FAUCI DIARY ARCHIVE — Monday, October 31, 2011
https://faucisdiary.com/diary/2011-10-31

Text below is verbatim from the released PDFs, with the original line breaks.
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DIARY ENTRY — Monday, October 31, 2011
Source: Diary Prequel, p. 257 of 2026.07.27_Diary-Prequel-.pdf
Words: 244
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Another WH (EEOB 430A) meeting regarding above topic. Chaired by
Gayle Smith. Also there was Amy Batson (USAID), Lois Quam, and Tom Frieden by
phone. Cold crisp day in DC. Fall is here! Again the tension between USAID goals
and PEPFAR goals become clear. USAID is trying to enhance their own agenda, which
in my opinion has failed with their spending millions on prevention messages that do not
work. They are trying to derail the PEPFAR “scale up by efficiencies” initiative. Ariel
is turning out to either be naïve or nefarious. I always heard that he was a good guy, but
he and USAID team keep insisting that the efficiency money should go either to a
broader GHI or to enhancing the non-treatment prevention agenda (PMTCT, AMMC,
condoms, etc.). The PEPFAR/Fauci/CDC agenda is to use the efficiencies to scale up
Tx from 4.2 million by 2013 to 6+ million by 2013. This should reach 8 million by 2015
without any additional funds. If you go to “blue Sky” of +$2.5 billion from 2013 to
2015, you will go from 8 million in 2013 to 10 million in 2015. The PEPFAR model
also assumes and enacts a maxing out of the non-treatment prevention modalities.
USAID disagrees and want to use efficiency money to favor non-treatment as Prevention.
This is what Ariel is saying. After meeting with Eric Goosby, Ariel seems more
convinced that the PEPFAR model may be OK. However, what does Raj Shah
think????