Milwaukee Journal Sentinel

Fauci assures Congress

Dr. Anthony Fauci expressed “cautious” optimism a vaccine would be available, particular­ly by next year.

- Ricardo Alonso-Zaldivar and Matthew Perrone

WASHINGTON – Once a coronaviru­s vaccine is approved as safe and effective, Americans should have widespread access within a reasonable time, Dr. Anthony Fauci assured lawmakers Friday.

Appearing before a House panel investigat­ing the nation’s response to the pandemic, Fauci expressed “cautious” optimism that a vaccine would be available, particular­ly by next year.

“I believe, ultimately, over a period of time in 2021, that Americans will be able to get it,” Fauci said, referring to the vaccine.

There will be a priority list for who gets early vaccinatio­ns. “I don’t think we will have everybody getting it immediatel­y,” Fauci said.

But “ultimately, within a reasonable time, the plans allow for any American who needs the vaccine to get it,” he added.

Under direction from the White House, federal health authoritie­s are carrying out a plan dubbed Operation Warp Speed to manufactur­e 300 million doses of a vaccine on a compressed timeline.

Fauci, the nation’s top infectious disease official, said a quarter-million people have expressed interest in taking part in studies of experiment­al vaccines for the coronaviru­s.

He said that 250,000 people have registered on a government website to take part in vaccine trials, which are pivotal for establishi­ng safety and effectiveness.

Fauci was joined by Centers for Disease Control and Prevention head Dr. Robert Redfield and Health and Human Services testing czar Adm. Brett Giroir.

Giroir acknowledg­ed that currently it’s not possible for the U.S. to return all coronaviru­s test results to patients in two to three days. He blamed overwhelmi­ng demand across the nation.

Many health experts said that COVID-19 results are almost worthless when delivered after two or three days because by then, the window for contact tracing has closed.

The latest government data show about 75% of testing results are coming back within five days, but the remainder are taking longer, Giroir told lawmakers.

Rapid, widespread testing is crucial to containing the coronaviru­s outbreak, but the U.S. effort has been hindered by supply shortages and backlogs since the earliest days of the outbreak.

At a time when early progress seems to have been lost and uncertaint­y clouds the nation’s path forward, Fauci, Giroir and Redfield are calling on Americans to go back to public health basics such as social distancing and wearing masks.

The panel, the House Select Subcommitt­ee on the Coronaviru­s Crisis, is divided about how to reopen schools and businesses, mirroring divisions among Americans. Committee Chairman Rep. James Clyburn, D-S.C., said the White House must come up with a comprehens­ive national plan to contain the virus. Ranking Republican Steve Scalise of Louisiana said the Trump administra­tion has plans on vaccines, testing, nursing homes and other coronaviru­s-related issues.

A rebound of cases across the South and the West has dashed hopes for a quick return to normal life. Problems with the availabili­ty and timeliness of testing continue to be reported. And the race for a vaccine, though progressin­g rapidly, has yet to deliver a breakthrou­gh.

Fauci’s public message in recent days has been that Americans can’t afford a devil-may-care attitude toward COVID-19 and need to double down on basic measures such as wearing masks in public, keeping their distance from others and avoiding crowds and indoor spaces such as bars. That’s echoed by Redfield and Giroir, though they are far less prominent.

Fauci’s dogged persistenc­e has drawn the ire of some of President Donald Trump’s supporters and prompted a new round of calls for his firing. But the veteran of battles against AIDS and Ebola has stuck to his message, while carefully avoiding open confrontat­ions with the Trump White House.

In an interview with the Associated Press earlier this week, Fauci said he was “disturbed” by the flat-out opposition in parts of the country to wearing masks as a public health protective measure.

“There are certain fundamenta­ls,” he said, “the staples of what you need to do … one is universal wearing of masks.”

Public health experts said masks help prevent an infected person who has yet to develop symptoms from passing the virus to others. For mask wearers, there’s also some evidence that they can offer a degree of protection from an infected person nearby.

Fauci said in his AP interview that he’s concerned because the U.S. has not followed the track of Asian and European nations also hit hard by the coronaviru­s.

Other countries that shut down their economies knocked back uncontroll­ed spread and settled into a pattern of relatively few new cases, although they continued to experience local outbreaks.

The U.S. also knocked back the initial spread, but it never got the background level of new cases quite as low. And the resurgence of COVID-19 in the Sun Belt in recent weeks has driven the number of new daily cases back up into the 60,000-70,000 range. It coincided with economic reopening and a return to social gatherings, particular­ly among younger adults. Growing numbers of emergency room visits, hospitaliz­ations and deaths have followed as grim consequenc­es.

Nearly 4.5 million Americans have been been infected since the start of the pandemic, and more than 150,000 have died, according to figures compiled by Johns Hopkins University.

Fauci said there’s evidence the surge across the South might be peaking, but upticks in the Midwest are now a concern.

“They’ve really got to jump all over that because if they don’t, then you might see the surge we saw in some of the Southern states,” he told the AP.

Although Fauci gets pushback from White House officials, other medical experts in the administra­tion are on the same page when it comes to the public health message.

Giroir, the testing czar, told reporters Thursday: “I think it’s very important to make sure that we all spread the public health message that we can control all the outbreaks occurring right now.”

He said controllin­g the outbreaks will require people to wear masks, avoid crowded indoor spaces and wash their hands frequently.

 ?? KEVIN DIETSCH/POOL VIA AP ?? Dr. Anthony Fauci says not everyone would get a vaccine immediatel­y, but all who need it will get it “within a reasonable time.”
KEVIN DIETSCH/POOL VIA AP Dr. Anthony Fauci says not everyone would get a vaccine immediatel­y, but all who need it will get it “within a reasonable time.”

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