to help him connect with the Biden people, i.e. Sec Becerra, Jeff Zients, the VP, etc. Stewart Simonson willing to help me since I am ultra busy. Had confidential conversation with the Janssen people – Paul Stoffels et al about the Ad26 vaccine data. Not that great. 77% VE in USA and ~50% in RSA. Will get more details later. Data better against severe disease but this will be a messaging problem. Novavax and Janssen came out with their embargoed (until tomorrow) results of their trials: Novavax phase 3 in UK – 90% VE; Phase 2b in RSA – 50% VE. Janssen phase 3 in USA/RSA/Brazil - 72% VE at 28 days (a 1 dose vaccine); 85% VE against severe disease; 57% VE in mod/severe disease in RSA at 28 days and 88% VE with severe disease in RSA Much press activity and emphasis on the fact that antigenic variation has clinical consequences. Also, with both vaccines, good news for the global supply PRESS: Good Morning America (ABC) with George Stephanopoulos; NPR Morning Edition with Sarah McCammon; January 29, 2020 – Global USA • Fireside Chat with NYC Health Commissioner David Chokshi Met with Jeff Zients and Team to discuss what to do with 2nd dose of vaccine, i.e. hold it back completely, hold it back 90%?? PRESS: Did press conference at NIH for the release of the Janssen data; Did White House press conference for COVID-19 in general; PBS NewsHour with Judy Woodruff; NBC Nightly News with Lester Holt; WUSA TV with Gabe Cohen; New York Press Club Fireside Chat with Steve Scott; Filming with Sanjay Gupta for CNN Documentary; January 30, 2021 – Global – 101,400,000/2,200,000; USA – 25,900,000/435,2000 Daily cases continue to come down, but growing concern about the arrival of mutants: B.1.1.7 (UK) in 30 states and 434 people infected; B1.351 (South Africa) with 2 cases in South Carolina; P.1 (Brazil with 1 case in Minnesota RSA strain identified today in person in Maryland Went on a filmed walk with Sanjay Gupta and Chris on the C & O Canal as part of the Documentary that he is doing (See yesterday). Had zoom call with Rob Manfred (Commissioner of MLB) and Dan Halem (Deputy Commissioner). They want to delay opening Spring training from February 17 to March17 and have a comparable delay in opening day. They want to do this since they feel (rightly so) that the decreases in cases will be even more pronounced with an additional month and they will be able to get more of the umpires and players vaccinated with the delay. Of note, Tom Frieden spoke with the MLB Players Association and the players want to start earlier since it affects their salaries. Now the Players want to speak with me. January 31, 2021 (Sunday) – Global – 102,100,000/2,200,000; USA – 25,900,000/438,000 Zoom calls today discussing: a) vaccinations for the Federal workforce b) Vivek just wanting to discuss masks, variants, schools, etc. – touching base. February 1, 2021 – Global – 102,600,000/2,200,000; USA -26,000,000/440,000 Had usual MWF Press conference by Zoom Had discussion with the team (+John Mascola) about how best to utilize the J & J product (Ad26). There will be a messaging issue about 72% versus 94-95%. We cannot designate it for any specific group for that reason and so we decided to just out it in the mix with the other vaccines and have people make their choice based mostly on 1 dose vs 2 doses. Got call tonight from Mayor Bill Di Blasio very concerned that the supply of vaccine for NYC is no where near meeting demand. He is begging me to check with WH and see if anything can be done – DPA or some other mechanism. I will speak with David Kessler about this. PRESS: White House Press conference with Nunez-Smith, Walensky and Slavitt; mGreta van Sustern – VOA; KMEX 34 TV – Los Angeles – Hispanic; CNN Situation Room with Wolf Blitzer February 2, 2021 – Global – 103,000/2,200,000; USA -26,200,000/442,000 Daily cases going down but deaths still lagging at around 3000 per day Mutants continue to evolve with the 484K mutation characteristics of the B.1.351 lineage in RSA now being seen in the UK with the B.1.1.7 lineage. Goes along with what I have been saying that viruses will mutate if you give them free rein to replicate. Viruses that do not replicate will not mutate. Bill DiBlasio called me back and I explained to him that I had spoken to David Kessler about the Supply-demand issue with the vaccines and that there really was no solution. It is too late to invoke the DPA to have other factories make mRNA vaccine. By the time they gear up, there will be enough vaccine from multiple companies to vaccinate the entire country. Met with POTUS and VP in the Oval office with Jeff Zients, Natalie Quillian, Andy Slavitt and Walensky and Nunez-Smith on video screen. Discussed the status of the outbreak (Walensky) and vaccines, particularly recent data on J & J and implications for variants (Fauci) PRESS: Washington Post Live – Online interview with David Ignatius; Australia “60 Minutes” TV; MSNBC “All In” with Chris Hayes; CNN with Don Lemon Washington Post – 02/02/2021: Poor handling of virus cost Trump his reelection, campaign autopsy finds “Voters in the states overwhelmingly supported a mask mandate — 75 percent — and Anthony S. Fauci, the country’s top infectious-disease specialist, secured an approval rating almost as high. Trump did not support a mask mandate — sometimes mocking the wearing of masks — and regularly criticized Fauci, threatening to fire him at times. Advisers repeatedly encouraged Trump to wear a mask, stop attacking Fauci and signal to the public that he was taking the coronavirus more seriously” How Anthony Fauci beat Donald Trump in February 3, 2021 - Global USA Biden Comms team putting me out there with the press continually. They are giving me totally open clearance for everything that I get asked to do. Completely different from the ridiculous restrictions of the Trump Comms team • Daily cases continuing to come own. Much emphasis on the impact of the variants. PRESS: ABC Good Morning America with George Stephanopoulos; NBVC Today Show with Savannah Guthrie; February 4, 2021 – Global – 104,000,000/2,3200,000; USA – 26,400,000/449,000 Discussions last night and prior evenings regarding the use of the excess J & J vaccine of clinical trial grade. Move to donate this to RSA to vaccinate their HCWs. RSA has been pleading with the USA to help them get vaccines since they are being ravaged by the B.1.351 variant. Phone call last night with David Kessler, Beth Cameron/Hilary Marston (NSC), me and Cliff Lane to figure out a mechanism to get this to them since it is only clinical trial grade. And we want to avoid the optics that we are either a) giving away vaccine meant for USA to RSA or b) we are “experimenting” on black Africans. • Gave one of several plenary addresses at a Brookings -Tsinghua University Roundtable of US-China Collaboration on COVID-19. Chinese Speakers included Zhong Nanshan, Wang Chen, Gao Fu Had nice conversation with the MLB Players Association with Tony Clark (Exec Director), Bruce Meyer (Senior Director, Collective Bargaining and Legal), Ian Penny (General Counsel), Kevin Slowey (Director Player Services), Matthew Nessbaum (Deputy General Counsel), Robert Lenaghan (Assistant General Counsel) and Max Scherzer (member, Exec. Comm.). They asked great questions about vaccines. I emphasized that I did not want to get in the middle of a dispute between MLB and players regarding when to start the season. They understood perfectly. I had some nice back and forth with Max Scherzer. PRESS: BBC Radio with Tim Harford; NBC TV Boston – LaToya Edwards; MSNBC with Ari Melber; NBC TV “off the record” discussion with the entire NBC TV team; CNN with Chris Cuomo. February 5, 2021 – Global USA - Had terrific conversation today with Bob Cousy. Sen. Joe Manchin (D-WV) had called me a couple of weeks ago saying that Bob Cousy would love to connect with me by phone, Joe is a good friend of Cousy’s. I called Bob’s cell phone and we spent 20 minutes chatting about all kinds of things. He has a great sense of humor. He is disturbed by the devisiveness in our society (similar to my concern). He spoke about his being 92 years old and that he body in “falling apart” despite the fact that he has “all my smarts”. He is a rally charming guy. We developed a great rapport on the phone. Note that he came to my lecture at Holy Cross a few years ago and we had dinner together. PRESS: Had usual White House Virtual Press Conference with Andy Slavitt, Rochelle, me and Tim ….; FOX TV with Neil Cavuto; February 6, 2021- Global -105,000,000/2,300,000; USA – 26,700,000/458,000 Had Zoom call with David Kessler and the BARDA people trying to decide whether to invest considerable money in guaranteed purchase of the Lilly mAb combination that will soon go for an EUA. Their data look fairly good for treatment of early disease to prevent hospitalization and PEP • Got call from Mike Osterholm trying to convince me to go with his concern/recommendation that we go with1st doses to as many people as possible given the fact that B.1.1.7 (UK) may become dominant in the USA and increase cases/hospitalization. This is a difficult problem sine we only have data for prime/boost with mRNA vaccines. February 7, 2021 (Sunday) – Global – 105,400,000/2,300,000; USA – 26,800,000/461,000 Superbowl Sunday! Tom Brady beast Patrick Mahomes PRESS: Meet the Press (NBC) with Chuck Todd; February 8, 2021 – Global – 106,000,000/2,300,000; USA – 27,000,000/462,000 Important point is that the vaccines are protecting against severe disease (hospitalization and death): First day since Nov. 2 that daily cases were less than 100,000: Kat McKinnon played me again on Saturday Night Live: https://bit.ly/36SyePm Did fireside chat with Prince Georges County - County Executive Angela Alsobrooks and Drs. Carter and Wright to discuss vaccine in the African-American community PRESS: AP Interview with Mike Stobbe; FOX TV News “Special Report” with Bret Baier February 9, 2021 – Global – 106,100,000/2,300,000; USA – 27,000,000/464,000 Eric Lander (OSTP) visited the VRC today and I we briefed him on our activities, particularly the development of the mRNA vaccine and Barney’s development of the stabilized pre-fusion Spike protein. Of note, Martin Fletcher of the Daily Telegraph did a profile of me and told me that the London Times had asked him to gather information for them for an obituary that the Times wanted to put “in the can” just in case I passed away suddenly. They wanted to be the first to have an obituary PRESS: Fireside Chat with the COVID Collaborative – Gov. Dirk Kempthorne, Gov. Deval Patrick, and Gary Edson; Interview with Martin Fletcher of the Daily Telegraph for a profile of me; February 10, 2021 – Global – 106,600,000/2,300,000; USA – 27,000,000/467,000 Cases continue to fall considerably. We are now at less than 100,000 cases per day, when we were up to 400,000 at one time. • Had zoom with Dr. Hans Kluge WHO Regional Director for Europe • Did Fireside Chat with David Rubenstein as part of the Duke Global Health Institute Victor Dzau Lecture • Pleasant thing – I had mentioned on a radio or TV show that what I missed most about NYC was the Nathan’s hot dogs. Today sitting on my home from steps were two packages of Nathan’s hot dogs – a gift with a nice note from Tim Shriver saying that he “could not resist the hot dog invitation”. Had a wonderful experience this evening. I received (virtually) the Award of Courage from AmFAR. It was presented to me virtually by Julia Roberts from her breakfast room in her home in Northern California. She was so charming. When my image came up on the screen she gasped and said that every time she sees me her throat gets dry and she gets nervous and excused herself to go into the kitchen and get a glass of water. When she came back and introduced me it was the most wonderful introduction. She introduced me to her son while we waited to check the filming and we chatted a bit. She is so charming, natural, fun and amazingly beautiful. PRESS: Did routine MWF White House Press conference. I spoke about making sure that people with immune deficiencies or on immunosuppressive drugs get vaccinated since they are very vulnerable; Interview with Rima Krist of the Navajo Times February 11, 2021 – Global – 107,000,000/2,300,000; USA – 27,100,000/470,100 Number of daily cases continue to diminish. CDC starting to do practical things that I have actually been pushing for some time. For example: Wearing 2 masks could be better than just one. They did a dummy study and showed that a cloth mask over a surgical mask actually gives a more complete fit and keeps out aerosols. Another example is that people who are vaccinated do not need to go into quarantine after exposure to a documented COVID-19 case. POTUS Biden visit to NIH. Biden visited the NIAID VRC today at 3:30 PM on a sleety and snowy day. It was a great visit. I presented to him the history of the VRC and the importance of the work that Barney Graham has done with the stabilized spike protein. We brought Biden into the room where the experiments were done and Barney and Kizzy Corbet presented to him. He was accompanied by Jeff Zients. We then went to Natcher Auditorium where he addressed (virtually) the NIH community with a great speech in which he called out Francis and I multiple times. PRESS: Today Show (NBC) with Savannah Guthrie – discussed new mask recommendations from CDC and the B.1.1.7 variant; BBC Radio; “What a Day” podcast; CNN Sports TV with Charles Barkley and Ernie Johnson; Univision TV interview; Axios TV for HBO – update with Margaret Talev Nice article in Vogue: For Dr. Anthony Fauci and Dr. Christine Grady, Love Conquers All By Michelle Ruiz Power Players CNBC: Bill Gates and Dr. Fauci talk regularly — here’s what they’re discussing now Published Thu, 12:25 PM ESTUpdated Thu, 12:26 PM EST Cory Stieg@corystieg February 12, 2021 – Global – 107,000,000/2,400,000; USA – 27,200,000/474,000 David Kessler and I had discussion with Sen. Burr and Murray about viral variants. They wanted to be briefed on the threat and what we are doing about it. Did a briefing of the Foreign Press with Andy Slavitt Briefed the Deputies and Cabinet Secretaries led by Jeff Z. PRESS: Good Morning America (ABC) with George Stephanopoulos; Univision TV with Jorge Ramos; ABC/FOX Montana TV; Podcast with Al Franken; February 13, 2021 – Global – 107,800,000/2,400,000; USA – 27,300,000/479,200 • Trump acquitted by the spineless GOP Senators. However, 7 GOP Senators did vote for conviction. Sorry day for our country. Trump still has them in his grip. February 14, 2021 – Global – 108,200,000/2,400,000; USA – 27,400,000/482,500 Cases continue to come down. People like Mike Osterholm are saying that we will inevitably have yet again another surge due to B.1.1.7 that will become dominant. I do not necessarily believe that this will be the case. I believe that if we double down on public health measures and continue to push vaccinations, we do not necessarily have to experience a surge. Having said that, WE MUST BE PREPARED FOR A SURGE. PRESS: ABC “The Week” with George Stephanopoulos February 15, 2021 – Global – 108,600,000/2,400,000; USA – 27,500,000/484.000 Down to 68,000 cases yesterday! Did Zoom call with Winnie Byanyima (Exec Dir. Of UNAIDS) together with Regan Hofmann. Winnie was very grateful for my leadership in COBID-19 and HIV/AIDS. We discussed the importance of having a global effort (hopefully led by USA) to get the world vaccinated against COVID-19. Winnie was excited about the fact that I mentioned the loosening of patents in a recent interview to allow wider availability of COVID-19 vaccines. I promised that I will continue to push the “international and global” agenda. I mentioned that we would need to get things under better control in the USA before we would be able to generate interest in global issues. PRESS: Telemundo HOY DIA TV; NBC Local TV Doreen Genzler; NPR (Daniel Estrin): The Coronavirus Crisis Fauci Awarded $1 Million Israeli Prize For 'Speaking Truth To Power' Amid Pandemic February 16, 2021 – Global – 108,800,000/2,400,000; USA – 27,500,000/485,100 Cases continue to come down globally: Media trying to show discrepancies in the Biden team response. CDC and Walensky under criticism for their recent guidelines for opening schools since they are really quite confusing. They say open the schools but the guidelines show that 85-90% of the country is in the “red” zone and therefore, should hold off on opening. I believe that this is typical CDC confusion and lack of clear crisp guidelines no matter who is CDC Director. Also, the are pitting (a little) what I am saying against what VP Harris is saying. VP saying that we have to “start from scratch” in the vaccine roll out and I have been saying that some things were done well such as the mechanism for shipping vaccines. I reconcile this by saying that the mechanisms for getting doses into people’s arms were in bad shape when the Biden team came in. The press are accepting this. Briefed (together with Francis Collins, Rochelle, and Janet Woodcock) the House and Senate Caucuses on COVID-19 variants PRESS: CNN with Jim Sciutto; LA Times TV; NPR – “Science Friday” with Ira Flatow; New York Post: Everything you need to know about Fauci-ing, the new COVID dating trend By Emily Jacobs February 17, 2021 – Global – 109,200,000/2,400,000; USA – 27,600,000/486,400 Cases continue to plummet: Columbus Citizens Foundation's Dr. Anthony S. Fauci Scholarship - Created For Graduate Students In Medical And Public Health Fields - Now Accepting Applicants • Did Fireside Chat with AME Reid Temple Church (Maryland) – Pastor Mark Whitlock • Did podcast “Pod Save America” with Jon Favreau • Did podcast with James Hildreth from Meharry Medical College PRESS: CBS This Morning with Gayle King and Tony Dokoupil; Online TV interview with Clive Cookson (Editor, Financial Times) for the UK Science Museum event; White House Press Conference on the usual MWF schedule; CNN “360” with Anderson Cooper. February 18, 2021- Global – 109,600,000/2,400,000; USA – 27,700,000/489,100 Big Ice-storm in Washington DC and major ice storms and snow over southwest (Texas) with several deaths. Currently heavy snow in NYC and Boston Cases continue to drop Briefed President Biden today in Oval (Virtually). I briefed him on pediatric vaccine trials and mentioned that we likely will have high school children (13-17 yo) vaccinated by mid-Fall, but it would take until Q1 of 2022 to get the trials done and approval for elementary school children (6 to 12 yo). He asked good questions but he rambled a bit, seemingly repeating things that he had said a few minutes previously. • Did really fun “Fireside Chat” with Karl-Anthony Towns (All-Star NBA Player – Rookie of the Year in 2015-2016) and “Dominicans on the Hill”. He had COVID-19 and` his mother died of COVID-19. We gave good messages to the Dominican community • Spoke with the PEPVAR group about USA providing $4-5 billion to build plants to produce Moderna mRNA for the world – Peter Staley, James Krellenstein, David Barr, Christian Urrutia, Wafaa El Sadr. I will bring this up to Jeff Zients. PRESS: MSNBC with Andrea Mitchell; Council on Foreign Relations podcast – “Why it Matters”; Interview with Char Koosta News (discussed tribal Vaccine hesitancy with Sam Sandoval); Interview with Times of Israel on my Dan David Prize; Interview with Alice Park of Time Magazine on 1st 100 days of Biden Administration; Did Buzzfeed interview with Dan Vergano on the Fateful March 11, 2020 when we shut down Europe. February 19, 2021 – Global USA Online preprint paper cam out from Israel saying that a single dose of Pfizer mRNA protected well (85% at 15-28 days against symptomatic disease and 72% against symptomatic and asymptomatic disease). 9000 individual study of young and healthy people. We do not know the durability of this protection. I made point at the press conference (see below) that we will stick with the 2 dose since we know from our studies that the 2nd dose increases the response 10fold over the 1st dose. This height of response gives a cushion against the existing variants and also if you have a less-than-optimal response (albeit a good response) to the 1st dose, you may actually “select” for more variants. • Call from Jeff Sachs about the International Monetary Fund (Special Drawing Rights – SDR) and the possibility of a $40-$50 billion dollar program to vaccinate the entire world. He wants me to have a special role. Moe later. • Gave Harvey lecture virtually at Georgetown • Met with Francis C, Carl D, John Martin, and Larry Tabak about the COVID targeted drug development program that I am trying to set up with the $743 million that we put into our total NIH budget request. It will be based in NIAID with Carl as the lead. As usual Francis wants governance to be somewhat under his control. All good. We will get it done. PRESS: Interview with Erin Banco – The Daily Beast; White House Press Conference; ESPN Baseball TV with Buster Olney; interview with Ben Samuels of Haaretz Israel Newspaper (he tried to get me involved with commenting on the policy of Israel and I refused); MSNBC with Joy Reid; February 20, 2021 – Global -110,400,000/2,400,000; USA – 27,800,000/494,000 PRESS: February 21, 2021 – Global – 110,700,000/2,500,000; USA – 27,900,000/499,000 Matt Pottinger’s interview with Margaret Brennan on Face the Nation. Good summary of history of the early months: https://cbsn.ws/3pGH9tR Mike Osterholm still predicting an “inevitable” massive surge in the Spring. He also is insisting that we can study the 1 dose strategy in time for meaningful results. PRESS: Sunday shows: NBC - Meet the Press with Chuck Todd; FOX Sunday with Chris Wallace; CNN State of the Union with Dana Bash. February 22, 2021 – Global – 111,100,000/2,500,000; USA – 27,900,000/500,000 Reached 500,000 deaths in the USA today!! However, numbers of new cases continue to come down. Will be race between the new variants and our two tools of defense: 1) vaccine; 2) public health measures. Luckily the mRNA vaccines and J & J are good against the B.117 (UK). Even though they are less effective against the B1.531 (RSA) isolate they still likely will protect against hospitalization and death – the J & J definitely does (tested in RSA) and we can extrapolate that the mRNA (not yet tested in RSA) also does. PRESS: The Telegraph: https://www.telegraph.co.uk/politics/0/dranthony-fauci-had-publicly-disagreetrump-allowed-terrible/ Anthony Fauci exclusive interview: 'When I publicly disagreed with Trump he let terrible things happen' Good Morning America (ABC) with George Stephanopoulos; CBS This Morning with Gayle King and Anthony Mason; PBS “GZERO WORLD” with Ian Bremmer; White House Press Briefing – I outlines therapeutics and the new FDA updated guidelines to companies for handling variants; Fireside Chat with David Rubenstein upon my receiving the 2021 Great Americans Medal from the Smithsonian’s National Museum of American History; Reuters online TV interview with Julie Steenhuysen; i24 TV News (Israel); Fireside chat with Leon Panetta at his Panetta Institute for Public Policy. February 23, 2021 – Global -111,400,000/2,500,000; USA – 28,000,000/500,000 Had great call with Barbra Streisand. She called my cell at 6:05 PM. She has recently had zoster with lesion on hip/buttock. She has post-zoster neuralgia down her leg, but the primary lesion had healed. She wanted to know if it was OK to get the mRNA vaccine. I told her yes. We then stared discussing life in general. I told her that I work listening to her songs on ALEXA. She really did not know what ALEXA was. I accidentally butt called her later in the evening and she said that she was going to call me anyway since she wanted to know if there was any difference between the Moderna and the Pfizer product. I told her none. I then explained to her more about ALEXA. I brought the phone over to ALEXA and asked to play “Songs by Barbra Streisand”. When the song came on loud and clear, she started laughing and absolutely loved it! PRESS: Yahoo News Interview February 24, 2021 – Global – 111,800,000/2,500,000; USA – 28,100,000/501,200 The PBS team is here today filming their documentary. Received the 2021 Larry Foster Award for Integrity in Public Communication from the Arthur W. Page Center (Donald P. Bellisario College of Communications of Pennsylvania State University PRESS: February 25, 2021 – Global – 112,200,000/2,500,000 USA – 28,000,000/503,600 Cases continue to come down, but yesterday was 1st day that cases actually started to back up a little. Could be artifact. Variants gaining much attention. The B1.427/429 in California is spreading in CA and seems to be somewhat more transmissible. The new B.1. 526 in NYC is also troublesome and spreading. Issue with J & J. VRBPAC will meet on Feb. 26 (tomorrow). Big Day at the White House - Met with POTUS and VPOTUS in the Oval office for our weekly briefing on COVID. In Oval with us was Jeff Z, Natalie Q; on screen weas Rochelle and Marcella. I presented the options for the upcoming ruling on J & J for EUA. Data on >60 WITH comorbidities doers not look good. Overall USA efficacy 72%. I also described the Moderna efforts to do with NIAID Phase 1 trials with a boost to previously vaccinated and prime/boost for previously not vaccinated people using the B.1.531 (South African variant). Then went with the POTUS and VPOTUS to South Court auditorium to watch NIH OMS nurse Elizabeth Galloway administer mRNA (Moderna) to 4 volunteers to celebrate before a packed press the 50 millionth vaccine within 37 days of Biden Presidency Then went to do PSAs with the White House digital Comms team. They all wanted selfies with me. Had 5:00PM call with Janet Woodcock, Francis Collins, John Mascola, Cliff lane, Peter Marks, and we decided that it would be best to recommend and EUA for people younger that 60 years old because the >60 years with co-morbidities had only a 42% efficacy. Had 6:30 PM talk led by Bechara Choucar and including me, Rochelle and Marcella at the request of Jeff Z to discuss what two vaccinated people can do together. We were getting criticism that we were not using common sense to tell people that they can now relax a bit and enjoy each other. Example I give in being able to hug Jenny now that we are both vaccinated. Th right wing crazies at FOX have been criticizing me for not recommending loosening up. I have true to not get ahead of the CDC sine I feel stringy that two vaccinated people can act together like there is no outbreak. However, in society, this would be different. My point is that the risk is very small and each person should evaluate the level of risk they are willing to take to start getting back to normal. I will give my professional judgment while we are waiting for the CDC to come out with some guidance. I will be on all the Sunday Shows this weekend and this is what I will say. Rochelle agrees and says that the CDC will be coming out with some professional judgment guidelines soon. E-mail from Leon Panetta: From: Panetta Institute <info@panettainstitute.org> Sent: Wednesday, February 24, 2021 8:15 PM To: Conrad, Patricia (NIH/NIAID) [E] <conradpa@niaid.nih.gov> Subject: From Leon E. Panetta to Anthony Fauci Dr. Anthony Fauci Director National Institute of Allergy and Infectious Diseases c/o Patricia Conrad conradpa@niaid.nih.gov Dear Tony: Sylvia and I want to express our deepest thanks for your generous participation in our Lecture Series. We broke a record with over 1,400 attendees and received a number of compliments on your performance. One of our friends – a former Trump supporter – said “I’ve changed my mind – Fauci is a good guy!” Of course, he too is Italian. We look forward to one day taking you and your wife to a great Italian restaurant whether in Washington or here in Monterey. Either way, we are deeply grateful for your kindness and service to our nation. Regards, Leon LEP:sb PRESS: Today Show (NBC) with Savannah Guthrie; Newsweek interview with Jack Dutton (British); CBSN Interactive with Tanya Rivero; CNN with Chris Cuomo From Axios: 21 mins ago - Health "This is a race": Fauci urges Americans to take whatever COVID vaccine is available Sarah Mucha Good summary of the year: A year after Trump said coronavirus was ‘under control,’ a look back at the first news stories President Donald Trump at the Centers for Disease Control and Prevention in Atlanta on March 6, 2020. (Alex Brandon/AP) By Philip Bump at 9:36 p.m. UTC February 26, 2021 – Global – 112,600,000/2,500,000; USA – 28,200,000/506,800 Cases continue to fall however we're paying considerable attention to the possibility of surges associated with the variants. Of note, Pfizer is planning to do a boost at about six months in order to increase the level of neutralizing antibodies that could cover indirectly the variants. OK put together a zoom meeting for me to talk to members of the RED organization to discuss the global aspects of the COVID-19 pandemic. They were people from all over the world whom I did not recognize but several of them were apparently famous artists and entertainers. One of them was Larry Gagosian who is a very famous art dealer. The tone of the discussion and the questions was the importance of a global response to a global pandemic. In this regard I stressed, and they totally resonated with me, the importance of making vaccine available to the entire world since an outbreak in any part of the world is threatening to every part of the world. There was some nice warm interchange between Bono and I at the beginning of the discussion and throughout. He mentioned that his son has started a rock band and since his son has asthma they called the band the inhalers. Unfortunate and sad situation – Received a call from Tony DiNovi, Chair of the Board of Trustees of Regis High School, that Father Dan LaHart has been removed indefinitely from the Presidency of Regis High School. Apparently, he was involved in sexual impropriety with adult male members of the Regis community. There is also an issue of alcohol abuse. He is currently secluded in a treatment center. Tony called me because the story will likely be in the New York Times on Monday and the press might be calling me since it is widely known that I am strongly connected with Regis PRESS: We had the usual White House press conference on the Monday , Wednesday, Friday schedule; CBS 60 Minutes PLUS (taped); MSNBC Town Hall with Joy Reid. February 27, 2021 – Global – 113,200,000/2,500,000; USA – 28,300,000/509,000 Had good conversation with Ashish Jha. He is a good guy and he wants to understand much better why I am insisting on a single dose of the vaccine rather than adhering to what others are suggesting about giving all one doses and then worrying about the second dose three months later in order to protect as many vulnerable people as one can. I explained to him our strategy that the major concern is the evolution of mutations (variants) that would not be covered by a less than optimal level of neutralizing antibody. We know that when we look at the in vitro data the variants diminish the efficacy of the vaccine-induced antibodies; however, the high levels of antibodies induced by the 2nd dose give some degree of protection (cushion) even against the mutants. Therefore. we are concerned that if we only give first doses and we wait three months or more to give the second dose that variants may dominate and infect the suboptimally protected people. In addition, a suboptimum level of response could actually select for mutants. In addition, there was no reason why we cannot dramatically increase the administration of doses together with the markedly increased availability of vaccine such that we can have our cake and eat it, namely, we can give a lot more first doses at the same time as we keep up with the second doses. We really need the CDC or another organization to model that. I will explain this all to Ron Klain on Sunday. I had an important conversation today led by Janet Woodcock and Peter Marks of the FDA about the J & J EUA. Also on the call were Francis Collins, Cliff Lane, and Rochelle Walensky.The subject matter was that their advisory committee (VRBAP) for consideration for an EUA for the J & J product (Ad26). The committee unanimously and strongly recommended an unqualified EUA even though the data for elderly individuals older than 60 years old with comorbidities was 42%. However, there were not enough data points to be able to make a definitive statement that there is a significant diminution of efficacy in that subgroup. Janet and Peter are very concerned since they wanted the recommendation to be that the EUA would involve people younger than 60 years old. Apparently, the AC IP will go along with that recommendation. Rochelle and I in our conversation with Jeff Zients had decided that when asked by the press we would say that this is an excellent vaccine equivalent to the other two. It might become problematic if the press focuses on that group older than 60 years old with comorbidities. The fact is that the numbers are so low that you cannot say anything about the subgroup analysis. Janet and Peter will face the press tonight. We help them to get a consistent message with ours. This is critical since I will be on four of the Sunday talk shows tomorrow. Throughout the late afternoon I was on several calls with Jeff Z who kept on checking with Ron Klain regarding what the right approach would be when asked on TV about what people who had both doses of vaccine could do with each other such as having a dinner with family and a few guests all of whom were vaccinated. Ron was quite concerned that I not go too far out on a limb and say that vaccinated people can safely interact with unvaccinated people in a household setting. Ron was also concerned about the issue a vaccinated people interacting with unvaccinated children. Finally after many calls going back and forth between me and Jeff and then between Jeff and Ron and back to me again we decided to have a 3 way call among Jeff, Ron, and me. We worked it out such that I will say that I am comfortable with adults in a small gathering within the home not wearing masks as long as everyone was vaccinated. Importantly, I would stay that the CDC would be coming out with recommendations in the next couple of weeks. PRESS: On Saturday Night Live played by Kate McKinnon: Pop Culture SNL dreams up a Fauci-hosted game show where contestants vie for the vaccine Travis M. Andrews at 12:51 a.m. EST February 28, 2021 (Sunday) – Global – 113,500,000/2,500,000; USA - 28,400,000/510,800 Big topic on the Sunday shows (see below) was the EUA Issued by the FDA for the Johnson and Johnson adeno virus vaccine. Also, there is concern that I expressed about easing up on prevention modalities since the decreasing slope up infections is starting to show signs of plateauing. On Face the Nation( see below) Margaret Brennan showed a clip of me being portrayed on Saturday Night Live by Kate McKinnon. Also, the governor of South Dakota Kristi Noem said that I was almost always wrong. She claims that the most important parameter of how well you are doing is how you maintain hospital capacity. When Margaret play that clip I was kind to the governor by saying different states do different things and in different ways, whereas I might have pointed out that her state has the most deaths per capita by COVID-19 than any other state in the country. Got a call from Jeff that Anita Dunn saw me on all the shows and said that I was fabulous. Flattening of decline concerning. We shall see what happens in the coming days and weeks. Had zoom call today with Ron Klain arranged by Jeff an included me Bechara, Marcela, Rochelle, Natalie, and others. The main topic was whether we should stick with our strategy of two doses in the usual time frame or switch to one dose and extend the interval by a couple of months before giving the second dose. Ron is concerned that in November we will be criticized for having let a few million people who would have been vaccinated remain UN vaccinated because we wanted to give two doses to everyone. I was the main explainer emphasizing that the second dose gives a much higher titer of antibody that will address at least partially the inevitable evolution of variants including those from California and importantly the B.1.526. Ron did not want to tell us what to do but he wanted to make sure that we seriously considered both alternatives and were comfortable without decision to stick with two doses on the regular regiment. The ACIP recommended to CDC to implement the EUA for the J & J vaccine. Now the CDC needs to recommend the distribution and we can start distributing 4,000,000 doses almost immediately and then we will have 20 million by the end of March and a total of 100,000,000 by the end of June PRESS: Was on 4 Sunday talk shows: ABC This Week with George Stephanopoulos; CNN State of the Union with Dana Bash; CBS Face the Nation with Margaret Brennan; NBC Meet the Press with Chuck Todd. March 1, 2021 – Global – 113,800,000/2,500,000; USA – 28,400,000/512,000 • We did our weekly briefing of Principals – Cabinet members and deputies • Did a podcast with the New Jersey Council of Churches PRESS: NPR Radio 1A; Podcast with Kai Kuperschmidt (Science Magazine) on HIV versus COVID-19 vaccines; White House Press Conference (Routine 3x/week);Satellite Radio Tour for Native Americans; Podcast with the Interactive Advertising Bureau (David Cohen); March 2, 2021 – Global – 114,100,000/2,500,000; USA – 28,500,000/513,100 Still coming down, but the slope is changing: Participated in the University of Edinburgh “Futures Conversations” Chaired by Professor Peter Mathieson (Vice-Chancellor, University of Edinburgh) and involving a conversation between me and Professor Nanshan Zhong (China) and Sheila Tlou (former Minister of Health of Botswana) on the global impact of COVID-19. We spoke about global solidarity for vaccine equity. Also, spoke about the variants. Also, spoke about the approach that China took with the outbreak, i.e. complete lockdown Call from Larry Horowitz. Nancy Pelosi is angry about the fact that J & J is being equated with the mRNA vaccines since she has seen the data about the people >60 yo with co-morbidities. Also, she does not like the 72% versus 94-95% for mRNA. She is taking her annoyance out on the medical team (she has not PRESS: Podcast with Kai Kuperschmdt (follow-up from yesterday0; Seattle Gay News interview; Interview for Pritzer Forum/Chicago Council; Hispanicize PSA taping (Paola Ramos); Telemundo 52 Los Angeles; In Washington Post (see below) Fauci: U.S. must stick with two-shot strategy for Pfizer-BioNTech, Moderna vaccines Delaying a second dose to inoculate more Americans creates risks, infectious-disease expert says By Dan Diamond March 1, 2021 at 8:38 p.m. EST March 3, 2021 – Global – 114,400,000/2,500,000; USA – 28,500,000/515,300 Still plateauing: Note that Europe cases are going up. They are using the 1 dose of vaccine approach: Governors of Texas and Mississippi withdraw all public health measures such as masking and not doing indoor dining. I and Rochelle and Biden on TV saying that this is risky and illadvised. NEWS CLIPPING — NBC NEWS — CONDENSED (1 SOURCE PAGE) “PRESS: BBC Scotland Morning Radio Show; Black News Channel with Kelly Wright; Brandeis Webinar with Atul Gawande and Elizabeth Rosenthal; Town Hall with United Food and Commercial Worker Union; CNN with Erin Burnett; My prediction,…” March 4, 2021 – Global – 115,000,000/2,600,000; USA – 28,600,000/517,200 Continuing to plateau: Governors of Texas and Mississippi are pulling back on all public health guidelines such as masks (removing the mask mandate), physical distance, crowds. Press slamming them for thisand Rochelle and I are being asked about this on every media hit. Had very good discussion with Dr. Soren Brostrom, Director General of the Danish Health Authority Danish representative on the WHO Executive Board AND Lone Dencker Wisborg, Danish Ambassador to USA on Global Health matters and potential collaboration between USA and Denmark in global health security and pandemic preparedness. Also met with Congressman Espaillat regarding variant B.1.526 in his district in NYC. Had back and forth with Jeff and Rochelle regarding the guidelines that CDC is preparing on what people who are vaccinated can and cannot do. Jeff Wants to make sure that I am comfortable with the guidelines. I looked at them in the usual manner the CDC had too many qualifying statements in there that were necessary. Jeff had a problem with putting a vaccinated person in the same room with a person who is not vaccinated and not using masks. I convinced him that we should assume the very small risk and if the person who is not vaccinated is of low risk, then one does not have to wear a mask. Jeff was very sensitive in not having the White House interfere and so he went along with my suggestion that actually agreed with the CDC, except for the fact that they were not precise in their wording can I edited their document some what. The bottom line is that we would say that two vaccinated people can be indoors together in a home setting without masks or physical distancing. In the home setting, where one person is vaccinated and the other person is not, the vaccinated person has a minimal risk and attention should be paid to the risk of the unvaccinated person. If the person who was not vaccinated is of a low risk then they can do away with masks and can be together. If the person who was not vaccinated is of high risk of severe disease then the vaccinated person needs to wear a mask. I worked with Rochelle and returned the document to her.Let us see how it ultimately turns out I received the AmFAR “Award of Courage” on a virtual Gala tonight. The award presented to me (recorded) by Julia Roberts PRESS: MSNBC “Morning Joe” with Joe Scarborough, Mike Brzezinski, and Willie Geist; Interviewed with Alexis Papachelas of Greek Kathimerini Newspaper; WTOP with Mike Murillo (Online and Radio); NPR with Rob Stein; Town Hall with Blue Star Families; CNN “The Lead” with Jake Tapper; CBS Newspath with Jon LaPook; NBC with Lester Holt – doing special of last photos that people took before the Pandemic struck. I showed photo and gave interview about that 2019 Christmas Eve dinner at my sister’s home; Interview with The Atlantic with James Hamblin on COVID-19 epidemiology March 5, 2021 – Global -115,300,000/2,600,000; USA – 28,600,000/519,100 Plateau maintaining: Briefed POTUS and VPOTUS virtually. He was in Oval. I was at NIH. I explained about variants and how the “cushion” of antibodies provided by the 2nd dose of vaccine give considerable protection against severe disease PRESS: Black News Channel Morning Show (TV); Time video regarding Sesame Street; Washington Post interview regarding vaccine hesitancy (Online TV); 2 PSA with Gloria Estaban and Carolina Sandoval; White House press conference; March 6, 2021 – Global – 115,700,000/2,600,000; USA – 28,700,000/521,300 Had pre-brief with the WH comms team (Courtney Rowe, Ben Wakana, Kate Berner, Mariel Saez, Ian Sams, etc for my appearance on Face the Nation tomorrow (Sunday). 7day average is not exactly plateauing, it is just flattening a bit: GOP at the local level are trying to pass laws that suppress minority voters such as saying that you cannot give food to people who are waiting in line for hours to vote. This disproportionately affects African American voters. PRESS: MSNBC with Tiffany Cross; March 7, 2021 – Global – 116,100,000/2,600,000; USA – 28,800,000/523,000 Status of vaccines in USA from Monica Ghandi: The intensity of both my popularity and of the hate that the far right have of me increases: Fauci.pdf PRESS: CBS “Face the Nation” with Margaret Brennan March 8, 2021 – Global 116,500,000/2,600,000; USA – 28,800,000/524,000 Plateau starting to come down” Had a very nice and informative discussion with the minister of foreign affairs of Bosnia and Herzegovina, Bisera Turkovic. She is in a very difficult situation in that she was promised vaccine from CoVAX; however, they have not come through on their promise. Therefore, she is asking me as a trusted person for suggestions on how she might address the outbreak in her own country. As of February 22, 2021 there have been 128,000 cases and 5000 deaths in Bosnia and Herzegovina. I could not help her very much except to encourage her to have her people continue to wear masks and observe appropriate public health measures. I also suggested to her that she tried to make a deal with the Russians to try to get some of their vaccine. I also suggested that are possible long range solutions to try and get some of the surplus vaccine that would be left over after the USA vaccinated its entire population. She was very grateful for the discussion. Was on panel with President Clinto Chair) for a discussion of the shortage of oxygen in the LMIC. Also there were: Joy Phumapi and John Nkgengasong • Received the Tufts University Presidential Medal and did a Zoom Q and A with the Dean of the Tisch College of Civic Life at Tufts PRESS: Interview with Sarah Owermohle for Politico; White House Press Conference; Axios interview about March 11 – with Naomi Shavin; Fireside Chat with National league of Cities; Fireside Chat with Tufts University Dean of Tisch Colege on the occasion of receiving the Presidential Medal; CBS New Radio, Los Angeles interviewed together with L.A. Mayor Eric Garcetti March 9, 2021 Global – 116,900,000/2,600,000; USA – 28,900,000/525,000 Oops! See below. Likely a fluke: • Had a very nice virtual ceremony inducting me as a Honorary Fellow into the Royal College of Physicians of Ireland by its President Dr. Mary Horgan. Bill Powderly (Washington University of St. Louis) connected us. Mary had taken an infectious Diseases fellowship at Wash U. • Did Fireside Chat with Paul Kelly (Chief medical Officer of Australia) on the differences between COVID-19 in USA and Australia. Sponsored by CSIS (Steve Morrison and Katherine Bliss) PRESS: NPR “All Things Considered” with Mary Louise Kelly (done together with Francis Collins); VICE TV Documentary Taping; Gray TV Special with Greta Van Susteren; Did podcast with Tom Inglesby from Hopkins; March 10, 2021 – Global – 117,300-,000/2,600,000; USA – 29,000,000/526,200 Had a very moving tribute to me upon the receipt of the Yale University School of Management “Legend in Leadership” Award from the Chief Executive Leadership Institute. Moving comments by Albert Bourla (Pfizer), Alex Gorsky (J & J). PRESS: CNN “New Day” with John Berman; Interview with Carolyn Johnson of the Washington Post; Instagram with Eugenio Derbez (Mexican-American entertainer) Historical comparison of the vaccine efforts of Trump versus Biden in NY Times article by Sharon La Franiere: Biden Got the Vaccine Rollout Humming, With Trump’s Help Trump administration officials grumble that they laid the groundwork for surging vaccinations, but some hard work in the trenches has helped pick up the pace of production. See link below: https://www.nytimes.com/2021/03/10/us/politics/biden-coronavirus-vaccine.html March 11, 2021 – Global -117,800/2,600,000; USA – 29,100,000/527,700 Had Zoom with Jeff and the team to go over the POTUS speech for tonight to commemorate the 1 year anniversary from the time (March 11, 2020) when the WHO declared this a pandemic of global health concern and we shut down travel from Europe. This was a big day for me 1 year ago – (go back to notes of March 11, 2020). Also, I have been pushing with Jeff and Rochelle to have the CDC be a bit less “risk averse” in their recommendations of what a person can do once they are fully vaccinated. The CDC really needs to step up and give recommendations for travel, workplace, houses of worship. They are dragging their feet. I am gently coaching Rochelle to go by her own instincts and not always yielding to the rigidity of the career CDC staff. • Had Zoom call with Gov. Dan McKee of Rhode Island asking advice about the next few weeks and his plans for the state PRESS: NBC “This Morning” with Savannah Guthrie; ABC “Good Morning America” with George Stephanopoulos; ESPN “First Take” TV with Max Kellerman, Stephen A. Smith, and Molly Qerim Rose (discussed my 5 favorite athletes); Podcast (“We Can Do This”) with Robin Roberts; CBS Evening News with Norah O’Donnell; Filmed Stephen Colbert for tomorrow night; MSNBC – Rachel Maddow March 12, 2021 – Global - USA Still plateauing: Briefed the Principals for our weekly briefing. I showed the replication cycle of SARS-CoV-2 and the vulnerable targets for direct anti-viral therapy David Kessler together with Rick Levin (formerly of Yale) made a proposal to provide through the congress 5 billion to me and NIAID to decide how we wanted to put together a “vaccine manufacturing plan that would involve everything from the fundamental research going into pandemic preparedness to the actual manufacturing of 300,000,000 doses of vaccine per year. This is an extraordinary offer then I will have to sit down with my team particularly John Mascola who was on the call with us to determine what aspect of this multifaceted plan that David proposed would be owned by us here at NIAID versus what we would give to HHS/ASPR/BARDA. I asked John to think about a team that we could put together in the beginning of the week to come back to David with a plan. Obviously, we will have to go 2 Francis Collins and thoroughly briefed him and get his buy in. PRESS: Zoom interview with Spike Lee for a documentary that he is filming; Politico by Sarah Owermohle and Erin Banco Fauci takes on a new role: Biden’s Covid whisperer Few others cast as long a shadow as Fauci — who over the last year has given America a crash course in epidemiology — especially with top health posts vacant. March 13, 2021 Global – 118,800,000/2,600,000; USA – 29,200,000/530,700 PRESS: Filmed with Mark Manucci for PBS March 14, 2021 – Global – 119,200,000/2,600,000; USA – 29,200,000/531,800 PRESS: NBC “Meet the Press” with Chuck Todd; CNN State of the Union” with Jake Tapper; Fox News with Chris Wallace; Gray TV “Full Court Press” with Greta Van Susteren March 15, 2021 – Global – 119,600,000/2,600,000; USA -29,300,000/532,400 Got call tonight from Larry Horowitz saying that Drew Weissman and his collaborator are planning to hold a press conference to discuss their studies in mice showing that an intramuscular injection of the mRNA vaccine leads to an immune response in the amniotic fluid of the pups in a pregnancy model. The FDA has already received the DART (Development and Reproductive Toxicology) studies from Moderna and Pfizer. According to Emily these studies were clean. The FDA has heard about the Weissman studies and feels that they are invalid. The two companies also feel that the studies are invalid. However, we cannot blow them off for obvious reasons. Even if the Weissman studies prove to be invalid, the fact that they are holding a press conference is going to create a huge mess. Hopefully, we can get this sorted out and have a repeat of studies to counter this finding. More later. Jeff Zients has heard about this and called me tonight at 9:30 PM. I told him we have to get the FDA out their showing that they have DART studies and explaining what their studies showed. Cases coming down: Yet Europe is seeing an upswing of cases resulting mostly from B.1.1.1.7: Today I received on a virtual zoom the Ivan Alan Award for Social Courage given by Georgia Tech University and it's President doctor Angel Cabrera. There was a video about my accomplishments and Rochelle Walensky joined us to celebrate the award. Rochelle was very generous in calling me her hero, her mentor, and her friend. I should point out at this point that Rochelle has become closer and closer to me in our very collegial relationship. In addition, I should point out that I have been getting a number of awards and prizes that I had not even documented in these notes. It is a shame that things are moving so quickly that I don't even have time to savor for a moment the many awards that I have been getting. PRESS: Did White House Press briefing today with Rochelle and Andy; March 16, 2021 – Global – 120,000,000/2,700,000; USA – 29,300,000/533,100 I took the led in pushing Janet Woodcock (FDA) and Rochelle Walensky (CDC) to make sure that all their ducks were in order. In fact, Janet checked and both Pfizer and Moderna had clean DART studies on record and CDC was following closely 2000 vaccinated pregnant women from a cohort of 31,000 and no red flags. All good so far. Participated in a very nice function at the National Cathedral where Francis Collins and I and Eliseo Perez-Stable gave brief remarks to various ministers from surrounding counties such as Montgomery, Arlington, Fairfax, District of Columbia, and others. The purpose was to have these African American pastors get publicly vaccinated in the cathedral so that their constituents would follow. It was one of many outreach efforts that Francis and I and others have been doing over the past months to stimulate interest in getting vaccinated. Summary of vaccines below: PRESS: MSNBC “Morning Joe” with Joe Scarborough; ABC “GMA3” with Jen Ashton; Wall Street Journal – CEO Council with John Bussey; Podcast with The Economist; National Cathedral Function with Press March 17, 2021 – Global – 120,400,000/2,700,000; USA – 29,400,000/534,100 Testified before the House Energy and Commerce Oversight & Investigations Subcommittee chaired by Diana De Gette (D-CO) with ranking member Morgan Griffith (R- VA). Good hearing with the usual snarkiness from David McKinley (R-WV) and Gary Palmer (R-AL). Several question centered around the GOP angry because the Dems are not giving Trump enough credit for the vaccine. It is reflecting what Trump has been saying to the media. Pres. Joe Biden sent me a thank you letter: Letter from president Joe Biden PRESS: NBC Late Show with Seth Meyers; White House Press Conference March 18, 2021 – Global – 120,900,000/2,700,000; USA – 29,400,000/535,200 Testified before the Senate HELP Committee chaired by Sen. Patty Murray (D_WA) and ranking Minority Richard Burr (R-NC). I had my typical fight with Sen. Rand Paul who insisted that masks were pure theater. I blew him away. After the Hearing, I briefed the POTUS and VPOTUS on Building Vaccine Confidence. Present virtually – me, Andy Slavitt, Marcella Nunez-Smith, and Courtney Rowe. In the Oval – Jeff, Natalie Quillian, Anita Dunn. Had call with Jeff, David K. Natalie, Anne Schuchat regarding alarming increase in NYC of B.1.526. Anne will call Zucker to suggest strongly to shut down bars and restaurants. We are afraid of a surge that we had expected since NYC tends to follow Europe, which is surging now following a plateau. SA giving vaccine to Canada and Mexico. For Mexico it is a quid pro quo to control immigration at the border. Also, AstraZeneca continues to mess up on their examination of data with the DSMB. They have shown extreme incompetence throughout this entire affair with mixing up clinical trial data in the UK to not having equity demographically in their USA trial PRESS: NBC “Today” with Savannah Guthrie; Did short TV hots with local stations in Alabama, Louisiana; North Carolina; South Carolina; CNN with Chris Cuomo March 19, 2021 – Global USA Still flattening. General worry about surge while several states are pulling back on mask mandates and other public health measures: PRESS: CBS “This Morning” with Gayle King; Snapchats with White House Comms; MSNBC “All In” with Chris Hayes March 20, 2021 – Global – 122,000,000/2,700,000; USA – 29,600,000/538,300 Had our newly established Saturday AM meeting with the medical team led by Jeff Zients to go over important issues. I brought up for the first time the issue of having Biden lead an effort to allow LMICs to produce their own vaccine. This could be a legacy issue for him similar to what George WQ. Buch did with PEPFAR. Cases starting to come up after the plateau: PRESS: NBC “Today Weekend” with Kristen Welker and Peter Alexander; March 21, 2021 – Global USA Still flat or slightly increased: While Europe continues to surge: And Brazil follows: March 22, 2021 – Global -123,000,000/2,700,000; USA – 29,700,000/540,000 Trump has been attacking me (and Deb Birx) in recent interviews on FOX News and “the Hill” (see below) saying that we were wrong most of the time. However, he actually says that I am a nice guy and he likes me. Big semi-scandal! AstraZeneca again messed up. Today was the day when they announced the data of their phase three clinical trial of a covid vaccine. The data showed a 78.9% efficacy with good efficacy against severe disease. They put out a press conference and press release and we followed with a press release that mirrored their release. As it turns out the data and safety monitoring board, which was getting impatient with them and was having trouble with their submission from the beginning, send them a harsh letter also addressed to me indicating that the data in their press release was not the most recent data an actually made the data looked more favorable. When the White House found out about this, it triggered a series of zoom calls with the comms team of the White House (Courtney Rowe et al) led by Jeff Zients. the final decision was that we would put out a press statement from NIAID in the middle of the night urging AZ to come clean with the DSMB and to straighten out their press release. See below the letter from the DSMB to me and AZ as well as our press release. final Concern over AZ press release.pdf NIAID Statement on AstraZeneca Vaccine Late Monday, the Data and Safety Monitoring Board (DSMB) notified NIAID, BARDA, and AstraZeneca that it was concerned by information released by AstraZeneca on initial data from its COVID-19 vaccine clinical trial. The DSMB expressed concern that AstraZeneca may have included outdated information from that trial, which may have provided an incomplete view of the efficacy data. We urge the company to work with the DSMB to review the efficacy data and ensure the most accurate, up-to-date efficacy data be made public as quickly as possible. Authorization and guidelines for use of the vaccine in the United States will be determined by the Food and Drug Administration and Centers for Disease Control and Prevention after thorough review of the data by independent advisory committees. PRESS: White House Press briefing – I presented the AZ results – 78.9% effective and 100% effective against sever disease – 0 in vaccine; 5 in placebo; BBC Radio World News; The Hill: Trump says Fauci 'a promoter more than anything' BY JUSTINE COLEMAN - 03/22/21 09:18 AM EDT 621 March 23, 2021 – Global -123,400,000/2,700,000; USA – 29,700,000/540,500 Did Governor’s Association call and gave them an update. Was introduced by Governor Cuomo who bragged about my New York City roots and that I am Italian-American. Did a Fireside Chat with the Forum of Small States – 100 of the smaller nations of the world. It was very enjoyable and they were totally appreciative of me and many said how popular I was in their country. The Irish Ambassador said I was “beloved in Ireland”. PRESS: ABC - Good Morning America with Robin Roberts; much press calls associated with the AZ issue described above; Entravision interview with Tsi-Tsi-Ki Felix from Univision; many print interviews related to the AZ issue (see above) Politico: Fauci: AstraZeneca needs to 'straighten out' vaccine data March 24, 2021 – Global -123,900,000/2,700,000; USA – 29,800,000/541,300 • Moncef Slaoui fired from GSK Board of Directors for sexual harassment charges dating back a few years • AZ continues to mess up on everything they seem to do. Hopefully, we will bring their miscommunication to an end as they finalize their discussions with the DSMB. • Got a call from Tom Frieden today about 2 issues: 1) Tom wants to know how I feel about working with Moderna in getting them to give up some intellectual property so that we can get vaccine to the developing world . He wants to see if I have a relationship with Moderna. If so, he would like to help with seeing if we can get Moderna to cooperate in building plants in the developing world to provide vaccine. Tom is going to send me some talking points that I might bring to Jeff Zients so that I do not go rogue on this without letting the administration know. 2) Tom is quite concerned that there is no decision yet on the commissioner of the Food and Drug administration. He is very much in favor of Josh Scharfstein over Janet Woodcock. He is trying to figure out ways to get the administration to seriously consider Josh. Apparently Ron Klain is concerned that Josh would have trouble getting confirmed by the Senate. Tom thinks that this is not an issue. PRESS: White House Press Briefing – most questions still about the AZ situation; Town Hall on Sirius XM “Rock the Bells” with LLCoolJ – guests – me, Marcella Nunez-Smith and DJ Jazzy Jeff; ENTERTAINMENT 03/24/2021 07:45 am ET Dana Carvey Goes Full ‘Godfather’ With Hilarious Dr. Anthony Fauci Impression “She was having sex with Dr. Anthony Fauci, now she’s banging a f**king star.” https://www.huffpost.com/entry/dana-carvey-anthony-fauci n 605b174dc5b66d30c74022cc The Brooch Is Back, Baby “These days, better than a tweet,” as one stylist put it. • • • • • • March 25, 2021 – Global - 124,200,000/2,700,000; USA – 29,800,000/543,000 After a Zoom meeting yesterday with the DSMB Chaired by Rich Whitley, it became clear that they are furious with AZ since they feel that the AZ people are “pathological liars”. It is a shame, because their vaccine is really a good vaccine; however, with their dishonest actions, they are casting discredit on the vaccine. Continues to plateau amid concerns for surge. Spring break is at hand. Variants in the USA: The plateau continues: PRESS: Bloomberg podcast; Podcast “Just Getting Started” with Rich Eisen; March 26, 2021 – Global – 125,200,000/2,700,000; USA – 29,900,000/544,000 Have continued to make virtual rounds on patients at the clinical center. I have not been indicating it in these notes; however, I have been regularly going to rounds at least once per week and occasionally two times per week. I want to make sure that I do not lose contact with what is going on in the trenches both with HIV and with COVID-19. Cases creeping up……. PRESS: White House Press Conference – I introduced the college campus transmission study (Larry Corey); March 27, 2021 – Global -125,800,000/2,800,000; USA – 29,900,000/545,300 PRESS: ABC – Good Morning America (Weekend); March 28, 2021 Global USA Going in the wrong direction: PRESS: CBS – Face the Nation with Margaret Brennan; Viewing of the Sanjay Gupta piece on CNN of the “6 doctors”; March 29, 2021 – Global – 126,900,000/2,800,000; USA – 30,100,000/546,700 • Considerable commenting rom the press about the Sanjay Gupta Special last night on the “6 Doctors” where me, Birx, redfield, Hahn, Giroir, and Kadlec were interviewed. I cam out fine, but the press criticized the rest , particularly Birx, Redfield and Hahn for using the interviews to try to rehabilitate their reputations that suffered by their performance during the Trump administration where they did not speak up against the misinformation from Trump (see below under “Press”) • Briefed the POTUS and VPOTUS on our usual weekly briefing. • President Trump lashed back in response to the CNN Special last night and wildly criticized Deb and I even making up stories that I bad-mouthed Deb all the time. He is truly an obnoxious adolescent. Below is his statement: – March 29, 2021 – Statement by Donald J. Trump, 45th President of the United States of America Based on their interviews, I felt it was time to speak up about Dr. Fauci and Dr. Birx, two self-promoters trying to reinvent history to cover for their bad instincts and faulty recommendations, which I fortunately almost always overturned. They had bad policy decisions that would have left our country open to China and others, closed to reopening our economy, and years away from an approved vaccine—putting millions of lives at risk. We developed American vaccines by an American President in record time, nine months, which is saving the entire world. We bought billions of dollars of these vaccines on a calculated bet that they would work, perhaps the most important bet in the history of the world. Dr. Fauci and Dr. Birx moved far too slowly, and if it were up to them we’d currently be locked in our basements as our country suffered through a financial depression. Families, and children in particular, would be suffering the mental strains of this disaster like never before. In a fake interview last night on CNN, Dr. Fauci, who said he was an athlete in college but couldn’t throw a baseball even close to home plate, it was a “roller,” tried to take credit for the vaccine, when in fact he said it would take three to five years, and probably longer, to have it approved. Dr. Fauci was incapable of pressing the FDA to move it through faster. I was the one to get it done, and even the fake news media knows and reports this. Dr. Fauci is also the king of “flip-flops” and moving the goalposts to make himself look as good as possible. He fought me so hard because he wanted to keep our country open to countries like China. I closed it against his strong recommendation, which saved many lives. Dr. Fauci also said we didn’t need to wear masks, then a few months later he said we needed to wear masks, and now, two or three of them. Fauci spent U.S. money on the Wuhan lab in China—and we now know how that worked out. Dr. Birx is a proven liar with very little credibility left. Many of her recommendations were viewed as “pseudo-science,” and Dr. Fauci would always talk negatively about her and, in fact, would ask not to be in the same room with her. The States who followed her lead, like California, had worse outcomes on Covid, and ruined the lives of countless children because they couldn’t go to school, ruined many businesses, and an untold number of Americans who were killed by the lockdowns themselves. Dr. Birx was a terrible medical advisor, which is why I seldom followed her advice. Her motto should be “Do as I say, not as I do.” Who can forget when Dr. Birx gave a huge mandate to the people of our Nation to not travel, and then traveled a great distance to see her family for Thanksgiving—only to have them call the police and turn her in? She then, embarrassingly for her, resigned. Finally, Dr. Birx says she can’t hear very well, but I can. There was no “very difficult” phone call, other than Dr. Birx’s policies that would have led us directly into a COVID caused depression. She was a very negative voice who didn’t have the right answers. Time has proven me correct. I only kept Dr. Fauci and Dr. Birx on because they worked for the U.S. government for so long—they are like a bad habit! Hospitalizations in people <65 years old: NEWS CLIPPING — WASHINGTON POST — CONDENSED (1 SOURCE PAGE) “PRESS: Had a “Roll Up Your Sleeves” chat for a PSA with Matthew McConaughey; MSNBC – Meg Tirrell; Washington Post: Feuds, fibs and finger-pointing: Trump officials say coronavirus response was worse than known 'That’s what…” March 29, 2021 at 8:09 a.m. EDT March 30, 2021 – Global USA I remain close to Deb Birx and she still communicates with me about he observations of how things are going. Below is an e-mail she sent me this morning: Testing rates continue to drop reaching under July levels despite substantial increase in number of test and testing supplies available. "Surveillance testing" or testing for this silent spread is so critical. The original rising test positivity in 18-24 is now 25-44 and rising. This is how all the prior surges occurred - due to vaccination level the fatalities maybe be less and the risk to the health system maybe less but the potential for significant increases in morbidity and long term impact of COVID 19 will be most evident in these age groups. Simply repeating the same public health messages without tailoring to specific age groups on specific media platforms where the message will be heard will not have the impact we need at this moment. Please take care of yourself. Deb Trump furious and being inarticulate in responding to our appearance on CNN Special. He is still talking about my errant pitch on opening day last year. He is rambling on. Meadows and Navarro are attacking me on FOX News. Navarro calling me a pathologic liar and calling the virus the “Fauci Virus’. The Trump team is really acting like a bunch of idiots. Peter Navarro being delusional again: Peter Navarro Slams Dr. Fauci: Virus Came From ‘Building’ He Built • Had Zoom meeting with Brazilian Minister of Health Dr. Marcello Queiroga. They need help from the USA because they are having a terrible problem and President Bolsonaro is very Trump-like and hurting the country with his approach. I offered to help by collaborating in research and discussing strategies. They really want vaccine from us, but the USA policy is that we will wait until we vaccinate our whole country before we give away excess vaccines. Unfortunately, that is all that I could offer them. They will get plenty of vaccine from Pfizer, AZ and J & J in late May and early June. After the zoom meeting, I received a note from one of their scientists – Dr. Jorge Kalil. He asked me to please help them and hang in their with them sine Bolonsaro in terrible and the Brazilian scientific community and Brazilian people hold me in high regard and they need me to stick up for them • Had Zoom meeting with Marshawn Lynch former running back for the Seattle Seahawks. Really interesting. A lot of street talk. It was actually a “PSA” for vaccinating African Americans • Had Zoom with D.L. Hughley – famous entertainer - another interesting chat on his show about African Americans and CVID vaccinations • WHO Report is out saying that it is “very unlikely” that the virus originated from a lab accident. There is concern that the Chinese had a lot of influence over what data the WHO group had access to PRESS: Did interview with Phil Rucker about his book on the Trump response to COVIDTrump lashes out at Fauci and Birx after CNN Politico: documentary The former president released a fact-challenged statement criticizing the former advisers after they criticized his administration’s pandemic response. Health Fauci and others look ahead to the holidays: Put another leaf in the table (QuickHoney for The Washington Post) By Marlene Cimons March 27, 2021 at 10:00 a.m. EDT March 31, 2021 – Global – 127,900,000/2,800,000; USA – 30,200,000/548,200 Still flat or inching up: • Had my every other week call with Chris Whitty and Patrick Valance of the UK. They are as concerned as we are about the potential for another surge. They are waiting on ordered doses of vaccine. • Did nice interview with Nick News for Children answering their questions about vaccines. • Did interview with Ricky Martin scheduled for Latin Grammy awards. Asked questions about vaccines. • I have been praising David Ho to the White House people regarding his studies of the variants. On that basis they are now probing whether he might be a good choice for FDA Commissioner. Source Dr M Gandhi UCSF: • PRESS:WJLA TV – discussed Nats baseball season; CNN with Chris Cuomo; Morning Joe’ Trashes Fox News Host for Allowing Navarro’s Unhinged Fauci Rant: ‘That’s Fireable’ April 1, 2021 – Global – 128,500,000/2,800,000; USA – 30,300,000/549,100 The Trump people including Meadows, Navarro and several other minor figures are going on a rampage on FOX news attacking me. Navarro calling me a psychopath and pathologic liar and Meadows blaming me for not weighing in on Children at the border. Amazing!!! Other news media are criticizing them strongly for doing this. • Had nice Fireside Chat with American Red Cross – Gail McGovern (CEO). The comments on the chat box were uniformly positive • Had a Zoom with Prize-winning artist Hugo Crosthwaite and Taina Caragol of the National Portrait Gallery. Taina will be commissioning Hugo to do a portrait of me for the National Portrait Gallery Collection. The whole process will take about 1 year. • Majorie Taylor Greene is trying to introduce legislation to fire me. Really!!!!: • Marjorie Taylor Greene: Fire Fauci and ban vaccine mandate and passport by Paul Bedard, Washington Secrets Columnist | PRESS: CBS This Morning with Gayle King; WXYZ TV Detroit; FOX L.A. TV “The Issue Is” with Elex Michaelson; NBC Nightly News with Lester Holt; NATs Podcast with Al Galdi and Mark Zuckerman. April 2, 2021 – Global – 129,3000,000/2,800,000; USA – 30,400,000/550,200 • Had nice Fireside Chat with Rep. Doris Matsui. • Am still being attacked by the far right wing including Senators (Lindsey Graham) and media (FOX). Interesting that they are asking me to explain the “crisis” at the border when that has nothing to do with me. • Had great interview with Neal Cavuto of FOX (see below under “Press”) in which he allowed me to counter all of the criticisms of people like Mark Meadows, Lindsey Graham, Navarro, etc. Navarro is calling me a pathological liar saying that I had nothing to do with the vaccine. He said this in response to my saying that one of the best choicesI made was to push ahead with Barney Graham’s collaborationwith Moderna. Obviously, Navarro has no idea about this and so has no idea what he is talking about • Another important issue – Robert F. Kennedy, Jr has written a book about me entitled “The Real Anthony Fauci”, which will almost certainly be a slanderous book. Am undecided about whether I should get lawyers involved PRESS: NPR Morning Edition with Noel King; NBC TV Detroit with Dr. Frank McGeorge; White House Press briefing; Politico Podcast with Jeremy Siegel; Interview with Business Insider; Interview with The Guardian; FOX News with Neal Cavuto. April 3, 2021 – Global – 129,900,000/2,800,000; USA – 30,400,000/552,800 Went to a “Spring celebration” at Bob Seder’s house to observe the Cherry Blossoms at Kenwood. I am a little nervous sine people were hugging and not wearing masks, although virtually everyone had been vaccinated. Still lingering at ~60,000 new infections/day: PRESS: CNN with Jim Acosta; April 4, 2021 – Global – 130,400,000/2,800,000; USA – 30,500,000/553,700 Things getting a bit scary. As B.1.1.7 becomes more dominant, we re seeing surges in some areas with younger people (even school kids) getting infected and hospitalizations increasing in relatively younger people. See below: Race between the vaccines (4 million shots administered yesterday!!!) and a new surge: April 5, 2021 – Global -131,000,000/2,900,000; USA – 30,500,000/554,100 Still putting pressure on me to switch to a single dose. Mike Gerson wrote an amazing column in the Washington Post about me: Opinion: Why tearing down Fauci is essential to the MAGA myth Opinion by Michael Gerson Columnist April 5, 2021 at 4:35 p.m. EDT MAGA political philosophy is not systematic, but it is comprehensive. Right-wing populism offers a distorted lens to view nearly all of life. Through this warped lens, progress toward equal rights is actually the oppression of White people. Free and fair elections, when lost, are actually conspiratorial plots by the ruthless left. But perhaps the most remarkable distortion concerns the MAGA view of covid-19. We have all seen the basic outlines of pandemic reality. Experts in epidemiology warned that the disease would spread through contact or droplets at short distances, which is how it spread. The experts recommended early lockdowns to keep health systems from being overwhelmed, and the lockdowns generally worked. The experts said Americans could influence the spread of the disease by taking basic measures such as mask-wearing and social distancing. The disease was controlled when people did these things. The disease ran rampant when they did not, killing a lot of old and vulnerable people in the process. There were, of course, disagreements along the way about the length of lockdowns and the form of mandates. But on the whole, American citizens have witnessed one of the most dramatic vindications of scientific expertise in our history. We have been healthier when we listened to the experts and sicker when we did not. This is the context in which the MAGA right has chosen to make Anthony S. Fauci — the director of the National Institute of Allergy and Infectious Diseases since 1984 — the villain in their hallucinogenic version of pandemic history. It is worth disclosing when a columnist has a personal connection to a public figure. I have known Fauci since I was in government during the early 2000s and watched him help create the President’s Emergency Plan for AIDS Relief. He is the best of public service: supremely knowledgeable, personally compassionate, completely nonpolitical, tenacious in the pursuit of scientific advancement and resolute in applying such knowledge to human betterment. He has no other ambition or agenda than the health of the country and world. Yet slamming Fauci was a surefire applause line at the Conservative Political Action Conference in February. Former Trump administration officials continue to target him. Republican members of Congress vie with one another to put Fauci in his place. For Trump officials, including Donald Trump himself, this makes perfect sense. If Fauci has been right about covid, then playing down the disease, mocking masks, modeling superspreader events, denying death tolls, encouraging anti-mandate militias and recommending quack cures were not particularly helpful. If Fauci has been right, they presided over a deadly debacle. When former Trump trade adviser Peter Navarro claims that Fauci is “the father of the actual virus” or former chief of staff Mark Meadows complains about Fauci’s indifference to the (nearly nonexistent) flow of covid across the southern border, the goal is not really to press arguments. It is to create an alternative MAGA reality in which followers are free from the stress of truth — a safe space in which more than half a million people did not die and their leader was not a vicious, incompetent, delusional threat to the health of the nation. Metaphorically (but only barely metaphorically), there is a body on the floor with multiple stab wounds. The Trump administration stands beside it with a bloody knife in its hand. It not only claims to be innocent. It claims there is no blood. There is no body. There is no floor. Congressional Republicans who criticize Fauci to prove their populist manhood are even more pathetic. Their self-abasement is voluntary. Watching Sen. Rand Paul (R-Ky.) debate science with Fauci during committee hearings is like watching Albert Einstein being disputed by his dry cleaner. Fauci is often reduced to making obvious points in a patient voice. Fauci deserves his Presidential Medal of Freedom just for his heroic forbearance. All these critics of Fauci have chosen to attack the citadel of science at its strongest point. With squirt guns. While naked and blowing kazoos. This useless exertion is somehow wrapped in the language of freedom. Freedom from the servitude of a piece of cloth on your face that might save your neighbor’s life. Freedom to light off fireworks below a potential avalanche. Freedom to store uranium in your backyard. Freedom to set fire to a crowded theater. Here is the reality of covid. It is not an easy thing to persuade hundreds of millions of people who feel perfectly healthy to wear masks, socially distance and get a vaccine injected into their arms. Fauci is dedicated to these goals. Anyone who purposely undermines them is a danger to the health and safety of their fellow citizens. Fauci is practicing epidemiology. His critics are practicing idiocy. Both are very good at their chosen work. PRESS: PIX 11 TV – New York City; April 6, 2021 – Global – 131,500,000/2,900,000; USA – 30,600,000/554,400 Had Zoom call with Pascal Soriot, CEO of AstraZeneca. He wanted to apologize for the miscommunications concerning the interactions between AZ and the DSMB a couple of weeks ago. He wanted my advice as to the best way forward. I explained to him that the most important thing for him to do would be to wait until the United States FDA comes out with their EUA. This would give the AZ product the validity that he is hoping for. I also mentioned that the confusion associated with the mixed up dosing situation associated with the Oxford group added a degree of skepticism about the entire AZ product. Best thing to do is to wait to see but the FDA says about the product. We seem to be stuck at around 60,000 per day: PRESS: ABC - Good Morning America with George Stephanopoulos; MSNBC – Morning Joe with Joe Scarborough; National Press Club Interviews; Fox Local TV Stations April 7, 2021 – Global -132,000,000/2,900,000; USA – 30,700,000/555,200 Terrific experience tonight – On my walk tonight with Christine through American University campus, on the way back we were met by throngs of American University students who illegally sitting on the grass enjoying themselves. In groups of three to five people they kept coming up to me wanting to get photographs and selfies. It was truly amazing as it went on for group after group after group. I must have posed for photographs with over 50 young kids from American University. Then, on the way down past Al Dente restaurant where we stopped to pick up a pizza, customers outdoors and inside the restaurant kept coming up to me asking to be photographed with me. My pizza took a long time to be ready and so I must have spent 15 minutes at the door of the restaurant allowing people mostly young kids but some adults to have selfies with me. The entire situation was culminated when I walked out of the restaurant with Andre Jacobs, my security man, and the entire population of people who are eating outdoors at Al Dente and Chef Geoff’s burst into a prolonged round of applause. It was really quite charming. Andre had gotten nervous throughout the entire situation since some people just ran up to me with their camera in their hand to get a selfie. Andre does not like people just running up to me an almost body slammed a man who meant well but who didn't realize that he had charged up to me. A memorable experience! PRESS: CBS “This Morning” with Gayle King; White House Press Conference (I discussed durability of vaccine-induced response; CNN with Anderson Cooper 360; April 8, 2021 – Global -132,700,000/2,900,000; USA – 30,700,000/556,100 Spoke with Olive Shisana and Morena Makhoana (Biovac) about setting up capability to manufacturing mRNA vaccines in South Africa. Olive claims to be the special advisor to President Cyril Ramaphosa of RSA. They want me to help to get Moderna to assist RSA in the form of Makhoana’s company Biovac to make mRNA vaccines for RSA. I taped my NAS remarks receiving their Public Welfare Medal. I spoke of my relationship with 7 Presidents including the difficult relationship with Trump. Met virtually for our regular weekly meeting with the POTUS and VPOTUS. Interesting situation. Marcella has been quite ill with inflammation of her brain stem (acute). She was quite incapacitated but is now improving rapidly on corticosteroids. She actually took the zoom call from her rehabilitation institution. We were joking that the loudspeaker might soon say that visiting hours are over and the president and vice president would hear it over the zoom. In addition Vivek was zooming from Miami and in the middle of the discussion a Peacock outside his window started making noise. What a scene. Daily cases still going up – 74.5 million yesterday: PRESS: RAI Italian TV; France 24 TV Interview New York Times (— Isabel Kershner): Israel marks Holocaust Remembrance Day with a virtual march and remarks by Dr. Fauci. Held virtually for a second year because of coronavirus restrictions, the event featured recorded remarks by two prominent figures in the battle against the coronavirus: Dr. Albert Bourla, a son of Holocaust survivors who is the chief executive of Pfizer, the pharmaceutical company that, together with BioNTech, produced a leading coronavirus vaccine; and Dr. Anthony S. Fauci, the leading infectious disease expert in the United States. April 9, 2021 – Global – 133,600,000/2,900,000; USA – 30,800,000/557,100 • Bad day – Chris brought her right arm (distal radius0 playing basketball with me for filming for Nat/Geo. Happened on the last 10 seconds of playing PRESS: Stephen Colbert had a skit about me and “the 4th Wave” - https://www.youtube.com/watch?v=xb0fB13xYYg April 10, 2021 – Global – 143,300,000/2,900,000; USA – 30,900,000/558,000 • Spoke again with Ari Emanuel and his team of Don Walker (lawyer, represents Obama and Clinton) and Jay Mandell (Mostly involved with books). They just wanted to check in to see if IU needed anything. I mentioned the situation with Robert F. Kennedy, Jr who is writing a book about me entitled “The Real Dr. Anthony Fauci”, which undoubtably will be a very scandalous book. Don Walker was adamant that we should do nothing about this since Bobby Kennedy has absolutely no credibility over the past several years. because of how crazy he has been acting Over the past several years. His strong recommendation is to just let it go. Don emphasized again how much money that I would be making with my lectures. I re emphasize to him that although I like the idea about making money, my most important goal is to do good , and that I would prefer to do several speeches pro bono depending upon who asks me. • Joan Baez will receive the Kennedy Center Award and there is a reception at the State Department on May 19th. She has invited me as her guest. What fun! Just spoke with her over the phone to check if there will be mask wearing since the press will have a field day if they saw me with Joan and we did not have masks. • We vaccinated 4.6 million people today Daile cases continue to rise – 81,400: A A April 11, 2021 – Global – 135,000,000/2,900,000; USA – 31,000,000/558,800 Sunday -quiet day. Catching up on writing Commencement address. Heard during my interview with MSNBC (see below) that Trump, while on FOX with Laura Ingraham said I was “full of crap” and that he never listened to me. Hasan came back on MSNBC and said that is why hundreds of thousands of people died, because he did not listen to me. Appasrently, Trump also made this comment during a fundraiser at Mar-a-Largo where he sharply attacked 2 people: me and Mitch McConnell. PRESS: MSNBC with Mehdi Hasan; April 12, 2021 – Global USA The Daily Mail in their reporting of the removal of Father Lahart from his position of President of Regis High School made sure to mention that I was an alumnus of the school (of course) (see below under Press. • Had a good Zoom meeting with Hon. Luigi Di Maio, Minister of Foreign Affairs and International Cooperation of Italy. He is in the USA to celebrate the 160th anniversary of Italian relations with USA. Good conversation. He wanted advice of the COVID-19 situation in Italy and Europe. Interesting how these foreign leaders want my opinion on these issues that have policy as well as public health implications. • Got call at 10:00 PM from Rochelle Walensky that the CDC and FDA had called a pause of the J & J vaccine due to 6 cases (all women – ages 18 to 48) of Cerebral Venous Sinus Thrombosis (CVST). I died, 3 hospitalized (2 in ICU), 2 discharged. Events occurred from 6 to 13 days after vaccination. CDC/FDA will do press conference tomorrow at 10:00 AM. PRESS: Daily Mail: Jesuit priest, 59, is removed as president of Manhattan's prestigious Regis High School - that Dr. Fauci attended - for 'non-consensual sexual misconduct with adult subordinates'; BBC radio interview (2 part series) on 40th Anniversary of recognition of AIDS pandemic; BBC - Radio “The Today Programme”; CNN “Situation Room” with Wolf Blitzer. I have been speaking about this all the time: April 13, 2021 – Global – 136,200,000/2,900,000; USA – 31,100,000/559,700 Jeff Z. calls me at 5:46 AM telling me to clear my calendar since the WH wants me out there with the press. See below – I engaged in the Jen Psaki Conference in the White House press room with Jeff Z. Obviously, this is a big deal even though it is a very rare event 6 cases in 6,850,000. I was on the Governors call with Rochelle and Jeff to explain the situation to the Governors. PRESS: White House Press Conference with Jen Psaki and Jeff Z.; CBS Evening News with Norah O’Donnell; NBC Evening News with Lester Holt; ABC Evening News with Linsey Davis; MSNBC with Chris Hayes April 14, 2021 – Global -137,000,000/3,000,000; USA – 31,200,000/560,600 There is a very important issue going on regarding a dispute between the vaccine Research Center an Moderna regarding the inventorship of the patent associated with the confirmation of the spike protein. For some strange reason Moderna wants to give us Co ownership of the patent but not inventorship of the patent. The VRC insists with good reason that we are true inventors of the patent. We had a conversation this morning among Francis Collins , myself , John Mascola, and Mark Rohrbaugh concerning any leverage that we might have over Moderna to pressure them in sharing the expertise of their technology with developing countries particularly in southern Africa. They have made a public statement that they will not interfere with any countries that want to use their technology. However, given the complexity of the technologies it is important that they pitch in and help the companies transfer the technology. Peter Staley and his activist friends are understandably pushing us to exert pressure on Moderna to transfer their technology to the developing world. The reason why the patent issue becomes relevant here is that the more control we have over what Moderna does the better we will be able to pressure them into the above. We decided that the best approach would be for Francis Collins and I to have a telephone call with the CEO of Moderna , Stephane Bancel and the POresident of Moderna, Stephen Hoge. Had call with Chairwoman Rosa DeLauro of the House Appropriations Committee. She wants to know what I think she should do with the $6.5 billion that they want to give to ARPA-H that would go to NIH. There is a fear among NIH grantees that the regular increases that NIH usually receives on a yearly basis will be diminished be 'cause the Congress is now giving the NIH $6.5 billion for “special projects”. They were thinking of giving the NIH $2.5 billion for the regular appropriation plus $6.5 billion for the special projects for a total of $9 billion, which is a lot. I suggested to Rosa that she called some of the money off the $6.5 billion and add it to the regular appropriation for the NIH. She seemed OK with this. I had recently received a letter from senator Lindsey Graham essentially demanding that as the chief medical advisor to president Biden, I go down to the border and look at the difficult health conditions there regarding the SARS coronavirus. Subsequent to that I received a letter from about 8 or 9 congressmen asking me to do the same thing. In fact, in his letter to me senator Graham said I was neglecting my responsibility as the adviser to the president if I did not go down to the border and report back on the “terrible conditions” on the border. This is clearly a set up trying to embarrass the president. Tomorrow I testify before the house Energy and Commerce Select Committee on COVID-19. Two congressmen who signed the letter will be there. I anticipate that they will ask me the same question about going to the border. Today I asked Jeff Zients to ask Ron Klain and the president if it is OK for me to say that since I am the chief medical advisor to the president I would be happy to go to the border if the president ask me to. However, with all due respect I am not the adviser to the Congress but to the president. I will do what he asked me to do, and again with all due respect not what the Congress asks me to do. Ron Klain and the president are OK with this approach. • Got call from Jeff that the Oxford group were coming out with a paper tomorrow saying that in a large data base they found that mRNA vaccinbes had even more thrombosis than AZ. Obviously, bullshit. They did not look for thrombocytopenia and so the observation is invalid. Also, not surprising fr the Oxford group sine their vaccine is in trouble and I would not be surprised if they were trying to disparage the other vaccines. PRESS: MSNBC – “Morning Joe” with Willie Geist; CNN “New Day” with John Berman; NBC “Today” with Savannah Guthrie; White House Press Conference (regular 3x/week). Did 4 separate Local TV hits with Cameron Webb in Mississippi Stations April 15, 2021 – Global – 137,900,000/3,000,000; USA – 31,200,000/561,400 Still hanging around 70,000/day: Major clash with Rep. Jim Jordan during the House Energy and Commerce Select Committee on COVID-19 chaired by Jim Clyburn and Steve Scalise as Ranking Member. Jordan did his usual aggressive asking me multiple questions without giving me a chance to answer. He was harping on my giving him a definite date when he can get his “liberty and freedom back” that I was restricting him from. I insisted that this was not a matter of liberty and freedom, but was a public health issue.We had a heated discussion. I finally told him that he was “ranting”. In addition, I told him that he was making this a personal issue. He denied that, but I insisted that he was indeed making it a personal issue. Finally, when his time was up he kept on talking and representative Maxine Waters told him to shut up. PRESS: All over TV in my clash with Rep. Jordan at the E and C Hearing – CNN covered it extensively and Jimmy Kimmel had it in his monologue; Reuters TV interview with Julie Steenhuysen; Had conversation with member of NY Times editorial board member Jeneen Interlandi about 1 dose versus 2 doses. She seemed to side with me. April 16, 2021 – Global – 138,700,000; USA - • Andy Slavitt remarked how proud of me he was as he watched me respond to Jim Jordan. • Fox News is attacking me abut my interchange with Jordan, BUT MSNBC is attacking FOX for attacking me. Example: • Scarborough slams Jordan for spreading 'lies' about Fauci: 'It's sheer idiocy' • By Cameron Jenkins - 04/16/21 11:38 AM EDT 410 • In the Instagram with Tyra Banks (see below) she was wonderful. People who wrote comments were 95% positive, but some were really mean and vicious statements about me and Tyra. One person said that Tyra was sexy, but I was even more sexy than she was. She read it and put a big smile on her face and said that she agreed with that but then beautifully and gently shot this down by saying: “Dr. Fauci, that is true and my mother is in love with you” . Zing PRESS: Veja Magazine (Brazil) – reporter – Julia Teixeira Braun; Facebook – “Now This” with Zinhie Essamuah; Instagram with Tyra Banks (she was absolutely fabulous); MSNBC “Reid Out” with Joy Reid; April 17, 2021 – Global – 139,500,000/3,000,000; USA – 31,400,000/563,200 Cases continue to creep up in certain states (>35). Had nice dinner over Ellen Sigal’s home with Diana DeGette, Chair of the House Energy and Commerce Subcommittee on Oversight and Investigations. Dana Bash sent me a text: “I just watched the whole Jordan thing. Again, you’re a better man than I…. As our friend Wolf Blitzer said to me yesterday – no one would have blamed you if you said simply “Mr. Jordan, go f--- yourself” PRESS: Had another of several interviews at home with Mark Manucci for the PBS Masters Documentary April 18, 2021 – Global – 140,300,000/3,000,000; USA – 31,400,000/564,000 • David Axelrod sent me a text saying that his wife Susan says that I look 10 years younger since the change of administrations. • I received a text from Dana Bash pointing out that Vanity Fair recently had a headline that said: Jim Jordan trips over his own asshole trying to debate Anthony Fauci. PRESS: ABC This Week with Martha Raddatz; NBC Meet the Press with Chuck Todd; CBS Face the Nation with Margaret Brennan; CNN State of the Union with Dana Bash; MSNBC The Sunday Show with Jonathan Capehart; April 19, 2021 – Global – 141,100,000/3,000,000; USA – 31,500,000;564,300 Today is the day (April 19) when the POTUS said that everyone 16 years of age and older is now eligible to receive a vaccine. No more restrictions to priority groups • Kate Berner sent me a note saying that I was “outstanding” at the White House pressor. • I get a lot of FOIA requests regarding my financial statements as well as regarding text messages , written correspondence, and phone calls . These are clearly directed at trying to catch me at something usually from conspiracy theorists but also from Republican operatives. The most recent FOIA requests have been for any text messages between me and Susan Rice, Ron Klain, Anita Dunn, and Kate Bendingfield. The most recent one has come from the Republican National Committee in the person of Nicholas Erickson. Clearly, I have become a prime target of the Trump Republicans • Had great conversation with Amb. Katherine Tai who is the US Trade Representative. The ambassador was extremely excited about partnering with me in trying to get a waver of the patent restrictions for the production of vaccines by the developing nations. She is also very well aware that the important issue is to transfer the technology and the expertise even after the wave it has occurred. I had mentioned to her that I would soon meet with the CEO of moderna to try to get him to cooperate and transferring this technology. We left it that we shall get back together after she does some work on this problem. In the arena of small world things, the ambassador mentioned to me that her mother was a scientist here at NIH and that she is a child was put Into the NIH daycare center. I believe that I will get along very well with her. PRESS: NPR -Morning Edition with Rachel Martin; CBS “This Morning” TV with Tony Dokoupil; Rickey Smiley Radio; Enrique Santos Show (TV); The Morning Hustle Show” (Radio) with Headrack; White House Press Briefing; did loal TV hits in Indianapolis, Jacksonville, FL, and Birmingham, AL; Australian ABC News Radio April 20, 2021 – Global USA Maybe coming down a bit: • I was on the governor’s call today. One of the questions that came up today was why we still have a mask mandate for outdoors. I agree that this is a problem. Rochelle answered that CDC is re-examining this issue. I feel that we should obviously say that if a person is out alone outside, they do not need to wear a mask. • Important issue brought to my attention regarding potential far right wing coming after me. It appears that a few of the far right grantees of NIAID are joining with the radical right wing people in the public as well as people in the Congress such as congressman Jim Jordan and Senator Rand Paul to try and connect me with the virus from WUHAN. In fact, David Morens has heard that these people are trying to “bring me down” .. They are saying that I deliberately worked with the Chinese together with Peter Daszak to create a virus that would be released to the world. This sounds very much like a way-out conspiracy theory, which it is. However, there are enough crazy people around to make this a problem. I am going to arrange for a phone call with David in order to determine more details as to what is going on. It is my suspicion that some of these so-called NIAID grantees are Imperiale and Rich Ebright. They have been complaining about gain of function research for years. They have even publicly made the claim that when they speak against anything that I want I will prevent them from getting their grants. Everybody knows that this is absolutely preposterous, but they in fact are preposterous. Let us see if in fact these are the villains. PRESS: BBC Radio – 2nd installation of a story that BBC is doing on the history of HIV/AIDS; Columbia TV -NTN 24; Instagram with Aidan Galassetti April 21, 2021 – Global USA Cases back up again a bit – 57,000: Had an important call without colleagues in South Africa another southern African countries to discuss the possibility of conducting a clinical trial with the moderna m RNA vaccine. The issue is that they are in desperate need of a vaccine since the AZ vaccine does not work against the variant B.1.351. In addition, the J&J vaccine that appears to do well against the South African variant will not be ready for at least several months and there is a window of opportunity to do a clinical trial with a delayed placebo crossover on 14,000 people. The issue is that the South Africans particularly Glenda Gray and Linda GAIL Becker need to show that the mRNA vaccine is effective in South Africa particularly among persons living with HIV. David Kessler who will be key in getting the product to South Africa was on the zoom. I feel that this is definitely worthwhile doing since if we can prove that the mRNA vaccine works in South Africa, then Glenda feels that they can convince the African countries to make a major investment in buying the mRNA vaccine. On the phone call were the following : Glenda Gray, Linda-Gail Bekker, Philip Kotze, Mike Chirenje, Tulio de Oliveira, Larry Corey, David Kessler, Emilio Emini, Cliff Lane, John Mascola, Carl Dieffenbach, Emily Erbelding, among others. Beautiful situation of my impact on an autistic child. See attachment: 399065 Kirkland #2 corr.pdf • I presented nomination of Barney Graham to NAS Section 44. Bob Gallo made a random and completely unnecessary potentially negative comment about Barney while presenting another candidate (Ray Schinazi) Hello, my name is Nicholas Wilson and I am a senior at Arizona State University studying history, Political science, and education. This year has been tough, but I got the vaccine. I wanted to thank Dr Fauci for all his hard work and to commemorate this modern marvel I got a tattoo. I hope you enjoy. PRESS: Hispanic TV hits: Despierta America; Actualidad Radio – Juan Gomez and Roberto Rodriguez (South Florida); CNN Newsroom with Victor Blackwell; NBC TV – Dallas with Julie Fine; April 22, 2021- Global USA Note the difference in mask mandates between the red and blue states: • I participated in an iPC meeting today chaired by Beth Cameron of the National Security Council. The purpose of the meeting was to figure out how we could ask for $30 billion for pandemic preparedness and put it into the American Jobs Plan bill. The NIH had put in a proposal through HHS of close to $30 billion for our needs alone. There appears to have been some confusion as to the fact that HHS did not send down our request to the NSC in time for inclusion in the NSC document that was being discussed at the meeting. This led to a lot of running around on my part and on the part of Francis Collins and Larry Tabak to figure out how we can get our request properly represented in the discussion. It seemed to have worked out OK as I together with Eric Lander made a presentation to the IPC that indicated the broad scope of our needs without necessarily mentioning the budget. It was one of those times where you walk in the morning and find out that you have to do something that nobody told you about until one hour before you had to do it. I refer to my need to make a presentation on behalf of the NIH to the IPC. • • Did a Fireside chat with the American College of Physicians. The chat was chaired by Dorilyn Moyer. In addition, I was presented with the 2021 Boyle award from the American College of Physicians. To illustrate how flooded I am with things , I had no idea I was being awarded the Joseph F. Boyle award and I had to make comments accepting the award. I had to quickly scramble to get Kim to go on the Internet and find out just what the Joseph F. Boyle award is. As it turns out it is an award bestowed upon a current or former government official who has provided outstanding public service to improving the delivery of health care. Again, I am running at such an amazingly fast pace that I do not know what I am about to do until I sit in front of the zoom and do it. • Met by Zoom with POTUS and VPOTUS for our regular weekly update. PRESS: KSNV- TV – Las Vegas with Jeff Gillian; KABC - TV – Los Angeles with Denise Dador; KCBS Radio – San Francisco with Mike DeWald April 23, 2021 – Global – 144,400,000/3,100,000; USA – 31,700,000/567,400 Still plateauing, but the 7-day average is slightly down (~10%): Presented before the Lasker Board with Elia Zerhouni, Peggy Hamburg, Al Reese, Joe Goldstein and I mentioned when they said I was their hero, that I was also a “target” for some. They immediately said “We have you back”. Important in light of the antipathy of many against me. PRESS: White House Press Conference; Online – TV - The Birmingham News; Huntsville Times and Mobile Press-Register with Ivana Hrynkiw; MSNBC with Ayman Mohyeldin; PBS Newshour with Judy Woodruff; MSNBC Town Hall with Alicia Mendez and Rep. Raul Ruiz April 24, 2021 – Global – 145,200,000/3,100,000; USA – 31,800,000/568,200 Real crazy anti-Fauci stuff going on. Two authors named Steve Deace and Todd Erzen wrote a book about me entitled “Faucian Bargain” - The most powerful and dangerous bureaucrat in American history. It is a cheap paperback of 179 pages which I will not even read but it contains the same sort of nonsense that the other conspiracy theorists have been saying about me. It is really getting worse and worse in the number of crazy people who are buying into this conspiracy theory and so now we have the book by Robert F Kennedy junior and this book by these two guys as well as a number of right wing columnists such as Josh Rogin , as well as multiple commentators on Fox News who spend much of their time making me out to be the worst villain in the world and or trying to discredit me. Had important meeting with Jeff Zients, David Kessler, Francis Collins, Car Dieffenbach, Natalie Quillian, Dina Halme, Lauren …. To discuss the $3.15 billion for the COVID-19 antiviral program. There was considerable concern on our part that we would not be getting the full amount of money for this very important program to develop antiviral drugs for COVID-19. Omb has indicated that they may use some of that money for the purchase of booster doses for the vaccine program. We called this meeting together in order to get Jeff to support the fact that this is an incredibly important program for the current and future pandemics. Carl describe the program very well and I believe that we have convinced Jeff to strongly support us. See below power for a detailed description with slides: We still are doing pretty well against the current variants with regard to our vaccines; Eric Topol’s take on Variants: India is exploding with cases with the new variant B.1.617 (see below): We have a serious problem of optics regarding our not sending to needy countries any of the AZ doses of vaccine at the same time as we have a greatest supply than demand right now. There is growing sentiment throughout the developing world at the United states is being unethical and amoral in not giving away doses of vaccine from AZ that we know we will never use. This is particularly the case with India that is really exploding with infections. The are now having >300,000 infections per day. One can say that you cannot do this since AZ has only been approved under an EUA. However, there are certainly ways that we can get around this. The bottom line is that we are looking very bad in the eyes of the low and middle income countries. I will continue to bring this up to Jeff Zients and other leadership. In fairness to our position, we do not really have a lot of doses of AZ vaccine hang around unused. Novovax does not come online until around June, and so the argument that we want to secure enough doses for ourselves including boosters can be defensible. Unquestionably, this is a very difficult situation. Amazing, but Vivek called me right after I wrote this with the same feeling as expressed above. We tried to get a meeting with Vivek, me, Rochelle, and Jeff to discuss how we are going to handle the situation with regard to India , particularly on the Sunday TV shows that Vivek and I will be on tomorrow. Unfortunately, Jeff could not squeeze in a meeting. PRESS: Huffington Post: Anthony Fauci Delivers Short, Sharp Shutdown Of GOP Senator’s Vaccine Doubt Bluster April 25, 2021 – Global - 146,100,000/3,100,000; USA – 31,800,000/569,000 We had an important zoom talk at 11:00 AM today with Jeff, me, Rochelle, Natalie, and Vivek regarding our response to the crisis in India. See above. Jeff is sensitive to our concerns and indicated that Jake Sullivan in NSC is already involved in sending materials to India including filters for vaccine production, oxygen supplies, ventilators, therapeutics such as remdesivir and favipiravir, sedation meds, test kits, and PPE. I brought up the fact that the real issue is sending our doses of the AZ vaccine that we now have on the shelf. The issue is that we keep saying that we will do this when we are confident that we will be able to vaccinate all Americans. However, this is somewhat contradictory since we have already publicly said that we have enough vaccine from Moderna and Pfizer to vaccinate everyone in the country who needs to be vaccinated. And so, it is clear that we're not going two need the AZ vaccine. Thus, why not send it off to India and other countries as soon as possible? Jeff and Natalie agreed and we will push this agenda soon. Release today! - National Security Advisor Jake Sullivan spoke by phone today with National Security Advisor Ajit Doval, expressing deep sympathy for the people of India following the recent spike in COVID-19 cases. Mr. Sullivan affirmed America’s solidarity with India, the two countries with the greatest number of COVID-19 cases in the world. Building on the seven-decade health partnership between the United States and India —including battles against smallpox, polio, and HIV — they resolved that India and the United States will continue to fight the global COVID-19 pandemic together. Just as India sent assistance to the United States as our hospitals were strained early in the pandemic, the United States is determined to help India in its time of need. To this end, the United States is working around the clock to deploy available resources and supplies. The United States has identified sources of specific raw material urgently required for Indian manufacture of the Covishield vaccine that will immediately be made available for India. To help treat COVID-19 patients and protect front-line health workers in India, the United States has identified supplies of therapeutics, rapid diagnostic test kits, ventilators, and Personal Protective Equipment (PPE) that will immediately be made available for India. The United States also is pursuing options to provide oxygen generation and related supplies on an urgent basis. The U.S. Development Finance Corporation (DFC) is funding a substantial expansion of manufacturing capability for BioE, the vaccine manufacturer in India, enabling BioE to ramp up to produce at least 1 billion doses of COVID-19 vaccines by the end of 2022. Additionally, the United States is deploying an expert team of public health advisors from the Center for Disease Control (CDC) and USAID to work in close collaboration with the U.S. Embassy, India’s health ministries, and India’s Epidemic Intelligence Service staff. USAID will also quickly work with CDC to support and fast-track the mobilization of emergency resources available to India through the Global Fund. I had an important zoom meeting today with Larry Corey an Emilio Emini about the same subject as above , namely, how the United states can play a major proactive role in getting mRNA vaccines to the developing world. In our discussion, it became clear that there are immediate needs as mentioned above; however, there is also the immediate need of getting vaccine doses to lower and middle income countries. The United states could exert leadership in pressuring Moderna and Pfizer to scale up their vaccine production and sell it two developing nations at cost for production which is approximately $6 per dose as compared to the $30 produced that we are currently paying here in the developed world. Apparently there are liability issues that the pharmaceutical companies are concerned with. These revolve around the fact that although the United States government can indemnify the companies against lawsuits here in the United states the companies feel that they are liable to being sued for adverse outcomes by people in the countries to whom they're providing vaccine. Some mechanism needs to be worked out to address this concern. I have asked Emilio and Larry to put a one pager together summarizing our discussion so that I can bring it to Jeff who could bring it to Ron Klain who could bring it to the president. More later. Breakthrough infections are very rare: NEWS CLIPPING — WASHINGTON POST — CONDENSED (3 SOURCE PAGES) “Front page of the Washington Post had a major article on the drastic situation in India and reported on the universal criticism there is of the United states in not doing something about it right…” He’s generally cautious, and the people constructing scorecards of his correct and incorrect predictions disingenuously conflate him with Oscar-pool contestants placing bets on best supporting actress. Fauci wasn’t making wagers, wasn’t saying sooths. He was giving his best educated guesses, based on what was knowable at that juncture. His guesses evolved as his — and our — education improved. Informed guidance like his is better than no guidance at all, and information isn’t static. Over three and a half decades as the director of the National Institute of Allergy and Infectious Diseases, Fauci, now 80, has advised and earned the trust of Republican and Democratic presidents. He managed somehow to correct Trump and yet not be replaced with a sycophant who would have fed the former president’s delusions and further endangered Americans’ lives. That’s more than public service. That’s magic. And he was thanked for it with death threats, issued not just to him but also to his family, and with a piece of mail that, when he opened it, sprayed an unidentified white powder all over him. He sat there covered in it while a hazardous materials team swept in. “My wife and my children were more disturbed than I was,” he told The Times’s Donald McNeil in an interview in January. “I looked at it somewhat fatalistically. It had to be one of three things: A hoax. Or anthrax, which meant I’d have to go on Cipro for a month. Or if it was ricin, I was dead, so bye-bye.” Why didn’t he say bye-bye to this awful role and the nonstop vitriol, given how much he’d contributed to the country from the AIDS epidemic onward and given that most 80-year-olds like him are taking it just a tad easier? “I always felt that if I did walk away, the skunk at the picnic would no longer be at the picnic,” he told McNeil, referring to his ability to challenge the happy talk of Trump administration officials who wanted simply to wish the coronavirus away. “Even if I wasn’t very effective in changing everybody’s minds, the idea that they knew that nonsense could not be spouted without my pushing back on it, I felt was important. I think in the big picture, I felt it would be better for the country.” He felt correctly. That assessment would be self-aggrandizing only if it weren’t true, just as his many media interviews would smack of preening if there weren’t such clear educational purpose to them. The key to his temperament — and to the greater measure of humility than of hubris in it — lies in how, even now, he talks about Trump. Although Fauci has ample cause for venom, there’s little trace of it in his words. He faults Trump without mocking him. That shows a discipline that’s rare. I never achieved it. Sure, Fauci won a $1 million prize, but he didn’t agitate for it, and there isn’t a doubt in my mind that during many points over the years, he could have left government for the private sector, traded on his stature and connections, and become an exponentially wealthier man. He refrained from that as surely as he has from the pettiness that most of the rest of us can’t resist. “He has no other ambition or agenda than the health of the country and world,” wrote the Washington Post columnist Michael Gerson, who, as a senior official in the George W. Bush administration, became acquainted with Fauci. I understand — and personally feel — any American’s frustrations with the continued caveats regarding masks and gatherings and such. But it’s Fauci’s mandate to urge the safest possible behavior. I understand how maddening it can be to get different answers at different times. But uncertainty is the nature of this beast. I don’t understand the rage at a remarkable public servant, and I’ll let Gerson have the last words on that. “Fauci is practicing epidemiology,” he wrote. “His critics are practicing idiocy. Both are very good at their chosen work.” April 26, 2021 – Global – 146,800,000/3,100,000; USA – 31,900,000/569,300 I had an interesting conversation with Vivek late last night. He called me up after we had a meeting with Jeff and the medical team concerning the guidelines that the CDC was about to put out regarding the wearing of masks outdoors as well as indoors in vaccinated versus unvaccinated people. Vivek was concerned about something that I had been concerned about for a long period of time. That is the CDC often puts things out that none of us can really adequately defend because it is either unclear or just does not make any sense. This is exactly what happened last night when Rochelle presented a color-coded guideline that no one could really understand . Yet, the CDC was about to put it out. To her credit, Rochelle ran it by the medical team. Rochelle is in a difficult position since she is new in the job and is reluctant the contradict her team which has been in place for decades. That is really the fundamental problem of the CDC. For as long as anyone can remember they are isolated in Atlanta, are extremely arrogant, and are offended if anyone on the outside asks to see their material before they actually put it out. They are very close-to-the-vest. I have known this for some time as have my colleagues here at NIH. However, it is interesting and in some respects gratifying that Vivek has now picked that up on his own and fully realizes the problem. • Did Town Hall with the Harvard T.H. Chan School of Public Health led by Sam Baker of Axios and included Mary Bassett, Karen DeSalvo, Garth Graham, and Michael Mina • Did Principal’s meeting with Cabinet. Had a wonderful zoom session with President Obama - I was on a zoom one on one discussion with President Obama for the purpose of encouraging people to get vaccinated. He was his typical engaging and highly intelligent self. Similar to what my experience was when he was in the White House, he had a perfect grasp of all of the details surrounding vaccines. It just reminded me of what an incredible person he is and what an amazing president he was. We joked around a lot about what I had gone through over the last year. I even mentioned to him that during an interview with some of the sports reporters I had mentioned that if I went one on one with him in basketball even though he is very tall and has a great jump shot, I still would be able to dribble around him since I'm so fast. He started to laugh and said that I better stop talking trash to him because now he's mad and if we ever get to play together he'll block every one of my shots. The interview was really a terrific experience. PRESS: Newsy TV Interview with Kellan Howell; NBC TV interview with Lester Holt for the Aspen Institute Online; April 27, 2021 – Global – 147,500,000/3,100,000; USA – 31,900,000/569,800 Coming down. 2nd day in a row in the 30s: PRESS: Sanjay Gupta podcast; IAS Podcast on 40 years of HIV; White House Press Conference (spoke on variants); WTOP Radio with Megan Cloherty; NY Times Editorial Board; NPR – “All Things Considered” with Mary Louise Kelly; Windy City Times interview – 40 years of HIV; Interview for Research!America with Opray Winfrey; MSNBC with Chris Hayes; April 28, 2021 – Global -148,300,000/3,100.000; USA – 32,000,000/570,400 Letter to Dr. Collins from Republican Congressmen Cathy McMorris Rodgers, Brett Guthrie, and Morgan Griffith asking many questions about the origin of SRAS-Cov-2. Clearly trying to dig up dirt and implicate the NIH in collaborating with the Chinese leading somehow (???) to the release or escape of SARS-CoV-2 from the Wuhan lab: SKM_C754e2104280 6490.pdf I am starting to put much more pressure publicly on pushing for a global response to the pandemic by urging us to help low and middle income countries with focus now on Indias. See today’s Washington Post: Covid-19 live updatesGlobal pandemic needs a more global response, Fauci says, amid record-breaking deaths in India Latest: How to access the risks of returning to the gym The Fauci “thing” is as thick as ever: • Francis and I were on a Zoom call with Stephane Bancell (CEO of Moderna) and Stephen Hose (President of Moderna). We discussed two things: the fact that we felt that Moderna should be doing more to provide vaccine for low and middle income countries. We wanted them to help out by transferring their technology two nations such as Senegal , Ethiopia, and countries in South America in order to allow those countries to make vaccines for themselves. They felt that this is something that they would likely do but that it would take at least two years for those countries to stand up their plants even if the technology was transferred. Their idea was a two-pronged approach. First, they are ramping up their capability of producing vaccine and by the end of 2022 they feel that they will be able to produce a total of 3 billion doses. They would be happy to make those doses available at a lower tiered price to the developing world. In addition, they agreed that they would participate in a longer range plan to transfer technology 2 low and middle income countries to make their own vaccine. In addition, Frances and I spoke about the patent dispute between the NIAID Vaccine Research Center and Moderna. The story is that the lawyers of Moderna feel that the VRC people such as Barney Graham an others technically should not be inventors on the patent for the discovery of the vaccine. We strongly disagree with that an as a matter of fact so do Stephane and Stephen. they realize that it is unfair to exclude us from the patent; also it would be a public relations disaster for them if they excluded us. They promised that they would get this resolved soon. It is clear that Pfizer can do the same thing. In fact, Pfizer can likely produce 3 billion doses by the end of this year and even more next year . If this is possible which I believe that it is, then we could probably vaccinate the entire world that wants to be vaccinated within the next year and a half. PRESS: NBC “Today” with Savannah Guthrie; CNN with Jim Sciutto; Vaccines Appear to Wall Street Journal – Robbie Whelan - Be Slowing Spread of Covid-19 Infections With more than 37% of U.S. adults fully vaccinated, Anthony Fauci expects case numbers to drop significantly April 29, 2021 – Global -149,200,000/3,100,000; USA – 32,000,000/571,300 MMWR: Linked Clusters of SARS-CoV-2 Variant B.1.351 — Maryland, January–February 2021 Back up again to 53,000/day: • Did a zoom podcast interview with Quinn Bradlee (son of Sally Quinn and the late Ben Bradlee). He is disabled and Sally asked me to do this. I could not refuse since I admired Ben so much and he was always so gracious and kind to Chris and me. He was so excited to have the opportunity to interview me. Important Issue: Francis Collins forwarded an email to me (see below )which triggered a concern about whether the Indian variant – B.1.617 was resistant two antibodies induced by vaccines. I forwarded this email to the medical team including Jeff Zients and Rochelle Walensky. Rochelle called me up and mentioned that her colleagues in Boston including those at the Broad Institute as well as Dan Barouch were finding that the Indian variant could be very problematic with regard to its resistance to vaccine induced antibodies. In addition, I spoke with Bob Seder and the work that he has been doing with monkeys also indicates that B.1.617 could be very problematic. Then, Jeff Zients called me up together with Natalie Quillian and feels that we should call a temporary halt on travel from India until we sought this out and based on the information that I sent him. This is a critical decision since if we don't block travel from India and things look bad later on we will be sharply criticized for not doing so. However , if we do block travel, there will be those who criticize us for doing so. This is very similar to the deliberations that we had during the Trump administration regarding China, the Eu and the UK. SEE E-MAILS BELOW starting with the e-mail that I sent to the medical team of Walensky, Vivek, Bechara, Slavitt, Zients, Nunez-Smith. (Rochelle subsequently forwarded it to Dawn O’Connell at HHS) Team: Please see e-mail below from Dr. Venkatachalam to Francis Collins. Although this is still at the level of anecdote, I am hearing from people who are doing studies in vitro that the B.1.617 variant is at least as concerning as the B.1.351. We should discuss this at our next meeting. Best, Tony Anthony S. Fauci, MD Director National Institute of Allergy and Infectious Diseases Building 31, Room 7A-03 31 Center Drive, MSC 2520 National Institutes of Health Bethesda, MD 20892-2520 Phone: (301) 496-2263 FAX: (301) 496-4409 E-mail: afauci@niaid.nih.gov The information in this e-mail and any of its attachments is confidential and may contain sensitive information. It should not be used by anyone who is not the original intended recipient. If you have received this e-mail in error please inform the sender and delete it from your mailbox or any other storage devices. The National Institute of Allergy and Infectious Diseases (NIAID) shall not accept liability for any statements made that are the sender's own and not expressly made on behalf of the NIAID by one of its representatives. From: Collins, Francis (NIH/OD) [E] <collinsf@od.nih.gov> Sent: Thursday, April 29, 2021 5:56 AM To: Fauci, Anthony (NIH/NIAID) [E] <afauci@niaid.nih.gov>; Lane, Cliff (NIH/NIAID) [E] <clane@niaid.nih.gov>; Mascola, John (NIH/VRC) [E] <jmascola@mail.nih.gov>; Erbelding, Emily (NIH/NIAID) [E] <emily.erbelding@nih.gov>; Wholley, David (FNIH) [T] <dwholley@fnih.org>; Menetski, Joseph (FNIH) [T] <jmenetski@fnih.org> Subject: FW: Concerning news about the B.1.617 variant from India and your view More concerns about B.1.617 and the effectiveness of vaccines. From: Venkatachalam, Sundar (NIH/NCI) [E] <sundar.venkatachalam@nih.gov> Sent: Thursday, April 29, 2021 4:53 AM To: Collins, Francis (NIH/OD) [E] <collinsf@od.nih.gov> Subject: Concerning news about the B.1.617 variant from India and your view Dear Dr. Collins, I hope this message finds you and your family well. I wanted to bring to your attention about a public health like message circulating among the Indian diaspora in the New Jersey area. Apparently, parents visiting from India who tested negative before their flight in India have come down with Covid (the message claims it is the B.1.617 variant from India) after 10 days. They have also visited a variety of get togethers, temples before the symptoms arose. This variant was detected in the Bay Area earlier this month and the CNBC article quotes Dr. Pinsky from Stanford saying that the variant may be a challenge. More concerning is the news from a friend of mine from Texas who says that two IT professionals who had both their shots in the US were visiting India to take care of their parents (infected with Covid). Unfortunately, the vaccinated IT professionals have died of Covid. He has promised to provide details as I have been skeptic of social media posts without backing. NPR also had a story yesterday that said 37 vaccinated doctors in Delhi have come down with Covid in New Delhi but did not say anything about their condition. As you already know that the daily caseload reported in India during the past 4-5 days has been ~200 to 300K and is probably closer to half a million or a million given the infrastructure and access to health. Even as early as last year I have suspected the numbers from India were being manipulated (see attached PDF) while looking at the Worldometer Covid update site. Sadly, I am speaking of the country I was born in and grew up- but cannot relate to or understand her values anymore. I was wondering if we are running the risk of another wave of infection in the US as hundreds (if not thousands) are flying between the US and India daily. I see that ~30% of the US population is fully vaccinated as of today and 43% have received a single shot -an enormous success by any rate in this short period. However, is it a risk, as we relax the guidelines in the US while allowing new variants enter and circulate in the community with more than half the population yet to be vaccinated? We have come this far and I really hope this sad episode does not repeat again. Sadly, there are folks within and outside our country who are waiting to use any opportunity to blame NIH/science and our president. I have lost sleep thinking of it since I saw the news circulating and thought that you or Dr. Fauci could provide an answer. I apologize for this long email. Sincerely, Sundar Sundar Venkatachalam, Ph.D. Chief, Preclinical Therapeutics Grants Branch Developmental Therapeutics Program Division of Cancer Treatment & Diagnosis National Cancer Institute sundarv@nih.gov BioNTech chief confident Covid jab will work on variant found in India VISIT TO BALTIMORE WITH VP HARRIS - Today I went to Baltimore at the invitation of Vice President Harris to accompany her to the M&T Bank stadium where the Baltimore Ravens football team plays. The stadium has served as a mega hub and mass vaccination site for the administration of vaccines in the city of Baltimore. It was a delightful trip strengthening my relationship with the vice president. She was her usual delightful self and as we walked through multiple sections of the indoor component of the stadium, we passed hundreds of people: people waiting to be vaccinated by the hundreds; people already vaccinated being observed; national guard who are helping with the vaccinations; and a wide array of sections of people vaccinating , entering information into a computer, and a pharmacy dispensing the vaccine. As we walked through the different sections people equally screamed out “we love you Doctor Fauci” and “we love you Vice President Harris. We stopped dozens of times to take selfies with a whole variety of people. The vice president was genuinely pleased to see the attention paid to me as well as to her. She is a real winner. PRESS: NBC interview with Heid Przybyla on the role of the VP in outreach to promote the uptake of vaccines; Italian TV La7 News; much press related to the visit to the VP to Baltimore. Joe Rogan walks back anti-vaccination Axios - comments April 30, 2021 - Global – 150,100,000/3,200,000; USA - 32,100,000/572,200 We shut down travel from India – See above. Travel from India will cease for all non-USA citizens. Will start on Tuesday May 4. I am concerned that by delaying the actual shutting down we will be faced with the same situation that we faced with China and the European Union. In those circumstances there was a rush of people trying to get to the United states who are noncitizens, and so a large number of people who were likely infected in fluxed to this country. • Senator Lindsey Graham has written 2 letters to me telling me that I must go to the border and see the seriousness of the situation since I am the chief medical advisor to the president. Obviously this is a political ploy to embarrass president Biden. I just wrote back to senator Graham and told him that my job is to develop vaccines and drugs and to be involved in strictly medical issues, and that the border problems are the CDC, the Department of Homeland Security, or the Department of State. PRESS: Interview with India Express (print); White House Press briefing (discussed 2nd shot); Canadian Broadcasting Company (CBC) – TV; Fireside Cat Online with Canadian Genomic Forum; WBUR (NPR) – “On Point” with Meghna Chakrabarti; Instgram with Eva Longoria; Local TV for Memphis, TN and New Orleans, LA; Institute), Torrian Baskerville of NASTAD, Edward Bitarakwate, Uganda Country Director for EGPAF, and Joyce Ouma of National Empowerment Network of PLWH in Kenya, and Maureen Goodenow of OAR Had usual Zoom meet with Sec Becerra. I informed him of Novovax results. Had SCIF meeting with Deputies regarding global distribution of vaccines PRESS: Andy Slavitt tweets a strong defense of me; Health Care Radio Interview June 15, 2021 – Global – 176,000,000/3,800,000; USA – 33,300,000/598,000 Cases continue to come: PRESS: NBC “The Tonight Show” with Jimmy Fallon June 16, 2021- Global – 176,000,000/3,800,000; USA – 33,300,000/600,000 Bob Redfield is out there spouting incorrect information saying that he feels strongly that this was a virus that leaked from a laboratory. The basis of his saying this is that he feels that the virus was so well adapted to humans right from the beginning that it had to have leaked from a lab. Any respectable virologist would know that this is total nonsense since the virus clearly could have jumped species as a less efficient spreader and causer of serious disease and had been circulating in the human population beneath the radar screen gathering efficiency in transmission and pathogenesis until it was finally recognized in the middle of December of 2019 when many people were getting seriously ill. This is the way viruses evolve from nature. In fact, we are still seeing that to this day in what we are currently experiencing in that variants are developing greater capability of spreading and gaining even greater pathogenesis. Another example of Bob Redfield being dead wrong. I am surprised and disappointed that he is out there spouting such nonsense. I guess that he wants to feel relevant now that he is no longer CDC Director. Email of support fro Michel Kazatchkine: From: Michel Kazatchkine <contact@michelkazatchkine.com> Date: Wednesday, June 16, 2021 at 9:54 AM To: "Lane, Cliff (NIH/NIAID) [E]" <clane@niaid.nih.gov> Subject: Tony Dear Cliff, Hope you are well. As many these days, I am looking forward very much to America being back in global / multilateral health! As many many people around the world, I feel deeply sorry and frustrated about the attacks on Tony. I know that his box is full. That is why I allowed myself to use your mail to convey him a message of friendship and support. Warm greetings Professor Michel Kazatchkine Special Advisor to the Joint United Nations Program on AIDS (UNAIDS) in Eastern Europe and Central Asia Senior Fellow, Global Health Center, the Graduate Institute of International and Development Studies, Geneva NEWS CLIPPING — USA TODAY — CONDENSED (1 SOURCE PAGE) “PRESS: CBS “This Morning”; ITV (UK TV); Interview with Alison Young of USA Today on lab-leak hypothesis; Interview with Yahoo Life; Did White House digital team PSA at NIH; New York Times Sway Podcast with…” Historical record of A.S. Fauci - Part 4

