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    Dr Fauci testifies before Senate on COVID-19 progress

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    I'M WALKING THE HALLWAYS OR ON THE SENATE FLOOR I'M WEARING A MASK PEOPLE WEAR MASKS BECAUSE CDC HAS SAID QUOTE SIMPLE CLOTH COVERINGS

    SLOW THE SPREAD OF THE VIRUS AND HELP PEOPLE WHO MAY HAVE THE VIRUS AND DO NOT KNOW WHAT FROM TRANSMITTING IT TO OTHERS UNFORTUNATELY THIS SIMPLE LIFE SAVING PRACTICES BECOME PART OF THE POLITICAL DEBATE THAT SAYS THIS IF YOU'RE FOR TRUMP YOU DON'T WEAR A MASK IF YOU'RE AGAINST TRUMP YOU DO THAT'S WHAT I'VE SUGGESTED THAT THE PRESIDENT OCCASIONALLY WEAR A MASK EVEN THOUGH IN MOST CASES IT'S NOT NECESSARY FOR HIM TO DO SO

    THE PRESIDENT HAS PLENTY OF ADMIRERS THEY WOULD FOLLOW HIS LEAD IT WOULD HELP END THIS POLITICAL BAIT DEBATE THE STAKES ARE TOO HIGH FOR THIS POLITICAL DEBATE ABOUT PRO TRUMP ANTI TRUMP MASS TO CONTINUE AROUND HERE SENATORS AND STAFF WHERE MASS BECAUSE WE DON'T WANT TO MAKE EACH OTHER SICK FOR EXAMPLE I WAS EXPOSED TO COVID NINETEEN BY PRE SYMPTOMATIC STAFF MEMBER ON MY WAY TO DULLES AIRPORT AND AS A RESULT HAD TO SELF QUARANTINE FOR TWO WEEKS

    SENATE POSITION TELL ME THAT ONE REASON I DIDN'T BECOME INFECTED WAS BECAUSE THE STAFF MEMBER WAS WEARING A MASK AND THAT IN THE PHYSICIAN'S WORD GREATLY REDUCED THE CHANCES OF AN EXPOSURE IT'S ALSO A PRETTY GOOD WAY TO MAKE A STATEMENT I LIKE TO WEAR MY- PLAID MASK DOCTOR FELT SHE USES HIS MASTER DEMONSTRATORS LOYALTY TO THE WASHINGTON NATIONALS SENATOR KAINE IS EITHER A COWBOY OR A BANDIT I'M NEVER SURE WHICH- IF YOU WANT COLLEGE FOOTBALL TO RETURN THIS FALL HERE'S WHAT COACH PHILLIP FULMER OUR ATHLETIC DIRECTOR OF THE UNIVERSITY OF TENNESSEE SAYS

    IF YOU REALLY REALLY WANT TO SEE SOME FOOTBALL THIS FALL WHERE MASK THAT MIGHT HAVE MORE INFLUENCE THAN ANYBODY ELSE IN TENNESSEE UNITED STATES IS IN THE MIDST OF A VERY CONCERNING RISING COVID NINETEEN CASES IN HOSPITALIZATIONS IN MANY STATES THE EXPERTS IN FRONT OF US HAVE TOLD US THAT WASHING OUR HANDS STAYING APART AND WEARING A MASK ARE THREE OF THE MOST IMPORTANT WAYS TO CONTAIN THE DISEASE AND SLOW THE SPREAD OF THE VIRUS I'M GRATEFUL RULES COMMITTEE THE SERGEANT AT ARMS PRESS GALLERY THE ARCHITECT OF THE CAPITOL TO CAPITOL CAPITOL POLICE ARE COMMITTEE STAFF BOTH DEMOCRATIC AND REPUBLICAN- CHUNG CHEC AND EVAN GRIFFIS ON ALL FOR THEIR HARD WORK TO KEEP US SAFE NOW SENATOR MURRAY AND I WILL EACH HAVE AN OPENING STATEMENT THEN WE'LL TURN OUR WITNESSES WHO WE THANK FOR BEING WITH US TODAY EACH WILL HAVE FIVE MINUTES WE'D ASK YOU TO SUMMARIZE YOUR- YOUR TESTIMONY IN

    FIVE MINUTES AND THEN THE SENATORS WILL HAVE A CHANCE TO ASK FIVE MINUTE ROUND OF QUESTIONS WE HAVE FULL PARTICIPATION TODAY IT LOOKS LIKE SHOULD BE AN INTERESTING MORNING AMONG THE CASUALTIES OF THIS DANGEROUS AND VERY SNEAKY COVID NINETEEN VIRUS ARE THE SEVENTY FIVE MILLION STUDENTS WHO WERE SENT HOME FROM SCHOOL AND COLLEGE ON MARCH ADD TO THE CASUALTIES THE TEACHERS WHO ARE PREPARED TO TEACH REMOTELY AND THE WORKING PARENTS WHO SAID THEY HAD CHILDREN AT HOME AND WHO ARE PREPARED TO HOME SCHOOL AT THE LOST FOX SPORTS SEASONS ON THE ONCE IN A LIFETIME GRADUATION OPPORTUNITIES THEN THERE WERE UNPRECEDENTED DILEMMAS FOR ADMINISTRATORS IN AN ADEQUATE SCHOOL BUDGETS BEING SENT HOME FROM SCHOOL DOESN'T RANK WITH THE SICKNESS AND THE DEATH OF THE VIRUSES COST UNITED STATES AS OVER TWO POINT FIVE MILLION CASES OF THE VIRUS IN OVER A HUNDRED TWENTY FIVE THOUSAND DEATHS ACCORDING TO JOHNS HOPKINS WELL STATE'S A COMMUNITIES CONTINUE TO TAKE ACTION TO KEEP PEOPLE SAFE NOTHING THOUGH WAS MORE DISRUPTIVE TO AMERICAN LIFE

    AND NOTHING WOULD HEADED BACK TOWARD NORMALCY MORE RAPIDLY THAN FOR THOSE HUNDRED AND THIRTY FIVE THOUSAND PUBLIC AND PRIVATE SCHOOLS AND SIX THOUSAND COLLEGES TO RE OPEN THIS FALL EARLIER THIS MONTH THIS COMMITTEE HEARD FROM COLLEGE PRESIDENTS AND SCHOOL LEADERS ABOUT THEIR PLANS FOR SAFELY REOPENING THIS FALL THIS HEARING IS AN OPPORTUNITY FOR AN UPDATE AND HERE FROM THE NATION'S TOP HEALTH EXPERTS ON HOW HEADMASTERS PRINCIPALS SUPERINTENDENTS CHANCELLORS IN COLLEGE PRESIDENTS CAN OPEN THEIR SCHOOL SAFELY JUST A FEW WEEKS FROM NOW THIS COMMITTEE LAST HEARD FROM TODAY'S FOUR WITNESSES ON MAY THE TWELFTH WHEN THREE OF THE FORMER QUARANTINE AND MOST OF THE SENATORS WERE PARTICIPATING

    VIRTUALLY THAT WAS ONE OF THE FIRST VIRTUAL SENATE HEARINGS IN HISTORY AND SURELY THE BEST WATCHED EVERY NETWORK CARRIED THE TWO AND A HALF HOURS OF STATEMENTS AND QUESTIONS AND ANSWERS FROM SENATORS THE QUESTION BEFORE THE COUNTRY TODAY IS NOT WHETHER TO GO BACK TO SCHOOL OR COLLEGE OR CHILDCARE OR WORK BUT HOW TO DO IT SAFELY EVEN THOUGH COVID NINETEEN IS NOT IN GENERAL HER YOUNG CHILDREN IN COLLEGE AGE STUDENTS NEARLY AS MUCH AS OLDER AND MORE VULNERABLE AMERICANS THERE IS SOME HEALTH RISK

    BUT IN MY VIEW THE GREATER RISK IS NOT GOING BACK TO SCHOOL GUIDANCE FOR REOPENING SCHOOLS FROM THE AMERICAN ACADEMY OF PEDIATRICIANS TELL SCHOOL ADMINISTRATORS THE FOLLOWING OUR ACADEMY STRONGLY BELIEVES THAT ALL POLICY CONSIDERATIONS FOR THE COMING SCHOOL YEAR SHOULD START WITH THE GOAL OF HAVING STUDENTS PHYSICALLY PRESENT IN SCHOOL THE CABINET CONTINUES THE IMPORTANCE OF IN PERSON LEARNING IS WELL DOCUMENTED

    THERE IS ALREADY EVIDENCE OF NEGATIVE IMPACTS ON CHILDREN BECAUSE OF SCHOOL CLOSURES IN THE SPRING OF TWENTY TWENTY LENGTHY TIME AWAY FROM SCHOOL AND ASSOCIATED INTERRUPTION OF SUPPORTIVE SERVICES OFTEN RESULTS IN SOCIAL ISOLATION MAKING IT DIFFICULT FOR SCHOOLS TO IDENTIFY AND ADDRESS IMPORTANT LEARNING DEFICITS AS WELL AS CHILD AND ADOLESCENT PHYSICAL OR SEXUAL ABUSE SUBSTANCE USE DEPRESSION AND SUICIDAL IDEATION THIS IN TURN PLACES CHILDREN AND ADOLESCENTS AT CONSIDERABLE RISK OF MORBIDITY AND IN SOME CASES MORTALITY BEYOND THE EDUCATIONAL IMPACT AND SOCIAL IMPACT OF SCHOOL CLOSURES THERE'S BEEN SUBSTANTIAL IMPACT ON FOOD SECURITY AND PHYSICAL ACTIVITY FOR CHILDREN AND FAMILIES THERE'S THE AMERICAN ACADEMY OF

    PEDIATRICIANS DR LLOYD FISHER THE INCOMING PRESIDENT OF THE MASSACHUSETTS CHAPTER OF THE ACADEMY OF PEDIATRICIANS TOLD REPORTERS WHILE FOR MOST CHILDREN COVID NINETEEN IS NOT HAD THE DEVASTATING AND LIFE THREATENING PHYSICAL HEALTH EFFECTS EFFECTS THAT HAVE OCCURRED IN ADULTS THE NEGATIVE IMPACT ON THEIR EDUCATION MENTAL HEALTH AND SOCIAL DEVELOPMENT HAS BEEN SUBSTANTIAL ON COOL NOTHING CAN TAKE THE PLACE OF THE DAILY FACE TO FACE INTERACTION OUR CHILDREN EXPERIENCE WHEN ATTENDING SCHOOL IN PERSON DR FISHER SAID

    MANY AMERICAN COLLEGES OVERALL CONSIDERED THE BEST IN THE WORLD WILL BE PERMANENTLY DAMAGE EVEN CLOSED OF THEY REMAIN IN BROWN UNIVERSITY PRESIDENT CHRISTINA PAXSON IS WORDS GHOST TOWNS WHICH DANIELS THE PRESIDENT OF PURDUE WROTE IN A WASHINGTON POST OP ED QUOTE FAILURE TO TAKE ON THE JOB OF RE OPENING WOULD NOT ONLY BE ANTI SCIENTIFIC BUT ALSO AN UNACCEPTABLE BREACH OF DUTY SO TODAY IN ADDITION TO HEARING MORE ABOUT THE CONCERNING RISE IN CASES IN HOSPITALIZATIONS IN SOME STATES

    I'D LIKE TO ASK OUR WITNESSES AND THEIR STATEMENTS OF RANCHERS TO QUESTIONS TO PUT YOURSELVES IN THE PLACE OF ONE OF AMERICA'S APPROXIMATELY FOUR EIGHTEENTH SUPERINTENDENTS OF SCHOOL DISTRICTS OR THE PRINCIPAL OR HEADMASTER A ONE OF A HUNDRED AND THIRTY FIVE THOUSAND SCHOOLS OR IS PRESIDENT OR CHANCELLOR OF ONE OF SIX THOUSAND COLLEGES AND HELP THEM ANSWER THE QUESTION OF HOW TO RE OPEN SCHOOLS AND COLLEGES SAFELY SO DOCTOR FELT SHE OPENED IN YOUR OPENING STATEMENT OR ANSWERS TO QUESTIONS YOU'LL SUGGEST STEPS THE SUPERINTENDENT MIKE TAKE TO OPEN SCHOOLS SAFELY AND NOT ONLY HOW TO KEEP CHILDREN SAFE

    BUT KEEP SAFE THE ADULTS TEACHERS PARENTS GRANDPARENTS WITH WHOM THEY COME IN CONTACT DOCTOR HANS WILL THERE BE TREATMENTS OR MEDICINES THIS FALL THAT WILL HELP SPEED THE RECOVERY FROM COVID NINETEEN OR REDUCE THE POSSIBILITY OF DEATH I BELIEVE THE FEAR OF GOING BACK TO SCHOOL OR GOING ANYWHERE THESE DAYS IS IN LARGE PART BECAUSE OF THE FEAR OF SEVERE ILLNESS OR EVEN DEATH IF THAT RISK CAN BE LESSENED BY NEW TREATMENTS IT SHOULD INCREASE CONFIDENCE IN GOING BACK TO SCHOOL I'D ALSO LIKE TO COMMEND DR HAN IN THE WORK THE FDA DID TO GET TESTS ON THE MARKET QUICKLY AS POSSIBLE TO HELP UNDERSTAND THE SPREAD OF THE VIRUS SINCE THEN FDA HAS WORKED OUT WHICH TESTS HAVE NOT WORKED AS WELL AS THEY SHOULD AND TAKEN STEPS TO REMOVE THEM FROM THE MARKET THAT'S WHAT'S SUPPOSED TO HAPPEN IN THE URGENCY OF A PANDEMIC

    EDIBLE JR WALK LAST YEAR YOU SAID YOU EXPECTED THERE TO BE FORTY TO FIFTY MILLION DIAGNOSTIC TEST AVAILABLE EACH MONTH BY SEPTEMBER IS THAT STILL TRUE AND EXACTLY HOW DOES THE SCHOOL DISTRICT GO ABOUT MAKING SURE IT GETS THOSE TESTS AND WHO PAYS FOR THEM WHAT ARE THE PROSPECTS IN THE SHARK TANK AT THE NATIONAL INSTITUTES OF HEALTH THE FEDERAL BE NEW RELIABLE AND INEXPENSIVE TEST

    SO WE CAN HAVE EVEN MORE WIDESPREAD TESTING AND DR REDFIELD YOU'RE CONTINUING TO WORK ON UPDATED GUIDELINES ABOUT GOING BACK TO SCHOOL AND COLLEGE SAFELY AND OUR CDC EMPLOYEES GOING TO BE AVAILABLE IN OUR STATES TO HELP WORK WITH SCHOOL DISTRICTS TO DEVELOP THEIR PLANS AND WHAT ADVICE DO YOU HAVE ABOUT THE ARRIVAL OF THE FLU SEASON THIS FALL AT THE SAME TIME AS COVID NINETEEN THIS IS A LOT TO DISCUSS BUT THERE WILL BE TIME DURING THE NEXT TWO AND A HALF HOURS TO ANSWER MOST OF THOSE QUESTIONS LET ME QUICKLY HIGHLIGHT THREE AREAS THAT HAVE COME UP IN OUR FOR EARLIER HEARINGS THIS MONTH

    THAT I THINK NEED CLARIFICATION FIRST ON CONTACT TRACING NO DOUBT CONTACT TRACING IS CRUCIALLY IMPORTANT IDENTIFIES THE PEOPLE WHO MIGHT HAVE BEEN EXPOSED SO THAT PEOPLE WHO DON'T SO THAT THEY DON'T IN TURN EXPOSE SOMEONE ELSE ACCORDING TO AN NPR REPORT ON JUNE EIGHTEEN STATES HAVE ALREADY HIRED AT LEAST THIRTY SEVEN THOUSAND CONTACT TRACERS STATE OFFICIALS AND JOHN HOPKINS CENTER FOR HEALTH SECURITY ISSUE WERE ISSUED A REPORT ESTIMATING THE NEED FOR AS MANY AS ONE HUNDRED THOUSAND CONTACT TRACERS SEVERAL REPORTS SUGGESTED CONGRESS APPROPRIATE MONEY TO PAY FOR THOSE TRACERS THE REALITY IS CONGRESS ALREADY HAS

    ON APRIL TWENTY FOURTH CONGRESS APPROPRIATED ELEVEN BILLION WHICH HAS BEEN SENT TO STATES AND TRIBES FOR THE EXPENSES OF TESTING THAT LEGISLATION EXPLICITLY SAID THE MONEY COULD BE USED FOR CONTACT TRACING THIS IS IN ADDITION TO SEVEN HUNDRED AND FIFTY FIVE MILLION FROM THE FIRST EMERGENCY APPROPRIATIONS LEGISLATION ON MARCH SIX THAT COULD BE USED FOR CONTACT TRACING AND THAT'S IN ADDITION TO THE MARCH TWENTY SEVEN LEGISLATION IN WHICH CONGRESS APPROPRIATED A HUNDRED AND FIFTY BILLION DOLLARS I MEAN ONE POINT FIVE BILLION IN THE CARES ACT FOR STATE'S A TEAR TO AND- TO USE FOR COVID PREPAREDNESS AND RESPONSE

    THE CARRIAGE ACT ALSO INCLUDED THE ONE HUNDRED FIFTY BILLION DOLLARS TO STATE'S BUT A SIGNIFICANT AMOUNT OF THAT ONE HUNDRED FIFTY BILLION DOLLARS HAS NOT BEEN SPENT EVEN THOUGH IT IS ALL DESIGNATED FOR EXPENSES RELATED TO COVID NINETEEN WHICH INCLUDES CONTACT TRACING FOR EXAMPLE TENNESSEE'S GOVERNOR HAS TOLD ME HE'S RESERVING AS MUCH AS A BILLION OF THAT SO THAT HE COULD DETERMINE WHAT FLEXIBILITY HE HASN'T SPENDING THE MONEY WASHINGTON STATE HAS NOT SPENT AS MUCH AS ONE POINT TWO BILLION MISSOURI STATE TREASURER SAYS THEY'VE NOT SPENT ABOUT A BILLION

    ACCORDING THE REPORT BY STATE HEALTH OFFICIALS AND JOHNS HOPKINS AN AVERAGE SALARY FOR A CONTACT TRACER WOULD BE A LITTLE MORE THAN THIRTY FIVE THOUSAND DOLLARS THIS ADDS UP TO ABOUT THREE POINT FIVE BILLION FOUR HUNDRED THOUSAND CONTACT TRACERS SOUL THE POINT IS CONGRESS HAS ALREADY SENT TO STATE'S PLENTY OF MONEY TO HIRE ALL THE CONTACT RACERS THAT ARE NEEDED SECOND WHO PAYS FOR THE TESTING THE CURES ACT CONGRESS VOTED TO MAKE ALL COVID NINETEEN TESTS AVAILABLE TO PATIENTS AT NO COST THIS MAN INSURERS WOULD COVER DIAGNOSTIC TESTS WHICH DETECT WHETHER A PERSON IS CURRENTLY INFECTED WITH THE VIRUS

    AND ALSO ANTIBODY TESTS WHICH INDICATE WHETHER A PERSON IS HAD COVID NINETEEN IN THE PAST AND NOW MAY HAVE SOME PROTECTION IN THE FUTURE I'D MINS FROM THE LABOR DEPARTMENT TREASURY DEPARTMENT AND CENTERS FOR MEDICARE AND MEDICAID SERVICES SAID LAST WEEK THAT INSURERS ARE ONLY REQUIRED TO PAY FOR TESTS WITHOUT PATIENT COST SHARING IF A DOCTOR ORDERS IT I AGREE WITH THAT BUT GIVEN THAT THE CDC SPECIFICALLY RECOMMENDS DOCTORS ORDERS YES IN TWO SITUATIONS WHEN A PERSON HAS SIGNS OR SYMPTOMS OF COVID NINETEEN OR RECENTLY HAD CONTACT WITH CONTACT WITH SOMEONE KNOWN OR SUSPECTED TO HAVE COVID NINETEEN

    WHO PAYS FOR THE TESTING AT OTHER TIMES I BELIEVE CONGRESS WILL NEED TO TAKE ACTION TO FURTHER CLARIFY WHO PAYS FOR THE TESTING AND OTHER TIMES FOR EXAMPLE THE SCHOOL MAY WANT TO DO RANDOM TESTING PERHAPS YOU SHOULD MAKE AN ARRANGEMENT WITH THE STATE TO PAY FOR THAT OR PERHAPS CONGRESS PLEASE PROVIDE MORE MONEY TO PAY FOR THAT IT WOULD AUTOMAKER WANTS TO TEST ALL OF ITS EMPLOYEES AT THE PLANT EVERY TWO WEEKS PERHAPS THE AUTOMAKER SHOULD PAY FOR THAT OR PERHAPS THE STATE WOULD WANT TO PAY FOR THE- THAT NEEDS TO BE CLARIFIED FINALLY THE FLU SHOTS CDC IS SAID MORE PEOPLE NEED TO GET FLU SHOTS THIS FALL SO HEALTH CARE WORKERS CAN BETTER DISTINGUISH

    BETWEEN COVID NINETEEN IN THE FLINT CITY SAYS A PRIORITY IS FOR ALL CHILDREN OVER THE AGE OF SIX MONTHS TO BE VACCINATED FOR THE FLU SO THEY DON'T BECOME SICK AND PASS IT TO MORE VULNERABLE POPULATIONS WHO HAVE MORE SEVERE CONSEQUENCES

    ON JANUARY TWENTY FOURTH SENATOR MURRAY AND I HOSTED OUR FIRST BIPARTISAN BRIEFING ON CORONAVIRUS AT A TIME WHEN THERE WERE ONLY FOUR CASES IN THE UNITED STATES SINCE THEN THIS IS COMMITTEE HAS HAD FOR MORE BRIEFINGS TODAY IS OUR EIGHTH HEARING ON CORONAVIRUS IN US PREPAREDNESS LAST WEEK'S HEARING WAS ABOUT STEPS TO TAKE THIS YEAR

    ALL OUR EYES ON THE BALL TO BETTER PREPARE FOR THE NEXT PANDEMIC I'VE ISSUED A WHITE PAPER OUTLINING FIVE RECOMMENDATIONS FOR CONGRESS TO PREPARE AMERICANS FOR THE NEXT PANDEMIC AND THAT PAPERS RECEIVED MORE THAN THREE HUNDRED AND FIFTY SUBSTANTIVE COMMENTS THAT ARE AVAILABLE TO ALL MEMBERS OF THE COMMITTEE AFTER ALL SENATORS HAVE HAD A CHANCE TO ASK THEIR QUESTIONS I WILL CONCLUDE THE HEARING BY ASKING OUR WITNESSES IF THEY HAVE TWO OR THREE SUGGESTIONS ABOUT STEPS CONGRESS SHOULD TAKE

    THIS YEAR TO DEAL WITH THE NEXT PANDEMIC MOST OF WHICH WILL ALSO HELP WITH THIS ONE BUT THIS HEARING IS ABOUT WHAT HAPPENS NOW IS ADMINISTRATORS PREPARE TO REOPEN SCHOOLS AND COLLEGES EXPERTS UNDERESTIMATED THIS DANGEROUS AND SNEAKY VIRUS AND THERE IS STILL MUCH WE DON'T KNOW ABOUT

    BUT WE DO KNOW THE BASIC STEPS TO TAKE TO REOPEN SCHOOLS AND COLLEGES AND TWENTY TWENTY BEFORE THERE IS A VACCINE AND THOSE ARE THESE SOCIAL DISTANCING WEAR A MASK WASH YOUR HANDS YES CONTACT RACE AND ISOLATE THOSE EXPOSURES SICK AND HOPEFULLY BY THE FALL THERE WILL BE TREATMENTS TO MAKE THE CONSEQUENCES OF THE DISEASE LESS SEVERE I LOOK FORWARD TO HEARING FROM OUR DISTINGUISHED WITNESSES HOW SCHOOL LEADERS AND COLLEGE PRESIDENTS CAN SAFELY RE OPENED ONE HUNDRED AND THIRTY FIVE THOUSAND SCHOOLS IN SIX THOUSAND COLLEGES

    AND ALSO LEARNING THE LATEST DEVELOPMENTS ON TESTING AND TREATMENTS THAT WE CAN EXPECT DURING THE YEAR TWENTY TWENTY BEFORE VACCINES ARRIVE SENATOR MURRAY THANK YOU VERY MUCH MR CHAIRMAN THANK YOU TO ALL OF OUR WITNESSES FOR JOINING US HERE TODAY AND OF COURSE THANK YOUR STAFF FOR SETTING UP THE TECHNOLOGY SO WE CAN HOLD THIS HEARING SAFELY I WANT TO GET TO THE POINT QUICKLY AND I'M GONNA BE BLUNT ABOUT IT THE COVID NINETEEN RESPONSE IN OUR COUNTRY IS STILL DISASTER

    ON HUNDRED AND TWENTY SIX THOUSAND LIVES LOST WAS ONCE ESTIMATE ON THE HIGH END OF THE SPECTRUM BUT THE YEARS JUST HALFWAY OVER AND IT IS NOW GRAHAM REALITY WE HAVE LOST MORE AMERICANS TO COVID NINETEEN THEN WE LOSE TO THE REAL EACH YEAR AND WE LOST TO THE OPIOID CRISIS LAST YEAR AND MORE LIVES THAN WE'VE LOST AND EVERY AMERICAN WAR EXCEPT CIVIL WAR AND WORLD WAR TWO

    AND DESPITE WHAT PRESIDENT TRUMP CLAIMS THIS PANDEMIC IS AND NOT FEEDING FAR FROM IT SEVERAL STATES ARE SEEING RAPID RECORD SETTING INCREASES AND THE COUNTRY JUST SAW ITS LARGEST SINGLE DAY INCREASE TODAY AND WHILE THIS PUBLIC HEALTH CRISIS RAGES ACROSS THE COUNTRY WE'VE SEEN A LEADERSHIP CRISIS RAGING IN THE WHITE HOUSE AS THE PRESIDENT CRUZ TIME AFTER TIME HE HEARS LAST ABOUT HOW THIS PANDEMIC IS IMPACTING FAMILIES AND COMMUNITIES AND MORE ABOUT HOW IT MAKES THEM LOOK JUST CONSIDER HIS APPALLING CONTINUED FAILURE ON TESTING PRESIDENT TRUMP SAID ANYONE THAT WANTS A TASKING GET IT CHECKED

    THEY STILL CAN'T YOU SAID TESTING WAS OVERRATED IT IS NOT HE SAID WE PRE VEILED ON TESTING WE HAVE NOT NOW HE'S SAYING WE SHOULD BE DOING FEWER TESTS AND TESTING MAKES US LOOK BAD WELL IT CLEARLY DOES NOT AND WE CLEARLY NEED TO BE DOING MORE MOST ON SPRING IS SET ABOUT TESTING

    IS THAT IT DOESN'T TAKE RESPONSIBILITY AT ALL AND THAT IS EXACTLY THE PROBLEM IT'S WHY CONGRESS ACTUALLY TOOK BIPARTISAN ACTION IN THE LAST COVID NINETEEN RESPONSIBILITY TO REQUIRE THE TRUMP ADMINISTRATION TO SUBMIT A COMPREHENSIVE NATIONAL TESTING PLAN IT'S WHY I'M STILL PUSHING FOR THIS ADMINISTRATION COULD MORE DETAILS IN THAT PLAN AND TAKE MORE STEPS TO RAMP UP TESTING BECAUSE WE ARE STILL NOWHERE CLOSE TO THE TESTING AND TRACING CAPACITY WE NEED TO SAFELY RE OPEN OUR COUNTRY AND ENDING SUPPORT FOR FEDERAL TESTING SITES WELL SITTING ON BILLIONS IN TESTING GROUNDS CONGRESS PROVIDED IS NOT GOING TO GET US THERE THE ONGOING STRUGGLE TO GET PRESIDENT TRUMP TO TAKE TESTING SERIOUSLY SHOULD BE A STARK WARNING TO CONGRESS THAT WHEN IT COMES TO VACCINE WE CAN'T JUST LEAVE THIS ADMINISTRATION

    TO ITS OWN DEVICES WE HAVE TO HOLD AN ACCOUNT WE KNOW THIS PANDEMIC WILL NOT END UNTIL WE HAVE A VACCINE THAT IS SAFE AND EFFECTIVE THAT CAN BE WIDELY PRODUCED AND EQUITABLY DISTRIBUTED AND THAT IS FREE AND EXCELLENT ACCESSIBLE TO EVERYONE WHICH IS WHY WE NEED A COMPREHENSIVE NATIONAL VACCINE PLAN FROM THE TRUMP ADMINISTRATION AS SOON AS POSSIBLE GIVEN THE TESTING PLANNED WHICH CONGRESS ONLY RECEIVED AFTER FORCING THE ADMINISTRATION'S HAND

    WAS TOO LITTLE TOO LATE WE NEED TO TAKE THE OPPORTUNITY WE HAVE RIGHT NOW TO GET A VACCINE PLANNED EARLIER AND AVOID THE MISSTEPS WE'VE SEEN WITH PAST SO I HOPE REPUBLICANS WERE WORK WITH ME A PRIVATE WAY ONCE AGAIN REQUIRE THIS MINS

    TO PUT FORWARD A PLAN WE NEED THE TRUMP ADMINISTRATION TO SHOW US HOW THEY WILL ENSURE A VACCINE IS SAFE AND IS A PRACTICE I'M AS EAGER AS ANYONE FOR A VACCINE BUT THIS ISN'T JUST ABOUT DOING SOMETHING FAST IT IS ABOUT DOING IT RIGHT THAT'S WHY WE NEED TO KNOW THE PROCESS HOPING A VACCINE IS RIGOROUS IT'S INCLUSIVE IT'S TRANSPARENT AND IT IS SCIENCE DRIVEN BUT A LOT OF MY DOCTORS WORKING TO BUCKLE AND THE REMOVAL OF DR RIGHT FROM BURNING QUESTIONING THE ADMINISTRATION'S EFFORTS TO IMPROVE BACKGROUND PROVEN TREATMENT WE CANNOT TAKE FOR GRANTED THIS PROCESS WILL BE FREE OF POLITICAL INFLUENCE WE HAVE TO DEMAND SERIOUS OVERSIGHT

    IN ORDER TO GIVE THE PUBLIC FULL CONFIDENCE THAT VACCINE IS SAFE AND EFFECTIVE THE ADMINISTRATION NEEDS TO COMMIT NOW BEING FULLY TRANSPARENT ABOUT THE STANDARDS ARE VACCINE WILL BE EXPECTED TO MEET AND RELEASING THAT CAN'T QUIT CLINICAL TRIAL DATA THE FDA USES TO EVALUATE SAFETY AND EFFECTIVENESS WE ALSO NEED A PLAN DETAILING HOW TO PRODUCE AND DISTRIBUTE VACCINES NATIONWIDE AND MAKE SURE EVERYONE CAN ACTUALLY GET THEM WE SONG WITH TESTING HOW A BOY DOUBLE BOTTLENECKS CREEK DAMAGING DELAYS WHEN THE FEDERAL GOVERNMENT REFUSES TO STEP IN AND LEAD LIKE IT NEEDS TO DO IN A TIME OF CRISIS

    AND UNFORTUNATELY WE SAW HOW EXISTING HEALTH DISPARITIES ARE EXACERBATED WITHOUT A PLAN TO OVERCOME THEM EVEN THE INCOMPLETE DATA WE CURRENTLY HAVE SHOWS BLACK LATINO AND TRIBAL COMMUNITIES HAVE SIGNIFICANTLY LESS ACCESS TO TESTING THEN RIGHT COMMUNITIES THIS IS AN INJUSTICE THAT WE MUST NOT REPEAT WHEN IT COMES TO VACCINE WE ALSO NEED A PLAN TO GUARANTEE VACCINES ARE FREE SO THAT COST IS NOT USED AND IT'S WORTH NOTING WE STILL NEED TO ACT TO MAKE COVID NINETEEN TREATMENT AVAILABLE AT NO COST YOU

