The Day

Fauci hopes for vaccine in late 2020, early 2021

U.S. has tested more than 27 million people with about 8.4% positive

- By LAURAN NEERGAARD and RICARDO ALONSO-ZALDIVAR

Washington — Dr. Anthony Fauci said Tuesday he is cautiously optimistic there will be a COVID-19 vaccine by the end of this year or early 2021, but warned that the next few weeks will be critical to tamping down coronaviru­s hot spots around the country.

Fauci and other top health officials also said they have not been asked to slow down testing for coronaviru­s, a controvers­ial issue after President Donald Trump said last weekend that he had asked them to do just that because it was uncovering too many infections. Trump said earlier in the day that he wasn’t kidding.

“We will be doing more testing,” Fauci, the government’s top infectious disease expert, told a House committee.

The U.S. has tested more than 27 million people, with about 2.3 million — or 8.4% — testing positive.

The health officials returned to Capitol Hill at a fraught moment in the nation’s pandemic response, with coronaviru­s cases rising in about half the states and political polarizati­on competing for attention with public health recommenda­tions.

“We’ve been hit badly,” Fauci said. He said he was “really quite con

cerned” about rising community spread in some states, including Arizona, which Trump was visiting Tuesday to view constructi­on of a border wall and for a rally at a megachurch.

“The next couple of weeks are going to be critical in our ability to address those surges,” he said.

Fauci, who heads the National Institute of Allergy and Infectious Diseases, was testifying along with Centers for Disease Control director Dr. Robert Redfield, Federal Drug Administra­tion chief Dr. Stephen Hahn and the head of the U.S. Public Health Service, Adm. Brett Giroir.

Since Fauci’s last appearance at a high-profile hearing more than a month ago, the U.S. has begun emerging from weeks of stay-at-home orders and business shutdowns. But it’s being done in an uneven way, with some states far less cautious than others. A trio of states with Republican governors who are bullish on reopening — Arizona, Florida and Texas — are among those seeing worrisome increases in cases.

Last week, Vice President Mike Pence published an opinion article in The Wall Street Journal saying the administra­tion’s efforts have strengthen­ed the nation’s ability to counter the virus and should be “a cause for celebratio­n.”

Then at his weekend rally in Tulsa, Trump called for slowing testing. White House officials later tried to walk back Trump’s comment, suggesting it wasn’t meant to be taken literally.

Rep. Frank Pallone of New Jersey, who chairs the Energy and Commerce Committee, said during Tuesday’s hearing that Trump’s testing comment at the rally “was an extremely reckless action, and unfortunat­ely it continues the president’s pattern of ignoring the advice of his own public health experts.”

Trump played down those comments Tuesday, saying under his administra­tion the U.S. is doing more testing than any other country.

Fauci has recently warned that the U.S. is still in the first wave of the pandemic and has continued to urge the American public to practice social distancing. And, in a recent ABC News interview, he said political demonstrat­ions such as protests against racial injustice are “risky” to all involved. Asked if that applied to Trump rallies, he said it did. Fauci continues to recognize widespread testing as critical for catching clusters of COVID-19 cases before they turn into full outbreaks in a given community.

About 2.3 million Americans have been sickened in the pandemic, and some 120,000 have died, according to data from Johns Hopkins University.

Giroir was tapped by the White House to oversee the expansion of coronaviru­s testing. But he gained notoriety after a whistleblo­wer complaint flagged him for trying to push a malaria drug touted by Trump to treat COVID-19 without conclusive scientific evidence. The FDA has since withdrawn its emergency use authorizat­ion for hydroxychl­oroquine.

“There have been a lot of unfortunat­e missteps in the Trump administra­tion’s response to the COVID-19 pandemic,” Pallone said. “As communitie­s across the country ease social distancing guidance and reopen their economies, it is critically important that both the administra­tion and Congress remain focused on containing the spread of the coronaviru­s and providing the resources and support Americans need during this time of crisis.”

There is still no vaccine for COVID-19, and there are no treatments specifical­ly developed for the disease, although the antiviral drug remdesivir has been shown to help some patients, as well as a steroid called dexamethas­one, and plasma from patients who have recovered.

Since Fauci last testified, hospital physicians have become more skilled in treating coronaviru­s patients with the techniques and medication­s at their disposal. The U.S. continues to ramp up testing, with some 27.5 million Americans, or more than 8% of the population, tested thus far. But most communitie­s still lack enough health workers trained in doing contact tracing, the work of identifyin­g people who have had interactio­ns with an infected person. That could make it more difficult to tamp down emerging outbreaks.

The Energy and Commerce Committee has oversight over drugs and vaccines, among other facets of the U.S. health care system. Committee Democrats have been harshly critical of the administra­tion. However, not all Republican­s have lined up to defend the White House. Some GOP members were growing concerned early in the year that the administra­tion wasn’t doing enough to prepare.

“As communitie­s across the country ease social distancing guidance and reopen their economies, it is critically important that both the administra­tion and Congress remain focused on containing the spread of the coronaviru­s and providing the resources and support Americans need during this time of crisis.”

REP. FRANK PALLONE OF NEW JERSEY, WHO CHAIRS THE ENERGY AND COMMERCE COMMITTEE

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