Global – 152,500,000/3,200,000; USA – 32,200,000/574,200 India is exploding: Good number today for the USA: Jeff called me this morning and said that it would be best for them to arrange for me to speak one on one with the president over the next couple of days concerning the India issue . I believe that this is the best way to go. • regarding the situation at the Texas-Mexico border. The congressman has an interesting problem and an issue. Apparently, people coming from Mexico to the United states who are holding valid visas are not being allowed to come in through land crossings. Most of these people are poor and cannot afford to fly in. However, the wealthier people who can fly into the United states but who are required to have a test before they get on the plane are allowed to come in. This becomes an economic issue for the border towns in the United states such as Laredo. Visa-carrying Mexicans spend about $19 billion per year in the border towns. It becomes a serious economic issue if they are not allowed in. The congressman wants my help since Homeland Security says that this is a medical issue and the congressman points out that it is not a medical issue; but it is an economic issue. I explained to the congressman that I believe that Homeland Security thinks it is a medical issue because the people who come over on land crossings do not have testing readily available to them and so given the possibility that some of them are infected, Homeland Security considers this a medical issue. My suggestion for a solution is to figure out a way to get the United States side of the border to provide rapid testing for the visaholding Mexicans as they enter the country , and if they are negative, they are allowed to enter. I promised to check with the medical adviser to Homeland Security to see if we can straighten this out. I will have our staffs connect us. • Two countries that have done things differently from us – UK and Israel. They both locked down completely until their number started to come down sharoply and then they ramped up vaccinations and now their test positivity is 0.1%. See the results below: The far right continues to accuse me of fostering dangerous gain-of-function research. The letter to the editor of the National Review refutes this: Letter to the Editor NR.pdf PRESS: Interview with Press Trust of India Washington Correspondent (print); Seattle NBC TV (on the “Fauci effect” in med schools); Science News interview with Aimee Cunningham; WBAL radio and TV (Baltimore); King TV (Seattle) – interview together with Larry Corey; Sheryl Stolberg in The New York Times: Pressure Mounts to Lift Patent Protections on Coronavirus Vaccines Dr. Anthony S. Fauci, Mr. Biden’s chief medical adviser for the pandemic, said in an interview Monday that the drugmakers themselves must act, either by greatly expanding their manufacturing capacity to supply other nations at “an extremely diminished price” or by transferring their technology to let the developing world make cheap copies. He said he was agnostic on a waiver. “I always respect the needs of the companies to protect their interests to keep them in business, but we can’t do it completely at the expense of not allowing vaccine that’s lifesaving to get to the people that need it,” Dr. Fauci said, adding, “You can’t have people throughout the world dying because they don’t have access to a product that rich people have access to.”

Global – 154,000,000/3,200,000; USA – 32,300,000/575,500 • Daily cases today at 41,000 In discussions with the medical team and with the White House comms group, I made it clear but I really do have a problem defending the ultra-conservative approach of the CDC regarding the wearing of masks outdoors. In particular, I was on an interview on the Today show with Savannah Guthrie and she pushed me on how inflexible the guidelines were for children in camp, where we have kids wearing masks all the time in 90 degree weather playing outside. I admitted that the CDC guidelines were “conservative”. Savannah try to get me to say that they were excessive but I stuck with my original characterization. We really do need to get the CDC to loosen up on some of their guidelines because our credibility is going to be attacked if we do not do that. I had a very interesting conversation with Nancy Messonnier last night. I called her up to ask her advice about how we can get some clear metrics from the CDC regarding when cities in states could start relaxing their restrictions. She surprised me by telling me that she was no longer part of the COVID response group and that she has essentially been fired by Rochelle Walensky. Something strange is going on here since it is very difficult to fire anybody in government even when they do something awful , and certainly Nancy has not done anything awful. In fact, she even thought that maybe I was involved in her removal but was very pleased to see that I did not know anything about it. POTUS announced that the USA would waive the TRIPS and lift patent restrictions!!! PRESS: NBC “Today” with Savannah Guthrie; Israeli TV; MSNBC with Stephanie Ruhle; Met with the Politico Editorial Board (on the record); Interview with The Hill with Steve Clemons; Israeli Public broadcasting Corporation; Sky News Australian TV;

Global USA Daily cases at 44,000 Incidence and vaccine coverage • US (13/100K) 1st dose 45%| 2nd 33% • UK (2/100K) 1st dose 52%| 2nd 24% • Israel (0.7/100K) 1st dose 58%| 2nd 54% The issue of the escape of the virus from the Wuhan Chinese lab is starting to heat up again. The usual cast of characters that had been bugging us about gain of function research or add it again claiming incorrectly that we have funded gain of function research for the Wuhan lab. Somehow or other they're trying to connect funding gain of function with a Chinese investigator getting infected with the spread of COVID-19 throughout the world. They seem to be hung up on the fact that they believe that we have funded gain of function research for the lab when in fact we have not. Nonetheless, they will certainly be up to mischievous behavior. In this regard Francis Collins has received an 11-page letter from right wing Republican Congress person Cathy McMorris Rodgers, cosine by congressman Brett Guthrie Ann Morgan Griffith. They have 29 questions concerning the conspiracy theory that the virus originated from the Wuhan lab. See attachment below. In addition, on March 5th I received a letter from congressman Mike Gallagher (see attachment below) with similar questions about gain of function research and the possibility of an escape of the virus from the Wuhan lab. It is inevitable that they will be hassling me about this for some time. SKM_C754e2105071SKM_C754e2105071 2531.pdf 2540.pdf • Nancy Messonnier resigns (see above) PRESS: White House press conference; Times Now Indian TV;

Global – 157,300,000/3,300,000; USA – 32,500,000/578,500 COVID Cases 05.09.21 powerpoin Cases still hanging around 30-40,000/day The anti-Fauci stuff continues with individual articles and FOX news continually implying that gain of function research funded by NIAID (which never occurred) was related to escape of virus from Wuhan Institute of Virology. Typical conspiracy theory. (see below) From Jane Whitney: Dear Dr. Fauci, Rarely are we at a loss for words. But we're hard pressed to adequately express how grateful we are for your extraordinary appearance during our season premiere of “Common Ground” last Sunday. The rave reviews for your “Human Google” pandemic database and your candor continue to roll in. But, it was your earthy sensibility that lifted the broadcast to a visceral level which resonated with so many. During this chaotic chapter when we’re trying to cope with the pandemic plus a bitterly divided country, you give people hope that leadership, integrity — and humanity -- can lift us to better days. Your friend and WaPo columnist Michael Gerson captured your gestalt when he observed that you have “no other ambition or agenda than the health of the country and the world.” Not since I interviewed former Secretary of State Madeleine Albright last summer had the phrase “national treasure” popped into my head. But, your constancy and commitment to leading our nation through the scourge of the coronavirus, warranted using that phrase again during the close of our interview. On behalf of our entire “Common Ground” team, we are especially thankful that you were willing to donate your talent and considerable time to join us for our series launch on national television • Had call with Jeff Zients who (like me) is concerned that the CDC and Rochelle are being too conservative with regard to not loosening up restrictions for people who have been vaccinated. The CDC is beginning to lose credibility. Jeff realizes this and because of my close relationship with Rochelle, he wants me to get her to understand that. She is sticking closely with the advice of her career people who are often behind the real world. • Followed up with Rochelle and told her in a fatherly advice that the CDC is loosing credibility by being so rigid with the guidelines for vaccinated people. Peter Navarro slandering me on his twitter account: PRESS: NBC “Meet the Press” with Chick Todd; ABC “This Week” with George Stephanopoulos; MSNBC with Joshua Johnson; China, Fauci and the Origins of Wall Street Journal: Covid Did the virus come from a Chinese lab funded by the celebrated doctor’s U.S. government institute?

Global – 158,700,000/3,300,000; USA – 32,600,000/579,400 Numbers coming down: • Senate HELP Hearing today with Kessler, Walensky and Peter Marks. Senators Rand Paul and Roger Marshall came at me regarding gain of function research. They obviously were trying to do the usual connecting me and NIAID with the emergence of COVID-19 from China. The questions were very accusatory and laden with agenda. This is likely a trend that will continue and could be getting more serious. PRESS: “Clubhouse” with Sanjay Gupta; Politifacts Interview;

Global – 162,800,000/3,400,000; USA – 32,800,000/583,100 May be just the weekend decrease, but the numbers are very low today – 17,700: • Had a good and interesting day at the White House today. president Biden and I teamed up to do some PSAs on vaccines. We were questioned by a number of online celebrities such as Manny MUA and “Brave Wilderness” and Jackie Aina I had a good time with the president as we joked around about a number of things. He teased me then I have my own television show since I am on TV almost all the time. Then he sincerely thanked me for everything that I have been doing with regards to COVID-19. • Fringe press such as “Pulse Nation” starting to scale up on conspiracy theory rhetoric about GOF. • Anne Schuchat announced her retirement from CDC today. As expected, the press are trying to make something out of this that it may not be. They are suggesting that there was a rift between Rochelle and Anne and Nancy, and that is why Ann and Nancy are leaving. This is almost certainly not the case since both and Nancy have good reasons to want to leave. Both of them have been there for decades and clearly and clearly Anne wants to retire. Nancy may just be burned out. PRESS: Black New Channel (TV) with Charles Blow; Did White House PSAs with President Biden; MSNBC with Chris Hayes; PodSave America Podcast

Global USA 2nd day in a row that numbers are way down – 19,500: We are having a serious problem here in that the Public Affairs people at HHS are refusing to allow Francis to put on the NIH website an explanation about what we did with the grant associated with the Wuhan laboratory. The HHS people are misguided thinking that by explaining the grant as well as what gain of function really means we will be calling attention to the issue. They completely fail to realize that there is already intense attention paid to this issue and the legitimate press including the Washington Post and the Atlantic are asking legitimate questions and wanting to know why we are not responding. We are going to put more pressure on HHS to allow us to be able to develop a statement for the NIH website as well as provide talking points and Qs and As. It is clear that the far right has stirred this up enough that now the legitimate press is beginning to ask questions. • Received this evening at the home (Villa Firenze) of the Italian Ambassador to the USA (Armando Varricchio) the Cavaliere di Gran Croce Ordino al Merito della Repubblica Italiana – Knight Grand Cross of Order of Merit of the Italian Republic conferred (in absentia) by Italian President Sergio Matarella We have a long and difficult conversation with the HHS people over the phone last night. Francis, Larry and I along with others on the NIH team discussed with the HHS team led by the new ASPA Sarah Lovenheim and Ian Sams among others. They were very reluctant to have us put a statement on the NIH director's website concerning the gain of function issue. This is completely ridiculous since if we do not respond to the many misleading statements that are being made then it will look like we're covering things up. The HHS people do not seem to understand that. They also are reluctant for us to directly answer letters of inquiry from the GOP members of Congress who are probing around the Wuhan issue. They are a new group and very inexperienced but they can really mess things up if we don't hold our ground. We finally got them to agree to put Francis's statement on the NIH webpage; however, they're still not allowing us to proactively put out the talking points and will only allow us to do that in specific answer to questions that come in. In another amazing aspect of the discussion they were actually claiming that we should not answer the letters that we get from Congress. More later on this struggle. PRESS: Good Morning America with George Stephanopoulos; White House Press conference (I spoke on variants and vaccines); Axios Online interview; NBC News Snapchat; multiple interviews at the Villa Firenze by the Italian press in association with my “Knighthood”.