    AND THE PLAN MUST ADDRESS BARRIERS LIKE VACCINE HESITANCY AND MISINFORMATION ESPECIALLY ONE OF THE MAIN ONE OF THE MOST PROMINENT SOURCES OF MISINFORMATION SO FAR HAS BEEN THE PRESIDENT OF THE UNITED STATES WELL THE DISCOVERY OF AN EVENTUAL VACCINE MAY STILL BE FAR OFF THESE ARE ISSUES WE NEED THE ADMINISTRATION TO ANSWER NOW SO I HOPE REPUBLICANS WILL WORK WITH ME TO REQUIRE THE ADMINISTRATION TO SUBMIT A COMPREHENSIVE VACCINE PLANNED AND DRESSED MANY OF THE OTHER URGENT ISSUES STEMMING FROM THE SCANDAL OUR BUSINESSES OUR WORKERS TEACHERS STUDENTS AND FAMILIES DO NOT HAVE WHAT THEY NEED TO SAFELY RETURN TO WORK OR SCHOOL PERIOD OUR MEDICAL SYSTEM DOCTORS NURSES FRONTLINE WORKERS CONTINUE TO FACE UNIMAGINABLE RISK STRESS AND FATIGUE THEY NEED CONGRESS TO STEP UP TO HELP THEM CONTINUE TO SAVE LIVES

    AND FAMILIES NEED US TO CONTINUE TO ENSURE THEY HAVE BASIC SERVICES AND CAN KEEP FOOD ON THEIR TABLES THE HOUSE PASSED THE HEROES ACT FORTY SIX DAYS AGO TO GET MORE RELIEF TO FRONTLINE WORKERS TO FAMILIES AND BUSINESSES IT IS WELL PAST TIME FOR LEADER MCCONNELL ON SENATE REPUBLICANS TO SIT DOWN WITH FELLOW DEMOCRATS AND GET TO WORK THERE'S NO QUESTION OUR COUNTRY IS STILL IN CRISIS AND EVERY DAY THAT SENATE FAILS TO TAKE ACTION ISN'T DAY WE ALLOW IT TO GET WORSE I ALSO WHO IS DETERMINED THAT WE WILL BE ABLE TO HAVE ANOTHER HEARING HONEST PRICES SOON WITH ADMINISTRATION'S

    OFFICIALS WHOSE TESTIMONY IS LONG OVERDUE SECRETARIES ARE SECTOR ROSS AND SECRETARY SCHOOL YEAH THANK YOU MR CHAIRMAN I LOOK FORWARD TO OUR WITNESSES ON TODAY AT TECH TESTIMONY AND THE QUESTIONS WE HAVE THANK YOU SENATOR MURRAY WITH ASKING EACH WITNESS NOW TO SUMMARIZE HIS TESTIMONY AND FIVE MINUTES PLEASE TO WELCOME OUR WITNESSES EACH OF YOUR MAKING SIGNIFICANT CONTRIBUTIONS TO OUR GOVERNMENT'S RESPONSE THE COVID NINETEEN HELPING US GO SAFELY BACK TO SCHOOL BACK TO WORK WE'RE GRATEFUL FOR YOUR SERVICE TO OUR COUNTRY OUR FIRST WITNESS IS DR ANTHONY FAUCI HE'S DIRECTOR OF THE NATIONAL INSTITUTE OF ALLERGY AND INFECTIOUS DISEASES AT THE NATIONAL INSTITUTE OF HEALTH

    HE HELD THIS POSITION SINCE NINETEEN EIGHTY FOUR IS LIVE AGENCIES RESEARCH RELATED TO HIV AIDS INFLUENZA MALARIA EBOLA AND OTHER INFECTIOUS DISEASES HIS ADVICE SIX PRESIDENTS ON DOMESTIC AND GLOBAL HEALTH ISSUES IS ONE THE PRINCIPAL ARCHITECT OF THE EMERGENCY PLAN FOR AIDS RELIEF IN TWENTY FOURTEEN HE WAS INVOLVED IN TREATING EBOLA PATIENTS N I H

    AND WORKED ON VACCINE TRIALS FOR EBOLA NEXT DR ROBERT REDFIELD DIRECTOR OF THE US CENTER FOR DISEASE CONTROL AND PREVENTION CDC FOR MORE THAN THIRTY YEARS HE'S BEEN INVOLVED WITH CLINICAL RESEARCH RELATED TO CHRONIC HUMAN VIRAL INFECTIONS AND INFECTIOUS DISEASES ESPECIALLY HIV HE WAS FOUNDING DIRECTOR OF THE DEPARTMENT OF RETROVIRAL RESEARCH WITHIN THE U S

    MILITARY'S HIV RESEARCH PROGRAM AND RETIRED AFTER TWENTY YEARS OF SERVICE WITH US ARMY MEDICAL CORPS THIRD ADMIRAL BRETT JR WALK ROGER WHY IS HIS SISTER'S SECRETARY FOR HEALTH AT THE U S DEPARTMENT OF HEALTH AND HUMAN SERVICES HE OVERSEES THE DEVELOPMENT OF THE DEPARTMENT'S PUBLIC HEALTH POLICY RECOMMENDATIONS SPECIFIC TO COVID NINETEEN RESPONSE

    AT ROGER WHAT HAS TAKEN ON TESTING AND FOCUSED ON INCREASING THE NUMBER OF TESTS WE CAN DO WITH EXISTING TECHNOLOGY IS FEDERAL SERVICE INCLUDES DIRECTING THE DEFENSE SCIENCES OFFICE OF THE DEFENSE ADVANCED RESEARCH PROJECTS AGENCY AND A VARIETY OF OTHER IMPORTANT RESPONSIBILITIES FINALLY WE WILL HEAR FROM DOCTOR STEVEN HAHN DR OZ COMMISSIONER OF THE US FOOD AND DRUG ADMINISTRATION THE FDA BEFORE JOINING FTA HE HELD LEADERSHIP POSITIONS AS CHIEF MEDICAL EXECUTIVE AT THE UNIVERSITY OF TEXAS MD ANDERSON CANCER CENTER IN HIS CHAIR OF THE DEPARTMENT OF RADIATION ONCOLOGY AT THE UNIVERSITY OF PENNSYLVANIA EARLY IN HIS CAREER HE WAS SENIOR INVESTIGATOR AT THE NATIONAL CANCER INSTITUTE AT THE NATIONAL INSTITUTES OF HEALTH

    HE'S BEEN COMMANDER OF THE US PUBLIC HEALTH SERVICE COMMISSIONED CORPS IN TWO THOUSAND FIVE WE WELCOME OUR WITNESSES DOCTOR FAUCI WELCOME LET'S BEGIN WITH YOU THANK YOU VERY MUCH MR CHAIRMAN RANKING MEMBER MURRAY THE NUMBERS OF THE COMMITTEE THANK YOU FOR GIVING ME THE OPPORTUNITY TO DISCUSS BRIEFLY WITH YOU TODAY THE ROLE OF THE NATIONAL INSTITUTES OF HEALTH IN RESEARCH ADDRESSING COVID NINETEEN AND AS YOU INDICATED MISTER CHAIRMAN I WILL DURING THE QUESTION PERIOD AND ALLUDING TO IN THE PRESENTATION ADDRESSED SOME OF THE ISSUES REGARDING SCHOOLS THE N

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    I H STRATEGIC PLAN FOR COVID RESEARCH INVOLVES FOUR MAJOR COMPONENTS THE FIRST IS TO IMPROVE THE FUNDAMENTAL KNOWLEDGE OF UNDERSTANDING OF THE BIOLOGY OF THE VIRUS AND THE IMMUNE RESPONSE TO THE VIRUS IN ORDER TO BETTER INFORM US IN THE DEVELOPMENT OF DIAGNOSTICS THERAPEUTICS AND VACCINES

    SOME OF THE WORK THAT HAS COME OUT OF THAT PROGRAM RIGHT NOW INFORMS VERY GREATLY HI WE WILL ADDRESS VACCINE DEVELOPMENT PARTICULARLY UNDERSTANDING THE CONFIRMATION OF THE COMPONENTS OF THE VIRUS THAT INDUCES AN APPROPRIATE IMMUNE RESPONSE IN ADDITION WE WILL DEVELOP AND ARE DEVELOPING ANIMAL MODELS APROPOS WHAT YOU MENTIONED ABOUT CHILDREN IN SCHOOL WE HAVE A PROGRAM CALLED HEROES WHICH IS HUMAN EPIDEMIOLOGY IN RESPONSE TO SARS CORONAVIRUS WHICH IS DETERMINING THE INCIDENTS AND TRANSMISSIBILITY AMONG CHILDREN A VERY IMPORTANT ISSUE WHEN YOU TALK ABOUT OPENING SCHOOLS AND THE IMPACT THAT MIGHT HAVE IN ADDITION THE DEVELOPMENT OF DIAGNOSTICS POINT OF CARE SENSITIVE AND SPECIFIC DIAGNOSTICS UNDER THE RAD X PROGRAM INCLUDING THE RED X

    UP FOR UNDERSERVED POPULATIONS THIRTY TWO CHARACTERIZING TEST THERAPEUTICS YOU MENTIONED THE IMPORTANCE OF THIS AS WE OPEN UP SCHOOLS THERE ARE A NUMBER OF PROGRAMS VERY ACTIVE THAT HAVE ALREADY SHOWN EFFICACY OR NOT IN SOME DRUGS AS WELL AS A NUMBER OF CLINICAL TRIALS THAT ARE ONGOING ONE IN PARTICULAR WAS THE FIRST RANDOMIZED PLACEBO CONTROLLED TRIAL SHOWING THAT THE DRUG MENDES VIA DIMINISHES BY ABOUT 32% THE TIME IT TAKES TO GET TO RECOVERY AND PEOPLE WITH ADVANCED DISEASE PULMONARY INVOLVEMENT

    IN ADDITION WE HAVE ANOTHER STUDY COMBINING THIS WITH AN ANTI INFLAMMATORY AGENT NEXT WE HAVE VACCINES AS SEVERAL HAVE MENTIONED IT'S EXTREMELY IMPORTANT TO HAVE SAFE AND EFFECTIVE VACCINES AVAILABLE FOR EVERYONE IN THIS COUNTRY AS WELL AS GLOBALLY IN THAT REGARD WE PUT TOGETHER MYSELF AND SOME OF MY COLLEAGUES AND PUBLISHED IN SCIENCE MAGAZINE A FEW WEEKS AGO WHAT WE CALL THE STRATEGIC APPROACH TO CORONAVIRUS NINETEEN VACCINE RESEARCH AND DEVELOPMENT IT'S NOT A COMPREHENSIVE PLAN ABOUT EVERY ASPECT OF VACCINE BUT IT IS A STRONG PLAN REGARDING THE RESEARCH AND DEVELOPMENT PATHWAY

    AND WHAT WE HAVE DONE IN THIS IS THAT WE HAVE WHAT'S CALLED A HARMONIZED EFFECT BECAUSE WE KNOW THERE WERE MANY VACCINES THAT ARE IN TRIAL ON THAT WOULD VERY STAGES AND WHAT WE DID AND THE FEDERAL GOVERNMENT THANKS THE GENEROSITY OF THE CONGRESS HAS PUT A CONSIDERABLE AMOUNT OF MONEY IN ORDER TO HARMONIZE THE TRIALS OF MULTIPLE CANDIDATES FROM DIFFERENT COMPANIES SO THAT WE HAVE COMMON ENDPOINTS COMMON DATA AND SAFETY MONITORING BOARD

    AND COMMON IMMUNOLOGICAL PARAMETERS THAT ARE BEING FUNDED AND ARE BEING PURSUED IN ADDITION THERE ARE A NUMBER OF DIFFERENT PLATFORMS THAT ARE BEING PURSUED SO THAT WE DON'T HAVE ALL OUR EGGS IN ONE BASKET AS YOU KNOW ONE OF THOSE IS RIGHT NOW GETTING READY AS WE APPROACH NEXT MONTH OF GOING INTO PHASE THREE TRIALS AND OTHERS WILL BE STAGGERED ALONG THE WAY IN THE MIDDLE OF THE SUMMER AND THE SUMMER EARLY ON THERE IS NO GUARANTEE THAT ANYONE HAS BEEN INVOLVED IN VACCINE ELIGIBLE TELL YOU

    THAT WE WILL HAVE A SAFE AND EFFECTIVE VACCINE BUT WE ARE CAUTIOUSLY OPTIMISTIC LOOKING AT ANIMAL DATA AND THE EARLY PRELIMINARY DATA THAT WE WILL AT LEAST KNOW THE EXTENT OF EFFICACY SOMETIME IN THE WINTER AND EARLY PART OF NEXT YEAR AGAIN WORKING WITH THE COMPANIES IN THE INVESTMENT MADE BY THIS CONGRESS HOPEFULLY THAT WILL BE DOSE ISABELLA HERBAL BY THE BEGINNING OF NEXT YEAR THESE ARE THINGS THAT WE FEEL ASPIRATIONAL HOPEFUL ABOUT AND WILL CONTINUE TO PURSUE THIS

    I'LL STOP THEM IS THE CHAIRMAN OF THE HAPPENING AS A QUESTIONS LATER THANK YOU THANK YOU DOCTOR FELT SHE DR REDFIELD WELCOME GOOD MORNING ALEXANDER RANKING MEMBER MURRAY AND DISTINGUISHED MEMBERS OF THE COMMITTEE I WANT TO THANK YOU FOR THE OPPORTUNITY TO TESTIFY BEFORE YOU TODAY WITH MY HHS COLLEAGUES THE COVID NINETEEN PANDEMIC IS THE MOST SIGNIFICANT GLOBAL PUBLIC HEALTH CHALLENGE THAT WE'VE FACED AS A NATION IN MORE THAN A CENTURY IN THE UNITED STATES DAILY CASES ARE INCREASING AFTER AN EXTENDED DECLINE WE'RE SEEING SIGNIFICANT INCREASES IN THE SOUTHEAST AND SOUTHWEST REGIONS OF THIS NATION THE NUMBER OF JURISDICTIONS IN UPWARD TRAJECTORY HAS CONTINUED TO INCREASE NOW TWENTY NINE OF FIFTY FIVE JURISDICTIONS FALL INTO THIS CATEGORY THE EVIDENCE TELLS US THAT THESE CASES ARE DRIVEN BY MANY FACTORS TO INCLUDE INCREASE TESTING COMMUNITY TRANSMISSION AND OUTBREAKS IN THE SETTINGS SUCH AS NURSING HOMES IN OCCUPATIONAL SETTINGS HOSPITALIZATIONS NOW ARE GOING UP IN TWELVE STATES N

    AS OF THIS WEEKEND DAILY DEATH NOW HAS INCREASED IN THE STATE OF ARIZONA CDC IS CLOSELY MONITORING THESE INCREASE AND HAVE FORTY EIGHT TEAMS WITH MORE THAN A HUNDRED AND FORTY STAFF CURRENTLY DEPLOYED IN TWENTY STATES AND TWO TERRITORIES CDC IS PROVIDING TECHNICAL EXPERTISE TO THE HEALTH DEPARTMENT AND EPIDEMIOLOGY CONTACT TRACING INFECTION PREVENTION AND CONTROL AND COMMUNICATION BEYOND PROVIDING THIS- CRITICAL BOOTS ON THE GROUND CDC IS WORKING WITH YOUR STATE'S IN COMMUNITY IN OTHER WAYS CDC IS SPEAKING WITH THE STATE'S TRIBAL LOCAL AND TERRITORIAL DEPARTMENTS ON A DAILY BASIS TO DEVELOP STRATEGIES TO STOP COVID

    WHILE RE OPENING BUSINESSES AND SCHOOLS INITIAL GUIDANCE FOR INSTITUTES OF HIGHER LEARNING WAS SHARED IN MARCH IN THE CASE THROUGH TWELVE SETTING WAS SHARED IN FEBRUARY- BOTH THESE GUIDANCES HAVE BEEN UPDATED SENSE AND OVER THE PAST SEVERAL MONTHS AS MORE INFORMATION BECOMES AVAILABLE WILL CONTINUE TO DISSEMINATE THAT MORE BROADLY CDC RELEASE CONSOLIDATED RECOMMENDATIONS FOR COVID TESTING INCLUDING INTERIM TESTING GUIDELINES FOR NURSING HOMES AS WELL AS TESTING OPTIONS FOR HIGH DENSITY CRITICAL INFRASTRUCTURE WORKPLACES AFTER COVID CASES IDENTIFIED TESTING GUIDANCE FOR HIGHER EDUCATION K

    THROUGH TWELVE OF THE K L HIGHER EDUCATION SHOULD BE POSTED TODAY IN K THROUGH TWELVE LATER THIS WEEK

    THESE RECOMMENDATIONS ARE CONSISTENT WITH PREVIOUSLY PUBLISHED TESTING GUIDELINES AND ARE MEANT TO SUPPLEMENT NOT REPLACE THE GUIDANCE OF LOCAL JURISDICTIONS CC CONTINUES TO ADVANCE SCIENCE AROUND THE COVID NINETEEN IMPACT IN CERTAIN POPULATIONS AND THOSE WHO ARE AT HEIGHTENED RISK FOR SEVERE OUTCOMES OUR MOST RECENT ANALYSIS OF THE UNITED STATES CASE STATED FROM THE PANDEMIC HOSPITALIZATIONS WERE SIX TIMES HIGHER AND DEATH TWELVE TIMES HIGHER AMONG THOSE WITH REPORTS QUARTERLY UNDERLYING CONDITIONS COMPARED TO THOSE WHO DID NOT HAVE THESE CONDITIONS WE'VE EXPANDED THE LIST OF UNDERLYING CONDITIONS WHERE THE EVIDENCE IS CLEAR THAT THEY PUT PEOPLE AT HIGHER RISK OF SEVERE ILLNESS THESE CONDITIONS INCLUDE CHRONIC KIDNEY DISEASE COPD HAVING A WEAKENED IMMUNE SYSTEM FROM IN SOLID ORGAN TRANSPLANT

    OBESITY SERIOUS HEART DISEASE SICKLE CELL DISEASE AND TYPE TWO DIABETES ARE ANNOUNCED AT THIS DALLAS IS ALSO PROVIDES FURTHER EVIDENCE EVIDENCE THAT RACIAL AND ETHNIC POPULATIONS ARE DISPROPORTIONATELY AFFECTED BY THIS EPIDEMIC WHAT DATE IS THE BACKBONE OF THIS RESPONSE CONTAINING THE OUTBREAK DEPENDS ON FOUR CORE INTERVENTIONS READILY AVAILABLE TESTING COMPREHENSIVE CONTACT TRACING TIMELY ISOLATION OF KNOWN CASES IN QUARANTINE TO BREAK THE TRANSMISSION WE ARE NOT DEFENSELESS AGAINST THIS DISEASE WE HAVE POWERFUL TOOLS AT OUR DISPOSAL SOCIAL DISTANCING WHERE FACE COVER IN PUBLIC

    AND BE DISCIPLINED ABOUT THE FREQUENT HAND WASHING IT IS CRITICAL THAT WE ALL TAKE THE PERSONAL RESPONSIBILITY TO SLOW THE TRANSMISSION OF COVID NINETEEN AND EMBRACE THE UNIVERSAL USE OF FACE COVERINGS SPECIFICALLY I'M ADDRESSING THE YOUNG MEMBERS OF OUR SOCIETY THE MILLENNIALS AND THE GENERATION SEES I ASK THOSE THAT ARE LISTENING TO SPREAD THE WORD BEFORE I CLOSE I'D LIKE TO SPEAK BRIEFLY ABOUT HEALTH CDC IS ASSISTING THE FRONT LINES OF OUR HEALTH DEPARTMENTS TO FIGHT COVID WITH YOUR SUPPORT CDC'S AWARDED TWELVE BILLION DOLLARS TO SIXTY FOUR JURISDICTIONS DATA MONETIZATION IS UNDERWAY PUBLIC HEALTH LABORATORIES ARE BUILDING RESILIENCE NUMBER OF CONTACT TRACERS OF GROUNDS THREE HUNDRED AND FORTY FIVE PERCENT

    THE DISEASE IMPACTS US ALL AND IT'S GONNA TAKE ALL OF US WORKING TOGETHER TO STOP IT TO GATHER I BELIEVE WE CAN ACHIEVE THE POSSIBLE THANK YOU AND I LOOK FORWARD TO YOUR QUESTIONS

    THANK YOU DR REDFIELD ADMIRAL JR WALK WELCOME GERMAN ALEXANDER RANKING MEMBER MURRAY DISTINGUISHED MEMBERS OF THE COMMITTEE IT'S GOOD TO SEE ALL OF YOU AGAIN FIRST I WANT TO CLARIFY MY CURRENT ROLE ON MARCH TWELFTH SECRETARY AIDES ARE REQUESTED THAT I LEAD THE COORDINATION OF COVID NINETEEN TESTING EFFORTS WITHIN THE DEPARTMENT TO BE CLEAR ALTHOUGH I AM ASSUMING SOME OF MY TRADITIONAL DUTIES AS THE ASSISTANT SECRETARY I AM MAINTAINING MY ROLE COORDINATING TESTING INCLUDING NOW THE N I H

    READ ACTS DIAGNOSTICS PROGRAM ALONG WITH DOCTOR COLLINS TO ASSURE THAT INNOVATIONS OR IMMEDIATELY TRANSLATED INTO PRACTICE IN ORDER TO GET BACK SAFELY TO WORK AND SCHOOL THE OVERARCHING MOST CRITICAL AND ESSENTIAL ACTION WE MUST FIRST ACCOMPLISH IS TO CONTROL THE VIRUS MEETING RAPIDLY EXTINGUISHING ANY OUTBREAKS AND MINIMIZING COMMUNITY TRANSMISSION ALL OF US ARE CONCERNED ABOUT RECENT DATA FROM SEVERAL STATES INDICATING RISING INFECTIONS AND NOW AN UPTICK IN HOSPITALIZATIONS AND DEATHS EVEN AS OTHER STATES AND THE MAJORITY OF COUNTIES OR MAINTAINING A LOW INFECTION BURDEN

    KNOWING WHAT WE KNOW NOW ABOUT A SYMPTOMATIC TRANSMISSION AND THE FACT THAT WE ARE IN A MUCH BETTER POSITION TODAY IN TERMS OF OUR MITIGATION STRATEGIES PP AND TESTING WE CAN REVERSE THESE CONCERNING TRENDS IF WE WORK TOGETHER FIRST WE MUST TAKE PERSONAL RESPONSIBILITY AND BE DISCIPLINED ABOUT OUR OWN BEHAVIOR MAINTAIN PHYSICAL DISTANCING WHERE A FACE COVERING WHEN EVER YOU CAN'T PHYSICALLY DISTANCE WASH YOUR HANDS

    STAY AT HOME IF YOU FEEL SICK IF YOU HAVE BEEN IN CLOSE CONTACT WITH SOMEONE INFECTED OR IN A GATHERING WITHOUT APPROPRIATE PRECAUTIONS GET TESTED SHIELDED THE ELDERLY AND THE VULNERABLE OF ANY AGE AND FOLLOW THE GUIDELINES FOR OPENING UP AMERICA AGAIN THE CRITERIA OR VERY SPECIFIC AND ARE AS RELEVANT TODAY AS WHEN WE RELEASE THEM IN ADDITION THIS WEEK WE ARE INITIATING SEARCH TESTING IN MULTIPLE COMMUNITIES OF HIGHEST CONCERN IN COORDINATION WITH STATE AND LOCAL OFFICIALS

    NOW BACK TO SCHOOLS AND BUSINESSES AS DR REDFIELD STATED THE CDC WILL RELEASE RECOMMENDATIONS ON K THROUGH TWELVE INSTITUTIONS OF HIGHER EDUCATION AND GENERAL BUSINESS REOPENING THESE WILL INCLUDE CONSIDERATIONS FOR INTEGRATING TESTING ESPECIALLY SURVEILLANCE TESTING INTO A COMPREHENSIVE STRATEGY AS YOU ASKED ME MR CHAIRMAN IF YOU ARE SUPERINTENDENT OF A SCHOOL SYSTEM OR PRESIDENT OF THE UNIVERSITY NUMBER ONE APPLY THE CDC GUIDELINES IN CONSULTATION WITH YOUR STATE AND LOCAL PUBLIC HEALTH OFFICIALS SAID THAT TESTING IS A PART OF YOUR COMPREHENSIVE PLAN WHICH SHOULD ALSO INCLUDE PREVENTION AND CLEAR MECHANISMS TO ISOLATE POSITIVE STUDENTS

    NUMBER TWO I SURE YOUR TESTING NEEDS ARE INCORPORATED INTO YOUR STATE TESTING PLANS AS WE OUTLINED IN THE NATIONAL TESTING STRATEGY EACH STATE HAS DEVELOPED AND WILL CONTINUE TO BUILD UPON A CUSTOMIZED TO STATE TESTING PLAN DEVELOPED IN FULL COORDINATION WITH THE FEDERAL GOVERNMENT THE NEXT ITERATION COVERING JULY TO DECEMBER IS DUE ON JULY TENTH THESE STATE PLANS DRIVE THE ALLOCATION OF CERTAIN SCARCE RESOURCES FOR EXAMPLE IN MAY AND JUNE THE FEDERAL GOVERNMENT HAS DISTRIBUTED NEARLY TWENTY SIX MILLION COLLECTION SWABS IN OVER NINETEEN MILLION TUBES OF TRANSPORT MEDIA HHS ALSO PRIORITIZES ALLOCATION OF CERTAIN KEY LABORATORY TESTS LIKE POINT OF CARE TESTS ACCORDING TO STATE SPECIFIC NEEDS

    THERE ARE ALSO STRATEGIES PARTICULARLY RELEVANCE TO SURVEILLANCE TESTING ESPECIALLY IN UNIVERSITIES AND BUSINESSES FOR EXAMPLE PULLING OF SAMPLES MEANING COMBINING TWO OR MORE SAMPLES AND POSSIBLY UP TO TEN INTO A SINGLE TEST MAKES SENSE WHERE THE PREVALENCE OF INFECTION IS LOW IN SUCH PULLED SURVEILLANCE TESTING CAN BE CONDUCTED IN A UNIVERSITY RESEARCH LAB OUTSIDE OF A CLIA BUT IF A POOLED SAMPLE IS POSITIVE FOR COVID EVERY INDIVIDUAL IN THAT POOL WOULD NEED TO BE TESTED THROUGH A HEALTH SYSTEM I WOULD LIKE TO CLOSE BY RECOGNIZING MY FELLOW OFFICERS IN THE UNITED STATES PUBLIC HEALTH SERVICE COMMISSIONED CORPS THE UNIFORMED SERVICE THAT I LIED FOUR THOUSAND FIVE HUNDRED AND THIRTY SIX OFFICERS HAVE DEPLOYED TO SUPPORT THE PANDEMIC RESPONSE EXEMPLIFYING THE CARE AND COMPASSION

    THAT ALL OF US FEEL FOR THOSE WHO HAVE SUFFERED DURING THIS PANDEMIC I THANK EACH AND EVERY ONE OF THESE OFFICERS AND THEIR FAMILIES AND ON THEIR BEHALF SINCERELY THANK ALL OF YOU IN CONGRESS FOR SUPPORTING OUR TRAINING NEEDS AND ESTABLISHMENT OF A READY RESERVE CORPS TO SUPPLEMENT OUR RANKS DURING INEVITABLE FUTURE NATIONAL EMERGENCIES THANK YOU FOR THE OPPORTUNITY TO PROVIDE THESE REMARKS THANK YOU THANK YOU AT ROGER ONE OF WELCOME DOCTOR HYDE

    THANK YOU CHAIRMAN ALEXANDER RANKING MEMBER MURRAY AND MEMBERS OF THE HELP COMMITTEE I APPRECIATE VERY MUCH THE SUPPORT THE YOU ARE PROVIDED- FOR EFFORTS DURING THIS TIME OF COVID NINETEEN FDA HAS A VITAL ROLE IN THE FEDERAL GOVERNMENT'S RESPONSE TO THE PANDEMIC ONE OF OUR CORE MISSIONS IS TO ADVANCE THE PUBLIC HEALTH BY HELPING TO SPEED MEDICAL PRODUCTS THAT ARE SAFE AND EFFECTIVE WE HAVE PROVIDED APPROPRIATE REGULATORY FLEXIBILITIES TO ASSURE THAT THE AMERICAN PUBLIC HAS ACCESS TO CRITICAL MENTAL PROBLEMATICAL PRODUCTS AND SEAFOOD IN CONFIDENCE THAT OUR DECISIONS ARE BASED ON MEDICINE AND SCIENCE SINCE THE PUBLIC HEALTH EMERGENCY WAS DECLARED FDA HAS ISSUED MORE THAN ONE HUNDRED EMERGENCY USE AUTHORIZATIONS FOR DIAGNOSTIC TESTS PERSONAL PROTECTIVE EQUIPMENT VENTILATORS OTHER DEVICES AND DRUG PRODUCTS

    AND WE HAVE ISSUED MORE THAN FIFTY GUIDANCE DOCUMENTS TO ENSURE THE CONTINUITY OF HEALTHCARE IN THE FOOD SUPPLY I AM PLEASED TO ANNOUNCE THAT TODAY FDA IS TAKING ACTION TO AID THE TIME TIMELY DEVELOPMENT OF A SAFE AND EFFECTIVE VACCINE TO PREVENT COVID NINETEEN BY PROVIDING GUIDANCE FOR DEVELOPERS WITH RECOMMENDATIONS ON THE DATA NEEDED TO FACILITATE MANUFACTURING CLINICAL DEVELOPMENT AND APPROVAL WE RECOGNIZE THE URGENT NEED TO DEVELOP A SAFE AND EFFECTIVE VACCINE TO PREVENT COVID NINETEEN AND WE WANT TO WORK COLLABORATIVELY WITH INDUSTRY RESEARCHERS AND OTHER PARTNERS TO ACCELERATE THESE EFFORTS WHILE THE FDA IS COMMITTED TO HELP EXPEDITE THIS WORK WE WILL NOT CUT CORNERS IN OUR DECISION MAKING AND WE ARE MAKING CLEAR IN OUR GUIDANCE WHAT IS THE DAY THAT WE NEED THAT SHOULD BE SUBMITTED

    TO MEET OUR REGULATORY STANDARDS OF APPROVAL THIS IS PARTICULARLY IMPORTANT AS WE KNOW THAT THEY HAVE A STRONGLY ENCOURAGES THE INCLUSION OF ALL THE DIVERSE POPULATIONS IN ALL PHASES OF CLINICAL DEVELOPMENT INCLUDING POPULATIONS MOST AFFECTED BY COVID NINETEEN AND SPECIFICALLY RACIAL AND ETHNIC MINORITIES AS WELL AS ADEQUATE REPRESENTATION IN LATE PHASE TRIALS OF ELDERLY INDIVIDUALS AND THOSE WITH MEDICAL COMORBIDITIES WE ALSO HAVE INFORMATION IN THIS GUIDANCE ABOUT INCLUDING WOMEN WHO ARE PREGNANT AS WELL AS FOR PAEDIATRIC ASSESSMENTS OF SAFETY AND EFFECTIVENESS AMERICAN PEOPLE SHOULD KNOW THAT WE HAVE NOT LOST SIGHT OF A RESPONSIBILITY TO MAINTAIN OUR REGULATORY INDEPENDENCE AND ENSURE THAT OUR DECISIONS RELATED TO ALL MEDICAL PRODUCTS INCLUDING COVID NINETEEN VACCINES

    ARE BASED ON SOUND SCIENCE IN THE AVAILABLE DATA THIS IS A COMMITMENT THE OF THE AMERICAN PUBLIC CAN HAVE CONFIDENCE IN AND THAT I WILL CONTINUE TO UPHOLD PERSONALLY WELL THE ACSI RESEARCH IS ONGOING RAPID TESTING AND THERAPEUTIC DEVELOPMENT CAN AIDE IN THE SAFE RETURN TO SCHOOL COLLEGE AND THE WORKPLACE FDA IS CONSTANTLY EVALUATING NEW DATA WE RECEIVE ON TESTING SO THAT WE CAN PROMOTE THE DEVELOPMENT OF NEW AND BETTER TESTS AND REMOVE TESTS THAT ARE NOT RELIABLE FROM THE MARKET

