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Fauci says all people will seemingly want third vaccine

Dr. Anthony Fauci, director of the National Institute of Allergy and Infectious Diseases, speaks during a Senate Health, Education, Labor, and Pensions Committee hearing at the Dirksen Senate Office Building in Washington, D.C., U.S., July 20, 2021.

Stefani Reynolds | Reutesr

White House chief medical advisor Dr. Anthony Fauci said Thursday everybody will someday “likely” need a booster shot of the Covid-19 vaccines.

“We’re already starting to see indications of some diminution” in the durability of the vaccines, Fauci told “CBS This Morning.”

However, he said it’s not likely that they will be widely administered any time soon. The priority, Fauci said, is to give boosters to people who have compromised immune systems, including those with cancer and transplanted organs.

“We don’t feel at this particular point that, apart from the immune-compromised, we don’t feel we need to give boosters right now,” he said.

Fauci’s comments come the same day the Food and Drug Administration is expected to authorize third Covid shot for people with weakened immune systems, a highly anticipated move intended to shield some of the most vulnerable Americans from the highly contagious delta variant.

Such people, including cancer and HIV patients, represent only about 2.7% of the U.S. adult population but make up about 44% of hospitalized Covid breakthrough cases, which is when a fully vaccinated individual becomes infected, according to recent data from a Centers for Disease Control and Prevention advisory group.

Studies suggest that a third vaccine shot might help patients whose immune systems don’t respond as well to a first or second dose.

Covid vaccine makers, including Pfizer and Moderna, have repeatedly argued that everyone will eventually need a booster shot and potentially extra doses every year, just like for the seasonal flu. Pfizer has said it plans to ask the FDA to authorize boosters as it sees signs of waning immunity.

The U.S. drugmaker has cited data out of Israel, where officials are reporting the two-dose vaccine is now just 39% effective in the country. The vaccine is still highly effective against severe disease, hospitalizations and deaths, according to Israeli health officials.

The CDC does not currently recommend booster doses of the vaccines for otherwise healthy people at this time. But Fauci, speaking Thursday on NBC’s “TODAY,” said “inevitably there will be a time when we’ll have to get boosts.”

“No vaccine, at least not within this category, is going to have an indefinite amount of protection,” he said.

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Fauci warns extra extreme Covid variant might emerge as U.S. instances close to 100,000 each day

Dr. Anthony Fauci, director of the National Institute of Allergy and Infectious Diseases, listens during a Senate hearing on Health, Education, Labor and Pensions in the Dirksen Senate office building in Washington, DC, the United States, on July 20, 2021.

Stefani Reynolds | Reuters

Dr. Anthony Fauci, Senior Medical Advisor to the White House, warned that a more severe variant of Covid could emerge as the U.S. average of daily new cases is now nearing 100,000 per day, exceeding the transmission rate last summer, before vaccines were available.

Fauci said in an interview with McClatchy published on Wednesday evening that the US could be “in trouble” if a new variant overtakes Delta, which already has a viral load 1000 times higher than the original Covid strain.

Delta has turned the U.S. response to the pandemic on its head as it has been shown to infect even people who are vaccinated. Moderna warned Thursday that breakthrough infections are becoming more common as the Delta variant continues to spread.

However, vaccines still offer strong protection against serious illness and death, and the vast majority of new infections occur in unvaccinated individuals. Moderna, for example, said Thursday that the booster shot it is developing creates a robust immune response against Delta.

Fauci warned in the interview that the US is “very happy” to have vaccines that have been proven against the variants, suggesting that if even heavier strains emerge, this may not be the case.

“If another shows up who has just as high transferability but is also much more severe, we could really get into trouble,” Fauci told McClatchy. “People who don’t get vaccinated mistakenly think it’s just about them. But it’s not. It’s about everyone else too.”

The US reports a seven-day average of nearly 94,000 new cases as of Aug. 4, up 48% from a week, according to Johns Hopkins University. Separate from the average, the US actually topped 100,000 new cases a day on Monday and Tuesday.

Fauci predicted that the total number of new cases could eventually reach between 100,000 and 200,000 cases per day as the Delta variant spreads.

The recent surge in Covid has hit unvaccinated people the hardest, and Fauci said there are around 93 million eligible, unvaccinated people nationwide.

“You protect the vulnerable targets, who are unvaccinated people, by vaccinating them,” Fauci said at a briefing at the White House Thursday morning. “And when you do that, you are very, very severely blocking the development of variants that could be problematic.”

“If we do this in the immediate, medium and long term, and do the mitigation now, we will reverse the delta rise,” added Fauci.

