Wednesday, April 21, 2021

Fauci, Alexander address reopening economy

WASHINGTON – Dr. Anthony Fauci said the novel coronavirus is unlikely to simply disappear, as President Donald Trump has repeatedly suggested, but that the country should be better prepared to deal with a second wave of the virus in the fall, if it arrives.

At a hearing of the Senate Health, Education, Labor and Pensions Committee on Tuesday, Sen. Bernie Sanders, I-Vt., asked whether the virus was likely to return in the fall or winter, even if there is a summer lull, as happened with the 1918 flu pandemic.

“I think that possibility does exist,” said Fauci, director of the National Institute of Allergy and Infectious Diseases.

Trump has suggested the virus might just disappear.

“This is going to go away without a vaccine,” Trump told Republican lawmakers on Friday. “It’s going to go away, and it’s – we’re not going to see it again, hopefully, after a period of time.”

But Fauci dismissed that notion.

“That is just not going to happen because it’s such a highly transmissible virus,” Fauci said. “Even if we get better control over the summer months, it is likely that there will be virus somewhere on this planet that will eventually get back to us.”

Fauci said better testing will be available by then to identify and trace who is sick and there will be time to stock up on emergency supplies.

“I hope that if we do have the threat of a second wave, we will be able to deal with it very effectively, to prevent it from becoming an outbreak not only worse than now, but much, much less,” Fauci said.

– Bart Jansen

Fauci says consequences may be ‘really serious’ if guidelines ignored

The consequences for states and communities that don’t follow reopening guidelines “could be really serious,” Fauci told the Senate Health, Education, Labor and Pensions Committee on Tuesday.

He was responding to Democratic Sen. Patty Murray’s effort to get him to expand to his comment that he planned to warn there will be “needless suffering and death” if the country reopens too quickly.

Fauci’s comments at the committee’s hearing on coronavirus were not as stark. But he emphasized that he’s repeatedly warned that if states skip over the various checkpoints the federal government has laid out, there will be new virus spikes that will lead to outbreaks.

In addition to waiting until cases have declined for at least two weeks before easing restrictions, communities also have to be capable of adequately responding when the virus inevitably returns, he said.

– Maureen Groppe

Fauci: Vaccine, treatment unlikely by start of school year

During a hearing on the coronavirus Tuesday, Sen. Lamar Alexander, R-Tenn., asked about the prospects for treatments or a vaccine to combat COVID-19 in time for colleges planning to start classes in August.

But Dr. Anthony Fauci, director of the National Institute of Allergy and Infectious Diseases, said no vaccine is likely in that time frame and a possible treatment has only been tested in hospitals.

“In this case, the idea of having treatments available or a vaccine to facilitate the reentry of students into the fall term would be something that would be a bit of bridge too far,” Fauci said. “Even at top speed that we’re going, we don’t see a vaccine playing in the ability of individuals to get back to school, this term. What they really want is to know if they are safe.”

Health officials said the key for students to feel safe in returning to school will be more widespread testing, to isolate students who get infected, and good health practices such as social distancing.

Adm. Brett Giroir, assistant secretary of Health and Human Services for health, said the current rate of 10 million tests per month could be expanded by 40 million or 50 million by September to provide more surveillance.

– Bart Jansen

Fauci says Remdesivir results ‘significant, but really modest’ 

In his opening remarks during a Senate coronavirus hearing Tuesday, Dr. Anthony Fauci, director of the National Institute of Allergy and Infectious Diseases, briefly described research being done on treatments and a vaccine for COVID-19.

While patients treated with Remdesivir recovered 31% faster, Fauci emphasized that the result was “statistically significant, but really modest.” The hope is to build on that modest success through a combination of drugs, he said during a meeting of the Senate Health, Education, Labor and Pensions Committee, which is considering how and when to reopen the U.S. economy during the coronavirus pandemic.


Here’s how an unapproved drug like remdesivir, used in COVID-19 treatments, is legal, even if it’s unapproved by the FDA with unknown results.


Researchers are also working on eight possible vaccines in an accelerated process that could lead to potential results by late fall or early winter. But Fauci also cautioned that vaccines being tested could make the virus worse.

“There’s also the possibility of negative consequences, with certain vaccines can actually enhance the negative effect of the infection,” he said, adding that that’s only one of the potential problems.

– Maureen Groppe

Alexander: US testing is ‘impressive, but not nearly enough’

Sen. Lamar Alexander opened a Senate hearing on reopening the economy during coronavirus by calling U.S. testing of 9 million people “impressive, but not nearly enough.”

His comments during a meeting of the Senate Health, Education, Labor and Pensions Committee stood in contrast to President Donald Trump’s message at a news conference Monday, when he played down concerns about testing and said America was leading the world on it.

Alexander, R-Tenn., said the U.S. has tested twice as many people as any other country and more per capita than most countries including South Korea. But Alexander said more widespread testing that brings faster results, probably through new technologies, would be needed before schools could reopen in the fall.