    AND WE HAVE PUT INTO PLACE IN INITIATIVE TO ACCELERATE THE DEVELOPMENT OF TREATMENTS CALLED THE CORONAVIRUS TREATMENT ACCELERATION PROGRAM OR C TAP WE'VE SEEN SOME OF THE CONSEQUENCES OF THAT PROGRAM SUCH AS THE AUTHORIZATION OF RAM DOES APPEAR IN THE RECENT- INFORMATION REGARDING OTHER THERAPEUTICS THAT MIGHT BE OF BENEFIT TO PATIENTS WITH COVID NINETEEN WE ARE WORKING DAY AND NIGHT TO PROVIDE GUIDANCE TO AND REVIEW PROPOSALS FROM COMPANIES SCIENTISTS AND RESEARCHERS WHO ARE DEVELOPING I'VE SEEN THIS INVOLVING CRISIS

    IT IS MISSION CRITICAL THAT THE AGENCY CONSTANTLY EVALUATE WHETHER OUR PROCESSES ARE MAXIMAL TO PROMOTE AND PROTECT THE PUBLIC HEALTH AND THEREFORE WE ARE BEGINNING A COMPREHENSIVE REAL TIME REVIEW AND ASSESSMENT OF OUR ACTIONS TO DATE TO ADDRESS THE COVID NINETEEN PANDEMIC PANDEMIC AND I'M GLAD TO ANSWER QUESTIONS ABOUT THAT REVIEW I WANT TO THANK THE MORE THAN SEVENTEEN THOUSAND FTE EMPLOYEES WHO'VE BEEN WORKING NIGHT AND DAY TO HELP EXPEDITE MEDICAL PRODUCTS BUT ALSO TO PROVIDE THE NECESSARY OVERSIGHT WITH THE APPROPRIATE SCIENCE AND DATA

    WE KNOW THAT THE VIRUS REMAINS WITH US FDA IS COMMITTED TO DOING THE CRITICAL WORK THAT WILL GET THE COUNTRY TO THE POINT AT WHICH AMERICANS JUDGE IT'S SAFE TO RETURN TO WORK AND SCHOOL AS QUICKLY AS POSSIBLE I AM INCREDIBLY PROUD OF THE DEDICATED WOMEN AND MEN OF THE FDA WHOSE COMMITMENT TO DEFEATING THIS PANDEMIC HAS BEEN UNWAVERING I CAN ASSURE YOU THE FDA WILL CONTINUE TO PROVIDE LEADERSHIP EXPERTISE GUIDANCE AND INFORMATION

    AS WE CONTINUE TO ADDRESS IS UNPRECEDENTED CHALLENGE AND TO FILL OUR MISSION TO PROTECT AND PROMOTE PUBLIC HEALTH THANK YOU AND APPRECIATE LOOK FORWARD TO YOUR QUESTIONS THANK YOU DR ON AND THANKS TO EACH OF OUR WITNESSES WILL NOW BEGIN AROUND THE FIVE MINUTE QUESTIONS ALL THE CENTERS ARE PARTICIPATING TODAY ALMOST ALL AND SO I WOULD ASK THE SENDERS AND WITNESSES TO TRY TO KEEP EACH SEGMENT WITHIN FIVE MINUTES

    DR FAUCI ASSUME I'M SUPERINTENDENT OF ONE OF FOURTEEN THOUSAND SCHOOL DISTRICTS AND IN OUR COMMUNITY WE- WE UNDERSTAND THAT THERE HEALTH RISKS FOR CHILDREN- GOING BACK TO SCHOOL BUT WE'VE CONCLUDED THAT THE RISKS OF TO THEIR EDUCATION MENTAL HEALTH AND SOCIAL DEVELOPMENT IS A GREATER RISK IF THEY DON'T GO BACK TO SCHOOL SO WHAT WOULD YOUR ADVICE BE TO A SCHOOL SUPERINTENDENT ABOUT WHAT HE OR SHE SHOULD BE THINKING ABOUT AS CHILDREN GO BACK TO SCHOOL AND A FEW WEEKS TO KEEP SAFE

    THANK YOU FOR THAT QUESTION MISTER CHAIRMAN IT IS AN IMPORTANT QUESTION BUT I THINK WE NEED TO POINT OUT THAT IT REALLY WILL DEPEND ON THE DYNAMICS OF THE OUTBREAK IN THAT LOCATION WHERE THE SCHOOL IS AND ONE OF THE THINGS WE WANT TO EMPHASIZE AND HAVE BEEN EMPHASIZING

    IS TO TAKE A LOOK AT WHERE YOU ARE IN THE PARTICULAR AREA OF THE SO CALLED OPENING AMERICA AGAIN ARE YOU AT THE GATEWAY PHASE ONE PHASE TWO PHASE THREE THE CDC HAS GUIDELINES ABOUT THE OPENING OF SCHOOLS AT VARIOUS STAGES OF THOSE CHECKPOINTS THE BASIC FUNDAMENTAL- GOAL WOULD BE

    AS YOU POSSIBLY CAN TO GET THE CHILDREN BACK TO SCHOOL AND TO USE THE PUBLIC HEALTH EFFORTS AS A TOOL TO HELP GET CHILDREN BACK TO SCHOOL LET ME EXPLAIN WHAT I MEAN IN OTHER WORDS IF WE ADHERE TO GUIDELINES OF WHAT WE'VE HEARD IN MANY OF THESE PRESENTATIONS YOU JUST HEARD ABOUT THE PHYSICAL DISTANCE IN THE COMMUNITY THE USE OF MASKS THINGS LIKE THAT THAT WILL HELP TO KEEP THE LEVEL OF INFECTION IN THE COMMUNITY TAB WHICH WILL THEN MAKE IT EASY TO GET THE CHILDREN BACK TO SCHOOL

    IF YOU ARE IN AN AREA WHERE YOU HAVE A CERTAIN AMOUNT OF INFECTION DYNAMICS THERE ARE THINGS THAT CAN CREATIVELY BE DONE ABOUT MODIFYING THINGS LIKE THE SCHOOL SCHEDULE ALTERNATE DAYS MORNING VERSE EVENING ALLOWING UNDER CERTAIN CIRCUMSTANCES ON LINE VIRTUAL LESSONS THOSE ARE THE KIND OF THINGS THAT WE NEED TO CONSIDER BUT ALSO IMPORTANTLY ALWAYS MAKE THE GOAL THAT IT IS VERY IMPORTANT TO GET CHILDREN BACK TO SCHOOL FOR THE UNINTENDED CONSEQUENCES OCCUR

    WE KEEP THEM OUT OF THANK YOU DOCTOR REGISTER THE ONE CERN'S WOULD BE CHILDREN WHO WHO GENERALLY SPEAKING DAY NEARLY AS MUCH AS- ALL ARE JUDGE ELDERLY ADULTS BY THE SPOT OURS

    MY THREE BUYERS THIRTY STRAIGHTER OR PARENTS OR GRANDPARENTS AT HOME SEEMS TO ME THAT THE AVAIL OF TREAT THIS MAY FOR THE ADVISER SET THE RISK OF SICKNESS AND DEATH COULD BE VERY IMPORTANT IN INCREASING CONFIDENCE IN GOING BACK TO SCHOOL YOU MENTIONED SOME OF THOSE IN YOUR TESTIMONY ARE THERE OTHERS WHAT WILL THE AVAILABILITY OF TREATMENTS BE THIS FALL

    N SPECIFICALLY WHAT ABOUT SO CALLED ANYBODY COCKTAILS OF THE KIND THAT WERE DEVELOPED FOR EBOLA AND APPROVED BY THE FDA WELL I THINK THAT BE A GREAT QUESTION ALSO FOR DOCTOR FELT SHE- GONNA MAKE IT SMALL STATEMENT HE MAY WANT TO ADD TO IT CLEARLY WE DO HAVE PROTESTS OF YOURS HE MENTIONED WE HAVE NO EVIDENCE OF STEROIDS CAN IMPROVE THERAPY AND AS YOU MENTIONED- WE HAVE- CONVALESCENT PLASMA THAT- STEVE ON COULD COMMENT ON THAT SUIT THE USING THE ANTIBODIES FROM INDIVIDUALS THAT HAVE GOTTEN BETTER FROM COVID- THAT ARE CURRENTLY UNDER EVALUATION AND POTENTIALLY BE AVAILABLE I HAVE JUST A MINUTE DOCTRINE FEEL AT ME GO TO DOCTOR ON AND LET HIM ANSWER THAT QUESTION TOO THANK YOU

    AS A AS I MENTIONED WHEN DOES YOUR HAS BEEN AUTHORIZED BASED ON ITS REDUCTION IN HOSPITALIZATION DAYS ON THE STEROIDS WERE MENTIONED CONVALESCENT PLASMA WE HAVE EVALUATED THE SAFETY THROUGH A LARGE X ACCESS AT THE MAYO CLINIC AND IT'S BEEN FOUND TO BE SAFE OVER TWENTY THOUSAND PATIENTS ADMINISTERED IT WE ARE WAITING FOR THE SAFETY DATA- AND WE WILL BE PASSING THOSE STATE ALONG TO BARTER WHO'S THE SPONSOR OF THAT PROGRAM- I THINK

    THAT THE BODY DATA WILL HELP US IN TERMS OF THE DEVELOPMENT OF MONOCLONAL ANTIBODIES WE HAVE A NUMBER OF SPONSORS HAVE COME IN FROM MONOCLONAL ANTIBODY STUDIES ON WE'RE ALREADY WELL INTO THAT TREATMENT- MONOCLONAL ANTIBODIES ARE SYNTHETIC ANTIBODIES THAT WILL PROVIDE THAT THE THEORIES WILL PROVIDE PROTECTION AGAINST THE INFECTION OF THE VIRUS AND WE'RE HOPEFUL THAT THOSE STUDIES BY THE LATE SUMMER EARLY FALL WILL PROVIDE THIS INFORMATION ABOUT THEIR EFFECTIVENESS AND SAFETY SO YOU'RE OF OPTIMISTIC THAT THERE WILL BE MORE THAN ONE TREATMENT AVAILABLE THIS FALL FOR

    TEACHERS ADMINISTRATORS OLDER ADULTS YES SIR I'M OPTIMISTIC THANK YOU VERY MUCH SENATOR MURRAY THANK YOU VERY MUCH TO ALL OF OUR WITNESSES WE'RE ALL VERY MUCH APPRECIATE YOUR SERVICE IN YOUR WORK I'M DOCTOR THOUGHT SHE LAST TIME YOU TEST FOR TESTIFIED BEFORE THIS COMMITTEE YOU WARNED US OF NEEDLESS SUFFERING AND DEATH OF STATE BEGIN RE OPENING TO EARLY AND JUST OVER A MONTH LATER NOW WE ARE SEEING A RECORD NUMBER OF CASES WE DO NOT HAVE ENOUGH TASKS AND WE DID NOT HAVE ENOUGH CONTACT TRACERS AND JUST YESTERDAY'S CDC'S DR SCHACHTER SAID WE HAVE TOO MUCH VIRUS TO CONTROL IN THE U S

    ARGUING AND I QUOTE THIS IS REALLY THE BEGINNING OUR STORY HASN'T WORKED I WANT TO ASK YOU WHAT DID THE FEDERAL GOVERNMENT AND THE MORE THAN THIRTY STATES WITH RISING CASE NUMBERS NEED TO DO TO REVERSE THIS TREND THANK YOU VERY MUCH FOR THAT QUESTION- SENATOR MURRAY I AM ALSO QUITE CONCERNED ABOUT WHAT WE ARE SEEING OF ALL RIGHT NOW IN SEVERAL OF THE STATES AS YOU KNOW

    AND FOR THE STATE'S IN FLORIDA TEXAS CALIFORNIA AND ARIZONA MORE THAN 50% OF THE NEW INFECTIONS ARE IN THOSE AREAS WE'RE SEEING SURGEONS THE THINGS WE NEED TO DO I THINK YOU ALLUDED TO IN YOUR QUESTION TO ME WE'VE GOT TO MAKE SURE THAT WHEN STATE'S START TO TRY AND OPEN AGAIN TO FOLLOW THE LINE VERY CAREFULLY LAID OUT

    WITH REGARD TO CHECKPOINTS WHAT WE SEEN IN SEVERAL STATES ARE DIFFERENT ITERATIONS OF THAT PERHAPS MAYBE IN SOME GOING TO QUICKLY AND SKIPPING OVER SOME OF THE CHECKPOINTS BUT EVEN IN STATES IN WHICH THE LEADERSHIP IN THE FORM OF THE GOVERNORS AND THE MAYORS DID IT RIGHT WITH THE RIGHT RECOMMENDATIONS

    WHAT WE SAW VISUALLY AND CLIPS AND PHOTOGRAPHS OF INDIVIDUALS IN THE COMMUNITY DOING ALL THE NON PHENOMENON WHICH IS DANGEROUS AND BY ALL THE NINE NINETEEN EITHER BE LOCKED DOWN OR OPEN UP IN A WAY WE SEE PEOPLE AT BARS NOT WEARING MASKS NOT AVOIDING CROWDS NOT PAYING ATTENTION TO PHYSICAL DISTANCING I THINK WE NEED TO EMPHASIZE THE RESPONSIBILITY THAT WE HAVE BOTH AS INDIVIDUALS

    AND AS PART OF A SOCIETAL EFFORT TO END THE EPIDEMIC THAT WE ALL HAVE TO PLAY A PART IN THAT AND I THINK IF YOU LOOK AT THE VISUALS WHAT WE STORE WHERE A LOT OF PEOPLE WHO MAYBE FELT THAT BECAUSE THEY- I THINK THEY ARE IN VULNERABLE AND WE KNOW MANY YOUNG PEOPLE ARE NOT BECAUSE THEY GETTING SERIOUS DISEASE THAT THEREFORE THEY'RE GETTING INFECTED HAS NOTHING AT ALL TO DO WITH ANYONE ELSE WHEN IN FACT IT DOES

    BECAUSE IF A PERSON GETS INFECTED THEY MAY NOT BE SYMPTOMATIC BUT THEY COULD PASS IT TO SOMEONE ELSE WHO PASSES IT SOMEONE ELSE WHO THEN MAKES SOMEONE'S GRANDMOTHER GRANDFATHER SICK ON GOAL OR LEUKEMIC CHILD ON CHEMOTHERAPY GET SICK AND DIE WE'VE GOT TO GET THAT MESSAGE OUT THAT WE ARE ALL IN THIS TOGETHER

    AND IF WE ARE GOING TO CONTAIN THIS WE'VE GOT TO CONTAIN IT TOGETHER WELL I ASSUME THAT WOULD MEAN THAT ELECTED AND COMMUNITY LEADERS NEED TO MARKET PUBLIC I HEALTH BEHAVIOR AND WHERE MASS WE RECOMMEND MASKS TO EVERYONE ON THE OUTSIDE ANYONE WHO COMES INTO CONTACT IN A CROWDED AREA YOU SHOULD AVOID CROWDS WHERE POSSIBLE AND WHEN YOU'RE OUTSIDE AND NOT HAVE THE CAPABILITY OF MAINTAINING DISTANCE YOU SHOULD WEAR A MASK AT ALL TIMES THANK YOU- DR REDFIELD LAST WEEK DR JULIE GERBERDING WHO SERVED AS THE CDC DIRECTOR UNDER PRESIDENT GEORGE

    W BUSH TESTIFIED TO OUR COMMITTEE THAT IF SHE WERE IN CHARGE ONE OF HER TOP PRIORITIES WOULD BE THE CREATION OF A NATIONAL VACCINE PLAN THAT ADDRESSES THE SCIENCE DEVELOPMENT ALLOCATION ACTIVATE AND MONITOR YOUR VACCINE SAYING QUOTE WE KNOW THIS IS IN OUR FUTURE AND WE ARE NOT READY FOR IT I COULDN'T AGREE MORE AND THAT PLAN HAS TO DETAIL HOW THE FEDERAL GOVERNMENT WILL SCALE UP MANUFACTURING COORDINATE THE SUPPLY CHAIN SO WE AVOID MISSTEPS WE START TESTING NEEDS TO COMBAT MISINFORMATION AND VACCINE HESITANCY AND MAKE SURE THAT VACCINE DISTRIBUTION ADDRESS HEALTH DISPARITIES AND A LOT MORE I'M DOCTOR

    DEGREE OF OKAY SENATOR I THINK IT'S VERY IMPORTANT THAT WE HAVE A INTEGRATED PLANNED FOR THIS VACCINE WHEN CAN WE EXPECT THE ONE WELL I'M GONNA ASK DR HAN IF YOU'D LIKE TO COMMENT THAT I NOTE RECENTLY THEY HAD A VACCINE PLANNED FOR AT LEAST FOR THE FDA'S PERSPECTIVE CDC IS WORKING ON THE ISSUES THAT YOU SAID THAT I THINK IS SO IMPORTANT IN BUILDING VACCINE COMPANIES COUNTRY CD'S HE WILL BE GIVING US THEIR PLANTS AND SEE SEE WOULD BE WRITING THE COMPREHENSIVE PLAN WILL WE'RE DEVELOPING A PLAN AS AS WE AS WE SPEAK IN AGAIN TO KEEP BUILDING ON THE EFFORTS THAT WE HAVE TO REBUILD WHAT I CALL BACKS IN CONFIDENCE IN THIS COUNTRY WHICH IS REALLY CRITICAL AND THEN ON TOP OF THAT THEY'LL BE A VERY DEFINED PLAN FOR DISTRIBUTION OF THIS VACCINE PRIVATIZATION OF THIS VACCINE

    MONITORING SAFETY WILL BE FIXING LEAKS A COUPLE MONTHS THE END OF THE YEAR IF YOU HAVE ANY ASKED ON THAT WELL IT MILLION DEVELOPMENT WITH THE GROUP AND I HAD A INTO THAT WILLS THE CAESAR PLAN IN IN THE NEAR WEEKS HEADS HEAD SENATOR WEEKS NOT

    DAYS RANKS IN THE WEEKS AHEAD IT'S A COLLECTIVE EFFORT THAT WE'RE DOING TOGETHER WITH THE CONCEPT OF OPERATION MORE SPEED BUT CDC NOT BEEN WORKING ON THIS PLAN LITERALLY FOR PROBABLY THE LAST TEN TO TWELVE WEEKS I'M IS CHAIRMAN I WOULD JUST SAY WE NEED TO SEE THAT PLAN WE NEED TO KNOW WHAT IT IS THE AMERICAN PUBLIC NEEDS TO KNOW WHAT THAT IS UNITY IS NEED TO KNOW WHAT THAT IS- SO I HOPE THAT WE URGE ON THAT PLANNED TO BE PUBLIC AS SOON AS POSSIBLE SO WE ALL KNOW WHAT TO EXPECT THANK YOU SENATOR MURRAY SENATOR BURKE THANK YOU MR CHAIRMAN AFTER WORKING ON PANDEMIC POLICY NOW FOR SEVENTEEN YEARS I'M REMINDED THIS MORNING

    TONY FELT SHE'S BEEN DOING IT TWICE AS LONG AS I HAVE IN MOST OF THE YEAR AT THE TIRES HAVE BEEN DOING THAT AS WELL I URGE MY COLLEAGUES PAY ATTENTION TO WHAT EACH OF THESE INDIVIDUAL SAY BECAUSE SOME THINGS ARE PREDICTABLE UP HERE CONGRESS IS A FULL FLEDGED PARTNER FUNDS THINGS WHEN THERE'S AN URGENT NEED A THREAT THAT'S OUT THERE

    AND I KNOW TONY YOU'VE SEEN OVER THE YEARS WHEN THERE'S NOT THAT THREAT OUT THERE THINGS GET SHELVED LIKE PLATFORMS THAT WE COULD HAVE DEVELOPED AND HAVE BETTER COUNTERMEASURES TODAY PLATFORMS THAT

    THEN COULD ADDRESS VACCINE TO A MUCH FASTER PACE THAN MAYBE WHAT WE'RE DOING BUT WE SPEND MORE TIME WITH THE BLAME GAME- THAN WE DO WITH FOCUSES ON HOW THE FUTURE SHOULD LOOK WHILE ALL OF ITS MEMBERS CONGRESS AND PEOPLE WITHIN GOVERNMENT WISH THAT WE COULD GET BACK TO NORMALCY YOUR AGENCIES AND MEMBERS OF CONGRESS ARE ALSO CHARGED WITH MAKING SURE THAT WE MAP THE FUTURE SO THAT FUTURE GENERATIONS HAVE BETTER PROTECTIONS IN WHAT WE HAVE AND THAT'S WHY I APPLAUD THE CHAIRMAN FOR HIS WHITE PAPER AND I WOULD ENCOURAGE EVERY MEMBER OF THAT DIES TO BE BRUTALLY HONEST WITH US ABOUT WHERE CHANGES NEED TO BE MADE AND WHERE THEY DON'T NEED TO BE MIGHT DR REDFIELD AT I THINK WOULD AGREE WITH ME THAT

    TESTING AND SURVEILLANCE ON THIS HAS NOT BEEN- THE BEST PERFORMANCE BY CDC I DON'T WANT TO DWELL ON WHERE WE'VE COME UP SHORT SHARE WITH LEADS MEMBERS AND MYSELF WHAT CAN WE EXPECT OVER THE NEXT SEVERAL MONTHS FROM CDC THAT WILL BE DIFFERENT THAN WHAT THE PASTORS LOOKED LIKE THANK YOU SENATOR FOR YOUR QUESTION- I THINK THE CDC WILL CONTINUE TO WORK WITH THE STATE LOCAL TRIBAL TERRITORY HEALTH DEPARTMENTS TO BUILD THEIR CAPACITY I THINK WE ALL KNOW THAT FOR DECADES- THERE'S BEEN CONSISTENT UNDERINVESTMENT IN PUBLIC HEALTH IN THIS NATION AND THE CORE CAPABILITIES TO DO THAT JOB

    DATED DATA MONETIZATION PREDICTED THAT IN THE HOUSE'S LABORATORY RESILIENCE WORK FORCE VERY APPRECIATIVE FOR THEIR MERGER RESPONSE FUND THAT- CONGRESS BUT PROVIDED THESE ARE CRITICAL INFRASTRUCTURE ISSUES THAN REALITY HAVE BEEN UNDER INVESTED YOU IS NOW PROVIDE 5270% OF ALL PUBLIC HEALTH OPENING EACH DAY WE NEED TO HAVE A MOVE MORE ROPE INVESTMENT IN THESE CORE CAPABILITIES WHAT YOU ARE GOING TO SEE BECAUSE OF- THE CONGRESS ACTING CDC HAS

    PROVIDED NOW TWELVE BILLION DOLLARS TO THE LOCAL STATE TERRITORIAL TRIBAL HEALTH DEPARTMENTS TO BEGIN TO BUILD THAT CORE CAPABILITY THAT WE WOULD HAVE LIKED TO BUILD OVER THE LAST SEVERAL DECADES ALSO THAT THERE'S ENHANCED TESTING IS BEEN MENTIONED IT'S COMPLICATED HERE BECAUSE OF OUR- IS STILL A SYMPTOMATIC FOR SO MANY SO THE TRADITIONAL METHODS OF THE HOUSES CONTACT TRACING ISOLATION OR GET B ON HIM DID FOR MANY INDIVIDUALS THAT'S GOING TO REQUIRE BROADER COMMITTEE BASED BEILIN STRATEGIES ON THOSE PLANS AS WAS MENTIONED BY THE ADMIRAL R

    WE'VE RECEIVED FOR JUNE AND JULY WERE WORKING WITH THE LOCAL JURISDICTIONS THEY'RE GONNA HAVE HIM IN MIDDLE JULY THE PLANS FOR THE REST OF THE YEAR AND WE'RE GONNA BE WORKING SIDE BY SIDE WITH THEM TO CONTINUE TO AUGMENT THE PUBLIC HEALTH AS A RESPONSE TO COPE LARRY WITH CLEAN IT CAN'T BE DONE THANKS FOR IN OUR KITCHEN TO BEGIN TO BRING BRING

    ROLL I HOPE SOME OF THAT MY WILL BE YOU UP THE SO A CDC THE ARE ERIC SIR I AGREE WITH YOU THERE I MEAN I THINK IT AS THOSE ARE IN WHEN I WAS GET THE OPPORTUNITY TO DO THIS JOB EARLY ON WITHIN A MONTH I RECOGNIZE THAT THE CORE CAPABILITIES OVER PUBLIC HEALTH INFRASTRUCTURE IS NOT THERE PARTICULARLY THE ONE THAT I KNOW YOU'VE BEEN VERY SUPPORTIVE OF DATA DATA MODERNIZATION PREDICTIVE DATA ANALYSIS AND THAT IS IN PROGRESS- IT CAN'T HAPPEN TOO SOON

    AND WE'RE APPRECIATIVE OF THE SUPPORT THE CONGRESS IS GIVEN AND I DO THINK IT'S FUNDAMENTALLY CRITICAL TO BRING OUR- DATA SYSTEM AND IF YOU KNOW THE DATA PERSONNEL THAT WE HAVE AND WE THANK YOU FOR YOUR EFFORTS THERE AND IT WE NEED TO HIRE THE END OF MR WE WILL CONTINUE TO DO THAT

    TO MAKE SURE THAT THE PREMIUM PUBLIC HEALTH AGENCY IN THIS COUNTRY HAS THE PERSONNEL ON DATA SYSTEMS THAT IT DOES THE BUT I WILL SAY THE BIG- ISSUE WE HAVE TO CORRECT THIS TO MAKE SURE PUBLIC HEALTH STATE LOCAL TERRITORY TRIBAL THAT IT IT IT HEALTH THE YOUR FORTY ON THE POP UP THAT IF YOU KNOW EFFECTIVE AND THE FDA'S REAL TO THE DURING THE PUBLIC HEALTH AND CUTTING TAPE IN MIND THEIR GO STANDER FOR REVIEW OF LIFE SAVING MEDICAL PRODUCTS YOU SPECIFICALLY MENTIONED INNOVATIVE TRIAL CLINICAL TRIAL DESIGNS AND THE USE OF REAL WORLD DATA AS AREAS WHERE THE FDA HAS GAINED GROUND DURING THE RESPONSE TO COVID HOW DO YOU PLAN TO ENSURE THAT THIS PROGRESS IS MAINTAINED LONG AFTER ROTAVIRUS OF RESPONSES OVER A THINKCENTRE BURGER- CRITICAL ISSUES THAT YOU BRING UP IN ADDITION SOME OF THE THINGS THAT WE'RE DOING ON THE REVIEW SIDE TO ACTUALLY EXPEDITE REVIEW AND WORK WITH INNOVATORS AND DEVELOPERS WE WILL CONTINUE

    PART OF OUR REVIEW OF OUR ACTIONS TO DATE SO AMID ACTION REVIEW WILL INFORM HOW WE BEFORE NOPE THE FACT WE HOLD A- IN NOT OF STATE SYSTEMS ARE AROUND SUPPLY CHAIN INTIMATE AND ROMANTIC THANKS BUT ALSO THE REVIEW CYCLE THE INNOVATIVE CLINICAL TO TRIAL JUSTICE YOU FOR

    YOU WERE A MEMBER WILL DOCTOR FELT SHE HAD SOME TODAY TO MAKE A COMMENTS THE RICK OF A NEW FLU BUT THE HAVE OF APPARENTLY IDENTIFIED AND HOW MIGHT OF US IN THE FUTURE ON MR WELL DR FELT YOU WANTED TO DO THAT NOW HAVE YOU HAVE ANYTHING TO SAY ABOUT OF SWINE FLU THE CHINESE OVER THE LAST WEEK OR TWO BUT HAVE IDENTIFIED A VIRUS IN THE ENVIRONMENT IT IS NOT YET

    SHOWN TO BE INFECTED HUMANS BUT IT IS EXHIBITING WHAT WE CORY ASSORTMENT CAPABILITIES IN OTHER WORDS WHEN YOU GET A BRAND NEW VIRUS THAT TURNS OUT TO BE A PANDEMIC VIRUSES EITHER DUE TO MUTATIONS AND OR THE RE ASSORTMENT OF EXCHANGES OF GENES AND THEY'RE SEEING VIRUS IN SWINE IN PIGS NOW THAT HAVE CHARACTERISTICS OF THE TWO THOUSAND AND NINE H ONE N ONE

    OF THE REGIONAL NINETEEN EIGHTEEN WHICH MANY OF OUR FLU VIRUSES HAVE REMNANTS OF THAT IN IT AS WELL AS SEGMENTS FROM OTHER HOSTS LIKE SWINE WHEN THEY ALL MIXED UP TOGETHER AND IT CONTAINS SOME OF THE ELEMENTS THAT THEM SUSCEPTIBLE TO BE TRANSMITTED TO HUMANS YOU ALWAYS THE POSSIBILITY THAT YOU MIGHT HAVE ANOTHER SWINE FLU TYPE OUTBREAK AS WE GET INTO THOUSAND NINE IT'S SOMETHING IT STILL IS IN THE STAGE OF EXAMINATION IT'S NOT SO COLD WE CAN FIX SOME NEEDED OUR ON ON THE WAY WE DID MENTION AND NINE WITH AMERICAN OF THIS ONE FLU HIS CALL G FOR IS THE NAME OF IT

    THANK YOU SENATOR SANDERS THANK YOU VERY MUCH CHAIRMAN AND LET ME THANK ALL OF OUR PANELISTS FOR BEING HERE AND FOR THE GREAT WORK WHAT THEY ARE DOING ON THIS PANDEMIC OKAY LET ME ASK A QUESTION THAT HAS JUST BOUGHT ME LATELY ALL OF YOU AND I THINK MOST AMERICANS UNDERSTAND HOW IMPORTANT SOCIAL DISTANCING YES WE'RE TOLD OVER AND OVER AGAIN THE CHAIRMAN TOLD US AT THE BEGINNING IN THIS MEETING STAY ON TOP OF ME SIX FEET APART IF YOU CAN'T

    ARE IN JUST THE OTHER DAY HOWEVER AMERICAN AIRLINES ANNOUNCED- THAT THEY WERE GOING TO FILL UP ALL OF THEIR PLANS ARE AND OTHER AIRLINES HAVE DONE THE SAME SO YOU'RE GONNA HAVE PEOPLE GOING FROM NEW YORK TO CALIFORNIA FIVE SIX I WAS SITTING INCHES APART FROM EACH OTHER AND THEN YOU GOT BUSES ALL OVER AMERICA WITH PEOPLE ARE KIND OF PACKED IN LIKE SARDINES BUT MY QUESTION IS WHAT

    OF THE GOVERNMENT WEATHER'S CDC OR THE DEPARTMENT OF TRANSPORTATION YOU SHOULD GO BLINDS PROHIBITING THOSE VIBRATIONS OF WHAT WE ALL KNOW TO BE CONCEPTS ONCE THE ABOUT YOU WANNA SPAWNER THANK YOU SENATE WELL I'M- I'M NOT THE CDC BUT I'D BE HAPPY TO MAKE A COMMENT ON THAT AND MAYBE BOB WOULD ALSO

    I MEAN OBVIOUSLY THAT IS SOMETHING THAT IS OF CONCERN- I'M NOT SURE EXACTLY WHAT WENT INTO THAT DECISION MAKING I WOULD HOPE THEY WOULD BE SOMETHING TO MITIGATE AGAINST THAT BECAUSE I KNOW AS WE SAID AND I CONTINUE TO REPEATED THAT AVOIDING CROWDS STAYING DISTANCE AND WHEN IN A SITUATION LIKE THAT WHERE A MASK I THINK IN THE CONFINES OF AN AIRPLANE THAT BECOMES EVEN MORE PROBLEMATIC BUT GENERALLY I AGREE I UNDERSTAND THE MASS

