FAUCI DIARY ARCHIVE — Thursday, July 28, 2022 https://faucisdiary.com/diary/2022-07-28 Text below is verbatim from the released PDFs, with the original line breaks. ============================================================================== DIARY ENTRY — Thursday, July 28, 2022 Source: Tony's Diary Package, pp. 995–996 of 2026.07.24_Tonys-Diary-Package.pdf Words: 572 ------------------------------------------------------------------------------ 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. EMAIL — (no subject) From: Julia Tierney To: Robert Califf, Lawrence Tabak Sent: Thursday, July 28, 2022 at 10:41 PM Source: Tony's Diary Package, pp. 999–1000 of 2026.07.24_Tonys-Diary-Package.pdf ------------------------------------------------------------------------------ "O'Connell, Dawn (OS)" , Tony Fauci , Rachel Levine , Vivek Murthy , David Kessler , "Varrone, Michael (OS)" , "Roos, Jason (OS)" , "Mahon, Barbara (CDC)" , "Goldstein, Robert H (CDC)" , "Berger, Sherri (CDC)" , Peter Marks , "Marston, Hilary" 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