FAUCI DIARY ARCHIVE — Friday, August 13, 2021
https://faucisdiary.com/diary/2021-08-13

Text below is verbatim from the released PDFs, with the original line breaks.
==============================================================================

DIARY ENTRY — Friday, August 13, 2021
Source: Tony's Diary Package, pp. 846–847 of 2026.07.24_Tonys-Diary-Package.pdf
Words: 486
------------------------------------------------------------------------------
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;