    BUT DOES THAT SOUND A LITTLE BIT SILICON A LITTLE BIT IN VIOLATION OF THANK YOU PRESIDENT TALK ABOUT STUFF PEOPLE SITTING NEXT TO EACH OTHER FIVE OR SIX I WAS IN AN AIRPLANE WALK CROWDED INTO A BUS AND MY QUESTION IS WHITE HOUSE OKAY ON THE PRESIDENT ISSUES A LOT OF EXECUTIVE ORDERS WHAT HAPPENED TO STOP- THAT TYPE OF ACTIVITY IN ALL THE AIRLINES AND BUS BUT THAT THANK SENATOR APPRECIATE WHAT AND NINETY IT'S A- IT'S A CRITICAL AREA THANK TELL YOU THAT WHEN THEY ANNOUNCED THAT THE OTHER DAY

    OBVIOUSLY THERE WAS SUBSTANTIAL DISAPPOINTMENT WITH AMERICAN AIRLINES NUMBER THE AIRLINE SAID DECIDED TO KEEP THE MIDDLE SEEK THING I CAN SAY THIS IS UNDER CRITICAL REVIEW RIGHT NOW- BY US AT CDC- WE DON'T THINK IT'S THE RIGHT MESSAGE AS YOU POINTED OUT AGAIN WE THINK IT'S REALLY IMPORTANT AND INDIVIDUALS THAT ARE

    IN WHETHER IT'S A BUS OR A TRAIN OR PLANE OR AT SOCIAL DISTANCING THAT AGREED IT'S FEASIBLE AND AT LEAST HAVE A- BIBLE SCHOLAR IN SO- BOOK WELL I I JUST HOPE VERY MUCH

    OF THAT THE CDC IT WOULD BE APPROPRIATE AGENCIES BASICALLY TELLS THESE COMPANIES THE DOT IS UNACCEPTABLE BEHAVIOR THEY'RE ENDANGERING THE LIVES OF THE AMERICAN PEOPLE LET ME GO TO ANOTHER QUESTION I JUST HAVE A FEW MORE QUESTIONS BUT NOT A LOT OF TOP SORT OF PRE SHOULD BRIEF ANSWERS ARE AT THE UNIVERSITY OF WASHINGTON

    OF THE- THE TWO OF HEALTH THEY'LL- INDICATED THAT IF 95% OF THE AMERICAN PEOPLE WERE TO MASK WE COULD SEE SOME THIRTY THOUSAND LIVES WELL NUMBER OF COUNTRIES INCLUDING FRANCE TURKEY AND- BUT- RIGHT

    WHAT FOR FREE MASS TO ALL OF THE PEOPLE THAT I BELIEVE WOULD YOU SUPPORT A AFTER TWO GREAT INCREASE THE OF HIKE MASS IN THIS COUNTRY AND DISTRIBUTE THEM FREE OF CHARGE TO EVERY HOUSEHOLD IN AMERICA OKAY I THOUGHT YOU ALREADY BUT HE ALSO WANTS TO JUMP IN ON THAT YES OF COURSE I THINK MASKS IS ARE EXTREMELY IMPORTANT AND WE KEEP HAMMERING HOME YEAH AND I THINK WHAT YOU JUST MENTIONED THIS IS IMPORTANT THERE'S NO DOUBT THAT WEARING MASTS PROTECTS YOU AND GETS YOU TO BE PROTECTED SO IT'S PEOPLE PROTECTING EACH OTHER ANYTHING THAT FURTHERS THE USE OF MASK WHETHER IT'S GIVING OUT FREE MASTER ANY OTHER MECHANISM I AM THOROUGHLY FAVOR OF

    AND I JUST FEEL THAT THE SET IN MY OPENING I AGAIN I CALL ON AN ENVIRONMENT THAT WE HAVE BEEN REVERSAL MASK I THINK IT'S FUNDAMENTALLY BUT MOST IMPORTANT THING WE CAN DO THAT'S GREAT BUT WHEN YOU

    REFER TO QUOTE UNQUOTE UNIVERSAL MASKS WHICH ALREADY AGREE WITH YOU ONE WOULD YOU BE SUPPORTING THE INCREASE PRODUCTION OF HIGH QUALITY MASTS AND BASICALLY DISTRIBUTING FREE OF CHARGE OCT EVERY HOUSEHOLD IN AMERICA BECAUSE I THINK THAT'S GONNA SAVE TENS OF THOUSANDS OF LIVES WITH GREAT THE SENATE STANDARDS THIS IS A BRITISH WHY I AGREED THAT THAT THAT IS VERY IMPORTANT BECAUSE WE NEED TO SUPPORT MASK WEARING I WOULD ALSO POINT OUT THE DOCTOR CADILLAC THE ASPER ON HIS CONTRACT FOUR HUNDREDS OF MILLIONS OF CLOTH FACE COVERINGS

    THAT COULD BE DISTRIBUTED AROUND THE COUNTRY AND THE KINDS OF PROCESSES ARE BEING THOUGHT UP- WHEN I'M NOT IN UNIFORM I WOULD THERE WHITE THEY WORK VERY EFFECTIVE AND I THINK- YOU'RE A- GREAT INVESTMENT FOR THE- PEOPLE GOOD THANK YOU MY VERY LAST IT'S AN ISSUE I RAISED UP IN THE LAST COUPLE OF MONTHS ALL OF US HOPE THE GUARDS THAT A GOOD SAFE VACCINE WILL BE DEVELOPED AS SOON AS POSSIBLE ABOUT THAT VACCINE MAY NOT

    MEAN ANYTHING TO A LOW INCOME PERSON WHO MIGHT NOT BE ABLE TO AFFORD IT I HAPPEN TO BELIEVE YOU SHOULD MAKE THESE VACCINES AND BY THE WAY AS YOU ALL KNOW FEDERAL GOVERNMENT OUR TAX DOLLARS ARE GOING TO THE TUNE OF BILLIONS OF DOLLARS INTO DRUG COMPANIES TO HELP DEVELOP THIS VACCINE THAT'S OKAY

    BUT DON'T YOU DO WOULD YOU AGREE MATE AT AFTER THAT KIND OF INVESTMENT WHICH ACTUALLY EVERY AMERICAN EVERY PERSON IN THIS AND GET VACCINE REGARDING THEIR YUP I'M NOT I'M NOT

    YES SENATOR SENATOR YES SENATOR OKAY THANK YOU ALL MUCH THANK YOU SENATOR SANDERS SENATOR PAUL THANK YOU FATAL CONCEIT IS THE CONCEPT THAT CENTRAL PLANNING WITH DECISION MAKING CONCENTRATED IN A FEW HANDS CAN NEVER FULLY GRASP THE MILLIONS OF COMPLEX INDIVIDUAL INTERACTIONS OCCURRING SIMULTANEOUSLY IN THE MARKET PLACE IT IS A FATAL CONCEIT TO BELIEVE ANYONE PERSON OR SMALL GROUP OF PEOPLE HAS THE KNOWLEDGE NECESSARY TO DIRECT AN ECONOMY OR DICTATE PUBLIC HEALTH BEHAVIOR

    I THINK GOVERNMENT HEALTH EXPERTS DURING THIS PANDEMIC HE TO SHOW CAUTION IN THEIR PROGNOSTICATIONS IT'S IMPORTANT TO REALIZE THAT IF SOCIETY MEETS SUBMIT TWO AND BIRDIES EXPERT IS WRONG A GREAT POWERMATIC ALLOW ONE POLICY ONE GROUP OF ALL THE MEN WERE TWO FORCED ON AN ENTIRE NATION TAKE FOR EXAMPLE GOVERNMENT EXPERTS WHO CONTINUE TO CALL FOR SCHOOLS AND DAY CARE TO STAY CLOSED OR THAT RECOMMEND RESTRICTIONS THAT MAKE IT IMPOSSIBLE FOR A SCHOOL FUNCTION FOR A TIME THERE MAY NOT HAVE BEEN ENOUGH INFORMATION ABOUT CORONAVIRUS IN CHILDREN

    BUT NOW THE RIPS THEIR EXAMPLES FROM ALL ACROSS THE UNITED STATES IN THE WORLD SHOW THE YOUNG CHILDREN RARELY DEVICE LET'S IN YOUR- TWO TWO COUNTRIES EUROPE THEIR SCHOOLS AND IF NO DISCERNIBLE INCREASES IN CASES THESE GRASS BEHIND ME SHOW NO SURGE WHEN SCHOOLS OPEN THE RED LINE IS WHERE THE SCHOOLS OPENED THERE IS DATA FROM AUSTRIA BELGIUM DENMARK FRANCE GERMANY NETHERLANDS NO SPIKE WHEN SCHOOLS ARE OPEN CONTACT TRACING STUDIES IN CHINA ICELAND BRITAIN AND THE NETHERLANDS FAILED TO FIND A SINGLE CASE OF CHILD TO ADULT INFECTION

    YOUR IN HOME CHILDCARE FOR CENTRAL WORKERS CONTINUE TO BE AVAILABLE IN SOME STATES THROUGHOUT THE PANDEMIC BROWN UNIVERSITY RESEARCHERS COLLECTED DATA ON DAY CARES THAT REMAINED OPEN ON THE PANDEMIC ANY FIVE THOUSAND KIDS IN THEIR JOURNEY NOT COVID AND WHEN YOU LOOKED AT THE CONFIRMED CASES FOR STAFF THERE WAS ABOUT 1% OF MORE THAN NINE THOUSAND STAFF THE YMCA ALSO HAS PUT FORWARD STATISTICS FORTY THOUSAND ADULT EVAN HUNDRED SITES THERE WERE NO REPORTS OF CORONAVIRUS OUTBREAKS OR CALL DR BASHAR STEINER BOBBINS RIGHTS THERE IS CAN BUTTONS AT THE TONE OF THE TRACK MIDDLE PART OF THAT IT IS A LOWER

    JUST YESTERDAY THE AMERICAN ACADEMY A FEATURE OUT MEDIA AFTER EXAMS WE GOTTA GET KIDS BACK IN SCHOOL WE WANT THEM PHYSICALLY BROTHERS IN SCHOOL EVEN SITES ALTOGETHER THAT RUN ON LESS LIKELY TO CONTRACT THE VIRUS ULTIMATELY ALL COMES DOWN TO THE FACE CONCERN THAT CENTRAL PLANNERS HAVE ENOUGH KNOWLEDGE ON HOW TO TELL A NATION OF THREE HUNDRED THIRTY MILLION PEOPLE WHAT THEY CAN AND CAN'T DO PERHAPS OUR PLANNERS MIGHT THINK TWICE BEFORE THEY WEIGH IN ON EVERY SUBJECT PERHAPS OUR GOVERNMENT EXPERTS MIGHT HOLD THEIR TONGUE BEFORE EXPRESSING THE OPINION WHETHER WE CAN PLAY NFL FOOTBALL OR MAJOR LEAGUE BASEBALL

    NOT OCTOBER OBSERVER EXPERTS MIGHT THINK TWICE BEFORE TELLING THE WHOLE WORLD THE COVID VACCINE LIKELY WON'T PROVIDE HERD IMMUNITY WE DON'T KNOW WHY WHY WHY IN WITH THESE OPINIONS THAT WE HAVE NO KNOWLEDGE OF THE FORECAST THAT MAY WELL BE WRONG PERHAPS OUR EXPERTS MIGHT CONSIDER THE UNDUE FEAR THEY'RE INSTILLING IN TEACHERS WHO ARE NOW AFRAID TO GO BACK TO WORK NO ONE KNOWS THE ANSWERS TO THESE QUESTIONS WE SHOULDN'T PRESUME THAT GROUP OF EXPERTS SOMEHOW KNOWS WHAT'S BEST FOR EVERYONE AND- HIGHER CREDIT RIGHTS ONLY CENTRALIZED POWER IN DECISION MAKING BASED ON MILLIONS OF INDIVIDUALIZED SITUATIONS CAN ARRIVE AT WHAT RISKS AND BEHAVIORS EACH INDIVIDUAL SHOULD CHOOSE

    THAT'S WHAT AMERICA WAS FOUNDED ON NOT A HERD WITH A COUPLE OF PEOPLE WASHINGTON ALL TELLING US WHAT TO DO AND WE'D LIKE XI BLINDLY FOLLOW THIS ALL BEGS THE QUESTION WHAT ARE WE GONNA TELL THE PEOPLE THE TRUTH THAT IT'S OKAY TO TAKE THEIR KIDS BACK TO SCHOOL DR VOUCHING

    J VIRTUALLY EVERY DAY WE SEEM TO HEAR FROM YOU THINGS WE CAN'T DO WHEN YOU'RE ASKED CAN WE GO BACK TO SCHOOL I DON'T HEAR MUCH CERTITUDE ALL I HEAR WELL MAYBE IT DEPENDS ALL OF THIS BODY OF EVIDENCE ABOUT SCHOOLS AROUND THE WORLD SHOWS NO SEARCH ALL OF THE EVIDENCE IT'S RARE I MEAN WITH SO LITTLE SIZE THIS MAYBE POLITICALLY CORRECTED THE W H UP POLICE IS THAT IT'S REP I HAVE A STATUES UP THERE ARE GIVING ARE AND WHAT HAPPENS SHE'S FORTY FIRST TWO TAKE IT OFF THE WEB

    WHEN YOU GO THAT THE THAT SO SPEECH IN YOU AND TRY TO LET ON THE LINK THE W H O HAS NOW SCREAMED IT FROM US BECAUSE IT SAID SOMETHING THAT'S NOT POLITICALLY CORRECT IT GUESS WHAT

    IT'S RARE FOR KIDS TO TRANSMIT THIS I HEAR NOTHING OF THAT COMING FROM YOU ALL I HEAR DR FELL JUST WE CAN'T DO THIS WE CAN'T DO THAT WE CAN'T PLAY BASEBALL PEAKS IN WE DON'T KNOW THE COVID IS GONNA BE LIKE THE FLU SEASON IT MIGHT WE DON'T KNOW THAT BUT WE WOULDN'T WE WOULDN'T VAN SCHOOL IN OCTOBER YOU MIGHT CLOSE SOME SCHOOLS WHEN THEY GET THE FLU WE NEED TO NOT ME NO SO FROM SOME SHOES THAT WE KNOW EVERYTHING

    BUT MY QUESTION TO YOU IS CAN'T YOU IT'S A LITTLE BIT MORE ON SCHOOLS THAT WE CAN GET BACK TO SCHOOL THE- GREAT DEAL OF THAT SENATE ACTUALLY GOOD GOOD EVIDENCE BEGINS OUR TRANSMITTING THIS IS RARE AND THE KIDS ARE STAYING HEALTHY AND IT YES WE CAN OPENERS THE J

    DRIVE A LITTLE BIT OF TIME TO PLUG YOU A LITTLE THAT IS WELL OVER FIVE MINUTES WE'LL YOU SELL IT PLEASE THE COLLAPSE VERY QUICKLY SENATE POLL I AGREE WITH A LOT OF WHAT YOU SAY ABOUT YOU KNOW THIS IDEA ABOUT PEOPLE HAVING TO PUT THEIR- CANYONS OUT WITHOUT DATA AND SOMETIMES YOU YOU HAVE TO MAKE

    EXTRAPOLATIONS BECAUSE YOU'RE IN A POSITION WHERE YOU NEED TO AT LEAST GIVE SOME SORT OF RECOMMENDATION BUT IF YOU WERE LISTENING AND I THINK YOU WERE TO MY OPENING STATEMENT AND MY RESPONSE TO ONE OF THE QUESTIONS I FEEL VERY STRONGLY WE NEED TO DO WHATEVER WE CAN TO GET THE CHILDREN BACK TO SCHOOL SO I THINK WE ARE IN LOCK AGREEMENT WITH THAT THE OTHER THING THAT I LIKE TO CLARIFY VERY BRIEFLY

    IS THAT I WHEN THINGS GET IN THE PRESS OF WHAT I SUPPOSE IT SAID DIDN'T SAY THIS WEEK PLACE THIRTEEN SPORT HAPPENS IS THAT IN THE SPORT INDUSTRY THEY COULD EITHER BE PEOPLE FROM IN OWNERS PEOPLE INVOLVE IN THE HELL OF THE PLAYS ASKED ME OPINIONS REGARDING CERTAIN FACTS ABOUT THE SPREAD OF THE VIRUS

    WITH THE DYNAMICS ARE I GIVE IT AND THEN IT GETS INTERPRETED THAT I'M SAYING YOU CAN'T PLAY THIS SPORT YOU CAN PLAY THAT SPORT I AGREE WITH YOU I AM CLEARLY UNQUALIFIED TO TELL YOU WHETHER YOU CAN PLAY A SPORT OR NOT THE ONLY THING THAT I CAN DO IS TO THE BEST OF MY ABILITY GIVE YOU THE FACTS AND THE EVIDENCE ASSOCIATED WITH I KNOW ABOUT THIS OUTBREAK THANK YOU FOR ON THEIR HEARING HIS GOLF OUT NOW GONE OUT ERIC AC

    MISTER CHAIRMAN VERY MUCH FOR THE HEARING AND I WANT TO THANK OUR WITNESSES FOR THEIR PUBLIC SERVICE- MR CHAIRMAN LET ME START WITH- DOCTOR HAN THAT'LL MOVE TO AMARO JUROR DR HOT I WANTED TO ASK YOU ABOUT VACCINES AND IS YOUR TESTIMONY INDICATES AND AS WE'VE BEEN DISCUSSING OVERTIME- AS RESEARCHERS WORK TO DEVELOP VACCINES JR PROTECT AGAINST COVID NINETEEN IT'S IMPORTANT THAT THE FINAL FDA APPROVED PRODUCTS

    HAVE THE FULL CONFIDENCE OF THE AMERICAN PEOPLE VACCINE DOESN'T HELP THE PEOPLE DON'T CHOOSE TO IN FACT BE VACCINATED SO MY FIRST QUESTION IS GIVEN THAT WE'VE SEEN VERY HIGH RATES OF ALL VACCINE REFUSAL AS WELL AS SKEPTICISM WHAT ROLE CAN THE FDA PLAY IN THE COMING MONTHS TO EARN THE PUBLIC'S TRUST THAT THE COVID NINETEEN VACCINES ARE SAFE AND EFFECTIVE THAT'S QUESTION NUMBER ONE WHAT ROLE THE AFTER ALL RIGHT AND THEN THE SECOND QUESTION IS WHAT STEPS CAN YOU TAKE AS FDA COMMISSIONER AFTER PUBLIC CONFIDENCE THANK YOU SENATOR FOR THE QUESTION- I COULDN'T AGREE MORE THAT OF PUBLIC CONFIDENCE IN VACCINES IS SO IMPORTANT SO TO YOUR FIRST QUESTION WE HAVE AN OBLIGATION TO USE ALL OF OUR SCIENTIFIC KNOWLEDGE A REGULATORY FRAMEWORK TO ENSURE THAT ANY VACCINE THAT COMES BEFORE US WHETHER FOR AUTHORS OR APPROVAL BEATS ARE STRINGENT STATE RECIPIENT EFFECTIVENESS ONE OF THE REASONS THAT WE ISSUED THAT GUIDANCE THAT I MENTIONED IN MY OPENING STATEMENT WAS PROVIDE REGULATORY COSTS THREE AROUND WHAT FDA EXPECTS WITH RESPECT TO THOSE DATA WE WANT TO SEE CERTAIN PARTS OF THOSE

    OF CAN DEMONSTRATE CALLED TO AMERICAN PEOPLE THAT WE ARE FOLLOWING ON STANDARDS WITH RESPECT TO SAFETY AND EFFICACY THE OTHER THING THATE'VE DONE IS JOE VERY BRIGHT LINE BETWEEN FDA IN OUR REGULATORY INDEPENDENCE AND ALL THE SPONSORS WERE PUTTING FORTH- VACCINE APPLICATIONS TO US THAT INCLUDES OPERATION WARP SPEED SO WE ARE PROVIDING TECHNICAL ASSISTANCE TO THOSE SPONSORS BUT WE ARE NOT PART OF THE DECISION MAKING PROCESS AND WE WILL MAINTAIN OUR REGULATORY INDEPENDENCE I WILL NOT PRE JUDGE THE AGENCY WILL NOT PREJUDGE ANY DECISION WITH RESPECT TO THIS BUT WE WILL USE THE SCIENCE AND THE DATA WITH RESPECT TO- WHAT I CAN DO PERSONALLY SENATOR I COMMIT TO YOU THAT I WILL CONTINUE TO BE A VOICE EMPHASIZING REGULATORY INTO WE NUMBER OF

    GENES IMPROPER TO A COMMUNICATE COMPETE THEY ARE ROOTED IN DATA AND THAT THEY WILL ENSURE THAT WE MEET THE- USUAL HIGH STANDARDS OF FTA WITH RESPECT TO SAFETY AND EFFICACY THANKS VERY MUCH DOCTOR MIGHT SUBMIT A QUESTION FOR THE RECORD- TO DOCTORATE FIELD AS WELL BUT JUST SO I CAN GET MY SECOND QUESTION AND- THE ADMIRAL ADD ON ONE ASK ABOUT TESTING AND INSURANCE COVERAGE TESTING IF YOU'RE KNOWN AS WE- EMPHASIZE IN THESE HEARINGS IS SO FUNDAMENTAL- IN ORDER TO PREVENT THE SPREAD OF COVID NINETEEN CONGRESS I THINK- ACTED ON THAT KNOWLEDGE BIDEN BEING

    COVERAGE ON COVID NINETEEN DIAGNOSTIC IN IN ABOUT OF STATE BOTH IN THE FAMILY FIRST BILL AS WELL AS THE CARRIAGE ACT WE MADE IT CLEAR THAT AMERICAN SHOULD HAVE TO PAY A DIME FOR COVID NINETEEN TESTING OVER HEARING ALARMING REPORTS OF PEOPLE NOT BEING TESTED WELL OFTEN FOR ONE OF TWO REASONS BECAUSE THEY'RE UNDER THE IMPRESSION THEY WILL HAVE TO PAY FOR TESTING

    PATIENTS WHO HAVE PASSED SHOULD GUIDE INSTEAD APPEARED TO BE IN CONFLICT WITH CONGRESSIONAL INTENT AND PUBLIC HEALTH GUIDANCE AND SO WE HAVE SOME CONFUSION HERE I ASK YOU A MOVE CAN YOU ASSURE THE AMERICAN PEOPLE THE DEPARTMENT OF HEALTH AND HUMAN SERVICES WILL FULFILL THE INTENT OF BOTH THE FAMILIES FIRST BILL IN THE CARES ACT AND ENSURE THAT AMERICAN THE AMERICAN PEOPLE WILL BE- PROVIDED WIDE ACCESS

    TO COVID NINETEEN TESTS WITHOUT COST OR OR LIMITATION SO THANK YOU SENATOR AND I WANT TO THANK ALL OF YOU FOR EMPHASIZING THE IMPORTANCE OF TESTING ELIMINATING ANY BARRIERS THAT THERE COULD BE- I CAN'T SPEAK FOR THE DEPARTMENT- I CERTAINLY SPEAK IS THE ASSISTANT SECRETARY AND IT ASKING ISN'T THAT WE FIRMLY BELIEVE AND SUPPORT ON THE CONCEPT OF NO COST TESTING THERE SHOULD NOT BE A DISINCENTIVE IN ANY SINGLE WAY OUGHT TO GET THE DIAGNOSTIC THAT YOU NEED I TO GET TESTED DURING

    IN HER CIRCLE- A OR OF THE SEROLOGY TESTS AS CONGRESS INTO INTENT THANK YOU FOR THAT WE DO TO KEEP GETTING THAT MESSAGE OUT IT'S A VERY IMPORTANT ONE TO HAVE ON THANK YOU ALL THANK YOU MR CHAIRMAN THANK YOU SENATOR CASEY SENATOR COLLINS THANK YOU VERY MUCH MR CHAIRMAN AND I WANNA THANK ALL OF OUR WITNESSES TODAY FOR YOUR DEDICATION AND HARD WORK IT'S REALLY THAT IMPORTANT DICK CHAIRMAN GROUP IS A VERY IMPORTANT QUESTION ABOUT WHO PAYS FOR THE TESTING WHEN A PERSON HAS NO SYMPTOMS AND NO KNOWN EXPOSURE TO THE VIRUS AND I WOULD ADD ANOTHER KEY QUESTION AND THAT IS HOW WHAT OURS JUDGE HAS EVEN ACCESS THESE ARE CRITICAL QUESTIONS FOR THE RE OPENING OF SCHOOLS

    AND POURED THOUSANDS OF JOBS IN THE TOURISM INDUSTRY UPON WHICH MEANS A CONSUMMATE IN MAINE FOR TAURUS TO COMMENT AND BIZ SAID BAD OUT OF STATE VISITORS ONE OPTION IS TO SHOW A RECENT NEGATIVE COVID TATS THE PROBLEM IS THAT WHEN HOTEL OWNERS IN MAIN SURVEY TESTING SITES IN TEN STATES THEY FOUND THAT 90% OF REQUESTS FOR ATTACKS FOR TRAVEL PURPOSES WERE DENIED A BIT SLAG QUEBEC ACCESS TO TESS IS DEVASTATING FOR RE OPENING BANDS TOURISM BUSINESSES ONE INNKEEPER TOLD ME THAT LAST YEAR IN THE MONTH OF JUNE SHE HAD AN OCCUPANCY RATE OF 94% THIS YEAR IT WAS EX PERCENT SO YOU CAN IMAGINE THE IMPACT ON EMPLOYMENT AT THAT END GIVEN THE IMPACT ON RIO SCHOOLS AND- ON JOBS INVENTORIED CEMENT AND OTHER INDUSTRIES HOW IS THE BEDROCK GOVERNMENT WORKING WITH STATE TO BETTER MATCH DEMAND FOR AS THING WITH WHY AM TO OVERCOME GOP VARIATIONS ADMIRAL I WOULD DIRECT THAT QUESTION

    TO YOU SINCE THANK YOU MA'AM I WILL TRY TO BE BRIEF AND NOT TO TAKE MY TIME BUT WE WERE VERY CAREFUL IN OUR PRIORITIZATION THAT WE DO PRIORITIZE PERSONS WITHOUT SYMPTOMS WHO ARE PRIORITIZED BY HEALTH DEPARTMENTS ARE CLINICIANS FOR ANY REASON INCLUDING PUBLIC HEALTH MONITORING SURVEILLANCE OR SCREENING OF OTHER A SYMPTOMATIC INDIVIDUALS ACCORDING TO STATE LOCAL PLANNED SO THAT IS A PRIORITY THAT IF IT IS IMPORTANT FOR THE STATE DOES A SYMPTOMATIC INDIVIDUALS B CAN BE

    THE SECOND ISSUE JUST AGAIN TO BE BRIEF IS WE WORK WE WORK INDIVIDUALLY WITH EVERY SINGLE STATE- TO DETERMINE WHAT THEIR STATE TESTING NEEDS ARE- HOWEVER THE ORGANIZING IT IN THE CONTEXT OF THE CDC ON IN WE ARE SUPPLYING THEM WITH THE SUPPLIES THEY NEED TO MEET THAT SO EVERY WEEK SHIPMENTS OF THE BASIC SUPPLIES GO TO EVERY SINGLE STATE ACCORDING TO THE STATE TESTING PLANS AND WE KEEP A LITTLE BIT IN RESERVE RIGHT BECAUSE WHEN THEY WERE OUT SOMEWHERE WE NEED URGES WE HAVE THAT SO FOR EX TEST FOR JULY OR SOME UP A THE COUNTRY ABOUT THIRTEEN POINT NINE MILLION TEST IS OUR FIRST LINE GOALS AND WE WEEK WE WILL MATCH THOSE STATE BY STATE I HOPE THAT YOU WILL HELP US GET THAT WORD OUT TO TESTING SITES IN STATES THAT HAVE FROM WHICH A LOT OF TOURISTS USUALLY COME TO MAIN

    AT THAT WOULD BE VERY HELPFUL TO US OUR JACK JR BELCH LET ME TURN TO YOU EARLIER THIS MONTH HIGHER EDUCATION LEADERS THE MAIN ISSUE THAT FRAMEWORK FOR SAFELY RETURNING TAKE CAMPUSES SAYS PAUL THAT RECOGNIZES THE IMPORTANCE OF TESTING AND THE NEED TO INCLUDE FINANCIALLY STRUGGLING INSTITUTIONS IN PARTNERSHIPS IN ORDER TO MAKE SUFFICIENT TESTING PROTOCOLS POSSIBLE IF YOU LAST WEEK SPOKE ABOUT THE POSSIBILITY OF THE DEVELOPMENT OF POOL TESTING STRATEGIES AND AS I UNDERSTAND THIS BUT THIS WOULD ALLOW MORE PEOPLE TO BE TESTED USING FEWER RESOURCES AND THE MEDICAL DIRECTOR OF STANFORD'S CLINICAL BAYROCK VIROLOGY LAB SUGGESTS THAT THIS MAKES PARTICULAR SENSE IN AREAS WITH LOW RATES OF COVID NINETEEN WHERE YOU WOULD EXPECT THE LARGE MAJORITY OF TESTS TO BE NEGATIVE COULD YOU EXPAND ON THE POSSIBILITY OF EXPANDING HOLDS HAS THING AND TELL US MORE ABOUT THAT YES THANK YOU FOR THE KITCHEN SENATOR WHAT THAT REALLY IS IF YOU WANT TO GET A FEEL FOR THE PANIC

    OF INFECTION IN THE COMMUNITY RATHER THAN TESTING MULTIPLE EACH INDIVIDUAL PERSON WHICH TAKES RESOURCES AND TIME WHAT YOU DO AND YOU CAN DO IS THE **** ANALYSIS OF NOT LOSE SENSITIVITY BY PULLING LET'S SAY TEN OR FIFTEEN OR FIVE YEAH SO YOU ALL THE TESTS TOGETHER AND YOU DO ONE TEST IF THAT TEST IS NEGATIVE THEN YOU KNOW THOSE TEN PEOPLE ARE ALL NEGATIVE SO INSTEAD OF UTILIZING TEN TESTS UTILIZE ONE TEST THEN YOU GET ANOTHER BATCH OF WAS SAY TEN OR SO AND IF YOU THEN FIND ONE IS POSITIVE THEN YOU GO BACK TRACK AND FIGURE OUT WHO THAT PERSON IF YOU DO THE MATHEMATICAL CALCULATION YOU CAN SAVE A LOT OF TIME A LOT OF RESOURCES AND USED TO TEXTING

    OF WRITING ABOUT THE THINGS THAT YOU WOULD NEED SO IT'S A REALLY GOOD SCHOOL IT CAN BE USED IN ANY OF A NUMBER OF CIRCUMSTANCES AT THE COMMUNITY LEVEL OR EVEN IN SCHOOL IF YOU WANTED TO DO AT THE POLL WHAT YOU STARTED COMMON OFF WITH IT CLEARLY CAN BE EXTRAPOLATED TO THAT THANK YOU SO MUCH THAT SOUNDS LIKE AN EXCELLENT TECHNIQUE FOR OUR SCHOOLS TO USE THANK YOU SENATOR COLLINS SENATOR BALDWIN THANK YOU MISTER CHAIRMAN I WANT TO THANK ALL OF OUR WITNESSES TODAY OR JOINING US- LIKE SO MANY MEMBERS OF THIS COMMITTEE I'M CONCERNED ABOUT NEW OUTBREAKS AND INCREASING CASES CERTAINLY I'VE SEEN THEM IN MY HOME STATE OF WISCONSIN AND I KNOW WE'RE SEEING THAT NATIONALLY

    NOW CDC AT OSHA HAVE ISSUED OUT RECOMMENDED SAFETY GUIDANCE FOR BUSINESSES- BUT THIS GUIDANCE IS NOT ENFORCEABLE MANY BUSINESSES ARE TRULY TRYING TO DO THE RIGHT THING AND PROTECTING WORKERS CUSTOMERS IN THE PUBLIC AND INTERACT WITH THOSE BUSINESSES I'M AND SO I WE ALSO HAD A PREVIOUS DISCUSSION I THINK THAT SENATOR SANDERS RACE THE ISSUE OF A MAYOR AIRLINES FILLING THEIR PLANES VERSUS ON THAT ARE ALL RIGHT STILL NOT TRYING TO PUSH TO DO SO- BECAUSE OF SAFETY CONCERNS WE ALSO HAD OUR I THINK IT SHOULD HOLD UP THE I WHEN WE CRITICAL DIED ALL OF THIS CREDIT GUY SO GARDNER RENTAL SHOULD BUSINESS IS THAT CAN LIST CHECKER VERSE BY FULLY IMPLEMENTING CD AT OCEANS RECOMMENDED SAFETY GUIDANCE