“What our country has done so far on testing is impressive, but not nearly enough,” Alexander said. “All roads back to work and back school lead through testing, tracking, isolation, treatment and vaccines. This requires widespread testing, millions more tests created mostly from new technologies to identify and quarantine the infected, rather than the entire population.”

Alexander also said most experts and countries underestimated the virus, which is more contagious than first expected, travels silently in people who don’t exhibit symptoms and is especially deadly for people who are elderly or suffering chronic illness.

“Almost all of us – the United States and almost every country, so far as I can tell – underestimated this virus,” Alexander said.

– Bart Jansen

Murray goes after Trump 

Washington state Sen. Patty Murray immediately went after President Donald Trump during a Tuesday hearing about how and when to reopen the economy during the coronavirus pandemic.

Murrary, the top Democrat on the Senate Health, Education, Labor and Pensions Committee, accused him of lying and calling the administration’s response a disaster that’s been hampered by corruption and political interference.

“Trump has been more focused on fighting against the truth than fighting the virus,” Murray said.

Her barbed comments came despite committee Chairman Lamar Alexander’s opening plea that senators not spend time finger pointing. Alexander suggested that all countries, not just the United States, underestimated the virus.

Murray said the nation is nowhere close to where it needs to be to reopen safely. She called it unacceptable that there’s no national plan for testing to be free, fast and available everywhere.

– Maureen Groppe

Officials warn of possibility coronavirus will spread 

The Senate hearing featuring Dr. Anthony Fauci, a top official of the White House coronavirus task force, about how and when to reopen the economy has begun.

The Senate Health, Education, Labor and Pensions Committee will hear from Fauci: Dr. Anne Schuchat, principal deputy director of the Centers for Disease Control and Prevention; Dr. Robert Kadlec, assistant secretary of Health and Human Services for preparedness and response; and Dr. Stephen Hahn, commissioner of the Food and Drug Administration.

This morning ,the four officials submitted a 25-page joint statement describing the government’s efforts to contain the spread of the virus that has infected 1.3 million Americans and killed more than 80,000, according to tracking by Johns Hopkins University. The government has also partnered with private companies to develop therapies and vaccines to combat the virus, although none is yet approved by the FDA.

“All of our efforts now are to prevent the sustained spread of this virus in our communities, but we need to be prepared for the possibility that it will spread,” the statement said.

– Bart Jansen

Some committee members appearing via video conference

The chairman, GOP Sen. Lamar Alexander, gaveled the hearing to order from his home in Tennessee because he is self-isolating after a staffer tested positive Sunday for the virus. Alexander thanked the Rules Committee, Senate Sergeant at Arms Office and other officials for organizing the unusual setup, which occurred under a one-time exception to Senate rules. Alexander said senators and staffers in the hearing room in Washington would be separated by at least 6 feet. Some senators and witnesses are attending by video conference.

Alexander noted that the number of reporters in the room were limited.

Mask-wearing senators, spaced at wide intervals around the room, were told they can remove their masks when it’s their turn to speak as long as they’re six-feet apart.

– Bart Jansen and Maureen Groppe

Fauci warns of ‘needless suffering’ if US fumbles reopening procedures

Dr. Anthony Fauci, a top member of the White House coronavirus task force, plans to warn a panel of Senators on Tuesday about the danger of new COVID-19 outbreaks if states start to reopen their economies too quickly amid the pandemic. 

In a hearing, which senators are forced to hold by videoconference rather than in person because of newly discovered cases within the White House, Fauci, director of the National Institute of Allergy and Infectious Diseases, plans to stress “the danger of trying to open the country prematurely.” 

“If we skip over the checkpoints in the guidelines to ‘Open America Again,’ then we risk the danger of multiple outbreaks throughout the country. This will not only result in needless suffering and death, but would actually set us back on our quest to return to normal,” Fauci said in an email to The New York Times that outlined what he planned to say at the hearing. 

That grim warning contrasts with President Donald Trump’s enthusiastic calls for states to reopen, despite the risks.

Trump tweeted Monday that “the great people of Pennsylvania want their freedom now, and they are fully aware of what that entails. The Democrats are moving slowly, all over the USA, for political purposes.”

A member of the committee, Sen. Rand Paul, R-Ky., tweeted Monday that it’s “time to safely reopen and start rebuilding the economy!”

The Health, Education, Labor and Pensions Committee hearing titled, “safely getting back to work and back to school,” could be contentious, as Republicans have tended to back Trump’s call to reopen the economy faster while Democrats have argued for more testing and contact tracing first.

Two of the four government witnesses have changed from what the committee announced in scheduling the hearing. Robert Redfield, director of the Centers of Disease Control and Prevention, and Brett Giroir, assistant secretary of Health and Human Services for health, has been scheduled to join Fauci and Stephen Hahn, commissioner of the Food and Drug Administration. But they were replaced Tuesday by Anne Schuchat, principal deputy director for CDC, and Robert Kadlec, assistant secretary of Health and Human Services for preparedness and response.