Global – 163,900,000/3,400,000; USA – 32,800,000/584,300 COVID-19 cases in USA <30,000 for 4th day in a row The “buzz” about the origins of the virus continue with multiple inquiries from the press. One of the real problems is that people are conflating whether or not we approved gain of function research for Wuhan and the possibility that the Chinese created SARS-C0V-2 in the laboratory. Whether or not one agrees as to the conduct of gain of function research, when you look at the bat viruses that was studied under the grant and compare the genetic sequences with SARS- CoV-2 it becomes clear that SARS-C0V-2 could not have come from the bat viruses associated with the grant that was funded. This obvious fact appears to get lost in the zeal of some to point fingers at us to be the cause of the problem. PRESS: Interview with The Advocate; NBC Today Show (40 years of HIV); WTOP Radio; Life Out Loud Podcast; CBS Evening News; Bowdoin University Fireside Chat; CNN “Prime Time” with Chris Cuomo

Global – 164,500,000/3,400,000; USA – 32,900,000/585,000 The White House and HHS want me to do them a favor. There is a Washington Post reporter (Annie Linskey) who is trying to write a story that the CDC is taking on a much broader role of making policy and giving guidelines when in the past they have been more of an advisory group. The White House and HHS want me to disabuse the reporter of this story since as a matter of fact it was only in the last administration with Trump that the CDC was diminished to just being advisory. In every other administration with which I have been involved, the CDC has always made policy and guidelines . The outlier is what happened during the Trump administration. I will try to set the record straight in discussing with a Reporter. There is really an organizer effort to discredit me. This truck was seen on the streets of DC: Eric Lander confirmed as Head of OSTP Cases starting to come down in India: • I had a very interesting day today in that I accompanied first lady Jill Biden to Children's Hospital National Medical Center in Washington DC where we both visited the clinics that were vaccinating children from 12 to 15 years old. Doctor Biden specifically asked that I accompany her. After we toured the clinic, Doctor Biden and I gave a joint press briefing. Interestingly, most of the questions were directed to me • The inappropriate trolling continues. The most recent of which is someone tweeting that Christine Grady is responsible for pushing through the vaccines towards an EUA. They are saying that she bypassed all the appropriate procedures to rush the vaccines through approval. This is getting really ridiculous as they are now involving Christine in something that she has nothing to do with. Totally shameful behavior together with the truck situation as described above. This is the slanderous inuendo: Did Fauci Fund ‘Gain of Function’ Research, Thereby Causing COVID-19 Pandemic? • Terrific profile of me in Time Magazine: https://time.com/5960529/anthony-fauciprofile/ • Jill Biden calls Dr. Fauci 'our American hero' during visit to D.C. children's hospital after he said Americans should NOT completely ditch masks PRESS: Virtual Interview with Damian Denys for the John Adams Institute (Center for American Culture in Amsterdam); Washington Post Live – with Yasmeen Abulateb; The Bloomberg Business Week; White House organized interaction with Black Press – Blavity; Black Girl Nerds; The Root; Huff Post Black Voices; The Grio with April Ryan; CNBC with Shepherd Smith

Global – 166,300,000/3,400,000; USA – 32,900,000/586,800 Cases continue to come down. All 50 states have decreases: Appropriations Hearing (Senate and House) coming up next week. Interesting to see if they fixate on the lab. Escape theory. I had a very interesting and helpful conversation today with Christian Andersen of Scripps Research Institute. He was very emphatic that the work that was done at the Wu Han Institute in Association with our grant was not gain of function . In addition he confirmed that if you match the chimeric viruses that were made in the context of the NIH grant in Wuhan, they are not even close sequence wise to the SARS-CoV-2. Christian will be writing a letter together with some data on this topic; however, I feel much better now that he is in total support of what I have been saying.

Global – 166,900,000/3,500,000; USA – 32,900,000/587,300 Numbers continuing to come down: Had typical White House press conference; briefing of “Principals”; and briefing of Sec. Becerra – Busy day Had conversation with Jon Avnet, famous filmmaker who wants to make a film about the development of the COVID-19 vaccine featuring Corbett, Graham and others. He wants my advice and help in convincing these people to cooperate in the film. Also did fireside chat with Northwest Indian federation Cases coming down now in India: PRESS: Interview with “The Monocle” – a Canadian publication; Sirius XM Radio with Marc Siegel; Interview with Ben Ryan for The Guardian. Great Opinion piece by Mike Gerson blasting the far right for slanderous attacks on me: https://www.washingtonpost.com/opinions/2021/05/24/right-is-dwellingslanderous-myths-about-origins-covid-19/

Global – 167,000,000/3,500,000; USA – 33,000,000/587,800 • We had the House Appropriations Subcommittee Hearing today (virtually). it went well except for some snarky comments by Congressman Andy Harris concerning the origin of the virus. He maintains we should never be doing any research involving China and is part of the conspiracy theory. Rosa DeLauro chaired and was wonderful. Tom Cole is Ranking Minority and was also a gentleman. Cases continue coming down: Biden and Fauci field questions on I did a Town Hall with POTUS last night: vaccine hesitancy from YouTube influencers. • FOX News on a rampage against me on every show and pushing the lab leak origin Tucker PRESS: Tucker Carlson continues with his slanderous attacks: Carlson: Fauci, the WHO, and mainstream media lied about COVID origins for more than a year. 'Virus warfare' in China military The Australian: documents The Australian Online

Friday 12:30 PM AEDT This just does not make any sense since why would someone want to make an agent that could equally infect your own population. Something is wrong with this report . I will have to follow up on it. In the meantime, senator Rand Paul has introduced an amendment to ban gain of function research in China. In the statement they say that I am a strong advocate of gain of function research, which in fact I am not. I have been very clear that it should only be done on the very special circumstances when the public health need requires it and that it needs to be done on the very restricted conditions. The complete distortion of what I have been saying continues on the part of the radical right.

Global – 167,500,000/3,500,000; USA – 33,000,000/588,400 The situation continues to get “out of control” with regard to the press reports concerning my “flip flopping” concerning the theory of the origin of the virus. I had always said that the very highly likelihood is that the virus originated naturally from an animal reservoir jumping to a human. However, over the past couple of days given the amount of speculation about the possibility of a lab leak I have been saying that no one is 100% certain of the origin including me and so I am calling for a thorough investigation. This is backed by Andy Slavitt as well as a number of other government officials. Calling for an investigation is merely to put to rest the extraordinary amount of speculation and conspiracy theories. However, this is being interpreted as Fauci flip flopping again. The far right is really amazing in their distortion of reality. • We had our Hearing today before the Senate Appropriations Subcommittee chaired by senator Patty Murray with ranking minority Roy Blount. As expected, several Republican senators got a bit snarky with me asking questions about the origins of COVID-19. In particular senator Kennedy (R-LA). In addition, Sens. Braun, Rubio and Lindsey Graham all asked questions with a hint of the conspiracy theory that somehow the Chinese let the virus escape from a lab and possibly the NIH inadvertently contributed to this by funding the lab to do research on coronavirus. This type of conspiracy theory is getting very hot and heavy of late with multiple publications promoting all sorts of theories. • One of the most recent theories is that President Biden suppressed the investigation of the Chinese. President Biden came out with a statement today explaining his position on all this. Here it is: • Statement by President Joe Biden on the Investigation into the Origins of COVID-19 •

• Statements and Releases • Back in early 2020, when COVID-19 emerged, I called for the CDC to get access to China to learn about the virus so we could fight it more effectively. The failure to get our inspectors on the ground in those early months will always hamper any investigation into the origin of COVID-19. Nevertheless, shortly after I became President, in March, I had my National Security Advisor task the Intelligence Community to prepare a report on their most up-to-date analysis of the origins of COVID-19, including whether it emerged from human contact with an infected animal or from a laboratory accident. I received that report earlier this month, and asked for additional followup. As of today, the U.S. Intelligence Community has “coalesced around two likely scenarios” but has not reached a definitive conclusion on this question. Here is their current position: “while two elements in the IC leans toward the former scenario and one leans more toward the latter – each with low or moderate confidence – the majority of elements do not believe there is sufficient information to assess one to be more likely than the other.” I have now asked the Intelligence Community to redouble their efforts to collect and analyze information that could bring us closer to a definitive conclusion, and to report back to me in 90 days. As part of that report, I have asked for areas of further inquiry that may be required, including specific questions for China. I have also asked that this effort include work by our National Labs and other agencies of our government to augment the Intelligence Community’s efforts. And I have asked the Intelligence Community to keep Congress fully apprised of its work. The United States will also keep working with like-minded partners around the world to press China to participate in a full, transparent, evidence-based international investigation and to provide access to all relevant data and evidence. • The Chinese are now upset with me about my saying that there should be an investigation: • Chinese state media is turning on Fauci amid Wuhan lab controversy • By Nectar Gan and James Griffiths, CNN

• The secretary of HHS we'll ask the Inspector General to do an audit of EcoHealth and its oversight up the subaward to the Wuhan institute of virology. I am certain that there will be some deficiencies that the IG will find as is always the case with IG audits. Certainly, whatever they find it will be misconstrued by those who want to make a case for our involvement in the outbreak. I am starting to feel that it is important for me to write an editorial or an opinion piece giving our side of the story. PRESS: FOX got hold of An article that I wrote in 2012 in mBio where I spoke about the moratorium on gain of function. They completely misconstrued it to say that I was in favor of gain of function research even if it meant the risk of a pandemic. The New York Post picked it up and their headline is : Fauci once argued for risky viral experiments — even if they can lead to pandemic By Gabrielle Fonrouge This is truly outrageous. I contemplated writing a response to fox news, but they only gave me about an hour to do so comma and when I thought about the situation, it became clear to me that they would cherry pick words from my response and turn it against me. And so I decided to do nothing. Hopefully the intensity of this will diminish somewhat over the next few days.

Global USA • Received honorary doctor of science from Bowdoin live, but virtual. I was in my home office dressed in the commencement regalia and waved to the graduates at the ceremony as I was conferred the honorary degree. PRESS: Great article in Wired about the whole controversy: The Covid-19 Lab Leak Theory Is a Tale of Weaponized Uncertainty