When asked if the vaccines still prevent 99% of Covid deaths and 95% of hospital admissions, CDC Director Dr. Rochelle Walensky suggests that this conclusion is based on data from January to June. The CDC is working to update these [figures] in the context of the delta variant, “she said.

In a series of interviews conducted by CNBC in July, several health officials reiterated Fauci’s concern about the emergence of a new variant. Dr. Stephen Morse, professor of epidemiology at Columbia University’s Irving Medical Center, said in an email that “the cycle of new variants repeats itself as long as the virus infects people and circulates in the population, opening up opportunities for the virus to develop.” “. . “

“I would be very surprised if Delta were last in line,” said Morse.

And Dr. Barbara Taylor, dean and professor of infectious diseases at UT Health San Antonio, added that future variants “that increase transmission will have the advantage” as things move forward.

“As long as we have an active spread of disease around the world, we will continue to see new variants because we give the virus the opportunity to evolve,” Taylor said in an email.

Although vaccinations are well below pandemic highs, the U.S. reports an average of about 677,000 daily vaccinations for the past week through Wednesday, up 11% from the previous week, according to CDC data. The country peaked in mid-April with a reported average of 3 million vaccinations per day, but the rate of first doses being given has increased in recent weeks, driven by states with severe outbreaks and low vaccination rates.

President Joe Biden said in May that he wanted 70% of the eligible population to receive at least one dose of vaccine by July 4th. The US reached its destination on Monday, CDC data showed, about a month late.

– CNBC’s Nate Rattner contributed to this report.

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Health

Fauci Sounds Alarm Over Low Covid Vaccination Charges

Dr. Anthony S. Fauci warned on Sunday that the coronavirus pandemic in the US is now “going in the wrong direction” because too many Americans are still choosing not to vaccinate.

When asked by CNN’s State of the Union program about forecasts in recent statistical models that Covid-19 cases and deaths could increase in the coming months if vaccination rates do not increase, Dr. Fauci, “it won’t be good”.

With around half of Americans not yet vaccinated and the rapidly spreading delta variant in circulation, Dr. Fauci and a number of current and former health officials on Sunday expressed their anger at the situation, strongly pressing that vaccination is the best and most effective way to contain the tide of Covid cases.

“It really is a pandemic among the unvaccinated,” said Dr. Fauci, adding, “It’s like you have two kinds of America. You have the very vulnerable unvaccinated part and you have the really relatively protected vaccinated part. If you are vaccinated, you belong to a completely different category than someone who is not vaccinated. “

The situation is so dire that in the past few days even some Republican governors in states with low vaccination have demonstratively admonished people to get a Covid vaccine.

On Sunday on CNN, Arkansas Governor Asa Hutchinson said that with the new school year approaching, “is a pivotal moment in our race against the Covid virus,” adding that “what is holding us back is low vaccination rates.” . “

Governor Hutchinson, a Republican, said he recently held town halls which he attributed a 40 percent increase in vaccinations. Still, he added that some people’s resistance “has certainly hardened”. “It’s just wrong information,” he said. “They are myths.”

In CBS’s “Face the Nation,” Dr. Jerome Adams, who was a surgeon general in the Trump administration, also asked for the vaccination and expressed the decision in patriotic terms. “Get vaccinated because it will help every single American enjoy the freedoms we want to return to,” he said.

Dr. Adams said some people still have legitimate questions about vaccination, including workers who fear post-vaccination side effects could mean they miss a work day or a paycheck. He predicted that once the vaccines – currently available under emergency approval from the Food and Drug Administration – are fully approved, vaccination rates would rise. That will likely prompt the military and some companies to mandate vaccinations for service members and employees, he said.

In the meantime, Dr. Adams, the message should be, “It is your choice, but choices have consequences for you and other people,” including children who are not old enough to be vaccinated and people who are medically vulnerable.

Understand the state of vaccine mandates in the United States

Several current and former officials discussed whether recommendations or mandates on wearing masks should be reintroduced.

Dr. Fauci said the Biden government is considering revising stricter guidelines on how to wear masks. In May, the Centers for Disease Control and Prevention loosened their guidelines, saying that fully vaccinated people are not required to wear a mask in most indoor spaces.

Dr. Adams said, “Those guidelines have frankly confused citizens, it is frustrated corporations and public health officials that I still hear about, and it has been a failure in every way.”

He said the CDC should clearly state that even vaccinated people should wear masks when in public, around people whose vaccination status is unclear, or in a community where Covid cases are on the rise.