In a joint statement, Schuchat, Fauci, Kadlec and Hahn said the government has taken unprecedented steps to prevent the spread of the virus and to protect Americans. The 25-page statement gave updates on the development of treatments and vaccines against the virus, although none have been approved yet by the FDA.

The hearing comes after the White House announced last week that a valet to Trump and an aide to Vice President Mike Pence both tested positive for the virus.

Three top health officials who serve on Pence’s task force – Fauci, Redfield and Hahn – are each isolating themselves after coming into contact with someone who tested positive.

And the committee chairman, Republican Sen. Lamar Alexander, announced Sunday he wouldn’t return to Washington from Tennessee for the hearing as he isolates himself for two weeks because one of his staffers tested positive.

The hearing will explore the balance that state and federal officials must strike between the health of citizens and the economy.

Dr. William Schaffner, a professor of preventive medicine in the Department of Health Policy at Vanderbilt University who won’t be testifying at the hearing, said the keys to reopening society are to adapt to new behaviors to prevent the spread of disease, such as wearing masks, keeping six feet apart and washing hands regularly. Testing and tracing the contacts of infected people are also important to corral the virus, he said.

“The virus knows no bounds. The Secret Service couldn’t keep the virus out of the White House,” Schaffner said. “There are going to be some illnesses. The trick is to keep that at the lowest possible levels.”


White House has confirmed a second coronavirus case among West Wing staff, this time in VP Mike Pence’s office. President Trump addresses concerns.


Pamela Aaltonen, a former president of the American Public Health Association and professor emerita at Purdue University who isn’t testifying at the hearing, said the country would be well-served by a comprehensive, science-based set of national standards that could be modified for different areas of the country. For example, the rules could be different between grade schools and colleges.

“The race to reopen has resulted in much of this work not being done or if done, not communicated,” she said. “Of course, challenging because still learning about this virus and how to inactivate it.”

The decisions will be based on hospitalization rates, death rates, infection rates – and where there are shortages of emergency supplies. The reasons for reopening and the risks must all be explained or the decisions might not be sustainable, Aaltonen said.

“Plans that vary wildly among states, regions, cities may suggest to the public that there is no strong rationale for actions,” she said.

But the top Democrat on the committee, Sen. Patty Murray of Washington, joined 40 Senate Democrats in a letter urging Trump to develop a national strategy by May 24 for reliably and consistently testing patients nationwide.

Alexander said testing has been “very impressive,” with more than 8 million completed in the U.S., which is more than any other country and more for its population than most countries. But he said faster testing will be needed for schools to reopen in the fall.

“Well, what we have done is very impressive,” Alexander told NBC’s “Meet the Press” on Sunday. “It’s enough to do what we need to do today to reopen but it’s not enough, for example, when 35,000 kids and faculty show up on the University of Tennessee campus in August.”

The hearing of federal officials will provide guidance to state-level officials who will determine how and when to reopen. For example, the CDC has recommended limiting gatherings 10 people, to curb the spread of disease. But state governors began issuing orders in mid-March to close businesses, and now governors are beginning to ease those restrictions.

Pence visited Iowa Friday, after Gov. Kim Reynolds allowed the resumption of dental services last week, while keeping restrictions on other businesses. She plans to announce Tuesday more changes scheduled for Friday.

But Reynolds had visited the White House on Wednesday and has been under a modified isolation like Fauci as a precaution. She is getting tested daily, has her temperature taken repeatedly and wears a mask when interacting with staffers.

Reynolds told reporters Monday that even as restrictions are lifted, the most vulnerable people who are at least 65 years old or who have chronic conditions such as diabetes or high blood pressure will need to continue staying home and minimizing travel when possible.

“We could never guarantee that Iowans wouldn’t get it,” Reynolds said. “I believe that we can and will be able to contain and manage the virus, and balance the health of Iowans with the health of our economy.”

Lawmakers are expected to challenge the witnesses about how and when it will be safe for states to reopen, after Trump disputed earlier claims by Fauci and Redfield.

Fauci told the House Oversight and Reform Committee hearing March 12 that the lack of testing has been a failing.

“It’s a failing. Let’s admit it,” Fauci said. “The idea of anybody getting it easily the way people in other countries are doing it is – we are not set up for that. Do I think we should be? Yes, but we are not.”

At a Rose Garden news conference the next day, Trump denied he was responsible for the lag in testing.

“I don’t take responsibility at all because we were given a set of circumstances and we were given rules, regulations and specifications from a different time,” Trump said. “It wasn’t meant for this kind of an event with the kind of numbers that we’re talking about.”

Former Vice President Joe Biden’s presidential campaign tweeted out Trump’s reply two days later, saying Trump should have taken responsibility.

Trump has also argued that Redfield was misquoted last month in an interview with the Washington Post that was then covered by CNN.

“There’s a possibility that the assault of the virus on our nation next winter will actually be even more difficult than the one we just went through,” Redfield told the Post. “We’re going to have the flu epidemic and the coronavirus epidemic at the same time.”

Redfield acknowledged at a White House news conference that the story quoted him accurately.


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