Global – 169,600,000/3,500,000; USA – 33,100,000/591,400 Very few cases, probably as a result of holiday weekend: June 1, 2021 – Global – 170,400,000/3,500,000; USA – 33,100,000/591,500 A couple of interesting things today. Did the governor's call or I spoke about the possible need for boosters. In addition I had an interesting podcast with Chelsea Clinton . She is really a very nice person, much sweeter than I anticipated. Also had our usual weekly meeting with secretary Becerra. Also, we had an important meeting with the deputies in the SCIF to discuss the broad plans for the government’s response to COVID-19 including sharing vaccines with other nations. • I am absolutely furious today because the print version people of the National Geographic film group has published the list of my statements and words of wisdom in a book which they are claiming was written by me. It is listed in Amazon and Borders Books as a book “by” Anthony Fauci. This has triggered the usual frenzy from the far right crazies on social media saying that I am a hypocrite making a lot of money on the pandemic. Many of ask how much royalties I am making from the book. I have gone ballistic big demanding of the Nat Geo people that they correct this publicly and make it very clear that I did not write this book nor am I getting any royalties from it. When I allowed them to use my words from former speeches and commencement addresses, I assumed that they were going to use this merely as promotional material for the documentary. The fact that they made this into a book that they are selling in my mind isn't egregious violation of trust and collegiality. I am not going to cooperate at all in the promoting of this film. • In a Buzzfeed analysis of emails of mine that were FOIA’d, there is an email from me to Morgan Fairchild which clearly demonstrates that in February I was warning about the possibility of a global pandemic in contrast to what people are accusing me of, namely, saying that there was no risk to us. This is a very important email: PRESS: Jasmeen Abutaleb and Damien Paletta’s Washington Post article about my emails: https://www.washingtonpost.com/politics/interactive/2021/tony-fauciemails/?no_nav=true&tid=a_classic-iphone CNN with Elizabeth Cohen; Wisconsin NPR radio; June 2, 2021 – Global – 170,800,000/3,600,000; USA – 33,100,000/592,200 • I gave a taped speech today to the opening session of the G7 meeting taking place in England. I spoke about the similarities between the COVID-19 pandemic and the HIV aids pandemic. I called upon all partners to collaborate and to continue to support science. Secretary Becerra is representing the United states at the health component of the G7 meeting. Also, in line with my participation virtually in the G7 meeting , I took part in a discussion on the G7 global vaccine confidence summit. It was a discussion together with John Nkengasong, the director of the African CDC moderated by Vivienne Parry. We discussed the issue of vaccine hesitancy in various countries throughout the world particularly in the United states and in southern Africa. Nat Geo film people are also very upset about the shit storm caused by the book people and have come out with a statement that it is their book, not mine and I have not received any royalties or other payments from the book or the documentary. Unfortunately, the damage is already done. • Met with POTUS and VPOTUS in Oval with Jeff Zients and Natalie Quillian. I discussed with him the mechanisms and implications for the mRNA vaccine platform technology. He was very grateful for the discussion and as usual vice president Harris asked excellent questions. He told the story that when he was at Rehobeth beach in Delaware with his family, three burly MAGA-type men approached him and started trash talking him. The Secret Service were very discreet and did not want to make a scene; however his daughter Ashley jumped in front of them and started screaming at them to stay away from her father. The lesson of the story was that young women have more guts and fire then certain Secret Service agents. PRESS:The story on my emails is in the print version of the Washington Post this morning; Month of Action (promo video); Podcast with the George Bush Foundation – All the Best with Sam LeBlond; WGN Donilon Report (Leland Vittert) – was not the original person to interview me and attacked me about e-mails and Wuhan; NPRE “Science Friday” with Ira Flatow; Time Health Summit Interview by Alice Park with Stephjane Bancel; Time Children’s Interview; NBC Nightly News; MSNBC with Nicole Wallace; CNN defends me on the e-mails issue: Thousands of emails from and to Fauci during the pandemic's early days were published. Here's what they show about him By Christina Maxouris and Paul LeBlanc, CNN Updated 6:01 PM ET, Wed June 2, 2021 June 3, 2021 – Global – 171,300,000/3,700,000; USA – 33,100,000/592,800 Numbers continue to come down: • Writeups by CNN and Washington Post regarding my emails are making me look very good. They show that I never criticize president trump and that I am always very courteous and measured in my responses. Even with that the crazies such as senator Rand Paul are saying things like “I told you so “, implying that my emails are validating what they have been saying about me. Total nut cakes! The right-wing fringe social media are ablaze with anti-Fauci stuff • while all this is going on, incredibly the far right maniacs in certain states such as Arizona are trying to yet again force an unvalidated recount in an attempt to still overthrow the election and reinstate Trump. What is happening to our country ???? PRESS: CNN “New Day” with John Berman; MSNBC – Morning Joe; The alleged Fauci ‘smoking gun’ Washington Post: emails By Aaron Blake Senior reporter June 3, 2021 at 12:42 p.m. EDT In any case, like most data dumps that have careful redactions, the Fauci email trove has no smokinggun evidence of wrongdoing. You could make the case, as I and others have, that Fauci had certain prejudices and dispositions that were deeply unhelpful in his leadership of the pandemic response — and you’ll find evidence of those here. He had a very strong bias against existing drugs and for new and experimental ones. He has been slippery on masks and clearly was willing to say things in public that he thought “helped” the response even if they weren’t strictly true. Trump tears into Fauci after release of New York Post: early COVID emails By Mark Moore The Health 202: Five takeaways from Washington Post: Fauci's email exchanges By Paige Winfield Cunningham Reporter June 2, 2021 at 8:30 a.m. EDT with Alexandra Ellerbeck Early in the coronavirus pandemic, Anthony S. Fauci expressed skepticism that deaths in the United States would top 500,000. He called the public’s fascination with him “surrealistic.” And he assured China’s top public health official that “We will get through this together.” Hundreds of pages of emails obtained by The Post and BuzzFeed News through Freedom of Information Act requests confirm the way Fauci is already viewed by many — as diplomatic, tactful and responsive to inquiries from the public, a quality which often kept him up late at night answering emails. “The correspondence from March and April 2020 opens a window to Fauci’s world during some of the most frantic days of the crisis, when the longtime director of the National Institute of Allergy and Infectious Diseases was struggling to bring coherence to the Trump administration’s chaotic response to the virus and President Donald Trump was seeking to minimize its severity,” The Post's Damian Paletta and Yasmeen Abutaleb write. “Fauci’s actions during that period and beyond remain an intense focus for many Americans and political leaders,” they add. “During daily televised briefings at the White House, Fauci emerged as an at times reluctant — and polarizing — media star: To Trump supporters, he was a contrarian who seemed to undermine the president at every turn, while others viewed him as a reassuring voice of reason.” “The emails show that he was inundated with correspondence from colleagues, hospital administrators, foreign governments and random strangers — about 1,000 messages a day, he says at one point — writing to seek his advice, solicit his help or simply offer encouragement.” Here are five takeaways from Fauci’s emails. 1. Fauci stayed far away from any Trump-bashing. Trump blasted the public health expert throughout the pandemic, at one point threatening to fire him after the November election. And from time to time, Fauci would criticize the administration's response in interviews, although almost always indirectly (in October, he told The Post the country needed an “abrupt change” in public health behaviors). In Fauci's correspondence, he was even more circumspect. In April 2020, Marc Short, Vice President Mike Pence’s chief of staff, emailed Fauci about some apparent crossed wires before Easter Sunday. At the time, Trump was starting to butt heads with public health officials as he tried to move on from the pandemic. “You correctly noticed the symptoms but misdiagnosed the root cause,” Short wrote in a heavily redacted email that closes: “Apologies for a poor poker face.” Fauci responded: “Thanks for the note. Understood. I wish you a peaceful and enjoyable day with your family.” In another exchange, a former acquaintance wrote to Fauci that “The leadership from the top is utterly lacking and incompetent and dangerous to the American people.” “Thank you for your note,” Fauci wrote back. “I hear you!” 2. Fauci didn't like the public adoration. “Our society is really totally nuts,” Fauci wrote in an email he forwarded, which included the link to an article titled “'Cuomo Crush and Fauci Fever' — Sexualization of These Men Is a Real Thing on the Internet.” On March 31, a colleague at the National Institutes of Health sent Fauci an article from The Post with the headline, “Fauci socks, Fauci doughnuts, Fauci fan art: The coronavirus expert attracts a cult following.” “Truly surrealistic. Hopefully, this all stops soon,” Fauci replied. In another note, he added: “It is not at all pleasant, that is for sure.” 3. Fauci accepted a sort-of apology from the director of China's public health agency. George Gao, director of the Chinese Center for Disease Control and Prevention, had been quoted in Science magazine as saying the United States was making a “big mistake” by not telling people to wear masks in spring 2020. Gao, who has long been friends with Fauci, reached out personally to clarify his remarks. “I saw the Science interview, how could I say such a word ‘big mistake’ about others? That was journalist’s wording. Hope you understand,” Gao wrote to Fauci in a March 28 email. “Lets work together to get the virus out of the earth.” “I understand completely. No problem,” Fauci wrote back. “We will get through this together.” 4.Fauci defended himself to colleagues. In April 2020, prominent oncologist Ezekiel Emanuel wrote to Fauci that he was “perplexed” by his “seeming strong endorsement” of remdesivir. Fauci had publicly praised the antiviral drug, which had appeared effective in treating coronavirus patients. “Was it just a bit forced?” Emanuel wrote. “My reading was the data was weak and in normal times for normal disease it is not enough to approve. And very unlikely to really impact COVID-19 disease pattern- -regardless of supply issues.” Fauci resisted the characterization, replying that he didn't “'strongly' endorse it.” “I specifically said it was not a knockout drug and was only a baby step in the direction of developing more and better drugs,” Fauci wrote. “I said that it was important because it proved in a well-powered, randomized, placebo-controlled clinical trial that one can suppress the virus enough to see a clinical effect, as modest as the effect was. I do not think I forced anything.” In an email the following day, Emanuel sent another email apologizing to Fauci and inviting him over for dinner “on the porch.” In another email, Fauci pushed back against Gregg Gonsalves, a prominent Yale School of Public Health epidemiologist, after Gonsalves had appeared to insinuate that Trump was influencing him and other public health leaders. “Gregg: I am surprised you included me in your note,” Fauci wrote. “I genuflect to no one but science and always, always speak my mind when it comes to public health. I have consistently corrected misstatements by others and will continue to do so.” 5.Fauci corresponded with a wide array of people. He didn't just hear from administration and public health officials. The emails also show exchanges with members of Congress and regular citizens. Fauci certainly didn't answer every single email he received, but the tranche shows he made an effort to respond amid the many demands on his time. “The medical director of the National Football League Players Association asked Fauci for a confidential briefing on how to safely start the next NFL season,” Damian and Yasmeen write. “A documentary filmmaker working on a forthcoming Disney-backed biopic asked to ride along as Fauci drove to work. An adviser to Microsoft co-founder Bill Gates expressed concern about Fauci’s health. And a senior House Republican told Fauci to ‘keep being a science truth teller’ despite skepticism about the virus from other GOP lawmakers and Trump himself.” “I was getting every single kind of question, mostly people who were a little bit confused about the mixed messages that were coming out of the White House and wanted to know what’s the real scoop,” Fauci said in a recent interview. “I have a reputation that I respond to people when they ask for help, even if it takes a long time. And it’s very time consuming, but I do” respond. Thousands of emails from and to Fauci during the pandemic's early days were published. Here's what they show about him While many federal government staffers prefer the phone to email, this correspondence offers a rare glimpse into Fauci's frantic schedule and polite, to-the-point demeanor during the time he emerged as a rare source of frank honesty within the Trump administration's Covid-19 task force. But they also reveal the weight that came with the role. By Christina Maxouris and Paul LeBlanc, CNN June 4, 2021 – Global 171,800,000/3,700,000; USA – 33,100,000/593,400 • I had my usual every two-week meeting with my English colleagues doctor Chris Whitty and Patrick Valance. The discussion was somewhat disturbing since they seem to be having 2 issues simultaneously in the UK. They were controlling the B.117 variants very well and were preparing to open up. however, the B.1. 617variant appears to be much more effective in transmitting than the B.117. and so they are experiencing a surge of the B 617. They were planning to open up the country , but now they are having second thoughts since they are afraid that the new variant will create a second major surge for them. I will bring this up to our own medical team since we do have a low level of B.1.617 in our own country and if a certain proportion of people (mostly in the red states )do not get vaccinated, we may be faced with the same problem that the Brits are facing. • The onslaught against me but the radical right continues. The right wing press is intensifying their attacks on me as well as the right wing congressman and senators. some of the valid press such as the Washington Post , the LA Times , and others are calling out the lies of the far right. POTUS defends me: Kyle Griffin @kylegriffin1 Pool report: Biden left the room to a shouted question regarding whether he has confidence in Dr. Fauci. Suddenly, POTUS's head peeked around the corner, and he answered: "Yes I'm very confident in Dr. Fauci." 6/4/21, 11:30 AM • I did a kickoff event for the month of action – “We can do this”. I did it together with congressman Cedric Richmond who is director of the office of public engagement. We address the people who will be the trusted messengers going out into the community to try and encourage people to get vaccinated. Very important and very strange briefing of me by the CIA in the NIH SCIF this afternoon (5:00 PM). I received an extremely strange an unexpected briefing today by the CIA related to the origin of the virus. Beth Cameron from NSC was listening in on one of the other screens. And as it turns out she was as baffled as I was by the briefing. It was very similar to some of the very disappointing briefings that I had previously received in prior years from the CIA. A young woman whose name was Camille Hartman gave most of the briefing. She was accompanied by what was probably the senior male CIA person and another young woman. Camille in my mind was almost pathetic in her naivety an obvious lack of appreciation of any of the science of what she was talking about. She gave instances of things that she said were gotten by CIA intercepts of conversations in China, particularly in Wuhan. her major point was that she feels but the Chinese have not been transparent about what was going on in their labs since there were no reports publicly of what they found out from intercepts. This included the transfer of Pangolin viruses from a group in Beijing two Wu Han. They felt that this was being used in a study using transgenic mice. I have no idea why this was any great concern to them since it would be perfectly natural for a lab that studies coronavirus to look at Pangolins. In addition, she spoke about the observation that WIV was sampling Pangolins and several members of WIV took a trip to obtain Pangolins. They also spoke about the fact that they have information from sources that unknown experiments well conducted by the military in Wu Han. The thing that blew me away about how naive and uninformed they are was the fact that they mentioned that they had word that in July of 2020 there was a super spreading event in China related to passage of virus in the laboratory. This astounded Beth and I for the same reason. Why would they suspect that a super spreading event that occur in the middle of a major outbreak in China was related to the passage of virus in the laboratory? The naivete of the briefing stunned both Beth and me. Also, in the matter in which she was asking me questions almost made me believe she was grilling me prompting me to say somewhat tongue in cheek whether I should have a lawyer with me. I got on the phone with Beth immediately after the briefing and she was very upset saying that she was going to check up the chain who and why this briefing was called and why there was no forwarding material to prepare us for what they were doing. There is something very fishy about all of this. PRESS: BBC Radio; White House regional press (3 stations); Mediaite: Chris Wallace Defends Fauci From ‘Highly Political’ Attacks: His Lab Leak Emails Contain ‘No Smoking Gun’ https://bit.ly/3ciVYik June 5, 2021 Global – 172,200,000/3,700,000; USA – 33,200,000/594.,000 40th anniversary of the first cases of AIDS reported in MMWR - a lot of appropriate attention is being paid to the 40th anniversary. There were several articles in the press recounting the early days and focusing on my role . I did a number of print and TV and radio interviews. The attacks on me continue to ramp up. Trump planning on blasting me during his speech tonight at a Republican party gathering. Caught in crosshairs, Fauci calls GOP PRESS: descriptions of his emails 'profoundly misleading' By Michael Warren, Kaitlan Collins, Gabby Orr and Daniella Diaz, CNN June 6, 2021 - Global - USA Today I fly up to New York City with first lady doctor Jill Biden to promote vaccinations among the African American community. We will be visiting the Abyssinian church in Harlem. The vicious assault on me continues . Most recently House Minority Leader Kevin McCarthy has called for me to be fired. What an amazing coward he is. The entire extreme right wing republican group in the House and Senate have completely sold their soul to the infinitely lying ex president trump. • I spoke with Jeff Zients this morning and he told me that Ron Klain told him that President Biden is 100% behind me (see above). June 7, 2021 – Global – 173,000,000/3,700,000; USA – 33,200,000/594,800 • Eventful day - I went to New York today with first lady doctor Jill Biden for two reasons: 1st )to visit the Abyssinian Baptist Church in Harlem in order to thank them for setting up a vaccine clinic and to encourage them to continue to advocate for young people to get vaccinated. I flew up with the first lady on one of the Air Force planes assigned to the White House and had a great conversation with her on the plane up as well as on the plane down. She is an amazingly natural and one person with whom I believe we have now started a good friendship. The people at the Abyssinian church or extremely kind to me in saying how much they appreciated that I was there and all of them wanting to take selfies with me. We stayed at the Bowery hotel at the interface between Chinatown and the Bowery. i was surprised that we picked the hotel Since where we want to go for the TV hit the following morning was way Uptown. Brett Rowland and I had a great Italian dinner at the Primi restaurant in the Bowery. The following day the first lady and I appeared together on the Kelly Ripa and Ryan Seacrest Show (KABC). It was very lighthearted and enjoyable. Another very important aspect of the day is that as I was getting ready to take off with the motorcade from the White House on the way to Andrews Air Force Base, the president came walking down the back alley , the Secret Service called me out of the car , and the president put both his hands on both my shoulders and said “I just want to tell you that I am behind you 1000%”; and he repeated again “I am behind you 1000%.” He said “those people are crazy they have no idea what they're talking about and just don't pay any attention to them.” • Back to the dark side. Scott Gottlieb had appeared on Face the Nation and mentioned in an attempt to help me then I had actually gone to Europe in Jan/Feb. 2020 to brief health ministers about the possibility that the virus could have been constructed an escape from the laboratory. He did this to indicate that I was not hiding anything because I already knew that this was a possibility and so I didn't change my mind currently by saying that a lab leak is a possibility since I was talking about it openly back then. As it turns out, he was a little bit mixed up because on January 31st, 2020 I received a call from Jeremy Farrar who conferenced in Christian Andersen to tell me that Ed Holmes and Christian had seen a copy of the sequence of the virus and felt that there was a possibility that because of the unusual furin cleavage site that this could possibly have been a constructed virus. as indicated in my notes of January 31st and February 1st , 2020, since I am not an evolutionary biologist I called together by phone a group knowledgeable scientist together with Francis Collins and a few other people to discuss this. After a considerable amount of discussion about half of the people felt that this was possibly a constructed virus and the other half were convinced that this was a natural occurrence. A few weeks later Christian Andersen got together with Bob Garry and Andrew Rambaut to examine this more carefully and they came to the conclusion that they were convinced that this. was a natural occurrence and a jump from the animal reservoir. They published their data in a preprint server in February followed by a nature paper in March of 2020 . That is the reason why it appears that a I briefed people which I did not . I was briefed by them . Scott had said that I had briefed a group of international health people he seemed to have gotten some of the story wrong , but overall he was correct. Cases continue to come down: June 8, 2021 – Global – 173,3000,000/3,700,000; USA – 33,200,000/595,300 NEWS CLIPPING — THE PRESS — CONDENSED (1 SOURCE PAGE) “Cases continue to come down: Far right still slamming away. It is very clear that this is a well-organized effort. PRESS: Interview with Dutch newspaper NRC Handelsbad – Bas Blokker interviewer; Smithsonian Channel TV Documentary…” Column: The Terrific article in the LA Times strongly defending me: right’s attack on Fauci shows it has nothing in its policy tank but slogans By MICHAEL HILTZIK BUSINESS COLUMNIST JUNE 8, 2021 5 AM PT Another great article in the Miami Herald defending me: Despite Trump’s new round of bullying, Fauci says COVID likely didn’t leak from a Chinese lab | Opinion BY ANDRES OPPENHEIMER JUNE 08, 2021 09:13 AM, UPDATED 19 MINUTES AGO LA TIMES – MICHAEL HILTZIK: Column: A Nobel laureate backs off from claiming a ‘smoking gun’ for the COVID-19 lableak theory June 9, 2021 – Global – 173,700,000/3,700,000; USA – 33,200,000/595,600 Today the president went to England on the first leg of the trip involving the G7 summit. With regard to COVID-19, he has a very important message to deliver which I am very pleased about. He will announce that the United States will give away 500 million doses of the Pfizer vaccine to countries that do not have the capability of getting their own vaccine. I have been pushing for this for some time with Jeff and I have even spoken to the President and VP about the need to take a leadership role in getting vaccines to the lower and middle income countries. This is a first step towards vaccinating the world and to having the United States resume our leadership role throughout the world. I will continue to push to have technology transfer to the developing world so that ultimately they may be able to make their own vaccine. But for now, the role of the United states as a world leader has been clearly affirmed by the President's action PRESS: CNN with Erika Hill; Podcast with former Congressman Pete Sessions; MSNBC “Meet the Press Daily” with Chuck Todd; Wall Street Journal Tech Summit; My picture was on the 1st page of the Style Section of the Washington Post together with Jill Biden and Debra Frazier-Howse Washington Post: Biden administration to buy 500 million Pfizer coronavirus vaccine doses to donate to the world By Tyler Pager and Emily Rauhala June 10, 2021 – Global – 174,000,000/3,800,000; USA – 33,200,000/596,000 Cases still low: • I had a really nice conversation with Chuck Todd this morning. He had texted me to ask what I thought of the interview yesterday. I told him that I thought it was absolutely terrific, but I wanted some advice from him . I asked him whether he thought that I should pull back from publicly defending myself against the slanderous attacks since that might call more attention to them. He completely agreed and said that Fox News and people like Tucker Carlson would use anything I say as the theme for their next show. Chuck is really an excellent journalist and although he must maintain his objectivity and reporting it is very clear that he is really being a friend in understanding the difficult position that I am in. • Did Fireside chats with Irini Sereti; Bio Annual Meeting Fireside chat with Julie Gerbelding; “Reaching adolescents” interview with Vivek Murthy Only in our PRESS: Univision Interview with Ilia Calderone; Washington Post - anti-truth hellscape could Anthony Fauci become a supervillain Anthony S. Fauci, director of the National Institute of Allergy and Infectious Diseases, listens during a Senate hearing last month. (Stefani Reynolds/Pool/AP) By Margaret Sullivan Media columnist June 10, 2021 at 7:00 a.m. EDT June 11, 2021 – Global – 174,500,000/3,800,000; USA – 33,300,000/597,000 Press are beginning to push back and point out how ridiculous the criticism of me is (see below in Vanity Fair) • Did multiple outreach chats today with mayor Muriel Bowser, with the college challenge event and with two White House arranged interactions with young “influencers “ • Also have a zoom meeting with David Kessler , Peter Staley, and James Krellenstein. Peter and James have been pushing to have the United States government make a major investment in Lanza, which is the company that produces the doses for Moderna. David explained to them that there is enormous capacity with the mRNA companies themselves and so was not particularly amenable to going straight to Lanza. I have been trying to broker an understanding between Peter and James and David , but I'm not so sure how successful I would be • . The data were extremely exciting with a 90.4% vaccine efficacy and 100% efficacy against severe disease. We are becoming almost complacent with these spectacular results about vaccine efficacy . However, this result will add an important component to our armamentarium PRESS: NDTV New Delhi, India; Republicans Are One Week Away From Demanding Anthony Fauci Be Deported to Wuhan Conservatives are obsessed with the baseless idea that the veteran immunologist had something to do with COVID-19’s origins. By Bess Levin June 12, 2021 – Global USA • had our usual medical team meeting with Jeff this AM (Sat). The important good news is that the president's announcement a 500 million doses of vaccine going to low and middle income countries is going across very well throughout the world. As the president has said, “America is back “ in our rightful leadership role. • Had a very good conversation today with Hugo Crosthwaite and Taina Caragol. Hugo is a famous artist who will be doing a commissioned “motion” portrait of me for the National Portrait Gallery. Taina works for the NPG. The theme of the portrait is the show that I have been the symbol of truth and science and have been attacked by the forces of untruth and evil. His prior work is in an unusual medium where he those pencil drawings of a person Anne photographs them to look like a mini movie picture. I have seen some of his work and it is extraordinary and spectacular. I am looking forward to seeing what the result will be. The results should be sometime at the end of the year. No, Fauci is not profiting from a PRESS: New York Times (Davey Alba) - coming book on lessons he’s learned from his public service. The above article points out the fact that despite Nat Geo making it very clear that I received no money from their book the far right including many GOP congressman I still insisting that I was profiting while people were dying. The extraordinary crazyness continues. June 17, 2021 – Global USA Participated in Faith Vaccine Roundtable – young Muslim messengers PRESS: NPR “Morning Edition” with Leila Fadel; did the White House Press Conference – I announced the new $3.2 billion Antiviral Program for Pandemics, which a 2 pillar program for Development and Discovery of antivirals for COVID-19 and other viruses of pandemic potential; Great Article in Politico that describes the lies of the Trump people about the “lab leak” theory: Top Trump officials pushed the Covid-19 lab-leak theory. Investigators had doubts. New documents and interviews show how the president and his senior aides cherry-picked evidence and sidelined the government’s own virus sleuths. NEWS CLIPPING — POLITICO — CONDENSED (3 SOURCE PAGES) “A Northwell Health lab technician uses the Abbott ID NOW Covid-19 rapid tester on a participant before a news conference on April 14, 2021, in Elmont , N.Y. | Mary Altaffer, Pool/AP Photo By ERIN…” 2016. And Trump wasn’t invited to speak at the grandfather’s funeral as presidents traditionally do. If George P. Bush’s name had been George P. Jones, his political rise undoubtedly would have been less smooth. But now he’s shocking a lot of Bush family admirers in his quest to receive a pat on the head from Trump — or at least not a swat. Sure, a lot of Texas Republican primary voters worship Trump, but is winning a nomination for state office worth losing one’s honor? It’s a guarantee that Fauci would not kiss the rear end of anyone who insulted his family. What we have here is a short guy from Brooklyn basically brushing off Trump’s menacing antics while swaggering Texas Republicans collapse at the sign of a New Yorker’s displeasure. And there’s one other reason for Trump’s continued obsession with Fauci: envy. Trump is fading from national prominence. Even Fox News no longer carries all his speeches live. But Fauci goes on. He’s still respected by the sort of people whose respect serious leaders want. His polls numbers remain high. As the virus threat recedes, not every pronouncement Fauci makes will grab headlines, but he’s not there for that. He’s there to do the science. The rightwing attacks on him can’t be pleasant, but Fauci will end his long career with a legacy of public service and, importantly, his dignity intact. June 18, 2021 – Global – 177,000,000/3,800,000; USA – 33,300,000/600,000 Received important e-mail with attachment from Jesse Bloom: Hi Francis, Stephen, and Toni, I’m just writing to give you a heads up that I identified a data set of early Wuhan SARS-CoV-2 sequences that has been deleted from the NIH’s Sequence Read Archive (SRA). I was able to recover the deleted files from the Google Cloud and analyze the sequences, and have attached a pre-print on the analysis that I just submitted for posting by bioRxiv. Since SARS-CoV-2 origins and early spread has become a hot-button topic, I wanted to give you a heads up. I made sure to emphasize in the discussion that the SRA has many sequences and so isn’t in a position to vet all deletions. Nonetheless, I think it would be highly worthwhile to do a comprehensive analysis of SRA (and other NIH) data that might be relevant to this topic that could have been deleted or otherwise overlooked. If I can be of any assistance, let me know. I have been running a pipeline to identify additional deleted SRA data using various heuristics including those in described in the attached pre-print, but have not yet completed the analysis enough to know the extent that the data I have recovered is relevant to SARS-CoV-2’s origins or early spread. But as I mention in the pre-print, there are two known SRR deletions that are worth looking at. I definitely think it would be good to perform a SRA side search as well, since that will obviously be easier and more efficient, and could identify deleted data not on the cloud. Anyway, I hope overall this can be a good opportunity for the NIH to take the lead by using its remarkable data archives to make progress in resolving some of the important questions about the virus’s origins. Thanks, Jesse ---- Jesse Bloom Associate Professor, Fred Hutch Cancer Research Center Affiliate Associate Professor, Genome Sciences & Microbiology, University of Washington Investigator, Howard Hughes Medical Institute paper.pdf I believe that it was somewhat imprudent on the part of Jesse bloom to make statements such as he has that indicate nefarious motives on the part of the Chinese when we have no idea why they deleted the sequences. He used words such as “obscure” and “surreptitious” which will certainly create a firestorm when conspiracy theorists read it. The best thing to do is to have Frances and I again convene a group of evolutionary virologists to discuss the potential meaning of this . We will do this two days from now on Sunday June 20. See below. Cases at around 12,000 per day NIH helped fund research involving donated fetal tissue, but Fauci was not directly involved PRESS: Excellent refutation of the lab leak hypothesis in The Guardian: Though it is newly respectable, the Wuhan lab theory remains fanciful David Robert Grimes June 19, 2021 - Global USA Horrible roller coaster day – Due to some acute transient right posterior chest pain 2 days ago, Ted Li order a CT scan. - I got a call from the radiologist at Sibley hospital where I had gotten a chest CT in the morning telling me that I had a lesion in my right lower lobe that he felt was a cancer (non-small cell carcinoma). I felt like I got hit like by a Mack truck. Doctor Li quickly followed up on this and show the film to Andrew Lerner at Sibley who is a pulmonologist specializing in pulmonary nodules. Doctor Lerner felt that it was more likely an inflammatory lesion and there were multiple other lesions that were very small throughout the right lower lobe. In addition, I had a pulmonary infarct in the right lowest segment that was definite. Again, Dr. Li called David Hellmann Who was with his son who is an oncologist who looked at it and said that it looks more benign then neoplastic and felt that it did not look like a non-small cell carcinoma. Finally, they showed the films via computer to Dr. Elliot Fishman who is the top radiologist at Hopkins. He agreed that it was more likely inflammatory and that the only definite thing on the film was the pulmonary infarct. He recommended a follow-up CT in three months and begin anticoagulation immediately with Eliquis. Chris and I viewed the “FAUCI” documentary doe by Nat/Geo together with the leadership of Nat/Geo films at the national geographic headquarters on 17th Street, NW. Very impressive film. At the request of the White House I did a walking tour of the Anacostia neighborhood Of Washington DC together with Mayor Muriel Bowser. we started off at anacostia high school where we thanked the volunteers in the basketball gym who were administering vaccines to people in the neighborhood . We then went on and addressed the volunteers in the schoolyard of Kramer Middle School. After that, the mayor and I went door to door knocking on the doors and encouraging people in the neighborhood to get vaccinated. We did that for about an hour and 15 minutes. it got written up the next day in the Washington Post (see below). PRESS: Washington Post: “For Ward 8 residents, coronavirus vaccine appeal comes with a touch of celebrity: ‘It’s Fauci!” https://wapo.st/3vFzhLZ June 20, 2021 – Global USA Uneventful and somewhat relaxing day . Still trying to process the news from yesterday. Will have to live with uncertainty for the next three months. As indicated above, Francis Collins organized a zoom call for today with a group of evolutionary biologists as well as Steve Sherry from the NIH databank in order to discuss this issue. Jesse bloom was also on the call. See email below from Francis having organized the meeting: From: Collins, Francis (NIH/OD) [E] <collinsf@od.nih.gov> Sent: Sunday, June 20, 2021 2:33 PM To: Tabak, Lawrence (NIH/OD) [E] <lawrence.tabak@nih.gov>; Fauci, Anthony (NIH/NIAID) [E] <afauci@niaid.nih.gov>; Embry, Alan (NIH/NIAID) [E] <embrya@niaid.nih.gov>; Sherry, Steve (NIH/NLM/NCBI) [E] <sherry@ncbi.nlm.nih.gov> Cc: Kristian G. Andersen <kga1978@gmail.com>; Bedford, Trevor <tbedford@fredhutch.org>; Bloom PhD, Jesse D <jbloom@fredhutch.org>; Garry, Robert F <rfgarry@TULANE.EDU>; rasmus_nielsen@berkeley.edu; spond@temple.edu Subject: RE: URGENT: Seeking your expert advice Allow me to suggest this agenda: 1) Introductions 2) Retrieval of SARS-CoV-2 reads deleted from SRA by submitter – Jesse Bloom 3) NCBI SOPs for handling submitter requests to delete reads in SRA – Steve Sherry 4) Likelihood of other sequence deletions from SRA? – Steve Sherry 5) Significance of this new sequence information for origin of SARS-CoV-2 – Jesse, Kristian, Trevor, Bob, Rasmus, Sergei 6) Discussion and next steps – All Looking forward to the discussion. Francis Please see the people copied on the above email for a list of those who were present at the zoom call. The only person on the list who was not there was Trevor Bedford who could not make the zoom connection. After considerable discussion among the group, it became clear that Jesse Bloom had really jumped the gun and made assumptions that the Chinese were surreptitiously hiding sequences by deleting them. Several of the scientists including Sergei Pond and Rasmus Nielsen felt that the sequences that were deleted and ultimately recovered partially were not of any particular consequence in shedding any light on the origin of SARS Co V2. The entire group felt that this was an inappropriate move on the part of Jesse to publish a single author paper making serious innuendos without running it by anyone else. As it turns out after discussion with Steve Sherry who is in charge of the NIH Sequence Read Archive (SRA) from which the sequences were deleted, it became clear that this is not an unusual occurrence for scientists to delete sequences if they are found to be either inaccurate , not up to date, or listed on another databank. He went back and looked at the required email to have the Wuhan sequences deleted, and the Chinese had indicated that they were removing it because they were putting it on their own separate database. According to Steve this would be a perfectly valid reason to remove a sequence. This obviously is going to cause us a lot of difficulty since those who feel that the Chinese are trying to cover up a lab leak will certainly say that this deletion of sequences proves that that is the case. It is really a shame that Jesse acted really in my opinion somewhat immaturely in making inflammatory statements in a preprint without further investigating the reasons behind the deletions. The NIH came out with the following statement in response to press inquiries regarding the Bloom preprint: NIH is aware of Dr. Bloom’s preprint submission. Staff at the National Library of Medicine, which hosts the Sequence Read Archive (SRA), have reviewed the submitting investigator’s request to withdraw the data. These SARS-CoV-2 sequences were submitted for posting in SRA in March 2020 and subsequently requested to be withdrawn by the submitting investigator in June 2020. The requestor indicated the sequence information had been updated, was being submitted to another database, and wanted the data removed from SRA to avoid version control issues. The submitting investigator published relevant information about these sequences by preprint in March, 2020 and in a journal in June, 2020. Submitting investigators hold the rights to their data and can request withdrawal of the data. Currently, the National Library of Medicine (NLM) has no plans to change the policy that recognizes submitters rights to their own data and the right to petition that their data be withdrawn from the Sequence Read Archive (SRA). The National Center for Biotechnology Information (NCBI), part of the NLM that manages the database, is the U.S. participating member of the International Nucleotide Sequence Database Collaboration, which provides guidelines for withdrawing data: http://www.insdc.org/documents/insdc-status-document. NLM/NCBI can’t speculate on motive beyond a submitter’s stated intentions. June 21, 2021 – Global -178,000,000/3,900,000; USA – 33,400,000/600,000 Did an Instagam live with FGOTUS Doug Emhoff and Dikembe Mutombo to encourage people to get vaccinated. We are putting a full-court press in encouraging people to get vaccinated. Did TIKTOK interviews (rapid fire questions) from 8 young TIKTOK “influencers who amazingly have millions of followers FOX News is blasting me for saying that an attack on md is an attack on science. I am going to go on the offensive against them. To me, it is a badge of honor to be criticized by FOX. Important article in the Post today by Joel Achenbach (see below) PRESS: NY Times by Carl Zimmer and James Gorman: Fight Over Covid’s Origins Renews Debate on Risks of Lab Work Excerpt from above NY Times article: NEWS CLIPPING — WASHINGTON POST — CONDENSED (2 SOURCE PAGES) ““When questioning Dr. Fauci last month, Senator Paul brought up one of the most cited examples of gain-of-function research, a study of coronaviruses done by Ralph Baric at the University of North Carolina published in…” Health Scientists battle over the ultimate origin story: Where did the coronavirus come from? By Joel Achenbach June 20, 2021 at 5:58 p.m. EDT June 22, 2021 – Global USA Had podcast with the Conference of Mayors Vaccinations coming along very well: PRESS: BBCTV with Katty Kay; CNN “The Lead” with Jake Tapper; MSNBC “All In” with Chris Hayes Very good interview on New York Times “Sway” with Cara Swisher: NYT/Sway: Anthony Fauci on the Lab Leak Theory and Emailing Mark Zuckerberg https://nyti.ms/2UfIr4K The Hill: Poll: 61 percent say Fauci has been truthful to the best of his knowledge on COVID19 origins; NPR Radio – 1A; The New Yorker: Anthony Fauci, Lifeguard The doctor is in, no matter what time of year. By Barry Blitt June 24, 2021 – Global – 179,000,000/3,900,000; USA – 33,400,000/600,000 I had another terrific day with First Lady Dr. Jill Biden. We flew to Florida from Andrews with all the bells and whistles of motorcades to visit two cities: Osceola County near Orlando and Tampa Bay. We have become somewhat of a good team together in visiting with the sites that were administering the vaccine, mingling with both the people who are being vaccinated as well as the staff who were doing the vaccinating. At each stop both doctor Biden and I made remarks and spoke with the press. Of particular note was the visit to Tampa Bay where we met with Mr. Jeff Vinik, the owner of the Tampa Bay Lightning , the hockey team that would be playing the 7th game of the semifinals for the Stanley Cup finals the following day. They gave both Jill and I our own jerseys with our names on them. We gave our speech on the ice of the arena where the Tampa Bay Lightning plays. I am getting to be quite good friends with Jill and I think that our relationship will strengthen as we continue working together. June 23, 2021 – Global – 179,000,000/3,900,000; USA – 33,400,000/600,000 Did an Instagram with Jennifer Garner on vaccines. She was wonderful as she was last time. We spoke of the vaccination of her 3 children. Cong. Stephen Scalise wants to hold a panel on the originals that would be a “set-up” to attack Francis Collins and me: 2021.06.22 Fauci Invite.pdf Here is the announcement of the “set-up” hearing. We would be crazy to honor it. The Panel 1 are a bunch of wackos: Select Subcommittee Republicans Announce Expert Witness Forum on COVID-19 Origins Forum to be held with expert witnesses on Tuesday, June 29 WASHINGTON—On Tuesday, June 29 at 12:00 p.m. ET, Republican Whip and Select Subcommittee on the Coronavirus Crisis Ranking Member Steve Scalise (R-La.), House Committee on Oversight and Reform Ranking Member James Comer (R-Ky.), and Select Subcommittee Republican lawmakers will hold a forum with expert witnesses to examine the origins of the coronavirus. For more than a year now, Republicans have repeatedly called on Democrats to investigate the mounting evidence showing the virus originated from the Wuhan Institute of Virology (WIV) lab, but Democrats continue refusing to launch an investigation. “The left-wing media called it a ‘fringe conspiracy theory,’ Big Tech censored it, activists in white lab coats dismissed it and Democrats ignored it, but there is growing evidence Communist China started the pandemic, covered it up, and is responsible for the deaths of more than 600,000 Americans and millions more worldwide,” said Scalise and Comer. “Despite Speaker Pelosi’s efforts to create diversions and cover this up, the American people deserve the truth and are demanding accountability, and House Republicans will insist on getting these answers. “The House Democrat majority’s refusal to follow the science, listen to the experts, and investigate the origins of COVID-19 is a dereliction of their duty. Next week, Select Subcommittee Republicans will hold a forum with expert witnesses to advance our investigation into the origins of COVID-19,” added Scalise and Comer. “The American people deserve to know the truth, even if Washington Democrats refuse to seek it.” It was recently reported that three researchers from the Wuhan lab became ill with symptoms consistent with COVID-19 and sought hospital care in November 2019. Additionally, Dr. Fauci’s recently released emails from February 2020 reveal that scientists raised the possibility of a lab leak and also expressed concern the virus appeared to be engineered. WHAT: Select Subcommittee expert forum entitled “Led By Science: The COVID-19 Origin Story” WHEN: Tuesday, June 29 at 12:00 p.m. ET WHERE: HVC-215, Capitol Visitors Center WHO: Witness Panel I The Honorable Brett P. Giroir, former Assistant Secretary for Health, U.S. Department of Health and Human Services: Admiral Giroir brings firsthand knowledge about the public health response to the COVID-19 pandemic. As COVID-19 testing czar, he oversaw creating a nationwide testing apparatus from scratch which was made particularly difficult by China’s lack of transparency. Admiral Giroir will also discuss the investigatory failures of the World Health Organization and why a U.S.-led origins investigation is vital. Dr. David Asher, Senior Fellow, Hudson Institute: Dr. Asher has decades of national security experience and most recently led the U.S. Department of State’s COVID-19 origins investigation. His testimony will provide inside information into the origins investigation and the role of the Chinese government’s efforts to block a thorough and impartial investigation. Dr. Richard Muller, Emeritus Professor of Physics, University of California Berkeley: Dr. Muller is an acclaimed scientist that used his own research to study available data in attempting to determine the origins of COVID-19. He recently penned an op-ed in the Wall Street Journal pointing out there is strong evidence COVID-19 was developed in a laboratory using gain-offunction acceleration. Dr. Steven Quay, Founder, Atossa Therapeutics: Dr. Quay is one of a growing number of scientists dedicated to finding the origins of COVID-19. He has conducted his own research using the publicly available viral data and reached conclusions apart from outside influence. He brings significant scientific expertise to this endeavor including over 87 patents and hundreds of published scientific articles. Member Panel The Honorable Cathy McMorris Rodgers, Member of Congress The Honorable Michael McCaul, Member of Congress The Honorable Devin Nunes, Member of Congress The Honorable Mike Gallagher, Member of Congress Witness Panel II (invited but hasn’t yet accepted) The Honorable Francis Collins, Director, National Institutes of Health Dr. Anthony Fauci, Director, National Institute of Allergy and Infectious Diseases Dr. David Hassell, Chairman, P3CO WATCH: A livestream will be available HERE. PRESS: WSJ: Dr. Fauci and the Mask Disaster; CBS “This Morning” with Anthony Mason; NBC “Today” with Savannah Guthrie; Month of Action interviews with influencers on TikTok and Instagram (one with Jennifer Garner) June 24, 2021 – Had a great day with FLOTUS Dr. Jill Biden - I flew on one of the presidential planes with Dr. Jill Biden, assembling at the White House for the motorcade to Andrews Air Force Base. Brett Rowland came with me. We went to Florida for a two city stop to promote vaccines. The first stop was at Osceola County near Orlando. The next stop was at Tampa Bay where we did a vaccine promotion event right on the ice in the arena that is used by the Tampa Bay Lightning team. Of note, tomorrow the team plays the 7th game of a seven game semifinal before the Stanley Cup finals . They will be playing the New York Islanders. We had a nice conversation with Jeff Vinik and his family. Jeff is the owner of the hockey team and he gave me a team jersey with my name on it as well as a team jersey to Jill with her name on it. It was a very productive day as both Jill and I gave speeches at each of the locations and encourage the workers there and the people lined up to get vaccinated. No doubt Jill and I are now developing a very strong relationship, as we really have developed a comfortable and warm rapport with each other. June 25, 2021 - Global – 180,000,000/3,900,000; USA – 33,400,000/601,000 I did something this morning that I feel very good about. I went over to the clinical center and participated in the “graduation ceremony” of the people in project search who are a group of handicapped individuals who underwent a training program here at NIH and were then given jobs here. I did selfies with each and every one of them, took a group photo, and gave them a pep talk about why their work is so important. I have such empathy for people who through no fault of their own were dealt a difficult hand in life. As a bit of background, Mayor Bill Di Blasio of New York City had invited me to be the Grand Marshal of the parade of heroes for the 4th of July weekend in New York City . It would be similar to the ticket tape parades that honored returning war generals. The purpose of the parade was to honor health care workers and first responders to the outbreak in New York City period, and since I am a well-known New Yorker, he wanted to make me the Grand Marshall of the parade. I did not think that this would be appropriate since we have not yet controlled the outbreak and since those people (far right radical GOP) who have been attacking me viciously over the last several weeks would probably have a field day if I did that , I decided that I would express my gratitude for the invitation but would decline. On my way in the motorcade between airports in Florida yesterday (Friday) Bill called me up on my cell phone to see what my decision was about the invitation. I explained to him my reason for declining, and thankfully he was extremely gracious and understood . He promised me that he would get another chance to honor me for what I have done for New York City and for the country. Had meeting in my office with Dr. Jeff Lehman, former president of Cornell University and now current American President and Vice Chancellor of NYU in Shanghai. Jeff has been in Shanghai for the last nine years and has considerable insight into the Chinese culture. He asked to visit me to explain to me what his take is on the tension between the United States and China around the Wuhan laboratory and COVID-19. I believe that he got everything about right in that it is extremely unlikely at the Chinese are truly hiding anything substantive. Because of their suspicious and somewhat paranoid nature it is likely that they were in denial about the outbreak in the early months and we're not really trying to hide anything but we're trying with almost wishful thinking that it would go away without anybody knowing about it. However, they did quickly come around identify the virus and make the sequence publicly known. This argues against any attempt to truly hide anything. All of the other stuff is a reflection of their suspicious nature. He also feels that there was no way that they would allow an outside investigative group into their labs anymore then we would allow a Chinese-led international group to come to the Fredrick lab. Jeff believes as I do that the only way to make any headway in all of this is to have a good faith collaboration between Chinese and other international scientists including United States scientists in order to cooperatively try to find the source of the origin of SARS Cov-2. Also, as a result of his in depth understanding of Chinese culture , he feels strongly that the Wuhan lab would not have been used for any deleterious research such as bio warfare. He confirmed the doctor Shi is a highly respected scientist and her reputation would argue against her being involved in anything outside of the realm of science. I expressed to Jeff that I agree with much of what he says , but the environment in the United states is so toxic with regard to China and the delusions of the far right radicals, that it is unlikely that we could come to a collaborative approach with the Chinese to come to a better understanding of the origin of COVID-19. Just got an email now from Ian Lipkin asking if he could arrange a phone call between him, me ,and Nancy Messonnier. I wonder what this is going to be all about ? PRESS: WINS Radio NYC 1010; Podcast on Progressive Voices Network – “Before you know it….” with David Bender; important defense of me by “The Times Leader” - https://www.timesleaderonline.com/uncategorized/2021/06/envy-is-the-rights-real-problemwith-dr-fauci/ June 26, 2021 – Global - USA – 33,400,000/601,000 I had a very interesting evening last night. Christine and I had dinner over the home of Sally Quinn. Other guests were Bob Woodward and Elsa Walsh as well as Rick and Jane Atkinson. We had a lot of inside the Beltway discussions about Bob's books and Rick’s books and the experience that I had with Trump during the last year of his presidency. In addition, I had the opportunity to see Quinn Bradlee and who I believe is his wife or girlfriend. Sally was very pleased that I had done a podcast with her son Quinn. Fox News continues to come after me by making false accusations that I have misled congressional committees during questioning under oath. they just do not want to stop harassing me, but that is going to go nowhere. June 27, 2021 - Cases continue to slowly come down: PRESS: Latest thing on Fox News over the last couple of days is that they are accusing me a lying under oath at a house and energy subcommittee hearing when I said That I did not know the precise reason why the president told us to cancel the WuHan grant. The fact is that we were told via mark meadows that we need to cancel the grant and when we told them that there has to be a specific reason the White House said we don't need a reason , just cancel the grant. When doctor Collins and doctor Tabak and indirectly when I said that it was illegal if we didn't have a specific reason , the White House came back and said make up a reason. Therefore, what I said under oath at the hearing is absolutely true. From a review of Jasmeen Abutaleb’s and Damian Paletta’s book by William Hanage of the Washington Post: Over and over again, whenever public health and public relations came into conflict, public health lost out. Trump’s complaints directed at “the Doctors” kept coming back to the same charge — negativity — including a remarkable, petulant presidential Oval Office outburst roughly halfway through the book. “I am sick and tired of how negative you all are. . . . I spend half of my day responding to what Tony Fauci has to say, and I’m the president of the United States!” Later in the same exchange, Trump told coronavirus response coordinator Deborah Birx: “Every time you talk, I get depressed. You have to stop that.” As if the pandemic could be defeated by the power of positive thinking, and Birx should just cheer up and promote policies that she knew would lead to more illness and death than the alternatives. I received a call today from David Wilman, who I thought was a friend and who has been having a conversation with me regularly every Sunday for the last several months in order for me to keep him up to date on what is going on with COVID. He was hinting early on that he was working on a story on gain of function research. He never interviewed me at all on the details of this but today he calls me up telling me how much he respects me, but he has a heads up for me that he is doing a story on gain of function and that I am in the story. He then went on to describe how much he respects me and that my favorite saying “precision of thought, economy of expression “ is one that he lives by and has it pasted on his computer. This looks to me like a hatchet job on me is coming and he is telling me what a great person I am before he drops the bomb. We shall see. June 28, 2021 – Global – 181, 000,000/3,900,000; USA – 33,500,000/602,000 PRESS: BET Instagram with Mark Tallman and Ronreaco Lee; Month of Action Zoom with Partner organizations; June 29, 2021 Delta variant swarming globally. It definitely is a more efficient transmitter. WHO is now recommending that even vaccinated people wear masks. Vaccinated people are getting infected, but without serious disease. FLOTUS sent Chris and me and the family a beautiful basket of vegetables grown in the White House Garden: Scanned from a Xerox Multifunction Dear Sir, Many in Australia, self included, have admired your steady hand in heavy and often dangerous seas. I saw this cartoon recently ... and I hope you like it … in the nicest possible way! Regards, Brian Dawes, Perth, Western Australia. PRESS: Constituency Hispanic TV (x3); NBC Nightly News with Lester Holt; ABC World News Tonight; PBS NewsHour with Judy Woodruff; PSAs; CNN with Don Lemon; See below: This is the Hearing that the GOP called with crazy witnesses and they wanted Francis Collins and I to testify. Pelosi and WH said no way House Republicans hold own hearing on FOX: COVID-19 origins GOP lawmakers claim Pelosi is holding up full committee hearings: Rep. Jim Jordan, R-Ohio, said that Fauci "didn’t have the courage" to "come defend himself" at the hearing. "I’m convinced these guys knew right from the get-go what the truth was and they misled the American people," Jordan claimed, citing a slew of Fauci emails made public in early June. "He showed up everywhere for a year and a half. You couldn't go a day and not see Dr. Fauci somewhere, he was everywhere and now when we have emails… all this evidence suddenly you can't find him." Kate Messner’s Children’s Book – “Dr. Fauci” has come out. It is beautifully done and obviously well-researched. June 30, 2021 – Global 182,000,000/3,900,000; USA – 33,500,000;602,000 I just received an assembly concurrent resolution number 195 of the 219th legislature of the State of New Jersey it is a concurrent resolution honoring the life and the work of Dr. Anthony Fauci. (see below) Scanned from a Xerox Multifunction Parting note to me from General Gus Perna upon his retirement: Tony, thank you for your note and very kind words! It truly been my honor and pleasure to work with you! I brag to my circle of friends about you - ‘always had time to say hello or explain anything to me, as well as, impeccable moral courage to do the right thing’. Thank you for all that you have done for our Nation - you are one of my personal heros!!! Best of luck with all your future endeavors!!! Vr Gus PRESS: MSNBC “Morning Joe” with Joe Scarborough; WTOP Radio; July 1, 2021 It is becoming very clear that the extreme far right in the press with Fox News, in social media but the far right crazies, and especially in the Congress with the senators and congressmen who are frightened of former president Trump and who are using attacks on me to show their loyalty to Trump. The issue that they are focusing on mostly in recent days is saying that I perjured myself in front of the House and Energy Subcommittee Hearing by saying I did not know why we were asked to cancel the Wuhan subgrant. In fact, I had checked with Francis Collins and Larry Tabak just to be sure , and there is no doubt that we were told by the White House to cancel the grant and not ask any questions about it. When we said that we had to have a specific reason for canceling the grant since it would be illegal for us to cancel it without a specific reason , the word came down from the White House predominantly via Mark Meadows that we should just go ahead and make up a reason but we definitely had to cancel the grant or else. The general counsel of HHS under Bob Charrow agreed that we had no specific reason to cancel the grant and so we had to reinstitute the grant but withhold funding until they met certain conditions which would be very difficult for them to meet anyway. It really was a work around to prevent us from funding the grant. Therefore, I was completely honest in saying that I did not know why the grant was asked to be cancelled since they never gave us a specific reason to do so. The pressure on me is extreme!!! They “bad guys” are taking everything I say and quoting it out of context. Really trying to destroy my credibility. Cases starting to go up a bit in the unvaccinated areas. Must watch closely Fauci: Divergent vaccination rates PRESS: Axios - could create "two Americas" I taped the Sunday “Meet the Press”. It will be a 4th of July Special. July 2, 2021 – Global USA COVID-19 cases in UK increase 67%, but hospitalizations are not going up indicating that vaccines are preventing severe disease. PRESS: Regional media TV with: WRAL NBC Raleigh-Durham; WSB-TV – ABC Atlanta; WREG-TV – CBS Memphis; July 4, 2021 Today is the celebration of the independence from the virus. There was the most beautiful display of fireworks on the mall that I have ever seen. Let us hope that the congregation of people at the celebration does not lead to a discernible surge in cases . As I have said on various TV shows including on Meet the Press this morning, there is a possibility of being two Americas, one that is vaccinated without any surge of infections and one that is unvaccinated leading to regional surges such as in those southern states with 35% or less of their population vaccinated. This includes places like Missouri , Alabama , Mississippi , Louisiana, Wyoming , among others. PRESS: appeared on NBC “Meet the Press” 4th of July Special with Chuck Todd July 5, 2021 - Global USA Cases increasing in certain regions. Will watch carefully to determine whether this has impact on hospitalizations. We will brief the president tomorrow about the role of Delta variants with regard to vaccine protection. Virus lab leak theory dogs Democrats eager to keep focus on Trump's Covid failings Democrats worry that murky conclusions that don’t identify the origin of the virus could play into the Republicans’ hands. July 6, 2021 - Global USA A considerable amount of concern about the fact that reports from Israel indicate that the Pfizer vaccine is less protective against infection since the protection a few weeks ago prior to the emergence of the Delta variant was about 94%, whereas now that the Delta variant has emerged, protection against any infection is down to 64%. However, the good news is that the Pfizer vaccine is still more than 90% effective against serious diseases including hospitalization. It is conceivable that this discrepancy about the efficacy against the initial infection is due to the fact that the Israelis are doing a lot more testing of asymptomatic people than other countries including the United States. This needs to be followed closely. • I participated as I do most of the time in the weekly Governors’ briefing. I explained to them the situation of the threat of the Delta variant. I had my weekly briefing of the President today. This time I did it in person in the Roosevelt Room of the White House. We discussed the situation of the degree of protection afforded by our vaccines against the Delta variant. I also explained to him the situation regarding the Israeli data ( see above). The president remarked how much Jill enjoyed traveling with me and he thanked me for that saying that it means a lot to them. PRESS: I did YouTube interview with two African American physicians from California: Doctor Jamie Rutland and doctor Italo brown. We discussed how we handle vaccine hesitancy among African Americans and how we can use the barbershop environment to convince them to get vaccinated. July 7, 2021 – Global – 184,000,000/4,000,000; USA – 33,600,000/604,000 We are stuck at ~12,000 to 14,000 cases per day: See below. It is very clear that the Israelis are increasing greatly their testing that could explain their results on asymptomatic infections in vaccinated people (see above and figure below): I had a very important meeting today with the NSC led by Beth Cameron and Maher Bitar who is the senior director for intelligence programs at NSC. We met in the EEOB SCIF and discussed the briefing document that the NSC had presented to the President a week or so ago. Beth wanted me to have an official briefing because of the catastrophic briefing that the amateurs from the CIA gave me several weeks ago. There were no new surprises for me in the briefing except that it became clear that the FBI has no idea what they're talking about since they are convinced that the origin of COVID-19 is from a laboratory leak. The reasons that they give do not make any sense. In contrast the NSA gave some reasonable hypotheses leaning heavily towards a natural jump of species in the environment. I spent some time explaining to Maher and Beth my own theories that the Chinese act like they're covering up something even when they have nothing to cover up. They manifested this in their response to the original SARS-CoV-1 when they insisted this was just an atypical influenza when in fact it was the beginning of a coronavirus pandemic. In addition, they likely shot themselves in the foot when they denied the presence of wild animals in the market when we know they were present and the Chinese cleaned out the market before adequate testing of animals could occur. In essence, they clouded the possibility of proving a natural emergence. I urged the NSC folks to work closely with qualified card-carrying evolutionary virologists such as Kristian Andersen, Eddie Holmes, Bob Garry, Andy Rambaut, among others. I also explained to them the multiple reasons epidemiologically and molecularly why it is almost certain that the virus evolved naturally from a species jump, even though I emphasized that I keep an open mind about the possibility of a lab leak . However, in this regard , I emphasized that just because two alternatives are possible that does not mean that they are equally probable. I believe that they understood where I was coming from and that it turned out to be a very good meeting. PRESS: Interview with Frank Bruni for his book on aging; interview with Betsy McKay of WSJ on GoF; Sirius XM Radio with Marc Siegel; MSNBC with Chris Hayes; July 8, 2021 - Kristian Andersen, Bob Garry and many others came out yesterday with on a preprint server a paper strongly arguing with good evidence for a natural emergence of SARS-CoV-2 rather thsan a lab leak: The Origins of SARS-CoV-2: A Critical Review https://bit.ly/3jSK1Ep CNN: “Coronavirus almost certainly came from an animal, not a lab leak, top scientists argue” I had a very useful and enjoyable conversation with the President of Chile – President Sebastian Pinera. He was very gracious and wanted advice from me about how to handle the outbreak in Chile looking forward. He was very complimentary to me in many waves and asked a number of very intelligent and important questions relevant to his country. He seems like an extremely engaging person and it was an enjoyable half an hour that I spent speaking with him via zoom. PRESS: NPR – “All Things Considered” with May Louise Kelly; July 9, 2021 – Global – 185,000,000/4,000,000; USA – 33,600,000/604,000 is waning after a period of several months. This created a lot of confusion and we all gathered on multiple phone calls yesterday evening in order to come out with a statement jointly from the CDC and FDA indicating that at this time if you are fully vaccinated you do not need a booster shot. In the middle of all of this I called up Mikael Dolstein and try to find out what was going on. He said that their statement was based on the Israeli data as well as data from their original phase three study which showed a modest degree of waning immunity after several months. Later in the evening I received a phone call from Pfizer CEO Albert Bourla who was very sorry and apologetic that he did not Alert me about the Pfizer announcement ahead of time. We will be arranging a meeting next week likely on Monday July 12 to discuss all of this with the visor people. PRESS: Instagram with Ana Navarro; NBC Evening News; CNN “Situation Room” with Wolf Blitzer July 10, 2021 Wasting a lot of time responding to letters from Congress and Senate about Wuhan. Egregious waste of time!! Much concern about the Delta variant. Cases coming up in USA: July 11, 2021 – 33,000 cases yesterday. Clearly the unvaccinated are getting infected PRESS: ABC “This Week with George Stephanopoulos”; CBS “Face the Nation” with John Dickerson; CNN State of the Union” with Jake Tapper; July 12, 2021 - Global USA It is important to point out how many hours we are all wasting in responding to the multiple letters from senators and congressmen fundamentally driven by conspiracy theories that the NIH has funded work at Wuhan institute of virology that lead to SARS-CoV-2. For example, over the weekend I was on multiple zoom calls with my staff fine tuning the letters in response to the multiple questions from people like senators Rand Paul, Marshall, Burr. I am somewhat surprised that's senator Burr was part of this since he generally is a friendly person to me. We had a very important meeting today by zoom with Mikael Dolsten and others from Pfizer with members of HHS including myself, Rochelle Walensky, David Kessler, Francis Collins, Janet Woodcock, all of the people from ASPR such as Dawn O'Connor. The Pfizer people present the data from the Israeli study which we already knew showed a decrease of efficacy against all infection down to 64%. In addition they showed some of the follow-up data from their phase 3 trial which showed a decrease in efficacy down to 83%. Clearly, Pfizer is intending to suggest boosts particularly for those who are elderly and with underlying conditions . In Israel they are already boosting some of the elderly and those with underlying conditions. There was a big debate in our own country and worldwide about giving a third shot to fully vaccinated people when most of the world is completely unvaccinated. This is a debate that will intensify. I believe we need to go ahead and explore the possibility of needing a boost at the same time as we provide vaccines for people in low and middle income countries. I have been emphasizing in my public appearances that the requirement for a boost does not mean that the vaccines are not highly effective. A boost relates to the durability of the protection not to the effectiveness of the protection. This is a concept that is often missed by the public. PRESS: CBS “This Morning” with Gayle King; NPR Baltimore – WYPR with Tom Hall; CNN with Chris Cuomo July 13, 2021 - Global – 187,000,000/4,000,000; USA – 33,700,000/605,000 New cases are increasing in at least 41 states. This is particularly true among seven states in the South where the percentage of people who are vaccinated is very low. It is clear that we are entering into a period where the steady decline in cases has now stopped and we are seeing an increase in cases with daily cases hovering around 33,000. There is a war of words going on between the Fox News TV hosts and democratic senators such as Richard Durbin. The attacks on me by the far right and Fox News (Tucker Calrson and Laura Ingraham) are relentless and occur on a daily basis. Marsha Blackburn, Marjorie Taylor Green, and all of the other nut cakes attack me on a daily basis . PRESS: CNBC “Squawk Box”; NPR “Here and Now”; MSNBC “Andrea Mitchell Report” July 14, 2021 I had a very pleasant experience today down at the White House where I engaged in a number of Instagrams, PSAs, and YouTube videos with the new sensational young entertainer Olivia Rodrigo. The purpose of the interaction was to encourage young people who are followers of Olivia to go out and get vaccinated. I was amazed to learn that with all her social media Olivia has 25 million followers. She is a very down to earth sweet 18 year old woman. The White House comms team for digital we're delighted with the interaction. • I'm spending a lot of time with the team in preparing for the July 20 HELP Senate hearing. This is all a colossal waste of time in which the far right is trying to link the COVID pandemic with work supported by NIAID In a sub award to the Wuhan institute of virology. I would likely get attacked by Senators Rand Paul , Marshall, Kennedy come on and Rubio among others. We shall see. July 15, 2021 – Global USA The republican Party has gone completely crazy. See letter below where Congressmen are accusing me of collaborating with the Chinese Communist Party: Follow Up NIH Re. Emails 71521 (2).pdf There are a few things to point out. For example, tonight we had a meeting that we generally have prior to briefing the president . Tomorrow we will be briefing the president and tonight at 9:00 PM we had a zoom meeting with me, Rochelle, Jeff , and Natalie to go over the plans for how we were going to breathe the president tomorrow (Friday). We divided the responsibility between Rochelle and me. Also, we had another one of the unusual experiences with the United states Congress. A group of 20 Right Wing Republican Congressman wrote a letter to Francis Collins and me asking a number of ridiculous questions in an accusatory manner as they have been for the last several weeks. In fact, the letter was first sent to the right wing publication the Daily Caller who then called us up and asked us what our response to the letter was when we had not yet even received the letter. And so, it was quite obvious that they were doing it mostly as a publicity stunt. In any event, one of the most amazing parts of the letter was the part where they made the statement: “Doctor Fauci was working closely with the CCP (Chinese Communist Party)”. They gave a reference for that statement that was an email sent to me from George Gao on March 28th 2020. In fact, that email was George apologizing to me for seemingly contradicting me in an article in Science in which he said that the United States was making a mistake by not recommending that people universally wear a mask. He did not want that to be interpreted that he was criticizing me and he apologized. In addition, George was saying how concerned he was about the outbreak and that he was worried about me and hoped that I was doing well. I wrote back to him and said “Thank you for your kind note I hope that all is well with you.” If anyone can construe that exchange as my working closely with the Chinese Communist Party, they have to be out of their mind. For that reason, it is clear that these types of letters are nothing but a bunch of unmitigated bullshit. PRESS: Local print media – Las Vegas Review Journal, Arkansas Democrat-Gazette, Gannett Missouri; July 16, 2021 I briefed the President in the Oval Office today about the Delta variant and its impact on our country. Present at the briefing were: Ron Klain, Susan Rice, Natalie Quillian, Jeff Zients, Anita Dunn, Brian Reese, Mike Donilon and Rochelle Walensky virtually. Given the increasing number of cases in the United States, even though the hospitalizations have not increased, the President was concerned that his message that by July 4th we would be seeing an independence from the virus here in the United states might actually be now subject to question. We spoke to him about the importance of emphasizing that vaccinated people do not get severe disease even from the Delta variant . In addition, we pointed out the possibility that we may need to give booster shots , namely a third dose following the two doses of the mRNA vaccine. The President was concerned that people would say that he was giving a mixed message when he asked everyone to get the standard regimen of vaccination and now we are telling them that they may need to get an additional dose. I pointed out to him that most people who are vaccinated would be quite amenable to getting a third dose so long as they thought it would increase the duration of their protection and or make them more highly protected. It is the people who do not want to get vaccinated to begin with who are going to be in trouble because they will get infected and they will need hospitalization. The POTUS and Jeff kept asking whether I thought that it would get as bad as the winter of 2020/2021. I said no since we did not have vaccinated people back then. Fox News hosts Tucker Carlson and Laura Ingraham and mocking our attempts to get people vaccinated likely leading to loss of lives. Rand Paul and Jim Jordan tweeting about me all the time and actually raising money by trying to discredit me Cases continue to climb: PRESS: MSNBC – “The Reid Out”; Peacock MSNBC – Joshua Johnson; CBS Evening news; NBC Nightly News with Lester Holt; July 17, 2021 No change. Cases continue to rise. Gov. DeSantis has made anti-Fauci T-shirts. Amazing!! PRESS: CNN with Jim Acosta; July 18, 2021 Cases continue to increase. The question that is being asked is whether fully vaccinated people who have breakthrough infections can transmit the infection to others. Still no direct data either way: July 19, 2021 Jeff Z. called me early this AM (6:45 AM) concerned about the breakthrough infections of vaccinated people and waned my opinion about moving towards masking of vaccinated people who are in hot zones. I think that we should. Jeff called again at 10:00 AM concerned about the time FDA is taking to grant a full BLA for the vaccines. He is acutely aware of the sensitivity of not interfering with or pressuring the FDA, but we need the BLA since many people are not getting vaccinated until the vaccines are “fully approved”. Also, Jeff want me to get firm information on how long it will take for the peds (11 years old and younger) approval to come. Stock Market plunging >700 down due to concerns about the spread of the Delta variant. Mayor Bill Di Blasio called and ask my opinion about a strategy that he would like to do to try and get more people vaccinated and safe from the delta variant. He is proposing to give the people of New York City two alternatives if they are not vaccinated: 1) get vaccinated or 2) be required to get tested with a nasal swab at least once a week. The mayor feels that people will likely get tired of getting tested every week and my opt to get vaccinated purely for the convenience of it. Even though the requirement for a nasal swab is indeed a mandate, the mayor feels that this is much less intrusive they mandate for a vaccine. PRESS: CNN with Kate Boldun; Bloomberg TV “Balance of Power” with David Westin; PBS NewsHour with Judy Woodruff July 20, 2021 – Global – 191,000,000/4,100,000; USA – 34,000,000/607,000 Testified today before the Senate HELP Subcommittee - There was the expected big splash at the hearing today As Senator Rand Paul accused me of lying under oath at a prior hearing and asked me if I wanted to retract my statement when I said that the NIAID has never funded nor does it funds now gain of function research at the Wuhan Institute of Virology. He referred to the Plos Pathogens paper of 2017 and insisted that there was gain of function in those experiments and said I therefore lied. He quoted Dr. Richard Ebright as saying that those experiments were definitely gain a function. I exploded right back at Senator Paul and told him that he had no idea what he was talking about. I told him that I did not lie and have never lied certainly not before the Congress and then I would not at all retract anything I previously said before a congressional committee. He then implied that the work that we were doing may have been the cause of thousands of deaths. At this point I blasted back at him that if that is what he is implying he has no idea what he is talking about because the viruses that we were dealing with and that were in the progress reports and that are in the literature in no way could become SARS-CoV-2. I went on to say that it was molecularly impossible for the viruses that we were dealing with to become SARS-CoV-2. I finished by looking him in the eye and telling him that if anybody is lying here it is he. Several of the other senators on the democratic side after the discussion between Paul and me was finished made statements saying how confident they are in my integrity and in my service. Senator Marshall later asked questions about the furin cleavage site and the CGG codon. Then he started talking about the S1 segment of the spike protein and had absolutely no idea what he was talking about. He rambled on until I told him that I had no idea what he was saying; it make no sense. He made a fool of himself. Cases continue to climb: PRESS: CBS “This Morning”; Multiple stories on TV about my encounter with Senator Paul July 21, 2021 – Global – 191,000,000/4,100,000; USA – 34,000,000/607,000 Cases continue to climb: Typical e-mail from a supporter of me after the Rand Paul clash. One of dozens and dozens: Dear Dr. Fauci, I've wanted to write you at various points over the last year, but seeing the hideous treatment you received from Rand Paul played on the PBS "Newshour" last night has prompted me to wait no longer. My husband, Breck Montague, and I want to thank you from the bottoms of our hearts for the inimitable leadership, courage and wisdom you have shown since you've had to become a frequently called-upon national spokesperson for good health sense and public health during this pandemic. I am certain you remember my father, Frank Williams, during his time as director of NIA. I actually recall when you came on board at NIAID -- I believe my father marvelled about how you were perhaps the "youngest person ever" to assume an NIH directorship. If so, thank goodness you were, because here you still are, with the benefit of decades under your belt, at such a critical time. Thank you for telling Sen. Paul it was he who was lying -- and for not accepting his dangerous rhetoric. We were so proud of you! In our rural community, we do everything we can to support fact-based conversation and exchange of information. In such a disheartening period in this country's history, we're immensely grateful to have leaders such as you who speak out and act according to your beliefs. Keep it up, and please accept our support and thanks. Mary Williams Montague Gloucester, Virginia (8576 Toddsbury Lane Gloucester, VA 23061) Francis Collins defends me against Rand Paul nonsense on CNN and MSNBC tonight I visited Eric Lander (Director of OSTP) at the White House today. He asked for the meeting and wanted to do two things. First, he wanted to express his strong support for me in light of what just went down with senator Paul. Second, he wanted my help in trying to nail down the possibility of our getting much of the $30 billion that are still available from the JOBS Act to put together a major program for pandemic preparedness for the future. He wanted to work with Francis Collins and I to make this happen and suggested that we might write an op Ed together. This evening I got a text from Beth Cameron of NSC. Beth indicated that I was her hero for what I did with Rand Paul and that she had heard from Eric Lander that I was discussing with him the issue of the $30 billion. I texted her back saying that I would push hard for this with Ron Klain and Jeff Zients. I will be seeing the President in the Oval Office today and hopefully Ron will be there so that I can discuss this with him. It should be pointed out that I have been meeting with the president personally in the Oval Office once a week for the past several weeks. It seems that Jeff prefers that I am there personally during the Presidential briefings. Also, it is rather strange that it seems that Jeff does not trust the CDC or even Rochelle and always wants me involved when it comes to the President. This may be a bit unfair to Rochelle, but his skepticism about the CDC historically is justified. In the meantime, the GOP led by despicable Kevin McCarthy continue to push back on doing an adequate investigation on what led up to the January 6 insurrection against democracy. Thank goodness that Nancy Pelosi has rejected the GOP suggestion of putting Jim Jordan on the panel that would be investigating the January 6 insurrection. Also, the GOP continues to blast me in their social media. It seems like it is an all out war between me and the radical right wing of the GOP PRESS: Interview with Sentinel Record (Zoom) – Arkansas newspaper with Tyler Wann; NPR “All Things Considered” with Mary Louise Kelly; CNBC “Closing Bell”; MSNBC with Ari Melber July 22, 2021 – Global – 192,000,000/4,100,000; USA – 34,000,000/608,000 Daily cases continue to climb: Had my usual weekly meeting with the POTUS today at 1:00 PM in the Oval Office. Also present: Jeff Z., Natalie Quillian, Mike Donilon, Jake Sullivan (NSC). When I walked into the Oval the POTUS put his hands on my shoulder, brought me close and said: “You did a great job in stuffing that horse’s ass” referring to Rand Paul. He also said that 1st Lady Jill was “cheering for me” as she watched it on TV. As I walked through the White House, several people thanked me for “my service and for what I do” and a few remarked about Paul and said how proud they were of me. Briefed the Senate and House by Zoom together with Jeff, Natalie, and Marcella Ninez-Smith England surging with USA following: Steve Scalese is now promoting vaccines. It seems that several of the GOP who were originally against vaccines are now realizing that they are on the wrong side of history. PRESS: CBS Evening News with Norah O’Donnell; Twitch Livestream; July 23, 2021 I had a very productive conversation in my regular every two week call with our UK colleagues – Chris Whitty and Patrick Vallance, this time accompanied by Thomas Waite. I explained to them the situation that we have here in the United states with the delta variant. The UK seems to be a couple of weeks ahead of us in every way. They have vaccinated a slightly larger proportion of their population than we have and the surge in delta that they are experiencing is much steeper then what we have at this time. The efficacy of the vaccine against hospitalization and death continues to hold. They are a skeptical about the Israeli vaccine efficacy data for asymptomatic and mildly symptomatic disease as we are here in the United States. The UK has made the decision similar to us that they will try to get all the children back to school in person by the fall. However unlike us, the unvaccinated children will not be required to wear masks when they go back to school. They have essentially decided that since you cannot vaccinate the younger children yet and since they generally have very mild disease, that you should accept the fact that sooner or later these young children are going to get infected and so be it. They do not want to close the schools or go to virtual learning. I will continue to follow the situation with them since it is very helpful to us here to learn what the UK is doing. Of note, both Chris and Patrick wanted me to know that I am held in extremely high regard in the UK by virtually everyone on the basis of my standing up to Rand Paul and his nonsense in the Senate Right-wing attacks on me intensify – North Carolina GOP Congressman Madison Cawthorn - "I thank Rand Paul for bringing it up and I will tell you right now Anthony Fauci does not have the best interests of the American people at his heart," he said. "I believe he is a pawn for the Chinese government by giving them funding to do militaristic funding to try and figure out how they can make an animal virus more transmissible to humans. It's disgusting, it's wrong, and 4 million people are dead all around the world because of it." Did my usual weekly briefing of the Cabinet (“Principals”) together with Rochelle, Natalie, Jeff, and Vivek. Brought them up to date on Delta variant becoming dominant. PRESS: CBC (Canadian) “Power and Politics; FOX with Neil Caputo; PRESS: Very good article in the LA Times by Melissa Healy: LA Times: Fauci: ‘There’s no way’ the coronavirus was made with U.S. research funds. Here’s why https://lat.ms/3ruPOC6 July 25, 2021 – Global USA The USA is not doing so great in vaccinations compared to other developed countries: Fully vaccinated people: PRESS: CNN “State of the Union” with Jake Tapper; MSNBC “Sunday Show” with Jonathan Capehart; July 26, 2021 Humor: Important stuff going on!!We had at least two zoom meetings today with Jeff, Rochelle, Vivek, and Bechara to discuss the upcoming change in masking guidelines that the CDC will be proposing. It relates to the fact that data or showing that the level of virus in the nasopharynx of vaccinated people with asymptomatic breakthrough infections is similar according to CT values to that in individuals who are infected asymptomatically and who have not been vaccinated. These data are strongly suggestive that individuals who are vaccinated and who get infected can't transmit the virus two others as easily ask an unvaccinated people. This is triggering the need to tell vaccinated people that when they go to situations that are indoors that now they have to wear a mask or should at least seriously consider wearing a mask depending on the level of infection in the community where they are living. Rochelle is really having a very tough time in negotiating this with Jeff in the context of “her team” at CDC that seems to be operating in their usual manner independently of running things by the White House. For example at the end of a long and tortuous discussion about getting the wording correct in the new guideline, Rochelle let us know that two days from now (Wednesday) the CDC will be coming out with an MMWR that will overlap with what we have been wordsmithing for the guideline. Jeff and everyone else was blown away that these two parallel things were going on and we did not even know about it. I feel badly for Rochelle since she is dealing with an ingrained CDC system that has been that way for the decades that I have been dealing with them. Jeff and the White House Comms people (Courtney Rowe) are very concerned about mixed messaging. We decided that we would sleep on this and address it again in the morning. July 27, 2021 – Global – 194,600,000/4,200,000; USA – 34,500,000/609,000 Just got a call from Jeff that he wants me to brief the President today about the issues discussed above. It is very clear and unfortunate that confidence in Rochelle is very low within the White House team of Jeff, Courtney Rowe, and others. STAY TUNED Had a good conversation with the President in the Oval Office this afternoon at 12:30. I explained to him the new CDC guidelines for wearing masks indoors even if you are vaccinated given the fact that the delta variant is causing breakthrough infections in vaccinated individuals and vaccinated individuals with breakthrough infections can transmit the virus two uninfected individuals. In addition, I explained to him the data that the level of virus in the nasopharynx of vaccinated people with breakthrough infections is similar to the level of virus in the nasopharynx of unvaccinated infected people. We had a good conversation; he asked a lot of good questions. Right before the discussion he was on the phone with former senator Barbara Boxer who had just been mugged outside of her house. She asked to talk to me when she heard that the president would be meeting with me and we had a good conversation. She relayed that she felt very badly that idiots are attacking me and that she always has had the highest degree of regard for me. She recalled back in the days when we were fighting HIV together. I asked the president if Jill had come back from the Olympics in Tokyo. The President informed me that she had and so I sent her my regards through him. As Jeff , Natalie Quillian, and I were sitting in front of the Resolute Desk, I had a very strange, almost out of body experience. I just recalled at that time so clearly the bizarre situations that I had been through in the past when I sat in front of the desk trying to brief President trump. I recalled his incredible lack of concentration ability where his attention span was measured in seconds rather than minutes. This is in stark contrast to the seriousness, dignity, and integrity that now permeates the entire White House, particularly the Oval Office. Only now in retrospect do I fully appreciate what a disaster Trump was as President. This applies not only to his policies, but to the fact that he diminished the dignity of the presidency enormously. The feeling in the Oval Office now is very similar to what I experienced when I was in the Oval Office with presidents George HW Bush, George W Bush, Bill Clinton, and Barack Obama. This is such an entirely different feeling and vibration that I have when I enter the room and sit down either on the couch or in front of the desk. There was always that feeling of anxiety with Trump where I was anticipating that he would say or do something outlandish. PRESS: Big announcement from CDC about masking for vaccinated people indoors attracting much media – Print interviews with NY Times and Washington Post. The Intercept: Rand Paul’s Attack on Anthony Fauci Chills Scientific Debate Over Gainof-Function Research https://bit.ly/3iR7zHP NEWS CLIPPING — BUZZFEED — CONDENSED (3 SOURCE PAGES) “The Black News Channel “The World Tonight”; NBC “Nightly News” with Lester Holt; NPR “All Things Considered” with Ari Shapiro; PBS “NewsHour” with Judy Woodruff; Univision National TV; Telemundo TV; CNN with Chris Cuomo; MSNBC…” "Getting death threats for me and my family and harassing my daughters to the point where I have to get security is just, I mean, it's amazing," Fauci said during an online forum last year. At that time, he called the threats "unseemly things that crises bring out in people." Fauci told CNN this week that the US is "going in the wrong direction" in terms of COVID-19 cases. He blamed unvaccinated Americans for the surge in infections, particularly with the more contagious Delta variant. Connally is due to appear in a federal court on Wednesday. Story also covered in other media – New York Post, Axios, Forbes, Newsweek, CNN, The Hill July 28, 2021 – Global USA Cases continue to surge: PRESS: MSNBC – “Morning Joe” with Joe Scarborough; Joe Madison Radio Show; Morning Hustle Radio Show; July 29, 2021 There are a lot of important things going on that I do not have a chance to comment on in my daily diary. Some of these are the continual conversations that I have been having with Jeff about who should be the FDA Commissioner. Jeff and Ron Klain continue to run by me names of potential candidates. Today for example, David Kessler came to me with a surprising request that I float his name to Ron as a possible candidate. David is currently the head of the countermeasure acceleration group (CAG) of HHS. He is a former FDA commissioner and would likely do a very good job. I will float his name and see what happens. In another vein, I continue to get harassed by letters from far-right congressmen and senators who are cherry picking my FOIA’d emails and trying to establish that I have lied under oath when I said that the NIH has never done gain of function research at the Wuhan institute of virology. In addition, Tucker Carlson and others at Fox News continue to attack me virtually every night. Carlson saying multiple times that I created the virus. This is an extremely stressful situation but I will have to push on with the job that I have as director of NIAID and as chief medical advisor to President Biden. Another issue that is percolating it's a growing discontent with the CDC and with Rochelle’s difficulty in clearly articulating their somewhat shifting positions such as that of masking indoors. I do not believe that it is Rochelle’s fault but it is a fundamental lesion in the CDC. One of the problems is the typical CDC mentality that antedated Rochelle. Rochelle and the CDC are hesitant to show anyone data that backs up their policy because it is supposedly “embargoed. The problem is that the embargo relates to the MMWR, which is the CDC's own publication. Therefore it seems that if they wanted to break the embargo they could easily do it. Again, this is a recurrent problem with the CDC keeping data close to their vest and making policy without allowing outside experts to weigh in. It was an evolving situation here. Got a call from Jeff just now reading a sentence from the President's speech that he will give today in which he said that children do get infected, but a serious outcome is “extremely, extremely rare”. In my meeting with my office team this morning someone pointed out that in Arkansas on Wednesday there were 24 infections in children; seven of them wound up in the ICU and two of them are on respirators. I had originally told Jeff to get rid of one of the “extremelies” and just say “extremely rare”. After hearing about the infections in Arkansas I called back Jeff and told him to get rid of both “extremelies” and just say “rare “. We actually do not know the full impact of this virus on children at this point and so we really need to be careful about what we say and what we allow the POTUS to say. We are on a similar track as UK but a few weeks behind (as is usually the case): Very important essay by Peter Hotez: PLoS Biol/Hotez: Mounting antiscience aggression in the United States https://bit.ly/3lbsKXF We had a briefing today from the house Select Committee on COVID-19 chared by representative Clyburn. It was supposed to be limited to a discussion on the delta variant. However, it was clear that when the Republicans were allowed to ask questions they went off the subject and started to ask questions about infections coming over the border from Mexico. In typical fashion Jim Jordan asked me if I was a member of the P3CO oversight committee when in fact there is no such a thing as a P3 CO oversight committee. We have an executive committee of which I am not a member. Fortunately, even though I did not know what he was talking about, I said that I was not a member. He then asked for a list of the members. Since I really didn't know what he was talking about I said that I would get him that list. As it turns out, this is a list that HHS does not want to make public. HHS will get back to him and explain that to him. Obviously, he will make a big deal about this publicly. The Republicans in the Congress as well as Fox News continue to attack me viciously. I was particularly disappointed today to read Newt Gingrich whom I have always liked and respected came out and said that it was time for me to retire. He said that although I have had an illustrious career, I am trying to defend the indefensible. I am really not sure what he meant by that. Did he mean that I was defending gain of function research or did he mean that I was defending the CDC's masking guideline? As Peter Hotez said in the article above, no one is stepping up in the scientific community to defend me since they are afraid of being threatened by this extreme group that seems to be very well organized. Went to a book signing party add the home of Adrienne Arsh. The book is “I alone can fix it “ bye Phil Rucker and Carol Leonnig. The Super a list from Washington DC was there. It was a little bit uncomfortable since I was wearing a mask with the new guidance from the CDC and almost everyone else was without a mask. When they saw me with a mask , several of them put a mask on. One of the things for discussion in the book for this time frame is the extraordinary confidence that the president, Ron Klain, and especially Jeff is placing in me. When I briefed the president before his speech a couple of days ago , Jeff did not want Rochelle to brief the president even though the discussion was strictly about CDC guidelines. PRESS: South African TV – Bhekisisa Center for Health Journalism with Mia Malan; Ken Jeong Instagram; WTOP Radio; NBC LX TV; July 30, 2021 – Global USA There is growing frustration fall apart of Jeff with the CDC and particularly with Rochelle. I love her but she does not seem to have control over organization. We were being briefed the other night about what we were going to be saying about boosters and about the effect of the delta variant. In the middle of the conversation we found out that an MMWR was already written that could possibly be in conflict with what we were discussing. (see above). Now we have a situation where a slide set that was for internal discussion within the CDC was leaked by the CDC to the Washington Post including a discussion of things that we had not vetted out with the Medical Group. Jeff was extremely concerned that we are now on the defense trying to explain or defend things in an internal document that is now public. He called a special zoom meeting with himself , me , and Rochelle to try and sort this out. It became clear during the discussion that Rochelle herself was somewhat unaware of what her own CDC people were doing. I felt very bad for her because she is clearly very competent. we will have another zoom meeting later today since Jeff tasked me to review the papers upon which the CDC conclusion that the delta variant causes more severe disease was based. I will have myself, Andrea Lerner, Cliff lane, and Dean Follmann review the papers. After review by my “team” we found that the Singapore data was very weak but that the Scotland and Canada data suggest that there is an increase in severity with the delta variant. I communicated this both to Jeff and to Rochelle. I had a very interesting conversation with the Prime Minister of Israel, Naftali Bennett, who requested a zoom call with me. Based on the diminishing efficacy of the Pfizer vaccine in Israel, the Prime Minister together with his health ministers have decided that they will give a third booster shot to individuals older than 60 years old. They are already giving a booster to people who are immunosuppressed. the Prime Minister wanted to get my opinion and ultimate support of what he is doing. with my permission he taped our discussion so that he could put it on his Instagram to show to the people of Israel. I pointed out to him that there will be some concern that he is boosting people in his own population while much of the world has not yet received their first dose. He understands that but pointed out to me that is real is a country of almost 9 million people and they have just enough doses to take care of their own people , and unlike the United states, they do not have the resources to supply the rest of the world. He asked for my cell phone number so that he might intermittently call me for advice. With the approval of the State Department I gave it to him. It seems that we have developed a very good rapport on the basis of this first meeting. It turns out that the Prime Minister is an extremely interesting man who was a combat commander (Major) in the Israeli Defense Forces in a Special Forces unit. He led many Special Forces operations. In addition, he has spent many years in the United States and has made millions of dollars as a software entrepreneur. PRESS: Global National TV – Canada; Spectrum News TV – California; NPR – “All Things Considered” with Ailsa Chang July 31, 2021 – Global – 196,6000,000/4,200,000; USA – 34,800,000/610,000 Instagram from Israeli PM Bennett: August 1. 2021 – Global USA – 34,900,000/611,000 I got involved in an interesting situation regarding the expiration of the moratorium on evictions with the CDC in the middle of it. Apparently, the CDC has the authority to block evictions during a public health emergency. The moratorium expired and the Supreme Court ruled that they could not reinstitute it. Now Nancy Pelosi is furious because the public is blaming the Congress for not solving the problem. Pelosi is asking the White House to do it and the White House is turfing it to the CDC. The CDC does not have the authority to overrule the courts and so there's a lot of tension going on. Larry Horowitz who works with Pelosi called me to ask me to try and convince Rochelle to reinstitute the moratorium, get sued (which she will lose ), and thus give enough time to get money to the people who are being evicted to prevent their eviction. I got on the phone with Rochelle and offered to help her by giving her encouragement and support. It all worked out when Jeff Zientz worked with Ron Klain to have Rochelle write a letter to the president saying that she would love to keep the moratorium but it is legally out of her hands. In this way the good intention of the administration would be displayed , but they would not get into legal difficulty. PRESS: ABC “This Week” with Jonathan Karl; CBS “Face the Nation” with John Dickerson August 2, 2021 – Global USA I briefed the President today in the Oval Office. It was part of the weekly briefing that we do where Rochelle and Vivek and Marcella were on the zoom screen and I was in the office with the President and the Vice President. I briefed him on the efficacy of the vaccine against the delta variant as well as on the issue of breakthrough infections and the possibility of our need for boosters. The President was his usual pleasant and calm self; however, he seemed a bit troubled about two issues: first, he is aware that everyone is waiting for the FDA to give final approval to the vaccines and that this would go a long way to getting more people vaccinated. He clearly does not want to interfere with the FDA; however, he is growing impatient with the length of time that is taking for them to come across with a full approval. Second, he is concerned about the fact that the moratorium on evictions of people from their homes has expired and the Supreme Court has voted five to four that the moratorium cannot be extended. He has the power to call together constitutional scholars and claim that they have given him enough reason to overrule the opinion of the Supreme Court and order the CDC to continue with the moratorium on evictions. He is hesitant to do that since although he believes it is the right thing to do from a humanitarian standpoint, he does not want to set a precedent for a President to use his or her Presidential authority to overrule a Supreme Court ruling. He is afraid that if we get another President similar to Trump, that a lot of mischief and bad acting could occur if such a precedent were set. And so, he has to live with the uncomfortable situation of Nancy Pelosi essentially yelling at him on the phone to do something about the eviction situation when in some respects he is powerless to do so. I feel for him and I am more appreciative close and personal of the weight of the Presidency. As it turns out, the President did get an opinion from some constitutional scholars and made the decision to ask the CDC to extend the moratorium for 30 days. As Ron Klain said in the White House , it is likely that the courts will overturn this extended moratorium pretty quickly . We shall see. The general spin is that the president did this because of extensive pressure from Nancy Pelosi and the Democratic Congress. Governor Ned Lamont of Connecticut called me today in frustration that the FDA has not yet given full BLA approval to the COVID-19 vaccines. He asked if I could do anything about it . I explained to him that that would be difficult since it would suggest that we are putting pressure on the FDA which could backfire on us. I told him that I was very much in favor of accelerating the process and that I felt that the approval would likely come within the next couple of weeks . He also asked about booster shots and I explained to him that boosters for the immunocompromised would likely come very soon and that it would probably take a couple of months before there was enough data to recommend booster shots for the elderly. Got a call today from John Bel Edwards, Governor of Louisiana. He is having the biggest surge of cases of any state in the country right now and he is asking for my support in what he will soon do and that is to put in a mask mandate for all indoor public settings as well As for everyone in the school system which will start today. He asked if I had any further suggestions. I asked if he had ordered a restricted capacity or closing of bars and restaurants and he said that although he would like to do that, he feels that the legislature would rebel against him and take away his emergency powers for public health. And so he wants to get his mask mandate through as his first priority. I agree with him. In addition before we hung up he said that he really admired me and felt badly of what I was going through with the far right attacking me. He said a very nice thing when he said: “you have bigger clowns to deal with than I do; maybe not more clowns, but certainly bigger clowns, but at least you can sleep at night with a clear conscience “. The conspiracy of the far right and the trump loyalists continues. Recently representative Mike McCall the minority On the House Foreign Affairs Committee released a report by the panel's republican staff essentially saying that the lab leak was the cause of COVID-19 and hinting the NIH's role in creating the virus. This is based on no new information or no new data. It is very clear what is going on and it needs to be called out. It is all part of “The Big Lie”. First, trump actually won the election; next, January 6th was a friendly visit to the capital book shop; next trump was right and China caused the virus; next Fauci and the NIH helped the Chinese create the virus; next, discredit Fauci and it looks like trump is telling the truth. It is plain and simple a concerted effort aimed at getting trump re-elected and exonerating him from any blame in the complete mess up of his response to COVID-19. Lindsey Graham has contracted COVID-19 period since he is vaccinated he has a mild case. I asked his staff to have him give me a call , which he did and I expressed concern for him and offered to help if I could. He was very grateful for my concern instead we would keep in touch. PRESS: White House pressor; August 3, 2021 – Global – 198,000,000/4,200,000; USA – 35,200,000/612,000 We continue to average about 70,000 cases per day An ironic situation is going on in Florida where Governor DeSantis has a state that has the most infections per day in the country and is still insisting that mask mandates are not allowed at the local level by the schools or by anyone else. In addition, he continues to raise money by slamming me with T shirts as well as by his slogan “don't Fauci my Florida”. Besides being a total jerk, he is causing people to die in his home state. Did Governor’s call today – Chaired by Gov. Asa Hutchinson (R-AK) White House has asked me to interview candidates for the position of FDA commissioner. And so today I am interviewing Sudip Parikh whom I knew when he was the staff director for the Senate Appropriations Committee. I was impressed with his interview since he is a very smart and energetic person. I also interviewed James Hildreth who is currently president and CEO of Meharry medical school. I have known Jim for a long time and he is highly qualified. Gov. Cuomo is in serious trouble politically. A report came out today detailing 11 instances of sexual harassment. President Biden as well as Nancy Pelosi has called for his resignation . If he does not resign, he will likely be impeached. Richard Ebright (Rutgers) has proven again that he is truly an asshole. Francis Collins was on CNN this morning and misspoke saying that adults who have children at home should wear a mask at home , which is clearly not correct. However , Frances very quickly corrected his statement by putting out a tweet , apologizing , and saying that he was incorrect. Yet immediately after that doctor Richard Ebright followed this up with a very nasty tweet . See below: This evening I was asked by Erin Burnett on CNN to clarify the situation once and for all. I stated that Francis misspoke but to his great credit he immediately apologized and corrected the mistake. I e-mailed Susan Rice tonight asking her to call me, and she returned call at around 9:00 PM. I wanted to explain more fully to her the misperception about the “likelihood” that a vaccinated person would get infected. In a discussion we had yesterday where I briefed some of the economic leaders including Janet Yellin and Susan Rice, the question came up as to what it means when there is a 79% efficacy of a vaccine against the delta variant. Many people interpret this to mean that there is then a 21% chance that a vaccinated person will get infected . This is obviously incorrect since you must compare it to the unvaccinated people. Since not all the unvaccinated people get infected by any means, then the 79% protection compared to the unvaccinated people means that a very, very small proportion of vaccinated people will get infected. Susan was very grateful for the phone call and said as he has often dos when she sees me that she “loves” me. We have become good friends over the years dating back to the Obama administration, and I really like her. PRESS: Axios interview with Eileen O’Reilly; Podcast with Creative Artists Agency – agent for many entertainment and sports figures; Podcast with CSIS – Steve Morrison; CBS Evening News with Nikki Battiste; CNN with Erin Burnett; Did a Webinar with Virginia Governor Northam; August 4, 2021 – Global USA Had 100,000 cases yesterday!! 104,000 cases today I received the call today from former Vice President Dick Cheney - This is medically confidential and not for publication in my memoir. The VP was asked to give the eulogy for former Secretary of Defense and dear friend Donald Rumsfeld. Cheney had a heart transplant several years ago and is on immunosuppressive regimen. It is likely that his immune response two the vaccine is suboptimal. He called his cardiologist , Jonathan Reiner, at GW and asked his advice about coming to Washington to give a eulogy for Rumsfeld given the current situation with the delta variant. Reiner recommended that he called me. I made it very clear to Cheney that I strongly recommended he get the third boost of the mRNA since he is highly susceptible to getting infected if he comes into contact with an infected person. We spend some time discussing the courage of his daughter Liz Cheney and sticking up against the far right Republicans who want to whitewash the January 6th insurrection. I told him that she was a chip off the old block and I really appreciated the fact that she has been sticking up for me. Cheney said he admired very much my courage and fortitude and standing up for what was right and he is proud to tell friends that he knows me and used to work closely with me. I told him that the feeling was mutual when I talk about him to my friends. Call with Eric Goosby - Eric is concerned that we are not utilizing the infrastructure of PEPFAR to solve the distribution problem of vaccines in sub saharan Africa. Eric points out that the obstruction here interestingly is Gayle Smith who is now the special director in the Department of State for global affairs. Eric points out that it is the same competition intention between USAID and other global entities of the federal government. Gayle and USAID want to be the focal point of the failing distribution of vaccines in Africa, while PEPFAR already has an extraordinarily effective infrastructure that was built for HIV. Eric is frustrated that we are not using that infrastructure. Did Zoom with Senator Dick Durbin who wanted a briefing on breakthroughs and boosters PRESS: Katie Couric podcast; Wall Street Journal podcast with Ryan Knudson; Australian broadcasting TV “7/30” August 5, 2021 – Global USA I had a very busy day today. Jeff arranged for me to brief both the house and the Senate via zoom on the latest in the COVID situation. In addition , I joined the first gentleman Greg Emhoff in discussing with a bunch of young communicators the importance of their work in getting their young peers vaccinated. This is the second time that I have done an event with the first gentleman. In addition, I met by zoom with Kathy Russell the head uh White House personnel to debrief her on the interviews I did with FDA candidates James Hildreth and Sudip Parikh. During the debriefing when they asked me if there were any other candidates that I would recommend, I strongly recommended Zeke Emanuel. However, as usual there was a concern about the fact that he can be a bit of a loose cannon. This is unfortunate since he is a very talented guy , intellectually brilliant, and very visionary. He is also a good friend. The nonsense of the far right in trying to discredit me continues. A day does not go by without either the far right GOP congressman or senator criticizing me and even calling for my removal together with the far right media , particularly FOX, being sharply critical of me in every respect. PRESS: ABC “Good Morning America” with George Stephanopoulos; Rickey Smiley Radio Show; Taped CNN Fareed Zakaria for this Sunday; August 6, 2021 – Global – 200,800,000/4,300,000; USA - 35,500,000/614,000 67,000 7-day average Cases continue to climb. There has been a lot of discussion about whether or not we should move quickly in instituting a program. I have been a very strong and vocal advocate to give booster shots immediately to people who are immune compromised such as those who are transplant recipients, those war on cancer chemotherapy, and those who are immunosuppressed because the border immune diseases. I have been explicit about that and have also been pushing the CDC to give us at least some preliminary data on the cohort studies that they say will inform us about the durability of protection among various groups of people. Other countries including France, Israel, and Germany, have decided to give boosts to the elderly right now. The UK has decided that they will start doing this in September. In this context, Jeff is getting very disillusioned with Rochelle and the CDC in their traditional way of not giving anyone even a slight hint of what the data shows until they are ready to announce it officially. A typical example of this has occurred today. I will be on a lot of press calls today and over the weekend and the CDC just announced that they have an MMWR that will be coming out together with a couple of papers in JAMA. I have no idea what is in these publications. This is unacceptable . Similar to what Sylvia burwell discuss with me years ago about firing Tom Frieden, Jeff is seriously thinking about either bringing in someone else to assist Rochelle or outright getting rid of her. I have argued that we should absolutely not fire her, and I have offered to speak with her about this issue. I had a long call with Rochelle tonight and explained the entire situation to her. I confirmed that I totally support her, but she really has to address the ingrained and somewhat ossified culture of the CDC. I particularly pointed out to her that she just cannot hold back information from Jeff and the White House team because she is waiting for her team to finalize data. If she has preliminary data she needs to tell us about it since we may need to talk about policy that would depend on such data. She just cannot give us an MMWR on the same day that is coming out. The last time this happened she said she could not give it to us because it was “under embargo “. I pointed out to her that this enraged Jeff since the CDC owns MMWR and as director of CDC she needs to realize that no one is trying to influence what goes into MMWR but it is important that she does not surprise Jeff or the president with something that she knows and that we do not know. I love Rochelle and she knows that. I explained to her what she needs to do to make things right with Jeff . A human explained to her the story from years ago when I saved Tom Frieden from getting fired by Sylvia Burwell because of how he messed up the ebola situation as a result of his listening to “his guys “. I believe that Rochelle gets it and will survive this very difficult time. I support her totally. PRESS: WJXX -Jacksonville TV; Bloomberg TV interview – Madison Mills; 1 hour with USA Today Editorial Board; Zoom Call with Michael Spector for his adio-book; MSNBC peacock TV with Joshua Johnson August 7, 2021 The surge continues: Governor DeSantis is a complete disgrace. He is blocking the local authorities from mandating masks in various locations including schools. He is doing this while at the same time Florida is virtually on fire with surging cases. Approximately 20% of all the cases in the country right now are in Florida. When you add Florida with Texas you get about 40% of all the cases in the country. At the same time he together with his Greek chorus of Rand Paul and other GOP members of Congress together with all of the stooges at Fox News (Carlson, Hannity, Ingraham), continues to actively criticize me and talk virtually every day about my being wrong on everything I say and then I should be fired. This is an obviously calculated plan of disparaging me and any other scientists (but focusing heavily on me) that speak up against their crazy strategy. I am convinced even more that this is part of the total dystopia going on in certain elements of the country and it is all linked to “The Big Lie” involving the election and the denial of January 6. I really am worried more about the country then about myself since if this goes on I fear that our democracy is in dire danger. We had an important conversation today with Glenda Gray and Linda-Gail Bekker of the Republic of South Africa. The discussion centered around the fact that Glenda and Linda GAIL want to do a randomized placebo-controlled trial using the Moderna M RNA. The purpose of the study is to determine if and how well mRNA vaccine works in persons with HIV. We have a real problem with doing a randomized placebo-controlled trial and so we got on the phone with David Kessler, the people from NIAID including Cliff, John Mascola, Mary Maravich, Carl D., and others. I came up with a solution that everyone liked. That was to do a trial where each arm gets a prime in boost dose of Moderna and then one group gets randomized to placebo and the other group gets randomized to a third dose boost. This will kill two birds with one stone. It will avoid the controversial use of a placebo and at the same time tell you whether the mRNA vaccine works in persons with HIV and whether and whether or not they need a boost for optimal response. August 8, 2021 – Global USA PRESS: CNN “GPS” with Fareed Zakaria; NBC “Meet the Press” with Chuck Todd August 9, 2021 – Global USA Cases 140,000 yesterday. It seems that my prediction of 200,000/day will come true unfortunately. We're having continual and difficult discussions concerning boosters. With my strong persuasion we have now finally arrived to the reality that we must give an additional dose to immunocompromised people as quickly as possible. The real issue that we are struggling with is when how and to whom we should give boosters among the population in general. Clearly, we want to stagger it so that we don't have rush to the gate. We're trying to get as much data as possible to validate a decision to start giving it to the elderly at approximately 8 months following their initial vaccination. I continue to struggle with having to defend the CDC against reasonable concern about the fact that they are generally behind the curve when it comes to accumulating data that would inform proper public health action. He gets back to previous conversations that we had concerning the entrenched culture at CDC who feel that they know best and they are not accountable to anyone. Under non pandemic conditions this goes un-noticed. However, in the middle of an outbreak of this proportion it is a glaring deficit. PRESS: Black News Channel (TV); Hugh Hewitt Radio; Navajo Times Interview; BBC World News TV August 10, 2021 - Global USA The soaring of cases continue. It is really looking rather ominous in that there have been numerous reports of gatherings of completely vaccinated people in a moderate to small sized party 20 thirty 40 people where you have outbreak of infections among these individuals. It is very clear that this virus is very different in its ability to transmit compared to the alpha variant. There have been a number of discussions regarding the use of additional booster shots. I have been a strong proponent and have led the discussion in getting additional booster doses to the people who are immunosuppressed, and to get these doses to them imminently. We have had several meetings with Jeff and the team and in some cases with the FDA to try and expedite this. It becomes an issue of the clinical data in a somewhat preliminary form balanced against the need of the FDA to have firm data before they modify the EUA. The tension between Jeff and the CDC continues in that the culture does not allow the CDC to share data in real time in a situation in which you actually need data in real time to make a decision. The lack of confidence in Rochelle and the rest of the CDC is manifested by the fact that Jeff is having me as opposed to Rochelle brief the President about things that appear to be strictly epidemiological. The same holds true for briefings of the principles and the governors. I don't know what to do to help Rochelle change the culture of the CDC because this is a decades-long problem. Vivek is in total agreement with me on this issue. I met with the President today in the state dining room of the White House to discuss together with the administrator of FEMA Deanne Criswell and Assistant to the POTUS for Homeland Security Liz Sherwood-Randall among others and together with Natalie and Jeff. The topic of the discussion was how we were going to handle the obvious heavy hurricane season that is approaching in the context of major outbreaks of COVID in the gulf states that have the lowest levels of vaccination and the highest levels of infection. I presented the epidemiology data and Liz and Deanne presented the hurricane data. My impression was that the president was not particularly happy with Deanne’s presentations since she was not able to give him the answer to a lot of his questions. Nonetheless being the gentleman that he is he did not really act annoyed with her although as I get to know his body language better I could sense that he was disappointed. As indicated above David Kessler and I and most recently with the support of Jeff have been trying to push the concept of getting the US government to make a major investment in Lonza company that makes the mRNA four Moderna. We're making some progress in the implementation of the concept of the US government bankrolling Lonza to expand this capability to supply billions of doses of vaccine to the developing world. We had been working on this in collaboration with Peter Staley, James Krellenstein, and David Barr. Unfortunately, Peter in his enthusiasm to get things done quickly, orchestrated a letter signed by 175 public health advocates essentially criticizing the Biden administration for acting too slowly in getting vaccine to the developing world. They sent the letter to the president simultaneously with sending it to the Washington Post and my media friends Yasmeen Abutaleb and Dan Diamond wrote an article in the Post indicating that David Kessler and I were working with them to get the higher ups in the administration to agree with the plan but that we had not been successful. Unfortunately, this may have blown our entire plan of getting this done under the radar screen. It is likely that this could now interfere with what David and I were trying to do. Yasmeen called several times for an interview; however, I did not see any purpose in getting involved in this controversial issue and also she had already written the story. See below: Wpost: ‘Act now’ on global vaccines to stop more-dangerous variants, experts warn Biden Vivek called me tonight after resume call with Dawn O'Connell and told me that a number of scientists and public health people that were originally on the advisory committee to Biden's election group we're writing to Ron Klain urging the administration to fire Rochelle Walensky as the CDC director. I believe this is very unfair since after I have spoken to her she is really trying very hard to gain control of the agency and to change there are somewhat ossified culture. PRESS: MSNBC “Morning Joe” with Mika Brzezinski; Did Instagram and TikTok interviews with “influencers” including Actor Edgar Ramirez, Kathleen Barnes, Jax James, Merrick Hanna Chris Olsen/Ian Paget, Wisdom Kaye August 11, 2021 David Kessler is pissed at Peter Staley. David feels betrayed that Peter mentioned his name and my name in his interview with Yasmeen. Last night I called up Courtney Rowe and had a long about the pros and cons of responding to Yasmeen who has been trying to get a comment from me regarding the article. We came to the conclusion that it would not do any good since the quote could be misinterpreted. I agree with Courtney. However we may have a problem that the article may set us back in getting jeff's support to push for billions of dollars to expand capacity to be directed 2 low and middle income countries. I will try to repair any damage that has been done to this effort. I had a good conversation with Peter this morning and I believe Peter realizes that he may had done some damage by mentioning my name and David's name in his interview with Yasmeen. It is again a delicate balance of trying to get an activist-driven push to get the right thing done and still operate within the system that alone has the capability of getting the right thing done with all of the political sensitivities involved. Email from David Barr to David Kessler: From: David Barr <davidbarr376@gmail.com> Sent: Wednesday, August 11, 2021 8:47 AM To: Kessler, David (HHS/IOS) <David.Kessler@hhs.gov>; Fauci, Anthony (NIH/NIAID) [E] <afauci@niaid.nih.gov> Subject: Follow up from the Washington Post story David - I saw your message to Peter. I think you have every reason to be annoyed at Peter's quote in the story. The story is about the sign-on letter that was developed as an outcome of a meeting sponsored by Yale School of Public Health, PrEP4All, ICAP at Columbia and AVAC, in which Peter was not involved. The letter is focused on the proposed plan to scale up mRNA vaccine manufacturing, a plan that has been public for many months now. The letter has nothing to do with the discussions we've been having with you and Tony and there was no reason whatsoever for Peter to have mentioned those discussions to the reporter. I don't see the quote as revealing any detailed information, but I do see how just saying publicly that we've been talking could undermine your negotiations. I've let Peter know that I'm not happy about this. I feel that you've worked with us in good faith and are making progress as evidenced by our last call. I hope we can keep these discussions going forward. Our goal is to ensure that vaccines are available to the world as quickly as possible. I know you share our concerns and understand the urgent need for this. I do not envy your current role in all this, as it must be both exhausting and frustrating. I remain confused as to why the President and the global public health establishment do not seem to truly share our concerns. Rather than lengthy negotiations with Moderna, why hasn't Biden hauled them into the Oval Office and said 'this is what is going to happen'? Instead of a piecemeal structure based on donations, why hasn't the WHO called for wartime footing to solve this problem? Meanwhile, the caseload grows and the potential for a new variant grows with it. Again, thanks for your efforts to date and I very much hope we can continue our discussions. David POTUS called me up today. Jeff is giving the president a briefing about a number of things and he wanted me to specifically brief him about the importance of giving a third dose of vaccine to immune compromised people. Jeff felt that it was not worth my going all the way down to the White House again since I was there yesterday and so he arranged in the middle of the meeting that he was having with the president to have the president call me on my cell phone and have me explained to him the rationale of the third dose , namely a booster, to immune compromised people since they never had an adequate immune response to begin with. The confusion that the president might have is to distinguish the boost for the immune compromised versus a boost for those who overtime have an attenuation of their response even though they are immunologically normal. It was for this reason that Jeff wanted me to do the explaining. I believe that the president understood what I was saying. Just to note that almost without exception every week I brief the Principals together with Jeff, Natalie, and Rochelle. the principles consist of cabinet secretaries as well as other high ranking White House officials. I don't report on it every week but it essentially occurs every week. Today I briefed them on various aspects of the delta variant. I did a favor for the State Department today by answering a series of Qs and As about the mRNA vaccines PRESS: CNN International with Christiane Amanpour; ABC World News Tonight and ABC Evening News; podcast – “America Dissected” with Dr. Abdul El-Sayed Borowitz satire report in the New Yorker: New Yorker: Fauci Says It Is Safe to Watch YouTube Now That Rand Paul Has Been Suspended August 12, 2021 – Global USA Now averaging (7 day) >100,000 cases per day Hospitaliations in children increasing per 100,000 population Had a good call with Hans Kluge, WHO Regional Director of Europe. Good discussion about mutual interests concerning COVID-19 and issues such as vaccine hesitancy. Had a very important Zoom with Chris Whitty and Patrick Valance see above) from the UK. Jeff has suggested that I call up Chris and Patrick and ask them what the strategy is in the UK regarding booster shots. To my surprise, I found out that they have not yet implemented booster shots for the immune compromised. They plan to do that in September. However, the bigger surprise was that although they are planning to give booster shots to the elderly starting with those who are 70 years old and older and then moving to the 60 years old and older, they will not boost anyone less than 50 years old . This means that they have no intention of boosting the general population who are not immune suppressed. Of note, this is consistent with their strategy that they care less about transmission of virus among individuals than they do about keeping people out of the hospital . That's why they feel that although the general population might have a decrease in effectiveness of the vaccines leading to infection and transmission, they are not concerned since the protection against severe disease is holding strong. This is consistent with their strategy of not wearing a mask and sending the children back to school without masks. In other words, they feel that we will have to live with transmission of the virus so long as we protect people from getting severe enough disease to be hospitalized. Jeff and president Biden were concerned that we would be behind other countries in protecting our citizens when in fact we are ahead of them, certainly ahead of the UK. PRESS: White House Press Conference; ABC “Good Morning America” with Amy Robach; NBC “Today” with Craig Melvin; CBS “This Morning” with Vladmir Duthiers; ABC “World News Tonight” with David Muir; NBC “Nightly News” with Lester Holt; PBS “NewsHour” with William Brangham; KMBC (ABC) TV – Kansas City, MO with Mike Mahoney; KDFW TV (FOX) Dallas-Fort Worth with Steven Dial; WPLG TV (ABC) Miami with Ben Kennedy; Univision TV with Lourdes del Rio; Telemundo National TV with Jose Diaz-Balart; Univision Atlanta TV with Rafael Olavarria; MSNBC “The Reid Out” with Joy Reid; CNN AC/360 with Anderson Cooper; August 13, 2021 Cases continue to surge We had multiple zoom calls and conversations today concerning the proper approach to his booster vaccinations. In addition, based on this submission to the FDA on data in diminished response in the immune compromised, the ACIP recommended that people who are immune compromised including transplant patients, cancer patients on chemotherapy, any patients on severe immunosuppressive therapy, people with advanced HIV disease, and people with primary immune deficiencies receive a booster dose. We also had considerable conversations about the best way to roll out the recommendations to boost the entire population in an orderly fashion starting likely sometime in mid to late September. The COVID team agrees that this is the way to go; however, it must be done within the context of the FDA regulatory framework. I am pushing my people who are doing clinical trials on booster doses to get data as quickly as possible to the FDA and the CDC so that they can analyze it for the purpose of making policy. Jeff is very sensitive to the fact that he does not want us to look like we have come in too late to the boosting game. This is actually not the case since as mentioned above , if anything, the UK is actually behind us. There will certainly be international concern by the fact that we in the USA are giving boosts to otherwise healthy people while the rest of the world is lacking even their first boost . However, the argument that I am giving is that the USA is donating more doses and money two international vaccines for low and middle income countries then the entire rest of the world combined . At this point we have contracted for 500 million doses to be distributed in the following cadence: 200 million doses by the end of 2021 and 300 million doses before the first half of 2022 ends . In addition, we have already given away 110 million doses to 60 countries. This includes 80 million of our own doses. In addition, the USA has either given or pledged $4 billion to COVax. There is an interesting concept that is heavily debated among us. Although we all agree that we need to do as described above, we are not fully appreciative of what the decrease in incidents of infection actually means if the current rate of hospitalization and death appears to remain stable. Are we vaccinating people with a boost because we feel that ultimately those increases in infection will lead to increases in hospitalization and deaths, or are we concerned that even if vaccinated people get infected and spread the infection that we are trying to suppress transmission in addition to serious disease. Stay tuned for how this all rolls out. PRESS: WTOP with JJ Green; Twitter responses with WH Digital team; CBS Radio Los Angeles; CBS Radio NYC; White House twitter with digital team; August 14, 2021 – Global - USA – 36,300,000/618,600 140,000 cases in the USA today. We had continued discussions today with Jeff and David Kessler as to how we are going to deal with the activists (Peter Staley et al) in our attempts to cooperate with them in getting doses to the developing world. We need to get them to understand that we are with them and trying to expand the number of doses we give ; However, they need to understand that we have already given more than the entire world combined. So they really need to recognize that we've done a lot at the same time that they work with us to do even more rather than attacking us for not doing enough. Moderna has not acted in good faith. They have actually put in their patent application and have explicitly said that Barney Graham, John Mascola, and Kizzy Corbett are not inventors of the M RNA 1273 patent. This is absolutely outrageous and I have had conversations with Francis Collins, Larry Tabak, and earlier this evening with Jeff indicating that we have to get a heavy hitting law firm to argue our case. I suggested as did Jeff that we employ the firm of Williams/Connelly to represent us. We are planning to roll out next week the program of giving a booster shot to everyone starting with those in long term care facilities and the elderly, but ultimately including everyone related to their anniversary date of their last shot. Clearly, we will get both praise and criticism for this. August 15, 2021 (Sunday) Heat wave throughout the country. I had a very intensive day with the medical team trying to fashion to coherent message to justify the announcement that we plan to make this week that we will be giving a booster shot to everyone who wants one regardless of age or underlying condition. This has been a very difficult situation since the data for diminution of efficacy regarding hospitalization and death are unclear because of the confounding variables of some studies dominated by delta , some studies dominated by alpha , and some studies with a combination of both. In addition, when we talk about hospitalizations , it is unclear from several of the studies whether those who were hospitalized were almost exclusively the elderly and /or people with underlying conditions. Jeff is bent on having a coherent sharp message about this when in fact that is very difficult to do given the paucity of data. If we are too precise we will be called out because we cannot back it with data. If we are general, Jeff feels that the public will be confused. I am trying to convince him that it is OK to say that we do not know nor do we have all of the data to make a decision and sometimes you have to make a clinical or public health decision just based on clinical judgment. In this case the judgment is that delta is a very bad virus and even though we don't have firm data yet that younger people are getting seriously ill, we don't want to be late to the game. I used the metaphor of Wayne Gretzky who always said it is important to skate where the puck will be rather than where the puck is. We do not wait until younger people start requiring hospitalizations before we decide that we want to give them a boost. My job in all of this is to give the immunological basis for providing a boost. Bottom line is that the controversy will be not that we need to give a boost, but do we really need to give it to everyone instead of just to the elderly and those who have underlying conditions. One of the most important aspects about all of this is that when you boost someone with a third dose at about six months or so after the original prime boost the level of antibody goes dramatically high and I believe that this would provide durable protection against delta and any other variants that come along. My concern is that the Medical Group will not articulate this concept well enough and I will have to be out there trying to pick up the pieces as is usually the case. Summary of what has been going on hat I might not have had he time to document. I am more and more astounded by the fact that our society is so dystopic in that untruth and out and out lies seemed to win the day . In addition, I am concerned that even good scientists playing a game of using their longstanding concern with gain of function to call attention to this by what is going on regarding the argument about the origin of the virus. There is no question in my mind based on so many factors including history, molecular makeup with the virus, among others that this virus naturally emerged from an animal reservoir. Yet , people like David Relman and others are not realizing that by their focusing on the gain of function which they believe is what we funded at Wuhan could possibly be the cause of SARS Co V2 when in fact they know that this is molecularly impossible. I have evolved into something that would have been unimaginable to me just a few years ago. There are some positive aspects to it ; However, for the most part I feel like it is no longer me. I am now probably one of the most recognizable faces in the world. Millions of people idolize me and the far right radical group absolutely hate me. I cannot go out in public to a restaurant or even walk through a crowd since someone immediately recognizes me and wants to take a picture or congratulate me or just say that they said hi to me. This is driving my security group crazy as they are afraid fair among these legions of admirers will be someone who wants to kill me. All of this together with the stress associated with the fact that the president and others in the administration rely heavily on me four major decisions and I have very little staff relatively speaking who could help me. PRESS: CBS “Face the Nation” with Nancy Cordes AUGUST 16, 2021 Pediatric hospitalizations surging: Someone leaked our plan for boosters. The press are texting me all evening. I am not answering. PRESS: August 17, 2021 There is a lot going on and a lot of moving parts. We have been working very hard on trying to get a plan and a program out to deliver third boost shots to people who have received the original two dose vaccine regimen for M RNA. This is a complicated issue because it appears that the vaccines in the United states as well as globally particularly in places like Israel and England among others are still holding strong and preventing hospitalization and deaths but there is a dramatic diminution with the delta variant in protection against infection and symptomatic disease. There is an inkling that we are starting to see increase in hospitalizations particularly in Israel in vaccinated people. Jeff together with the White House team has been working on a plan to be implemented starting September the 20th to get a third shot to everyone in a cadence beginning with those who originally had received the vaccine first. These people are fundamentally health care workers, the elderly, and people in long term care facilities and nursing homes. The problem is the data that definitively show that we are seeing an increase in hospitalizations with delta are not there yet. However , as I and others know from experience , when you are dealing with COVID-19 , particularly the delta variant, you may be behind the curve by a few weeks at the time you realize you were behind the curve. I use the analogy of skating to where the puck will be not where it is now . In this regard, there will be criticisms that we acted too soon particularly since so many people around the world have not yet received any vaccine. This is countered by the fact that the United states is doing more than the rest of the world combined to get vaccine to lower middle income countries. There is an additional complicating issue here in that Jeff is insisting that when we announced this, it looks like it is a done deal and we are definitely going to do this . However, it really does depend on or authorization from the FDA together with recommendation from the CDC via advice from the ACIP. If we come out and definitively say we're going to do it prior to the FDA approval , it looks like we have politically influencing the FDA. I am warning Jeff about this because even though he is trying to do the right thing , we have to be careful that we don't look like we are tipping the scales and overriding the FDA. Janet Woodcock is very concerned about this and I do not blame her. Another complicating issue is that last night someone leaked our plan to the press and although we are going to make the announcement tomorrow the press is running wild with speculations and partial data right now. I have not answered any press calls because I do not want to get involved invalidating the breaking of a very strict code of silence. Shame on the person or persons who leaked this period now we have to explain things without necessarily giving everybody all the necessary information. In addition , we have faced with the usual problem of the CDC not giving us all the information that we need and even continuing to refer two embargoed MMWR papers to come out. We absolutely need to see those data if we are going to defend our policy. Email that I sent to Ian Sams: From: Fauci, Anthony (NIH/NIAID) [E] <afauci@niaid.nih.gov> Sent: Tuesday, August 17, 2021 2:02 PM To: Sams, Ian (HHS/ASPA) <Ian.Sams@hhs.gov>; Kessler, David (HHS/IOS) <David.Kessler@hhs.gov>; Murthy, Vivek (HHS/OASH) <Vivek.Murthy@hhs.gov>; Collins, Francis (NIH/OD) [E] <collinsf@od.nih.gov>; Walensky, Rochelle (CDC/OD) <aux7@cdc.gov>; Levine, Rachel (HHS/OASH) <Rachel.Levine@hhs.gov>; Nunez-Smith, Marcella (OS/ASPR/IO) (CTR) <Marcella.NunezSmith@hhs.gov> Cc: Phillips, Alexandria (HHS/OASH) <Alexandria.Phillips@hhs.gov>; Perry, Sherice (OS/IEA) <Sherice.Perry@hhs.gov> Subject: RE: Latest statement + Tough QA Thanks, Ian. The following that is in the statement is a very important part of the statement. Please make sure that it does not disappear. “…once FDA conducts an independent evaluation and determination of the safety and effectiveness of a third dose of the Pfizer and Moderna mRNA vaccines and CDC’s Advisory Committee on Immunization Practices (ACIP) issues formal recommendations.” Best, Tony Anthony S. Fauci, MD Director National Institute of Allergy and Infectious Diseases Building 31, Room 7A-03 31 Center Drive, MSC 2520 National Institutes of Health Bethesda, MD 20892-2520 Phone: (301) 496-2263 FAX: (301) 496-4409 E-mail: afauci@niaid.nih.gov I called Janet Woodcock to encourage her to stick by her guns and do the FDA work quickly but by the books. She is even concerned that some FDA whistleblower will tell the press that FDA is being “pressured”. Despite the fact that the leak has made things very complicated , we are putting the finishing touches on our plan for the rollout of the booster statement tomorrow. After that I will brief the president. This should be interesting since he cannot be in a good mood given the total disaster that has gone on with the withdrawal from Afghanistan and the complete takeover by the Taliban. I had an incredible and stressful evening tonight on the phone multiple times with Jeff and Rochelle and then later with John Mascola. Poor Rochelle! She had been telling all along to Jeff that the acip would go along with what we are doing. Jeff wrote a speech for the president that definitively said what we are doing. Now that the leak has occurred the acip is furious that we have already decided what we want to do without even consulting them. Jeff is being very rigid in getting a very clear crisp message of what the plan is and when Rochelle heard that Natalie had asked her to put together a schedule of how to roll out the plan, she panicked since this would actually pushed the acip over the line that they are being treated as a rubber stamp. I called up Jeff and explained to him that we really need to pull back on the schedule issue . After much discussion in which he got very agitated , but maintained his friendship and respect for me we decided to call up Rochelle and Vivek and have a zoom conversation. He was furious with her because he said that she kept on telling him that she had the acip in total alignment with what we're doing and now all of a sudden the acip is a problem. I believe that her job is in danger. I spent a lot of time on the phone trying to get Jeff to appreciate that we have got to stay within the process of how recommendations are made and that we can do that at the same time ultimately doing what we feel is right. I finally got him to listen to me and I had him change some wording in the president's speech for tomorrow that would add a degree of flexibility to the fact that we will ultimately get done what we want to do but that we would tip our hat to the recommendations of the acip. After it was all over and at 10:15 PM Jeff called me up again to see what my thoughts were. He had changed the POTUS comments to include the caveat that the details are dependent on FDA approval and recommendations from the CDC’s advisors. He was considerably calmed down and I went step by step with him and told him that we likely will be able to pull this off and get it right without having the rest of the world think we were railroading the acip which really was not what we wanted to do. He seemed OK with that. At the end of the day, after the BLA, people and physicians will boost whoever they want to boos whenever they want to. PRESS: PBS South Florida TV; National Association of Black Journalists – Interview of me and Cameron Webb by Dr. Ian Smith (Physician/journalist/author) August 18, 2021 – Global - 208,500,000/4,400,000; USA – 37,100,000/621,300 Yesterday 180,000 cases. 7 day daily average >100,000 Had a very eventful and stressful day today; however things worked out well with the rollout of the booster plan at the White House press conference. Following that I briefed the president and VP in the Oval Office together with Vivek, Jeff, Rochelle, Berchara, and Marcella, and Natalie. Only Vivek and I in person. The president and vice president asked good questions , particularly with regard to the president's concern that this is contingent upon FDA and acip recommendations . He picked up right away on the concern that Jeff had that we needed to do this and make sure that we don't have a stumbling block with the FDA and acip. The one issue that could arise is that the FDA may feel that the risk benefit ratio of boosting young kids 18 years old and there abouts may not be favorable in the context of the risk of myocarditis balanced against the risk of their winding up in the hospital as a result of COVID. The president is having a bad few days given what is going on in Afghanistan with the Taliban having taken over the country in just a couple of days following withdrawal of USA troops. As expected the response to the rollout of the booster plan was very mixed, and quite understandably. The CDC messaging all along has been dysfunctional . I do not think that this is the fault of Rochelle, but just the function of the culture at CDC where they hang on to data without letting anybody know about it until it's ready to be published. We had another instance where Rochelle was very reticent to show any of the medical team what was in the upcoming MMWRs that actually impact greatly the booster roll out because in typical fashion it was “embargoed “. One cannot imagine how ridiculous this is that a public health agency is acting like an academic department in a Medical Center where the most important thing is publishing data as opposed to guiding public health decisions. I take this opportunity now to talk about it , but this has been a chronic problem literally for the decades that I have been the NEWS CLIPPING — WASHINGTON POST — CONDENSED (1 SOURCE PAGE) “director of NIAID. Of note, Yasmeen Abutaleb wrote an article this morning in the Washington Post in which she described this exact problem. (see below). Getting back do the concept of boosters, it is very…” Fears over rising illness and death Washington Post: from the delta variant fuel Biden administration push for boosters Health officials expected to announce recommendation Wednesday that Americans get extra shots By Tyler Pager, Laurie McGinley, Dan Diamond and Lena H. Sun August 19, 2021 – Global USA Cases recently >200,000/day weekly average >100,000 I just had a good conversation, my first conversation with New York State Lieutenant governor Kathy Hochul. Starting on Monday August 23rd she will be the governor of New York State replacing Andrew Cuomo who resigned affective August 23rd related to the sexual harassment scandal in which he was involved. The conversation with Kathy was very positive and she is very interested in working very closely with me and getting advice from me regarding how New York State should handle the explosive outbreak of the delta variant. Much press (see below) regarding the announcement yesterday on booster shots. I received an email late in the evening from Elizabeth Alexander the communications director for the first lady Jill Biden. She wanted me to edit an opinion piece that the first lady was writing for Time magazine . I spent about an hour late at night doing it for her.sorry one second PRESS: Another hour long TikTok/Instagram session with young “influencers” who amazingly have millions of followers; did 6 Regional TV hits at request of the White House: WSVN Miami with Lynn Martinez; WTVT Tampa with Craig Patrick; WTMJ Milwaukee with Charles benson; DBI Radio with Rene Miller; Univision (National) with Janet Rodriguez; Telemundo (National) Lourdes….; MSNBC with Andrea Mitchell; CNBC “Closing Bell” with Sara Eisen and Wilfred Frost; CNN with Jake Tapper; August 20, 2021 Cases still increasing: I had a conversation today with the Minister of Health of Gabon – Dr. Guy Patrick Obiang Ndong. The purpose of the meeting was for me to give him an idea of how we handle COVID in the United states and to answer some of his questions particularly around the area of misinformation and disinformation that has led to vaccine hesitancy which as it turns out is a major problem in southern Africa including his own country. We had a good conversation moderated by Ms. Anne Soy, a journalist from BBC. The MOH did not mention it but I'm sure there is this feeling of concern that we are planning to give out third shot boosts at the same time that Africa has very very little vaccine. I have explained on several of the TV shows and imprint that the USA has already given more doses to LMICs then the entire rest of the world combined (see above). In addition, we plan to give hundreds of millions more and they are also working with Peter Staley and the activists to provide major increases of doses to the rest of the world (see below ). There is still ongoing controversy among some people regarding whether the idea about giving a boost was justified by the data. I had a good conversation with Paul Offit who fields that we may have jumped the gun. Vincent Racaniello has written in his blog that he does not think that the boosters are justified. They are all waiting to see data regarding an increase in hospitalization as a result of delta and waning immunity. I still believe given the Israel data that boosters in their country are already showing a significant decreases in the number of breakthrough infections that we did the right thing in making our decision. In addition, those who object seemed to forget about the fact that short of hospitalizations a lot of people get seriously ill with symptoms and signs of long COVID that can be very troublesome. The boosters are safe and to put it in plain terms it can help, and it certainly cannot hurt. August 21, 2021 184,000 cases today! August 22, 2021 (Sunday) – (no shows for me today – predominantly Vivek Murthy) Had a zoom call today with Jeff and the medical team planning how we can roll out the booster situation putting all the pieces together with the FDA, the CDC, and the acip. We also heard that FISA will get it's BLA on Monday August 23rd. One of the important parts of the discussion was my relating data that we have received from the Minister of Health of Israel. The data clearly show that hospitalizations for people with two doses of vaccine are going up significantly particularly among the elderly and those with underlying conditions . In addition, they are showing that the efficacy of two doses against infection and symptomatic disease has dramatically diminished, and when you give the third dose boost, this turns it around dramatically and diminishes the breakthrough infections. These data are well ahead of the somewhat disjointed data from the CDC. However what it does do is_that we are correct in asking for boosters essentially for everyone. In addition, I am going to pursue with calls to Peter Staley and others (Krellenstein and Barr) as well as a follow up call with Jeff , David Kessler, and me to plan a more coherent strategy about getting doses led by the United states to the rest of the world. The plan to do this would be to increase dramatically the production capacity of the companies particularly moderna even if we have to deal with Lonza directly since Lonza is a major multilocation company that is producing the vaccine for Moderna. Stay tuned. In a follow up conversation with Jeff and David Kessler, Jeff was amenable to pursuing the plan of Peter and the activist group ; however, he wanted to make sure that we got the situation with the Moderna booster straight before we started to go to war with Moderna to get them to cooperate with us on the Lonza deal. I believe that Jeff is serious about this and we may in fact go that route once we get the approvals to use moderna as part of the booster plan. In this regard, Tom Frieden call me up tonight urging me to push ahead with the “nuclear option “a forcing moderna to cooperate in expanding capacity for the developing world. Tom feels that moderna or a bunch of used car salesman and he does not trust them at all. He has stated , which is partially true, that they would be nothing without the NIH and the federal government. In this regard, Beth Cameron from NSC wanted me to look over a summit plan for addressing the global issue of COVID. I wrote back to her and emphasized that I feel strongly that the United states should take a PEPFAR-type approach in assuming any leadership role in getting doses to low and middle income countries. The Israeli data are emerging as extremely important since it is clear , as they are about a month and a half ahead of us and everything, that the vaccine efficacy is diminishing significantly overtime against infection and symptomatic disease. However, unlike the situation here in the USA, the Israelis are starting to see a diminution in protection against hospitalization and death. This is exactly what we have predicted in our decision to move ahead with the booster program. Furthermore, the Israelis are starting to see a very positive effect following giving boosters to over 1,000,000 people in the sense that the number of infections have dramatically diminished in association with the administration of the boosters. August 23, 2021 – Global USA BLA granted for Pfizer by the FDA!! I just did a site visit to the Department of State facility that does the screening for diplomatic pouches and mail. This is the facility that has been screening my mail ever since I had the anthrax scare with the power in one of my letters literally one year ago four days from now. Brett Rowland arrange for me to go there to thank the people in the facility and to encourage them in their work. They were very grateful but I took the time to visit them and there was the usual selfies galore. Another important issue today was that we were told by Larry Tabak at the state department wanted us to remove any names of people in Afghanistan that we are interacting with through grants or contracts from our public facing databases and websites. The reason for this is that we are concerned that the Taliban will use the websites to identify people in Afghanistan with connections to the United states and would then assassinate them. It is very clear that things are not going well following the withdrawal of U.S. troops from Afghanistan. The Taliban has easily taken over the country and now we are having trouble getting Americans as well as Afghanistan allies such as interpreters out of Kabul safely. It's a very bad time for the Biden administration since they are being severely criticized for not having the right intelligence capability to indicate to them that the Taliban would take over so quickly without allowing time for us to withdraw our own personnel in an orderly fashion. What we did was withdraw the military first thinking that we would have ample time to withdraw diplomats and other personnel safely . Obviously this is not the case and it is still a very tenuous situation in Afghanistan. PRESS: Podcast 70 Over 70; NPR “All Things Considered” with Mary Louise Kelly; Podcast “A Starting Point” with Mark Kassen and Chris Evans; PBS ”NewsHour” with Judy Woodruff; MSNBC “Peacock” with Mehdi Hasan; August 24, 2021 – Global USA Cases, hospitalizations and deaths (to a lesser extent) continue to soar. More conspiracy theory like letters keep coming in from congressmen and senators trying to link us to the origin of COVID-19. This is an amazing and unbelievable waste of our time and has no bearing whatsoever on what we have actually done with that minor, minor $125,000 grant to the Wuhan institute of virology. It is totally mind boggling how they are distorting the truth to try and distract from the reality of what actually had happened during the Trump administration where he lied and underplayed the outbreak. Strange but not surprising thing happened as a result of several of the shows that I was on over the last 24 hours. On several of the TV shows I was talking mostly about the favorable aspect of the final approval of the BLA for Pfizer. However, in one of the conversations someone asked when I thought we were to get back to normal. I gave the usual caveats but then went on to say if we get as many people vaccinated as we possibly can as quickly as we possibly can we could diminish the number of cases and if we get through the winter which will be complicated by influenza and other respiratory infections, then I believe we could get back to some form of real normality by the spring of 2022. Much to my surprise I got a call this morning from Jeff clearly upset because the news media had jumped on that and said that Biden has been saying we're going to get out of this soon and Fauci who knows what's going on is saying it's going to be into next year. I am getting a little bit concerned, even though I understand Jeff's concern about the distortion of a message for a political purpose, that we may be tailoring a message that is not totally aligned with the truth. In fact, I believe we would be very lucky if we're back to normal by the spring of 2022. I told Jeff that from now on when asked to predict I will just say we don't know. This might actually not go over very well with the press anyway, but that is what I will say. Of note shortly after my call with Jeff, Courtney Rowe called me up in a much more conciliatory manner saying she understands how these things get taken out of context and said that she heard it a lot more the way I meant it; however, we really need to be careful that people would be distorting our message. I agree with her. PRESS: CBS “This Morning” with Gayle King; NBC “Today”; MSNBC “Morning Joe”; Telemundo TV Hoy Dia with Adamari Lopez; August 25, 2021 – Global USA Cases continue > 120,000/day Had an extremely interesting Zoom meeting yesterday with the Israeli Minister of Health and several Israeli scientists. The Israelis have always been about a month or so ahead of the USA temporarily with regard to the dynamics of the outbreak, the percentage of population vaccinated, and their recent decision to provide booster shots as third doses first to their elderly and then to progressively younger people. On the zoom call that Danny Douek and Bob Seder helped organize since Danny spent a year sabbatical in Israel, it became clear that's what we suspected was actually true. On the call for the Israelis were: Nachman Ash, Minister of Health of Israel; Sharon Alroy-Preis – Director of Public Health Services for Israel; Ran Achitov – Senior Advisor to the Israel Prime Minister Naftali Bennett; Ron Milo – Weizmann Institute; Boaz Lev. The Israelis were seeing a gradual waning of protection of the Pfizer vaccine over a few months to the point of protection against infection and mild disease was dramatically diminished after several months. Importantly, they found that the protection against severe disease leading to hospitalization also significantly decreased. This latter point is extremely important because the data from the USA cohorts was suggesting that But did not definitively show it. In addition, they gave booster shots to about 1.6 million people and have shown that the booster shots dramatically reconstitute the protection against infection. clinical disease and hospitalization. Furthermore, they found a decrease in the Ro strongly suggesting that the booster also diminished transmission. These findings completely validate I would decision to begin giving boosters here in the United States. I briefed Jeff on this last night and we will arrange an additional call with the Israelis including John Mascola, David Kessler, and others involved in our program. PRESS: The Times of Israel: Health Ministry officials said to update Fauci on COVID booster shot campaign Today, 9:02 pm • US top infectious disease expert Dr. Anthony Fauci testifies before the Senate Health, Education, Labor, and Pensions Committee, on Capitol Hill in Washington, on July 20, 2021. (J. Scott Applewhite, Pool/AP) The Kan public broadcaster reports that top Health Ministry officials, including director-general Nachman Ash, held a virtual meeting with Dr. Anthony Fauci to discuss Israel’s COVID-19 vaccine booster shot campaign. The report says that the Israeli officials updated Fauci, who is director of the National Institute of Allergy and Infectious Diseases and US President Joe Biden’s chief medical advisor, on figures showing that the third vaccine dose provides increased protection against infection and serious morbidity. The US is planning to begin administering booster shots next month. August 26, 2021 - Global – 213,400,000/4,460,000; USA – 38,300,000/631,400 Cases still soaring The people in the White House medical team are all excited now about the Israeli data, and they want me to arrange for resume between members of our White House team and our Israeli colleagues. I would be happy to do this since I want them to appreciate the extraordinary data that the Israelis have. A science in the shadows PRESS: Washington Post: Controls on ‘gain of function’ experiments with supercharged pathogens have been undercut despite concerns about lab leaks By David Willman and Madison Muller August 27, 2021 – Global – 214,500,000/4,470,000; USA – 38,500,000/632,800 Just as a follow up over the last days to weeks - I continue to get attacked viciously by the far right social media including FOX News. they are still dancing around the inappropriate conflating of gain of function research (See Willmann article above) and the origin of the virus. I am starting to get so annoyed by this that for the first time ever I'm seriously discussing with Christine the timeline not my stepping down from this ridiculously thankless situation that I'm in . I say that still knowing that it is very unlikely that I will do that. POTUS slight mis-speak – Interesting situation arose today. We were in our pre brief for the White House presser that would take place in 1/2 an hour. In the middle of the pre brief , president Biden called me up on my cell phone. He said he was in with the Prime Minister of Israel and the Prime Minister was telling him that Israel will be giving their booster shot at five months. The president wanted to know what we were doing about that and were we following the lead of Israel. I told him that we were sticking with eight months but since the ultimate decision will be with the acip that they would likely give us the possibility of a range from six to nine months and so depending on the data, we would have the option of giving it earlier . However, for now we were sticking with eight months beginning on September the 20th. Very shortly after I said that the president got up and said that we might start boosting earlier perhaps at five months because the Israelis are doing that and he spoke to me about it. As one might imagine this created a flurry among the press and White House comms . The good news is that everybody in White House comms knew exactly what I said to the President and so it was just one of those things that the President will say what the president will say (see below). And has been wanting to get more closely involved in the data flow and information flow . In this regard, he has asked me to see if I could get him more involved in the various meetings that we have among the White House medical team . I have arranged that and we will have him join the weekly meeting that Vivek organizers among the White House docs. In addition I have arranged for him to visit NIH and sit down for a roundtable chat mostly but the people from the VRC. We did that today and it was interesting as usual since Eric is a very smart guy. PRESS: TV and Radio for local stations: Black Information Network (Radio); Rolling Out (TV); The Root (Radio); Instagram Live with Geoff Edgers (Washington Post); White House plans to clarify Biden boosters statement Caitlin Owens (Axios) August 28, 2021 (Saturday) – Zoom meetings with Jeff - There is concern about sticking with the eight month projection for the beginning of boosting. Jeff is adamant not to waver on the 8 month projection even though it is clear from the data in Israel as well as from the general knowledge that in Israel there is waning of protection as early as five months. I will be on all the Sunday shows tomorrow and I will have to walk a tightrope to stick with eight months on the one hand and leave the flexibility for earlier than eight months on the other. The intelligence community report on the origins came out and in some respects it was good news in that they felt fairly confident that it was not a bioweapon nor that it was bioengineered. They still left open the possibility that it could be a lab leak ; However, more elements of the intelligence community felt that it was a natural occurrence compared to the single component (FBI) who seemed to feel strongly that it was a lab leak , although this is based on no data at all. The reaction to the report was rather typical with Bob Garry saying that he was pleased that it ruled out bio engineering and David Relman making the incredible statement in a Nature news article that he would like to see all of the records of the NIH in their dealing with Chinese scientists. Truly amazing! There is no doubt that he has an agenda here and that is unfortunate. August 29, 2021 (Sunday) – Cases continue to surge with increases in hospitalizations as well as deaths. The cases have been between 100,000 and 150,000 for several days in a row now. Thus far the piece by David Willman has not received much attention. It has only appeared online and I expected it to be on the front page of the Sunday Washington Post and in fact it was not there it is possible that the situation in Afghanistan as well as the horror of the upcoming hurricane Ida has pushed this out of the news. I will have to navigate all of the difficult questions today since the White House is putting me out on all the Sunday shows. The boosts that the Israelis are giving or having a profoundly positive effect on deminishing the number of cases that are severe . See below: Israel: Two weeks after the third dose campaign, and for the past two weeks, there is a decrease in the fraction of cases who become seriously ill https://bit.ly/3gKS7fY PRESS: CNN “State of the Union” with Jake Tapper; ABC “This Week” with Martha Raddatz; NBC “Meet the Press” with Chuck Todd; August 30, 2021 >150,000 cases today Did podcast with American Muslim Health Professionals Jeff continues to be frustrated with Rochelle. she does not seem to have the control over her agency that Jeff would like to have her execute. He is frustrated that she doesn't tell anybody what's coming out in MMWR as if it were a private journal as opposed to what it really is - the journal of the CDC. In addition, Jeff is very concerned that she is out of touch with what goes on in the acip and in other various components that interact with the CDC. The other night I had to talk him down from feeling like he had to let her go. I continue to have faith in her and that she is a very good person but she is dealing with a rigid and secretive organization that has been that way decades before she arrived. PRESS: Sinclair TV; TikTok with influencers including Grammy Award-winner (4X) Jason Isbell; August 31, 2021 - Global -216,900,000/4,500,000; USA – 39,100,000/637,400 Trouble at the FDA. Today it was announced that Marion Gruber and Phil Krause will leave CBER at the FDA. The reason being given is that they are upset that decisions have been made by acip and by the White House that should have been made first at the level of the FDA. This has been superimposed upon the fact that the administration is having a hard time making a decision about who the next FDA commissioner will be. There is pushback from some senators particularly Joe Manchin (D-WV) against Janet Woodcock even though she should be the top candidate. The loss of Marion and Phil is a big blow to the FDA. More drama with the FDA CDC relationship. Another late night call from Larry Horowitz telling me that the CDC with Rochelle want the ACIP to discuss publicly data that might confuse the issue since the FDA has confidential data that might change the direction of the discussion. Somehow or other the CDC does not fully appreciate that traditionally their ACIP working group was allowed to discuss in private data related to a particular study, but they would not publicly discuss it until the FDA weighed in on it. As it currently is rolling out, Rochelle seems somehow influenced perhaps by Amanda Fine who is a CDC employee but who is the executive secretary of the ACIP. They want to publicly discuss data before the FDA weighs in with data that they have that is confidential. Bottom line is that if the ACIP publicly discusses incomplete data, when the FDA weighs in with the confidential data it would cause a lot of confusion. This is driving Jeff crazy and again he is on the verge of firing Rochelle. Again, Jeff is asking me to help solve the problem by speaking to Rochelle and explaining to her why it is so important to do things in the traditional format of giving the FDA the chance to make decisions about data before the ACIP ways in with recommendations concerning those data to the CDC. I called up Peter Marks last night and Peter feels that the CDC and the ACIP are breaking tradition here and Peter feels strongly that it is OK for the working groups acip to discuss data so long as they do not do so publicly before the FDA opines from a regulatory standpoint. PRESS: September 1, 2021 Global – 217,600,000/4,500,000; USA – 39,300,000/638,700 I spoke to Rochelle this AM. I tried to explain to her the dilemma that we are in with this disagreement between CDC /ACIP and the FDA where Jeff agrees that the acip should not opine before the FDA rules. Clearly, Jeff is expecting me to be the arbitrator here and fix this. Jeff is very concerned that the acip will come out with recommendations contrary to what we had already planned and what the FDA will allow and that this will make it look like we are “the gang that could not shoot straight “. Rochelle feels that we are all going to be in the same place anyway but Jeff is concerned to the contrary. Jeff asked me to broker a meeting between senior CDC and senior FDA officials to see if we can settle this dispute regarding the role of acip. PRESS: CNN “The Situation Room” with Wolf Blitzer September 2, 2021 – Global - USA - Weekly average 149,000 cases/day Important reflection about “controlling the message” - I thought I would make this comment now since it is something that has been ongoing for some time. It relates to the fact that this administration particularly in the form of Jeff does not at all want to interfere with the science or dictate what the science should be saying. This is completely different from the interference with science and the actual contradiction of science that was so rampant during the Trump administration. However, in the situation where we came out with the statements that we should begin boosters on the week of the 20th of September and at 8 months from the time individuals finish their original immunization regimen, it is clear that the timing was not totally science driven . It was logistically driven. In other words, we found out in late July that it was clear based on the hint of what we were seeing here in the United States and what the Israelis were seeing that we would need to boost. From a logistics standpoint we could not begin to do that until September which would put it eight months following the time that the first people got their vaccination in January. And so the eight month timeframe was not based on any biological or clinical science. It was based purely on logistics. And yet whenever we have a discussion Jeff insists that we stay with eight months because the science dictates that it is 8 months. That is just not true. It very well may be and in fact it looks like it should be earlier, such as six months. The reason Jeff did not want to change or veer away from 8 months is that he did not want it to seem that we were saying one thing on one day, and a week or so later we would change it, for example changing from eight months to six months. I consider this a fixation on messaging which is really unnecessary. I would have said we chose eight months because it was already eight months from the time that people got their first vaccination. Jeff was afraid that we would get criticized that we should have been doing it earlier if we switch from eight to six months. I would have said what the truth was that we picked eight months at first because that was the logistic reason and as soon as we found out that it was better to do it at six months we would then change to six months. It is the truth and there's nothing wrong with that. Important principals meeting today in the SCIF. the meeting was led by Jake Sullivan of NSC . The subject matter was how the United states could take a leadership role in the global response to the COVID-19 pandemic. Specifically, the question arose about how we can get foreign countries including China and India to participate in the process of getting doses to low and middle-income countries. A number of the principals weighed in including Samantha Powers, Tony Blinken, and others. Although I have a keen interest in this concept and I have been discussing it in detail with Jeff and with Peter Staley and David Kessler, I did not preemptively make any comments since they did not ask me to. However, in the future I will give my opinion as how we can best accomplish this goal.