    YESTERDAY YES WHICH IS WHY THOSE BILL NOW CAN YOU CONFIRM YES SIR NO THAT ALL BUSINESS HAVE A DAY AND IMPLEMENTED THIS GUIDANCE AS THEY OPENED UP I THINK SENATOR YOU KNOW THAT UNFORTUNATELY THAT'S NOT BEEN THE CASE SO IT'S AN UNEVEN PLAYING FIELDS IT HURTS BUSINESSES THAT ARE TRYING TO DO THE RIGHT THING BY VOLUNTARILY ADOPTING CDC AT OCEAN SAFETY GUIDELINES- BECAUSE THEIR COMPETITORS DON'T HAVE TO AND KIRK THE SAME SAFETY AND HEALTH COSTS AND IF YOU BELIEVE THAT WE SHOULD BE SUPPORTING THE GOOD ACTORS THEN SHOULDN'T WE CREATE A LEVEL PLAYING FIELD BY ISSUING AN EMERGENCY TEMPORARY STANDARD TO REQUIRE ALL BUSINESSES TO ADOPT AND COMPLY WITH ENFORCEABLE SAFETY STANDARDS

    ME TOO COMMENTS SENATOR FIRST ONE IS SO IMPORTANT THAT WE TRIED TO SAY MMHM IS THAT THIS IS A TIME THAT EVERYONE IN OUR NATION ACCEPTED THE DOCTOR FELT UNITED SPOKE ABOUT TO RECOGNIZE THEY HAVE THE FUNDAMENTAL RESPONSIBILITY NOT JUST TO PROTECT THEMSELVES TO PROTECT OTHERS BY THE SOCIAL DISTANCING HIS MASK AND HAND WASHING AND SECONDLY- AGAIN AS WE LOOK AT THE LOCAL JURISDICTIONS AGAIN TO SEE WHERE IN FACT THAT ENFORCEABILITY WOULD BE WHETHER IT'S IN THE LOCAL HEALTH DEPARTMENT THE STATE HEALTH DEPARTMENT OF THE FEDERAL HEALTH DEPARTMENT I THINK YOU KNOW AGAIN

    WE SEE THE COMMUNITY CAN GET BEHIND THAT RESPONSIBILITY- THOSE BUSINESSES THAT SUPPORT THAT RESPONSIBILITY MAY FIND IN FACT THEIR BUSINESS IS BETTER THAN THOSE BUSINESSES THAT DON'T I CAN TELL YOU THAT HE- TRIED TO I APOLOGIZE DR REDFIELD- BUT MY TIME IS LIMITED- D I THE PANEL RIGHT NOW IS COMPOSED OF PEOPLE REPRESENTING PUBLIC HEALTH AND- PUBLIC HEALTH INSTITUTION I'M OSHA IS OUR LEAD AGENCY EIGHT AT PROTECTING WORKERS D AND HELL HAVE YOU I HAD COMMUNICATION WITH THE DEPARTMENT

    SHOT OUT ISSUING MANDATORY ENFORCEABLE ALL STAY ON THAT THIS VOLUNTARY GUY SECRETARY SCHOOL IS MEMBER OF THE- TASK FORCE AND HE'S IN THE DISCUSSIONS WITH US ON THAT THE VICE PRESIDENT- CHAIRS- THAT SPECIFIC TOPIC YES WE HAVE NOT HAD A DISCUSSION DIRECTLY BUT WE HAVE HAD DISCUSSIONS AND REVIEW OF THE GUIDANCE THAT WE PUT TO- BUSINESSES BOTH CRITICAL INFRASTRUCTURE AND NON CRITICAL INFRASTRUCTURE BUSINESSES WITH THE- OCEAN I'M SO I

    I HAVE ON LIMITED TIME LEFT BUT I DO WANT TO SAY THAT THE UNIVERSITY WISCONSIN ANNOUNCED THAT THEY WILL BE RE OPENING FOR CLASSES IN THE FALL THEY LOOK RELEASED A PLANNED CALLS START OUT SMART RESTART IT CALLS FOR ABOUT TWO THOUSAND TESTS PER WEEK ON CAMPUS THEY'LL NEED SUPPLIES TO DO THIS INCLUDING PP REAGENTS ON CPOPS AT EVERY HEARING ON COVID NINETEEN WE'VE HEARD ABOUT SHORTAGES OF THESE FLIGHTS AND IT'S WHY I INTRODUCED THE MEDICAL SUPPLY TRANSPARENCY DELIVERY ACT TO UNLOCK THE FULL AUTHORITY OF THE DEFENSE PRODUCTION ACT TO INCREASE PRODUCTION OF CRITICAL SUPPLIES AND THE THINGS THAT ARE NEEDED TO CONDUCT WIDESPREAD TESTING ADMIRABLE IF YOU ARE CAN YOU DESCRIBE HOW YOU'RE WORKING TO MAKE SURE THAT OUR UNIVERSITIES AND OTHERS WILL HAVE ACCESS TO THE SUPPLIES NEEDED TO CONDUCT THIS TESTING IN THE FALL THANK YOU SO MUCH SENATOR- IT AND I WANT TO COMMUNICATE THIS BIG AND I'M HAPPY TO WORK WITH ANY UNIVERSITY ON WE COORDINATE WHAT WE GIVE TO THE STATES TO THE STATE PLAN SO IT'S VERY IMPORTANT UNIVERSITY- COORDINATE TO THE STATES AND WE SUPPLY THOSE MATERIALS DIRECTLY TO A SINGLE POINT OF CONTACT IN THE STATE WHO DISTRIBUTES THEM ON WE YOU KNOW WE'VE BEEN THROUGH A LOT WE HAVE A LOT OF SPOTS NOW- PARTIALLY BECAUSE OF INCREASED DOMESTIC PRODUCTION USING THE DPA WE'RE DISTRIBUTING ABOUT TWENTY MILLION SWAPS PER MONTH WE'RE GONNA DO A LOT MORE THAN THAT IT'S- SO REAGENTS WE DO NOT PURCHASE CENTRALLY BECAUSE THE MARKET IS A LITTLE BIT MORE MATURE SO WE CAN TRUST WITH AN ALLOCATION STRATEGY THAT WE ALLOCATE WE SUPPORT THE ALLOCATION TO DIFFERENT STATES DEPENDING ON THEIR NEEDS SO WE HAVE TO EVERY SINGLE MACHINE EVERY SINGLE EVERY SINGLE COUNT EVERY SINGLE CITY

    AN UNFORTUNATE AT SO WE REALLY A MATCH GAME TO SPECIFIC STATE NEEDS EXAMPLE IN THE LAST IT IS VERY ROLL AND THERE'S VERY LIMITATIONS TO WHAT THEY HAVE WE NEED TO MAKE SURE THEY GET WHAT THEY ABSOLUTELY NEED VERSUS OTHER STATES THAT CAN BE A LITTLE BIT MORE FLEXIBLE SO WE DO ON THIS IS VERY MUCH YES I'M AFRAID WE'RE I'M SO SORRY WELL OVER WELL OVER TIME WE HAVE A LARGE NUMBER OF SENATORS WHO WANT TO ASK QUESTIONS SO I WOULD RENEW MY CHESTER CHECK REQUESTS THAT THE SENATORS AND WITNESSES TRY TO KEEP THE QUESTION

    ANSWERS WITHIN WITHIN FIVE MINUTES OUR SENATOR CASSIDY I THANK THE GENTLEMAN FOR ALL THAT YOU'RE DOING I HAVE A COUPLE SLIDES CAN YOU SHOULD ASK THE STAFF TO SHOW THE FIRST RESULTS

    ALSO HERE IT SHOWS THAT WE'RE DOING POORLY RELATIVE TO THE COUNTRIES THAT ARE DOING THE BEST AND YOU CAN ARGUE THE TAIWAN IS MUCH SMALLER THAN WEEK THE TAIPEI AS A VERY CONGESTED CITY SIR CAN SET OUR OUR CITY JUST COLLECTION OF TAIPEI'S FOR EXAMPLE THEN OUR SOUL CAROUSEL THREE AS IT WAS JUST THE WORLD WE ARE CURRENTLY DOING IS LESS- ROBUST AND LESS- WHATEVER ADJECTIVE YOU WANT TO USE IN THE COUNTRIES THAT ARE DOING THE BEST THAT I THE NEXT LIKELY AND SO THIS IS THE BLOCKED OUT OF A GROUP BY A HARVARD IN JUST SO I CAN PUT A PLUG IN IT- THEY WILL BE SPEAKING IN A ROUND TABLE WE HAVE THURSDAY MORNING

    AND YOU CAN GET DETAILS MY OFFICE IF YOU WISH BUT YOU KIND OF THAT INTERPLAY BETWEEN COLLECT KEEP DOING THE TESTING- TRACY THOSE- YOU KNOW COMPILING YOUR DATA NORMAL YOU'RE HOT SPOTS OR IN TRACY AND EVERYONE ON THIS PANEL KNOWS SOUNDS DONE- AND YOU MENTIONED THAT YOU'RE GOING TO HAVE A STRATEGY THAT'S COMING OUT LATER ON- IT DOES BEG THE QUESTION WHY HAS IT BEEN SO LONG AND I'M NOT ACCUSING JUST SURE THIS BEEN DEVELOPED YOU CAN TAKE A SLOW DOWN PLEASE SO KNOWING THAT YOU'RE TO DEVELOP THE STRATEGY- AND KIND OF BILLABLE AND SENATOR BYRD MENTIONED WHAT IS E GOAL OF THE STRATEGY

    IS THE GOAL OF THE STRATEGY TO ACHIEVE SUPPRESSION- THAT'S NUMBER ONE AND NUMBER TWO WHAT METRICS WILL YOU USE AND FOLLOWING THAT CDC IS THE ONE WHO REALLY GIVES GUIDANCE TO STATE AND LOCAL GOVERNMENTS I'M HOPING DR REDFIELD'S OF RECORDS TO YOU THAT I WON'T BE UP TO THE STATES AND LOCALS TO- PUT THIS PLAN TOGETHER THAT'LL BE THE CONSIDERABLE INTELLECTUAL FIREPOWER OF THE CDC

    THEY GIVES A PRETTY DETAILED IF YOU HAVE THIS KIND OF COMMUNITY THIS IS WHAT YOU DO IF YOU HAVE THAT A COMMUNITY THAT IS WHAT YOU DO- BECAUSE THAT'S THE KIND OF ROLES IF YOU SEEK TO EXPECTED LIKE DR REDFIELD ANY THOUGHTS ON THE- THANK YOU VERY MUCH A VERY IMPORTANT

    FIRST ON YOUR FIRST LIFE JUST AS A QUICK COMMENT I'LL TRY TO BE QUICK I THINK IT'S REALLY IMPORTANT BECAUSE IT DOESN'T ILLUSTRATE BACK TO THE COMMENT THAT WE TRIED TO MAKE OF THE IMPORTANCE OF PERSONAL RESPONSIBILITY TO REALLY PRACTICE THE SOCIAL DISTANCING AND THAT IS A GOOD DIET DR REDFIELD ON ASK YOU JUST TO GO QUICKLY BECAUSE I'VE LIMITED TIME THAT'S A GIVEN BUT THERE HAS TO BE A TESTING ASPECT OF THIS BECAUSE PEOPLE DON'T YOUR WAKING PEOPLE TO THE RESPONSIBILITY IF THEY KNOW THEY'VE BEEN EXPOSED

    IF THEY DON'T KNOW THEY'VE BEEN EXPOSED THEY TEND TO BE MORE COMPLACENT SO PLEASE FOCUS UPON THE TESTING DATA AND TRACKING US BUT YES SENATOR AND IT THE SECOND WAS A- EARLY CASE IDENTIFICATION CONTACT TRACING ISOLATION OBVIOUSLY BE A TESTING CONTACT TRACING WITHOUT ISOLATION HAS LITTLE ARE YOU THE CHALLENGE BEEN WHEN WE LEARNED IN MARCH THAT THE VIRUS IS SIGNIFICANTLY SYMPTOMATICALLY- TRIPS MISERABLE THEN THEREFORE REQUIRING ALTERNATIVE STRATEGIES THE STRATEGY THAT WE'RE- THE VALUE NOW OF A COMMUNITY LED TESS STRESS WERE GO INTO A BROADER K YOU ACTUALLY TEST A WIDE GROUP NUMBER OF INDIVIDUALS

    AS OPPOSED TO WHAT YOU HAVE WHAT METRICS ARE YOU FOLLOWING IT IS THERE A SPECIFIC STRATEGY THAT'S GOING TO BE GIVEN THE STATE LOCALS HOW TO IMPLEMENT THIS THAT'S VERY HIGH LEVEL WHAT WE NEED IS GRANULARITY THAT'S MY QUESTION HERE WHICH WE DID THE INITIAL STRATEGY IT IS A SAID WE'RE CURRENTLY EVALUATING THIS COMMUNITY TEST LEAD STRATEGY IN A NUMBER OF COMMUNITIES AND- THE METRICS ARE SIMPLE IT'S THE PERCENT CASES THAT ARE POSITIVE WE WERE DOING WELL THERE FOR A WHILE YOU KNOW THEY ASK AGAIN START INTERRUPT THAT BUT ITS COURSE IF YOU TAKE THE ENTIRE CITY OF NEW ORLEANS OR SHREVEPORT- YOU'RE GOING TO HAVE SOME THAT ARE HOT SPOTS AND SOME THAT ARE REALLY FAIRLY SAFE AND SO I'M GUESS I'M POINTED TO THE GRANULARITY YOU KNOW SHOULD BE A CENSUS TRACT SHOULD BE A HOT SPOT A BUILDING WITH MULTI FAMILY HOUSING- EX GENERALS

    JUST BECAUSE ONE TO MY STATE LAW THERE NOT GET THAT GREAT FROM C THAT SEEMS TO BE WHERE WE GET TO WHERE SEOUL SOUTH KOREA IS AND I'VE NOT YET HEARD THAT IS KIND OF WHAT WE'RE DOING WE'RE SHARING RIGHT NOW AT THE- COUNTY LEVEL THE EXACT KINETICS WE ABOUT A HUNDRED THIRTY COUNTIES IN THIS COUNTRY OUT OF THE MORE THAN FIVE THOUSAND

    OF MORE THAN THREE THOUSAND ARE HAVING TROUBLE AND CONTINUING TO GET THAT GRANULARITY I THINK YOU SAID IT SENATOR IT'S CRITICAL IT'S GONNA BE A VERY LOCAL FOCAL RESPONSE AT THE GRAND OLE LEVEL WITH THE DR REDFIELD'S WHO WE HAVE REGULARITY WE'VE BEEN AT THIS FOR THREE MONTHS WE GOT ALL THESE DATA SYSTEMS WE KNOW WHERE THE PEOPLE LIVE WERE TESTED- YOU KNOW WE HAVE A FEDERATED SYSTEM WHICH YOU ALLUDED TO EARLIER- IS THE PLAN COMING OUT TONIGHT THIS AFTERNOON GOING TO IMPLEMENT THAT GRANULARITY ON OVERTIME BUT IF YOU WOULD ALLOW MISTER CHAIRMAN FOR AN ANSWER THEN I'LL ALSO USE ON ALL OF US ONE OF

    HIM IN MY COMMENT WOULD BE THAT'S WHERE WE'RE GOING WITH THAT GRANULARITY WE APPRECIATE SOME OF THE CHANGES REPORTING THE CDC IN TERMS OF TESTING THAT CONGRESS RECENTLY DID A WE ARE NOW LOOKING AT THE GRANULAR LEVEL WE DON'T DISAGREE WITH THE PREMISE BEHIND YOU IT'S THAT GRANULAR RESPONSE TO CONTROL THOSE MANY OUTBREAKS WHICH IS GOING TO BE FUNDAMENTAL TO GET THIS UNDER CONTROL THANK YOU SENATOR SENATE CASSIDY'S

    MURPHY THANK YOU VERY MUCH MR CHAIRMAN MR CHAIRMAN IF THIS WERE THE POLICY OF THE UNITED STATES OF AMERICA THE RECOMMENDATIONS AND GUIDELINES BEING GIVEN BY OUR PANELISTS TODAY WE WOULD LIKELY NOT BE IN THE SITUATION WE ARE WITH A VIRUS BACK ON THE MARCH SPREADING AT RAPID RATES THROUGHOUT BIG PARTS OF THE COUNTRY THE PROBLEM IS OUR FOUR PANELISTS DO NOT SET THE POLICY OF THE UNITED STATES OF AMERICA THE PRESIDENT OF THE UNITED STATES DOES

    AND SO WELL OUR PANELISTS TELL US ABOUT THE IMPORTANCE OF WEARING MASKS THE PRESIDENT OF THE UNITED STATES IS RETWEETING ARTICLES FOR EXAMPLE IN TITLED MANDATORY MASKS AREN'T ABOUT SAFETY THERE ABOUT SOCIAL CONTROL HE RETWEETS PEOPLE THAT ARE CRITICIZING HOW FOLKS LOOK WHEN THEY WEAR MASKS

    THERE ARE PANELS TODAY ARE TELLING US ABOUT THE EFFECTIVENESS OF SOCIAL DISTANCING THE PRESIDENT I'D STATES IS HOLDING RALLIES ALL ACROSS THE COUNTRY IN WHICH HE DELIBERATELY PREVENTS PEOPLE FROM DISTANCING HIS STAFF RIPS SIGNS OFF OF CHAIRS ENCOURAGING PEOPLE TO SEPARATE FROM EACH OTHER THE PRESIDENT'S ALLIES ARE OUT THERE ON TV EVERY DAY SAYING THAT WEARING MASKS OR DEHUMANIZING SOMEBODY SAID THE OTHER DAY A MEMBER OF THE HOUSE THAT VIRUSES DO IT VIRUSES DO THE ONLY WAY YOU'RE GONNA GET IMMUNITY IS TO GET EXPOSED

    THESE ARE THE PRESIDENT'S ALLIES TRYING TO CURRY FAVOR WITH HIM AND SO WE HAVE THESE TWO PARALLEL MESSAGING OPERATIONS AND I JUST THINK IT'S WORTH STIPULATING HAPPY- EVERYTHING WE'RE HEARING TODAY IS RESPONSIBLE IS BASED ON EVIDENCE BUT THE AGENCIES REPRESENTED HERE TODAY HAVE SOCIAL MEDIA FOLLOWINGS OF ABOUT FIVE MILLION PEOPLE RESIDENT I STATES AS A SOCIAL MEDIA FOLLOWING OF EIGHTY TWO MILLION ERIC AND SO YOU CAN UNDERSTAND WHY FOLKS ARE CONFUSED OUT THERE THEY HEAR THE RECOMMENDATIONS FROM DOCTOR FETCHING DR REDFIELD BUT THEN THEY HEAR THE PRESIDENT I'D STATES CRITICIZING REPORTER FOR WEARING A MASK BECAUSE THAT REPORTERS BEING SOCIAL IS BEING POLITICALLY CORRECT

    I'M THAT'S WHY WE'RE IN THE POSITION WE'RE IN TODAY WHERE YOU SEE LARGE NUMBERS OF PEOPLE NOT COMPLYING WITH RECOMMENDATIONS BECAUSE THEY'RE HEARING SOMETHING VERY DIFFERENT FROM THE CHIEF EXECUTIVE AND THEY'RE WATCHING HIM BEHAVE IN A MANNER AND ENCOURAGE BEHAVIOR THAT IS DIRECTLY CONTRARY TO WHAT WE'RE BEING TOLD TODAY AND IT JUST PROBABLY REQUIRE SAYING THAT OUT LOUD AT THIS HEARING LET ME ASK A FEW QUESTIONS MISTER CHAIRMAN I CAN ABOUT GLOBAL PUBLIC HEALTH BECAUSE WE HAVEN'T COVERED THAT HERE TODAY DR FAUCI- THIS VIRUS GOT HERE REALLY QUICKLY I AND WHAT WE LEARNED IS THAT WELL TRAVEL RESTRICTIONS CAN HELP GIVE YOU TIME THEY CAN'T FULLY PREVENTS A DISEASE FROM ARRIVING HERE AND SO EVEN IF WE DO

    TURN THE CORNER IN THE UNITED STATES IN A MEANINGFUL WAY SO LONG AS THIS VIRUS EXISTS IN LARGE QUANTITIES OUTSIDE OF THE UNITED STATES WE ARE STILL VULNERABLE IS THAT RIGHT THAT'S CORRECT SIR I'M END SO DR REDFIELD I'M- WHAT IS YOUR UNDERSTANDING OF WHY THE UNITED STATES HAS NOT JOINS- THE GLOBAL VACCINE AFTER WHY ARE WE NOT IN SOMETHING LIKE SEPI- AN ORGANIZATION THAT IS WORKING WITH OTHER NATIONS TO TRY TO COORDINATE NOT ONLY THE DEVELOPMENT THE VACCINE BUT- ALSO THE DISTRIBUTION OF THE VACCINE WELL I THINK OF THE U S

    IS- OBVIOUSLY DEVELOPED- AN AGGRESSIVE COMPREHENSIVE PROGRAM BUT- CENTER IT WOULDN'T PRECLUDE BEING PART OF THESE INTERNATIONAL ORGANIZATIONS ALSO AND FROM MY PERSPECTIVE WE HAVE LEGISLATION PENDING RIGHT NOW BEFORE THE FOREIGN RELATIONS COMMITTEE THAT WOULD PUT THE UNITED STATES INTO THESE GLOBAL VACCINE EFFORTS IT JUST DOESN'T MAKE A LOT OF SENSE TO MANY OF US ON BOTH SIDES OF THE AISLE AS TO WHY THE TRUMP ADMINISTRATION HAS NOT JOINED I'M IN FOR ADMIRAL I'M JUST MAYBE HELP US UNDERSTAND WHAT OUR RELATIONSHIP WITH THE WHO'S TODAY RIGHT AROUND THE TIME THAT THE PRESIDENT DID TO DECLARE THAT WE WERE PULLING OUT OF THE W H O

    NOT JUST THAT WE WERE NOT GOING TO FUND IN PRISON ASPEN WAS ACTUALLY WE WERE GOING TO SEVER OUR RELATIONSHIP THE W H O U

    ARE CONFIRMED TO A SEAT ON THE EXECUTIVE BOARD AND SO HAVE YOU BEEN RECALLED FROM THE W H O R U

    S ATTENDING MEETINGS ARE YOU PARTICIPATING WHAT ARE THE DETAILS SURROUNDING OUR WITHDRAWAL FROM THE W H O

    WHICH BY THE WAY- IS MAYBE THE MOST DANGEROUS THING MY OPINION THAT THE ADMINSTRATION HAS DONE IN THE MIDDLE OF A GLOBAL PANDEMIC WHAT'S WHAT'S OUR STATUS AND WHAT'S YOUR STATUS AS A AS A CONFIRMED MEMBER OF THAT BOARD SET THANK YOU SEN RIGHT REALLY DO A THE CALL FROM IS CONFIRM ON THE SEVENTH AND I DO ATTEND EX BOARD ON MAY TWENTY THE EGGS BOARD IT'S VERY I DO PURCHASE AND IN ANY WAY THAT WOULD BE ANOTHER EXECUTIVE BOARD MEETING PROBABLY IN OCTOBER AND I BELIEVE ALL OF US ON OUR PUBLIC HEALTH STANDARDS STILL WORK WITH THE WHL AS A W

    H O PARTNER FOR EXAMPLE WE PARTICIPATE WITH THE WHL ON A GLOBAL SICKLE CELL MEETING I JUST TWO DAYS AGO SO WE WORK WE CERTAINLY WORK FROM THE PUBLIC HEALTH ASPECTS I DIRECTION ON THE OFFICIAL WHETHER WE'RE GOING TO BE A MEMBER OR WHETHER I'M NOT GOING TO GO THE EXECUTIVE BOARD I HAVE NOT GOTTEN THAT DIRECTION YET OKAY THANK YOU AT THE NELSON WAS IT WERE TERMINATING OUR RELATIONSHIP THE WHS ARE PROBABLY SOME ADDITIONAL CLARIFICATION WOULD BE HELPFUL THANK YOU MR CHAIRMAN

    THANK YOU SENATOR MURPHY SENATOR MCCASKEY THANK YOU MR CHAIRMAN AND GENTLEMEN THANK YOU FOR NOT ONLY YOUR TESTIMONY TODAY BUT ALL THAT YOU HAVE BEEN DOING I THINK I'VE HAD CONVERSATIONS WITH EACH ONE OF YOU ABOUT TO OF THE ALASKA SPECIFIC ISSUES MOST NOTABLY- WITH REGARDS TO OUR OUR SEAFOOD PROCESSING THIS IS THE TIME OF YEAR WHERE- WE TYPICALLY WELCOME

    A MILLION PLUS TOURISTS AS WELL AS AS MANY THOUSANDS THAT COME UP FROM FROM THE LOWER FORTY EIGHT OTHER PLACES TO HELP WITH OUR SEAFOOD PROCESSING AND IT HAS BEEN VERY ANXIOUS TIME I THINK FOR ALL OF US IN ALASKA AS WE SEE OUTSIDERS COMING IN- WE HAVE SEEN- OBVIOUSLY ELEVATED CASES OF CONFIRMED- COVID OUR OUR NUMBERS- I THINK OUR ENVIABLE WHEN OTHER STATES LOOK AT US TO KNOW THAT SO- WE'RE WORKING ABOUT FIVE HUNDRED ACTIVE CASES RIGHT NOW ABOUT DOUBLE THAT IN TERMS OF WHAT WE HAVE SEEN THROUGHOUT THIS WHOLE PANDEMIC- BUT AGAIN WE KNOW AND YOU HAVE STATED THAT WE DON'T HAVE RESOURCES THAT WE CAN LOOK TO NEIGHBORING STATES- WE'RE KIND OF ON OUR OWN ISLAND THERE IN TERMS OF RESOURCING SO WHAT YOU HAVE DONE TO HELP FACILITATE WHETHER IT'S THE PLANS WITH THE SEAFOOD PROCESSORS THE GUIDANCE

    THE ABILITY TO COMMENT ON AN AS NEEDED- IF THE SITUATION SO DEMANDS- WE APPRECIATE THAT WE HAVE SEEN THE BENEFIT OF HOW THESE VERY RIGOROUS PLANS HAVE HAVE WORKED ON AN INDIVIDUAL WHO COMES UP- TO WORK IN A SEAFOOD PROCESSING FACILITY IS TESTED BEFORE THEY COME TO THIS STATE THEY'RE TESTED WHEN THEY GET TO THE STATE THEY'RE PUT IN A FOURTEEN DAY QUARANTINE OUT WE HAVE SEEN POSITIVE CASES ONCE PEOPLE HAVE ARRIVED BUT WE'VE BEEN ABLE TO DO WHAT THE PLAN CALLS FOR WHICH IS THAT CONTACT TRACING AND THEN ISOLATION KEEPING THINGS TO A MINIMUM SO I THINK IT DOES DEMONSTRATE THAT THESE TOUGH PLANS REALLY CAN WORK THEY ARE EXPENSIVE THOUGH IF YOU ARE BRINGING IN SEVERAL HUNDRED OR PERHAPS A THOUSAND WORKERS AND YOU HAVE TO PUT THEM UP IN A HOTEL FOR FOURTEEN DAYS WITH PAY WHEN YOU HAVE TO PROVIDE FOR THE HEALTH PROTOCOLS- THIS IS THIS IS COSTLY- I WOULD ASK FOR YOUR INPUT PROBABLY AT A QUESTION FOR THE RECORD JUST IN TERMS OF WHICH AGENCIES

    CAN CAN BEST HELP FACILITATE THESE SEAFOOD PROCESSORS WITH NOT ONLY IMPLEMENTATION OF THIS SPECIFIC GUIDANCE BUT HOW WE CAN BE DEALING WITH THE COSTS WE DO RECEIVE SOME BENEFIT FROM THE DISCRETIONARY FUNDS PROVIDED TO THE STATES BUT I THINK WE WOULD ALL RECOGNIZE LIKE THE MEAT POT MEAT PACKING FACILITIES ARE SEAFOOD PROCESSORS ARE IMPORTANT AND CRITICAL INDUSTRY NOT ONLY TO ALASKA TO THE COUNTRY SO WE WANT TO WORK TO ADDRESS THAT I DO WANT TO SPEAK VERY QUICKLY THOUGH TO THE TO THE PUBLIC HEALTH INFRASTRUCTURE I'M TOLD THAT IN ALASKA AS WE ARE DOING OUR CONTRACT TASTE TRACING IT IS STILL A PAPER COPY

    EXCEL SPREADSHEET FAXED TO THE EPIDEMIOLOGY LABS THIS IS HOW WE ARE DOING OUR OUR TRACING I THOUGHT WELL MAYBE THAT'S JUST ALASKA AND I'M TOLD BY BY DR ZINK WHO YOU OF ALL HAD CONVERSATIONS WITH THAT WELL THIS IS ACTUALLY GOING ON IN IN CALIFORNIA AS WELL THAT TO ME IS NOT A CONTRACT TAKE CONTACT TRACING SYSTEM THAT WORKS AND IS SUFFICIENT SO I WANT TO ASK ABOUT NOT ONLY YOUR VIEW OF THE SUFFICIENCY OF CONTACT TRACING AND THIS IS PROBABLY YOU DR REDFIELD BUT THEN DR FAUCI I'M GONNA ASK YOU- ABOUT THE CONCERN THAT WE HAVE WE HAD CERTAIN CERTAIN PARTS OF THE COUNTRY WHERE YOU HAVE PUBLIC MISTRUST OF VACCINES IN GENERAL MY FEAR IS THAT

    WE MAY GET TO THE PLACE WHERE WE WILL GET TO THAT PLACE WHERE WE HAVE THAT SUCCESSFUL VACCINE BUT WE STILL HAVE THE CONCERN FOR MANY AND A MISTRUST AND WHETHER IT'S VACCINE HESITATION OR VACCINE CONFIDENCE I DON'T KNOW WHAT THE BUZZ WORD IS BUT I'M WORRIED THAT WE DON'T HAVE A PLAN FOR HOW TO DEAL WITH THAT SO FIRST CONTACT TRACING AND THEN THE VACCINE THANK YOU VERY MUCH SENATOR I THINK IT'S REALLY IMPORTANT JUST TO HIGHLIGHT WHAT YOU SAID ABOUT THE CURRENT STATE OF DATA SYSTEMS FOR PUBLIC HEALTH IN THE UNITED STATES

    THAT THEY REALLY ARE- IN NEED OF AGGRESSIVE MODERNIZATION AND AGAIN THANK CONGRESS FOR THE FUNDING THERE BUT IT IS A SUBSTANTIAL INVESTMENT THAT NEEDS TO TAKE PLACE THERE ARE A NUMBER OF COUNTIES ARE STILL DOING THIS PEN AND PENCIL AS YOU COMMENTED AND WE NEED TO HAVE A COMPREHENSIVE INTEGRATED PUBLIC HEALTH DATA SYSTEM THAT'S NOT ONLY ABLE TO DO SOMETHING THAT'S IN REAL TIME BUT ACTUALLY CAN BE PREDICTIVE IN AND IT WOULD BE ONE OF THE GREAT

    I THINK INVESTMENTS- OF OUR TIME TO MAKE THAT HAPPEN ONCE AND FOR ALL- AND THAT'S REALLY FUNDAMENTAL TO BE ABLE TO OPERATIONALIZE- CONTACT RACE IN EXETER IN CONTACT TRACING IN THIS CASE WILL BE VERY QUICK REALLY DOESN'T HAVE ANY VALUE IN LESS YOU CAN DO IT IN REAL TIME IT DOESN'T HELP LIKE I JUST DID WITH THE AIRLINES FOR WE HAD PEOPLE THAT WERE FLYING DEFECTED FROM AFGHANISTAN WE DIDN'T GET THE INFORMATION TO DAY FOURTEEN DAY FIFTEEN DAY SIXTEEN IT'S IRRELEVANT SO AGAIN WE LOVE THE PARTNERSHIP