“The CDC needs to give these companies, these health authorities, a little coverage by clarifying the guidelines that they have out there,” said Dr. Adams.

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Fauci Needs to Make Vaccines for the Subsequent Pandemic Earlier than It Hits

In a way, the world was lucky with the new coronavirus. By sheer coincidence, scientists coincidentally spent years studying coronaviruses and developing the exact tools needed to make Covid vaccines once the virus’s genetic sequence was released.

But what if the next pandemic comes from a virus that causes Lassa fever, or from the Sudanese Ebola tribe, or from a Nipah virus?

Dr. Anthony S. Fauci, director of the National Institute for Allergies and Infectious Diseases, promotes an ambitious and expensive plan to prepare for such nightmare scenarios. It would cost “a few billion dollars” a year, take five years to get results, and employ a huge cadre of scientists, he said.

The idea is to produce “prototype” vaccines to protect against viruses from around 20 families that could trigger a new pandemic. With research tools proven successful for Covid-19, researchers would uncover the molecular structure of each virus, learn where antibodies should hit it, and how to get the body to make those exact antibodies.

“If we get the funding, which I think we will, it will likely start in 2022,” said Dr. Fauci, adding that he had promoted the idea “in discussions with the White House and others”.

Dr. Francis Collins, director of the National Institutes of Health, thought it likely that the necessary funding would be made available and called the project “imperative.”

“As we begin to think about a successful end to the Covid-19 pandemic, we must not lapse into complacency again,” said Dr. Collins.

Much of the financial support would come from Dr. Fauci are coming, but a project of this size would require additional funding that would have to be provided by Congress. This year’s budget for the Institute for Infectious Diseases is just over $ 6 billion. Dr. Fauci did not specify how much additional money would be needed.

Logically, if surveillance networks discovered a new virus spilling from animals to humans, scientists could stop it by immunizing people in the outbreak by quickly making the prototype vaccine. And if the virus spreads before the world realizes what’s happening, the prototype vaccines could be used more widely.

“The name of the game would be to try to limit spillovers to breakouts,” said Dr. Dennis Burton, a vaccine researcher and chairman of the Department of Immunology and Microbiology at the Scripps Research Institute.

The prototype vaccine project is the brainchild of Dr. Barney Graham, Associate Director of the Vaccine Research Center at the National Institute of Allergy and Infectious Diseases. He presented the idea in February 2017 at a private meeting of the institute directors.

Year after year, viruses threatened to turn into pandemics, said Dr. Graham: H1N1 swine flu in 2009, Chikungunya in 2012, MERS in 2013, Ebola in 2014, Zika in 2016. Each time scientists tried to make a vaccine. Her only success was a partial one, with an Ebola vaccine that helped control the epidemic but was not effective against other Ebola strains. The other epidemics receded before the vaccines could be made or tested.

Updated

July 24, 2021 at 11:34 a.m. ET

“We were tired,” said Dr. Graham.

But researchers over the past decade have come up with new tools that could make a big difference. They enabled scientists to see the molecular structures of viruses, isolate antibodies that block the viruses, and figure out where they bind. The result was an opportunity for “structure-based design” for new vaccines that more precisely target the pathogen.

When he won the pitch for Dr. Graham heard was Dr. Fauci thrilled. “It struck me and others on the board as something that was really feasible,” said Dr. Fauci.

Dr. Graham published a review paper in Nature Immunology in 2018 outlining the proposal. But without the urgency of an impending pandemic, his idea remained just that.

But now many believe that the time has come.

The Institute for Allergies and Infectious Diseases has created a table for each of the 20 virus families that shows what is known about the anatomy and susceptibility of each pathogen, said Dr. John Mascola, director of the institute’s vaccine research center.

Understand the state of vaccine mandates in the United States

“We are at a different level of knowledge and vaccine development for each virus family,” said Dr. Mascola. Vaccinations against Lassa fever and the Nipah virus, for example, are in the early stages. Chikungunya and Zika vaccines are more advanced.

Work to fill the gaps in vaccine development would be done through research grants to academic researchers. “There’s a lot of enthusiasm” among academic researchers, said Dr. Barton Haynes, director of the Duke Human Vaccine Institute. Although the proposal is not known to the public, Dr. Fauci, he discussed it in conversations with a scientific audience.

The program would also enter into collaboration agreements with pharmaceutical companies to quickly manufacture prototype vaccines, said Dr. Fauci.

That happened during the shooting because of Covid-19. The SARS and MERS epidemics prompted scientists to work on a coronavirus vaccine. This led to the discovery that coronaviruses use a spike protein to infect cells, but the spike changes shape easily and must be held in position to be useful as a vaccine. Researchers found that it can do this with tiny molecular changes in the spike protein.

