FAUCI DIARY ARCHIVE — Monday, July 26, 2021
https://faucisdiary.com/diary/2021-07-26

Text below is verbatim from the released PDFs, with the original line breaks.
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DIARY ENTRY — Monday, July 26, 2021
Source: Tony's Diary Package, pp. 821–823 of 2026.07.24_Tonys-Diary-Package.pdf
Words: 321
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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.