    TO GET AN INTEGRATED ON PUBLIC HEALTH DATA SYSTEM NOT JUST FOR CDC BUT FOR ALL OF OUR JURISDICTIONS ACROSS THE NATION INTO ONE TIMELY INTEGRATED SYSTEM OKAY SENATE THANK YOU FOR THE QUESTION ABOUT IF YOU COULD BE SISTERS SINK WHERE WELL OVER TIME WILL BE QUICK WE HAVE A COMMUNITY ENGAGEMENT PROGRAM THAT IS EMBEDDED WITHIN THE SITES WITH THE VACCINE TRIALS WILL BE DONE BECAUSE WITH THOROUGHLY AWARE OF WHAT YOU'RE CONCERNED ABOUT AND IT IS A REALITY

    A LACK OF TRUST OF THE THIRTY A LACK OF TRUST IN GOVERNMENT AND THEY CONCERNED ABOUT VACCINES IN GENERAL WE NEED TO ENGAGE THE COMMUNITY BY BOOTS ON THE GROUND AND GETTING COMMUNITY PARTICULARLY THOSE POPULATIONS THAT HAVE NOT ALWAYS BEEN TREATED FAIRLY BY THE GOVERNMENT MINORITY POPULATIONS AFRICAN AMERICANS LATINO EX AND NATIVE AMERICANS AND WE HAVE A PROGRAM THAT'S ALREADY OPERABLE RIGHT NOW TO DO THAT THANK YOU THANK YOU SENATOR MCALLISTER SENATOR WARREN

    THANK YOU VERY MUCH MR CHAIRMAN DR FOUND SHE CAME BEFORE THE HELP COMMITTEE SEVEN WEEKS AGO TO DISCUSS THE COUNTRY'S RESPONSE TO THE COVID NINETEEN AND AT THE TIME YOU TOLD ME THAT THE U S DID NOT QUOTE BY ANY MEANS HAVE TOTAL CONTROL OVER THIS OUT RIGHT BUT YOU ALSO TOLD ME THAT WE WERE QUOTE GOING IN THE RIGHT DIRECTION NOW ON THE DAY YOU TESTIFIED BEFORE THE COMMITTEE THAT WAS MAY TWELFTH TWENTY TWENTY THERE WERE ABOUT TWENTY ONE THOUSAND NEW CASES OF CORONAVIRUS YESTERDAY THERE WERE ABOUT FORTY THOUSAND NEW CASES OF CORONAVIRUS DOCTOR FELT SHE DID THESE NUMBERS SHOW THAT THE COUNTRY IS STILL MOVING QUOTE IN THE RIGHT DIRECTION AND THAT THE CORONAVIRUS PANDEMIC IS UNDER CONTROL

    WELL I THINK THE NUMBERS SPEAK FOR THEMSELVES ALTHOUGH WE DO HAVE A NUMBER OF PARTS OF THE COUNTRY TO DOING WELL I'M VERY CONCERNED ABOUT WHAT'S GOING ON RIGHT NOW PARTICULARLY IN THE FOUR STATES THAT ARE ACCOUNTING FOR ABOUT 50% OF THE NEW INFECTIONS BUT THE OTHER VULNERABLE STATES SO I'D HAVE TO SAY THE NUMBERS SPEAK FOR THEMSELVES I'M VERY CONCERNED THAT I'M NOT SATISFIED WITH WHAT'S GOING ON BECAUSE WE'RE GOING IN THE WRONG DIRECTION IF YOU LOOK AT THE CURVES OF THE NEW CASES SO WE REALLY GOT TO DO SOMETHING ABOUT THAT AND WE NEED IT WOULD QUICKLY SHORT ANSWER SOME QUESTIONS IS THAT CLEARLY WE ARE NOT IN TOTAL CONTROL RIGHT NOW THANK YOU THANK YOU VERY MUCH IN OUR CASE NUMBERS ARE GETTING WORSE

    AND OUR DEATH RATES ARE GOING TO GET WORSE SENATE DURING THE SAME PERIOD OF TIME SOME OTHER COUNTRIES AROUND THE WORLD HAVE CONTROL DEVICE- THERE REPORTING FEWER CASES EACH DAY AND THEY ARE ABLE TO PROVIDE TARGETED OF OUR TESTING AND TO KEEP IT ALL OF IT SO THAT THEY CAN TELL WHAT'S HAPPENING- AND FOLLOW UP IF THERE IS AN OUTBREAK IN OTHER WORDS CONTROLLING THE CORONAVIRUS CAN BE DONE BUT BECAUSE OF BAD FEDERAL LEADERSHIP ALL WE HAVE NOT BEEN ABLE TO DO THIS HERE IN THE UNITED STATES

    SO OUR DOCTOR FOUND YOU THE LAST TIME YOU WERE BEFORE THIS COMMITTEE YOU TOLD ME THAT IF THE US DID NOT HAVE QUOTE AN ADEQUATE RESPONSE THAT THE COUNTRY WOULD QUOTE HAVE THE DELETERIOUS CONSEQUENCES OF WARRING FACTIONS AND MORE DEATHS NOW I KNOW THAT WE'VE MADE SOME PROGRESS BUT HALF MEASURES WON'T SAVE LIVES DR FOUND CHEAP I'M ASKING YOU TO BE VERY DIRECT WITH ALL OF US ON THIS IF WE DON'T FULLY IMPLEMENTED WIDESPREAD TESTING CONTACT TRACING PROGRAMS AND SOCIAL DISTANCING PRACTICES THAT EVERYONE SEEMS TO AGREE THAT WE NEED CAN WE EXPECT THE SPIKES INSPECTION TO KEEP HAPPENING IN DIFFERENT PLACES AROUND THE COUNTRY

    THANK YOU SENATE I'M ALWAYS DIRECT WITH YOU AND I'LL TELL YOU IN DIRECT ANSWER TO YOUR QUESTION THAT IF YOU LOOK AT WHAT'S GOING ON AND JUST LOOK AT SOME OF THE FILM CLIPS THAT YOU'VE SEEN OF PEOPLE CONGREGATING OFTEN WITHOUT MASKS OF BEING IN CROWDS AND JUMPING OVER

    AND AVOIDING AND NOT PAYING ATTENTION TO THE GUIDELINES THAT WE VERY CAREFULLY PUT OUT WE GONNA CONTINUE TO BE IN A LOT OF TROUBLE AND THERE'S GOING TO BE A LOT OF HURT IF THAT DOES NOT STOP AND OKAY NO WE DON'T GET OUR ACT TOGETHER MORE MORE COMMUNITIES AROUND THE COUNTRY ARE GOING TO SEE THESE

    DANGEROUS SURGES OF COVID NINETEEN EIGHTY DR FAUCI BACK IN MARCH YOU ALSO STAND WHILE LOOKING AT WHAT WE'RE SEEING NOW YOU EXPECTED THERE TO BE BETWEEN A HUNDRED THOUSAND AND TWO HUNDRED THOUSAND CORONAVIRUS DEATHS AND MILLIONS OF INFECTIONS IN THE US SO LET'S FLASH FORWARD TO LATE JUNE HERE WE ARE AT THE END OF JUNE

    WE'VE ALREADY SEEN A HUNDRED AND TWENTY SIX THOUSAND DEATHS WITH INFECTION RATES RISING RAPIDLY DR FELT YOU BASED ON WHAT YOU'RE SEEING NOW HOW MANY COVID NINETEEN DEATHS AND INFECTIONS SHOULD AMERICA EXPECT BEFORE THIS IS ALL OVER I CAN MAKE AN ACCURATE PREDICTION BUT IT IS GOING TO BE VERY DISTURBING I WILL GUARANTEE YOU THAT BECAUSE WHEN YOU HAVE AN OUTBREAK IN ONE PART OF THE COUNTRY EVEN THOUGH IN OTHER PARTS OF THE COUNTRY THEY'RE DOING WELL

    THEY ARE VULNERABLE I MADE THAT POINT VERY CLEARLY LAST WEEK AT A PRESS CONFERENCE WE CAN'T JUST FOCUS ON THOSE AREAS THAT ARE HAVING THE SURGE IT PUTS THE ENTIRE COUNTRY AT RISK WE ARE NOW HAVING FORTY PLUS THOUSAND NEW CASES A DAY I WOULD NOT BE SURPRISED IF WE GO UP TO A HUNDRED THOUSAND A DAY IF THIS DOES NOT TURN AROUND AND SO I AM VERY CONCERNED IT CAN YOU MAKE ANY KIND OF ESTIMATE ON WHAT WE'RE LOOKING AT OVERALL ON THE NUMBER OF DEATHS BEFORE THIS IS OVER YOU MADE AN ESTIMATE BACK IN MARCH BETWEEN A HUNDRED THOUSAND AND TWO HUNDRED THOUSAND BUT WE A LOT MORE INFORMATION AL AND WE'RE ALREADY AT A HUNDRED AND TWENTY SIX THOUSAND DOLLARS

    I CAN'T MAKE A- ESTIMATION BECAUSE THAT WOULD HAVE TO BE MODELED OUT BECAUSE WHEN MODELS ARE DONE AND THAT'S WITH THOSE ORIGINAL NUMBERS CAME FROM SENATOR AS I SAID VERY OFTEN MODELS ARE IS GOOD IS THE ASSUMPTIONS THAT YOU PUT INTO THE MODEL AND THOSE ASSUMPTIONS OFTEN CHANGED DEPENDING UPON WHAT YOUR RESPONSE IS SO I WOULD REALLY BE HESITANT TO GIVE A NUMBER THAT WILL COME BACK AND CONTRADICTED OVERBLOWN OR ON THE BLOWN

    BUT I THINK IT'S IMPORTANT TO TELL YOU AND THE AMERICAN PUBLIC THAT I'M VERY CONCERNED BECAUSE IT COULD GET VERY BAD ALL RIGHT I APPRECIATE THAT DOCTOR FALCHUK ALL ARE GONNA BE TIME BARRED WARNS I JUST LIKE THE SAME TIME THAT MY REPUBLICAN COLLEAGUES SCOTT

    BECAUSE WHEN YOU'RE- I WELL HE FOR WARNS THE HIDING JUST YET THERE YOU ANDREW CALLING OUT A LOT MORE TIME SENATOR WARREN CHAIRMAN HOW ALWAYS TREAT YOU FAIRLY AND I WOULD APPRECIATE YOU RESPECTING THE CHAIRMAN'S RESERVE YOU'D LIKE TO MAKE A CLOSING STATEMENT GO AHEAD AND DO IT BUT I DON'T APPRECIATE YOUR THANK YOU QUESTIONS

    JUSTIN AMID IN PRESIDING OVER THE HEARING GOES UNDERSTANDINGS GROUP RELEASED ON WHAT OTHERS HAVE DONE THAT YOU ARE ALLOWING MORE TIME SINCE WE HAD SUCH IMPORTANT WITNESSES ON HIS CHAIRMAN AND YOU CAN YOU CAN MAKE THAT YOU CAN MAKE THOSE DECISIONS THANK YOU YOU KNOW I JUST WANT TO MAKE THE POINT THAT WE CAN'T KEEP PRETENDING THIS VIRUS IS GETTING BETTER WHEN IT ISN'T THAT'S HOW WE END UP WITH MET LIFE SITUATION IN TEXAS RACING TO RE OPEN TO EXTEND AND SCRAMBLING TO CLOSE DOWN BEFORE THE SPITTLE GET COMPLETELY OVERWHELMED WE DON'T OUR ACT TOGETHER THIS IS OUR FUTURE SEE SAWING BACK AND FORTH BETWEEN TO YOU RESTRICTIONS AND THEN EXPLODING CASES IN REPEATED SHUTDOWNS IN THIS FUTURE THOUSANDS MORE AMERICANS WILL DIE AND OUR ECONOMY WILL BE BROUGHT TO ITS KNEES WE'VE GOT TO HAVE A NATIONAL STRATEGY THAT MAKES HAS AVAILABLE TO EVERY SCHOOL BUSINESS EVERY HAAS EVERY CHURCH ANYWHERE THAT AMERICANS COME TOGETHER WE NEED TO EXPAND CONTACT TRACING AND WE NEED LEADERS

    PRESIDENT TRUMP WHO HAVE ENOUGH BACKBONE TO FACE REALITY DISTRICT OUR RESOURCES SET OUR STANDARDS STEP TO THEM BECAUSE IF WE DON'T THE RESULTS CAN BE MORE NAMIK WRECKAGE MORE DAY THANK MISTER CHIP TWO WARREN WHAT I TRIED IN THE- IN THIS HEARING IS TO S

    N TO STAY WITH FIVE MINUTES AND THAT WITHIN FIVE MINUTES OF THE OF THE ANSWER GO BEYOND THAT I'VE TRIED TO BE RESPECTFUL OF THAT BUT TO BUT I WOULD ASK SENATORS NOT TO ASK THE QUESTIONS AND WELL PAST FIVE MINS INSPECT TO MAKE A SPEECH AT THE END SENATOR SCOTT I THANK YOU MR CHAIRMAN I WILL CERTAINLY RESPECT YOUR YOUR YOUR TIME LIMITS A BIG WE ALSO DO THAT AND- FRANKLY AS WE'RE ASKING DOCTOR FOSTER FOR AN ESTIMATE OF HOW MANY LIVES MAY BE LOST I RECALL THE FIRST ESTIMATES WERE BETWEEN ONE AND TWO POINT FOUR

    MILLION LIVES SO I'M CERTAINLY GLAD THAT WE ARE NOT BEAR AND PERHAPS ONE OF THE REASONS WHY WE SHOULD BE THANKFUL FOR WHERE WE ARE NOW AND FORCE OURSELVES TO HAVE A SERIOUS CONVERSATION ABOUT CONTINUING TO FLATTEN THE CURVE IS BECAUSE THE ALL HANDS ON DECK APPROACH IS EFFECTIVE WE JUST NEED AS MUCH COOPERATION FROM AS MANY PEOPLE AS CONCEIVABLY POSSIBLE EVERY STATE AROUND THE COUNTRY IN ORDER FOR US TO SEE THESE NUMBERS CONTINUE TO MAKE A DIVE IN THE RIGHT DIRECTION AS OPPOSED TO SPIKE IN THE WRONG DIRECTION AND I THINK ABOUT THE OPERATIONS WARP SPEED ALONG WITH THE CRUCIAL SUPPORT FROM BART AND OTHER FEDERAL AGENCIES PUBLIC PRIVATE PARTNERSHIPS AND ACCELERATING GROUNDBREAKING TECHNOLOGIES THAT COULD A RADICALLY COVID NINETEEN AND REVOLUTIONIZE FRANKLY VACCINE DEVELOPMENT LANDSCAPE

    BECAUSE OF THE EXACT BY INDUSTRY YEAH AND COVER WORKING IN CONCERT WE COULD A BIO CAN OR- IN A MATTER OF MONTHS FOR VACCINE AND BECAUSE OF THE GROWING NUMBER OF LARGE SCALE MANUFACTURING AGREEMENTS WITH COMPANIES LIKE MADONNA VISOR NJ NJ PRODUCING HUNDREDS OF MILLIONS OF DOSES AT RISK WHICH MEANS IN ADVANCE

    WE ARE ALREADY WORKING TO ADDRESS ISSUES OF ACCESS AND THIS IS CRITICAL ESPECIALLY FOR OUR MOST DISTRESSED COMMUNITIES THAT SAID AFFECTED DEVELOPMENT AND WIDESPREAD ACCESS WHILE CENTRAL ARE ONLY PART OF THE EQUATION IF AND WHEN I FEEL OPTIMISTIC THAT IT'S WIND AND NOT IF WE GET A VIABLE VACCINE WE NEED TO ENCOURAGE FOLKS TO CHOOSE TO GET VACCINATED I WAS REALLY CONCERNED BUT I SAW RECENT AP SURVEY THAT SHOWED THAT ONLY 49% OF AMERICAN ADULTS PLANNED TO GET VACCINATED ONCE THE COVID NINETEEN VACCINE CAME TO MARKET

    A FULL 20% SAID THAT THEY DID NOT PLAN TO GET VACCINATED AND ONE THIRD OF AMERICANS WERE NOT SURE GIVEN THE PUBLIC'S RECENT AND VITAL FOCUS ON HEALTH DISPARITIES IT'S WORTH NOTING THAT AMONG CERTAIN THESE ARE EVEN MORE ALARMING JUST 25% OF BLACK AMERICANS 37% OF HISPANIC AMERICANS PLANNED TO GET VACCINATED AGAINST A CORONAVIRUS- MY AND MY QUESTION TO THE FULL PANEL

    WHAT STEPS CAN WE TAKE AT EVERY LEVEL OF GOVERNMENT AND IN THE PRIVATE SECTOR WITH HEALTH CARE PROVIDERS TO ENSURE A PRO ACTIVE EDUCATION CAMPAIGN AND OUTREACH STRATEGY ON THE IMPORTANCE OF GETTING VACCINATED BOTH FOR COVID NINETEEN AND FRANKLY EVEN MORE BROADLY I'LL TAKE A SHOT AT IT PERCENT AS I MENTIONED IN RESPONSE TO ANOTHER QUESTION THAT WE HAVE A COMMUNITY ENGAGEMENT PROGRAM THAT ACTUALLY OPERATES OUT OF OPERATION WHAT SPEED THE VACCINE DEVELOPMENT PROGRAM COMPONENT OF THAT ALSO THEN NEEDS TO BE ENGAGEMENT OF PEOPLE WHO THE COMMUNITY TRUSTS PARTICULARLY INDIVIDUALS WHO ARE NOTED SPORTS FIGURES OVER MATTER

    WHEN WE WERE INVOLVED AND CONTINUE TO BE INVOLVED IN COMMUNITY ENGAGEMENT WITH HIV WE USED TO PEOPLE IN THE COMMUNITY BOOTS ON THE GROUND TO GO OUT WHO LOOKED AND LIVED AND ARE LIKE THE PEOPLE THEY'RE TRYING TO ENGAGE IT'S VERY CRITICAL BECAUSE I SHARE WITH YOU THE CONCERN THAT WE GET TO THE HOOP AND WE GET THROUGH IT OF GETTING SAFE AND EFFECTIVE VACCINE ONLY TO FIND THAT A SUBSTANTIAL PROPORTION OF THE POPULATION DO NOT WANT TO GET VACCINATED OF PARTICULAR CONCERN IS THAT PROPORTION OF THE POPULATION THAT GENERALLY ARE THE MOST VULNERABLE IN THE SENSE OF THE MINORITY COMMUNITIES AFRICAN AMERICANS LATINO EX NATIVE AMERICANS WHO IN FACT BECAUSE OF UNDERLYING CONDITIONS MAKE IT MORE LIKELY THAT IF THEY DO GET INFECTED THEY WOULD HAVE A POOR OUTCOME SO IT'S EXTREMELY IMPORTANT TO ENGAGE THEM AT THE LOCAL LEVEL THANK YOU

    THANK YOU VERY MUCH FOR YOUR NJ DOT COM TO MAKE THIS CLOSE OF MY FORTY SECONDS THAT I HAVE A LOT OF THE RESPECTING THE TIME AND I HOPE THAT WE CONTINUE TO DO SO THE PATENT A PANDEMIC HAS TRIGGERED A DROP OF 6280% OF IMMUNIZATION RATES AMONG CHILDREN AND EVEN NOW THAT STATES ARE RE OPENING WE'RE NOT SEEING THE REBOUND AND THESE RATES AS THAT AT THAT ARE NECESSARY THIS CREATES A REAL RISK OF SECONDARY INFECTIONS AND DISEASE OUTBREAKS THAT ARE NOT ON THE GENERAL PUBLIC'S RADAR AS WE CAN WITH THE CHIEF CRISIS AT HAND SO I THINK IT'S INCREDIBLY IMPORTANT THAT WE AT FOLLOW YOUR STRATEGY TALK ABOUT YES RELATES TO ENGAGING COMMUNITY LEADERS AND PERHAPS PEOPLE WITH NOTORIETY TO CHALLENGE US TO GET INVOLVED IN TAKING THE VACCINES I THANK YOU MR CHAIRMAN I APOLOGIZE FOR BEING FOUR SECONDS OF MY TIME

    THANK YOU SENATOR SCOTT FOR RESPECTING THE TIME WE HAVE EIGHT SENATORS SERVE REMAINING WHO HAVE QUESTIONS AND WE SHOULD HAVE TIME FOR ALL OF THEM THEY HAVE A CHANCE TO ANSWER QUESTIONS SENATOR KAINE THANK YOU MR CHAIRMAN YOU TO THE WITNESSES- DOCTOR FELT SHE ADDS ON INTERVIEW

    WITH YOU LAST WEEK WERE YOU TALKED ABOUT A CONCERNED THAT THERE'S TWO SIZABLE A PERCENTAGE OF OUR POPULATION THAT SORTED DONE LIKE SCIENCE AND SCIENCES AND ADVICE FROM SCIENTISTS AND I HEAR REAL EMOTION IN YOUR VOICE AS YOU EXPRESS CONCERN ABOUT PEOPLE GATHERING IN LARGE GROUPS AND- WITHOUT MASKS AND I GATHER THAT'S THE KIND OF ANTI SCIENCE- BIG CONCERN THAT YOU WERE

    WORRYING ABOUT WHEN YOU HAD AN INTERVIEW LAST WEEK YEAH THAT IS PART OF IT SENATOR YES BECAUSE THE DISREGARD OF RECOMMENDATIONS THAT COME FROM THE THIRTIES ONLY BECAUSE IT'S A RECOMMENDATION I THINK THE ATTITUDE OF PUSHING BACK FROM AUTHORITY AND PUSHING BACK ON SCIENTIFIC DATA IS VERY CONCERNING

    WE'RE IN THE MIDDLE OF A CATASTROPHIC OUTBREAK AND WE REALLY DO NEED TO BE GUIDED BY SCIENTIFIC PRINCIPLES AND THIS COULD CAUSE PROBLEMS DOWN THE ROAD IF WE GET TO A VACCINE BUT PEOPLE DON'T WANT TO GET THE VACCINE SO WE ALL HAVE TO MESSAGE THIS PRETTY STRONGLY- DR REDFIELD I WANT TO THANK YOU I WAS GONNA ASK YOU A QUESTION TODAY THAT I'VE BEEN ASKING OVER FORGET WE I JUST C

    GUY FOR OF A- NOT A MANY THE WORD TO THAT IS AS TEST ON WAS DONE ONE THIS WEBSITE USED M

    THERE NOW GONE FOR AT THE END TO HIGHER EDUCATION WE FAIRLY EX UP WRECKED DACIAN IT'S ABOUT TEST WHICH IS IT ABOUT SADDAM UP

    ON CD'S SIDE I'M THE THANK YOU FOR THE- YOUR TESTING DR REDFIELD TODAY AND SOME OF THE WRITTEN TEST TALKS ABOUT THE THAT THE PUBLIC HEALTH TO RELY ON TIMELY IN ACT DATA SYSTEM BUT THAT WE'VE ON IN IN THEM AND THE CRISIS QUOTE HIGHLIGHTED THE NEED TO CONTINUE EFFORTS TO MODERNIZE THE PUBLIC HEALTH SYSTEMS LAST YEAR I INTRODUCED A BILL CALLED THE SAVING LIVES THROUGH BETTER DATA ACT WAS WITH SENATOR ISAACSON AND SENATOR KING AND COLLEAGUES WERE HELPFUL IN THIS WEEK WE WERE ABLE TO GET FIFTY MILLION DOLLARS IN DECEMBER ON THE APPROPRIATIONS DEAL AND ANOTHER FIVE HUNDRED MILLION DOLLARS IN THE CARES ACT BUT I WOULD URGE MY COLLEAGUES TO DO EVEN MORE BECAUSE THE REQUEST FROM OUR PUBLIC HEALTH COMMUNITIES IS SIGNIFICANTLY MORE SIZEABLE I HOPE WE MIGHT BE ABLE TO GET THAT INTO THE NEXT ON COVID PACKAGE I'M DOCTOR FOUND CHEAP

    THIS ISN'T A CHALLENGING QUESTION YET CHALLENGING HOW TO FIGURE IT OUT THE CDC LAST WEEK SAID THAT A NEW GROUP THAT WE HAVE TO CONSIDER AT RISK IS PREGNANT WOMEN AND LACTATING WOMEN THE NINE AIDS VAX RAMESH TO BEER REMS OF YOUR TESTING AND VACCINE TESTING OFTEN DOESN'T INCLUDE PREGNANT WOMEN I THINK FOR SOME SAFETY REASONS BUT WE WOULD WANT TO MAKE SURE THE PREGNANT OR LACTATING WOMEN HAVE ACCESS TO TREATMENTS AND ACCESS THE VACCINE SO HOW WILL WE BE TRYING TO DO RESEARCH AND TESTING YEAH THAT THE WOMEN CAN SAFELY ACCESS THAT HE'S GOT A TREATMENT SURVEILLANCE THAT IS A GREAT QUESTION IT IMPLIES ALSO TWO CHILDREN SO WHAT WE'RE DOING WITH THE VACCINE IS YOU DO A PHASE ONE TRIAL IN NORMAL HEALTHY ADULTS NOT PREGNANT

    NOT CHILDREN AND YOU SHOW INITIAL SAFETY THEN WHEN YOU MOVE INTO THIS PHASE TWO AND THREE STUDIES IF YOU GET EVEN THE SLIGHTEST GLIMPSE OF EFFICACY AND SAFETY IN THAT POPULATION YOU GO BACK AND DO A PHASE ONE IN PREGNANT AND LACTATING WOMEN AS WELL AS IN CHILDREN AND IF THAT IS SAFE THERE YOU BRIDGE THE DATA SO THAT YOU COULD USE THE EFFICACY DATA THAT YOU ALREADY STARTED TO APPLY BACK TO PREGNANT WOMEN I SEE THAT'S HOW YOU DO IT

    LET ME ASK YOU THIS AT THIS POINT IS THE NATION'S CALL WITH RESPECT TO CORONAVIRUS TO UNMITIGATED OR SUPPRESS YOU KNOW VACCINES RIGHT NOW YOU'RE TALKING ABOUT VACCINE SO I'M JUST TALKING ABOUT WHAT IS WHAT IS OUR GOAL ARE WE YEAH THE INDICATOR WE TRYING TO SUPPRESS YOU KNOW IT DEPENDS ON WHERE YOU ARE THIS CONTAINMENT AND MITIGATION SERVE YOU HAVE A LEVEL OF VIRUS THAT SLOW ENOUGH THAT YOU CAN ADEQUATELY CONTAINED BY THE STANDARD WAY OF IDENTIFICATION ISOLATION CONTACT TRACING PARTICULARLY YOU MAKE SURE YOU LINK

    THE IDENTIFICATION WITH ISOLATION BECAUSE IF YOU JUST DO CONTACT TRACING WITHOUT ISOLATION IS NOT GONNA WORK WHEN YOU GET INTO A SITUATION IF I IF I COULD DOCTOR FELT SHE BECAUSE I DON'T WANT TO GO OVER AND I'M I WANT TO SAY JUST ONE THING ABOUT TESTING REAL QUICK- ADMIRAL DRIVE WHEN YOU WERE HERE LAST YOU SAID WE WOULD HAVE CAPACITY TO FORTY TO FIFTY MILLION TESTS A MONTH IN SEPTEMBER THAT'S ABOUT ONE POINT SEVEN MILLION IT ENTER INTO THOUSAND

    YESTERDAY WE DID FIVE HUNDRED SIXTY THOUSAND ARE WE GONNA GET TO ONE POINT THREE TO ONE POINT SEVEN MILLION TEST TODAY BY SEPTEMBER SO THANK YOU FOR ASKING THAT WE WILL ABSOLUTELY HAVE THE CAPACITY TO DO THAT IT'S DEPENDING ON THE NEED AND AGAIN AS YOU MIGHT EXPECT A FEW WEEKS AGO THE NEED FOR TESTING WAS MUCH LESS THAN IT IS NOW- WE HAD A GOOD SYSTEM THAT IT WAS ACTUALLY VERY GOOD THAT WE WERE ABLE TO IDENTIFY POSIT THAT HE EARLY BUT OBVIOUSLY WITH THE WITH THE OUTBREAKS WERE HAVING NOW WE NEED TO MASSIVELY SEARCH TESTING IN THOSE AREAS

    WE WILL HAVE THE CAPABILITY OF ACROSS THE BOARD YEAH WE'LL HAVE THAT THAT'S ASSUMING NO PULLING WHEN WE START PULLING THESE TOGETHER THREE FOUR TASKS THEN YOU DO THE MATH SO- I'M NEVER GONNA BE HAPPY UNTIL WE HAVE MORE TESTS THAT WE HAVE TO SAY THE WORD TEST AGAIN BUT WE'RE GONNA BE IN REASONABLY GOOD SHAPE GIVEN THOSE PARAMETERS THANKS THANK YOU SIR KAINE SENATOR ROMNEY THANK YOU MISTER CHAIRMAN AND THANK YOU TO EACH OF THE PANELISTS FOR THE SACRIFICE OF THE EFFORT YOU'VE BEEN MAKING OVER THE PAST SEVERAL YEARS PAST SEVERAL MONTHS AS WELL HERE- AS YOU KNOW BECAUSE WE DIDN'T KNOW A GREAT DEAL ABOUT THIS VIRUS ANOTHER SCENE IN AMERICA WE ASK THE AMERICAN PEOPLE TO- TO BASICALLY SHUT DOWN A LOT

    GOT BACK ON FLYING- FAMILY REUNIONS FUNERALS CHURCH SERVICES RESTAURANTS BARS THEATERS EVERYTHING GOT SHUT OUT WELL NOW IT'S THE END OF JUNE AND HOPEFULLY WE LEARN SOMETHING ABOUT HOW THIS DISEASE ACTUALLY SPREADS AND THE AMERICAN PEOPLE NEED TO GO BACK OUT THERE GET A CALL BACK OUT OF THEY ARE GOING BACK OUT WE SUFFERING THE LAKE OF THE OZARKS ALL THESE PEOPLE ARE RESET ALL MY GOODNESS THIS IS GONNA BE A MAJOR PROBLEM BUT MY IMPRESSION WAS BECAUSE PEOPLE OUTSIDE OR OTHER REASONS IT WASN'T A MAJOR MAJOR PROBLEM SO MY QUESTION IS THIS WHERE IS THE RISK GREATEST HOW IS IT THAT IT'S SPREADING IT SPREADER INDOORS IS SPREADING MORE AT RESTAURANTS AND BARS IS IT OKAY TO BE OUTDOORS AND PERHAPS NOT SOCIALLY DISTANCE AS OUR FAMILY REUNIONS OKAY ARE BIG HE COULD YOU GIVE US SOME GUIDANCE BASED ON WHAT HOPEFULLY WE KNOW AS TO WHERE THE RISKS ARE GREATEST I KNOW YOU KEEP SAYING SOCIAL DISTANCING MASS

    BUT YOU DON'T WE'RE GETTING ON AIRPLANES THEY'RE GOING TO RESTAURANTS WHERE IS THE RISK GREATEST AND WHERE WE RELATIVELY SAY HELP US THROUGH THAT FAMILY REUNIONS WE GET TOGETHER WITH FAMILY REUNIONS OUTDOORS IS A SAFER OUTDOORS AND INDOORS GIVE US SOME GUIDANCE CAN YOU DO THAT THE DOCTOR FELT SHE ABOUT TO READ WILL

    THANK YOU SENATOR I THINK FIRST AND FOREMOST THE MOST IMPORTANT THING IN THAT ASSESSMENT IS KNOWING AT THE GRANULAR LEVEL WHAT THE KINETICS OF TRANSMISSION ARE IN THEIR COMMUNITY AS I MENTIONED WE HAVE A HUNDRED THIRD ACCOUNT IS RIGHT NOW IN THE UNITED STATES WHERE WE CONSIDER THEM CALLED HOT SPOTS WE HAVE MANY OTHER AREAS WHERE THERE'S VERY LIMITED TRANSMISSION SO FIRST AND FOREMOST IT'S SNOWING THE IF YOU'RE IN THAT AREA OF ACTIVE TRANSMISSION THEN SECONDLY IT'S KNOWING WHAT YOU DO WHEN YOU'RE IN THAT AREA OF ACTIVE TRANSMISSION