Days after the sequence of the new coronavirus was released, scientists had developed vaccines to fight it.

That, said Dr. Fauci, is what pandemic preparation can do. He would like to have prototype vaccines for 10 of the 20 virus families in the first five years of his work.

“It would take quite a bit of money,” admitted Dr. Fauci a. “But after what we’ve been through, it’s not out of the question.”

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Health

Fauci says vaccinated individuals ‘would possibly wish to contemplate’ sporting masks indoors

White House senior medical advisor Dr. Anthony Fauci said people who are fully vaccinated should consider wearing masks indoors as a precaution against the rapidly spreading Delta variant in the US

“If you want to walk that extra mile of safety indoors, especially in crowded places, despite being vaccinated, consider wearing a mask,” Fauci said in an interview with CNBC on Wednesday.

Some areas of the United States are reintroducing mask requirements due to spikes in cases. The more transmissible Delta variant now accounts for around 83% of the sequenced Covid-19 cases in the country, according to the Centers for Disease Control and Prevention.

“It is recommended that you wear a mask if you find yourself in an indoor situation where virus dynamics are high in the community,” Fauci said.

He also said US officials are concerned they are seeing more breakthrough infections in fully vaccinated people in the US, even if they are milder cases.

“Of course we don’t want to see that,” he said, noting that the Delta variant is highly transferable. “This virus is very different from the viruses and variants that we have previously experienced. It has an exceptional ability to transmit from person to person.”

The portability of variants from the original strain has increased, and some have been shown to decrease the effectiveness of vaccines.

“Viruses don’t mutate unless you allow them to replicate and spread through the community. You give them ample time and opportunity to mutate and you have a new variant,” Fauci said. “The easiest, best and most effective way to prevent the emergence of a new variant and destroy the existing Delta variant is to have everyone vaccinated.”

In the United States, 99.5% of Covid deaths are now among unvaccinated people. “This is a statistic that speaks for itself,” said Fauci.

Despite the spike in new cases, Fauci said he doesn’t think US officials will renew calls for a statewide mask mandate “because there will be a lot of headwinds.”

Local counties and private companies may choose to enforce mask requirements as the delta variant spreads more widely in unvaccinated areas of the country. Currently, nearly two-thirds of counties in the United States have vaccinated less than 40% of their residents.

Colleges and universities have also brought the question of mandatory vaccinations to court. Indiana University recently got the go-ahead from a federal judge to require vaccines for college students entering the fall semester.

Fauci said he doesn’t see any comeback from lockdowns anytime soon.

“I don’t see that on the horizon right now,” said Fauci. “What I’m seeing is more tests and more local mandates and a lot of pressure to get people vaccinated.”

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Dr. Anthony Fauci says speak of Covid booster photographs does not imply vaccines aren’t working

The Senior Medical Advisor to the White House, Dr. Anthony Fauci told CNBC on Tuesday that Covid booster vaccinations are currently unnecessary.

“The discussion about boosters is really adequate preparation on the part of the [drug] Company are working with the NIH and CDC and others to be prepared in the event you may need a boost, “Fauci said in the Squawk Box.

“But if you translate that into ‘We’re going to need a boost; everyone is going to get a boost’, that’s not appropriate. We still haven’t vaccinated enough people in the main part of it,” he added, emphasizing the booster discussion. ” has absolutely nothing to do with the effectiveness of the vaccine “.

With schools reopening in the fall and the spread of new coronavirus variants, questions are circulating about the need for booster vaccinations, even if the pace of primary vaccinations in the US has slowed since the spring.

On Monday, Pfizer officials met with federal health officials to advocate for the potential need for Covid boosters as the drug company prepares for US approval of a third dose of its current vaccine.

Pfizer announced last week that it is also developing a booster vaccine to combat the highly transmissible Delta variant – now the dominant strain of the virus in the US – and said the immunity was boosted by its Two, developed with German partner BioNTech Shot vaccine wears off.

However, the Centers for Disease Control and Prevention and the Food and Drug Administration released a joint statement blaming Pfizer’s insistence on a third dose, saying that fully vaccinated Americans do not currently need a booster dose.

The officials’ conversation with Pfizer was mostly “a courtesy meeting,” Fauci, director of the National Institute of Allergies and Infectious Diseases, also told CNBC on Tuesday. He said the real question right now is how long protection against the vaccines will last and at what level of protection, a view shared by other health experts.