PRESS: NBC News Now (Online TV) with Savannah Sellers; Regional TV -RaleighDurham (Jonah Kaplan); St. Louis (Cory Stark); Little Rock, AR (Mitch McCoy); “The Skimm (Alex Carr); Politica Ya Unvision (TSi-Tsi-Ki Felix); Telemondo (Julio Vaquiero) Great review of the documentary “FAUCI”: The Heavy Burden of Being Dr. Anthony Fauci MISGUIDED HATE The new documentary “Fauci” follows the infectious-disease expert—the COVID-19 adviser to Trump and Biden—throughout the pandemic, probing his deepest thoughts and fears. Nick Schager Updated 5:28AM ET / Published 4:51AM ET National Geographic for Disney+ “It reduces my trust in humanity” is how National Institute of Health (NIH) nurse and bioethicist Dr. Christine Grady describes her feelings about the abuse heaped upon her husband, Dr. Anthony Fauci, in Fauci. For those who’ve grown frustrated with their unvaccinated fellow citizens’ egotism, stupidity, and recklessness, it’s a familiar and relatable sentiment, and one that colors John Hoffman and Janet Tobias’ documentary (in select theaters Sept. 10) about the director of the National Institute of Allergy and Infectious Diseases (NIAID) and chief medical adviser to President Joe Biden. Driven by interviews with Fauci himself, it’s an insightful portrait of a man who’s dedicated his career to helping solve some of the world’s most serious disease-related crises, as well as a celebration of the selfless courage, compassion, and open-mindedness of a physician who’s stood tall in the face of unjust vilification and threats. Tucker Carlson, Laura Ingraham, and Lou Dobbs (remember him?) all appear in Fauci, slamming the doctor in various disgusting ways and, in the process, stirring up opposition to the very figure most responsible for guiding the nation through the ongoing COVID-19 pandemic. When Fauci describes recently opening an envelope that covered him in white powder, and the immediate thoughts that ran through his head—is this a hoax, anthrax or ricin?—Hoffman and Tobias’ film underlines the constant and immediate danger that Fauci is now in, thanks to a percentage of the population that views him as the embodiment of both the pandemic and the social restrictions required to mitigate it. He’s at the center of a Republican-led maelstrom born from ignorance and insanity, and as he remarks about the global catastrophe that’s still unfolding, “I think we’re going to get through it, but we’re going to get through it in spite of this divisiveness, and this politicization. We’re not going to get through it because of it.” Fauci’s opinion is offered up in the context of Fauci’s look at the 1980s-1990s AIDS crisis that consumed the doctor, and which was finally wrestled under control via a combination of good medicine, staunch NEWS CLIPPING — NEW YORK TIMES — CONDENSED (1 SOURCE PAGE) “activism, and two opposing sides learning that collaboration was more productive than combativeness. Peter Staley and other AIDS activists from that era speak candidly about their fight for AIDS attention and action, primarily through the…” Since no amount of logical arguments, cajoling or bribery will change the minds of zealous conspiracy theorists, Fauci probably won’t convince skeptics that the NIH bigwig is a paragon of public service. Nonetheless, through a mix of archival footage and interviews that smoothly segue between the past and present, Hoffman and Tobias’ documentary proves a tribute to a legitimate national hero, one whose ambition and resolve are as great as his empathy and thoughtfulness. Even when it skews a bit too heavily toward lionization, the lasting impression left by Fauci is that we’re lucky to have this 80year-old man on our side.

Increases in cases starting to taper. Still 150,000-ish, but hospitalizations and deaths decreasing slightly from prior week 20th anniversary of 9/11 - Multiple memorials occurring in New York , Pennsylvania , and at the Pentagon. Starting with the president’s announcement of the six point plan yesterday, there has been the expected pushback and objection from Republican congressmen and senators. In addition, There appeared yesterday in the publication “Intercept” a story about the typical gain of function issue regarding NIAID granting and the Wuhan lab. It resulted from the publication through FOIA of a progress report from the laboratory. It alluded to the possibility of gain of function . This created and expected firestorm of tweets that I had lied to the Congress and that gain of function actually took place and I covered it up. This has gained some momentum in the fringe press but nothing at all from the standard press.

Global USA An article appeared today in The Lancet written by Phil Krause, Marion Gruber (FDA) and people from WHO. It was a bit of a revolt on the part of the FDA and WHO who wrote in the article that they do not believe there is enough scientific evidence to do boosters . This is clearly sour grapes on the part of the FDA who feel that they are being pressured to approve boosters. However, if they look at the data from the CDC as well as from Israel it will be very clear that boosters are needed and greatly enhanced the waning response from the original vaccine. Janet Woodcock is very upset that the FDA people did this without clearing the article through the usual channels. There seems to be a couple of camps forming now with one feeling they should not be boosters , mostly because the developing world does not have easy access to vaccines. I have been stressing that it is possible to do both , namely, you can provide boosts for your own citizens at the same time as providing doses of vaccine to low and middle income countries. In this regard the USA is making major contributions to getting doses to the developing world. This includes already distributing 130 million doses to 90 countries and providing 500 million doses between now and the first half of 2022. In addition we have given $4 billion to CoVAX. Furthermore, I am working with Jeff and the White House to plan a PEPFAR-like program to get doses to the developing world PRESS: Taped “The Daily Show” with Trevor Noah – to air tomorrow; Newsy TV Interview;

Moderna presented to us (Medical Team + other interested parties) their data on the open label study involving the crossover from their phase three trial. Consistent with the data from Pfizer they see a waning of immunity particularly in association with the delta variant. This is another bit of data to argue for the booster program that we will soon roll out during the week of September the 20th. Had a very heated and intense Zoom discussion this evening with the medical team as well as people from CDC, FDA, and HHS - Key players among many were: Peter Marks, Janet Woodcock, Rochelle Walensky, Amanda Fine (CDC), Stephen Cha, David Kessler, Vivek Murthy, Leslie Dach, et al. The subject matter of the intense discussion was trying to align the FDA with the CDC in the interpretation of data from Israel regarding the safety and efficacy of a third shot booster dose. It is clear from the Israel data that there is waning immunity across all of the age groups not only for infection protection but also for protection against severe disease. The sticking point is that if the FDA pushes for approval of the third booster shot for all ages there is the question of a lack of a lot of data for safety among young individuals particularly in the context of myocarditis. The CDC , particularly in the person of Amanda Fine, was very concerned that the ACIP would balk at recommending for younger individuals the third dose because there was not enough safety data. As we all know Jeff is very much intense on getting this approval through. I would imagine that he would be OK with the approval now of doses down to around 30 or 40 years old with the stipulation that as soon as safety data comes in for younger people, we could approve that for all ages. We will continue the discussions over the next 24 to 36 hours. What was supposed to be 1/2 an hour meeting tonight turned out to be a 2 1/2 hour meeting. This subject is being intensely discussed throughout the community and into the media. The people who were involved in the Lancet article discussed above we're actually shooting from the hip without knowing anything about the Israeli data. It will become clear that they were completely off base as soon as the Israeli data becomes known to everyone. After the phone call I spoke to Jeff and explain what happened at the meeting. He seemed OK so long as we don't stall on the approval. PRESS: MSNBC – “Morning Joe”; ABC GMA Instagram with Tony Morrison; CNN “The Lead” with Jake Tapper; MSNBC – “All In” with Chris Hayes

Today – 155,000 cases Had my every couple of weeks Zoom call with Chris Whitty (UK). Oatrick Vallance is usually on the calls, but was not on today. We discussed a number of items including the tension around booster shots that I have described above. The UK has decided that they will give boosters to everyone 50 years of age and older as well as to their health care providers and immunocompromised. They are going to wait and observe before they go any younger than 50 years of age also they will very unlikely be vaccinating children younger than 12 years old. This is in contrast to our plans to complete the clinical trials and vaccinate two as young as six months old . It is likely that we will have enough data to vaccinate children from 11 years old to five years old by the middle to end of October into early November. PRESS: Daily Telegraph – Nick Allen -print; Instagram with Jessica Waller; YouTube with Roland Martin “Unfiltered”; WTOP Radio with Mike Murillo KLN (Kaiser Health News): How Fauci and the NIH Got Ahead of the FDA and CDC in Backing Boosters By Sarah Jane Tribble and Arthur Allen September 16, 2021 Dr. Anthony Fauci, the nation's top infectious disease expert, and Centers for Disease Control and Prevention Director Dr. Rochelle Walensky are sworn in before testifying at a House Select Subcommittee hearing on April 15. (Susan Walsh-Pool / Getty Images) In January — long before the first jabs of covid-19 vaccine were even available to most Americans — scientists working under Dr. Anthony Fauci at the National Institute of Allergy and Infectious Diseases were already thinking about potential booster shots. This story also ran on Los Angeles Times. A month later, they organized an international group of epidemiologists, virologists and biostatisticians to track and sequence covid variants. They called the elite group SAVE, or SARS-Cov-2 Variant Testing Pipeline. And by the end of March, the scientists at NIAID were experimenting with monkeys and reviewing early data from humans showing that booster shots provided a rapid increase in protective antibodies — even against dangerous variants.

Global – 228,800,000/4,700,000; USA – 42,200,000/675,100 Discussions continue to go on trying to align the FDA and CDC. Concern is mostly centered around the risk of myocarditis in younger individuals . We finally got the FDA agreed to agree that their recommendation or authorization would be four people greater than 65 and then 18 to 64 for people at risk for severe disease due to underlying conditions and 18 to 64 for people at occupational or institutional risk with the statement that 18 to 30 would be a permissive recommendation meaning that they should consult their physician. This is something that the CDC Advisory Board (ACIP) could probably live with . However, we shall see what happens tomorrow and in subsequent days. Jeff has been on the phone with me multiple times per day asking me to continue to mentor Rochelle such that the CDC /ACIP does not veer too far off the FDA recommendations and our ultimate intent. She is really very good and I love her but she just does not have enough experience to steer CDC and the direction that we all feel let you go. I must make a point that over the last few weeks more intensively over the last few days I have been stressed beyond the limit particularly compounded by the dark web far right maniacs continuing to attack me in the area of gain of function research, accusations of lying to the Congress under oath, and a variety of other conspiratorial accusations. Tonight I went to a reception at the temporary home of the British ambassador to the United states on 2934 Edgevale terracet, northwest. it was an honor of Prime Minister Boris Johnson of the UK and foreign minister Elizabeth Truss. It was a great reception and I got the opportunity to chat with the Prime Minister who clearly knew who I was and was very complimentary to the way I would have been leading the COVID-19 response effort in the United states we chatted for a bit and I told him how pleased I was with the relationship that we had developed with his medical people Chris Whitty and Patrick Vallance with whom I have a zoom call about every two to three weeks. The next couple of days I'm going to be interesting to see how the situation rolls out with the booster plan

We continue to have 2000 deaths per day !!! Nice op Ed in the Post today. Written by Jeff and Tony Blinken announcing that the USA will donate an additional 500 million doses a vaccine (Pfizer) to the developing world superimposed up on the 160 million those says they have already given 290 countries and the 500 million doses that they will be distributing. The ultimate total will be about 1.5 billion doses with more to come. Wonderful e-mail from King Holmes. See below: From: King K Holmes <kkh@uw.edu> Sent: Tuesday, September 21, 2021 5:04 PM To: Fauci, Anthony (NIH/NIAID) [E] <afauci@niaid.nih.gov> Cc: Wendy Wertheimer <wjwertheimer@gmail.com>; Virginia Gonzales <gonza@uw.edu>; Folkers, Greg (NIH/NIAID) [E] <gfolkers@niaid.nih.gov>; Elisabeth Gunningham <eg01@uw.edu> Subject: Thank you message from King Holmes, for Dr Anthony Fauci Dear Tony, Thank you so very much for taking time out of your busy schedule to record and forward that very kind and complimentary birthday video in time for my September 1st Birthday. I have been one of your many fans since the earliest days of the AIDS crisis. Your support via the NIH, especially in building our Department of Global Health, has enabled the University of Washington to have national and international impact in many ways. It is especially meaningful to have a trusted, respected, and talented colleague like yourself offer such a wonderful tribute. I certainly return your regard, with much appreciation! After we received your video, I was telling my assistant about the days when you were taking on leadership at NIH, and how you appointed me to chair one of the new committees you formed. What a fantastic opportunity that was, and how many of my greatest friendships were begun and deepened in those early days of the NIHAIDS initiatives for research, prevention, and treatment of HIV/AIDS and HIV/AIDS coinfections. It’s hard to believe that we have come so far in de-stigmatizing STDs and HIV/AIDS, and have successfully advocated for higher funding priorities at the national and international levels for all such infectious diseases over the course of our careers. On that note, I have also been following your work on the current pandemic with much interest and great respect. Your own career has spanned such a prodigious era of infectious disease research, from Ebola to the current pandemic, and your reputation as a reliable, straight shooting, “scientist’s scientist” is fully deserved. You have navigated difficult political waters and public anti-scient biases with aplomb and at the NIH have kept a steady hand on the tiller as we navigated the most recent rise of an entirely new pandemic virus, demonstrating principled and fact-based scientific rigor at every stage. Your example serves to educate everyday citizens to the merits and reasonable expectations of science and the scientific process, thus becoming an ambassador for science to new generations, as well as to a few older ones – who seem to have embraced your wisdom with more than the usual enthusiasm Scientists engender. New fans of yours now “Fauci” (i.e. lose the phone number of) a date who doesn’t wear a mask or refuses to get vaccinated. Now that is a practical public health trend! I must admit that I have succumbed to the Fauci fandom that has (justifiably) arisen in your wake. A few months ago, I was proudly wearing my Fauci socks when my son, King Jr. came over to join me for a walk – and showed me his own Tony Fauci socks. Clearly, I have taught my kids (and grandkids) well. In closing, I know that you have multiple demands on your time and attention, so I am exponentially gratified by the time you took to make my birthday greeting so memorable. You are a truly great human being, in addition to being a world-class scientist and public health leader. Warm regards, King KING K HOLMES, MD, PHD Distinguished Professor Emeritus / Department of Global Health Professor Emeritus / School of Public Health Professor Emeritus / School of Medicine Director Emeritus / UW/Fred Hutch Center for AIDS Research (CFAR) Co-Director Emeritus / UW Center for AIDS and STD University of Washington office: 908 Jefferson Street / 13th Floor, Room 1311 mail: HMC # 359931 / 325 Ninth Ave / Seattle, WA 98104 phone 206.744.3620 / fax 206.744-3694 exec assistant: Elisabeth Gunningham / eg01@uw.edu kkh@uw.edu / globalhealth.washington.edu Everyone is tense about how things are going to turn out between the FDA authorization and the CDC recommendation. Jeff is very concerned and wants me to keep “mentoring Rochelle about the fact that she needs to show leadership and letting the ACIP know how she feels about what the recommendation should be. She seems reluctant to give any indication to them what you think should be done , thus leaving it totally up to them, where by she blindly follows their recommendation . This is driving Jeff, Larry Horowitz, and Leslie Dach completely crazy with frustration. They feel that she is showing no leadership qualities at all. I feel for her because I think she wants to do the right thing but he's very inexperienced in this role. The FDA came out with a decision that is inexplicable. Checkout 3rd bullet that is no different from the 2nd bullet: • individuals 65 years of age and older; • individuals 18 through 64 years of age at high risk of severe COVID-19; and • individuals 18 through 64 years of age whose frequent institutional or occupational exposure to SARS-CoV-2 puts them at high risk of serious complications of COVID-19 including severe COVID-19. Now we have a serious problem of how the CDC is going to interpret this regulatory approval . Clearly there is strife within the FDA which lead to this completely confusing authorization. Rochelle has her own problems with the acip who are not going to want to recommend anything for people less than 30 or 40 years old. What a mess. Let us see if in the long run we can make some lemonade out of these lemons. PRESS: CBS Major Garrett “The Takeout”; Washington Post 202 Blog with Jackie Alemay September 23, 2021 Highly eventful day!!! Today was the day that the acip would make their recommendation to the CDC regarding the use of boosters. Inexplicably, they voted to allow boosters for people 65 years of age or older, which is fine, as well as those from 18 to 64 with underlying conditions leading to severe disease, which is fine . However, they rejected the proposal to give boosters to people who by occupational or institutional exposure would find themselves at high risk for infection. There was absolutely no reason at all to do this since that would mean that a 25 year old person who was obese would get a booster, but a 55 year old school teacher or a 55 year old intensive care nurse could not get a boost. The rationale for the acip was completely discombobulated. It had nothing to do with safety since they were talking about policy that was unrelated to the scientific issues at hand . They got distracted and began talking about what they were going to do with people who had Moderna as their primary regimen or J&J as their primary regimen, avoiding the fundamental scientific and public health question at hand. When I heard this we began a series of phone calls, multiple phone calls, among me, Leslie Dach, Jeff, and Vivek – all outrages by the recommendation. I texted Rochelle and I begged her to call me in order that I could explain to her how this would be a fatal mistake if she took the recommendation of the acip since none of us would be able to defend this. It was a very dramatic situation where she was in with the secretary and I was texting her late in the evening to please call me so that I can tell her what I feel she must do. Jeff and Courtney Rowe and Ian Sams were suggesting that I call up the secretary and give him my opinion. Things were getting very dicey since the hours were going by and no decision was made. I finally got a chance to speak with Rochelle and literally begged her to override that decision which was only a 9 to 6 decision and not an overwhelming unanimous recommendation. The tweets that were coming in when they heard of the recommendation of the acip were absolutely overwhelmingly against that decision. Yet Rochelle still felt she could not go against her committee. I pleaded with her over the phone telling her that I would absolutely strongly defend her publicly if she made allowance for teachers and healthcare workers to get vaccinated even though they were healthy. Again, she seemed hesitant to overrule them. Jeff called me multiple times asking me to call the secretary myself. I felt that I could not do this since it would be totally destroying Rochelle if I did that. I explained to Rochelle that if she does not do that she would be forever branded as someone with no leadership capabilities at all and if she did overrule them she could turn lemons into lemonade because she could reclaim her role as a leader since her reputation is one of unfortunately being a very weak leader. I am dictating this at 10:00 PM on September the 23rd and she still has not made her decision. I told her that I would be available all evening and the rest of the night if she wanted to talk. The whole team in the department and the White House is counting on my influence on her to get her to do the right thing here. I cannot understand why she is so reluctant to go against a 9 to 6 recommendation when the recommendation is so blatantly incorrect. Good thing happened tonight - I received the 2021 Bill Foege Award for Global health together with Carlos Del Rio and Kati Kariko. This was followed by a very enjoyable fireside chat with Bill. He is one of the true icons in public health and it was an honor to be talking to him PRESS: ABC ONLINE Town Hall with Jennifer Ashston; Irish Radio RTE “This Week”;

Alas! Rochelle listened to me. She overruled the recommendation of the ACIP. She actually called me last night at 11:25 PM and then a couple of minutes later to tell me that she had taken my advice and overruled their rejection of the third bullet. Unfortunately David Awwad had put a “do not disturb” between 11:00 PM and 5:00 AM on my cell phone and I missed her call. I then texted her add 5 30 AM telling her that I was sorry that I missed her call. She texted me right back and we spoke by phone at around 5:40. I congratulated her on what she had done and told her that she has now shown clear leadership as the director of CDC. Her recommendations are indicated below “ CDC recommends: • people 65 years and older and residents in long-term care settings should receive a booster shot of Pfizer-BioNTech’s COVID-19 vaccine at least 6 months after their Pfizer-BioNTech primary series, • people aged 50–64 years with underlying medical conditions should receive a booster shot of Pfizer-BioNTech’s COVID-19 vaccine at least 6 months after their Pfizer-BioNTech primary series, • people aged 18–49 years with underlying medical conditions may receive a booster shot of Pfizer-BioNTech’s COVID-19 vaccine at least 6 months after their Pfizer-BioNTech primary series, based on their individual benefits and risks, and • people aged 18-64 years who are at increased risk for COVID-19 exposure and transmission because of occupational or institutional setting may receive a booster shot of Pfizer-BioNTech’s COVID-19 vaccine at least 6 months after their Pfizer-BioNTech primary series, based on their individual benefits and risks. PRESS: Breitbart: Fauci Defends NIH Funding Wuhan Lab: ‘Only Regret’ Is That It’s Caused ‘Such a Degree of Distraction’ – This was an interview that I gave to Major Garrett on his podcast.

Global – 232,600,000/4,800,000; USA - 43,200,000/691,500 Had a very tough and ridiculous interview with Hugh Hewitt. Hugh, who usually is a reasonable, albeit very conservative person, was extremely aggressive with me in an interview in which he kept insisting that people are not getting vaccinated because I am telling them to get vaccinated and strongly suggested that I step down and retire since I am the obstacle to people getting vaccinated. He quoted a survey saying that middle to right people want me to retire and are not getting vaccinated because I'm the messenger telling them to get vaccinated. Truly an incredible train of thought on his part. He said we need fresh faces telling people to get vaccinated and if we had fresh faces then people would get vaccinated. I countered by saying we do have fresh faces in the form of Rochelle Walensky and Vivek Murthy. And so does he consider that although all three of us are saying to get vaccinated including two new fresh faces that people are not getting vaccinated merely because I'm one of the three people telling them to get vaccinated?? I have never heard of a more distorted train of thought. This conversation triggered in me some serious thinking about several things including when I actually would want to retire from the untenable situation that I am in of having 10s of millions of people hate me because I stand for the truth. Also, this nonsense about conflating the discussion about gain of function with the lab lead theory is preposterous and totally distracting and draining of everyone’s energy. Richard Ebright with his gain of function obsession is a total asshole who is pushing this theory because he “wants to be somebody”. I am terribly disappointed with Jesse Bloom and David Relman for doing somewhat of the same thing. they have been pushing to stop any gain of function research for a long time and I believe that in some respects they are pushing for an even hoping that this was a lab leak , which the molecular analysis of the viruses that we used in the lab compared to the virus SARS-CoV-2 clearly indicate that it is molecularly impossible for the viruses under the auspices of the NIH grant to have been manipulated into or evolved into SARS-Cov-2. The opposition to me is part of the “big lie” – “Lock her up”; Trump won the election; January 6th was really a friendly visit to the Capitol; “the China virus” and Trump was correct, “Fire Fauci” since he was wrong all along and so let's discredit him, and so on. Quite frankly , I am finally coming to the realization that our democracy is truly threatened and that it is possible, even likely, that our democracy will crumble with the 2024 election. If trump wins , we are finished . If trump loses, his far right lunatics will likely try again to overthrow the election. And with the attempts to have state legislators (Republican) validate the electoral votes, I am really afraid that they might be successful. Having said all of this, there is no way that I am going to retire before this outbreak is under control. I continue to give regular interviews about every couple of months with Sheri Fink who is doing a book on COVID-19. I am trying to stay out of any Trump versus Fauci discussion and focus more on the evolution of the outbreak. Matthew Memoli is turning into a real problem. He has written an email dated July 30th to me to Hugh Auchincloss and to Cliff Lane. The long and short of it is that he feels that vaccinating people is a bad idea even though he is the major proponent of challenge studies for vaccines. He believes that by vaccinating people we will be selecting for variants which in the long run will be detrimental to the population. This is a little bit more sophisticated effort than that of Scott Atlas. He has gone further than that, however. He has released the email to congressional committees and to the press and now without a doubt he is going to be talking about the fact that even though he is a clinical center employee he will refuse to follow the vaccine mandate that soon will be implemented at the NIH. In addition, he likely will go on the media spouting this extraordinary philosophy of his. I have made it clear to everyone that we should not interfere in any way with what he is doing because without a doubt he will say that we are trying to muzzle him and that will create more of a problem than the incredible nonsense that he is spewing. It looks like we will just have to buckle down and let him proceed with his craziness and hopefully he will not do a lot of damage to our attempts to get people vaccinated. It is inconceivable to me that he actually feels that it is OK to let everybody get infected just so that we can get immunity where the virus is not selected for by vaccine induced immunity. Letting people get infected has led to 680,000 deaths in the USA thus far. How can he miss the fact that the virus circulating within people who don't get an adequate immune response will lead to variants just as easily as vaccine immunity-induced mutations. He just makes no sense at all. Matt Memoli has now gone completely rogue. He is turning into a complete Scott Atlas (see above). Not only does he think that we should not be vaccinating people, he believes that mandating is unethical because it's going to make matters worse vis-à-vis the immune response. I thought nothing could be worse than that, but now he's done something unbelievable. He has taken a speech or an interview that I gave saying that although children statistically do much, much better than adults which regard to developing severe disease there are still (given the delta variant) a significant number of children who get sick and hospitalized and in fact there are more deaths among children from COVID-19 and there are after flu. He comes out now with an email to me saying that this is untrue and that there are more deaths by far with flu rather than COVID19. In fact, he wants me to publicly retract my statement!!!! However, what he is doing is that he is looking at “estimated burden of flu” which is calculated with a model at the end of the year which is usually three times the amount of the “reported cases”. I was referring to the reported cases which are much less. And so, he seems to be out to make me look bad for reasons that I don't understand except that he is a complete contrarian. He's an infectious disease person who doesn't want to vaccinate people, who thinks mandates are unethical, and who is now telling me that I need to retract statements that I've made. He's a junior member of the institute and he is telling the institute director that I need to retract the statement based on information that he thinks is incorrect, but is correct. Unbelievable what I have to deal with! We have decided that we are not going to do anything with him; w are not going to approach him; we are not going to even talk to him about this since I know from my experience that if we do anything, he will say that we were trying to muzzle him. As far as I am concerned he could say whatever he wants to say, as crazy as it is, whatever he wants to say. Also he said that he is refusing to get vaccinated The problem with this is that the new rule from the federal government is that if he does not get vaccinated he is going to get fired unless he has a religious exemption. If it turns out that he winds up getting fired, he will almost certainly say that it is retaliation. PRESS: Hugh Hewitt radio interview; NPR Radio “Here and Now” with Tonya Mosley; MSNBC – “Reports” with Andrea Mitchell; KLZ Israeli Radio;

Global - 233,100,000/4,800,000; USA - 43,300,000/694,700 Cases continue to gradually come down as do hospitalizations. Deaths, however, are still increasing as a late indicator and lagging. Just had a great conversation with Shane Crotty of the La Jolla Institute of Immunology. I spoke to Shane because I wanted to find out his perspective on the immunological justification for booster shots to the mRNA vaccines. Shane is a brilliant immunologist and gave me some terrific insights. He feels , similar to Bob Seder, that the antibody levels are very important in preventing initial entry of the virus and seeding of the virus in the upper respiratory tract. The higher levels of antibody the more protection you have. They also taper off reasonably quickly leading to rather quick (months) waning of immunity to infection. However, he points out that B cell memory and particularly CD8 and CD4 positive T cells are absolutely critical in preventing significant disease in the lungs. These are longer duration than serum antibody. This explains why protection against severe disease (lung involvement) seems to last long and wane less than protection against infection (antibody that wanes quickly). The thing he pointed out that is interesting and important is that there is a reasonably longer period of time for people to develop pulmonary involvement and severe disease since the T cells have enough time to protect the lung. When they fail then you get lung involvement and this usually takes some time which explains the unusual finding of why it takes so long from the time a person gets infected to the time they actually wind up in the hospital on a ventilator which is usually about 21 days. This is quite different from other acute viral infections in which the lung is quickly attacked and people wind up in the hospital within a couple of days. In addition, he spoke of the long durability of the T cell memory and B cell memory response indicating that protection against severe disease will actually last for a longer period of time whereas protection against infection tends to veer off pretty quickly. It is right in line with what his pathogenic explanation is as described above. He does feel that giving a third shot boost is a good idea and that it likely will give a much longer protection against both infection and likely would enhance the durability of the protection against severe disease in the lungs. We also discussed the situation of why in late disease you have an aberrant inflammatory and immunological response. He believes it's a combination of innate immunity mediated predominantly by monocytes and polys together with robust T cell activity attempting to control virus which has made its way from the upper airway to the lung. Sometimes this attempt to control the virus leads to so many inflammatory mediators combining innate with adaptive immune responses that the effects is a profound pathogenic response that may or may not be suppressed by anti-inflammatories and immune suppressors. A group of non USA scientists and others Whom I have never heard of Are trying to get rid of Peter Daszak at ecohealth . See PDF of letter immediately below : Letter to Nancye Green.pdf I do not know who these people are but something strange is going on here. I met with Leslie Dach at my home this evening to discuss the situation of attacks upon me by far-right elements. I gave to Leslie some reprints of papers that strongly favor the natural origin of COVID. We discussed strategies of how to stay ahead of this insidious campaign to discredit me. We feel that the best approach would be to lay low and not give it any more legs than it has. In addition, Leslie spoke to me about how pleased he was about how I have mentored Rochelle Walensky. He also expressed concern about her lack of leadership capabilities and her total dependence upon professionals at CDC who Leslie feels are antiquated in their thinking and in many respects are often incorrect. He referred to the experience he had with them when he was special advisor to Sylvia Burwell when Sylvia was Secretary of HHS. Leslie understandably has very little respect for the CDC and in fact wants me to help to get Rochelle to start thinking for herself instead of depending so heavily upon her CDC team. Leslie also expressed some concern about the lack of involvement of Secretary Becerra in the entire COVID effort. PRESS: Interview with Fast Company magazine

I had written an email to Robert Davis the CEO of Merck indicating to him that I was concerned that in the press release for their drug Molnupiravir they did not mention that the original basic research was funded by NIH at Emory. Rob called me today (Saturday) and apologized for that slight and promised that in future press releases they would include the collaboration and contribution of NIAID /NIH. October 3, 2021 – Got a really nice note (see below) yesterday from Barney Graham thanking him for my support of him over the 21 years that he has been at the NIAID vaccine Research Center. of note he has won a number of prizes already for his work on developing the optimum immunogen for the COVID-19 vaccine . He has one the Albany prize as well as a number of other prizes. In addition , drew Weissman , my former fellow, has already won a number of prizes including the Lasker award. It will be interesting to see who wins the Nobel Prize this coming Monday. Thank you note_Fauci .pdf While all of this is happening , I must comment that the country is headed to or might already be in a constitutional crisis with the far right clearly indicating that they're going to try and disrupt elections and essentially destroy the democracy. The attacks on me I believe are all a tangential part of that process . I speak of the big lie of which I unfortunately have been drawn into being a target of the far right because I represent something that is antithetical to them , namely, the truth. It is stunning how much time is consumed on warding off the egregious lies about the NIID grant that funded hey small project in the Wuhan institute of virology. They claim that we created the COVID virus. Among the scientist who fall into this trap are the usual suspects of Richard Ebright and David Relmann . However , Jesse bloom has really surprised me claiming that a lab leak is highly probable when there is absolutely no evidence whatsoever that a lab leak has occurred the only issue is that it occurred in a city that happened to have a laboratory that studies bats. Amazing that he has come to this conclusion. PRESS: ABC “This Week” with Jonathan Karl; CNN “State of the Union” with Dana Bash; CBS “Face the Nation” with Margaret Brennan

Global – 236,000,000/4,800,000; USA – 43,900,000/707,100 102,000 case today. All parameters continue to come down slowly Mandates are working – 25% businesses, 40% hospitals and colleges serving 37% of students are using mandates The nonsense still goes on regarding EcoHealth Alliance and the Congress probing as to the gain of function issue. We now find out that Eco Health was late in the submission of a progress report which showed some increased pathogenicity in a mouse model. There will certainly be a conflation of their administrative failings with the proposal that many of the far right are pushing that the grant created the virus which as we've said multiple times is molecularly impossible. However, anything that is even a minor infraction of that grant will be conflated with the issue of the origin of the virus. In fact, Eco Health should have let the NIH know that in some of the mouse experiments there was an increase in pathogenicity associated with the chimeric virus. However what people will not appreciate is that even with that increase in pathogenicity, the experiment and the result still does not fall under the category that would trigger P3CO. In other words, According to the operable definition of gain of function of concern at the time, this was not gained a function of concern. Namely, it was not an experiment that would increase the transmissibility and pathogenicity a virus that would likely cause widespread transmission and morbidity/mortality IN HUMANS. Some people may not like that definition under which we were operating, but that is the definition that was established by outside groups after a 3 year deliberative process. As I have said in the past if they don't like the definition then they should change the definition. However, what was done was done according to the existing definition at the time. PRESS: Gray Media TV “Full Court Press” with Greta van Sustern;

Global USA Had a rather slow relaxed day (Columbus Day holiday). Also Chris went to New Orleans to help Megan and Melissa move into their new home. I spend time reading in depth certain articles including the frightening article in the New York Times by Robert Kagan on the danger to our democracy. In addition I read a bunch of scientific stuff that felt good since I usually AM 1/2 an inch deep and five miles wide. I'm trying to put out of my mind the continual attacks by the far right dark web, Fox News, and the lying senators and congressmen who keep harping on the gain of function nonsense. I'm trying hard to not let it distract me, but it clearly is an organized assault on me PRESS: CNN “State of the Union” with Dana Bash

Had a very nice zoom conversation with Raj Panjebi. He is the new director of the president's malaria initiative (PMI). He set up a zoom call with me, Lee Hall, and several of his staff. He wanted to strengthen the relationship between NIAID and PMI based on the historically great interactions that we've had over the years. He went out of his way to recognize that I played an important role in the creation of the PMI. I promised Raj that I would work closely with him and the PMI to maximize the interaction and collaboration among us. My staff wants me to lay low a little bit as we approach the Senate HELP hearing on November 4 since there certainly will be a lot of fireworks with Rand Paul and others. I am going to be on a few of the Sunday shows again this weekend and then after that I think I will be very selective in the TV shows that I go on . The reason for this is that no matter what I say the far right will absolutely distort it and make it into something political. It is striking that literally every single day I am criticized and attacked on social media, Fox News, and the tweeting of the far right including by people like senator Paul. The latest that trump is doing is putting signs up that fouchy stole Christmas. This is based on a question that Margaret Brennan asked me on Face the Nation a couple of weeks ago about whether I could predict what the outbreak would be as we get into the winter I merely said that we really can't predict it will depend on how many people get vaccinated. That got translated by the far right in that I was stealing Christmas from them. Truly unbelievable nonsense PRESS: Interview with NBC Health (print); Oct.17, 2021 Important couple of days over the last few days. the booster data from moderna and J & J were presented to the FDA . In addition, the mix and match data from NIAID were evaluated. It is going to be an interesting dilemma since the Moderna and Pfizer boosted J & J better than J&J boosted itself. It should be interesting to see how the recommendations come out. The same old crap is going on with the far right continuing to attack me . The latest is a book written by an Australian person who says I'm the father of gain of function research with quotes from the infamous Richard Ebright saying that I'm a liar and I have misled everybody about gain of function. What a bunch of nonsense! The far right continues to try and discredit me. On a very nice interview that I had with Chris Wallace (see below), Chris asked me what I thought was going on concerning my being a very polarizing figure . I answered that it is not surprising that I'm a polarizing figure since I speak the truth and people who are lying , who are propagating conspiracy theories , and who don't admit the facts even when they're staring them right in the face uh certainly people who will be polarized against me since I stand for something that makes them very uncomfortable and that something is the truth. Chris and I went to a wonderful brunch over Adrienne Arsh’s home. The brunch was in honor of Christine LaGarde. the typical Washington a list was there. It was a fun brunch since Adrienne is such a wonderful and generous person. I tend to shy away from these functions since everyone gathers around me wanting to take photos and telling me what a wonderful job I'm doing. Even though this is something that is not unpleasant, I still am uncomfortable when people call attention to me when I'm in a crowd. However they are all well meaning and I should feel gratified that they do pay attention to me. PRESS: Fox “News Sunday” with Chris Wallace; ABC “This Week” with Martha Raddetz; MSNBC with Alex Witt;

Larry Tabak, representing the NIH, released some progress reports from the EcoHealth grant which were late in their submission. It indicated thatn mice became sicker than the controls and could be interpreted by some as “gain of function” even though it does not qualify for P3CO. As expected, this led to an avalanche of extremists calling Larry, Frances, and I liars. This was all lead by the infamous Richard Ebright who made a tweet as shown below. I must write something about this complete idiot In my book since he really is a horrible person: The NIH received the relevant documents in 2018 and reviewed the documents in 2020 and again in 2021. The NIH--specifically, Collins, Fauci, and Tabak--lied to Congress, lied to the press, and lied to the public. Knowingly. Willfully. Brazenly. In addition, a number of people: Mark Meadows, Sen. Tom Cotton and others are tweeting that I lied under oath PRESS: CBS :Mornings” with Gayle King;

Global - 242,000,000/4,900,000; USA - 45,100,000/730,000; Larry Tabak was treated very poorly by several Republican congressmen and senators that he briefed yesterday. They continue to distort the truth insisting that I and to some extent doctor Collins have lied about whether or not the NIH funded “gain of function” research. They do not understand nor do they seem to want to understand that we were operating under the framework of P3CO which clearly indicates that the experiments that were funded by the NIH in Wuhan fell under that auspices and were properly conducted according to the existing guidelines at the time. They want to hear none of that and continue to insist that we are denying that gain of function research was done and they put forth the preposterous suggestion if not the strong indication that the research that we funded created SARS-CoV-2. It looks like I'm going to have a tough time at the hearing on November the 4th since they are clearly politically motivated and are doing anything to discredit me and the NIH. I had an enjoyable and productive discussion with the Minister of Health and Social Services of Quebec (Christian Dube and his chief medical advisor Horacio Arruda). The minister was very interested in my advice about where I think we are going with the outbreak looking forward. He asked the question that many ask as to when I believe we may return to some form of normality including when we can get along without wearing masks. I gave him the advice I usually give to people emphasizing how importance the implementation a vaccine program will be in determining when a given country can get back tomorrow. PRESS: MSNBC “Morning Joe”; CNN “New Day” with John Berman;

Global – 242,300,000/4,900,000; USA – 45,300,000/733,834 There was the typical but not unexpected backlash on the part of the far-right media concerning the letter that Larry Tabak sent out concerning the progress report from EcoHealth that was late. In order to be totally transparent, Larry sent out a note to Congressman Comer saying that Ecohealth was late in submitting a progress report of their grant and mentioned in the letter that some of the mice in the study had an increase in viral growth and got sicker. This was immediately taken up by the far right as proving that Fauci and Collins were lying when they said we did not fund gain of function research at Wuhan. They failed to mention that in that same letter Larry made it very clear that the research did not rise to the scrutiny of P3CO. In other words by our definition, it was not gain of function. This set off a firestorm of far right media craze saying that Francis and I lied. Therefore, I spent the greater part of today, tonight and tomorrow morning putting together a statement for the NIH website to correct the misrepresentation on the part of the far right media.

