The Trentonian (Trenton, NJ)

Fauci optimistic vaccine will be widely available

- By Ricardo Alonso-Zaldivar and Matthew Perrone

WASHINGTON » Once a coronaviru­s vaccine is approved as safe and effective, 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.”

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 official, said 250,000 people have expressed interest in taking part in studies of experiment­al vaccines for the coronaviru­s and have registered on a government website to take part in vaccine trials, which are pivotal for establishi­ng safety and effectiven­ess. Not all patients who volunteer to take part in clinical trials are eligible.

Fauci was joined by Centers for Disease Control and Prevention head Dr. Robert

Redfield and Health and Human Services testing czar Adm. Brett Giroir.

Demand slows results

Giroir acknowledg­ed that it is 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 say 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 shows about 75% of testing results are coming back within five days, but the remainder are taking longer, Giroir told lawmakers.

Rapid, widespread testing is critical to containing the coronaviru­s outbreak, but the U.S. effort has been plagued by supply shortages and backlogs since the earliest days of the outbreak.

At the time when early progress seems to have been lost and uncertaint­y clouds the nation’s path forward, Fauci, Giroir and Redfield 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 already 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 afford 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 Redfield 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 firing. But the veteran of battles against AIDS and Ebola has stuck to his message, while carefully avoiding open confrontat­ions with the Trump White House.

Opposition disturbing

In an interview with The Associated Press earlier this week, Fauci said he was “disturbed” by the flat-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 say masks help prevent an infected person who has yet to develop symptoms from passing the virus to others. For mask wearers, there is also some evidence that they can offer a degree of protection from an infected person nearby.

Fauci said in his AP interview that he was 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 60,00070,000 range. It coincided with economic reopenings and returns to social gatherings, particular­ly among younger adults. Growing numbers of emergency room visits, hospitaliz­ations and deaths have followed.

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

Fauci said there is evidence the surge across the South may be peaking, but upticks in the Midwest are 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.

Though Fauci gets pushback from White House officials, 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.

“I believe, ultimately, over a period of time in 2021, that Americans will be able to get it,”

Dr. AnthonyFau­ci

 ?? KEVIN DIETSCH — THE ASSOCIATED PRESS ?? Dr. Anthony Fauci, director of the National Institute for Allergy and Infectious Diseases, said there will be a priority order for those receiving the coronaviru­s vaccine when it becomes available.
KEVIN DIETSCH — THE ASSOCIATED PRESS Dr. Anthony Fauci, director of the National Institute for Allergy and Infectious Diseases, said there will be a priority order for those receiving the coronaviru­s vaccine when it becomes available.

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