Former Obama administration official, Dr. Kavita Patel told CNBC on Monday ahead of the Pfizer meeting that booster shots seem like “inevitable” due to newer variations, but questioned when it will happen. She also stressed that when discussing boosters in the US, it is important to take into account the global impact on vaccine adoption in other parts of the world.

Dr. Ashish Jha, dean of Brown University’s School of Public Health, told CNBC on Friday that he had “seen no evidence yet of anyone needing a third injection”.

According to CDC data, the majority of Americans were vaccinated with Pfizer, followed by the two-shot Moderna vaccine and Johnson & Johnson’s single-shot course. More than 184 million people in the United States, or 55.5% of the population, have had at least one injection. Almost 160 million people, or 48% of the population, are fully vaccinated.

Fauci also told CNBC on Tuesday that he would be “amazed” if Pfizer, Moderna and J & J’s coronavirus vaccines don’t get full approval from US drug regulators. These three vaccines are the only ones approved by the FDA in the United States, and they were approved for emergency approval.

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Fauci declares delta variant ‘best risk’ to the nation’s efforts to get rid of Covid

Anthony Fauci, director of the National Institute of Allergy and Infectious Diseases, listens during a press conference in the James S. Brady Press Briefing Room at the White House in Washington, DC on Tuesday, April 13, 2021.

Leigh Vogel | Bloomberg | Getty Images

White House senior medical advisor Dr. Anthony Fauci said Tuesday the highly contagious Delta variant is the “greatest threat” to the nation’s attempt to eradicate Covid-19.

Delta, which was first identified in India, now accounts for about 20% of all new cases in the United States, up from 10% about two weeks ago, Fauci said during a White House press conference on the pandemic.

He said Delta appears to be “following the same pattern” as Alpha, the variant first found in the UK, with infections doubling in the US about every two weeks.

“Similar to the UK, the Delta variant is currently the biggest threat in the US to our attempt to eliminate Covid-19,” he said.

Fauci’s comments come after CDC director Dr. Rochelle Walensky on Friday urged Americans to get vaccinated against Covid and said she expected Delta to become the dominant coronavirus variant in the United States

Studies suggest that it is about 60% more transmissible than alpha, which was more contagious than the original strain that emerged from Wuhan, China, in late 2019

“As worrying as this Delta strain is about its hypertransmittance, our vaccines are working,” Walensky told ABC’s Good Morning America. If you get vaccinated, “you will be protected against this Delta variant,” she added.

In the UK, the Delta variety recently became the dominant variety there, surpassing Alpha, which was first discovered in the country last fall. The Delta variant now accounts for more than 60% of new cases in the UK

Health officials say there are reports that the Delta variant also causes more severe symptoms, but that more research is needed to confirm these conclusions. However, there is evidence that the Delta strain may cause different symptoms than other variants.

Fauci said Tuesday the US had “the tools” to defeat the variant and urged more Americans to get fully vaccinated against Covid and “destroy the outbreak.”

The Biden administration said Tuesday that it is unlikely to meet President Joe Biden’s goal of getting 70% of American adults to receive one or more vaccinations by July 4th.

“In this case, two weeks after the second dose of Pfizer-BioNTech, the effectiveness of the vaccines was 88% effective against Delta and 93% effective against Alpha when it comes to symptomatic diseases,” said Fauci, citing a study.

The World Health Organization said Friday that Delta is becoming the predominant variant of the disease worldwide.

On Monday, WHO officials warned that the variant was the fastest and strongest coronavirus strain to date and that it would “pick up” the most vulnerable people, especially in places with low Covid-19 vaccination rates.

It has the potential to be “more deadly because it is more efficient in the way it is transmitted between people, and it will eventually find those at risk who will become seriously ill, hospitalized and possibly die”, Dr. Mike Ryan, executive director of WHO’s Emergency Health Program, said during a news conference.

Delta has now spread to 92 countries, said Maria Van Kerkhove, WHO technical director for Covid, on Monday. She said, “Unfortunately, we still don’t have the vaccines in the right places to protect people’s lives.”

WHO has urged wealthy nations, including the US, to donate cans. The Biden government detailed early Monday where it will be sending 55 million doses of vaccine, most of which will be distributed through COVAX, the WHO-supported immunization program.

“These vaccines are highly effective against serious illness and death. That is what they are intended for and that is what they must be used for,” said Van Kerkhove. “This is what COVAX and WHO and all of our partners have worked to ensure that these vaccines reach the most vulnerable people.”