    AND WHAT WHAT- PRECAUTIONS ONE TAKES YOU KNOW IDENTITY GREAT THAT'D BE GREAT AFTER I ONLY GOT FIVE MINUTES ALL RIGHT WELL I THINK THOSE ARE THE TWO THINGS I WILL SAY THAT- THERE'S JUST MORE MORE DATA SHOWING THAT THE USE OF FACE COVERINGS AND ASKED ARE IN EFFECTIVE WAY TO PREVENT TRANSMISSION IN IN IN THESE GATHERINGS AND I THINK WE'RE JUST GONNA COME BACK AND TELL YOU THE MOST IMPORTANT THING FEAR WITHIN THE COMMUNITY WITH LIMITED TRANSMISSION- AND YOU'RE WEARING FACE MASK OR THEIR SIGNIFICANT TRANSMISSION YOU'RE WEARING FACE MASKS AND YOU PRACTICE THE SOCIAL DISTANCING HANDWASHING THAT'S THE BEST THING AS RECORD

    I CAN TELL YOU YEAH IN ADDITION SEVEN OUTDOOR BETTER THAN IN BALL REALLY REALLY NOT GONNA OKAY AT A BAR INSIDE IS BAD NEWS WE REALLY GOTTA STOP THAT RIGHT NOW WHEN YOU HAVE AREAS THAT ARE SURGING LIKE WE SEE RIGHT NOW BUT IN ANSWER TO YOUR QUESTION A LITTLE BIT MORE GRANULAR OUTDOORS ALWAYS BETTER THAN INDOOR IF YOUR OUTDOOR DISTANCES BOB SAID WHERE A MASK IF YOU CAN BUT YOU CAN HAVE SOME SOCIAL INTERACTION THE ONE POINT I WANT TO MAKE VERY BRIEFLY IS THAT WE SHOULD NOT LOOK AT THE PUBLIC HEALTH ENDEAVORS AS BEING IN OBSTRUCTION TO OPENING UP WE SHOULD LOOK AT IT AS A VEHICLE TO OPENING UP SO THAT YOU DON'T WANT TO JUST RESTRICT EVERYTHING BECAUSE PEOPLE ARE NOT GOING TO TOLERATE THAT SO YOU CAN GET OUTDOORS YOU CAN INTERACT THEY WEAR A MASK TRY TO AVOID CLOSE CONGREGATION OF PEOPLE WASH YOUR HANDS OFTEN BUT DON'T JUST MAKE IT ALL OR NONE WE'VE GOT TO BE ABLE TO GET PEOPLE TO GET OUT AND ENJOY THEMSELVES WITHIN THE SAFE GUIDELINES THAT WE HAD SO MAKE PUBLIC HEALTH IS WORKING FOR YOU AS OPPOSED TO AGAINST YOU

    I VERY MUCH APPRECIATE THOSE- THOSE RESPONSES I THINK IT WOULD BE EXTRAORDINARILY HELPFUL FOR ALL OF US IS WE'RE GOING ABOUT OUR LIVES IF THERE IS DATA THAT INDICATED WHERE PEOPLE ARE GETTING INFECTED WHERE THEY IN A BAR WITHIN A RESTAURANT WHERE THE OUTDOOR OUTDOORS AT A POOL I'VE HEARD REPORTS THAT VIRTUALLY NOBODY HAS BEEN INFECTED IF THEY'RE OUTDOORS IS THAT TRUE OR NOT TRUE WE- GET GIVEN HOW LONG WE'VE BEEN AT THIS WEEK GOT TO HAVE MORE GRANULAR DATA SO PEOPLE KNOW WHERE THERE WERE THERE'S GREATER RISK HOW MANY PEOPLE FRANCISCO BENEFACTOR AS A RESULT THE FLYING ON AIRPLANES

    WE HAVE TO KNOW THAT IF WE GET PUBLISHED THAT INFORMATION FOR THE AMERICAN PEOPLE THEY WILL KNOW WHERE THEY GET THE STEAK GO BACK OF COURSE CONTINUING SOCIAL DISTANCING AT WORK MASS BUT WE NEED THAT DATA FIND OUT THE SEVEN ONE ANSWER WHO IS RESPONSIBLE FOR DISTURBING THE VACCINE WHAT PERSON OR WHAT AGENCY DETERMINES HOW THE VACCINE WHEN IT'S AVAILABLE WILL BE DISTRIBUTED WELL CITIZENS THANK YOU SENATOR THIS IS A CENTRAL FUNCTION OF CDC WHERE WE'D REALLY- HELP WITH VACCINE DISTRIBUTION- THROUGHOUT THE NATION CHILDHOOD VACCINES SO THAT'S SO THAT'S THE THAT'S THE CDC THAT'S ON YOUR SHOULDERS THANK YOU THE GERMAN BACK TO YOU THANK YOU VERY MUCH SENATOR ROMNEY- SENATOR HACEN WELL THANK YOU MISTER CHAIR AND THANK YOU TO ALL THE WITNESSES FOR BEING HERE AND FOR THE TEAMS YOU LEAD I KNOW HOW HARD EVERYBODY IS WORKING ON A DOCTORATE FIELD I WANT TO START WITH A QUESTION TO YOU OF THE 43% OF THE DOZENS COUNTRY HAVE BEEN IN NURSING HOMES OR LONG TERM CARE FACILITIES IN MY STATE OF NEW HAMPSHIRE 80% OF OUR DEATHS ARE ATTRIBUTED TO RESIDENTS OF NURSING HOMES AND LONG TERM CARE FACILITIES IN MID MAY THE WHITE HOUSE URGES STATES TO COMPLETE COVID NINETEEN TESTING ON EVERY NURSING HOME WORKER AND RESIDENT WITHIN FOURTEEN DAYS A MONTH AND A HALF LATER THAT STILL HAS NOT HAPPENED

    CDC HAS SINCE PUT OUT DIFFERENT GARDENS ON NURSING HOME TESTING CALLED FOR A BASELINE TEST FOR RESIDENTS AND WEEKLY TESTING FOR NURSING HOME WORKERS GIVEN THE WIDESPREAD OUTBREAKS WITHIN NURSING HOMES AND UNIQUE RISKS POSED TO RESIDENTS WHAT IS CD'S DOING TO ENSURE THAT STATE'S CARRY OUT THE RECOMMENDATION NURSE ASKING SHOULD BUT THE C THIRTEEN AND HOW MUCH STATES HAVE BEEN THESE GUYS SO FAR THANK SENATOR WE ARE WORKING CONTACT WITH CMS ON ON THAT ISSUE AS YOU SAY WE'RE NOT ENFORCEMENT AGENCY- WE MAKE RECOMMENDATIONS BUT BUT I'M ASKING AND MY TIME IS SHORT I'M ASKING WHAT WHAT YOU ARE DOING TO KEEP TRACK OF COMPLIANCE WITH GUIDELINES 43% DEATH RATE NATIONWIDE

    OF ME IS HUGE ADD PEOPLE ARE LOOKING TO DO OFFER GRANULAR GUIDANCE HERE SO WHAT ARE YOU DOING TO FIND OUT WHO'S IN COMPLIANCE AND WHO'S NOT I WAS TRYING TO EMPHASIZE THAT WE'RE WORKING IN PARTNERSHIP WITH CMS WHICH HAS THAT REGULATORY OVERSIGHT OVER THERE TO CONTINUE TO REINFORCE THE GUIDANCE AS YOU MENTIONED WHICH WE THINK IS CRITICAL- AND WE AND WE THINK WE DO HAVE TO GET EVERYONE'S TO SCREEN IN THESE NURSING HOMES AND EMPLOYEES EVERY WEEK ONE FORTUNATELY WE STILL THINK THAT WE NEED TO KEEP VISITORS ISOLATED FROM THE HOMES RIGHT NOW CRITICALLY IN AREAS WITHOUT YOUR SECTIONS BUT THE REGULATORY FUNCTION OF THIS IS CMS BUT WE ARE REALLY MEETING WITH THEM DAILY TO SEE WHAT MORE WE CAN DO TO TRY TO

    ENSURE THAT SUCH GREATER COMPLIANCE I THANK YOU FOR THAT PEOPLE ARE LOOKING TO THE CD FOUR I'M NOT ONLY CLEARER RENEWAL GUIDELINES AND YOU'VE HEARD THAT ALL THROUGHOUT THE QUESTIONING- BUT PARTICULARLY IN HOMES AND LONG TERM CARE FACILITIES THERE'S A LOT MORE WORK TO BE DONE- AND WE ARE STILL HEARING THAT THEY'RE NOT GETTING A USABLE A PERSON PROJECT EQUIPMENT ON TIME YOU

    I'LL YOU GO BUT NOT CALL AT THE END IT FIVE TO WITH YOU I'M WE'VE- DISCUSSED ALREADY TODAY THE DAY IN THE US NOUS OF MEASURES TAKEN FOR INSTANCE IN EUROPE IN THE UNITED STATES THIS IS A GRAPH THAT SHOWS THE DISPARITY BETWEEN NEW CONFIRMED CASES PER MILLION FOR THE PREVIOUS SEVEN DAYS TO THE UNITED STATES

    EUROPE CANADA AND JAPAN THE DISPARITY IS EYE POPPING- ON SURVEYS SUGGEST THE THAT MASK WEARING THE UNITED OF LESS FREQUENTLY THAN IN YOUR- YOU AND WITNESS HAVE BEEN CLEAR ON THE IMPORTANCE OF MASK WEARING IN PUBLIC PLACES DO YOU ATTRIBUTE THE IMPROVEMENTS IN EUROPE TO MORE WIDESPREAD USE OF MASKS OR ARE THERE ALSO OTHER SPECIFIC GOVERNMENT POLICIES OR INDIVIDUAL BEHAVIORAL DIFFERENCES THAT YOU BELIEVE SHOULD BE INCORPORATED INTO OUR NATIONAL STRATEGY IT'S CERTAINLY MASS PLAY THAT ROLE

    BUT THERE ARE A NUMBER OF OTHER MULTI FACETED THINGS IN EACH OF THOSE TO THOSE VERY DISTURBING GRASS THAT YOU SHOW ONE OF THE THINGS THAT BECAME CLEAR WHEN WE SHUT DOWN AS A NATION IN REALITY ONLY ABOUT FIFTY PERCENT OF THE NATION SHUT DOWN WITH REGARD TO OTHER THINGS THAT WERE ALLOWED IN MANY OF THE EUROPEAN COUNTRIES

    185% OF ALL ACTIVITIES WERE SHUT DOWN SO THAT IS ONE OF THE REASONS WHY YOU SAW PARTICULARLY IN ITALY WHICH SHUT DOWN TO A MUCH GREATER EXTENT THAN WE DID THE CASES CAME WAY DOWN INTO SHARP CURVE DOWN WOULD AND THEN STATE SO IT'S NOT ONLY MASS IT'S THE FACT THAT COUNTRIES IN EUROPE AND THE OTHER COUNTRIES YOU HAVE THERE HAD A MUCH MORE UNIFORM RESPONSE WE'RE VERY HETEROGENEOUS COUNTRY AND WE HAD A HETEROGENEOUS RESPONSE DEPENDING WHETHER YOU ARE IN THE NORTHEAST SOUTHERN WESTERN WHAT HAVE YOU SO THERE'S A NUMBER OF OTHER FACTORS PROBABLY SOME THAT WE STILL DON'T EVEN UNDERSTAND WELL THANK YOU AND I I'M GONNA MOVE ON TO JUST ONE OTHER ISSUE AND IT'S REALLY JUST URGED DR REDFIELD- AND THE CDC ARE TO ISSUE- ADDITIONAL GUIDANCE FOR SCHOOLS IN PARTICULAR ON REOPENING I UNDERSTAND THAT YOU ARE CONTINUING TO DO THAT- I

    APPRECIATE THAT THE CDC HAS RELEASED FAQ FREQUENTLY ASKED QUESTIONS DOCUMENTS ON THINGS LIKE U SPORTS WHICH PROVIDE MORE CONCRETE USEFUL INFORMATION FOR FAMILIES AND I'M HOPING THAT YOU'LL DO THE SAME KIND OF F Q DOCUMENT FOR PARENTS AND TEACHERS

    RACKLEY ADDRESS PLAQUE QUESTION AND CONCERNS ABOUT SCHOOL REOPENING PLANS WE LIKED SHOULD EASE CPAS IF ONE OR TWO POSITIVE CASES COME UP IN A CLASSROOM OR A TEACHER- WHAT SHOULD PARENTS AND- TEACHERS EXPECT SCHOOL ADMINISTRATION'S TO DO SO ARE WE CAN FOLLOW LOW UP WITH THAT I AT THE AND DALTON THANK YOU SENATOR HACEN SENATOR BRAUN THANK YOU MR CHAIRMAN A GOOD TWO SETS OF QUESTIONS IN THE LANKFORD DR FAUCI IN REDFIELD GIVE ABOUT A MINUTE EACH TO THE FIRST I WANT TO GET THE BROAD NUMBERS- I THINK DR REDFIELD YOU MIGHT'VE BEEN ON RECORD THAT YOU THINK THERE'S TEN TIMES AS MANY CASES OUT THERE IS AND I KNOW THAT'S A GAS I'D LIKE TO KNOW

    BECAUSE IF THAT'S THE CASE ALMOST ON THE BRUTALITY RATE GOES FROM 5% DOWN THE FIVE TENTHS OF PERCENT TWENTY TIMES MANY CASES OF COURSE- TWO AND A HALF OF DOWN THE POINT TWO FIVE WHAT IS YOUR TO START WITH YOU DR REDFIELD HOW MANY CASES YOU THAT WE ACTUALLY HAVE OUT THERE AND THEN HOW MANY- VACCINATIONS AND OUR- HERD IMMUNITY COMBINATIONS AS A PERCENTAGE OF OUR TOTAL POP DO WE TO THE THING BE IN A RIVER MIRROR SO WE GOT A FEW NUMBERS KIND OF LATE THE JOURNEY AHEAD THANK YOU SO MUCH THE BETTER CLEAN UP WE NEED ON THE THIS SPRING AND RICH BRITTANY STATE'S IN IN IN MY- AND IN BETWEEN AND THE END OF MAY YOU KNOW WE'VE BEEN ABLE TO DO ANTIBODY TESTING AND THAT'S WHAT ALLOWED US TO UNDERSTAND HOW MANY PEOPLE REALLY INFECTED SO DURING THAT PERIOD IN A WAS A BAD ESTIMATE ABOUT TEN TO ONE SO WE'RE PROBABLY TALKING OVER TWENTY MILLION TWENTY TWO MILLION AMERICANS BUT TECH DID I DON'T WANT TO SEE THAT'S TIM ON IT L U IN JULY ONE FOUR WOULD BE IS YOU THINK IT'S MORE THAN THAT NO I THINK TO BE BECAUSE WOULD BEEN MORE MORE TESTS OKAY

    BUT CLICK YOUR OPINION HOW MANY INDIVIDUALS WE NEED VACCINATED AND ARE HAVING HEARD IMMUNITY BEFORE THE SAYING GOES INTO THE REAR VIEW MIRROR AT THE TIME A COMMENT ON THAT TOO IT'S REALLY GOT TO BE OVER 70% OF THE POPULATION HAS GOT TO BE IMMUNE BEFORE EVEN SEEING THE IMPACT OF YOUR- HERD IMMUNITY DR PROJECT NOT YEAH I TOTALLY AGREE GIVEN THE TRANSMISSIBILITY WHICH IS HIGHLY EFFICIENT UNITY SABA SOMEWHERE BETWEEN SEVENTY AND EIGHTY FIVE PERCENT

    I WOULD SAY SEVENTY AT THE LOWEST OKAY SECOND SET OF QUESTIONS WOULD BE ON THE ISSUE OF HERD IMMUNITY BECAUSE- COURSE WE'VE GOT- THE- WE DON'T KNOW HOW LONG IT'S GONNA TAKE TO HAVE AN EFFECTIVE VACCINE- AND I'M GUESSING AND WHEN YOU'RE TALKING ABOUT HERD IMMUNITY IT'S GOT ACTUALLY CONFER IMMUNITY IF YOU GET IT THERE MIGHT BE SOME UNCERTAIN LET'S ASSUME YOU DO GET THE IMMUNITY- IS THE- HOW DO WE GO ABOUT THE APPROACHES THAT WE'VE USED AT THIS POINT IS HERD IMMUNITY GOING TO BE SOMETHING THAT YOU THINK- WILL MARCH THROUGH IF WE'D TAKE THE STRATEGY OF HAVING A DIFFERENT APPROACH FOR YOUNGER PEOPLE SEEM TO HAVE LOWER HOSPITALIZATION RATES AND LESS SIGNIFICANT CONSEQUENCES BECAUSE I THINK THAT'S ANOTHER THING WE NEED TO KNOW BECAUSE I THINK THAT'S ALREADY GOING TO BE

    DONE BY EACH INDIVIDUAL ON A WAY AS A SIZE UP THEIR OWN PERSONAL RISK SO HOW MUCH CAN WE COUNT ON HER COMMUNITY AGAIN ANSWER QUICKLY ON INSURANCE TO TONY I THINK IT'S IMPORTANT TO REALIZE EVEN NOW WE'RE PROBABLY LOOKING AT SOMEWHERE BETWEEN FIVE AND EIGHT SENATOR MERICAN PUBLIC HIS EXPERIENCES OF PARIS SO FOR ME HER COMMUNITY AS BASIC STRATEGY YOU'RE TALKING ABOUT A MULTI YEAR STRATEGY THIS IS WHY IT'S SO IMPORTANT THAT THE ALTERNATE STRATEGY IS A BIOLOGICAL COUNTERMEASURES IN THE DEVELOPMENT OF A VACCINE ONE OF THE ISSUES THAT MIGHT BE COMPLICATING- I DON'T THINK IT'S GOING TO BE SOMETHING THAT IS GOING TO BE ANY KIND OF A SHOW STOP WE'VE GOT TO REALIZE N AS SENATOR PAUL SAID WE HAVE TO BE HUMBLE AND KNOW THERE'S A LOT WE DON'T KNOW

    AND WHAT WE DON'T KNOW WAS WITH THE DURABILITY IS ANOTHER WORD SO IF YOU WANT UP GETTING HERD IMMUNITY TO SEVENTY FIVE EIGHTY PERCENT WHAT WE NEED TO LEARN AND ONLY TIME WILL TEACH US THIS IS HOW LONG THIS IMMUNITY LASTS IS IT A YEAR TWO THREE FOUR OR IS IT EVEN LESS IS IT MONTHS WE DON'T KNOW WHEN WE FIND OUT THEN THAT INFORM US AS TO WHETHER OR NOT IF YOU GET A VACCINE HOW IF YOU NEED TO BOOST SO WE HAVE TO REALIZE DON'T REALLY KNOW

    THE TO YOUR- IN ANY DEATH IN WAY OF GIVES SOCKS IMPORT LET FRIENDS SET HACEN EXPRESS POINT

    PROTECTING THE MOST OF ALL BECAUSE TO ME THE ONE THING IT LOOKS LIKE WE COULD CERTAINLY DO IS TO TAKE THAT HIGHEST RISK GROUP FROM THE DATA WE'VE ALREADY GOT DIDN'T BUILD AN ESSENCE AN IRON DOME AROUND THEM AS THE ONE THING THAT WOULD SEEM TO BE THE MOST IMPORTANT THING TO DO WHERE YOU GET CERTAIN RESULTS AND DOWN I THINK THAT HAS TO BE IN PLACE AS WE THE UNCERTAINTY

    OF HERD IMMUNITY AND WHEN WE GET AN EFFECTIVE VACCINE ACTUALLY CONVERGE I MIGHT ADD JUST WE ALWAYS THINK ABOUT HERD IMMUNITY WITH REGARD TO NATURAL INFECTION AND OR VACCINATION BUT WHEN YOU WANT TO TALK ABOUT PROTECTING THE VULNERABLE WE WANT TO SEE IF SOME OF THE OTHER PROGRAMS THAT EMPLOY PROPHYLACTIC TREATMENT PROGRAMS LIKE PASSIVE TRANSFER OF PLASMA OR MONOCLONAL ANTIBODIES OR HYPER IMMUNE GLOBULIN THOSE ARE SOME OF THE THINGS YOU CAN DO TO PROTECT THE VULNERABLE UNTIL WE DO GET IT EFFECTIVE EX THANK YOU SHOULD BRAUN SENATOR SMITH THANK YOU TERRA SANDER RANKING MEMBER MURRAY IT'S GOOD TO SEE ALL OF YOU TODAY THANK YOU AGAIN FOR OUR PANELISTS

    SO WE NEED ROBUST SURVEILLANCE APPLICATION ON TESTING IF WE'RE GOING TO SAFELY REOPEN OUR ECONOMY AND OUR SCHOOLS ARE NURSING HOMES IN A RESEARCH GROUP HOMES MAKE SURE THAT THEY'RE NOT A CONDUIT FOR INSPECTION AND WERE SEEN AS A GOOD EXAMPLE OF THIS IS THE NEW YORK STATE EMPLOYEES IN NURSING TO GET A POSTED NINETEEN TEST TWICE A WEEK SO HERE'S THE PROBLEM WITH YOUR WORKER FOR THAT TEST IS THAT MY EMPLOYER IS IT MY PRIVATE INSURANCE HAVE INSURANCE OR DO I HAVE TO PAY FOR IT OUT OF MY POCKET SO I'M THINKING ABOUT THAT LOW WAGE WORKERS WORKING IN CHILD CARE FOOD PROCESSING OR- SECURITY- YOU KNOW WORKER JANITOR AND YOU KNOW THE AVERAGE COST OF A TRUSTED SOMEONE THAT NEEDS IF YOU DON'T OTHER REPORT CAN BE CHARGED SIXTY DOLLARS TO BE TESTED YOU CAN FIND SO THIS IS MY PURSE QUESTION LAST WEEK AID POSTED ON THIS BY IN THE GUY SAID THAT HEALTH ARE NOW REAL TO COVER THE COST OF

    FOR SURVEILLANCE FOR OCT REASONS AND THE FEDERAL TESTING PLANNED WHICH TALKS ABOUT THE VALUE OF SURVEILLANCE TESTING AN OCCUPATIONAL TESTING IS SILENCE SO DOCTOR FELT SHE YOU THAT WE ARE GOING TO KEEP BETTER ABLE TO CONTAIN THE SPREAD OF COVID NINETEEN AND SAVE LIVES IF WE- HAVE SURVEILLANCE TESTING

    NO DOUBT SURVEILLANCE TESTING IS GOING TO BE A VERY IMPORTANT PART OF THE PROGRAM TO UNDERSTAND NOT ONLY THE CURRENT PENETRANCE OF THE VIRUS SOCIETY BUT WHERE IT'S GOING A SHORT ANSWER TO YOUR QUESTION IS IT'S GOING TO BE VERY IMPORTANT IN A PUBLIC HEALTH MEASURES AND ALSO THE PRICE OF THESE TESTS ARE THE ABILITY TO PAY FOR THESE TESTS YEP PRETTY SIGNIFICANT BARRIERS TO HANG THAT SURVEILLANCE HAPPEN I THINK COMMON SENSE TELLS YOU THAT IF PEOPLE CANNOT PAY FOR IT THEY'RE NOT GOING TO DO IT THAT'S ONE OF THE REASONS WHY WE GOTTA FIGURE OUT HOW WE CAN DO IT WITHOUT HAVING THE STRESS OF PEOPLE CAN'T AFFORD TO BE PART OF THAT PROCESS

    AND YOU KNOW THE WORRY OF COURSE IS THAT THIS ABILITY TO NJ FOR THE SURVEILLANCE TEST FOR THIS KIND OF SURVEILLANCE TESTING THAT COULD REALLY TEND TO EXACERBATE- UNDERLYING INEQUITIES SENSE A LOT OF FRONTLINE WORKERS AND ESSENTIAL WORKERS WHO DON'T HAVE THE PRIVILEGE OF WORKING FOR HOME ARE MUCH MORE LIKELY TO BE BLACK AND BROWN AND INDIGENOUS PEOPLE THE COLOR IS NOT RIGHT AS IN ALL CASES THAT PEOPLE WHO ARE ECONOMICALLY NOT ABLE TO ENGAGE IN SOME OF THE THINGS THAT BENEFIT OTHERS THEY ALWAYS IN GENERAL THE GET A SHORT END OF THE STICK ON THAT AND THAT'S WE HAVE TO BE CONCERNED ABOUT RIGHT RIGHT

    WELL I'M CLUELESS I THINK THIS IS A REALLY IMPORTANT PLACE WHERE WE HAVE THE POTENTIAL TO SETTLE SURE THAT AS WE EXPAND SURVEILLANCE TESTING OCCUPATIONAL TESTING LOOK AT OUR SCHOOLS OUR HIGHER INSTITUTIONS OF HIGHER EDUCATION COMING BACK AND WE HAVE THE ABILITY TO DO THIS AND THAT THE ABILITY TO TAKE THAT TEST IS IN A VERY- SO I APPRECIATE- SURE ALEXANDER YOU MENTION THIS IN THE BEGINNING OTHERS ABOUT MY COLLEAGUES HAVE MENTIONED THIS I THINK THIS IS THE PLACE WHERE WE CAN WORK TOGETHER IN A IN A CONSTRUCTIVE WAY WHEN ASKED

    THE QUESTION ON THE SPLIT RELATED TO VACCINES BECAUSE BUT A LOT OF DISCUSSION ABOUT THIS A LOT OF DISCUSSION ABOUT HOW WE CAN MAKE SURE THAT PEOPLE TRUST ZACKS SCENES THAT THEY ARE SAFE AND THAT THEY WORK AND THAT THE LONG TERM CONSEQUENCES POTENTIAL NEGATIVE SIDE EFFECTS WE UNDERSTAND SO LET ME JUST ASK MIDDLE ASKED- YOU AGAIN DOCTOR FAUCI ON HOW DO WE TRUST

    THE VACCINE THAT HAS ONLY HAD A SHORT NUMBER OF MONTHS POTENTIALLY BEING TESTED IN AGREEMENT THERE A COUPLE OF WAYS TO OVERCOME THAT FIRST IS THAT YOU HAVE A LARGE NUMBER OF PEOPLE IN THE TRIAL- THE TRIALS THAT WE'RE TALKING ABOUT NOW WE'RE GONNA HAVE THIRTY THOUSAND PEOPLE IN THE TRIAL AND MAYBE EVEN MORE IN SOME OF THEM YOU CAN GET A CONSIDERABLE AMOUNT OF SAFETY DATA BUT THEN THERE'S A PROCESS YOU KNOW AFTER A VACCINE MAYBE WHICH SHOW EFFICACY TWO FURTHER STUDIES FOLLOWING LICENSURE AVAILABILITY I'LL LET DOCTOR HAN MAYBE COMMENT ON THAT BOARD BECAUSE THAT BECOMES SOMETHING VERY MUCH INVOLVED WITH THE FDA'S AUTHORITY IN MAKING SURE WE DO HAVE SAFE VACCINE SO STEVE

    AND LET ME JUST ASK IF I COULD MAYBE PUT A FINER POINT ON THIS QUESTION FOR YOU DOCTOR ON ANYTHING WHAT IS THE MANUFACTURER TO SAY THAT THEY CAN GET A VACCINE TO MARKET IN JANUARY- BUT ONLY IF THEY WERE RELEASED FROM LIABILITY WHAT'S THE FDA POLICY ON A HOW WOULD YOU RESOLVE THAT QUESTION THANK YOU SENATOR- SO WE WOULD NOT GET INTO THE ISSUE OF LIABILITY FOR AN INDIVIDUAL SPONSOR AND WHAT WE WOULD DO AND THAT'S WHY WE RELEASED THE GUIDANCE THIS MORNING AS WE WOULD INSURE THAT OUR NORMAL REGULATORY APPROACH AND OUR STANDARDS FOR SAFETY AND EFFICACY OR MET SO WHILE WE'RE ALL EAGERLY

    SAID MANY FACTOR ARE LIABLE THAT'S NOT IT NFTA FORTY THAT WE WOULD THAT WE- HOW DO YOU GUARD AGAINST THE- WE'RE RUNNING A LITTLE LATE GO AHEAD WITH YOUR QUESTION BUT LET'S THE WEST SHOULD BE HOPEFULLY THIS WILL BE AN EASY ONE I MEAN WHAT I'M WORRIED ABOUT IS THAT THERE'S SOME SORT OF OCTOBER SURPRISE AND THAT THERE IS SOME PRESSURE PUT ON THE DECISION MAKERS HERE TO ANNOUNCE THE VACCINE IN OCTOBER OF TWENTY TWENTY DR ON CAN YOU JUST TELL US HOW WE CAN HELP TRANSPARENCY SO THAT PEOPLE CAN TRUST THAT THAT ISN'T HAPPENING CENTERS WITH A VERY GOOD QUESTION AND REALLY IMPORTANT AND LEADS TO THE ISSUE OF PUBLIC CONFIDENCE IT'S WHY WE RELEASED OUR GUIDANCE TODAY WE WANT TO BE CLEAR ABOUT WHAT THE STANDARDS IN THE DATA THAT WILL NEED TO MAKE A DECISION AND WHAT FACTORS GO INTO THOSE DECISIONS WHAT THE AMERICAN PEOPLE TO HEAR ME WHEN I SAY WE WILL USE THE SCIENCE AND DATA FROM THOSE TRIALS AND WE WILL WE WILL SURE THERE ARE HI LEVELS OF THE STANDARDS FOR SEEKING AFTER YOUR MEN THANK YOU

    DISMISS FOR JUDGE GOOD MORNING THANK YOU ALL FOR BEING HERE- SORRY I CAN'T BE THERE IN PERSON I WANTED TO ASK DR REDFIELD CAN YOU OUTLINE WHAT STEPS THE CDC IS TAKING IT TO YOU KNOW LOOK AT AS WE PREPARE FOR HANDLING BOTH THE FLU AND COVID NINETEEN A SEASON SIMULTANEOUSLY THIS FALL I KNOW THE CDC RECENTLY DEVELOPED TESTS THAT DIAGNOSE BOTH COVID NINETEEN AND THE FLU ONE OTHER ACTIVITIES IS THE AGENCY ENGAGED IN AND ARE THERE ANY NOVEL APPROACHES- THAT YOU SEE IN TERMS OF IMPLEMENTING THIS- WOULD LOVE TO HEAR ABOUT THE AGENCY'S PROCESS OF APPROACHING THE SEASON THIS FALL AND- IN YOUR THOUGHTS THERE THANK YOU VERY MUCH SENATOR I THINK IT'S REALLY IMPORTANT- TO RECOGNIZE THAT IT CAN BE DIFFICULT WITH THE FLU AND COVID THIS FALL FIRST AND FOREMOST IS TO TRY TO INCREASE THE AMOUNT PUBLIC SEAFOOD TEAM IS YOU LISTEN FIFTY PER AT THE- IN TO BEGIN TO READ

    DICK THE GROUP LIVES ON REFERENCE TRY THAT TOP THANKS WE WORKED WITH THE MENU TO SEE THEY CAN BOOST THE AMOUNT OF THAT WOULD BE A THEY'VE NOW INCREASE THEIR COMMITMENT TO ALMOST A HUNDRED AND EIGHTY NINE MILLION DOSES CDC BOUGHT ANOTHER SEVEN POINT ONE MILLION DOSES NORMALLY WE BY ABOUT FIVE HUNDRED THOUSAND TO BE ABLE TO BE AVAILABLE TO THE STATES AND LOCAL HEALTH DEPARTMENTS FOR UNINSURED ADULTS WE'VE BEEN AND WE INCREASED THAT TO SEVEN POINT ONE MILLION DOSES WE'VE AUGMENTED OUR COMMITMENT TO THE VACCINE PROGRAM ANTICIPATING THAT IT WILL BE MORE CHILDREN THAT WILL QUALIFY IN LIGHT OF THE UNEMPLOYMENT SO THOSE ARE SOME OF THE AREAS THAT WE'VE GONE TO PREPARE FOR