Global USA Andy Slavitt is out there tweeting in my defense. Yasmeen Abutaleb (Washington Post) Has agreed to write a story trying to uncover the source of this organized effort to discredit me period up to this point I have told her to hold back on doing any big story. However, I think the time is coming very soon uh to do something about this unprecedented attack that I am experiencing. We are getting bombarded by letters from Republican congressmen and senators (Ranking Minorities) on the various committees asking pages and pages of ridiculous questions that really have no answers concerning our oversight of the Wuhan Ecohealth grant and demanding explanation for things that really in many respects are trivial. All of it is underscored by a strong accusatory tone in all the questions. One letter in question was 14 pages long from Cathy McMorris Rogers addressed to Francis Collins. it contained the most miniscule details about technicalities of grants that was getting to the point that we did not have good oversight of the ecohealth grants and hence the strong implication that we may have supported research that led to SARS-Cov-2. Absolutely preposterous !!! PRESS: NPR “Morning Edition” with Noel King; Spectrum News1 TV “Inside the Issues” with Alex Cohen; CNN with Don Lemon How Trump’s allies are still trying to insulate him from blame for the coronavirus pandemic President Donald Trump waves to members of the media as he leaves the White House to go to Walter Reed National Military Medical Center after he tested positive for the coronavirus on , in Washington. (Alex Brandon/AP) By Philip Bump National correspondent Today at 10:30 a.m. EDT On Tuesday, freshman Rep. Madison Cawthorn (R-N.C.) gave a speech from the floor of the House that was as furious as it was terse, as inscrutable as it was accusatory. Over the span of 64 words, he called for the creation of a commission aimed at exploring the origins of the coronavirus at the heart of the pandemic, called the country’s top infectious-disease expert Anthony S. Fauci a “demon doctor,” accused Fauci of lying to Congress, accused Fauci of having a hand in creating the virus and suggested that Fauci was linked to “funding the torture of puppies in Africa.” It took 65 words just to summarize the claims, which should tell you something about Cawthorn’s succinctness.

Global – 244,879,472/4,970,435; USA – 45,759,230/741,566 FDA issues EUA for Pfizer 5 to 11 yo. vaccine Yasmeen Abutaleb Is continuing to gather data on the conspiracy of the far right against me. She is working with Courtney Billet on gathering information connecting this activity with the far-right Republicans. Most recently they discovered that Donald Trump Jr. in his campaign running for office is selling shirts that say “Fauci kills dog”. Hopefully, Yasmeen we'll have a story out of this. PRESS: Washington Post “fact checker” Glenn Kessler gives Rand Paul 2 Pinocchios in saying that I lied about funding GOF research: Fact Checker Analysis The repeated claim that Fauci lied to Congress about ‘gain-of-function’ research

Global – 246,594,191/4,998,784; USA – 46,024,349/745,274 The decline in cases in the United states is unfortunately beginning to plateau. We have started to see the inklings of this as the steepness of the deflection has diminished and we are getting stuck for several days now at around 70,000 cases per day. We will have to watch this closely. In addition, cases in the European Union particularly in Eastern Europe are starting to surge. This is all bad news as we enter into the cold season of the fall and winter. Francis Collins and I had a conference call with chairperson Patty Murray of the HELP committee. She was very sympathetic about the fact that the Republicans would have come at me pretty hard and she wanted me to explain to her about gain of function research so that she could get a better understanding of things and she promised that she would give me the opportunity to respond if people like Rand Paul do not give me the possibility of the chance of responding ACIP meets today to discuss Pfizer vaccine for 5 to 11 yo. Voted unanimously to recommend vaccines for 5 to 11 year olds Governor Phil Murphy of New Jersey was involved in a very close race for re election. The next day (tomorrow) I texted him and congratulated him on his close win. He texted me back thanking me for my friendship and sending his best regards to Christine. He is really a good guy.

Global – 247,472,724/5,012,337; USA – 46,180,190/747,970 Very important Day!! Senate HELP Hearing - I together with Dawn O'Connell, Janet Woodcock, Rochelle Walensky testified before the Senate HELP hearing chaired by Patty Murray . We had expected to have the same conflict with Senator Rand Paul who continues to lie egregiously about the gain of function research which he claims was done at the Wuhan Institute of Virology funded by NIAID. During the last Hearing I had a direct conflict with him in which he accused me of being responsible for the death of four million people by funding research at Wuhan. At that time, I angrily said that he was the liar. He continued along this line totally misrepresenting facts and accusing me of lying before the Congress. However, in contrast to what I did last time I did not aggressively call him a liar, which he is. What I did was very calmly counter all of his arguments that this was a proven leak from the Wuhan lab, that we were continuing to fund the Wuhan lab, and that I was responsible for the COVID-19 pandemic. Chairperson Patty Murray was extremely helpful in allowing me to counter his ranting lies . I closed the session by saying then I have a great deal of respect for the institution of the United States Senate, but in fact everything he said was “egregiously incorrect “. see link to the actual testimony below: https://bit.ly/2ZZzqAa Call from Barack Obama – Leslie Dach had contacted Barack Obama to ask him to give me a call to see what he could do to counter the slanderous lies there have been coming from the far right press, extreme right elements in society, and even several members of the Senate and the House. President Obama called me tonight at 5:00 PM on my cell phone and offered to help in any way that he can. He started off the conversation by saying that he was concerned about me and how I was holding up under this onslaught of slanderous lies. HE SAID THAT I WAS A “CIVILIAN” and that I should not have to put with this nonsense. He as a politician is used to this, but I have done nothing but serve that American public and the world for decades. He expressed concern that this would interfere with my important work on behalf of the American people. I explained to him what was going on and he was extremely sympathetic and in fact said that he would call up Ron Klain and or Jeff Zients to ask them to have the administration be proactive in countering these lies. I explained to him that President Biden as well as Ron Klain and Jeff Zients had been extremely helpful and supportive in making it very clear that they had complete confidence in me. In addition, I told him then Jen Psaki had continuously said at White House press conferences when asked whether the President would fire me that indeed the President would never fire me and that this was a bunch of nonsense. President Obama felt that we should do more than just claiming that they have my support and actually go on the offensive and call out people who are allowing this to be said and are not stepping up. President Obama said that he would call up Jeff Zients and tell him to mobilize some of the people in the administration to proactively go out and defend me. I told President Obama about the crazy things that the far-right Republicans were doing including the fact that Donald Trump, Jr. had on his website the sale of sweatshirts and T shirts to collect money for his campaign and on the T shirts and sweatshirts it said “Fauci kills puppies “. Obama said That Donald Trump junior is “A fucking moron”. He apologized for using crude language but then went on to say that Donald Trump was a hopeless idiot who was a pathologic liar. He was very upset that none of the moderate Republicans were actually speaking out on my behalf and were distancing themselves from all of this terrible slanderous behavior against me. It was a great conversation that lasted for 25 minutes and he said that if he hears anything about movement in this direction he will get back to me. It indeed was an incredibly memorable phone call. Received the call late at night tonight from Albert Bourla, the chairman and CEO of Pfizer. He wanted to alert me that tomorrow morning they will announce extremely favorable results from their protease inhibitor + ritonavir (PAXLOVID). The results are truly striking. In a randomized , placebo controlled trial, the efficacy of this oral formulation was 89% if given within the first three days following symptoms and 85% efficacy if given within the first five days of symptoms. The group were people 18 years old and older with 1 or 2 risk factors such as smoking, diabetes, and hypertensions. There were no deaths in the treatment group and 10 deaths in the placebo group. Albert recognized that NI AID played a significant role in the early development of this drug. They will apply for anyway soon. November 5, 2021 – Global – 247,968,227/5,020,204; USA – 46,268,465/749,876 Phone call with Mikael Dolsten of Pfizer and his team. They explained to a group of us (USG) the details of the Pfizer drug trial results (See above) I continue to get hassled by people FOIA-ing my emails . For example today we got a request from a Robin Bravender of Insider (a trash publication) for my e-mails from

Just to catch up on what is going on with the Moderna/NIH patent dispute. It has been very clear from the very beginning that there was a very strong collaboration between investigators at the Vaccine Research Center (VRC) and the Moderna company . In particular John Mascola , Barney Graham, and Kizzmekia Corbett were heavily involved in the development of the mRNA -1273 vaccine. It was assumed by everyone that there would be a joint patent inventorship. And so, when a few months ago we heard that there was some disagreement among the tech transfer people of the NIH and the lawyers at Moderna, Frances and I engaged in a couple of telephone conversations with Steve Hoge and Stephane Bancef of Moderna. Steve and Stephane said that the actual inventorship was solely Moderna and that although the NIH had rights to the patent and licensing of the S2P immunogen, Moderna claimed that the actual “inventorship” was theirs. This is critical since even though we would get a considerable amount of royalty from this technicality and even though we could be “co-owners” of the patent but not inventors of the patent this would still give Moderna complete control over who can or cannot use the mRNA vaccine . This is particularly relevant if we try to get the vaccine produced for low and middle income countries at a very, very low price. And so, after many attempts at resolving the issue we were very surprised that Moderna unilaterally went out and filed the patent and specifically and explicitly excluded John, Barney, and Kizzy. The entire academic community, when they found out about this, was totally taken aback. And so, just this week Francis made it clear in an interview with Reuters that we are going to bring Moderna to court and let the courts determined the outcome . See below. UPDATE 1-Moderna COVID-19 vaccine patent dispute headed to court, U.S. NIH head says By Julie Steenhuysen Science magazine has written a critical appraisal of NIH and it has really pissed off Francis Collins: Editorial Self-inflicted wounds H. Holden Thorp Science • 11 Nov 2021 • Vol 374, Issue 6569 • p. 793 • DOI: 10.1126/science.abn1244 • 0eLetters Nov. 12,2021 – GLOBAL – 251,266,207/5,070,244; USA – 46,783,309/757,663 I gave an interview with Peter Baker today for the book that he is writing on president trump. PRESS: NYTimes/The Daily: An Interview with Anthony Fauci https://nyti.ms/3ohAA22 ; STAT Summit Interview with Helen Branswell; Sirius XM “Doctor Radio” with Marc Siegel; NBC Nightly News with Tom Costello;

Global – 251,788,329/5,077,907; USA – 46,910,412/759,552 I had an important TV interview with Ted Koppel to be aired on CBS tomorrow (see below). The main gist of the interview was the attacks on me from the radical far-right. However, Ted did bring up an issue that Hugh Hewitt brought up in a different context (see above). Ted asked me (and he is a good friend) whether or not I realized that I was speaking to the converted and the 50% of people who love me are already doing what I want them to do and the 30% who hate me will never do what I say no matter what and so have I ever considered pulling out of being a public spokesperson and just focus on my job as the director of NIAID. He originally asked whether I should “step down” because I had to remind him that I do have a very important job that has nothing to do with speaking to the press. When he understood that, he corrected himself and said why not just pull back from interviews since I'm wasting my time. I pointed out to him that there are still people who are on the fence whom I can convince and since I am such a valued spokesperson and a good communicator that the President and the Administration want very much for me to be out there. He got that and agreed, but it is interesting that he even brought it up. I have been including Larry Corey in one of the three weekly division director meetings because in my opinion he is one of the most brilliant clinical trialists in the country if not the world. However there is some growing tension that the division directors, particularly Emily Erbelding and Carl Dieffenbach resent Larry being there since they feel he is giving himself an unfair advantage inventing his ideas in front of me and putting them in a position that they have to agree since everybody knows that he is a very close personal friend of mine. And so, at the last meeting they spoke to me about asking Larry not to take part in the division director meetings anymore since this in their mind is a conflict of interest. They do have a point but I believe that they do not fully appreciate how much value added he is. And so tonight I had to call Larry and tell him that he can continue to very frequently consult with me with his ideas but that he cannot attend the division director meetings by zoom anymore unless invited for a specific ad hoc issue. He was disappointed, and vented a bit about their lack of creativity , but he understood and will stand down on this. I will continue to use him frequently as an advisor. PRESS: Interview with Ted Koppel for CBS “Sunday Morning” to air tomorrow (Sunday)

Global - 253,163,330/5,098,174; USA – 47,145,861/761,426 Michael Hiltzik of the LA Times - Has written another insightful review of the profound weaknesses of the lab leak theory. He exposes Alina Chan of the Broad Institute as someone leaning towards the conspiracy theory who has written a book providing no evidence whatsoever other than conjecture about the lab leak theory (see below). Discussion with Jeff and the medical team today. - Although the cases are starting to surge up in more than 30 states, we have to start preparing for what level of acceptance of infection in the community we are willing to live with. I have been explaining on TV/Radio shows the multiple phases of outbreaks from pandemic phase, to deceleration phase, to control, to elimination , to eradication. We have only eradicated one infection and that is smallpox. We have eliminated infections from the United states such as polio, malaria, and measles. What we have looking forward is “control “. However, there are multiple levels within the bracket of control and we should not accept control at a level of 70 to 80,000 cases per day. We must get it down much, much lower . In my mind that is considerably lower than 10,000 cases per day. Importantly, the number of hospitalizations should also figure into that calculation since as I have been discussing with David Morens and Jeff Taubenberger, systemic vaccination (subcut). Subcutaneous vaccination does not give mucosal immunity very well except when you have very high levels of antibody. When anybody levels fall below certain level one is acceptable to infection . However , B cell memory and T cell memory very often protect against pulmonary infection. And so we can expect that there will be a time as we boost people that we continue to get mild infections such as with the common cold but very few people wind up getting very sick requiring hospitalization. Jeff and David also pointed out that for those vaccines that are required from the respiratory move and do not result in viraemia we do not have good vaccinations to prevent infection although we do have vaccinations that prevent the progression two serious disease. I refer to influenza, parainfluenza , respiratory syncytial virus, and metapneumovirus. However, viruses such as measles, smallpox, and other viruses that result in viraemia and systemic involvement with virus give lifelong immunity after infection as well as after vaccination. These are important considerations that very few people fully appreciate. PRESS: Reuters TV with Julie Steenhuysen; NBC News Medical Unit - TV with Ashkay Syal; These authors wanted to push the COVID-19 lab-leak theory. Instead they exposed its weaknesses By Michael Hiltzik Business Columnist 6 AM PT On the Shelf By Alina Chan and Matt Ridley

Global -253,640,693/5,104,899; USA – 47,244,379/762,994 I went to a book party last night for Jonathan Karl’s new book about Trump. It took place at the Cafe Milano. The place was incredibly crowded and I was almost forced to take my mask off for 2/3 of the time I was there since they were serving drinks and people were talking and taking selfies. I was totally swamped all night by people wanting to say hello, shake my hands, and take pictures with me. I could not get away from it . Although some people may think that this is great to have people treat you like Elvis Presley , but it was really very unnerving. Jon was very gracious to me being very excited about my meeting his family . We took hundreds of pictures with each member of his family, as well as one big family photo. It turns out that his father-in-law grew up in Bensonhurst and knew about my father's pharmacy on 13th Ave. The book party event was punctuated by doctor Bill Hughes whom I know for years and who is married to Ann Compton getting a vaso-vagal attack and I tended to him at the bar. We called an ambulance, but Ann took him home after we documented that he was stable. When I went home that night I was nervous all night looking at the ceiling concerned about having gotten infected in that very crowded restaurant despite the fact that vaccination proof was required to get in. I'm well aware that many people who are vaccinated are still getting infected and that worried me a lot. I'm supposed to go to an even bigger black tie affair at the home of the French ambassador tomorrow. I think I am going to cancel out since I don't want to go through the nerve-wracking experience that I did last night worrying about having gotten infected. Of note, there are more than one congressional bills that have been proposed with my name on it . One is the “Fires Fauci Act” which was written by Marjorie Taylor Greene. Another bill floating in the Senate (proposed by Senator Joni Ernst) is forbidding gain of function research and that bill is called the “Fauci Act” PRESS: NBC Now TV with Hallie Jackson; Did an interview with Margaret Brennan today to be shown two weeks from now on Face the Nation. Curiously she spent most of the time asking me to justify the many “mistakes “that have been made by the CDC during this outbreak both during the trump administration and the Biden administration. I was trying to defend the CDC to the best of my ability, but this was not easy since in many respects she was right. I try to steer the conversation so with discussion of what I am responsible for namely the development of vaccines and therapeutics. She responded by saying I am “America's doctor “and so I should have to answer these things . She was not being mean since Margaret is tough but she's a very fair and good person.

Global USA Call from Jeff Zients today with a message from Ron Klain – It is noteworthy that in prior demonstrations it was always a concern when you give a message about a public health issue that the administration is always afraid get the public to concern we're not concerned enough to be incompatible with the message that they're trying to get. This was brought to the far extreme trump administration in fact the message was completely garbled and riddled with allies from the president , which I had to rectify. However, I was a bit surprised when I got a phone call from Jeff saying that Ron thought I was doing a terrific job with the messaging but he was a little concerned that I might be saying that we might have a tough time this winter pressing message. However I was being perfectly truthful since in fact we are seeing the beginning of a surge and when you look at what I said I was actually quite certain spectrum said that we can do something about preventing surge and you just pull up to us if we want to blunt but could be an inevitable surge of people continue to not getting vaccinate just the thought that there is some contact commonality among all the ministrations but messages even the terrific ones like we're dealing with now. Phone call with Sen. Roger Wicker (R-MS) – Roger wanted information regarding global COVID since he is going to a conference in Halifax about global response to COVID. He asked good questions and then he asked about GOF and I explained the entire situation to him. He seemed not hostile and understanding. Clearly, not all GOPs are jerks. Interesting article in Axios that goes along with my saying that we did not know that masks work until later on. This article came out today!!! – Mask-wearing reduces COVID incidence by 53%, study shows PRESS: Interview with Carl Zimmer of New York Times an the antiviral program for COVID and other viral families; NPR “Morning Edition”/All Things Considered” with Alison Aubrey; Russ Parr Morning Show (Radio); The Laura Coates Show (Radio); The Ryan Cameron Show (Radio Atlanta); MSNBC Peacock – Mehdi Hassan;

Global - 254,847,065/5,120,712; USA – 47,471,270/768,619 On both of these TV shows we discussed the authorization of boosters for everyone over 18 years of age and the EUA for Pfizer for 5 to 11 yrs old and what we have to look forward to for the Holidays (see below). The major conversation topic over the last several days has been the recent approval (finally) by the FDA and recommendation by the CDC to give booster shots to people 18 years of age or older. However the CDC continues to abide by there ACIP recommendations which confused the issue some what by talking about different categories that either “should” or “may” be vaccinated with the booster shot. I clarified unambiguously on TV that we should not let that confuse us and that everybody should go ahead and get a booster shot if they have had get full vaccination. I also made it very clear that although the cases very well may surge in the upcoming cold months that the people who are vaccinated and preferably boosted can enjoy a comfortable safe holiday with their family indoors without wearing masks. I was very explicit about that because every time I even hint that people need to be careful over the holidays the far right radical idiots take things out of context and have a field day. There is some buzz around regarding the Justice Department moving against not only Steve Bannon , but also Mark Meadows, and Peter Navarro. The reason for the subpoenas or that they refuse to abide by the house subpoena to appear before the committee. Peter Navarro continues to claim that I am responsible for causing the death of over 4 million people worldwide because I created COVID-19 More and more papers are appearing in the medical literature making it very clear that the outbreak was almost certainly a natural occurrence and not a lab leak. The most recent paper was one by Michael Worobey that appeared in Science 3 days ago: https://www.science.org/doi/10.1126/science.abm4454 Also, commentaries by Eddie Holmes (Australia) and others are nailing down the natural origins story. Yet, the 3 stooges (Richard Ebright, David Relman, and Jesse Bloom) are still pushing the lab-leak hypothesis literally based on absolutely no solid evidence, but only conjecture

(Thanksgiving Day) Global USA The New York Times had a Thanksgiving day write-up on A summary of where we are with COVID-19 in the context of an interview with me. The last question they asked was what I was thankful for at Thanksgiving. My response is given below: Adam: Last year we asked you what you’re thankful for, you very sweetly talked about your wife. What in the last 12 months are you thankful for — personally, professionally, or both? Fauci: Well, I’ll give you one of each. I’m professionally thankful that we successfully did something that was unprecedented in the history of vaccinology. And that is, we went from the sequence of a virus to a vaccine that was highly effective and safe. And we’ve been able to vaccinate a substantial proportion, although not as much as I would want, but a substantial proportion of the of the population. That’s professional. Personally, it’s the same thing. It’s no secret that I have been clearly targeted by rather radical elements who just keep attacking me every day, all day — Fox News, Breitbart — all those other crazies. And what I’m thankful for is what I said last year, that I have an incredible partner who is really amazing in her understanding of me and just keeps me grounded in reality when you have hand grenades being thrown at you every day. To have somebody that reminds you that what you’re doing is absolutely important for the health and the safety of the country, so don’t pay any attention to all that nonsense. That’s what I’m thankful for Major Serious Issue with new South African Variant!! - It is Thanksgiving Day and something has come up today that is very serious. I got an email from Jeff Zients who forwrsded an email from Stephane Bancel. Stephane was alerting Jeff to the fact that he had heard that there was a new variant in South Africa called B.1.1.529. See below: 25Nov2021 SGTF sequence report - N One of the problems is that the mutations that have accumulated which are now greater than 30 on the Spike protein including 10 mutations at the RBD would predict an escape from immune protection . In addition, the variant in RSA has rapidly gone from a couple of percent to double digits. Clearly, it is highly transmissible and has been demonstrated in people who have recovered from the Delta variant. This is very disconcerting since besides its transmissibility, this suggests that is eluding immune protection. I engaged in a bunch of phone calls with Larry Corey and John Mascola and multiple calls with Jeff Zients. I tried repeatedly to contact Rochelle Walenski, but she is not answering texts, emails or telephone calls. However, it turns out that there is a glitch in my connection to her text and my texts keep getting sent to an e-mail address. We will fix this. I finally go to her later in the evening. Larry Corey has arranged a zoom for 10:30 AM tomorrow with our South African colleagues including Glenda Gray, Penny Moore and Tulio de Oliveira who is the evolutionary biologist from South Africa. Of particular note, as I was scrambling around to contact people, the UK announced that they are banning flights not only from South Africa but also from Namibia , Lesotho , Botswana , Eswatini, and Zimbabwe. In addition, they are going to require PCR tests for all arrivals into the UK. Israel has also now announced it will ban its citizens from traveling to southern Africa covering the same countries as well as Mozambique. Again, with multiple phone calls with Jeff , we decided to wait until tomorrow morning when we will have contact with the South Africans to get a clear review of what is going on. When I finally connected with Rochelle later in the evening, it was clear that she really didn't have any idea what was going on. I am really surprised by this since the CDC should be all over these types of leads. In addition, when I began to probe it is clear that this issue had been circulating for a couple of days, and amazingly on the calls with the White House medical team Rochelle and the CDC never brought it up. This is really strange since I would imagine that with their global connections they would have been all over this. I have arranged to have both Rochelle and Francis Collins join the zoom call that Larry Corey set up for us to engage with the South Africans. Just heard tonight that the WHO has called a special meeting to address the issue: First meeting of Scientific Advisory Group for the Origins of Novel Pathogens (SAGO) https://www.who.int/news/item/24-11- 2021-first-meeting-of-scientificadvisory-group-for-the-origins-of-novel-pathogens-(sago) WHO Director-General's opening remarks at the First meeting of the WHO Scientific Advisory Group for the Origins of Novel Pathogens (SAGO) https://www.who.int/director-general/speeches/detail/who-direc tor-generals-opening-remarks-at-the-first-meeting-of-the-who-scientific-advisory-groupfor-the-origins-o f-novel-pathogens-(sago) WHO calls special meeting to discuss new Covid variant found in South Africa with ‘a large number of mutations’ https://www.cnbc.com/2021/11/25/who-calls-special-meeti ng-to-discussnew-covid-variant-from-south-africa-with-large-number-ofmutations.html?fbclid=IwAR 1VKOrWxAWjeHqVzJH0KLpPgPBRhEH lWZU KrN4bol3qFcrLgLYOjrO5aI Covid: New heavily mutated variant B.1.1.529 in South Africa raises concern https://www.bbc.com/news/health-59418127 New variant displaying a ‘big jump in evolution’ detected in South Africa. https://www.nytimes.com/2021/11/25/world/variant-south-africa-covid.html More later. I sent an email to Rochelle telling her that she better be prepared to move quickly with her team no later than tomorrow if in fact we decide that we are going to shut down travel from southern Africa. I tried to give her the benefit from my prior experience with shutting down from China as well as from the European states. She did not seem to be on top of things, and so I gave her a real strong briefing about the fact that she is going to have to move and move boldly.

GLOBAL USA All set for Zoom with RSA folks this AM. Story starting to break as the South African public health people had a meeting and discussed all the details of the increase in cases that apparently are spreading rapidly throughout South Africa. 25Nov2021 SGTF sequence report - N Not sure about the evasion of vaccines , but the situation is certainly heating up . Will discuss whether or not we're going to restrict travel from South Africa later today at a 12 noon call with Jeff. Email from Cyrus Shahpar on 11/26/2021: Deputy Health Minister in UK gave statement to Parliament about why they are prohibiting travel fro RSA and other African countries: Oral Statement on B.1.1.529 variant The Secretary of State for Health and Social Care has given a statement to Parliament on a new variant under investigation and action government is taking. From: Department of Health and Social Care and The Rt Hon Sajid Javid MP Published 26 November 2021 Delivered on: 26 November 2021 Email from Elodie Ghedin on her briefing by the South Africans: Ghedin, Elodie (NIH/NIAID) [E] <elodie.ghedin@nih.gov> Sent: Friday, November 26, 2021 8:57 AM To: Collins, Francis (NIH/OD) [E] <collinsf@od.nih.gov> Cc: Tabak, Lawrence (NIH/OD) [E] <lawrence.tabak@nih.gov>; Menetski, Joseph (FNIH) [T] <jmenetski@fnih.org>; Wholley, David (FNIH) [T] <dwholley@fnih.org>; Holland, Steven (NIH/NIAID) [E] <sholland@niaid.nih.gov> Subject: Re: New variant Good morningWe had an ad hoc/emergency meeting of the WHO Technical Advisory Group on Variant Emergence (TAG-VE) this morning with a presentation from South African scientists. We were asked to not report our discussion until the WHO puts out a statement later today so the report below is confidential. Here is the low-down: • S.A. had gotten to a stage of very low infection rate so that they noticed this new variant— B.1.1.529—because of its very rapid increase in cases; the rate of infection is higher than expected. (as background, seroprevalence in S.A. was at 80-85% so that the low infection rate they were seeing with Delta was likely due to the fact the virus ran out of susceptibles; vaccination rate is at 30%). • The first evidence was an increase in positive cases associated with S gene target failure (drop out) in the qPCR assay; Sequencing of those early samples in Gauteng showed new mutation patterns. While whole genome sequencing is still just ramping up (they have 77 genomes from Gauteng and will have 100 new ones by the end of the day), they do see the same S-gene dropout pattern in many other provinces; so far this pattern is 100% associated with the new lineage so they suspect it will be the case for these samples in other provinces. In summary: this is not a unique outbreak cluster in Gauteng. • Cases are starting to pop up in other countries, but numbers are still low. We suspect they will increase quickly. • Mutations: 10 in the receptor binding motif, many are similar to mutations observed in other lineages but also new ones. High number of mutations – • multiple in the RBD and NTD that are usually associated with resistance to neutralizing antibodies • Cluster of mutations (H655Y + N679K + P681H) adjacent to the furin cleavage site – usually associated with more efficient cell entry • NSP6 deletion (105-107) - convergent evolution as has been observed in Alpha, Beta, Gamma and Lambda - could be associated with evasion of innate immunity, possibly increased transmissibility • Mutations in the N gene - R203K and G204R (also seen in other lineages) that are associated with increased transmissibility So mutation profile is predicted to be associated with significant immune evasion and enhanced transmissibility, but no experimental evidence yet and epi data is still sparse. It clearly has a different mutation profile than other circulating VOC/VOI but full significance is not yet clear. • One big question is how this highly mutated virus emerged. There are signs of possible recombination at around nt 20,000. One of the spike mutations (N679K) is rare and also observed in C.1.2; a lot of convergent mutations observed. One hypothesis is that because of S.A.’s high rate of HIV/low CD4, this virus could have developed in immune suppression with a recombination event. • No evidence yet for different clinical presentation; age distribution tracks young so far but that's because the first outbreak was at a university, but it is also the age group that is most mobile and not vaccinated. • Most are symptomatic but severity is still being established. We are planning another meeting Monday. Will let you know if I have anything new to report. Best, Elodie Briefing with RSA colleagues: Glenda Gray, Tulio de Oliveira and others -Clearly we have a serious situation in South Africa. The virus is spreading rapidly in virtually all the provinces with a concentration in Gauteng province which is where Johannesburg and Pretoria are located. Reports now in multiple countries almost all related to travel from RSA. infections in RSA seen in people who have recovered from delta as well as breakthrough infections in those who have been vaccinated with the Pfizer product. What is unclear is what the severity of the infections are , and this is a moving target that Glenda Gray and Tulio said they would keep us informed on as soon as they get real data. Multiple countries in Europe and elsewhere are blocking travel from RSA and neighboring countries. I briefed Jeff about this immediately after the 10:30 AM zoom with the South Africans. Jeff wants me to brief the POTUS immanently. The president is spending the Thanksgiving holiday with his family in Nantucket. Conference call with President Biden: Jeff arranged for me to brief the president on a conference call that included Jake Sullivan (NSC), Natalie Quillian, Ron Klain and Jeff. I described the medical and public health situation to the President and Natalie and Ron discussed the issue of blocking travel from RSA and neighboring countries. I explained to the President that this is all the more reason to get people vaccinated and boosted. The president will make a public announcement soon, likely this afternoon, that he has spoken with me and that the decision has been made about the travel restriction. Announcement about travel restrictions went out at 2:00 PM today. 212F is the authorization for restrictions Slides on mutations: Incredibly busy Thanksgiving Day. We had zoom calls with the Pfizer group led by Mikael Dolsten to scope out what their plan is regarding scaling up boosters against prototype as well as the advisability or not of developing Omicron-specific boosters. Also met with the Moderna people for similar discussions. Clearly, the virus is spreading widely with five cases in Israel all of which were picked up by screening at the airport. E-mail from Danny Douek: Dear Tony, I have been on the phone with the Israelis this morning. They have identified 3-5 cases of B.1.1.529 One case was AZ x2. Symptomatic. Another was Pfizer x3. Asymptomatic. All identified on screening on entry at the airport. 1 case from Malawi, 1 from Jordan, 1 from Egypt via Belgium. PRESS: CNN “New Day” with Brianna Keilar (she was rude and asked questions about Brett Giroir out of context); Interviews with Sheryl Stolberg – NY Times; Kaitlan Collins – CNN; NBC “Evening News” with Lester Holt Bloomberg: U.S. Needs Data on Variant Before Limiting Any Flights, Fauci Says By Kathleen Hunter November 26, 2021, 8:17 AM EST

Global USA Very Important Day!! - An extraordinary amount has been going on over the last 24 to 48 hours. It is very clear that with the Omicorn variant is rapidly spreading from the epicenter in South Africa with mostly travel-related cases to a number of countries at this point including Botswana, the Netherlands, England, Hong Kong, Australia, Italy, Israel, Belgium, Czech Republic, and several other countries. This is unquestionably a highly transmissible virus. We had a very productive zoom call at 12 noon Washington DC time with our South African colleagues once again. The main players among the South Africans were Tulio de Oliveira, Glenda Gray, and Carolyn Williamson. The have been extraordinarily transparent and helpfu giving us data in real time. It is a shame that we had to block travel from RSA. However, we would have gotten killed by the press if we did not as we are now getting killed for having done it. I expressed my deep gratitude to them for their help. The South Africans gave us a really good feel about the fact that there are things that we know and things that we don't know at this point. The combination of the many mutations in the spike protein together with the fact that they are seeing spikes in infection among people who have recovered from delta as well as those who have been vaccinated. The critical question is how severe is this disease that likely will result from this new infection. Immediately after the briefing with the South Africans, Jeff wanted me to come to the White House to help prepare the speech that the President will be making tomorrow about Omicorn. I spent a considerable amount of time in Jeff's office together with Natalie working on the presentation that I would be giving to the President this evening as well as the content of his upcoming speech tomorrow. After we worked on the presentation and his speech, we went to the Oval Office at around 3:30 PM and sat around the Resolute Desk. Briefing the President were Ron Klain, Jon Fine, Natalie, and Jeff. I gave a full briefing to the President about what the situation was with the new variant. In addition, we all sat around and edited with him the speech that he will deliver tomorrow at a White House press conference. At the end of the briefing, Ron and Jeff strongly suggested and the President agreed that I should be at the press conference with him tomorrow morning at 11:00 AM to answer any of the scientifically related questions. The President was very much in favor of this. I was a little bit concerned because I did not want it to appear that we were pushing out the surgeon general (Vivek) and the CDC director (Rochelle). BTW, both of them were not in DC (Miami and Atlanta). However, Jeff and Ron were very adamant that it be me alone since they did not want there to be any confusion about who would answer which question. One of the things that I noticed that was very clear is that the President appeared extremely tired and very muted and low key. I'm beginning to see that this is his style . However, when we got to the question and answer. He asked all the right questions. And so I can understand why his critics can often refer to him as “Sleepy Joe” when in fact he really is paying attention and is very measured in his responses. In addition, he speaks in a very low monotone which makes it appear almost that he is frail when he is not. After the briefing I rushed home and joined the Sunday night call with the COVID medical team led by Jeff. Tomorrow will be a big day. We are hearing a lot of pushback from people who are saying we should not have blocked travel from southern African countries. They fail to understand that we are not trying to completely prevent the influx of infection. Rather, we want to buy ourselves a little bit time usually measured in a couple of weeks to better prepared, understand better what is going on, and to get people vaccinated and boosted. However, as usual no matter what you do people are going to try and punch holes in it and give a reason why they think it is a mistake. I have gotten extremely used to this and understand that very well. See Below: Readout of President Biden’s Meeting with COVID-19 Response Team on the Omicron Variant November 28, 2021 • Statements and Releases Following up on the regular briefings he had on COVID while traveling, the President met in person today with his Chief Medical Advisor, Dr. Anthony Fauci, and members of his White House COVID Response Team. Dr. Fauci and members of the COVID Response Team updated the President on the latest developments related to the Omicron variant. Dr. Fauci informed the President that while it will take approximately two more weeks to have more definitive information on the transmissibility, severity, and other characteristics of the variant, he continues to believe that existing vaccines are likely to provide a degree of protection against severe cases of COVID. Dr. Fauci also reiterated that boosters for fully vaccinated individuals provide the strongest available protection from COVID. The COVID Response Team’s immediate recommendation to all vaccinated adults is to get a booster shot as soon as possible; all adults are eligible for a booster if they were vaccinated six months ago or more with Pfizer or Moderna, or two months ago or more with Johnson & Johnson. Importantly, those adults and children who are not yet fully vaccinated should get vaccinated immediately. The President will provide an update about the new variant and the U.S. response on Monday. PRESS: ABC “This Week” with George Stephanopoulos; NBC “Meet the Press” with Chuck Todd; CBS “Face the Nation” with Margaret Brennan – she played an extensive taped interview with me that is worth viewing since I pushed back on some of the nonsense that is going on. I called out Rand Paul, Ted Cruz and the far right Republicans that have been slamming me.

Global USA Conspiracy theories about me continue and abound: The Harvard connection The Spectator: Was a Fauci-endorsed Chinese donation part of the lab-leak cover up? PRESS: Korean Broadcasting System documentary “Corona Chronicles interviewed by Yoonki Kang June 1, 2022 Global 527,603,107/6,290,452; USA – 83,949,036/1.002.067 It is becoming very clear that there is a different dynamic now that Ashish Jha has taken over from Jeff as the COVID coordinator. He clearly likes very much and wants to be the primary person dealing with the press. And for the first time we're seeing him wanting to do the White House press briefing alone without anyone else when it was always with Rochelle and I and sometimes Vivek. Also, it is clear that when calls are coming in for Sunday shows that the White House is putting him on instead. Since he is the boss of the coms people related to COVID, it is clear that he is telling them to do that. I do not begrudge him that because I know that he does want to be on TV a lot (and he is good at it) as he was before he took the job. But this is certainly a change in the dynamics. I'm still doing a lot of TV during the week but when it comes to things like the White House press conference and Sunday shows it is very clear that he is promoting himself above me and the rest of the team. Emily Bass wrote a terrific “Guest Essay” in the NY Times today both praising and criticizing the Biden administration or not taking a strategic approach globally towards COVID the way George W. Bush and I took towards aids with PEPFAR. It is a really good article to read for historic purposes: Guest Essay America Led on Global Health Before. It Must Do So for Covid. June 1, 2022, 5:00 a.m. ET A day or two ago Ashish, David Kessler, Rochelle, Vivek and I had an important meeting with Andrea Palm and Dawn O'Connell regarding the fact that we are running out of money and have no money left to purchase anymore monoclonal antibodies. If we do not purchase any the company will stop making it and an important tool in our toolkit will now be missing this could be disastrous for people who are immunocompromised and who do not have the capability of making anybody in response to vaccines. We pushed really hard but Andrea and Dawn had no solution for us since the Congress is still not granting us the supplement that we've been asking for for some time. We pushed hard and there was a bit of tension in the room, but we found out today have we made an impression on them since they have found some extra money to keep the antibody production going for at least a few weeks. The company, Lilly, does not want to commercialize the antibody (Bebtolivumab) and will only make it if the government pays for it. It looks like we had an impact on them when we stood together and insisted that we needed the money. Today, we had another important conversation among the team.I have been pushing and I was very explicit about it that we should make vaccine available to anyone younger than 50 years old who wants it. The emergency use authorization does not allow this right now but we are trying to find a way around this by setting up a meeting with Rob Califf to see if there is any mechanism that would allow us to make vaccine available. The reason we want to do that is that we have plenty of vaccine that we're not using and even though a fourth dose does not substantially increase the protection against severe disease (it does it a little bit), it could prevent symptomatic infection which could in the long run diminish the amount of long COVID that we experience. I came on very strong with my opinion that we should make vaccine available to anyone who wants a fourth dose at any age. Rachel was uncomfortable with this because she did not think we could get it through the FDA or the ACIP. I still insisted that we should go ahead and try. Had a very important meeting on Monkeypox today organized By Raj Panjabi (NSC pandemic preparedness leader). The meeting was attended by Rochelle Walensky, Harold Phillips of the White House AIDS office and a whole bunch of activists including Peter Staley, David Barr, and a wide range of others. Emily from my group was present as was several CDC folks. We all agreed that we need to put all our resources together and engage the LGBTQ community in our planning about testing, treating and vaccinating people with monkeypox. It was a wonderful meeting because it showed right from the beginning of what could be an important outbreak that the White House was working with the health authorities like myself and Rochelle as well as with the activist community. We vowed to continue to work together to try and make sure that this disease gets properly addressed and we do not underplay it or overplay it. There obviously is a danger of stigma generating from this disease because of its propensity to be infecting gay men. More to come on this new partnership. The New York Post is truly fabricating This has to do with the proposed “Pandemic treaty”: Beware Fauci’s scheme to empower the World Health Organization By Betsy McCaughey May 31, 202 PRESS: FOX with Neil Cavuto; “Life Itself” with Sanjay Gupta and interviewed by Seth MacFarlane (Virtually – I received a standing ovation from the audience at the Coronado Hotel in San Diego). June 2, 2022 Global USA Monkeypox continues to spread now involving over 23 countries with 800 cases. There are 19 documented cases in the USA but this is likely a very significant undercount at this point. PRESS: South Florida PBS interview for Town Hall with Michael Zinner; USA Today interview on HEROS study (food allergy and COVID) June 3-6, 2022 –Global – 528,816,317/6,294,949; USA – 84,424,159//1,003,308 I had an idyllic weekend at Jeff Zients’s palatial estate in Annapolis. Chris and I (together with Brett and Tony….) had a spectacular weekend. The weather was absolutely perfect at 85 degrees with a cool breeze and not a single cloud in the sky for the entire 2 1/2 days that we were there. We did everything: swim, boat, fish, basketball, tennis and most importantly – birdwatching. There were osprey all over the place with a nest in a tree in his back yard. There were copious varieties of birds that we saw and heard. Gave me the opportunity to return, however briefly, to some form of “normality”. it was entirely refreshing. I received an important call during my stay in Annapolis. Secretary Becerra wanted to speak to me to get my advice about whether we were doing all we can as a department to address the emerging monkeypox challenge. He was calling upon my experience in previous outbreaks to make sure that HHS (particularly CDC) was doing everything that they could. This was triggered by the fact that Ron Klain is very concerned about whether the CDC is up to the job and would not drop the ball again with regard to things like making a number of tests available. The secretary asked me what I thought the potential vulnerabilities were and I emphasized the fact that we cannot accept the CDC saying that they are the only ones that can do a test for monkeypox. We've got to convert this to a commercialization as quickly as we possibly can so that we don't have the same problem with not enough tests to understand whether or not we are dealing only with the tip of an iceberg. I offered up the cohorts of stored server that we (NIAID) have from the days of HIV/AIDS to see if there was smoldering below the radar screen infection with monkey pox among the gay population for some time before we even recognized it. Right now, as the results are coming in, it is clear that overwhelmingly the cases in the non-endemic areas of the United States, Europe, and other continents are predominantly among gay men. It is striking that the secretary “hinted” that Ron Klain is on the verge doing something dramatic with the CDC, such as removing Rochelle, which I believe would be a mistake since it is not her fault; it is the institutional rigidity of the CDC that has been the problem for decades. I explained this to the secretary and told him that it was not Rochelle that was the issue it was the structure beneath it. I got the impression that he completely understood this and was asking for my help and making sure things get done correctly. June 6, 2022 – Angela Rasmussen did an excellent job of blasting Jeffrey Sachs (and also co-author Richard Ebright) for their article claiming that COVID was due to a lab leak. See link and some selected excerpts from Angie’s tweets: Link - https://bit.ly/390lafa Not overlooked, but ignored because I don’t wish to further amplify it. But here’s a quick summary: Like many of his fellow economists with Ivy League credentials but no specific expertise in biology, he suffers from the delusion that he knows what the fuck he’s talking about. Jeff Sachs is the chair of @TheLancet COVID-19 Commission. This isn’t an official government board with any real mandate. It’s just a prestigious medical journal deciding to make up a task force of prestigious people to write more prestigious content for said prestigious journal. The Lancet COVID-19 Commission will issue a bunch of reports that are glorified opinion pieces stating the obvious: we weren’t prepared for the pandemic, there are massive inequities, it had huge global impact, need more vaccines/infrastructure, etc. This includes Richard Ebright, the human manifestation of Pepe the Frog, who spends his days squatting on his Twitter lily pad croaking at everyone who disagrees w/ his uninformed views on biosafety, virology, & evolution that they are shills, stooges, & thralls of the CCP. Feel free to lecture me about professionalism here & get blocked w/ a quickness. I gave a talk on Twitter disinfo & had an entire slide cataloguing every time he called someone (inc me) a stooge in the prior 2 weeks. He’s an abusive bigot & I don’t owe him professional courtesy. Cases starting to come down in Northeast, but still cases going up in undervaccimated areas, mostly in the South Monkeypox problem growing: Global.health tracker -- 921 confirmed MPX cases, 70 suspected (non endemic countries) https://bit.ly/392v2F1 June 7, 2022 Global - 5630,266,292/6,299,364; USA – 84,762,952/1,004,260 Note for the memoir regarding my PTSD around memories of my HIV/AIDS experience: I did an interview today (see below) with The Independent”, a UK News outlet on the issue of what I described in the NAT GEO book “Expect the Unexpected” talking about my PTSD around HIV/AIDS. The reporter asked me to describe how the PTSD expressed itself in me and what triggered it. In my description of it to the reporter, it became clear to me that it is something that I should include and expand a bit in my memoir. Last night, Stephen Hoge of Moderna explained their booster data using hybrid boosts to a group of us from HHS. The bottom line is that boosting with an omicron together with wildtype bivalent, The response protected against omicron – B.1, but not against BA.4 and BA.5. This has important implications in what decision the FDA and CDC make about what the 4th dose boost should consist of. Should it be an omicron boost or should we steer it towards BA4 and BA5 which does not seem to be protected against by maybe one boost. Met withVidar Helgesen CEO of the Nobel Foundation; Anna Sjostrom Douagi of the Foundation and Dr. Franklin Carrero-Martinez of NAS. They want me to be a lead speaker at the Nobel/NAS Symposium in May, 2023 on “trust and information”, a theme right in tune with my commencement addresses on “the normalization of untruths” PRESS: Interview with “The Independent” (UK) by Io Dodds; Interview with Theodora Tsoli for “The Bima” – Greek Newspaper; June 8, 2022 Global USA Io Dodds piece came out. Excellent historical piece: Exclusive: Anthony Fauci on the AIDS crisis, monkeypox, trans rights and his retirement In an exclusive interview with Io Dodds, Dr Anthony Fauci looks back on his decades-long career in public health Met with a delegation from the UAE on the 6th Floor of Building 31. Leading the delegation was Sheikh Abdulla Al Hamed, Chairman of the Abu Dhabi Department of Health. They are here to try and generate collaborative efforts between their group and our VRC and other elements of our program, particularly Danny Douek and Adrian McDermott In the context of the PREMISE program that was started at the VRC. This would be the first time that we are having any substantial interaction with the UAE. Cases not going down very much over past week although certain regions are plateauing: PRESS: Bloomberg TV Quick Take – “Emma Barnett Meets”; Interview with Robert Gaynes for his book second edition of “Germ Theory” June 9, 2022 Global USA The big discussion items over the past 24 hours have been the growing number of cases of monkeypox which at last count is over 1400 globally and over 70 in the United States. In addition, there was concern about what kind of decision will be made regarding the 4th shot boost with the mRNA vaccines. Although the Moderna data indicate that the bivalent vaccine of wildtype plus omicron gives quite good response to omicron, their data show only a modest protective effect with a three to fourfold decrease in efficacy against BA4 and BA.5. The data from Pfizer are even more dramatic in showing the lack of a good response against BA4 and BA5 when you vaccinate with a bivalent consisting of wildtype and omicron. The real issue is going to be that by the time the Fall comes it is very likely that neither omicron (BA.1) nor BA.4/BA.5 will be dominant since even though BA4 and BA5 are starting to take over dominance, they will likely peak and come down by the time the Fall comes and so we will be making a booster for a virus that very likely does not exist in society at the time that you are using the vaccine. Clearly, this is a major dilemma that we are all facing with the virus that moves so quickly. Good history of the evolving of variants: PRESS: NBC Medical Unit Interview with Akshay Syal; June 10, 2022 Last night I received another humbling honor associated with the honorary doctorate in science that I received from Rockefeller University in New York City. I could not attend in person because of scheduling conflict and so I taped my acceptance speech. However, last night there was a black tie affair in which individuals presented the life work of the degree recipients. Jeffrey Ravetz did an amazing job in presenting my story going back to my early days in Brooklyn. At the end of his presentation Rockefeller President Rick Lifton was very generous in his praise for me and pointed out that the audience at the celebratory dinner was giving me a standing ovation, which I could not see since I was connected to the affair by Zoom. It has been an extraordinary spring with all of these wonderful honors that I have received. This will have been my 58th honorary doctorate. Major issue that I am involved with regarding the choice of the 4th dose boost in the Fall. Everyone is trying to decide what 4th dose boosts will be given to the entire population in the Fall. A recent study by Moderna showed that there was a modest advantage of the bivalent omicron plus ancestral strain vaccine boost over ancestral strain alone when one measures antibodies against omicron. They are pushing this now to be the candidate for the 4th dose boost in the Fall. However, there is no Omicron (BA.1) around right now and even though BA.4 and BA.5 are emerging, by the time we get to the Fall we will have already peaked and declined with BA.4/5 and so we will have a vaccine that is directed against a variant that very likely will not be present in the fall and winter. We have hundreds of millions of doses of ancestral strain vaccine and in order to get a new bivalent boost available we would have to make a decision in July or August to get it ready for October or November or later, which actually might be too late. If we do not use those hundreds of millions of doses of ancestral strain they will go to waste and have to be thrown away. And so as far as I'm concerned the ancestral strain boost may not raise the titers against different variants to a very high level, but it does keep them within a protective range so I would make an argument then rather than waste millions of doses and invest in a candidate that might not do anymore of protection against a given variant in the fall and winter, we should go ahead and utilize the ancestral strain vaccines that we have which might do just as good a job against any future variants. I will try to make that case as we talk about future plans for boosters. PRESS: Zoom wih Clara Lussich of El Pais (Uruguay); Radio interview with Marc Siegel Sirius Doctor Radio; June 11, 2022 – Global USA Had a glorious and historic day at Holy Cross today. The college named their integrated science complex – “Anthony S. Fauci Integrated Science Complex” in my honor. The outpouring of love, affection, and admiration on the part of the students and the faculty at Holy Cross was very moving. I gave a Q and A session with about 30 students, which was really terrific.it is a beautiful renovated building of laboratories and classrooms. My visit to the college was on the occasion of my 60th reunion. I ran into some old friends that I have not seen in decades including Jim Mulvihill, Jack Fellin and Mike Leding. President Rougeau gave a wonderful introduction of me, and one of the thrills of the day was to see that Bob Cousy drove himself to the campus just to be there and honor me. I had a great conversation with “Cous” who is 93 years old. All in all, it was a wonderful day. I did a terrific fireside chat with David Rubenstein at the meeting of the Trilateral Commission at the Mandarin Oriental hotel in Washington DC. David was his usual humorous self and we had a typical interview that we have had several times in the past. He asked the usual questions about his own health am I kidded him about the fact that he is a hypochondriac. Prominent people at the meeting were David Petraeus, Meghan O’Sullivan, Jake Sullivan, Fareed Zakaria, among many others. PRESS: I gave an extended and exhausting all day interview with a half day photo shoot to Anna Peele, who is a freelance reporter doing a front page extensive Washington Post magazine article on me to be published in the next few weeks. June 13 – Global USA Net cases and hospitalizations coming down, but very slowly. Some counties/states coming way down while others rising or plateauing. BA4/5 becoming more dominant. Sec. Becerra got infected for the 2nd time in 4 weeks. Monkeypox getting considerably more attention. >1400 cases in non-endemic areas with ~50 cases in USA Wonderful memorial for Rob Stein at the Evermay Estate in Georgetown. I gave one of the Eulogies. Remarkable man in life and as he was dying. He was beloved by many and a very dear friend to me and my entire family June 14 – Global – 533,816,957/6,309,633; USA – 85,520,045/1,006,8890 BA4/5 creeping up in dominance: I had another very productive discussion, which I have had on a regular basis, with the UK chief medical officer Chris Whitty. We discussed the evolving situation in the UK and compared it to that in the United States. He mentioned to me that they were starting to see a surge of cases of BA5 which he feels will ultimately become dominant. In addition, unfortunately hospitalizations are starting to tick up and he believes that they are likely going to see a bit more of a wave in the coming weeks. This is very disconcerting since we were hoping that there would be a sharp downturn in omicron sublineage viruses in the UK which usually foreshadows what is going to happen in the United states. Egregious example of “PORK” on the part of the Senate Appropriations Subcommittee concerning the earmarking of funding for the BSLs not support the best science. Despite these concerns, the Subcommittee staff indicated that this directed funding would be likely to continue in FY2023and for the foreseeable future June 15, 2022 Big tragedy is that I will be missing my daughter Megan's wedding in New Orleans. This is much more painful and disturbing then the fact that I have a disease that could possibly kill me. Getting literally hundreds of texts and e-mails from all over the world wishing me a speedy recovery. Very much appreciated. Write-ups in all major news media (Times, Post, NPR, etc.). My symptoms fortunately are relatively mild with one bad night tonight with flushing feeling and a lot of primary and some cough. I started Paxlovd Jimmy Fallon: “I read that Dr. Fauci has tested positive for COVID, but luckily, he’s only experiencing mild symptoms. COVID must feel like it just reached the final boss in a video game, like, ‘We did it. We beat Fauci.’ Right now, even Fauci is reading the CDC guidelines like, ‘Damn, these are confusing.’” June 16, 2022 Global – 535,248,141/6,313,229; USA - 85,825,048/1,007,964 Feeling considerably better today. I bit the bullet and testified before the Senate HELP committee. Rand Paul was his usual stupid self asking questions about royalty payments. It was a three hour hearing and I was exhausted but I made it through. Cases, deaths, and hospitalizations seem to have stabilized and are not coming down any further: PRESS: Politico: Covid doesn't stop Anthony Fauci from taking on Rand Paul – again The two engaged in their usual heated debate at a Senate HELP Committee hearing on Thursday. June 17, 2022 Global USA Symptoms still relatively mild. I'm on day three of Paxlovid. many texts and emails wishing me well from friends and people that I do not know in the USA and around the world. PRESS: The Independent: Dr Fauci accuses Rand Paul of ‘absurd exaggeration’ over claims about booster shots Josh Marcus Trevor Noah: “Dr. Fauci has COVID, which feels a little like finding out Smokey the Bear got trapped in a forest fire.” Seth Meyers: “Dr. Anthony Fauci tested positive yesterday for a breakthrough case of the coronavirus. Fauci is like COVID’s final boss. This is like hearing that the Coyote caught the Roadrunner. Also, you caught it now? You made it through all that time in the maskless Trump White House and you caught it now? That’s like running a triathlon with no problems and then throwing your back out while petting a dog.” June 18, 2022 FDA gives EUA to Moderna and Pfizer for vaccines for children 6 months to 5 years old. CDC recommends! I'm really starting to feel the depression and sadness that I will be missing Megan's wedding today in NOLA where I would have been with my entire family had I not contracted COVID. I viewed the ceremony buy live stream as well as interacting with people during the reception and the picture taking via FaceTime .Will Fekeci and Sam provided the face timing for me. The usual stuff is going on regarding my infection with Tucker Carlson doing A5 or 10 minute discussion tearing me down but the usual accusations and belittling the people who are supporting me. What a total asshole!! I just finished Yasmeen Abutaleb’s and Damian Paletta’s book “Nightmare Scenario”. They did a very good job and I should use that book heavily as a reference in my own upcoming book. PRESS: Gov. DeSantis not recommending vaccines for children 6 months to 5 years: washingtonpost.com Gov. Ron DeSantis abandons Florida children Editorial Board But Mr. DeSantis appears to relish playing politics with public health. He is running for reelection and has his eye on a Republican presidential campaign. His decisions and comments are a craven bid for support from the anti-vaccine movement. We’ve seen this before. Mr. DeSantis also fought vaccine and mask mandates. His campaign sells “Freedom over Fauci” flip-flops that leave a message when worn on the beach: “Fauci can pound sand.” June 19, 2022 PRESS: Book about the disgraceful behavior of authorities at NY Hospital-Presbyterian (particularly Laura Forese) during the outbreak peak in NYC: Facing Death During the Pandemic Marie Brenner’s “The Desperate Hours” looks at how health care workers dealt with the perils of Covid. By Sandeep Jauhar June 20 2022 Tested negative today and have had an essentially asymptomatic course. Began reading Deb Birx’s book “Silent Invasion” and it is clear already from the first couple of chapters that she is revising history regarding her initial involvement. I am sure that part of it is true but it wants me to be careful that I have to be strict to the truth of exactly what happened and not pad it in my favor Important discussions today by phone with me and separately David Kessler, Larry Horowitz, Richard Koup and Peter Marks regarding what the ultimate choice for the booster vaccine for the upcoming fall surge. I have been very concerned of late that we are not carefully analyzing the immunological basis for the choice of a booster shot to be administered before the potentially upcoming Fall surge. The companies Pfizer and Moderna apparently want to give a bivalent of wildtype plus omicron since that is what they already seem committed to and are making. It is my opinion that by the time we get to the fall season omicron will be completely gone and off the map since it is already gone. The closest thing that we likely would see would be a surge of BA4/5. Yet everything seems to be pointing to the decision of doing an omicron/wildtype bivalent. Peter Marks who will make the ultimate decision at the FDA agrees with me that we will be fighting yesterday's war if we go with omicron. There will be many discussions this week that I will catalyze to make sure that we get all the appropriate information for the FDA to make a good decision about the booster. June 21, 2022 GOP threatening me if they assume control over Congress: Top Republican On House Oversight Eyes Hunter Biden, Fauci As Investigative Targets – ‘The Takeout’. CBS News (6/17, 5.39M) reported that “if Republicans take control of the House in the next Congress, the House Oversight Committee” would investigate NIAID Director Dr. Anthony Fauci, according to Rep. James Comer (R-KY), the top Republican on the committee. Fauci has “maintained that COVID-19 likely resulted from a ‘natural occurrence,’ as opposed to a lab leak in Wuhan, China, telling a Senate committee this week that the virus likely jumped from ‘an animal host, perhaps through an intermediary host, into a human species, which then spread throughout the human population.’” Comer told CBS News chief Washington correspondent Major Garrett on this week’s “The Takeout” podcast, “We are not going to let up on that. I think the American people deserve to know the truth about COVID 19. They deserve to have a government try to actually find the truth about where the COVID 19 originated from.” Clyburn’s Committee has finally shone a bright light on the destructive nature of the Scott Atlas dogma of “herd immunity” and the Great Barrington Declaration: House Select Subcommittee on the Coronavirus Crisis New Select Subcommittee Report Reveals Full Scope of Trump Administration’s Embrace of a Dangerous and Discredited Herd Immunity via Mass Infection Strategy