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Politics

Virus Scientist Kristian Andersen On Fauci Electronic mail and Lab-Leak Principle

Among the thousands of pages of Dr. Anthony S. Fauci’s emails released recently by BuzzFeed News, a short note from Kristian Andersen, a virologist at the Scripps Research Institute in La Jolla, Calif., has garnered a lot of attention.

Over the past year, Dr. Andersen has been one of the most outspoken proponents of the theory that the coronavirus originated from a natural spillover from an animal to humans outside of a lab. But in the email to Dr. Fauci in January 2020, Dr. Andersen hadn’t yet come to that conclusion. He told Dr. Fauci, the government’s top infectious disease expert, that some features of the virus made him wonder whether it had been engineered, and noted that he and his colleagues were planning to investigate further by analyzing the virus’s genome.

The researchers published those results in a paper in the scientific journal Nature Medicine on March 17, 2020, concluding that a laboratory origin was very unlikely. Dr. Andersen has reiterated this point of view in interviews and on Twitter over the past year, putting him at the center of the continuing controversy over whether the virus could have leaked from a Chinese lab.

When his early email to Dr. Fauci was released, the media storm around Dr. Andersen intensified, and he deactivated his Twitter account. He answered written questions from The New York Times about the email and the fracas. The exchange has been lightly edited for length.

Much has been made of your email to Dr. Fauci in late January 2020, shortly after the coronavirus genome was first sequenced. You said, “The unusual features of the virus make up a really small part of the genome (<0.1%) so one has to look really closely at all the sequences to see that some of the features (potentially) look engineered.”

Can you explain what you meant?

Kristian Andersen At the time, based on limited data and preliminary analyses, we observed features that appeared to potentially be unique to SARS-CoV-2. We had not yet seen these features in other related viruses from natural sources, and thus were exploring whether they had been engineered into the virus.

Those features included a structure known as the furin cleavage site that allows the SARS-CoV-2 spike protein to be cleaved by furin, an enzyme found in human cells, and another structure, known as the receptor binding domain, that allowed the virus to anchor to the outside of human cells via a cell-surface protein known as ACE2.

Credit…Scripps Research Institute

You also said you found the virus’s genome to be “inconsistent with expectations from evolutionary theory.”

Andersen This was a reference to the features of SARS-CoV-2 that we identified based on early analyses that didn’t appear to have an obvious immediate evolutionary precursor. We hadn’t yet performed more in-depth analyses to reach a conclusion, rather were sharing our preliminary observations.

I cautioned in that same email that we would need to look at the question much more closely and that our opinions could change within a few days based on new data and analyses — which they did.

In March, you and other scientists published the Nature Medicine paper saying that “we do not believe that any type of laboratory-based scenario is plausible.” Can you explain how the research changed your view?

Andersen The features in SARS-CoV-2 that initially suggested possible engineering were identified in related coronaviruses, meaning that features that initially looked unusual to us weren’t.

Many of these analyses were completed in a matter of days, while we worked around the clock, which allowed us to reject our preliminary hypothesis that SARS-CoV-2 might have been engineered, while other “lab”-based scenarios were still on the table.

Yet more extensive analyses, significant additional data and thorough investigations to compare genomic diversity more broadly across coronaviruses led to the peer-reviewed study published in Nature Medicine. For example, we looked at data from coronaviruses found in other species, such as bats and pangolins, which demonstrated that the features that first appeared unique to SARS-CoV-2 were in fact found in other, related viruses.

Overall, this is a textbook example of the scientific method where a preliminary hypothesis is rejected in favor of a competing hypothesis after more data become available and analyses are completed.

As you know, there has been a lot of speculation and hype over the past few weeks about a particular protein in the coronavirus: the furin cleavage site. Some people, including virologist David Baltimore, say the presence of this protein could be a sign of human manipulation of the virus, whereas you and other virologists have said it naturally evolved. Can you explain for readers why you don’t think it is proof of an engineered virus?

Andersen Furin cleavage sites are found all across the coronavirus family, including in the betacoronavirus genus that SARS-CoV-2 belongs to. There has been much speculation that patterns found in the virus’s RNA that are responsible for certain portions of the furin cleavage site represent evidence of engineering. Specifically, people are pointing to two “CGG” sequences that code for the amino acid arginine in the furin cleavage site as strong evidence that the virus was made in the lab. Such statements are factually incorrect.

While it’s true that CGG is less common than other patterns that code for arginine, the CGG codon is found elsewhere in the SARS-CoV-2 genome and the genetic sequence[s] that include the CGG codon found in SARS-CoV-2 are also found in other coronaviruses. These findings, together with many other technical features of the site, strongly suggest that it evolved naturally and there is very little chance somebody engineered it.