    THANK YOU BUT AND THIS QUESTION IS FOR DOCTOR HALL ON- YOU KNOW THE PANDEMIC HAS OUR VULNERABILITIES THE MEDICAL SUPPLY CHAIN AND BASICALLY WE HAVE A FINANCE ON IMPORTS FROM COUNTRY LIKE CHINA THAT CAN QUICKLY POSE A NATIONAL SECURITY RISK- IN THE FACE OF AN OUTBREAK OF INFECTIOUS DISEASE- WE NEED TO COME UP WITH A STRATEGY TO BOOST OUR PRODUCTION HERE OF PHARMACEUTICALS AND SUPPLIES- I BETTER DO SOME LEGISLATION TITLED THE BEAT CHINA ACT OFFER INCENTIVES TO COMPANIES THAT BRING MANUFACTURING BACK TO THE UNITED STATES BUT WOULD LIKE TO HEAR FROM YOU WHAT ADDITIONAL STEPS POLICYMAKERS TAKEN TO START KEEP ABILITY TO PRODUCE THESE SUPPLIES AND PHARMACEUTICALS DOMESTICALLY F YOU SEVERAL DIFFERENT THANK YOU FOR YOUR LEADERSHIP ON THIS I THINK ONE- ISSUE THAT WE CAN ALL AGREE UPON IS- THE LACK OF REDUNDANCY IN THE SUPPLY CHAIN IN THE- DEPENDENCY

    THAT WE'VE SEEN DURING THE COVID NINETEEN PANDEMIC HAS BEEN A PROBLEM THE AGENCY'S PRIMARY FOCUS HAS BEEN ON- INSTILLING REDUNDANCY IN THE SUPPLY CHAIN PARTICULARLY OF PHARMACEUTICALS BY DIVERSIFYING THAT SUPPLY CHAIN AND REALLY LOOKING FOR OPPORTUNITIES TO ENCOURAGE ON DOMESTIC MANUFACTURING WE OF COURSE ON THE REGULATORY SIDE PROVIDE GUIDANCE AS WELL AS REGULAR PATIENTS OR ON THE- THE MANUFACTURING TO ENSURE QUALITY OF PHARMACY GOES ANOTHER VEHICLE THANKS CONTINUE TO DO THAT FOR TWO IN THE ADVANCED MANUFACTURING SPACE- IN ORDER TO ENCOURAGE DOMESTIC MANUFACTURING WE LOOK FORWARD VERY MUCH TO WORKING WITH YOU AND OTHER MEMBERS OF CONGRESS TO SEE HOW WE CAN CREATE THE PROPER INCENTIVES- TO HAVE THAT REDUNDANCY AND PARTICULARLY TO HAVE AS MUCH DOMESTIC MANUFACTURING AS POSSIBLE

    THANK YOU DR HON NO FURTHER QUESTIONS I'LL BUY TIME THANK YOU SENATOR- LEFFLER SENATOR JONES THANK YOU MR CHAIRMAN THANK YOU ALL FOR BEING HERE TODAY REALLY APPRECIATE YOUR TESTIMONY YOUR CONSISTENCY OVER THE LAST FEW MONTHS- IT IS GOT TO BE SOMEWHAT DISCOURAGING TO ALL OF YOU AS IT IS TO US TO SEE THESE NUMBERS I WANT TO KIND OF FOCUS A LITTLE BIT ON TOOLS- AS WE WILL STOP PUTTING SCHOOLS UP NO MA'AM IN AUGUST AND LET ME BE A LITTLE CHRONOLOGY HERE ARE STATE ABOUT DONALD BEGAN TO OPEN UP ITS ECONOMY MORE AND MAY LOOK MORE TOWARD THE END OF MAY AND THEN END OF FOR MEMORIAL DAY WE SAW THE PHOTOGRAPHS AND VIDEOS A DOCTOR FOR SHE REFERRED EVERYBODY JUST HAVING TIME FOR MEMORIAL DAY HOLIDAY

    NOW AT THE END OF JUNE YOU ARE OUR HIGHEST LEVEL THE LAST FOURTEEN OF OVER TEN THOUSAND CASES WHICH IS TWENTY EIGHT PERCENT OF THE CASES THAT WE HAVE SEEN URGES THE LACK FOURTEEN DAYS ARE IN AT THE END OF THIS WEEK WE HAVE THE JULY FOURTH HOLIDAY COMING UP AND WE'RE GOING TO SEE A DELAY AND HOSPITALIZATION FROM RIGHT NOW IF WE DO THE SAME THING ON JULY FOURTH WE'RE GONNA HAVE A HUGE PROBLEM AT THE END OF JULY AND EARLY AUGUST WE START OPENING SCHOOLS ON

    OUR STATE SCHOOL SUPERINTENDENT THIS WEEK SAID THAT IT WOULD COST ABOUT ONE POINT EIGHT MILLION DOLLARS FOR THE AVERAGE SCHOOL SYSTEM TO DO THOSE THINGS NECESSARY TO TRY TO PROTECT KIDS AND A FACULTY BUT- I HEARD SENATOR POLL IN HIS COMMENTS AND DISCUSSING A NUMBER OF THINGS TO WHERE YOU WOULD GET THE IMPRESSION THAT WILL JUST OPEN SCHOOLS BACK UP WITHOUT SPENDING ANY OF THAT MONEY SO MY QUESTION PRIMARILY TO DOCTOR FOR ALLERGY AND DR REDFIELD COULD YOU COMMENT ON SOME OF THE STATISTICS AND SOME THINGS THAT YOU HEARD ABOUT CHILDREN TRANSMITTING THIS DISEASE AND WHETHER OR NOT WE NEED TO SPEND SO MUCH ADDITIONAL MONIES FOR OUR SCHOOLS TO DO THINGS LIKE HELP EX FOR PP

    TO DO THINGS LIKE HIRING POTENTIALLY HIRING ADDITIONAL- HEALTH OFFICERS TEMPERATURE SCREENINGS THOSE KIND OF THINGS ARE THOSE GOING TO BE NECESSARY BASED ON WHAT I'VE HEARD FROM SENATOR PAUL AND WHAT HAPPENED ON HIS CHARTS IN OTHER COUNTRIES DR VALJEAN DR REDFIELD ALL QUICKLY GET A SHOT AND THEN HANDED OVER TO DR REDFIELD WE DON'T KNOW PRECISELY I THINK THE DATA THAT WAS VERY INTERESTING THAT SENATOR POLL SHOWED ABOUT SCHOOL OPENINGS AND NOT SEEING ANY REAL OBVIOUS SURGE IN CASES IS IMPORTANT BUT WE DON'T REALLY KNOW- EXACTLY WHAT THE EFFICIENCY OF SPREAD IS FIRST OF ALL HOW MANY CHILDREN GET INFECTED THAT WAS THE REASON WHY IN MY OPENING STATEMENT

    I MENTIONED THE STUDY THAT WE'RE DOING AT THE END OF THE AGE OF SIX THOUSAND FAMILIES LOOKING AT CHILDREN WHAT IS THE RATE OF THEIR INFECTION AND HOW OFTEN DO THEY INFECT THEIR FAMILIES BECAUSE IF IT'S TRUE AT THE RATE IS DOWN WE KNOW THAT THEY DON'T GET SERIOUSLY ILL WITH HOSPITALIZATIONS WHEN THEY GET INFECTED BUT AT THE RATE OF INFECTION IS DOWN AND THEY DON'T READILY TRANSMIT TO THEIR PARENTS AND FAMILY MEMBERS THAT'S GOING TO BE VERY IMPORTANT IN THE DECISION MAKING PROCESS OF OPENING SCHOOLS HOPEFULLY WE'RE GONNA FIND OUT REASONABLY SOON BY THIS STUDY THAT WE'RE DOING UP

    I'D ECHO WHAT DOCTOR VEGGIE SAID CDC HAS A NUMBER OF WHAT WE CALL HOUSEHOLD STUDIES GOING ON TO TRY TO GET A BETTER UNDERSTANDING OF HOW DOES THE VIRUS GET INTO A HOUSEHOLD WHO BRINGS IT IN WHAT HAPPENS WITH WHEN IT'S IN THE HOUSEHOLD HOW DOES TRANSMISSION- VERY DEPENDING ON HOW THE HOUSEHOLD RESPONSE IN TERMS OF SOCIAL TO CENTER TIM FROM THAT WE'RE GATHERING

    I THINK- WE DON'T KNOW THE IMPACT THE CHILDREN HAVE YET ON THE TRANSMISSION CYCLE SO I THINK WE SHOULD JUST DIG KNOWLEDGE THAT- IN THE GREATER THREAT OBVIOUSLY IS AGAIN THOSE CHILDREN TO THE VULNERABLE BUT I THINK ONE CAN ACTUALLY HAVE SOCIAL BEHAVIOR THAT CAN PREVENT THAT AND SO I THINK THAT WOULD BE- JUST TO EMPHASIZE- I THINK IT'S A- REALLY IMPORTANT HAS BEEN SAID ALREADY THAT WE MOVE FORWARD AND WORK TO RE OPENING SCHOOLS IN A SAFE WAY I THINK IT'S OF NO TO CDC NEVER REALLY RECOMMENDED CLOSING SCHOOLS IT'S SORT OF JUST HAPPENED AS YOU KNOW WE CAN DO TARGETED SCHOOL CLOSINGS IF WE HAVE TO IN A PARTICULAR REGION LIKE WE'VE DONE FOR OTHER VILE PIECES

    BUT I THINK WE WILL MOVE FORWARD NOW I WORKED AT A REAL SCHOOLS THANK YOU M O ARE OF JUST I WANT TO MAKE SURE YOUR WE'RE IN AND WE TALKED ABOUT A LITTLE BIT WE GONNA BE ABLE TO MAKE SURE THAT WE GET BACK

    DISTRIBUTED THE BALL BECAUSE THAT'S- WHERE SO MUCH IS HAPPENING RIGHT NOW IN THE ROLL SOUTH- AND ARE YOU MAKING SPECIFIC PLANS TO MAKE SURE THAT WE GET THAT INTO THE RURAL AREAS SET THE SET THANK YOU VERY MUCH SO WE ALL WORK ON PARTS OF THIS PROBLEM RIGHT SO THE CDC ACTUALLY CONTROLS THE DISTRIBUTION BUT WHAT MY OFFICE DOES RUNNING THE NATIONAL VACCINE PROGRAM DOES THINGS LIKE THE MORE HOUSE- GRANT THAT WILL A COOPERATIVE AGREEMENT THAT WE THAT WE ANNOUNCED LAST WEEK

    THAT REALLY REACHES ON INTO THE ROLL INTO HISPANIC INTO AFRICAN AMERICAN TO REALLY HAVE THE COMMUNITY THE PEOPLE WHO ARE IN THAT COMMUNITY NOW I DON'T THINK THE SERVICES LIKE LIKE TESTING BUT TODAY THE GROUNDWORK FOR EXCEEDING BECAUSE WE KNOW THE BURDEN THE HE'S- MENTALLY BIRD I HOPE ALL THESE INDIVIDUAL SO THE PEOPLE ASSUMING THE PAINS WERE ONE TO GET VACCINATED FOR FIRST TIME GREAT THANK YOU THANK YOU MISTER CHAIRMAN THANK YOU SENATE OWNS AISLE WITNESSES NEED TO LEAVE ONE GOING TO TRY TO RESPECT THAT SENATOR

    THANK HELLO CAN YOU HEAR ME YES WE CAN MORNING I WILL TRY TO- IS QUICK AS I CAN TALKING ABOUT ANTIBODIES THIS MORNING THANK YOU CHAIRMAN ALEXANDER RANKING MEMBER MURRAY ALL OF OUR WITNESSES FOR BEING HERE TODAY AS OUR COMMUNITIES FOCUS ON A HOUSE SAFELY GET BACK TO WORK AND SCHOOL JUST LIKE WE'RE TALKING ABOUT WE KNOW WE HAVE TO FOLLOW SIGN THE DAPT INFORMATION BE SURE TIME GET IT AND SOUGHT IT WAS

    WIVES AND- SO DOCTOR FOUND THE LAST TIME YOU WERE WE TALK ABOUT THE MONOCLONAL ANTIBODY TREATMENTS AND I'D LOST LIKE TO FOLLOW UP ON THAT CONVERSATION IS AS IF WE AS WE LEARN MORE ABOUT THE VIRUS HOW IT FUNCTIONS HOW IT'S DIFFERENT FROM OTHER RESPIRATORY ILLNESSES WHAT UPDATES CAN YOU TELL US ABOUT THE DEVELOPMENT OF PREVENTATIVE TREATMENTS AND BLOCKED THE VIRUS FROM ATTACHING TO THE CELLS THAT IT'S TARGETING BUT THANK YOU FOR THE QUESTION SENATOR YOU MENTIONED MONOCLONAL ANTIBODIES MONOCLONAL ANTIBODIES ARE GOING INTO TRIALS RIGHT NOW AND A NUMBER OF TRIALS SPONSORED

    BY A NUMBER OF GROUPS- HOPEFULLY WITHIN A REASONABLE PERIOD OF TIME WILL GET INFORMATION AS TO WHETHER OR NOT THAT'S AFFECTED BOTH IN THE PREVENTION AS WELL AS IN THE TREATMENT THOSE ANTIBODIES DIRECTED AGAINST A COMPONENT OF THE VIRUS THAT IS WHAT'S CALLED THE SPIKE PROTEIN AND THAT PROTEIN IS THE ONE THAT BINDS TO THAT NATIONAL WELL ESTABLISHED RECEPTOR BY FOR THE NEXT RELEASE ACE TO THERE ARE A NUMBER OF OTHER STUDIES THAT ARE NOT NECESSARILY ANYBODY STUDIES

    BUT STUDIES THAT HAVE A AFFECT ON THE VIRUS ITSELF AND ITS INITIAL REPLICATION IN ANSWER TO A QUESTION THAT THE CHIP IN THE MAIL IN JUST A BIT AGO IS THAT THEY WILL BE THERAPIES- WE WILL ACCEPT THE TREATMENT ON AND FOR PROFILE AND AS WE HOPE AS WE GET INTO THE FALL AND WINTER WE'LL HAVE EVERYTHING FROM SMALL MOLECULE TREATMENTS AND PROPHYLAXIS FOR THE KINDS OF ANYBODY'S THAT YOU'RE TALKING ABOUT SO THERE'S A LOT OF ACTIVITY GOING ON TO DO THAT EARLY IN DISEASE BOTH FOR PREVENTION AND FOR THE TREATMENT OF EARLY DISEASE

    I KNOW THAT YOU'VE BEEN DOING A LOT OF SEROLOGY TESTING AND THAT INDIVIDUALS ARE PRESENTING- WITH ANTIBODIES SO OUT OF THE FIVE TYPES OF ANTIBODIES SET UP PEOPLE ARE MOST LIKELY TO HAPPEN WHICH ONES DO MOST RECOVERS PATIENTS OUT WHICH ONES ARE THEY SHOW AND IF ONE OF THESE SPECIFIC ANTIBODIES ARE PRESENT DOES THAT MAKE A DIFFERENCE AND IF THE PATIENT CAN BE RE INFECTED OR NOT OR NOT ARE THEY EFFECTIVELY A NEW LEASE FOR SOME PERIOD OF TIME WHAT KIND OF ANSWERS DOES THIS GIVE US IF YOU DO HAVE THE PRESENCE OF CERTAIN ANTIBIOTICS

    NO I I'D LIKE I'D LOVE TO GIVE YOU A REALLY PRECISE SCIENTIFICALLY BASED DANCER BUT THE FACT IS WE DON'T KNOW STANDARD WISE WHEN YOU GET AN ACUTE INFECTION YOU GET AN I G M ANYBODY

    AS YOU GO UP THERE IN TIME TO DEVELOP A MORE TO MATURE IMMUNE RESPONSE IF IT COMES IN I G G THERE IS SUPPLE SUBCLASSES OF I

    G G SOME MORE PROTECTIVE THAN OTHERS THE THING WE DON'T KNOW SENATOR THAT WE WILL- WE WILL KNOW IN TIME BUT IT'S GOING TO TAKE TIME TO KNOW IT IS WHAT THE RELATIONSHIP BETWEEN THE NEUTRALIZING ANYBODY AND BINDING ANTIBODIES THAT DON'T NEUTRALIZE

    WHAT IS THE RELATIONSHIP BETWEEN THE TIGHTER AND THE DEGREE OF PROTECTION AND WHAT IS THE DURABILITY OF PROTECTION WE SEEN SOME PUZZLING THINGS WE'VE SEEN PEOPLE RECOVER FROM COVID INFECTION AND FIND OUT THEY DON'T HAVE VERY HIGH LEVELS OF ANYBODY COULD BE A CELL MEDIATED RESPONSE THAT GOT THEM THROUGH THE ILLNESS AND SOME OTHER INDIVIDUALS HAVE VERY HIGH LEVELS AND WE KNOW HOW LONG THOSE LEVELS LAST SO WE'RE GETTING THERE WITH REGARD TO OUR KNOWLEDGE BUT IT'S GOING TO TAKE SEVERAL MORE MONTHS TO A YEAR TO REALLY BE ABLE TO DEFINITIVELY SO YOU'RE- ABOUT THE ROLE OF ANYBODY IN PROTECTIONS FOLLOWING THAT INFECTION

    BUILDING UPON THAT I'D TO ASK QUESTION AND WE KNOW THAT THIS VIRUS ON BACKSTOP MOLD IS MULTI ORGAN IT CAN AFFECT YOUR KIDNEYS YOUR LUNGS OR HEART REDUCING STROKES ALL KINDS OF THINGS YOUR DIGESTIVE SYSTEM YOUR SENSE OF SMELL SO ON THE SCIENCE THAT YOU'RE TALKING ABOUT THE ANTIBODIES IS THE SCIENCE OF STOPPING THE VIRUS FROM CAUSING HARM THE SAME REGARDLESS OF WHICH WORKING IN A TAX AND HOW DO WE HELP DIRECT FUNDING FOR THE KIND OF RESEARCH THAT YOU'RE GOING TO NEED TO LOOK AT THIS MULTI ORGAN

    ON AT THIS WILL THIS IS A VERY FLEXIBLE BECAUSE IT'S A RESPIRATORY VIRUS AND IT GETS INTO THE RESPIRATORY TRACT IF THE VIRUS STAYS IN THE RESPIRATORY TRACT AND DOESN'T GO SYSTEMIC TO INVOLVE OTHER ORGANS THAT'S GOOD NEWS BECAUSE YOU DON'T GET VERY SICK THE OTHER SIDE OF THE COIN IS YOUR ANYBODY RESPONSE IS NOT AS POTENT BECAUSE WHEN YOU GET SYSTEMIC INVOLVEMENT INVARIABLY YOU WILL HAVE A MORE POTENT AND ROBUST IMMUNE RESPONSE SO MANY PEOPLE AND PROBABLY THE PEOPLE WHO ARE THE A SYMPTOMATIC CARRIERS THEY HAVE A REASONABLE TIGHTER OF VIRUS IN THEIR NASAL PHARYNX BUT THE VIRUS DOESN'T GO ANY OTHER PLACE IN THEIR BODY PEOPLE WHO GET MULTI SYSTEM DISEASE THAT GET TRIGGERED BY THE VIRUS THOSE ARE THE ONES THAT UNFORTUNATELY GETTING SICK

    BUT ALSO THE ONES THAT MAKE A MORE POTENT IMMUNE RESPONSE THANK YOU SO MUCH I APPRECIATE YOU ALL BEING HERE TODAY THANK YOU SENATOR ROSE VERY INTERESTING QUESTION SENATOR MURRAY DO YOU HAVE CLOSING REMARKS I HAVE ONE ADDITIONAL QUESTION IF I MIGHT AND THEN CLOSING REMARKS THANK I WANT ACT AND WILL DRIVE ON QUESTION YES MA'AM

    I THANK YOU ON IT AND DESPITE SOME LIMITED DATA WE DO KNOW THAT COVID NINETEEN IS ACT INFECTING AND KILLING BLACK LATINO AND NATIVE AMERICAN PEOPLE AT A MUCH HIGHER RATE THAN WHITE PEOPLE I WANT TO ASK YOU HOW HHS IS GONNA JUSTICE RESPONSE TO REDUCE CASES AND DEATHS AND COMMUNITIES OF COLOR AND SPECIFICALLY CAN YOU COMMIT TO REDIRECT SOME OF THE FOURTEEN BILLION DOLLARS THAT IS AND I'M SPENT FINDS CONGRESS PROVIDED TO ADDRESS THOSE DISPARITIES ON THE ANSWER THE TWO PARTS OF THE QUESTION- FIRST THE AT IS YOU KNOW AND REALLY APPRECIATE YOUR SUPPORT WE'VE TRIED TO FOCUS OUR TESTING INTO HIGH SOCIAL VULNERABILITY COMMUNITY SAYS 70% OF OUR OVER SIX HUNDRED- THE PHARMACY SITES ARE IN HIGH S V

    I COMMUNITIES THAT MEANS RACIAL AND ETHNIC MINORITIES LANGUAGE TO- DISPARITIES- SOCIOECONOMIC ON FQHCS WE MADE A MAJOR PUSH THAT- THE FEDERALLY QUALIFIED HEALTH CENTERS THAT TAKE CARE OF ONE OUT OF THREE THOSE IN POVERTY OVER THIRTEEN HUNDRED THOSE ARE NOW OFFERING STING AND OF COURSE WE'RE- CITED ABOUT THE AWARD TO MOREHOUSE SCHOOL OF MEDICINE LAST WEEK THAT HAS A LARGE COALITION CREATED NATIONAL INFRASTRUCTURE TO REACH TO REACH MINORITIES AND UNDERSERVED SO THAT'S WHAT WE'RE REALLY DOING YOU KNOW MY OFFICE THIS IS WHAT WE DO ON A ON A DAILY BASIS THEY EVEN WITHOUT A PANDEMIC YOUR SECOND QUESTION IS I DON'T COMMIT THE MONEY- SO- I CERTAINLY THINK WE NEED CONTINUED INVESTMENT

    IN THIS CONTINUED SIGNET FORTY MILLION DOLLARS AS A DOWN PAYMENT ON HOW WE COULD BEST REACH THE UNDERSERVED COMMUNITY BUT YOU'RE GONNA HAVE TO TALK TO AND BE ABOUT HOW THE MONEY IS SPENT- WELL ACTUALLY HHS OVERSEES THAT SO WE WILL ASK THEM BUT I THINK THAT'S AN IMPORTANT QUESTION ON KEEP FOLLOWING UP IN TRACK YEAH IT'S ME OUR MAN I APPRECIATE ON OVER WE- TAKING THE TIME TO JOIN US TODAY TO OUR COMMITTEE ON

    THE COURSE OF THIS PANDEMIC AND ALL OF OUR EFFORTS TO RESPOND TO IT I HOPE WE WILL CONTINUE TO HAVE AN OPPORTUNITY HERE FROM ALL OF YOU AS WELL AS OTHER KEY ADMINISTRATION OFFICIALS ABOUT THIS BECAUSE THE ABSOLUTE WORST THING WE COULD DO RIGHT NOW IS TO PRETEND THIS CRISIS IS OVER WHEN IT IS PAINFULLY OBVIOUS

    NOT TRUE THE REALITY IS THAT THE WHAT IS IN THIS PANDEMIC SO FAR NEARLY UNTHINKABLE AND IN FURTHER DELAYS OUR RESPONSE EARLY UNACCEPTABLE WE TAKE THIS PRESIDENT TO TAKE THIS CRISIS SERIOUSLY AND WE- AND WE NEED A CAR TO ACT I HOPE WE CAN ALL GET BACK TO WORK

    SOON AS POSSIBLE WE NEED BORDER AMERISERV FRONTLINE WORKERS ARE THIS IS OUR SCHOOL COMMUNITIES WE NEED TO GET TESTING WEREN'T USED TO BE WE NEED TO MAKE SURE WE ARE MAKING TOWARDS STATE ACTIVE WHY WE HAVE ON THE VACCINE

    WE NEED ON OUR I THEM SO THERE'S A LOT LEFT IT WOULD BE WOULD BE HONEST THANK YOU SENATOR MURRAY A NEW WOULD IT IS HAVE MEETING THE NEED TO GO TO SO I BREATHE MY ROOM BUT THING I TO ASK YOU PERHAPS YOU CAN EACH DO IT IN A MINUTE OR LESS

    I'VE PUT OUT A WHITE PAPER IN RECOGNITION OF WHAT SOME OF YOU HAVE SAID WHICH IS A IN BETWEEN PANDEMICS WE HAVE FOUND IT DIFFICULT TO DO SOME OF THE THINGS WE NEED TO DO TO PREPARE FOR THE NEXT PANDEMIC SO THERE WERE ONE OR TWO THINGS THAT YOU THOUGHT WE SHOULD TRY TO DO NOW IN ORDER TO BE PREPARED FOR THE NEXT PANDEMIC WHAT WOULD THOSE ONE OR TWO THINGS B DR FAUCI

    ONE OF THE THINGS THAT WOULD LIKE TO SEE IS AN APPRECIATION ON THE PART OF OUR ENTIRE NATION OF THE IMPORTANCE OF RESPONDING AS A NATION AS A WHOLE AND NOT HAVE A SITUATION WHERE WHEN YOU HAVE A CHALLENGE SUCH AS WE HAVE RIGHT NOW WE ARE VERY DESPERATE RESPONSE WE'VE GOT TO DO IT IN A COORDINATED WAY BECAUSE WE ARE ALL IN THIS TOGETHER THE OTHER THING I'D LIKE TO DO NOW IS TO CEMENT IN OUR MINDS AS WE BRIDGE TO THE FUTURE THE FACT THAT WE CANNOT FORGET THAT WHAT WAS THOUGHT TO BE UNIMAGINABLE TURNED OUT TO BE THE REALITY THAT WE'RE FACING RIGHT NOW SO RELATES TO THE KIND OF APPRECIATION THAT OUTBREAKS HAPPEN AND YOU HAVE TO DEAL WITH THEM IN A VERY AGGRESSIVE PROACTIVE WAY DOCTORATE FEEL

    THANK YOU MR CHAIRMAN I THINK THE MOST IMPORTANT THING THAT I CAN SAY IS THAT WHEN IT COMES TO PUBLIC HEALTH THREATS OUR NATION NEEDS TO BE OVER PREPARED NOT UNDER PREPARED AND AS I MENTIONED BEFORE DECADES OF UNDER INVESTMENT INVESTING INVESTMENT IN THE CORE CAPABILITIES OF PUBLIC HEALTH DATA MODERNIZATION LABORATORY RESILIENCE WORK FORCE MERGES RESPONSE I THINK IT'S FUNDAMENTAL WE'VE REALLY- BEEN HIT WITH THIS SIMPLE VIRUS- AND I THINK AT THE END OF THE DAY IT'S GOING TO COST OUR NATION TRILLIONS OF DOLLARS I THINK OF A MOMENT IN TIME WHERE I THINK PEOPLE ARE ATTUNED AND I WOULD SAY NOW'S THE TIME TO MAKE THE NECESSARY INVESTMENT IN OUR PUBLIC HEALTH AT THE LOCAL TERRITORIAL TRIBAL STATE AND FEDERAL LEVEL SO THAT THIS NATION FINALLY HAS THE PUBLIC HEALTH SYSTEM NOT ONLY THAT IT NEEDS BUT THAT IT DESERVES YOUR WALLS

    OF COURSE I AGREE COMPLETELY WITH MY COLLEAGUES AND WE'RE ALL SINGING FROM THE SAME HYMNAL HERE- ALL SAY THREE THINGS NUMBER ONE DATA INFRASTRUCTURES REALLY IMPORTANT WHEN WE CAME INTO THIS WE DIDN'T KNOW HOW MANY VENTILATORS WERE IN USE HOW MANY TESTS WERE OUT THERE WHERE THE TEST POSITIVE OR NEGATIVE WHO IS BEING TESTED I MEAN THE COMPLETE SOUP TO NUTS INFRASTRUCTURE THAT WE NEED TO MAKE DECISIONS YOU NEED THE DATA TO MAKE DECISIONS TO ALLOCATE RESOURCES AND THAT WE BUILT THIS ON THE FLY BUT WE ABSOLUTELY HAVE TO INVEST IN THAT SECONDLY IT'S A RISK AND SEE THE HEALTHCARE SYSTEM YES WE NEED TO ATTACK COVID BUT WHAT HAPPENED EVERY ELSE WE'VE SEEN CANCER SCREENINGS GOT OUT SHOT MINUTES

    JUST ABOUT EVERY OTHER THING IN HEALTH CARE SYSTEM WITH SAP AS FAR COVID RESPONSE SO IT'S NOT JUST THE PANDEMIC RESPONSE BUT IT'S EVERYTHING UP I NEED TO DO AND THE THIRD THING I WOULD SAY IS WE CONTINUE HALF THE FOLKS HEALTH IS ARE YOU EVERYONE WAS HEALTH THIS COUNTRY IF WE TESTED INTO THE AT TO HYPER DIE OBESE ALL THE THINGS THAT COULD BRING THE GENERAL HEALTH UP YOU WOULD NOT SEE IS HORRIBLE OF OUTCOMES AS WE HAVEN'T HAD ANY PANDEMIC

    SO WORKING ON HEALTH DISPARITIES THAT HAVE BEEN HERE FOR DECADES IS I THINK CRITICAL TO RATE ARE IN GENERAL HEALTH AND PREPARES FOR WHATEVER'S GOING TO HIT US DR HAN YOU CAN HAVE THE LAST WORD THANK YOU MR CHAIRMAN FIRST OF ALL THANKS FOR YOUR SHIP ON YOUR WHITE PAPER IT'S REALLY IMPORTANT TO THIS CONVERSATION

    THIRTY THINGS EMPHASIZE ONE IS THE DATA MODERNIZATION BUT FROM AN FDA PERSPECTIVE TO VERY ANNUAL PROCESS TO ONE COLLECT ON DEMAND AND- ALSO SAID THE SUPPLY CHAIN WE NEED OF A ROBOT SYSTEMS WE NEED A BUS REAL WORLD EVIDENCE WHICH SO THAT WHEN WE DECISIONS IN REAL TIME DURING HER DOCTORS DO THAT ALL THE TIME AGENCIES DO THAT PARTICULAR DURING PUBLIC HEALTH EMERGENCIES WE HAVE THE APPROPRIATE DATA INFRASTRUCTURE TO COLLECT REAL WORLD EVIDENCE AND FEEDBACK INTO OUR DECISIONS AND THEN REVISE THOSE DECISIONS AS NEEDED CRITICALLY IMPORTANT FOR THE AGENCY

    AND THE SECOND THING IS LINKED AND THAT IS IN MY PREVIOUS COMMENTS THE CENTER LEFT LAST ABOUT ABSOLUTELY NEED REDUNDANCY IN THE SUPPLY CHAIN WHEN YOU'RE DONE SAID MANUFACTURING AND WE NEED TO EMPHASIZE THE IMPORTANCE OF TIM THANK YOU THE KEY DANGEROUS VIRUS HAS REMINDED US IS THAT THERE WILL BE ANOTHER SNEAKY DANGEROUS VIRUS ONE DAY AND WE KNOW FROM EXPERIENCE THAT IT MAY BE EASIER TO TAKE THE STEPS YOU'VE JUST DESCRIBED WHILE OUR EYES ON THE BALL RATHER THAN BETWEEN PANDEMICS BECAUSE WE GET INTERESTED AND OTHER ISSUES

    RIGHT FOR TO THE WEB AS FOR YOUR TIME THANK THE SENATORS ON BOTH SIDES OF THE AISLE FOR REALLY CAREFUL INSIGHTFUL AND COURTEOUS QUESTIONING- THE HEARING RECORD WILL REMAIN OPEN FOR TEN DAYS MEMBERS MAY SUBMIT IT IF IT'S DIGITAL INFORMATION THEN THAT TYPE OF THEY WERE LIKE THANK YOU FOR BEING HERE THE COMMITTEE WILL STAND ADJOURNED UHHUH

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