Press Release Report is the first in a series on the Select Subcommittee’s investigation into the Trump Administration’s political interference with the federal coronavirus response PRESS: Read this. More preposterous nonsense about me by the radical right media. This is one of hundreds of such items coming out on a daily basis: The Fauci Protocol: Treating Fauci’s Covid Diagnosis According To His Own ‘Standard Of Care’. For “The Corner” of the National Review (6/17, 798K), George Leef linked to a piece in the Brownstone Institute by Jordan Schachtel, who argued that NIAID Director Dr. Anthony Fauci, is unlikely to follow his own advice after being infected with COVID-19. Regional Press – Nextstar with Raquel Martin; Hearst with Christopher Sales; Gray with Molly Martinez; “Fatherly” with Tyler Santora; Telemundo National with Francesco Fajardo; Parents Magazine with Nicole Harris; June 22, 2022 There has been some considerable tension between the new H-CORE group who is headed by Jason Roos and the rest of the HHS tream. They are involved in making major decision about distribution of money. Yet the leadership component of H-CORE consisting of the following has not been consulted on any major decisions: Several people including Cliff Lane and I are concerned that decision are being made in a vacuum and Jason seems uninterested in calling the leadership group for advice and consultation PRESS: regional press: The Klay Kane Show (Sirius XM) with Klay Kane; Revolt TV with Ryan Dennis; The Midday Party on Hot 103 Jamz (Kansas City) with Julee Jonez; Cox with Kirstin Garris; WSB (ABC Atlanta, GA) with Linda Stouffer; WDIV (NBC Detroit, MI) with Dr. Frank McGeorge June 23, 2022 Real problem evolving with people having got infected at Megan’s wedding on June 18. Megan is devastated since at least a dozen family members and friends seemed to have gotten infected while in NOLA, likely, but not definitely at the wedding. Rep Steve Scalise is agitating with Rep Jim Jordon about getting me to testify or be questioned in closed doors by the House Select Committee on the Coronavirus Crisis chaired by Rep. Jim Clyburn. They are saying that the USG is “hiding” me. Clyburn does not want to allow it since he knows they will make it into a circus. However, they are playing it out publicly that I am hiding something and that is why I do not want to testify. If it were up to me, I would absolutely testify. PRESS: BBC News TV; White House Press Briefing (of note, this is the 1st one that I have briefed at in several weeks (see my comment above about Dr. Jha) June 24, 2022 We are stuck at around 100,000 cases/day and this is very likely a significant underestimate. Deaths remain low: Had and important Zoom conversation with Peter Marks and a whole bunch of people (see below) regarding the upcoming choice of a booster for the fall season. I am in favor of a bivalent wild-type/BA4/5 or a monovalent BA4/5. June 25, 2022 Bad day with rebounds sxs. Started on 2nd course of Paxlovid June 26, 2022 Feel much better this morning, on my second day of Paxlovid. Will take it very easy today and see what happens over the next couple of days. I'm reading Deb Birx’s book and it can serve as a really good reference for me to refresh my memory about dates and events. June 27, 2022 Just for the record – Ashish Jha is promoting himself on all major TV and clearly excluding Rochelle, Vivek and me. Rather obvious and a big deviation from Jeff Zients approach We seem to be “stuck” at around 100,000 cases per day (surely an underestimated since most cases are not reported due to home Ag tests) and 300 deaths per day: June 28, 2022 Monkeypox cases continue to increase. USA activists (James Krellenstein et al) now increasing pressure on HHS (ASPR) to be explicit on how many tests, antivirals, vaccines are available for distribution. PRESS: National Press Foundation Roundtable; Foreign Policy Global Health Forum Keynote; June 29, 2022 Patterns starting to show insidious increases in all parameters: PRESS: Monkeypox press briefing (with Raj Panjabi) for LGBTQ community press; Multi-cultural media briefing for children vaccines Daily Mail: Anthony Fauci says that he's experienced rebound Covid symptoms after taking a Pfizer's antiviral Paxlovid - which studies now show is NOT effective for people who are vaccinated. Washington Post (Online) The Pandemic Is Waning. Anthony Fauci Has a Few More Lessons to Share. America’s most famous doctor on mitigating covid, giving your adversaries the benefit of the doubt and working way too much By Anna Peele June 29, 2022 at 10:17 a.m. EDT June 30, 2022 Still recovering from COVID. I had a rebound as indicated above after stopping my first course of Paxlovid. Have now finished my second course and my antigen positivity is very very slight. Hopefully it will disappear by tomorrow. Little by little going in the right direction. Important zoom meeting with Karl Lauterbach (Minister of health of Germany), Ugur Sahin (CEO, BioNTech) and Ashish Jha. We discussed the pros and cons of what the optimal booster would be in the fall. Carl and Ashish called upon Ugur and me to give the scientific rationale of why our FDA has come down on the side of recommending a BA.4/5 bivalent (with Wild type) boosts for the fall. Although it may take a little bit longer to get enough doses to start off early in the fall, the advantage of having a powerful BA.4/5 stimulus and response may be worth the slight delay. We also agreed that if we get a surge very early in the fall before we have enough BA/4/5, then we can actually boost with the ancestral monovalent since this does induce a reasonable response although not optimal against BA. 4/5. Karl mentioned that Germany had been leaning towards and omicron bivalence, particularly in the context that this is what Moderna has been pushing since that is what they have decided to make at risk and they don't want to lose the use of those dosages. At the end of the discussion it was clear that Ugur and I convinced Karl that the better direction to take would be as discussed above with BA. 4/5. It was a very good discussion and I came away impressed that Ugur is a brilliant scientist and seems to be a really nice person. Had my usual every two week zoom call with Chris Whitty of the UK. Chris and I have developed a very good relationship and we exchanged information about what is going on in the UK compared to what is going on here. They are unclear as to what boosts that they would use given the fact that they do not believe that they will have enough time to get enough BA. 4/5 boost made to meet a potential false surge we both agreed that if the surge comes early they can utilize the unused ancestral Wuhan vaccine that they have plenty of. PRESS: The New York Times (Shery Stolberg): Fauci says he believes Paxlovid kept him out of the hospital, even though he tested positive again. Dr. Anthony Fauci, President Biden’s top pandemic adviser, sought to discourage doubts about the antiviral drug Paxlovid following what appeared to be a “rebound” of Covid-19 after taking the pills. July 1, 2022 Global – 543,352,927/6,331,059; USA – 87,298,343/1.012,767 Tested Ag negative today!! Importance of vaccination + boosters: Cases clearly going up everywhere in the USA and in UK: I am struggling with the issue of what the precise and most appropriate time to step down from my current position to move on to writing books and entering the next phase of the winter of my career. It is very difficult for me to pull away from being the director of NIAID given the extraordinary history that I have created and lived through over the last 38 years as director. As we approach the decision making time of this summer although I lean very strongly two announcing my departure in August and leaving at the end of 2022, the thought of this still causes considerable anxiety in me as to whether or not I am doing this too soon. However, I will be 82 years old at the end of the year and I have always said that I want to go out while I am still very much on top. That is the driving force that has me feel that I will go through with the plan PRESS: https://paw.princeton.edu/article/commencement-speakers-offer-parting-words-2022-grads July 2, 2022 2nd day in a row Ag negative Noteworthy is that Senator John Kennedy (R-LA) despite his seeming antagonism of me sent me a very nice, handwritten “get well soon” note. Monkeypox problem growing….. Global.health: 6178 confirmed MPX cases in 67 non-endemic countries; 51 suspected. 459 in USA July 3, 2022 UK reporting anther “concerning variant – BA. 2.175 July 4, 2022 I had a very relaxed day today. Went on a nice walk. After that we hung around the house and towards the evening we went fishing on the canal but, as usual, we didn't catch anything. Yesterday was a fun day in that not only did we go for a good walk, but I also threw the baseball around in preparation for my trip to Seattle, and then Brett and I shut around some baskets at Horace Mann school. Next week is going to be a tough week in that there's a lot of stuff going on in addition I have my CT scan on Sunday. July 5, 2022 Global USA Recent article in The Atlantic by Cary Gross and Zeke Emanuel criticized the NIH for not moving quickly or effectively enough on research on COVID. Larry Tabak wrote a letter in strong response: THE CONVERSATION Letter: The NIH Has Responded Forcefully to COVID-19 The nation’s leading health-research agency, its acting director writes, has moved with unprecedented speed against a global threat. July 6, 2022 Global USA Activists including James Krellenstein, Gregg Gonsalves and Peter Staley among others are getting agitated at HHS and NSC (Raj Panjabi) for the lack of Jynneos (MVA – Bavarian Nordic) for PrEP for Monkeypox for the Gay community (MSM) MPX cases increasing greatly in USA especially in DC, NYC and Chicago July 7, 2022 BA.2.75 increasing in Australia, India and several other countries. Some cases in USA. Watching it closely Met with Adam Russell, Acting Deputy Director of newly formed ARPA-H PEPFAR Oral history: https://www.bushcenter.org/publications/essays/pepfar.html PRESS: Newsy TV Interview; Radio New Zealand RNZ; July 8, 2022 Global USA PRESS: Mother Jones Interview on HIV Vaccines with Jackie Lynn Mogensen July 9, 2022 People are acting like and hoping that COVID is over, but it is not. There are still >100,000 cases/day which is likely a gross undercount since many cases (perhaps x5) are not reported and deaths are stuck at ~300 with hospitalizations increasing: I had a conversation with Rochelle and Vivek about this today (Saturday) indicating that I believe we are not doing enough in a proactive way of getting out there with the press and in other venues talking up how we need to increase mitigations such as reminding people about the importance of wearing masks as well as pushing to get people vaccinated and boosted. Also, as I have said in the recent discussion with Dan Diamond of the post in which he tweeted I would discussion that we need to be more liberal in getting people a fourth shot who are less than 50 years old but might have some underlying conditions without necessarily being immune compromised. Bottom line is that I am pushing that we be more aggressive. I am disappointed that I have not been out in the classic media of TV and radio either because the media are not interested or because the White House is not sending them my way. The same holds true for Rochelle and Vivek. They are not being out there as much as I believe we all should be. Officials have been debating, for months, Dan Diamond tweet: whether to recommend a 2nd booster, especially because so many Americans haven’t gotten their 1st. But TONY FAUCI told The Post he’s “leaning toward flexibility” for more younger Americans to get another booster shot. MPX still increasing in USA and around the world. In USA 790 reported cases. Likely and undercount. Global.health 9060 confirmed MPX cases in 71 non-endemic countries, 40 suspected Politico – Story about BARDA contract to company Phlow to make continuous generics. They did not fulfill their contractual responsibility. Trump-era federal Covid contract recipient has yet to meet major deadlines Two years in, Phlow Corp. has not delivered on high-tech methods to domestically manufacture cheap generic drugs. Peter Navarro was likely influential in picking the company that was not even a company yet when BARDA gave them hundreds of millions of dollars: “Evidence uncovered by the Select Subcommittee raises questions about whether White House officials, including Mr. Navarro, exercised inappropriate influence over contract awards for [personal protective equipment] and medical supplies that should have been handled by career procurement staff,” the letter continued. July 10, 2022 Asymptomatic monkeypox virus Preprint (MedRXiV): infections among male sexual health clinic attendees in Belgium We need to be careful that we do not fall into the same issue that we did early on with COVID, i.e. not appreciating the importance of asymptomatic spread. Follow-up Chest CT – Unchanged!!! July 11, 2022 On our weekly call with the secretary, I brought up the issue that we need to be much more proactive in warning people about the spread of infection and that we have to be pushing the wearing of masks and getting people vaccinated and boosted. The secretary agreed and we're going to discuss this even more with Ashish tomorrow. Washington Post article describes my pushing to be more aggressive during this surge of BA.5 variant: Biden officials push to offer second booster shots to all adults Plan would make coronavirus shots available to millions more amid rising cases, hospitalizations. By Dan Diamond, Laurie McGinley and Lena H. Sun While the booster plan still needs formal sign-off from regulators and public health officials, it has the backing of White House coronavirus coordinator Ashish Jha and Anthony S. Fauci, the government’s top infectious-disease expert, according to five officials who spoke on the condition of anonymity because they were not authorized to discuss the plan. In an interview, Fauci said that he’s “leaning” toward allowing second booster shots for younger adults, pending authorization from the Food and Drug Administration and agreement by the Centers for Disease Control and Prevention. While persuading those who haven’t gotten vaccinated or fully vaccinated to get the full regimen and their first booster shot is critical, Fauci said, “we also need to allow people who are under 50 to get their second booster shot, since it may have been months since many of them got their first booster.” “If I got my third shot [in 2021], it is very likely the immunity is waning,” Fauci added. July 12, 2022 Was called to the White House for a meeting with Ron Klain, Ashish Jha, Sec. Becerra, Richelle Walensky and Dawn O’Connell. Ron was really ****** that he is getting a lot of Flack from New York City who feels that they are not getting enough doses of monkey pox vaccine. Ron is upset with the formula of distribution among the states. He feels that doses are being sent to places with few cases and not being used and there are lines of people waiting to get vaccinated in New York City and they are making a big stink about this causing what may turn out to be a political problem for POTUS. I kept quiet through most of the discussion which was pretty tense between secretary Becarra and Ron. However, it became clear to me that the lesion was that the contractor who is shipping the doses from Denmark to the United States do not appear to realize that this is an emergency and they're talking about sending one plane per week with about 140,000 doses per plane. I brought up the point when Ron mentioned that I was being very quiet and he wanted to know my opinion. I said that it is inconceivable to me that we cannot do better than 140,000 doses shipped per week when we have about a million doses in Denmark sitting ready to be shipped. I believe that this is an example of people not pressuring to get things done during an emergency and accepting business as usual. The astounding fact is that they said that the reason they have to rely on the plane flying back from the United States to Denmark to reload with another bunch of vaccines is that they only have limited carriers to put the vials in when they are shipped on the plane. What are they talking about?? One can make carriers with 3D printers. In addition, I don't understand why they can only do 140,000 at a time. After the meeting I emailed Dawn and expressed to her my astonishment that we can't do better than this. She checked and found out that all of a sudden they could now ship 400,000 doses of vaccine per plane instead of 140,000. In addition I encouraged her to work with the Department of Defence to get more planes in the air. This is another example of a serious logistic snafu that could have easily been solved if somebody was just thinking with a clear head. ------------------------------------------------------------ Good coverage of the White House press conference where I emphasize the need to take the current situation seriously without letting it disrupt our lives: Fauci: Take new subvariant seriously, but The Hill - don’t ‘let it disrupt our lives’ by Peter Sullivan - 07/12/22 11:10 AM ET As BA.5 spreads, the White House warns NY Times – Sheryl Stolberg that Covid is not over. : “Variants will continue to emerge if the virus circulates globally and in this country,” Dr. Anthony S. Fauci, Mr. Biden’s chief medical adviser for the pandemic, said at a White House news briefing. “We should not let it disrupt our lives. But we cannot deny that it is a reality that we need to deal with.” PRESS: White House Press Briefing; MSNBC with Chris Lansing; Nexstar with Don Kauffman; Interview with Eileen O’Reilly for Axios; Fox TV with Neil Cavuto; July 13, 2022 Hospitalizations going up. Deaths stable at ~300/day. BA4/5 >80% of isolates with BA5 >50% Europe having a big surge of BA5. Met with Bob Barnett again last night planning the announcement of my stepping down and the subsequent linking up with publishers and speaking bureaus after I actually leave. GOP in Congress inappropriately trying to shut down all research collaborations with China: Draft bill would ban CDC, NIH from funding lab research in China House of Representatives measure catalyzed in part by suspicion that pandemic virus escaped from Wuhan laboratory • 12 Jul 2022 • 6:00 PM • ByJocelyn Kaiser PRESS: CNN “New Day” with John Berman July 14, 2022 Global – 5546,897,312/6,356,812; USA – 88,932,987/1,018,035 Cases, hospitalizations, and deaths now going up: Rochelle called me up tonight and arranged to have a zoom with me to get my advice about pressure she is getting from the White House who is responding to New York pressuring them to get more monkey pox vaccines (see above on July 12). This relates to the meeting we had a couple of days ago with Ron Klain where he was very concerned that we are being perceived as being unresponsive with regard to vaccines and the POTUS is getting a lot of pressure from NYC for more vaccines. The White House wants her to distribute the vaccine according to the number of cases and she feels correctly that that is not a totally fair way since there is a consideration for the at-risk population in certain locations that don't yet have a lot of cases. Also, southern states with black MSM are not really tresting since they are stigmatized and cases are not being recognized. I counseled her that it is a battle she will lose if she insists on distribution other than just by case numbers. She will lose the fight with the WH. In 1 to 1 and 1/2 weeks there will be hundreds of thousands of vaccines shipped from Denmark. At that point we can do what I would strongly suggest is to blanket the at risk community with vaccines for everyone who is at risk particularly those who are on prep for HIV or who are infected with HIV and are suppressed with their viral load due to antiviral drugs. Those are the ones that are out there having sex and not feeling vulnerable because they are on antiviral therapy. I told her to hang tight for week or so and the problem will solve itself. PRESS: Rickey Smiley Radio Show; KAMR TV Amarillo, TX; NBC Livestream News with Phil Lepof; CNN with Erin Burnett; July 15, 2022 Global USA After talking with Ashish this morning, Rochelle decided to allocate vaccines for monkeypox at 75% according to the number of cases and 25% for the level of risk and a given community. That seems like a reasonable compromise which I agree with and will back Rochelle on. As mentioned above, in two weeks this will be a moot point since there will be hundreds of thousands of doses of vaccines arriving from the outside. We are not keeping up very well on booster shots: PRESS: Univision Digital with Borja Voces; Skimm TV ONLINE with Maria Corpus; Bloomberg TV “Balance of Power” with Joe Mathieu

PRESS: CNN with Laura Coates July 17, 2022 (Sunday) Important conversation with Ashish Jha. But she's called me up and wanted my opinion and backing on what he wants to bring up to Ron Klain. He wants to propose putting billions of dollars into a program that would mimic operation warp speed in which he has been calling “hyperdrive”. The purpose is to put a full court press on getting you closely administered vaccines to prevent infection and transmission as well as next generation platform and imagine designs for greater breadth and durability of response. These latter concepts word described by me to him. The reason Ashish wanted my help was that he heard from Ron that unless we're proposing something that is more than just incremental and that would actually be transformative and play a major role in turning around how Americans think about COVID, then he doubts that Ron will take the step to go to the president to have the president use a chit with the Congress to get the money. The trick about all of this is that Ron will want a product to go into the arms of Americans within 18 months to coincide with approaching the end of the administration and the election for the presidency. I told Ron that I would back him on the transformative nature of the two pillars that I mentioned above, but I have considerable skepticism as to whether or not we can do this in 18 months. I suggested to Ashish that week altogether a group comprised of him, me, Peter Marks and Rob Califf from the FDA as well as some knowledgeable people from biotech and pharma. Unless we have corporate sponsors we are not going to go anywhere with this and we will never be able to do it in 18 months. Ashish will set-up the meeting and hopefully we can make a determination and get back to the president. Ashish feels that if we cannot convince Ron about this then there is no way that we can get the money. July 18, 2022 Sarah Ohermohle wrote an article in Politico where I mentioned that I would be leaving the NIH sometime before the end of President Biden's first term to which is January 2025. This is being interpreted by many in the press that I'm announcing my retirement. This is obviously not the case because I have given no date for stepping down and I am not retiring when I leave government service. However given the interest in me it is not surprising that this is now gone viral: Anthony Fauci wants to put Covid’s politicization behind him The disease fighter says he’s plotting his departure and reflecting on how he wants to be remembered. Financial Times: Kiran Stacey US chief medical adviser Anthony Fauci to step down in Joe Biden’s first term Kiran Stacey 4-5 minutes Washington Post: Fauci says he will retire from government post by the end of Biden’s term By Yasmeen Abutaleb July 18, 2022 at 11:45 a.m. EDT New York Times (Sheryl Stolberg): Fauci Says He Will ‘Almost Certainly’ Retire by January 2025 Dr. Anthony S. Fauci, 81, said he expected to see out President Biden’s current term. Wall Street Journal – Stephanie Armour and Betsy McKay Anthony Fauci Plans to Retire by End of Biden’s Term One of the leading public faces of the U.S. public-health response to Covid-19 says he hasn’t decided on exact date ---------------------------------- I had a very good talk today with Sam Bankman-Fried and his brother Gabriel Bankman who runs a foundation called “Guarding Against Pandemics”. Also on the call were their associates Jacob Swett and Annabel Snidow. (see above) . We spoke about how Sam with his billions of dollars could partner with the NIH and pushing the scientific agenda for the prototype pathogen approach of pandemic preparedness. Sam is a good friend of senator Joe Manchin and Joe is the one who originally pointed Sam in my direction to see if somehow we can all work together to having some sort of a partnership where the Congress puts in a certain amount for pandemic preparedness using the prototype pathogen model and Sam puts in an equal amount to support the effort through NI AID. We left it that they put together a proposal and that I serve as the scientific advisor for the amount of money that Sam wants to put into this even though I must be careful and will be careful about not getting involved in writing any legislation since Manchin has been talking about writing this into a reconciliation bill. PRESS: CNN with Kate Bolduan; Reuters interview with Julie Steenhuysen; NBC Online Web; NPR with Rob Stein (talking about the Politico article (see above) July 19, 2022 I had an important conversation this morning with Peter Staley in which I asked his advice about messaging to the gay community regarding monkey pox. There seems to be a debate in New York City among public health officials versus some gay leaders. The tension is whether or not to tell gay men to hold off on multiple sexual partners until they get a PrEP version of the vaccine. Some people are saying that that would increase the stigma against gay men. However, Peter agrees with me that there is nothing wrong with and probably a good idea to tell gay men to just hold off and cool it for the next couple of weeks until we get enough vaccine to vaccinate all people who are at risk namely those who've had multiple sexual partners within the last 14 days. I will be out in the press talking about this and I just wanted to check with Peter as to whether he agreed with me and in fact he does. BA.5 dominating isolates: PRESS: The Hill Health Summit Interview and streaming with Steve Clemons; Good Housekeeping with Zee Krstic; WHUR 96.3 FM DMV/ HBCU Network with Harold Fisher;WJLB 97.9 Detroit with Bushman; WNYM (FOX-NYC) TV with Lori Stokes; July 20, 2022 I just had an important conversation with Rochelle in which I related to her the conversation that I had last night with Carlos Del Rio in which Carlos articulated that there's a great deal of concern and agitation in the gay community, which I already am aware of, regarding the difficulty in getting TPOXX for the treatment of monkey pox. I decided to call Rachel and give her a heads up that the community is really starting to get very agitated to the point that they may be attacking the administration and her and the FDA and all of us in the press if we don't do something soon to cut down the difficulty in getting TPOXX to those in need. I suggested to her that she and the FDA think in terms of doing something akin to the parallel track approach that I initiated decades ago during the HIV pandemic. She will look into this with her people. I had a great meeting today in building 31 with Dr. Karl Lauterbach, the Minister of Health of Germany. He relied heavily very heavily on my advice about how to handle the decision about and distribution of booster shots for COVID in Germany. He is having some of the same problems as we are having here in trying to decide what the correct booster should be in the fall. He has already ordered millions of doses of Moderna bivalent which is an omicron plus ancestral as well as Pfizer which is a BA.4/5 bivalent plus ancestral. Moderna is obviously pushing their product, but Karl was very interested in what my opinion was. I told him that on the advice of me and others, the FDA has already authorized the bivalent of BA.4/5 and ancestral for the full dose. It is now up to the CDC and teir ACIp to make a recommendation f who “should” versus “may” receive the dose. We also spoke about the tension regarding vaccinating people now who are at risk of severe complications given that there is a wave of infections in Germany as well as in the United States versus waiting until a more variant-specific boost is available in the fall. Germany is facing the same dilemma as we are in that some people in Germany are arguing in a very similar way to Paul Offit who is saying that we should not be vaccinating people now. Paul is smart and a good friend but he is a victim of what I consider making the perfect the enemy of the good. From a purely immunological standpoint it is obviously not optimal to have a boost now (ancestral) and require an even better boost (bivalend BA.4/5 + ancestral) just a couple of months down the pike. However, you have to balance the public health benefit of getting some form of vaccine to people who are at risk for infection and severe disease now compared to the relatively minor negative effects of giving a vaccine shot now followed in 2 to 3 months by a vaccine shot with a better boost. I was surprised that bloggers such as Paul Offit have a major impact globally. Karl mentioned to me that he and his colleagues listen very carefully to what I say and it would be very helpful to them to hear what I am telling him today and that I agree completely with him since he is absolutely in the same lane as I as well as many of my NIH colleagues including Rick Koup and others. It was a very stimulating conversation and I was on my A game. We then went on to discuss the issue of monkeypox. According to Karl monkey pox is out of control in Germany and similar to what we are seeing in the United States the gay community is very frustrated with the lack of as many vaccines as they need as well as the lack of easy access to antivirals. They seem to be having no trouble with diagnostics which are plentiful. I explain to him that our situation is very similar here in the United States. The conversation ended with him wanting to take a picture with me since his daughter who is 15 years old apparently is a great fan of mine. We exchanged cell phone numbers and he promised me that he would be calling me frequently. John Laureman (Bloomberg) wrote a very nice laudation of me today: An Early Farewell to America’s Top Pandemic Expert July 21, 222 Harassment from the far right continues: Rand Paul Sends Message To Fauci: You’ll Have To Testify Under Oath If GOP Wins. Fox News (7/20, 23.99M) reports, “Sen. Rand Paul, R-Ky., issued a warning to Dr. Anthony Fauci: If the GOP takes back Congress in the midterms, be prepared to testify under oath regarding the coronavirus pandemic.” On Wednesday, he argued on “America Reports” that “the American people deserve the truth and answers on whether there was a cover-up for a lab leak in China.” President Biden tested positive today (Thursday)! Tested negative on Tuesday, went to Boston on Wednesday; had mild sxs this AM and tested positive. https://www.whitehouse.gov/wp-content/uploads/2022/07/Letter-7.21.pdf Obvious media storm. He has mild sxs. My only concern in the way that his MD (Kevin O’Connor) is treating him is that he D/C’d his Eliquis and Lipitor. I do not care about the Lipitor, but I am very concerned about the discontinuing completely of the Eliquis. The president has a atrial fibrillation and I would have merely lowered his dose to 1/2 the dose rather than completely discontinuing it because of my concern about him throwing analysis in getting a stroke. I mentioned this to a sheesh during a briefing called this evening since we are all going on television tomorrow. Couple of interesting things related to the infection of the president. 1) I called up Kevin O'Connor who is the physician to the president and got a briefing from him for the simple reason then when I go out on TV and I'm asked whether or not I have been consulted with it would be rather embarrassing to say that they did not call the so-called most famous infectious diseases expert in the world, who happens to also be the chief medical advisor to the president. I explained to Kevin my concern about the anticoagulation. He understood my concern and said that he has started the president on low dose aspirin which is a good thing. Kevin explained that the president was negative for an antigen test on Tuesday, did not sleep well on Wednesday evening, and woke up on Thursday predominantly with fatigue. Tested himself on a routine basis which for him is 2 to three times per week. The test came back positive, confirmed by a PCR. Throughout the day he then began to get sniffles, at first a dry cough and then a loose cough. His temperature rose to 99.4 F, which came back to normal with tylenol. His oxygen saturation was 97 to 98%. He was resting reasonably comfortably when Kevin left him tonight. 2) We had a meeting with the comms people and Ashish Jha this late afternoon in preparation for media requests tomorrow. I was under the impression that they were going to spread out the request for morning shows between Ashish and me. I found out later in the evening that all the morning shows will go to Ashish and they will give me regional meeting in the afternoon. As mentioned several times above it is very clear that Ashish is trying to dominate the media scene with regard to COVID-19 and is telling his staff to lead me out of the major media hits. Again, he does a good job but it is a bit of Bush league to do that. I have asked Courtney to communicate with the White House calms people and two in a very nice way ask them just what is going on here. Monkeypox continues to spread throughout the world. 15,000 cases worldwide in 70 countries; >2000 in USA: Monkeypox Virus Infection in Humans across 16 Countries — April–June 2022 J.P. Thornhill, S. Barkati, S. Walmsley, J. Rockstroh, A. Antinori, L.B. Harrison, R. Palich, A. Nori, I. Reeves, M.S. Habibi, V. Apea, C. Boesecke, L. Vandekerckhove, M. Yakubovsky, E. Sendagorta, J.L. Blanco, E. Florence, D. Moschese, F.M. Maltez, A. Goorhuis, V. Pourcher, P. Migaud, S. Noe, C. Pintado, F. Maggi, A.-B.E. Hansen, C. Hoffmann, J.I. Lezama, C. Mussini, A.M. Cattelan, K. Makofane, D. Tan, S. Nozza, J. Nemeth, M.B. Klein, and C.M. Orkin, for the SHARE-net Clinical Group* The activist community is very angry. See Washington Post article: Opinion The Biden administration’s monkeypox response has been a mess By Gregg Gonsalves July 21, 2022 at 3:56 p.m. EDT PRESS: FOX “Good Day” NYC TV with Rosanna Scotto; WGN Chicago Radio with Peter McMurray and Rob Martier; July 22, 2022 Kevin O'Connor called me this morning at 10 48 AM to give me an update on the president's condition. He is quite stable has a slight fever up to 99F that is easily brought down by tylenol. He has a cough which started off as dry but now is a bit “loose” as described by Kevin which means it seems deeper in the chest. However, the president feels well enough to continue to work from the White House although he is a bit fatigued as you might expect. More later. Letter from Kevin O’Connor to the USA – POTUS doing well: The Guardian – Gay community in revolt about monkeypox. Article about Peter Staley: ‘Nobody’s acting like this is an emergency’: Act Up veteran Peter Staley condemns US monkeypox response Wilfred Chan Rochelle has pleaded with me to back the CDC plan of distributing vaccine more on the basis of at risk population then on the actual number of cases since it is anticipated that with a variety of gay pride galas coming up including “Southern Decadence” among others that although there are not a lot of cases in the southern states including Louisiana, there will be soon and although New York City and other large cities but particularly in New York City is hammering the White House about the lines that there are to get vaccine in people who perceive themselves and in fact are practicing risk behavior even though they have not been in direct documented contact with an infected person. The White House is responding to the complaints of the gay community that the response to the monkeypox outbreak has been a terrible disaster (see above with Peter Staley) and they are pushing Rochelle and the secretary to distribute it favoring New York since they have the most cases. Rachel wants me and I agree to back her in making it a 75% on risk and 25% on cases whereas the White House wants the distribution to be 25% on risk and 75% on cases. I believe that this is short sighted because we are quickly going to see areas that do not have a lot of cases now but will very soon not having enough vaccine to prevent the outbreak. I was very forceful in the zoom call with the secretary and the HHS team in saying that I would back Rochelle; however, we must have the flexibility of apportioning doses to the at risk locations in small allocations so that if they don't use them we will not have given them all of their doses at one time and thus cannot recall them to give them to cities and locations that actually have a large number of cases. Once you send doses to a location, by FDA regulations, you can't pull them back and send them somewhere else. And so smaller allocations are the answer. Whether or not Ron Klain will accept this is a big question. He is very interested in the political blowback from New York. This is understandable since he is a politician but he is not looking at it from a purely public health standpoint. I was very forceful with the HHS team when the comms people were suggesting that we explain this gap that we have in availability of vaccines on the lack of funding. I told the secretary on the zoom that I have to be frank with them, but I thought that this would be a total disaster since that is an excuse and not an explanation and the gay community would kill them for making excuses. I mentioned that we had to own the problem and tell them that it would have been nice to have all the doses that everybody needed, but the fact is we don't have all the doses and therefore we will do everything we can to get as many doses to people as we can in an equitable manner. Bottom line is that I told them what I told the Trump administration, and that is the only way to solve a problem is to first own the problem. Was on multiple TV shows (see below). One of the things that came up was why the president's physician, doctor Kevin O'Connor, was not out there describing the president's condition. I answered that I was not in the loop and I did not know why. However it is very clear as mentioned above and as confirmed by Dori Solcido that Ashish really wants the spotlight and wants to be the one talking about the president's condition. I consider that an unforced error because that's what the press is going to focus on that we are hiding something. I do not want to get into that seen Ashish wanting to essentially be on every single possible major TV show, but that's the way it is. Also, the White House was concerned that Kevin mentioned that the president had a temperature of 99.4F. the temp responded very well to Tylenol and I brought up too Dory as to how foolish it is to get upset because Kevin mentioned his temperature. It is the perfectly normal thing to have a low grade temperature with a upper respiratory infection. Even though this White House is a good White House they're concerned about message control is ill advised and they are only making unforced errors. I spoke again tonight (10:00 PM) with Kevin O'Connor and he brought me up to date on the President's condition. He still requires Tylenol to keep his temperature down. He is very comfortable and even played some golf on the putting range in the White House outside because he was getting a little bit cabin fever. According to Kevin he continues to improve, but Kevin is concerned about Paxlovid rebound and is considering giving him eight days of the drug. He wanted my opinion as to whether or not that was a good idea. I am ambivalent about this since there will be a lot of blowback about why he was treated differently than the recommendations. Cliff lane would not treat him for an extra few days but would take the chance that he was going to rebound. I will recheck with Kevin tomorrow. I had a long talk with Raj Panjabi (NSC) who sought my advice about how to deal with the activist group who feel that he is lying to them and that they have lost confidence in his ability to give them straight information. I mentioned to Raj that he needs to be straight with the activists and put himself in their shoes where they are looking at hundreds of millions of dollars invested in a product to be put in this row tegic national stockpile, and now that we need that product it is not available to the gay community. They are outraged and all he and his colleagues are doing is making excuses for it (see above about owning the problem). I made it clear to Raj and cannot have his comms person speak to Peter Staley, David Barr, and James Krellenstein et al. he must do it himself otherwise it would be showing disrespect to the activists. Raj was extremely grateful for my tutoring of him in this regard. PRESS: CBS Livestream Online; NY1 Spectrum News TV with Kevin Frey; Alice Park with Time magazine; ABC World New Tonight; NBC Nightly News with Lester Holt; CNN “The Situation Room” with Wolf Blitzer; FOX News with Brett Baier; MSNBC “The Beat” with Ari Melber; KMOJ FM (Minneapolis) with Freddie Bell; Univision National with Andrea Linares; Telemundo National with unknown July 23, 2022 Yesterday I spoke with dawn O'Connell and told her that I would be very much in favor of the secretary declaring a public health emergency for monkeypox. She is now running it up the chain to see what others think about that.. I had my usual call this morning with Kevin O'Connor, the president's physician. It was a disturbing call because Kevin told me that Ashish is really trying to manipulate what Kevin says regarding the health of the president and Kevin is starting to get very aggravated by this. For example, Ashish did not want Kevin to mention that the president's temperature was 99.4F because then that would be a topic for the news discussion. That is completely ridiculous because it is totally expected that someone with a URI would have a mild temperature responsive to Tylenol. In addition, Ashish did not like the use of the word “malaise” which was the exact word the president used to describe how he felt. Ashish was afraid that that word would bring up recall of president Jimmy Carter and the negative response that the country had to his describing “malaise” in the country. And then finally in today's report Kevin wanted to put in a new symptom that the president complained of which was muscle aches, an entirely understandable symptom that has nothing to do with progression of disease. They insisted that he not add that. Kevin pushed back and said that he would not sign off on anything if they force him to hold back on what the true symptoms are. Call from Larry Horowitz regarding Ron Klain saying to him (Larry) that the President wants to make some changes since Health area (COVID/MPX) is not going well. “Someone needs to get fired.” Primary target is Becerra, but they feel that they cannot fire him since they never would get a replacement confirmed in he Senate. Next in line in Rochelle. They really are disappointed with Rochelle and want to fire her. They asked Larry for suggestions for replacements. Larry called me about this. He suggests Mark McLellan or Anne Schuchat. Wants names from me. Larry also called Jeff Z. They do not know that Jeff is working with me regarding my stepping down. Could get complicated. I called Jeff and we discussed the situation. See below my discussion the next day (Sunday) with Jeff. Had a long conversation with Jeff about the above issue concerning firing someone at HHS/CDC. Similar to the situation that I faced years ago with Secretary Burwell wanting to fire Tom Frieden because of poor performance with Ebola where I defended Tom, I found myself defending Rochelle. Rochelle is a wonderful person, but she does not have control over her agency and she has to learn to balance the politically expedient thing while still maintaining solid scientific principles. The problem is she relies too heavily on the entrenched people at CDC who are smart and will meaning but who have no oversight or quality control from the outside. This allows them to proceed with somewhat antiquated if not ossified ideas. As the discussion went the options were to fire Secretary Becerra; however, this would be very difficult since it would be tough to get a Senate confirmation for a secretary within a relatively acceptable period of time. The other option is to fire Rochelle, but now is not the time to do that and it would be against my recommendation. One of the points that Jeff made is that they are considering in a humane way to ask Rochelle to step down at the end of the year before the beginning of the second-half of the first term. Despite my trying to protect Rochelle there is a very good chance that that will happen. Kevin O’Connor continues to call me 2x/day. The president continues to improve and is completed his 4th day on Paxlovid. .He was out for four hours today by the pool doing reading work. The next big question is whether to give him eight days or 10 days instead of five days of pax livid. That would be a problem since it would be against FDA authorization and the public would cry out that we had treating him differently than other people. the concern on the part of the White House is that if he rebounds after he is negative for several days, he will likely be out talking and mingling with people. If he infects someone following an inadvertent rebound, he will be blamed for infecting other people. My suggestion would be to treat him for five days have him stay in the White House virtually for an additional five days testing him everyday if he turns negative as soon as he turns negative send him out even if it's before the 10 day. And have him wear a mask in order to avoid him inadvertently infecting people if he rebounds, I would just test him every morning before he gets up and goes out to meet with people. If he is negative he will be OK, if he is positive continued isolating. Emergency phone call among HHS people (Becerra, Dawn et al) regarding convincing POTUS (and Ron) to declare a Public Health Emergency (PHE) for MPX. Becerra says that POTUS will rely heavily on my opinion. Problem is that they are concerned that if you declare a PHE for monkey pox then why not declare it for gun violence or for reproductive rights. That sounds very much like the negativistic attitude of RON. PRESS: ABC “Good Morning America” Weekend; CBS Mornings (Weekend); CNN “New Day” Weekend; Fox News with Neil Cavuto July 24, 2022 Kevin O’Connor continues to call me 2x/day. The President continues to improve and is completed his 4th day (Sunday) on Paxlovid. He was out for four hours today by the pool doing reading work. The next big question is whether to give him eight days or 10 days instead of five days of Paxlovid. That would be a problem since it would be against FDA authorization and the public would cry out that we had treating him differently than other people. The concern on the part of the White House is that if he rebounds after he is negative for several days, he will likely be out talking and mingling with people. If he infects someone following an unrecognized rebound, he will be blamed for infecting other people. My suggestion would be to treat him for five days, have him stay in the White House virtually up to an additional five days testing him everyday. If he turns negative, as soon as he turns negative send him out even if it's before the 10 day period. And have him wear a mask in order to avoid him inadvertently infecting people if he rebounds, I would be OK, if he is positive continued isolating. Had long conversation with Ashish who was asking my advice. He started off the conversation by saying that the White House continues to have a lot of problems with Rochelle, the latest of which was the apportionment of vaccine doses. (See discussion above about strong consideration of asking her to step down). Ashish said that Ron wants my take on the situation with Rochelle/CDC and the distribution of vaccine doses. She wants to divide the vaccines for monkey pox according to the formula of 25% according to cases and 75% according to risk. This is something that we had discussed yesterday in a call with the secretary. During that call I promised that I would back Rochelle's proposal because of the fact that if they do not distribute more, namely 75%, according to risk, when we have outbreaks related to “Southern Decadence” and other gay pride functions we will not have vaccine in place to counter it. However Ron Klain is adamant that he does not want vaccines shipped to locations in which there are few cases and when they do not get cases or they do not administer vaccine to their case countthat the vaccine goes to waste (you cannot reship vaccine). I made the following point to the secretary yesterday and I repeated it word for word to Ron today. I would be supportive of a 25% for cases and 75% for risk distribution only if the jurisdictions that received the 75% for risk are given the vaccines in small apportionments. For example if they were scheduled to get 400 vaccines, you would give them 100 and tell them that if they don't use that 100 expeditiously the next shipment of 100 would not be given to them but would be given to a jurisdiction that has a high number of cases. I explained this to Ron when he called me today and told him that that would be my position. He said that Ron is very interested in what I would do and that this would hold a great deal of weight in the discussions that we will have tomorrow, which is Monday. Had a long conversation with Jeff about the above issue concerning firing someone at HHS/CDC. Similar to the situation that I faced years ago with Secretary Burwell wanting to fire Tom Frieden because of poor performance with Ebola where I defended Tom, I found myself defending Rochelle. Rochelle is a wonderful person, but she does not have control over her agency and she has to learn to balance the politically expedient thing while still maintaining solid scientific principles. The problem is she relies too heavily on the entrenched people at CDC who are smart and will meaning but who have no oversight or quality control from the outside. This allows them to proceed with somewhat antiquated if not ossified ideas. As the discussion went the options were to fire Secretary Becerra; however, this would be very difficult since it would be tough to get a Senate confirmation for a secretary within a relatively acceptable period of time. The other option is to fire Rochelle, but now is not the time to do that and it would be against my recommendation. One of the points that Jeff made is that they are considering in a humane way to ask Rochelle to step down at the end of the year before the beginning of the second-half of the first term. Despite my trying to protect Rochelle there is a very good chance that that will happen. Kevin O’Connor continues to call me 2x/day. The president continues to improve and is completed his 4th day on Paxlovid. He was out for four hours today by the pool doing reading work. The next big question is whether to give him eight days or 10 days instead of five days of pax livid. That would be a problem since it would be against FDA authorization and the public would cry out that we had treating him differently than other people. the concern on the part of the White House is that if he rebounds after he is negative for several days, he will likely be out talking and mingling with people. If he infects someone following an inadvertent rebound, he will be blamed for infecting other people. My suggestion would be to treat him for five days have him stay in the White House virtually for an additional five days testing him every day if he turns negative as soon as he turns negative send him out even if it's before the 10 day. And have him wear a mask in order to avoid him inadvertently infecting people if he rebounds, I would just test him every morning before he gets up and goes out to meet with people. If he is negative he will be OK, if he is positive continued isolating. Of note, Ashish states that he wants Kevin to go up in front of the cameras to describe the President's condition, but it is Ron who does not want him to go up as well as Karine JeanPierre. That is interesting because I am hearing that it is Ron who does not want Kevin to get up in front of a camera. PRESS: MSNBC with Jonathan Capehart July 25, 2022 Spoke with Kevin O'Connor again this morning and evening. the president is doing extremely well and continues to improve. He we'll complete his fifth day of Paxlovid today. The next question will be when he can go out into society. I have a phone call with Ashish this afternoon and I will recommend that we not give him additional days of drug but that we have him stay masked inside for 5 days or until he tests negative by antigen test. They are concerned about rebound; however, I have told them that if he tests every morning for five to 10 days after his Paxlovid course ends and he does not show any positivity, he can go out that day and proceed with business. That would be much more acceptable to the general public then to give him an extra few days of drug which would not actually guarantee that he does not rebound. PRESS: The Hill “Rising”; CBC Radio with Robin Bresnahan; July 26, 2022 Continuing my twice per day discussion with Kevin O'Connor regarding the president's condition. The POTUS Is doing very well and improving substantially each day. Today is one day following the termination of his Paxlovid therapy and his CT level is 35 which means that he has very little replication competent virus in his nasopharynx. He feels very well and we had a long discussion this evening with Kevin, Ashish Jha, and Ron Klain as to what the presidents activities could be looking forward. He tested negative today by antigen test and has a very nice CT level as mentioned above. The White House staff is concerned about possible rebound and I made a suggestion that he stay masked and in isolation until he gets two negative antigen tests in a row. After that he can go out and do duties on the outside provided that he does not travel and that he wears a mask. I would test him intimately a few times a week to see if he rebounds. It became clear to me that Ron Klain and the president rely heavily upon my advice but what to do with the president's condition. I have developed a very good relationship with Kevin O'Connor and he calls me twice a day. We had some serious discussions with secretary Becerra about having a consistent message about the distribution of the monkey pox vaccine. See above about the concern of having vaccine in places that are not being utilized well there are lines in other jurisdictions. I supported the CDC recommendation of distributing the vaccine with 75% to risk areas and 25% to actual cases so long as individual jurisdictions utilize the vaccine. The CDC will send out the vaccine in tranches that will not be followed up with more vaccine until the jurisdiction actually utilizes the vaccine so that we don't have unused doses in one area and demands more than supply in another area. We also discussed whether or not we should declare monkeypox a public health emergency. I argued strongly that we do that in order to send a signal to the MSM community that we are very serious about the situation that they find themselves under. We had the vaccine summit today in the Indian treaty room of the executive office building. I gave a talk on the NIH research agenda. Also I did an enormous amount of press today which overlapped with a number of meetings with the White House as well as with secretary becerra. Big time stressed today and I feel it. PRESS: CNN “New Day” with John Berman; MSNBC “Morning Joe”; NPR “All things Considered”; News Nation Now TV; MSNBC “The Reid Out” with Jason Johnson 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 Those with SARS-CoV-2 are often advised to isolate for only a few days. But evidence is mounting that some people can continue to pass on the virus for much longer. • David Adam POTUS back to work. The letter below is based on conversations I had last night with Ron, Kevin, Anita Dunn, Mike Donilon, etc.: I was part of the opening panel of the introduction of the UN aids report very beginning of the IAS meeting in Montreal. The name of the report presented by Winnie Byanyima (Exec Director of UNAIDS) is “In Danger”. Also on the panel was John Nkengasong (PEPFAR), Adeeba Kamarulzaman (President of IAS), Andriy Klepikov (Dir. Alliance for Public Health in Ukraine, Keren Dunaway, International Community of Women Living with HIV, Anita Vandenbald Canadian MP. AP reporting on the above: People are exhausted with epidemics and pandemics,” said Dr. Anthony Fauci, the U.S. government’s leading AIDS expert. “We have to fight twice as hard to get HIV back on the radar screen where it belongs.” Yesterday it was a little bit of a distributing and embarrassing situation where Raj Panjabi piggy-backed his own little mini session on monkey pox right after Vaccine summit at the White House at the very last minute without letting dawn or Connell know until literally I have to now will before he was asking her to speak. bottom line is it all is that although everyone agrees that Raj is a really good guy and his heart is in the right place he is really over his head in his job at the NSC in charge of pandemic preparedness. Dawn believes that the White House is well aware of that and that is the reason why they are appointing any “Monkeypox Tsar” Washington Post: The Fauci ‘ouchie’ was a near miracle. We need another. By the Editorial Board 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 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 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>; Roos, Jason (OS/ASPR/H-CORE) <Jason.Roos@hhs.gov>; Mahon, Barbara (CDC/DDID/NCIRD/OD) <bdm3@cdc.gov>; Goldstein, Robert (CDC/OD) <qyd2@cdc.gov>; Berger, Sherri (CDC/OD/OCS) <sob8@cdc.gov>; Marston, Hilary (FDA/OC) <Hilary.Marston@fda.hhs.gov> Subject: RE: Confidential – Next Steps on Expanding Eligibility for Additional Booster Team: I know that we are all struggling with this and trying to get it right, but I really have a problem with the 4/8/12 message. It is not that it is incorrect from a medical and/or immunological standpoint. It is that it will it be very confusing. I know that we are trying to save lives by getting people vaccinated and boosted; however, for the overwhelming most part, the people who are going to get vaccinated (particularly the elderly) are already vaccinated and I am not sure how much we are going to move the needle in getting the “unboosted” to get boosted when we are simultaneously saying that in 5 weeks we will have a much better and more specific vaccine. That is an inherently confusing message that would be counterproductive. Right now if we were three months away or even two months away from a variant specific boost I could see making a big push to get people boosted now. However, starting with Monday we will be five weeks away from a variant specific boost. If we want to have one cogent prevailing message it is that we have a very important boost that will be available in five weeks. The message should be focused on that. Anything that confuses that will work against us. Just my take…. Thanks, Tony Anthony S. Fauci, MD Director National Institute of Allergy and Infectious Diseases Building 31, Room 7A-03 31 Center Drive, MSC 2520 National Institutes of Health Bethesda, MD 20892-2520 Phone: (301) 496-2263 FAX: (301) 496-4409 E-mail: afauci@niaid.nih.gov The information in this e-mail and any of its attachments is confidential and may contain sensitive information. It should not be used by anyone who is not the original intended recipient. If you have received this e-mail in error please inform the sender and delete it from your mailbox or any other storage devices. The National Institute of Allergy and Infectious Diseases (NIAID) shall not accept liability for any statements made that are the sender's own and not expressly made on behalf of the NIAID by one of its representatives. From: Marks, Peter <Peter.Marks@fda.hhs.gov> Sent: Friday, July 29, 2022 6:58 AM To: 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>; Fauci, Anthony (NIH/NIAID) [E] <afauci@niaid.nih.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>; Roos, Jason (OS/ASPR/H-CORE) <Jason.Roos@hhs.gov>; Mahon, Barbara (CDC/DDID/NCIRD/OD) <bdm3@cdc.gov>; Goldstein, Robert (CDC/OD) <qyd2@cdc.gov>; Berger, Sherri (CDC/OD/OCS) <sob8@cdc.gov>; Marston, Hilary (FDA/OC) <Hilary.Marston@fda.hhs.gov> Subject: RE: Confidential – Next Steps on Expanding Eligibility for Additional Booster Dear Rob, Thanks. Perhaps the 4/8/12 messaging is going to be the best way to go then At least 4 weeks if you are over fifty until next booster (I know the immunologist don’t love this, but there are different antigens in the booster and mRNA vaccines are not the same as protein based vaccines. This seems to balance the potential benefits and risks) At least 8 weeks if your are under fifty At least 12 weeks if you recently had COVID If you are immunocompromised, you will need to wait at least 4 weeks, but follow your healthcare providers recommendation Best Regards, Peter From: Califf, Robert <RMC001@fda.hhs.gov> Sent: Friday, July 29, 2022 6:26 AM To: Tierney, Julia <Julia.Tierney@fda.hhs.gov>; Tabak, Lawrence A (NIH) <lawrence.tabak@nih.gov>; O'Connell, Dawn (OS) <Dawn.Oconnell@hhs.gov>; Fauci, Anthony S (NIH) <afauci@niaid.nih.gov>; Levine, Rachel (OS) <Rachel.Levine@hhs.gov>; Murthy, Vivek (OS) <Vivek.Murthy@hhs.gov>; Kessler, David A (OS) <David.Kessler@hhs.gov>; Varrone, Michael (OS) <Michael.Varrone@hhs.gov>; Roos, Jason (OS) <Jason.Roos@hhs.gov>; Mahon, Barbara (CDC) <bdm3@cdc.gov>; Goldstein, Robert H (CDC) <qyd2@cdc.gov>; Berger, Sherri (CDC) <sob8@cdc.gov>; Marks, Peter <Peter.Marks@fda.hhs.gov>; Marston, Hilary <Hilary.Marston@fda.hhs.gov> Subject: Re: Confidential – Next Steps on Expanding Eligibility for Additional Booster Had a good “Ashish session” late last night. He is moving forward, but understands that the faster than expected timetable for bivalent vaccine is a really good thing. He agreed that its critical that we reach agreement on the best set of words that capture the common ground that we want people to get boosted (now 5 RWE studies showing the big effect of even the 4th shot on reducing death and hospitalization), but with the bivalent imminent lower risk people have the good option of waiting. For those who get boosted now—they can still get the bivalent in xx weeks. From my view the only thing that will be bad for public health out of our options would be for us to have different messages. All other options are a net positive in terms of reducing death and severe illness. rmc From: Julie Tierney <Julia.Tierney@fda.hhs.gov> Date: Thursday, July 28, 2022 at 10:41 PM To: Robert Califf <RMC001@fda.hhs.gov>, Lawrence Tabak <lawrence.tabak@nih.gov>, "O'Connell, Dawn (OS)" <Dawn.Oconnell@hhs.gov>, Tony Fauci <afauci@niaid.nih.gov>, Rachel Levine <Rachel.Levine@hhs.gov>, Vivek Murthy <Vivek.Murthy@hhs.gov>, David Kessler <David.Kessler@hhs.gov>, "Varrone, Michael (OS)" <Michael.Varrone@hhs.gov>, "Roos, Jason (OS)" <Jason.Roos@hhs.gov>, "Mahon, Barbara (CDC)" <bdm3@cdc.gov>, "Goldstein, Robert H (CDC)" <qyd2@cdc.gov>, "Berger, Sherri (CDC)" <sob8@cdc.gov>, Peter Marks <Peter.Marks@fda.hhs.gov>, "Marston, Hilary" <Hilary.Marston@fda.hhs.gov> Subject: Confidential – Next Steps on Expanding Eligibility for Additional Booster As a follow up, we’re still working through the FDA statement and will circle back tomorrow morning with next steps. Thanks for your patience. Had a very interesting conversation with the HHS team regarding a memo at the secretary will be sending to the president regarding the declaration of a public health emergency (PHE). the secretary expressed some concern about whether we should do that or not but his staff actually wrote a memo making it seem like he definitely wanted it I brought this out to them when I read quickly the memo while we were on the Zoom and the secretary requested that I can't fully look at the memo and make comments. I actually think we should definitely declare a PHE and I modify it the conclusion of the memo to be unambiguous about this. It was really strange that the secretary said he had reservations and his staff wrote a memo that strongly recommended that we do it. In my memo back to them I told them that they have to make up their mind one way or the other and have the memo strongly recommend what he actually wants. I rewrote the conclusion assuming that he will take my recommendation to declare it 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 Rep. Lauren Boebert (R-CO) spoke about a proposed rule that would lower Dr. Fauci's salary to $1.Stay ConnectedForbes on Facebook: ... Flag as irrelevant *****Wall Street Journal piece by Peter Loftus on July 29, 2022 is critical in its historical portrayal of the interaction of NIAID and Moderna/Pfizer. Important for the book!! WSJ: The Partnership That Made the First U.S. Covid Vaccine Gay community getting very agitated about that they perceive as the government’s slow response and resting the rapidly evolving multi pox outbreak: Frustration builds in LGBTQ community over government response to monkeypox Jen Christensen, CNN 12-15 minutes 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. I got a call from Rochelle who is stuck in Amsterdam following the cancellation of her flight from Amsterdam to Washington. She is coming back from a trip to Uganda and Kenya. She thanked me profusely for sticking up for the CDC's decision about allocation of vaccines for monkey pox. Got a call from Jen Ashton of ABC expressing concern about something that I have been almost obsessing about today and most recently. That is the fact that the public may be taking monkeypox too lightly assuming that it will stay confined to the population of men who have sex with men. In addition, we are doing nothing proactively to encourage people to cancel such events as ”Southern Decadence” and Black gay pride galas. We are starting to see cases of spillover into non men who have sex with men populations. Also, there is so much that we do not know about the Natural History of this disease and with the potential is to spread beyond MSM. I will have to talk to people at HHS and the White House that we cannot under play this outbreak. Call from Francis Collins, Acting Science Advisor to POTUS regarding NIH Director Choice – Charles Sawyer at MSKCC. Francis wants me to talk to him about the possibility of his being considered for the job of NIH director. It is essentially a recruiting call that Francis wants me to have with Charles. Apparently the president is not satisfied with either of the two names that was submitted to him: Mary Klotman (Duke) and Kimryn Rathmell (Vanderbilt). 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: July 2, 2022 *****Important debate going on that relates back to the conflict that I had with the CDC I was concerned that they did not call for antigen testing following infection before someone is able to go back out into society. The president got infected, went on Paxlovid, and then rebounded. And so the question is when can he go back into society. Since he is the president and we test them every day he is staying isolated until his antigen test reverts to negative. At the same time, a number of papers including in the NEJM have shown that the median time of reversion to negative antigen test is actually five days and many people stay positive until day 8,9,10 and beyond. The CDC recommendations say that after five days since no requirement is made for testing (which I was very much against this decision and caused a ruckus by disagreeing with the CDC many months ago), A person can go out into society after five days with the mask so long as they have no symptoms. And after 10 days, if they still have no symptoms they can take their mask off. This obviously Will lead to people going out into society who are still antigen positive and are likely spreading the virus. That was my original concern when I disagreed with the CDC. BA.5 now 86% of isolates in USA: A lot of activity working with Rob at the FDA and Ashish and CDC to get the right messaging about recommendations for the booster in the fall. The FDA would like to say that the bivalent BA.5 boost is significantly better then the mono valent ancestral strain boost. There is a lot of pushback from the immunology community led by John Moore saying that the bivalent BA.5 boost is only marginally better then the monovalent ancestral strain. The data is somewhat confusing as explained below in an e-mail from Rick Koup to me. The debate is whether to ask people who are otherwise that low to moderate risk to get vaccinated now with the ancestral strain will wait until September when a supposedly much better boost is available. Most of us have no problem with low risk people waiting, however, I and others are concerned about overselling that the bivalent boost is much better then the ancestral boost, which is not the case I will list a couple of emails below that outline the dilemma: From: Fauci, Anthony (NIH/NIAID) [E] <afauci@niaid.nih.gov> Sent: Monday, August 1, 2022 6:53 PM To: Califf, Robert <RMC001@fda.hhs.gov> Cc: Murthy, Vivek (HHS/OASH) <Vivek.Murthy@hhs.gov>; Kessler, David (HHS/IOS) <David.Kessler@hhs.gov>; O'Connell, Dawn (OS/ASPR/IO) <Dawn.Oconnell@hhs.gov>; Ashish.K.Jha@who.eop.gov <ashish.k.jha@who.eop.gov>; Salcido, Dori A. EOP/WHO <Dori.Salcido@who.eop.gov>; Barclay, Lisa L. EOP/WHO <Lisa.L.Barclay@who.eop.gov> Subject: Follow-up of our call Rob: The point that I was making during the zoom call was that we should get the data which I believe is available that looks specifically at the titer of neutralizing antibody against BA.5 induced by the bivalent BA.5 boost versus the title of the neutralizing antibody against BA.5 induced by the monovalent ancestral boost. The reason I say we need that data at hand is because if we are going to say that the BA.5 bivalent boost is far superior to the ancestral boost and that is the reason should wait for it until the Fall, we better make sure that we have data that substantiates that. This is important, since there are people out there saying that the BA.5 variant boost is really not that much different from the monovalent ancestral boost when you compare neutralizing antibody titers against BA.5. If the data show that the BA.5 bivalent boost is only marginally better than the ancestral monovalent boost, we should say that the bivalent is “somewhat” better and not make it look like the bivalent is a major advance. Having said all of that, I still believe that the scenario that we agreed upon as delineated in your not to me is sound. I just do not want us to oversell how good and different the bivalent boost will be because this will trigger pushback from the immunology community. Best regards, Tony ------ From: Koup, Richard (NIH/VRC) [E] <rkoup@mail.nih.gov> Sent: Tuesday, August 2, 2022 9:08 AM To: Fauci, Anthony (NIH/NIAID) [E] <afauci@niaid.nih.gov> Cc: Lane, Cliff (NIH/NIAID) [E] <clane@niaid.nih.gov> Subject: RE: Follow-up of our call Hi Tony, Sorry about not getting back to you earlier. I don’t know why I didn’t see this on my cell phone this morning. There is no question that the bivalent BA4/5 will probably do better against BA4/5 than the current ancestral boost. This is based upon circumstantial evidence, some of which is presented below. (Mouse immunogenicity, infection with omicron). The actual human data do not exist yet. The best we have is from John Beigel in the mix and match study, which shows only a marginal increase in BA4/5 neut titers, and which Peter Marks decided not to present at the VRBPAC, probably because the data did not support his desired outcome. I think the problem is that the FDA wants to say that they have a better vaccine coming. Instead, they should be saying that if people need vaccination now they should get the vaccine now. As with all vaccines, they will be rolling out updated vaccines as they become available and when there are data to support the change. People in need of vaccines now should not delay in hopes of getting a “better” vaccine. John Beigel can share his data with you. Best, Rick Richard A. Koup, MD Acting Director Chief, Immunology Laboratory Vaccine Research Center, NIAID, NIH Tel: 301-594-8585 Fax: 301-480-2779 rkoup@mail.nih.gov Had my twice daily follow up conversation with Kevin O'Connor regarding the condition of the president. The POTUS continues to remain with minimal an unchanged symptomatology characterized by fatigue and his usual post nasal drip related cough. It is still rather concerning that his CT levels are still very low and have not come back reflecting a very high viral load. We maintain the decision discussed above about not treating a lab test and only reinstituting therapy if he has an exacerbation of symptoms. I emphasized that he must be followed closely for return of significant sxs, which might trigger retreatment. August 3, 2022 Spoke with Kevin O’Connor. POTUS stable, but still Ag positive. ------------------------ Monkeypox spreading globally: 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. 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: 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: POTUS continues to improve: William Patrick Connelly, Jr who threatened me and my family goes to jail. This is the guy yhat Brett Rowland tracked down. See Washington Post article: West Virginia man sentenced for threats against Fauci, officials Thomas Patrick Connally, Jr., was sentenced to more than three years in federal prison COVID cases: United States • Total Cases: 91,676,264, 7-Day average: 117,351 (-7.3%) • Total Deaths: 1,027,370, 7-Day average: 378 (-4.9%) • Total new hospital admissions: 5,078,893, 7-Day average 6,112 (-4.4) Worldwide [Source: WHO] - most recent day • Total Cases: 578,142,444 ( 972,954 new) • Total Deaths: 6,405,080 (2,491 new) PRESS: MSNBC Black/Hispanic Journalists Fireside chat with Alicia Menendez; 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: 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; 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. August 7, 2022 (Sunday) Long conversations with the CDC team (Sherri Berger; Rochelle), Steve Sha, Vivek, Kessler to get the wording correct on the condition to end isolation regarding testing and masking. August 8, 2022 For some time now the issue of ”Long COVID” has been gaining momentum with much frustration in the community since recent studies showed that up to 20% of people develop more COVID following infection. Senator Tom Kaine (D-VA) has been a strong advocate for support since he is suffering for well over a year from long COVID characterized by dysesthesias. The NIH has been given $1.15 Billion to study long COVID. However, I have been very disappointed in the initiatives that have been brought forth under the leadership of NHLBI with Gary Gibbons and Amy Patterson as well as Walter Koroshetz. Rachel Levine is now been given the leadership for this at HHS. Recent description: Politico: Tim Kaine has long Covid. That’s not moving Congress to act. While Kaine and other Democrats in the House and Senate are pushing for action, they have failed to gain meaningful momentum due to lack of GOP support. We had important conversations with activists James Krellenstein, Gregg Gonsalves, Peter Staley and Emily Bass regarding MPX vaccination. Peter alerted me today that James and other activists are concerned about misrepresenting the effective of the 1/5 approach to Jynneos (see above). I put together a hastily arranged Zoom at 12:45 PM to get us together and figure out what the problem is. The problem is that the activists are concerned that the data are not strong that 1/5 the dose of Jynneos intrasdermally (ID) will be protective. their argument is a bit inconsistent since the antibody titers induced by Jynneos ID are exactly equivalent to a full dose delivered subcutaneously (SC). The activists do not seem to be concerned about the efficacy of the SC dose, but they are concerned that we might be overselling the efficacy of the 1/5 dose. This may be an example of their making the perfect being the enemy of the good. It is much better to have some vaccine rather than no vaccine and so we needed to settle what their concern was since the FDA will be issuing tomorrow an EUA for the 1/5 ID dose. I got the activists on the zoom with Cliff, John Beigel, and me and we hashed it out. Peter Staley was agreeing with us and we finally got James and Gregg to come to the agreement that it is best to go ahead with the 1/5 ID program at the same time as trying to get data with a clinical trial that John will do as to the efficacy. That is better than having not enough doses and having a 5 minute notice getting the activist community together with my team to try and straighten out a potential disagreement. We had another zoom discussion with the HHS team led by Sherri Berger (CDC) to try to get the precise language for the CDC updating of their website discussion of the efficacy of the vaccine in preventing infection and transmission (see above). I believe that we got it right after a very good discussion among the group. The critical issue was to indicate that the vaccine protection against infection and transmission is only modest and diminishes with time. The concern was on the part of the White House that the CDC would say that it was zero. Now this is not really a consideration since the wording indicates in a positive way (by my suggestion) that although the protection against infection and transmission wanes overtime, that is a good reason why we encourage people to get the updated BA.5 bivalent boost. I believe we avoided a confrontation between the CDC and the White House which would have endangered Rochelle PRESS: Interview with Giuseppe Sarcina of Italian newspaper – Corrierre Della Sera; August 9-11, 2022 Global – 585,086,861/6,422,914; USA – 92,426,945/1,030,777 Cases and hospitalization plateauing but deaths still at ~300-400/day Had a wonderful trip to Seattle where I received the honorary “Hutch” award from the Fred Hutchinson Cancer Research center and the Seattle Mariners baseball organization. I did a fireside chat at the Medical Center with Larry Corey and then threw out the first pitch that evening for the Mariners and New York Yankees baseball game. In contrast to the disastrous pitch at the Washington Nationals game two years ago, this was a perfect pitch to the manager of the Mariners, Scott Servais, who served as the catcher. Sat in the “owner’s box” at the stadium and watched the game. Had a great conversation with Eddie Vedder (lead vocalist and guitarist for the rock band Pearl Jam.) and his wife Jill. Eddie reminds me a lot of Bono. One of the things that was striking about the evening at the ball game was that when they announced me as receiving the award with giant pictures of me on the photocam, I received a prolonged standing ovation from 45,000 people in the stands. Yet, the far right as exemplified by the newspaper The Washington Examiner put on YouTube the headline “Fauci booed at Mariners game. They put the microphone next to about five or six people out of 45,000 who were booing and saying I should go to jail and they completely ignored the 45,000 people that gave me a prolonged standing ovation. This is so exemplary of the distortion of reality by the far right. Monkeypox continues to surge: August 12, 2022 Deaths seem to be up a bit at around 400/day! August 13, 2022 More drama with regard to the CDC and Rochelle Walenski. After much going back and forth between the CDC and the other docs including me, Vivek, Steve Cha, and to some extent David Kessler, we thought we had gotten them pulled back from making the statement that the vaccines were not effective at all in preventing infection and transmission. The reason this is an issue is that if they came out with that statement, which in fact is not entirely true since there is some degree of modest but declining protection as you would expect, then this would conflict with the statement and effort of recommending that people get the updated bivalent BA.5 vaccine in September. In addition, it would undermine the DoJ’s efforts at mandates for vaccines under certain circumstances. In any event, the CDC agreed to pull back on the statement of absolute lack of efficacy of vaccines against infections and transmission and take a more measured approach of saying that the vaccines provides only modest and waning efficacy against infection and transmission and that is why we should heed the advice of getting the updated booster in Sept. However, although they did this on their website, the MMWR that cam out yesterday had the same original damning language. When Larry Horowitz and Ashish noticed this, Larry went off the wall and in a somewhat agitated manner called me up this AM and said that this is the last straw and he was sure that when Ron Klain gets back from Spain this weekend he would fire Rochelle. Ashish was more measured and seems to have come to the conclusion that sooner or later (maybe not right now) Rochelle would have to go. Let us see what happens…..probably nothing August 14, 2022 Had a wonderful dinner last night at the extraordinary home of Adrienne Arsht at 9 Chevy Chase Circle, Chevy Chase, MD. Guests included Alexandra Villard de Borchgrave (Chairman. Light of Healing Hope Foundation and former war correspondent), Jonathan Capehart (MSNBC and Washington Post), Pamela Melroy (former astronaut and Deputy Administrator, NASA), Sen Bill Nelson and Wife Grace (Administrator, NASA), Vivian Salama (WSJ – war correspondent), Jonathan Goodrich (Attorney, Interior Department). 35,000 cases of MPX globally: August 15, 2022 Great disparity of COVID deaths comparing USA and other countries: PRESS: The Shade Room (Online streaming); The Grio TV; August 16, 2022 I had a very important and moving conversation with Ron Klain in his West Wing Office today at 11:45 AM (bright, sunny, mild day). I announced to Ron that I would be stepping down from all of my positions including chief medical advisor to the President. I will make the announcement next week and my date for stepping down will be sometime in December of this year. One of the concerns that Jeff Zients and I had would be that Ron would want to push back on my leaving giving all the trouble that he's having with the CDC. However, he somewhat surprised me by saying that his instinct would be to push strongly to convince me not to leave, given that he considers me “one of the most important public servants in the history of the country” given that I have saved millions of lives over the last several years. He would be almost embarrassed trying to convince me to change my mind about something that I obviously have thought about for some time and that I thoroughly deserve. He went on to say so many nice things that I was embarrassed. He said that he considered it a major privilege in his life to have had the opportunity to work with me both during the Obama administration with Ebola and now with COVID and monkey pox. He said that he would arrange tomorrow for me to either see the president if the president comes to the White House tomorrow; if he does not come to the White House then arrange a phone call between me and the president tomorrow. It was a most moving meeting the extraordinary praise shown towards me and the sincere appreciation for all that I have done for the country and the world during my long career. He sounded extremely sincere. --------------------------------------------------------------------------------- NIH will write a Science Forum on NIH accomplishments in COVID. Below is a preliminary outline of what will be said. I added a mention of the role of the COVID - 19Prevention Network (CoVPN) in the clinical trials of all the vaccines: Key COVID-19 Milestones – NIH High-level COVID-19 Accomplishments January 10: The genetic sequence of the SARS-CoV-2 virus was released, which was used as the blueprint for the rapid development of the mRNA COVID-19 vaccines. Blurb: SARS-CoV-2 genetic sequence released Image: Ask Palladian for timeline image January 13: NIH and Moderna finalized the design of a vaccine candidate and began working to produce it. Blurb: NIH/Moderna finalized COVID vaccine candidate design Image: https://www.flickr.com/photos/nihgov/50047466123/in/album-72157713108522106/ January 31: The United States declared COVID-19 a public health emergency. Blurb: U.S. declared COVID-19 a public health emergency February 25: NIH launched the Adaptive COVID-19 Treatment Trial (ACTT) series of studies with a randomized, placebo-controlled clinical trial to evaluate the safety and efficacy of the antiviral remdesivir in adults hospitalized with COVID-19 (ACTT-1). Press release Blurb: NIH launched trial of the antiviral remdesivir Image: https://www.shut terstock.com/image-photo/remdesivir-covid19-liquid-medicationbackground-1706609728 March 11: The World Health Organization declared COVID-19 a pandemic. Blurb: WHO declared COVID-19 a pandemic March 16: The Phase 1 clinical trial started for the investigational vaccine, known as mRNA-1273, codeveloped by NIH and Moderna. Press release Blurb: NIH/Moderna COVID vaccine Phase 1 clinical trial started Image: 3.16.20 Phase 1 Moderna April 17: NIH launched the Accelerating COVID-19 Therapeutic Interventions and Vaccines (ACTIV) initiative, a public–private partnership focused on developing treatments and vaccines for COVID-19. ACTIV streamlined the process for adding new agents into trials and rapidly deployed existing NIH networks of more than 620 trial sites across the U.S. and internationally. The initiative evaluated over 800 therapeutic agents and prioritized 33 for inclusion in ACTIV master protocols. Six of these agents have shown compelling evidence of benefit in randomized clinical trials. Press release Blurb: NIH launched ACTIV, a public-private partnership to develop treatments and vaccines Image: 4.17.20 ACTIV April 21: After convening a panel of academic and government experts to critically review and synthesize available data from clinical trials and other study reports, the first NIH COVID-19 Treatment Guidelines were published to provide clinicians with guidance on how to care for patients with COVID-19. The panel has issued more than 50 updated editions since April 2020 and the guidelines have been visited more than 30 million times. Press release Blurb: NIH published the COVID-19 Treatment Guidelines April 29: NIH launched the Rapid Acceleration of Diagnostics (RADx) initiative to speed innovation leading to reliable diagnostic testing. Press release Blurb: NIH launched RADx initiative to speed innovation in diagnostic testing Image: 4.29.20 RADx May 22: Preliminary peer-reviewed data from the ACTT-1 trial indicated that the antiviral drug remdesivir is safe and improved clinical outcomes for hospitalized adults with COVID-19. Press release Blurb: Antiviral drug remdesivir found safe and effective. Image: https:// www.shutterstock.com/image-photo/medication-prepared-people-affected-bycovid19-1731814354 May 24: NIH created a public COVID-19 OpenData Portal to openly and quickly share COVID-19-related drug repurposing data and COVID-19 variant-specific effects against all approved drugs. It was a key resource for the ACTIV Tracking Resistance And Coronavirus Evolution (TRACE) efforts. Blurb: COVID-19 OpenData Portal shares data on drug repurposing and variant effects with drugs. Image: 5.20 COVID Data Portal variants July 8: NIH launched the COVID-19 Prevention Network (COVPN), a clinical trials network to test COVID-19 vaccines and other prevention tools. Press release Blurb: NIH launched COVID-19 Prevention Network to test COVID vaccines and treatments. July 27: The Phase 3 clinical trial started for the investigational vaccine mRNA-1273, co-developed by NIH and Moderna. The trial enrolled approximately 30,000 adult volunteers who did not have COVID-19. Press release Blurb: NIH/Moderna COVID vaccine Phase 3 clinical trial began, enrolling ≈30,000 adult volunteers. Image: https://www.shutterstock.com/image-photo/covid19-vacci nation-asian-male-patientgetting-1831245058 August 4: NIH launches the first ACTIV clinical trials to test the safety and efficacy of treatments both for mild and moderate COVID-19 patients and for patients hospitalized with COVID-19. ACTIV-2 press release, ACTIV-3 Press Release Blurb: First ACTIV trials to evaluate the safety and efficacy of COVID therapeutics begin. Image: 8.4.20 ACTIV trials September 16: Recognizing the need to ensure inclusive participation in vaccine trials, NIH launched Community Engagement Alliance (CEAL) Against COVID-19 Disparities. CEAL provided outreach and engagement opportunities in racial and ethnic minority communities disproportionately affected by the COVID-19 pandemic. (In 2021, NIH supplemented the effort with $29 million in funding from the American Rescue Plan). September press release Blurb: NIH launched CEAL to ensure diversity in vaccine trials and reach out to disproportionately affected communities. Image: 9.16.20 CEAL September 30: NIH expanded research to improve COVID-19 testing among underserved and vulnerable populations as part of the RADx initiative, the RADx Underserved Populations (RADxUP) program. Press release Blurb: NIH expanded RADx initiative to improve COVID-19 testing in underserved populations. Image: 9.30.20 RADx UP October 2: Quidel Sofia 2, the first point-of-care test to detect COVID-19 supported by NIH’s RADx initiative, receives emergency use authorization (EUA) from the FDA. Blurb: First RADX-supported COVID test received EUA. Image: 2.2.20 Test Kit December 11: The ACTT-2 trial found that baricitinib, an anti-inflammatory drug, reduced time to recovery for people hospitalized with COVID-19 who were treated with remdesivir. Press release Blurb: Trial results showed remdesivir in combination with anti-inflammatory drug baricitinib reduced hospital recovery time Image: https://www.shutterstock.com/image-photo/medication-prepared-peopl e-affected-bycovid19-1970653763 December 15: The first over-the-counter COVID-19 test, developed with support from NIH’s RADx initiative, received an FDA emergency use authorization. Blurb: First RADx-supported over-the-counter COVID-19 test received EUA. Image: 12.15.20 RADx OTC December 18: FDA authorized the NIH-Moderna vaccine for emergency use for people 18 years of age and older. The NIH-Moderna vaccine went on to receive authorization for various age groups and is now available for everyone over the age of 6 months. Blurb: FDA grants EUA to NIH/Modera vaccine Image: https://www.shutterstock.com/image-illustration/cracow-malopolskie-poland-october10-2021- 1891094320 January 5: NIH’s RADx launched an interagency variant task force to evaluate the impact of new variants on the performance of all authorized point of care and over the counter diagnostics, as well as tests in pre-authorization review. This ongoing partnership with FDA informs regulatory decisions, RADx investments, manufacturer designs, and government procurements. Blurb: Interagency variant task force launched to evaluate impact of variants on COVID tests Image: 1.5.21 variant tests January 20: The ACTIV Tracking Resistance and Coronavirus Evolution (TRACE) initiative launched. It is focused on identifying emerging variants of SARS-CoV-2. TRACE aims to prioritize which viral variants should be studied to determine the effectiveness of vaccines and therapeutics, coordinate data sharing, and report results regularly to allow confident decision making by the U.S. Government, health professionals, and pharmaceutical organizations. Blurb: The ACTIV Tracking Resistance and Coronavirus Evolution (TRACE) initiative began to identify, evaluate, and report on emerging variants. Image: https://www.flickr.com/photos/nihgov/52129878815/in/album-72157713108522106/ February 27: FDA authorized the Janssen COVID-19 vaccine for emergency use. NIH supported the development of the single-shot vaccine, which does not require special refrigeration. Blurb: FDA grants EUA to Janssen COVID vaccine Image: https://www.shutterstock.com/image-photo/izmir-turkey-january-17-2021-coronavirus1925271767 March 31: In collaboration with the CDC, NIH launched an innovative community health initiative called “Say Yes! COVID Test” for counties in North Carolina and Tennessee to determine if frequent self-administered COVID-19 testing can help residents reduce community transmission. Say Yes! COVID Test went on to distribute 6.8 million rapid tests that were developed with RADx support in numerous targeted areas throughout the country. Press release Blurb: NIH launched community health initiative Say Yes! COVID Test to assess frequent selftesting. Image: 3.31.20 Say Yes COVID Test April 15: NIH announced the Safe Return to School Diagnostic Testing Initiative, which awarded up to $48 million over several months to fund projects to build evidence on safely returning students, teachers, and support staff to in-person school in areas with vulnerable and underserved populations. (Additional funds issued July press release). April press release Blurb: NIH launched Safe Return to School Diagnostic Testing Initiative Image: https://www.shutterstock.com/image-photo/side-view-portrait-yo ung-africanamericanman-1967011807 August 4: Part of the ACTIV initiative, an NIH-supported clinical trial showed that treating moderately ill hospitalized COVID-19 patients with a full-dose blood thinner reduced their need for organ support, such as mechanical ventilation, and improved their chances of leaving the hospital. Press release Blurb: ACTIV-4 clinical trial found that a full-dose blood thinner improved outcomes for moderately ill hospitalized patients. September 15: NIH announced $470 million in funding for a nationwide study of tens of thousands of people to support research on the long-term effects of COVID-19 called the NIH REsearching COVID to Enhance Recovery (RECOVER) Initiative. Press release Blurb: NIH funded REsearching COVID to Enhance Recovery (RECOVER) Initiative to study COVID’s long-term effects. Image: Can we use this image from the timeline? NIH Strategic Response to COVID-19 | NIH COVID-19 Research October 9: Brii Biosciences filed for an FDA emergency use authorization for the ACTIV-3 monoclonal therapeutic antibody combination amubarvimab/romlusevimab that demonstrated clinical effectiveness in preventing progression of disease for mild to moderate COVID-19 patients. Blurb: ACTIV-3 trial found monoclonal therapeutic antibody combination effective in preventing disease progression in mild to moderate patients. October 27: NIH announced the Independent Test Assessment Program (ITAP), which established an accelerated pathway to support FDA evaluation of tests with potential for large-scale manufacturing. The program is an extension of the NIH RADx initiative. In less than two months, the first two over-the-counter tests that went through the ITAP accelerated pathway received EUAs, contributing millions of tests per month to the domestic supply. Press Release Blurb: NIH announced ITAP, an accelerated pathway to support FDA evaluation of COVID tests. Image: https://www.shutterstock.com/image-photo/portland-usa-feb-5-2022-closeup2118748202 January 26: The NIH clinical trial on booster doses of different COVID-19 vaccines to determine the safety and efficacy of mixed vaccine regimens found that all combinations of primary and booster vaccine resulted in increased neutralizing antibody levels. The data strongly suggest that mixed COVID-19 vaccines could increase protective efficacy against symptomatic SARS-CoV-2 infection. Press release Blurb: NIH clinical trial data strongly suggest that mixed COVID-19 vaccines could increase protective efficacy against symptomatic SARS-CoV-2 infection. Image: FC getting his vaccine? https://www.flickr.com/photos/nihgov/50747919667/in/album72157717478402642/ OR https://www.shutterstock.com/image-photo/black-teen-girl-showsvaccine-mark-1899903244 June 2: Topline results from the ACTIV-1 Immune Modulators clinical trial showed that immune modulator drugs improved survival for people hospitalized with COVID-19. Press release Blurb: ACTIV-1 immune modulators trials meet secondary endpoint/improved survival July 20: The CDC recommended that Novavax’s COVID-19 vaccine be used as another primary series option for adults in the United States ages 18 years and older. NIH supported development of the Novavax vaccine, NVX-CoV2373, and is studying it in the “mix & match” trial, where adult volunteers who have been fully vaccinated against COVID-19 receive booster doses of different COVID-19 vaccines to determine the safety and immunogenicity of mixed boosted regimens. Blurb: CDC recommended Novavax vaccine for adults Image: https://www.shutterstock.com/image-photo/novavax-coronavirus-vaccine-d octorsnurses-hands-1904970715 April 29: Two years after its launch, RADx-supported companies increased cumulative U.S. capacity by >2.5 billion tests, helping drive a national paradigm shift where over the counter (home) and point of care tests become the dominant form of testing. Blurb: After two years, RADx-supported companies increased U.S. capacity by >2.5 billion tests Image: 4.29.22 RADx test capacity Monkey pox cases in the UK starting to trend downward: August 17, 2022 E-mail from Ron Klain after I met with him and asked to speak with the POTUS: From: Klain, Ronald A. EOP/WHO <RK.COS@WHO.EOP.GOV> Sent: Wednesday, August 17, 2022 10:19 AM To: Fauci, Anthony (NIH/NIAID) [E] <afauci@niaid.nih.gov> Cc: Goepfert, Stephen M. EOP/WHO <Stephen.M.Goepfert@who.eop.gov> Subject: [EXTERNAL] RE: Thank you Tony, Sad for me, sad for America, but no one has earned it more. The President is anxious to speak with you today – he travelled to Delaware last night. I am copying Stephen Goepfert here, who is with the President in Wilmington, to arrange the timing for your call. Ron I just had a wonderful conversation with President Biden. He called me up (started the conversation with “Hi, Joe here….”) and told me how much he admired me and how much of a pleasure it was to work very closely with me over the past year and three quarters. He told me that he wanted to guarantee that I would have as much protection as I need for as long as I need it. I told him how much I enjoyed working with him and that I was actually thinking of leaving government at the end of the last administration. However, when he became president and offered me the job as his chief medical advisor it was a job that I absolutely could not refuse. I also told him that working with him over the last two years was the capstone of my career. He was quite moved by that and seemed to be very pleased with hearing that. PRESS: Interview with Rolling Stone (Matt Sullivan) regarding story on Steph Curry August 18, 2022 Global – 590,659,276/6,440163; USA – 93,124,238/1,034,118 ---------- CDC (Rochelle Walensky) comes out with a strong statement of “mea culpa” admitting that the CDC is broken and has failed terribly in the response to the COVID pandemic. LONG OVERDUE! CDC Moving Forward Fact Sheet. NY Times (La Franiere and Weilland): Walensky, Citing Botched Pandemic Response, Calls for C.D.C. Reorganization Among other flaws, public guidance during the coronavirus pandemic was “confusing and overwhelming,” the agency said. ------------------------ RFK, jr continues his destructive ways: Ars Technica: Anti-vaccine activists giddily celebrate as poliovirus spreads in NY -------- I defend CDC and Rochelle regarding their admission of their botched response by commending them for honesty and trying to reform. I did this on MSNBC with Andrea Mitchell. PRESS: MSNBC with Andrea Mitchell; Podcast “In the Bubble” with Any Slavitt; CNN – “The Situation Room” with Wolf Blitzer August 19, 2022 Cases seem to be plateauing throughout the country with some exceptions. Perhaps we are coming into a downswing as we enter the Fall PRESS: Interview with Marissa Evans of LA Times on racial disparities in MPX; WTOP Radio; August 20, 2022 Had my usual every three-week zoom meeting with Drs. Li and Hellmann. I explained to them that as of Monday at 11:00 AM when I made the announcement of my stepping down from the NIH, I will enter a new chapter in my career and in my life. There's obviously stress and anxiety associated with this decision. However, there's also excitement for the new adventure and unknown. Had a wonderful Zoom meeting with Nathan Chen at 12:30 PM. He had been wanting to meet me for some time now and we finally connected by zoom. He was so modest and nice and kept expressing what an honor it was to meet me and speak with me. He is going into his third year at Yale having taken off most of two years to practice for the Olympics where he gave probably the most historically perfect performance to win the gold medal. He plans to go to medical school after he graduates. I was struck by his maturity and modesty when I asked him why he was interested in medicine. He said all his life he had been practicing to make himself better and better and better, but it was all about himself. Now he wants to do something that has a positive impact on society and on other individuals. The sign of a very mature young man. I had a very long (1 hour and 10 minue) exclusive interview with Yasmeen Abutaleb (Washington Post) concerning my upcoming stepping down from Government service. Embargoed until Monday at 11:00 AM August 21, 2022 Interesting trivia (Sports Business Journal): Dr. Anthony Fauci’s First Pitch Sets Baseball Card Record By Tom TaylorJuly 28, 2020 • • • Topps has issued a trading card of Dr. Anthony Fauci, the director of the National Institute of Allergy and Infectious Diseases, throwing out the first pitch of the MLB season last week. The card was only available for 24 hours, under the company’s Topps Now brand, but it set a new record with 51,512 sold. August 22, 2022 TODAY IS THE DAY! I announce that I will be stepping down from the NIH as well as from my position as chief medical adviser to the president effective December, 2022. There has been a literal avalanche of positive feedback about my announcement with hundreds and hundreds of texts and emails of congratulation and praise for me. President has come out with a statement as have a number of other prominent individuals. See the president statement below: Statement from President Joe Biden on the announcement of Dr. Anthony Fauci’s Departure from NIAID AUGUST 22, 2022•STATEMENTS AND RELEASES During my time as Vice President, I worked closely with Dr. Anthony Fauci on the United States’ response to Zika and Ebola. I came to know him as a dedicated public servant, and a steady hand with wisdom and insight honed over decades at the forefront of some of our most dangerous and challenging public health crises. When it came time to build a team to lead our COVID-19 response – in fact, in one of my first calls as President-elect – I immediately asked Dr. Fauci to extend his service as my Chief Medical Advisor to deal with the COVID-19 crisis our nation faced. In that role, I’ve been able to call him at any hour of the day for his advice as we’ve tackled this once-in-a-generation pandemic. His commitment to the work is unwavering, and he does it with an unparalleled spirit, energy, and scientific integrity. Dr. Fauci has served under seven Republican and Democratic Presidents during his career, beginning with Ronald Reagan. He was awarded the Presidential Medal of Freedom in 2008 under President George W. Bush. For almost four decades, he has served as Director of the National Institute of Allergy and Infectious Diseases, helping our country navigate health crises ranging from HIV/AIDS to COVID-19. Because of Dr. Fauci’s many contributions to public health, lives here in the United States and around the world have been saved. As he leaves his position in the U.S. Government, I know the American people and the entire world will continue to benefit from Dr. Fauci’s expertise in whatever he does next. Whether you’ve met him personally or not, he has touched all Americans’ lives with his work. I extend my deepest thanks for his public service. The United States of America is stronger, more resilient, and healthier because of him. Statement of Sec. Becerra: Statement by HHS Secretary Xavier Becerra on Upcoming Departure of Dr. Anthony S. Fauci Today, Anthony S. Fauci, M.D. announced he is stepping down in December 2022 from the positions of Director of the National Institute of Allergy and Infectious Diseases (NIAID) and Chief of the NIAID Laboratory of Immunoregulation, as well as Chief Medical Advisor to the President. U.S. Department of Health and Human Services (HHS) Secretary Xavier Becerra issued the following statement: “This is a decision we all knew would eventually come but hoped never would. As HHS Secretary, I am privileged to know Dr. Fauci professionally and personally and deeply admire his decades of public service that have undoubtedly improved the health of millions of people globally. When I arrived at HHS, the world was one year into the COVID-19 pandemic. I quickly came to rely on Dr. Fauci’s wisdom and counsel in our response, and along with his scientific acumen, I treasure his ability to break down complex science in simple terms to the American people to save lives. “His selfless passion to bring hope and healing to people fighting for their health knows no bounds. In fact, Dr. Fauci’s pioneering approach to tackle public health decades ago included a critical role in our nation’s domestic and international response to HIV/AIDS, ultimately helping create the President’s Emergency Plan for AIDS Relief. “I will be sorry to see Dr. Fauci depart in December, but I wish him all the best in his future endeavors and look forward to witnessing his next chapter.” Larry Tabak statement: Statement from Lawrence A. Tabak, D.D.S., Ph.D., on the departure of Anthony S. Fauci, M.D. Anthony S. Fauci, M.D., Director, National Institute of Allergy and Infectious Diseases Today marks the end of an era with the announcement by Anthony S. Fauci, M.D., that he will be stepping down as the Director of the National Institute of Allergy and Infectious Diseases (NIAID), Chief of the NIAID Laboratory of Immunoregulation, and Chief Medical Advisor to President Biden. Tony’s departure will cause a tectonic shift in the modern history of the National Institutes of Health. He is the model public servant — dedicated and selfless, and a brilliant scientist and physician who is passionate about developing treatments and cures for those who are sick and suffering. He has dedicated his life’s work to advancing knowledge about the causes of complex diseases ranging from HIV to asthma, rarely satisfied with anything less than a cure. For Tony, it’s personal. He works tirelessly on behalf of all patients, often at great personal expense, and always bringing his Brooklyn tenacity to the fight. I know of no one more dedicated than Tony to the mission of the NIH and the health of the American people. Tony’s NIH career spans 54 years, 38 of those leading NIAID, advising seven U.S. Presidents, and reassuring the public as America’s doctor during outbreaks of infectious diseases, from HIV to Ebola to COVID-19. Without exception, he is always guided by the science. It’s been an extraordinary privilege and honor to have worked by his side and to have learned so much from him — I will miss him greatly. But I also look forward to seeing what Tony will do next. I have no doubt that he will continue to have an enormous impact on the world. Lawrence A. Tabak, D.D.S., Ph.D. Performing the Duties of the NIH Director Ashish K. Jha, MD, MPH @AshishKJha46 Tony Fauci is the most consequential physician scientist of the past half century Having served 7 Presidents through HIV/AIDS, Anthrax, H1N1, Ebola, Zika, and of course COVID Thousands consider him their mentor, including me Grateful for your service to our country Dr. Fauci Ronald Klain @WHCOS I cannot think of a public servant who has done as much to save as many lives for as long a period as Dr. Tony Fauci. And he is a gem of a person. Tweet See new Tweets Conversation Barack Obama @BarackObama I will always be grateful that we had a once-in-a-century public health leader to guide us through a once-in-acentury pandemic. Few people have touched more lives than Dr. Fauci – and I’m glad he’s not done yet. PRESS: Beautiful article in the Washington Post by Yasmeen Abutaleb: Fauci plans to step down in December after half a century in government By Yasmeen Abutaleb Updated August 22, 2022 at 2:20 p.m. EDT|Published August 22, 2022 at 11:00 a.m. EDT NY Times by Cheryl Gay Stolberg: Fauci Says He Will Step Down in December to Pursue His ‘Next Chapter’ MSNBC with Rachel Maddow (Rachel was extremely laudatory) August 23, 2022 NY Times Opinion piece by Gregg Gonsalves is really nice: OPINION GUEST ESSAY Anthony Fauci’s Retirement Marks the End of an Era , 5:00 a.m. ET PRESS: WTOP with Nick Iannelli; CNN “New Day” with Kaitlan Collins; WGN Bob Sirrott Show (Chicago Radio); Canadian Broadcasting Corporation (CBC Radio); FOX News “Live” with Neil Cavuto; BBC Newsnight TV; NPR “All Things Considered” with Mary Louise Kelly August 24, 2022 The number of texts and e-mail of thanks and praiseupon the announcement of my stepping down are stunning, ranging in the several hundreds. I am getting truly exhausted trying to answer all of them. ----- NEWS CLIPPING — WASHINGTON POST — CONDENSED (1 SOURCE PAGE) “Jill Biden rebounded after a course of Paxlovid just the way I did!! -------- Cases slowly (very slowly) coming down: Very nice article about me and retirement in Nature: ‘He has saved countless lives’: US…” Perspective by Robin Givhan Senior critic-at-large|Follow August 23, 2022 at 7:10 p.m. EDT With all of the praise and adulation that I'm getting from so many sources, the far right GOP keep saying that they're going to investigate me after I stepped down even though there's absolutely nothing to investigate me about; they are looking very mean spirited. August 25, 2025 Interesting cartoon in Washington Post concerning my stepping down: We are really not coming down in cases/hospitalizations/ or deaths very sharply. We seemed to have hit a plateau with a very slight trend downward. United States • Total Cases: 93,777,133, 7-Day average: 90,676 (-6.7%) • Total Deaths: 1,037,281 7-Day average: 390 (-11.6%) • Total new hospital admissions: 5,198,924 7-Day average 5,614 (-6.6%) Worldwide [Source: WHO] - most recent day • Total Cases: 596,119,505 (829,163 new) • Total Deaths: 6,457,101 (2,564 new) ------- In Science indicating how Tucker Carlson was ranting about me after hearing of my stepping down: Almost everything Tucker Carlson said about Anthony Fauci this week was misleading or false Science fact-checks the Fox host’s rant against “Saint Tony,” who announced his retirement on Monday • 25 Aug 2022 • 6:10 PM By Jon Cohen Tweet from Bill Gates: Tony, you were an amazing public servant long before COVID-19 struck – and now you are a hero to millions of people, including me. npr.org Fauci to step down in December after decades of public service Dr. Anthony Fauci helped guide the U.S. through the COVID crisis, and earlier in his career played a key role in the response to AIDS. He has served under seven presidents. The Soapbox Quoting the New Republic: We May Never See Another Lifelong Public Servant Like Anthony Fauci In a distinguished government career spanning more than half a century, he expertly steered America through two devastating pandemics. But given how Republicans have maliciously attacked him, why would anyone want to follow in his footsteps? PRESS: Bloomberg News with David Westin; Spectrum News Los Angeles with Giselle Fernandez; August 26, 2022 Dan Diamond story in the Washington Post: Health House panel: Trump sought to pressure FDA on covid vaccines, treatment The report offers fresh details about that campaign and how it rattled agency officials. This panel report documents the attempts of Peter Navarro and Hatfill to undermine me and get me fired since I pushed back on Hydroxychloroquine: https://coronavirus.house.gov/sites/democrats.coronavirus.house.gov/files/2022.08.24%20The%20Tru mp%20White%20House%E2%80%99s%20Relentless%20Attacks%20on%20FDA%E2%80%99s%20Corona virus%20Response.pdf PRESS: London Times Radio with Carole Walker; Gray TV interview; August 29, 2022 Previous 2 days my daughters and partners were here for the weekend. Very slow with regard to COVID. Clearly people like John Moore (who is the most reasonable) and Paul Offit (not so much) are pushing back on the drive to boost people in September with the “updated” BA.5 bivalent since they say that boosters are not needed (Offit) or that the original vaccine is as good as the bivalent (Moore) Ashish Jha called me today asking advice on when to give the POTUS the bivalent BA.5 boost. I told him 3 months after his recent infection. Same for the First Lady. ------- Monkeypox cases starting to plateau – probably a combination of behavioral modification + vaccine availability: Statement from Tedros: Then, on my friend, Tony, Tony Fauci. We have been friends for many years. I respect him dearly and greatly. He’s an incredible scientist, amazing human being and congratulations to him for all the job that he has done. I know retirement doesn’t mean he will stop working. Retiring for him is like changing a tyre, meaning another mission, and I look forward to continue working with him closely through other things he will, I know, continue to do. So, I wish him all the very best. Tony is so special and everybody knows, I think. With COVID, we are still doing worse with deaths than any other country: PRESS: Interview with Swiss newspaper -Finanz und Wirtschaft; August 30, 2022 USG (FDA) getting ready to issue EUA for BA.5 bivalent boost PRESS: JAMA Interview with Editor-in-Chief Kirsten Bibbens-Domingo; August 31, 2022 NY Times Opinion piece by Ari Schulman (rather critical of me): Why Many Americans Turned on Anthony Fauci