Do you still believe that all laboratory scenarios are implausible? If not an engineered virus, what about an accidental leak from the Wuhan lab?

Andersen As we stated in our article last March, it is currently impossible to prove or disprove specific hypotheses of SARS-CoV-2 origin. However, while both lab and natural scenarios are possible, they are not equally likely — precedence, data and other evidence strongly favor natural emergence as a highly likely scientific theory for the emergence of SARS-CoV-2, while the lab leak remains a speculative hypothesis based on conjecture.

Based on detailed analyses of the virus conducted to date by researchers around the world, it is extremely unlikely that the virus was engineered. The scenario in which the virus was found in nature, brought to the lab and then accidentally release[d] is similarly unlikely, based on current evidence.

In contrast, the scientific theory about the natural emergence of SARS-CoV-2 presents a far simpler and more likely scenario. The emergence of SARS-CoV-2 is very similar to that of SARS-CoV-1, including its seasonal timing, location and association with the human food chain.

Some people have pointed to your email to Dr. Fauci, suggesting that it raises questions about whether scientists and government officials gave more credence to the lab-leak theory than they let on to the public. And some recent reports have suggested that certain government officials didn’t want to talk about the lab-leak theory because it would draw attention to the government’s support of so-called gain-of-function research.

What is your response to these suggestions? Were you worried in the spring of 2020 about the public latching on to a lab-leak theory?

Andersen My primary concern last spring, which is true to this day, is to perform research to discern exactly how SARS-CoV-2 emerged in the human population.

I won’t speak to what government officials and other scientists did or didn’t say or think. My comments and conclusions are strictly driven by scientific inquiry, and I strongly believe that careful, well-supported public messaging around complex topics is paramount.

Many scientists have now expressed an openness to the possibility that a lab leak occurred. Looking back over the past year, do you have any regrets about the way you or the broader scientific community have communicated with the public about the lab-leak idea?

Andersen First, it is important to say that the scientific community has made tremendous inroads in understanding Covid-19 in a remarkably short amount of time. Vigorous debate is integral to science and that’s what we have seen regarding the origins of SARS-CoV-2.

It can be difficult at times for the public, I think, to observe the debate and discern the likelihood of the various hypotheses. That is particularly true where science becomes politicized, and the current vilification of scientists and subject matter experts sets a dangerous precedent. We saw that with the climate change debate and now we’re seeing it with the debate around various facets of the Covid-19 pandemic.

Throughout this pandemic, I have made my best efforts to help explain what the scientific evidence is and suggests, and I have no regrets about that.

Do you support President Biden’s call for U.S. intelligence agencies to further investigate these various possibilities? Could they find anything that would change your mind?

Andersen I have always supported further inquiries into the origin of SARS-CoV-2, including President Biden’s recent call, as it is important that we more fully understand how the virus emerged.

As is true for any scientific process, there are several things that would lend credence to the lab-leak hypothesis that would make me change my mind. For example, any credible evidence of SARS-CoV-2 having been at the Wuhan Institute of Virology prior to the pandemic — whether in a freezer, in tissue culture or in animals, or epidemiological evidence of very early confirmed Covid-19 cases associated with the institute.

Other evidence, were it to emerge, could lend further weight to the natural origin hypothesis. That includes the identification of an intermediate [animal] host (if one exists). Also, now that we know that live animals were sold at markets across Wuhan, further understanding of the flow of animals and connected supply lines could lend additional credence to natural emergence.

It seems that you’ve shut down your Twitter account. Why? Will you come back?

Andersen I have always seen Twitter as a way to interact with other scientists and the general public to encourage open and transparent dialogue about science.

Increasingly, however, I found that information and comments I posted were being taken out of context or misrepresented to push false narratives, in particular about the origins of SARS-CoV-2. Daily attacks against scientists and the scientific method have also become common, and much of the conversation has steered far away from the science.

For those reasons, I felt that at present, I could no longer productively contribute to the platform, and I decided it would be more productive for me to invest more of my time into our infectious disease research, including that on Covid-19.

Categories
Politics

Fauci blasts ‘preposterous’ Covid conspiracies, accuses his critics of ‘assaults on science’

A defiant Dr. Anthony Fauci on Wednesday lashed out at critics calling for his ouster, blasting their “preposterous” and “painfully ridiculous” attacks and defending his record as a leading official battling the coronavirus pandemic.

Such “attacks on me are, quite frankly, attacks on science,” Fauci said in an interview with NBC News’ Chuck Todd. “People want to fire me or put me in jail for what I’ve done — namely, follow the science.”

Fauci, the White House’s chief medical advisor, pulled few punches as he directly rebutted critics who have attacked his prior remarks on the origins of the virus and on wearing masks to prevent transmission, along with a raft of conspiracy theories.

“If you go through each and every one of them, you can explain and debunk it immediately,” Fauci said. “I mean, every single one.”

Fauci also flatly dismissed a conspiracy theory about him and Facebook CEO Mark Zuckerberg that has been pushed by Republican Sen. Marsha Blackburn of Tennessee.

Zuckerberg emailed Fauci early on in the pandemic, inviting him to a Q&A video on the platform and outlining some ideas where the social media giant could work with the U.S. government on the Covid response. Blackburn claimed the emails between the two men showed that Fauci was trying to create a narrative “so that you would only know what they wanted you to know.”

Fauci has come under fire in recent days following the release of a trove of his emails obtained by BuzzFeed News and other news outlets through the Freedom of Information Act.

“I don’t want to be pejorative of a United States senator, but I have no idea what she’s talking about,” Fauci said after listening to the senator’s claims.

Fauci, the 80-year-old director of the National Institute of Allergy and Infectious Diseases, maintained that his views on the origins of the coronavirus have not changed, even as the theory of a lab-leak pandemic has recently become more mainstream.

Saying that a natural-origin scenario is more likely “doesn’t mean there is a closed mind to it being a leak,” Fauci said, “even though many people feel, myself included, that still the most likely origin is a natural one.”

“I haven’t changed my mind,” Fauci said.

“You want to keep an open mind. It’s a possibility. I believe it’s a highly unlikely possibility, and I believe that the most important one, that you look at what scientists feel, is very likely that it was a natural origin,” Fauci said.

He said he’s “very much in favor” of further investigation into Covid’s origins.

Fauci has been a target for criticism in mostly Republican circles for much of the pandemic, including by former President Donald Trump, who suggested he would have fired Fauci if he won re-election.

The release of more than 3,200 pages of his emails from the first half of 2020 has given rise to new waves of attacks from conservatives.

Fauci in Wednesday’s interview seemed at times to be exasperated by the torrent of criticism. “Lately everything I say gets taken out of context — not by you, but by others,” he told NBC’s Todd.

The points are “just painfully ridiculous,” he said. “I could go the next half an hour going through each and every point that they made.”

He spoke at length about why government recommendations on mask-wearing changed over time, noting that he is “picked as the villain” on the issue despite other officials sharing his views at the time.

At the beginning, Fauci said, there was believed to be a shortage of masks, there was little available evidence that masks worked outside of a hospital setting, and the asymptomatic spread of the virus was not fully known.

As those three factors changed, so too did the guidance, he said. “When those data change, when you get more information, it’s essential that you change your position because you have got to be guided by the science and the current data.”

“People want to fire me or put me in jail for what I’ve done — namely, follow the science,” he said.

“It’s preposterous, Chuck. Totally preposterous.”

Asked about the impact of the politically charged attacks on public health officials over the past year, Fauci said it’s “very dangerous.”

“A lot of what you’re seeing as attacks on me, quite frankly, are attacks on science, because all of the things that I have spoken about, consistently from the very beginning, have been fundamentally based on science,” he said.

“Sometimes those things were inconvenient truths for people, and there was pushback against me. So if you are trying to, you know, get at me as a public health official and a scientist, you are really attacking not only Anthony Fauci, you are attacking science,” he said. “And anybody that looks at what is going on clearly sees that.”

Categories
Health

Fauci testifies earlier than U.S. Home on NIH finances

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Officials from the National Institutes of Health testified before Congress Tuesday the agency’s annual budget as the nation battles the Covid-19 pandemic.

Witnesses include the White House Chief Medical Officer, Dr. Anthony Fauci, who also directs the National Institute for Allergies and Infectious Diseases within the NIH, and directors of the country’s top medical institutions.

NIH Director Dr. Francis S. Collins also testifies before the House Committee on Appropriations and the Subcommittee on Labor, Health and Human Services, along with Dr. Diana W. Bianchi, the director of the National Institute for Child Health and Human Development by Eunice Kennedy Shriver.

Other witnesses are Dr. Gary H. Gibbons, the director of the National Heart, Lung, and Blood Institute; Dr. Norman E. Sharples, the director of the National Cancer Institute, and Dr. Nora D. Volkow, the director of the National Institute on Drug Abuse.

Read CNBC’s live updates for the latest news on the Covid-19 outbreak.