Email exchange between Ron Klain and me regarding the above: From: Klain, Ronald A. EOP/WHO <RK.COS@WHO.EOP.GOV> Sent: Saturday, September 3, 2022 7:31 PM To: Fauci, Anthony (NIH/NIAID) [E] <afauci@niaid.nih.gov> Subject: [EXTERNAL] Re: yearly vaccine No worries Tony. My concern is that we have so much Covid fatigue in the country, so little take up of fourth shots, we just need to try something new. I cannot stomach a winter of back to 2000 deaths a day. We have to find a way to get people to take the new shot — I think annual vaccine is a good message but you know best. Whatever whatever we can do to get big take up on this new bivalent — it’s our only real hope to not have a third winter of death. Bless you for all you are doing to help this effort. Sent from my iPhone On , at 5:04 PM, Fauci, Anthony (NIH/NIAID) [E] <afauci@niaid.nih.gov> wrote: Ron: I just spoke with Dori about your concern that I did not mention the planned strategy of a yearly updated COVID vaccine for most of the population in the PBS (Judy Woodruff) interview. As you probably know, I clearly mentioned this strategy in the CNN Interview and the MSNBC interview earlier in the day. I was planning on mentioning it in the PBS interview, but then she steered he conversation towards resources available for the distribution of the updated vaccines. I was hoping to get back to the subject to bring up the yearly issue, but then towards the end of my last comment they said in my earpiece that we were done. I probably should have squeezed in the concept earlier when she asked “who should get it and when”. Sorry. Thanks, Tony Anthony S. Fauci, MD Director National Institute of Allergy and Infectious Diseases Building 31, Room 7A-03 31 Center Drive, MSC 2520 National Institutes of Health Bethesda, MD 20892-2520 Phone: (301) 496-2263 FAX: (301) 496-4409 E-mail: afauci@niaid.nih.gov

United States • Total Cases: 94,888,931 7-Day average: 70,488 (-18.8%) • Total Deaths: 1,043,921 7-Day average: 314 (-28.1%) • Total new hospital admissions: 5,267,624 7-Day average 4,620 (-10.5%) Worldwide [Source: WHO] - most recent day • Total Cases: 603,711,760 (472,582 new) • Total Deaths: 6,484,136 (1,277 new) MPX cases continue to come down globally and in USA (see graph below). We are having trouble getting supplemental funding from Congress to vaccinate a wider group of moderate risk people suchas commercial sex workers, prisoners, trans people, etc. I have been pushing for elimination of MPX with wider vaccination and ring approach as opposed to elimination. NEWS CLIPPING — USA TODAY — CONDENSED (1 SOURCE PAGE) “Had a wonderful evening last night going with Chris to a concert by Dionne Warwick at the Warner Theater in DC. Met her after in her dressing room. Lovely woman. Marc Siegel wrote a very…” Opinion columnist Had a wonderful evening at the Library of Congress at a function sponsored by Catherine and Wayne Reynolds. The featured people at the dinner who were Jimmy Page (Creator and lead guitarist of Led Zeppelin) and his wife poet Scarlett Sabet who sat at my table. Jimmy and Scarlett were absolutely wonderful and people and creative artists. Jimmy now collaborates with Scarlet on making albums of her recited poems.

I have always thought that Bob redfield was somewhat of a bizarre personality and his history dating back to his time at Walter Reed has proven that. But I didn't think that he was as crazy as he is now manifested by an interview he gave with a totally weird person Paul Thacker in which he condemned Francis Collins and me I think we're the first ones beginning this award for misleading the American public and for lying to the American public and even accusing me of lying under oath at a congressional hearing.It is truly unfortunate that as a former CDC director he has stooped so low as to get into the conspiracy theory space: Former CDC Director Robert Redfield On Inside Battles WithAnthony Fauci, And Why Classified Information Will Point to aLab Accident in Wuhan ROBERT REDFIELD: DICHRON INTERVIEW Paul D. Thacker Sep 15 -------- The Lancet report on COVID by a panel chaired by Jeffrey Sachs has recently come out and inappropriately equated the possibility of a lab leak with that of a natural occurrence of the virus. There has been an uproar among the biology community against Jeff who apparently removed from the panel anyone who felt strongly about the natural occurrence and actually went on a podcast with Robert F Kennedy, Jr talking about how the lab leak was likely the cause even though there is absolutely no evidence to indicate this. Prominent virologists including Angela Rasmussen and Peter Hotez have come out very strongly condemning Jeff saying that he should have been removed as chair on the basis of his strong prejudice and certainly on the basis of his allying himself with Robert F Kennedy junior. This is another example I believe of Richard Horton the editor of Lancet trying to get involved in controversial issues which bring attention to his journal. This is not the first time he has done this: Major Covid report suggests virus The Telegraph: could have leaked from a US lab The Lancet’s paper said it is ‘feasible’ that Sars-Cov-2 emerged from a natural spillover or a lab incident, but elements provoke backlash *****Truly an insane piece by Bob Redfield: Former CDC Director Robert Red PRESS: “Breaking Med” online interview with Michael Smith;

Chris and I had dinner over Ellen Sigal’s home together with Diana DeGette and her husband Judge Lino Lipinsky. It was an interesting conversation and part of the discussion was the fact that the GOP will probably haul me before their oversight committees and make a spectacle of the Wuhan, gain of function situation. Diana is the current Chair of the Energy and Commerce oversight committee and if the GOP wins the House, she will be the ranking minority member. This is very good for me but it doesn't completely shield me from there attacks which I need to be prepared for that will come either in the House with Jim Jordan et al or in the Senate with Rand Paul et al. They will likely treat me like they treated Hillary Clinton during the Bengazi Hearings.

I had to help clean up a bit of a mess today when the President casually said on a “60 Minutes” interview that the pandemic was over. I had a number of press today and certainly I got asked the question particularly on NPR about how this relates to the fact that all of us have been saying that we are still in the middle of a pandemic and 400 people are dying each day. I gave the explanation that it really is a matter of semantics and that the president was referring to the fact that the fulminant stage of the outbreak is no longer present since we were experiencing 800,000 cases a day and over 3000 deaths per day several months ago and the situation is very different now. However, I did emphasize that we are still in the middle of a pandemic. It is likely that there will be another wave of infections in November: Variant report 2022-09-14 A variant wave is likely to start in at most 3 months The BA.2.75 sublineage BA.2.75.2 (S:346T, S:486S, S:1119N) currently doubles in share every week (+80120%). It made up between 0.1 and 0.5% in samples from two weeks ago in Europe (in Asia, North America and Oceania, the share is higher at between 0.5-5%). • Global Cov-Spectrum query • Europe Cov-Spectrum query If this growth trend continues, this variant will dominate in about two months. At this point, the growth advantage would manifest in increased overall growth in incidence and a variant wave would start around November - on top of the expected seasonal acceleration of transmission. The growth advantage over resident BA.2 or BA.5 lineages is of the same order of magnitude as was the case when BA.5 displaced BA.2, which was sufficient to cause a summer wave. Currently, BA.2.75.2 is the fastest growing lineage with more than 350 sequences available. The rest of this report will focus on other lineages that may end up growing faster than BA.2.75. PRESS: Canada TV “The Agenda” with Steve Paikin; NPR “The World” with Marco Werman;Podcast with Steve Morrison at CSIS; MiddleEast Broadcast Interview (TV); Rural Health Matters TV with Dr. Jeffrey Gold;

Had a great dinner last night at my home with Tom Frieden and Chris. Tom is the president and CEO of Resolve to Save Lives, In the organization he formed with the financial help of Michael Bloomberg and Mark Zuckerberg. It was a very interesting evening and I got a lot of information of what it is like to leave the federal government as he did when he left the CDC and to go out on your own in a new adventure. Tom has always been a good friend and emphasized how much I helped and supported him in the CDC when he was the director. Amazing that Mbeki is still spoutin AIDS-denialism. He is currently Chancellor of a university in RSA (Unisa): TAC slams Mbeki for repeating his 'HIV denialist' views, demands apology Terrific podcast of TWIV with Vince Racaniello who interviews Eddie Holmes who vigorously defends me regarding the famous teleconference. He says that I have been terribly unjustifiably vilified when I should be commended for my behavior during that phone call: TWiV 940: Eddie Holmes in on viral origins

United States • Total Cases: 96,052,716 7-Day average: 47,112 (-13.1%) • Total Deaths: 1,053,173 7-Day average: 344 (-6.7%) • Total new hospital admissions: 5,353,767 7-Day average 3,733 (-7.4%) Worldwide [Source: WHO] - most recent day • Total Cases: 613,942,561 (460,497 new) • Total Deaths: 6,520,263 (1,248 new) We had the deputies meeting in the SCIF today on Ebola in Uganda led by the White House National Security Council. This was preceded by a preparatory meeting among the HHS team led by Andrea Palm. During that meeting Andrea got very upset with Henry Walke and Rochelle of CDC Because they were falling into the same trap as they did with COVID when they were indicating that they will likely go into slow walk the availability of diagnostics. It seems that the CDC just has not learned a lesson at all about the catastrophe regarding the availability of diagnostics during COVID. During the meeting with the deputies, my role was to tell them about the 100 doses of the Sudan ebola vaccine that we have at the VRC. it was a lot of discussion about everything from isolation to travel to availability of interventions to dealing with the Ugandans. There are currently no cases outside of Uganda in cases have been confined to four provinces in Uganda. There was a concern that the neighboring countries of Rwanda and DRC are vulnerable. Also, there was considerable discussion about how we would handle the entry of potentially or actually infected patients from Uganda into the country. Approximately 140 people a day fly in to the United states indirectly from Uganda since there are no direct flights from Uganda to the United States. JAMA news article by Len Strazewski: Dr. Fauci stood up for science when it counted. What’s next? Other variants are starting to evolve such as BA.4.6, BF.7 and BA.2.75.2:

We had multiple zooms today (with HHS folks) that will culminate with a briefing of secretary Becerra on the evolving situation of Ebola in Uganda. I brought up in the premating the consistent difficulties that we have with WHO who always want to actually design the protocols and then have organizations like NIH or CDC be the implementers of their protocols. This arrogance lies fundamentally with Anna Maria Restropo who has clashed frequently with Cliff Lane in prior Ebola situations dating back to 2014. We shall see how all of this plays out. Currently, there are 30 confirmed cases of Ebola in Uganda and more than 20 probable cases. In the zoom meetings we discussed all of the things that we discussed in the past when ebola struck West Africa and DRC. This has to do with the availability of testing, with the issue of travel into the country of people who might be infected with ebola, as well as our role in supplying vaccines testing and therapies in the form of monoclonal antibodies and other drugs to the Ugandans. More to come. Becerra backs my concern about the WHO trying to dictate the design of clinical trials. I referred to Anna Maria Restropo without mentioning her name. Becerra gets it.

BU admits that they did the experiments on their own and did not use NIAID funds. Stll ongoing discussion whether this was actually GOF since fewer mice died. In any event, we are clear of this. Presented for the last time as NIAID Director to the Executive Committee of IDSA at the Marquis Marriott Hotel in DC PRESS: CBS TV News;

Important history of women accusing me of sexual misconduct. This is well-documented in the attached document: FAKE NEWS She Said Anthony Fauci Sexually Assaulted Her. Now She Says Jacob Wohl and Jack Burkman Paid Her to Lie. After failing to frame Robert Mueller, Elizabeth Warren, and others for sexual misconduct, the infamous Trumpster hoaxers tried to go after Fauci. But the woman they hired to play the victim had second thoughts. NANCY ROMMELMANN | 5.7.2020 11:00 AM Share on FacebookShare on TwitterShare on RedditShare by emailPrint friendly version https://reason.com/2020/05/07/she-said-a nthony-fauci-sexually-assaulted-her-now-she-saysjacob-wohl-and-jack-burkman-paid-her-to-lie/ I'd just finished Saturday morning's second cup of coffee when an email popped through, subject line: "Exposing Jacob Wohl and Jack Burkman." "Hi Nancy, I hope you are having a nice weekend. I feel very bad about lying to you and others about Dr. Fauci. I took it upon myself to call Jacob Wohl and Jack Burkman and record them (see attached)… Many thanks and again, I feel very bad about all this. I apologize to you, the other reporters and Dr. Fauci." The writer of the email identified herself as Diana Andrade. I had never before emailed with Andrade, but had spoken with her 10 days earlier, when I knew her as "Diana Rodriguez." At that time, Rodriguez alleged that when she was 20 years old, in 2014, she'd been sexually assaulted by Dr. Anthony Fauci, the director of the National Institute of Allergy and Infectious Diseases and one of the most visible faces in the government's response to the COVID-19 pandemic. For those lucky enough to be unfamiliar with the exploits of Wohl and Burkman, they are pro-Trump provocateurs who've found a niche drumming up fake sexual harassment allegations that end comically badly, including against former FBI Director Robert Mueller (who turned out to have been serving jury duty the day he was supposed to have committed the assault) and Democratic Sen. Elizabeth Warren (the press conference for which took place on Burkman's stoop, and whose supposed victim was a 24-year-old Marine).* Being on the receiving end of an allegation of sexual misconduct is now a rite of political passage—a perverse sign you've made it. Fauci's star rose in March as he appeared at COVID-19 briefings day after day, outshining President Donald Trump and occasionally knocking the president's pronouncements out of the headlines. Here, then, was an opportunity for Wohl and Burkman to take down the newest of Trump's perceived enemies, to maybe become favorites in Trump's actual orbit. On the chance it would cause their own star to rise, they would move Fauci toward irrelevancy, if not infamy. The rollout of their latest smear job was a fiasco, a series of "media alerts" announcing press conferences with no start times, never mind that neither the public relations contact nor the company she worked for appeared to exist, and a "statement" from Rodriguez so breathless it seemed intended to steam up the windows. (Not for nothing, Sally Quinn recently confessed she based a thinly veiled D.C. heartthrob in her 1991 bestseller Happy Endings on Fauci, so Wohl and Burkman aren't the first to write this particular fan fiction.) "He looked rich and powerful, and I love smart men with grey hair. He told me all about his fantastic career in medicine, so I went upstairs," Rodriguez wrote of her fictional meeting with Fauci at the bar of the Four Seasons Hotel in Washington, D.C. After detailing some ineffective hotel bed wrestling and managing to flee with her honor intact, Rodriguez closed with the statement, "Now, when I see him on TV touted as some kind of hero, I want the nation to know the truth. This is my truth. This is my story." It was all in a league of its own weirdness, a collision of Harlequin romance and #MeToo. Nevertheless, several journalists called into a conference call to hear Rodriguez's story. We were treated, instead, to Wohl and Burkman on the line, stating they'd on the fly been invited to represent Rodriguez, who haltingly told a story that varied significantly from the media alert and, when questioned for clarification, was talked over by Wohl. "People come forward against figures that are considered media darlings with very credible allegations and are attacked by the media," he told us. "And you see the same sort of victim-blaming here." He and Burkman then tried to dissemble past there not being one verifiable fact or person in their latest confection, implausibly invoked the name of Kevin Spacey as someone who would speak for their client, and confirmed for reporters that the original location of the press conference had been at the Chinese Embassy. "They were kind enough to offer the venue and there's not a lot of open venues these days," said Burkman during the call. (He had "a contact there.") It was all beyond absurd, and when the reporters finally stopped laughing, one asked, "Can you just tell us you're pulling a prank here?" With the exception of The Daily Dot, which covered the claim only to debunk it, no outlet touched the story. There was no there there, and while it might've been instructive to show readers how the rancid sausage is made, did we want to give these charlatans more sunshine, especially in light of Fauci leading the battle against a deadly pandemic? And that would have been that—until Saturday's email, which included Andrade telling me, "The reality is that I've known Jacob since 2018 and that he charmed me into taking money to do this (see attached picture of us together)," taken when they were romantically involved. Also, that Wohl and Burkman "had me do something like this…back in January." "And I understand they're trying to get another girl to do it, too," she writes. "They asked me if I knew anyone to do it." Andrade was correct. The day before, I'd received another press release, this time from Burkman, citing a new accusation by "Karen Draper," a "former assistant" of Fauci—a person and claim almost certainly as vaporous as the last. Why did they keep trying the same scam when they were clearly so bad at it? "They are interested in one thing: power," Andrade writes. Sure, but how could such buffoonery be perceived as power? Were they so desperate to catch Trump's eye they would pounce on anyone garnering public adulation, something the president was temperamentally unable to abide? And was there any upside to the rest of us knowing what animates a couple of amateur dirty tricksters, wannabe Roger Stones minus the charisma and connections? Andrade, having been in the muck with these two, thought people should know. She had not acted nobly—and had taken money for not acting nobly— to try to bring down a man she had never met. Disgust with the enterprise made her want Wohl and Burkman to admit what they'd put her up to. The deciding factor to get them on tape, however, was Wohl asking her to provide another girl. "I ignored his inquiry about this," she writes. "But it led me to feel like I needed to blow the whistle." *** During the nine-minute, 35-second call, Wohl and Burkman do not cover themselves in glory. They hector Andrade when she says she's feeling paranoid and wants reassurance that everything's fine. "What could be wrong, Diana?" Wohl asks. "You did a good job, you got paid. What's the problem? What seems to be the issue? You're freaking out. You're texting me late at night. What's the issue?" "What's the problem? What's your problem?" echoes Burkman. "Tell me what the problem is? What's your problem?" She says she's uncomfortable with the money they gave her, some guy showing up, claiming to be a lawyer, with his face hidden by a cap. "Is he even a real lawyer?" she asks. "I looked him up." "Yeah, he's a real lawyer," Wohl says. "He's a good lawyer," and then goes on to brag about that lawyer's White House connections. It's possible that a White House–connected lawyer might have hand-delivered five figures in cash to Andrade in Los Angeles. It's also possible Wohl made up the whole thing. But she says she did get the money, and Wohl and Burkman are clearly eager to imply that they are intimate with Team Trump. The cloaks and daggers might have been discomfiting, but ultimately were a distraction from what Andrade wanted on tape. She proposes she give back the cash and instead receive a wire transfer (thus creating a trace), a proposition Burkman shoots down. ("Cash is best," he tells her. "We don't want any records of this nonsense.") She wants the men to admit they are trying to bring down a person who in no part deserves it. "Let me tell you something, Diana," says Burkman. "This guy shut the country down. He put 40 million people out of work. In a situation like that, you have to make up whatever you have to make up to stop that train and that's the way life works, OK? That's the way it goes." Andrade counters that he and Wohl are not taking COVID-19 seriously. "It's not just any virus. I mean, it's a huge deal….I think you guys think it's something made up, and it's not." "Mother Nature has to clean the barn every so often," Burkman counters. "How real is it? Who knows? So what if 1 percent of the population goes? So what if you lose 400,000 people? Two hundred thousand were elderly, the other 200,000 are the bottom of society. You got to clean out the barn. If it's real, it's a positive thing, for God's sake." "So, what? Survival of the fittest?" Andrade asks, a bit more pique in her voice. (The sense you are dealing with people who have an enthusiasm for eugenics can do that.) But Wohl's not having it. "Diana, look, can you just do this for me?" he says. "Can you just keep your mouth shut and just…just do it for me." "Oh Jacob, come on," she says. "You have a way of charming people…and there are a lot of things I don't want to say in front of Jack but I am so done with you. I do not want to deal with this anymore. I think you're actually an evil person…you're just, you're just so charming until you get me cornered. I don't know how you do it, but you find a way to make me go along with your little plans." At this, the men talk over each other, telling Andrade she "readily volunteered" and asking who cares if she "made up a story. Grow up, for Christ's sake." And those harassing phone calls she's started getting since the conference call? "Probably telemarketers," Wohl tells her. Shortly afterward, Andrade ends the call. Then she emails me. *** "I'm sure you noticed I wasn't following the script," she says, after our first email, with regard to the story told on the conference call not lining up with the press statement. Yes, I say, it was pretty bad. There was "no preparation!" she says. Jacob "just told me, because he knows my other story, he just said, 'Use the same stuff.'" The "same stuff" is a reference to a sexual assault Andrade says she experienced when she was just out of high school, when she was attacked in a car by a much older man. The incident caused her shame, both having been assaulted by someone she barely knew but thought she could trust and also "because I lied to my mom about where I was when this happened." "For many reasons, I couldn't talk about it," she says, but she had told Wohl, back when they were involved. It had made him angry on her behalf, and this past January, he had made her an offer. "He said, 'Well, you know you don't want to talk about this, but maybe this could be another way of talking about it.'" He then asked her to recraft her experience into an accusation against an Academy Award–winning actor. He, Wohl, would pay her to do it. "He said, 'We actually need someone like this, and maybe it'd be good practice for you to be able to talk about this,'" she recalls. "'Just talk about how you feel about the real thing, but take it out against this other person.'" Andrade made the accusation. She never knew why Wohl wanted her to do this, and the story never gained traction. Wohl then had her try again with Fauci. Another strikeout. As feeble as they are at pulling off these cons, Wohl and Burkman appear to appreciate what a powerful motivator shame can be and how it has been used traditionally to keep women quiet. They have refashioned #BelieveAllWomen into a tool for their own purposes, including in their most recent media alert about the press conference, called for this Friday, for alleged Fauci victim "Karen Draper." "This is becoming a disturbing pattern, and the left-wing media has no interest in letting women speak their truth," Burkman wrote in the press release. "I'm hopeful that Karen will be able to tell her story and help bring this troubling series of events to light." "I don't know how they do all these things and why they do all these things," Andrade says. "Also, he tried to frame Mueller…I'm like, how is he not in jail?" Reached by email for this story, Wohl responded "no comment" and Burkman replied only: "We stand by Diana and her allegations." Even Andrade herself has been vague on some details of her own biography, adding another layer of obfuscation and mystery to an already fantastical narrative. I ask Andrade if she'd ever considered that Wohl might blackmail her by exposing the assault she experienced. She says she does not think he will, and that despite what he'd roped her into she "still wishes good things for Jacob." But there was one thing she did wonder, in light of his attempts to bring down Mueller and Fauci. "I don't understand," she says, "how he doesn't get in trouble." *** Maybe it was the noncommittal murmurs Andrade had started to make, but a little more than seven minutes into the taped call, something seemed to occur to Wohl. "You haven't talked to anybody, have you?" he asked. "Mm," said Andrade. "No one, no one, Diana," he said. "I think it's the weekend; you're bored, you're worked up. Can you sit on this for the weekend? Don't talk to anyone about this. Not your parents, not anyone, and it'll be fine." "And is Dr. Fauci fine?" she asked. "I mean, is everything going to be fine with him?" With adversaries as chaotic and inept as Wohl and Burkman, the answer seems to be yes. *CORRECTION: The original version of this story said Sen. Elizabeth Warren's accuse PRESS: CNN with Kate Bolduan;

I went to Boston yesterday to do a fireside chat with Peter Staley at the Harvard Kennedy School Institute of Politics. It was a record crowd of students from Harvard who are literally overwhelming in their enthusiasm and response to me. Among the students and present in the audience were Larry Summers (former President of Harvard and former Secretary of the Treasury) and Bill DiBlasio (former Mayor of NYC). Had dinner with Jenny in Cambridge and she was radiantly beautiful! COVID down in children: I was part of a tribute to Larry Kramer where a Medallion describingwas placed at the front of 2 Fifth Avenue the apartment in Greenwich Village near Washington Square Park where Larry lived since 1973 Every day there is more conspiracy theory disinformation about me: They had a Fauci “look-alike” contest in Florida with a prize being a weekend at an exclusive Inn: THE AVENUE | LIFESTYLE Dr. Anthony Fauci look-alikes take over downtown Gainesville 7 contestants pretended to be the president’s chief medical advisor By Jiselle Lee • October 27, 2022 | 2:19pm EDT PRESS: Joe Madison Sirius XM Radio; Frank Ski Show – Frank Ski and Nina Brown (Georgia/DC radio); Midday Flavor Radio (Alabama) with Jimmie Doctrie; WVON Morning Show (Chicago) with Rufus Williams; Epicenter NYC Jeanne Pinder Podcast;

I received the call today from David Ho who had recently published a preprint article showing that the neutralizing antibody response against the BA4/5 variant induced by the bivalent BA 4/5 boost versus the ancestral strain boost were essentially equivalent, namely, the BA4/5 bivalent boost was no better than the standard boost. Last night, I heard from Pfizer in a zoom call with Jha and all of HHS (Walensky, Murthy, Kessler and my team at NIH) that in their experiments there was a fourfold higher titer associated with the boost by the bivalent BA4/5 compared to the boost with the ancestral strain. Pfizer claims that their study was controlled whereas the studies by Ho and Barouch were not and the numbers were small. David Ho called me today and emphasized that the combination of numbers of his study and Barouch's study made them equivalent in size to the Pfizer numbers. In addition, he made the important point that there were some discrepancies in the data that were in the press release from Pfizer which did not contain all of the data that made them concerned about the Pfizer data. In addition, David suggested that it is in Peter Mark's interest to agree with Pfizer since Pfizer confirms what his decision was about the BA4/5 bivalent boost. I do not know whether this is David Ho concerned that his data are not holding up or whether he has a very good point that Pfizer is not being totally above board with the presentation of their data. I will have to try to figure this out by discussing it with a few other people. I have already discussed it with Cliff Lane and he thinks that both of those studies don't definitively show the answer since they both have weaknesses. Cliff recommends that the data undergo significant statistical analysis. HOWEVER, Eric Topol reviews the different studies: Great put down of the HELP Report in LA Times: Column: ProPublica and Vanity Fair are pushing the COVID lab-leak theory, but their exposé is a train wreck BY MICHAEL HILTZIKBUSINESS COLUMNIST NOV. 1, 2022 1:15 PM P BQ.1 and BQ.1.1 continues to overcome BA4/5: PRESS: CBC TV “Rosemary Barton Live”;

Just for the record here is the full story on Connally whom Brett arrested: S. Attorneys » District of Maryland » News SHARE Department of Justice U.S. Attorney’s Office District of Maryland FOR IMMEDIATE RELEASE Thursday, August 4, 2022 Man Who Made Threats Against Dr. Anthony Fauci and Other Federal Officials Sentenced to Over Three Years in Federal Prison Greenbelt, Maryland – U.S. District Judge Paula Xinis sentenced Thomas Patrick Connally, Jr., age 57, most recently of Snowshoe, West Virginia to 37 months in federal prison, followed by three years of supervised release, for making threats against a federal official, specifically for sending emails threatening harm to Dr. Anthony Fauci, the current Director of the National Institute of Allergy and Infectious Diseases at the National Institutes of Health (NIH). Connally further admitted threatening Dr. Francis Collins, the former Director of the NIH, Dr. Rachel Levine, currently the Assistant Secretary for Health at the U.S. Department of Health and Human Services, as well as a Massachusetts public health official and a religious leader. The sentence was announced by United States Attorney for the District of Maryland Erek L. Barron and Deputy Inspector General for Investigations Christian J. Schrank, Office of Inspector General of the U.S. Department of Health and Human Services. “Everyone has the right to disagree, but you do not have the right to threaten a federal official’s life,” said U.S. Attorney for the District of Maryland, Erek L. Barron. “Threats like these will be prosecuted to the fullest extent of the law.” “Today’s sentencing shows that individuals threatening violence against federal officials and others will be held accountable for their crimes,” said Deputy Inspector General for Investigations Christian J. Schrank of the U.S. Department of Health and Human Services Office of Inspector General. “The public, including public servants, deserve the utmost safety and the assurance that they can perform their duties without interference. Our agency, working closely with our law enforcement partners, will continue to bring those who threaten violence to justice.” According to Connally’s plea agreement, from December 28, 2020, to July 25, 2021, Connally used an anonymous email account from a provider of secure, encrypted email services based in Switzerland, to send a series of emails to Dr. Anthony Fauci, the current Director of the National Institute of Allergy and Infectious Diseases (“NIAID”) and the Chief Medical Advisor to President of the United States, threatening to harm and/or kill Dr. Fauci and members of his family. One of the emails threatened that Dr. Fauci and his family would be “dragged into the street, beaten to death, and set on fire.” On April 24, 2021, alone, Connally sent seven threatening emails starting at 10:05 p.m. As detailed in Connally’s plea agreement, also on April 24, 2021, beginning at 9:34 p.m., Connally sent Dr. Francis Collins, the then-Director of the NIH, a series of four emails threatening Dr. Collins and his family with physical assault and death if Dr. Collins did not stop speaking about the need for “mandatory” COVID-19 vaccinations. As stated in his plea agreement, Connally admitted that he sent the threats to Drs. Fauci and Collins with the intent to intimidate or interfere with the performance of their official duties and with the intent to retaliate against Dr. Fauci and Dr. Collins for performing their official duties, including discussing COVID-19 and its testing and prevention. Connally also admitted sending emails threatening harm to three other individuals. Specifically, on November 24, 2020, Connally sent a series of six threatening emails to Dr. Rachel Levine, then Secretary of Health for the State of Pennsylvania, at Dr. Levine’s email account at the Pennsylvania Department of Health. The subject lines and body of the emails threatened Dr. Levine with physical violence and death. Similarly, on August 31, 2020, Connally sent an email threatening physical violence and death for a public health official in Massachusetts. Finally, on April 21, 2021, Connally sent a series of four threatening emails to four individuals who work for a religious institution in Newark, New Jersey. The four emails threatened physical violence and death to a religious leader at the institution. Investigation revealed that the anonymous encrypted email account was associated with Connally. On July 27, 2021, law enforcement arrested Connally in Snowshoe, West Virginia, and executed a search warrant at his residence as well as on his vehicle, seizing five laptops and two cellular telephones which belonged to Connally. United States Attorney Erek L. Barron commended the HHS OIG for its work in the investigation. Mr. Barron thanked Assistant U.S. Attorneys Rajeev R. Raghavan and Jessica C. Collins, who prosecuted the federal case. For more information on the Maryland U.S. Attorney’s Office, its priorities, and resources available to help the community, please visit https://www.justice.gov/usao-md/communityoutreach. # # # Topic(s): National Security Component(s): USAO - Maryland Contact: Alexis Abbott 301-344-4342 Crazy RFK, jr. has now made a film trashing me. In addition, other far-right crazies have also made a film. See below: Anthony, If you missed the first part of End Game, don’t fret. There is good news. Revealed Films has flipped the switch and made the part two live! It’s the most timely and critical opportunity for you to watch. But it won’t be up for long before it expires, so don’t wait on this one. Tonight starts out with: Dr. Zach Bush! He’s one of the rare triple board-certified physicians in the U.S., and he’s known for his deep medical knowledge, research, and practices... Because he’s right, and they work. He answers some deep questions… What are the chances of healing the self-inflicted wounds to the human race from decades of poor choices? Pay attention to when he answers these two questions: Can we learn from our mistakes? • Are we capable of changing our future? • The history of human behavior paints a clear picture of our potentially devastating future. Don’t fret, he’s got answers, and they’re brilliant! The next guest is an elite among the elites: Larry Yatch, a former Navy Seal Commander turned successful business mentor and coach, lays out the exact plan that you should have to keep your family safe. Before you start to think that his interview consists ONLY of him teaching you how to fight and the skillset to survive in harsh conditions... guess again. Catch it all here... We’d hate for you to miss out, so CLICK HERE to start watching right away. Remember, you have the next 24 hours to watch for free… so don’t wait too long or it’ll be gone. With appreciation, The Real Anthony Team If you happen to purchase anything Jeff Hays Films recommends, in this or any of our communications, it’s likely we will receive some kind of affiliate compensation. Still, we only recommend stuff that we truly believe in and share with our friends and family. If you ever have an issue with anything we recommend please let us know. We want to make sure we are always serving you at the highest level. 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They also prevent you from having to re-enter your preferences on certain areas of the Site where you may have entered preference information before. The Site also may use web beacons (single-pixel graphic files also known as “transparent GIFs”) to access cookies and to count users who visit the Site or open HTML-formatted email messages. We use the information we collect from you while you are using the Site in a variety of ways, including using the information to customize features; advertising that appear on the Site; and, making other offers available to you via email, direct mail or otherwise. We also may provide your information to third parties, such as service providers contractors and third-party publishers and advertisers for a variety of purposes. 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The Site also includes links to other websites and provides access to products and services offered by third parties, whose privacy policies we do not control. When you access another website or purchase third-party products or services through the Site, use of any information you provide is governed by the privacy policy of the operator of the site you are visiting or the provider of such products or services. Had my usual Zoom meeting with Sir Chris Whitty from UK. WE have become longdistance friends over these couple of years. He mentioned that I have the support of the UK and global medical and scientific community. I should definitely include a discussion about my relationship with Chris and with Patrick Vallance in the book. PRESS: Global News Canada (TV);

I had my 7 hour (on the clock) deposition by lawyers for the Missouri Vs Biden plaintiffs. It showed up as spectators as the plaintiff’s lawyer John Sauer questioned me for seven hours. I had been well prepared for the previous few days by the DoJ lawyers including Adam Kirschner and Josh Gardner as well as Amanda Chuzi Anant Humar, Brian Netter and HHS council Chris Hammond. Although this was supposed to be on the topic of the Biden administration including me interfering with free speech by influencing the social media platforms to not allow opinions differing from our own to be put on social media, very many of the questions were directed at things unrelated to that including the origins of COVID, the Wuhan grant, Peter Daszak, my position on masking, and a variety of other issues that the Congress has been concerned about. I must say I did extraordinarily well and the DOJ lawyers said that that was one of the best performances and the deposition that they have ever seen.

I received a call yesterday from Dori Solcido and a similar call last night from Ashish Jha telling me that Ron Klain was upset mostly at Ashish for indicating in interviews that we could expect a mild winter. Ron was concerned that we should not be in the business of predicting lack of severity of COVID for this winter because if we have a bad winter with COVID then confidence in the government would diminish. Ron has a point there, but I'm not sure exactly what Ashish said. According to Dori, the New York Times made it look like Ashish was saying that we don't need to worry very much over the coming winter. I know as a fact that that is not what he said but he is a bit in the doghouse now with Ron because of that. This just goes to show you that no matter what administration you're in there is a great deal of sensitivity about messaging. Sunday shows went very well. Chuck, Margaret and Jonathan were very kind to me. Flurry of activity in the press following my apearances. Fauci says ‘we The Hill (Commenting on my “Face the Nation” appearance): need to keep the politics out of’ investigating COVID origins Fauci pushes The Hill (Commenting on my “Meet the Press” appearance): back on Pence remarks: ‘I don’t align myself with anybody’ Fauci on Covid lab Politico (Commenting on my “Face the Nation” appearance): leak theory: ‘I have a completely open mind’ PRESS: NBC “Meet the Press” with Chuck Todd (Exit interview); CBS “Face the Nation” with Margaret Brennan (Extensive Exit Interview); MSNBC “The Sunday Show” with Jonathan Capehart

A very touching tribute and “good-bye” to me by the AAI Council. I regularly for 38 years on an annual basis address the council here in Bethesda, they gave me a very warm last meeting with a prolonged standing ovation as I walked into the room. Terrific evening at Jeff Zients’s home. He had a reception on the occasion of making available online the tapes of conversations between Richard Stengel (Editor of Time Magazine) and Nelson Mandela. Mandela attended Jeff and Mary’s wedding as did Richard. Had nice conversation with Merrick Garland and I encouraged him that we have faith in his judgment and integrity to do the right thing regarding the issues with Trump. Also, finally saw in person Katy Kay who has interviewed me multiple times virtually over the years for the BBC PRESS: BBC New “American Politics” TV; IDSA Podcast with Carlos Del Rio; NBC “Nightly News” exit interview with Lester Holt; Interview with Medline Plus magazine; WTOP Exit interview Podcast; ABC Australian TV “7:30”; KNXV TV (ABC, Scripps, Phoenix)

We had our 9th annual meeting today with Bill Gates in the context of the NIH-Gates Foundation collaboration on multiple projects. In the course of the meeting they showed to my surprise film clips of Bill Clinton, Tedros, and Slim and Quarraisha Karim thanking me for my many years of service. I should comment here on the really close relationship that I've developed over the years with Bill Gates and the mutual respect we have for each other. We also joined by the common issue of the conspiratorial theorists out there who think that Bill and I are doing strange things like putting chips in the vaccines that we're trying to get them to receive. It's the source of fun jokes between Bill and me. Senator Richard Burr (R-NC) called me today to wish me well and to tell me how much he has enjoyed over the years working with me. He congratulated me for my “extraordinary service to our nation over decades”. Four astronauts visited the Clinical Center today and the Children’s Inn. The said that the one “must thing” that they wanted was to meet me and so I went over to the Medical Board meeting on the 4th Floor and met with and took photos with them: Thomas H. Marshburn, Kayla Barron, Matthias Maurer, Mark T. Vande Hei Just met with the German Minister of Health Karl Lauterbach who has become somewhat of a friend in that every time he is in DC he wants to come and see me. He values my advice and says that I am a “rock star” in Germany. Also, at the meeting was German Ambassador to USA Emily Haber. PRESS: CBC News Canada (TV); Washington Post Exit Interview with Blair Guild;

All of a sudden, Elon Musk has started to viciously attack me with tweets on Twitter: Many people are coming to my defense on tweets and some like Marjorie Taylor Green are approving of his tweets although Mark Kelly (astronaut) tweeted that I funded GOF research that killed millions of people: Elon Musk targets Dr. Anthony Fauci in viral tweet, drawing backlash - CBS News CBS News "My pronouns are Prosecute/Fauci," the Twitter CEO wrote on Sunday. Flag as irrelevant