COVID-19 Pandemic : Emails from 2021 FOIA request of Dr. Anthony Fauci (6)
dfdfdscentury (he worked at NIH for 16 years before assuming his current role), Tony has received, andearned, the Presidential Medal of Freedom and a Lasker Award (called the Amer ican Nobel by many).With this long service and universal acclaim, one might think Tony would let it get to his head, at least alittle bit. Not the case, though.Selfless commitment to public serviceHe is read ily accessible to those who need treatment - he still runs a lab at NIH - or needinformation. Tony still lives in the same house he bought when he first moved to Washington, and it isthere that he and his wi fe Christine have raised their three talented daughters (though none of themchose to attend medical school) .Until the latest crisis, Tony has often commuted to NIH by Metro, typically after running three miles forhis daily exercise. And when he has been invited to make speeches in the Washington area or on CapitolHill, he invariably turns down a car and driver for the Metro. (This practice has had to change of late forthe obvious reasons).There are, of course, many other dedicated federal servants who also view their commitment to thecountry and its people over financial rewards . But surely no federal civil servant, in any area, can exceedTony Fauci's long-term and selfless commitment to this count ry and the health of its people.I tried years ago, when Tony was approaching a normal retirement age, to see if he might want after anormal lifetime of federal service, to take some of his considerable skills and knowledge to the privatesector. He quickly said no - money did not mot ivate him, serving the country did. And he stayed at NIH- to the country's good fortune.If there is any one medical professional who can help the country deal with the COVID-19 crisis, it isTony Fauci, an example of the best this country has to offer.He is not a miracle worker. No one is.But Tony Fauci has the decades of experience needed to understand infectious disease problems andprescribe a trea tment that should, in time, provide the requisite comfort, even if, in the short term, themedicine is painful and inconvenient .David M. Rubenstein is the co-executive chairman of The Carlyle Group.Disclaimer: Any third-party material in this email bas been sbarcd for internal use under fair use provisionsof U.S. copyright law, without further verification of its accuracy/veracity . It does not necessarily representmy views nor those of NIAJD, NIH, HHS, or the U.S. government.NIH-000326From:Sent :To:Cc:Subject:Attachme nts:Fauci, Anthony (NIH/NIAIO) [E)Mon, 23 Mar 2020 01:23:55 +0000Marston, Hilary (NIH/NIAID) [E] Conrad, Patricia (NIH/NIAID) [E];-- ---------- -=(b)(-6a) =, FW: Possible agenda for WednesdayCOVID-19 TransNIH_032520 hm.docxPlease take the lead in putting together slides for Wednesday . If I can make it (which isuncertain),! will need them to make a presentation .Thanks,\TonyFrom: Marston, Hilary (NIH/NIAID) (E] (b)(6)Sent: Sunday, March 22, 2020 7:10 PM -----~~ To: Collins, Francis (NIH/OD) [E] (b)(6)>Cc: Tabak, Lawrence (NIH/OD) [E) (b)(6) Wolinetz, Carrie (NIH/OD) [E)-:--.-----:-:-:-:-:(b;)(:6:);= A=n=de:rs:o.:n.,~ .J. a.-m-e-s= (N-IcH/-OD) [E) (b)( >; Fauci, Anthony (NIH/NIAID) [E) (b)(6) Lane, Cliff (NIH/NIAID) [E) (b)(6)>Subject : Re: Possible agenda for WednesdayThanks for the chance to weigh in. I have it blocked on my calendar and would look forward to thediscussion. And I'm happy to pull slides together as outlined.Here are some minor comments on the agenda, which looks excellent.Looking forward to it,HilaryFrom: "Collins, Franc is (NIH/OD} [E]" (b)(6)Date: Sunday, March 22, 2020 at 5:09 PMTo: Hilary Marston (b)(6)>Cc: "Tabak, Lawrence (NIH/OD} [E]" (b)(6)>, "Wolinetz, Carrie (NIH/OD) [E)"CbH >, "Anderson, James (NIH/OD} [E]" CbH6), "".-~-~---:~===:...:....---,;-, = Anthony Fauci CbH6)>, Henry Lane (b)(6)Subj e ct: Possible agenda for WednesdayHi Hilary,I've been through the COVID-19 ideas collected from your Deputies meeting, plus reaching out for a fewother inpu ts. What I hope to do is to assemble this into a lively three-hour discussion on Wednesdayafternoon (2 -S PM). Tony is enthusiast ic about our doing this, but his presence is unfortunatelydoubtful, given all of the other demands he faces. I'm counting on you and Cliff to be there, however isthis etched on your calendars?NIH-000327Please see attached for my rather rough first attempt at an agenda. It's a lot of topics and the list willprobably need to be culled- ...,__ _______.. ..,.___________ ___________ (b)(5) -I wou ld want there to be time for discussion in each theme, so that other ideas could be floated.Please let me know your thoughts, ideally this evening. I'm also asking for input from others who arecc'd here.Best, FrancisNIH-000328From:Sent:To:Subject :Fauci, Anthony (NIH/N IAID) [E)Mo n, 23 Mar 2020 00:56:30 +0000Jon LaPookRE: Tony , my three minut e shpiel on CBS Sunday Morning today.Very well done as usua l.-----Orig inal Message-----From : Jon LaPook ,....._ __ _,("b")',,(..=6,)>Sent: Sunday, March 22, 2020 8:25 PM ------ --;.-;~ To: Fauci, Anthony (NIH/NIAID) [E] (b)(Subject: Tony , my three minute shp iel on CBS Sunday Morning today.H ttps :/ /www.c bsnews.com/n ews/ coronav i rus-covi d- 19-socia I-distanc ing -how -to-reduce-risk-together/JonJonathan LaPook, M.D.Chief Medical Correspondent, CBS NewsProfessor of MedicineNYU Langone HealthTwitter @DrLaPookNIH-000329From:Sent:To:Fauci, Anthony (NIH/NIAIO) [E)Mon, 23 Mar 2020 00:51:49 +0000McNeil Jr, Donald GSubject: RE: big story of mine just postedDonald:You not only got it right, but it was an extraordinarily comprehensive, informative andsobering article. I do not agree with everything that is being done by various countries, andyou have indicated that many of these approaches are controversial. However, your repo rtingof them is accurate and well-art iculated. Bottom line is that t his is an outstanding article.Best,TonyFrom: McNeil Jr, Donald G <mcneil@nytimes.com>Sent: Sunday, March 22, 2020 7:33 PMTo: Fauci, Anthony (NIH/NIAID) [E)------= (b'")'(="6")Subject : big story of mine just postedI would have interviewed you for it, but I know you're busy. I hope you think I got it right.. ..htt ps://www .nyt imes.com/2020/03/22/hea lth/coronavirus-rest rictions -us.htmlDonald G. McNeil Jr.Science CorrespondentilllJ~tt \u !JorktE ime11Tel: +I 212 556 1142mcneil@nytim es.comArtic les: https: //www.nyti.mes.com /by/dona ld-g-mcne il-jrNIH-000330From:Sent:To:Subject:Phil:Fauci, Anthony (NIH/NIAIO) [E)Sun, 22 Mar 2020 23:27:37 +0000Murphy, Philip (NIH/NIAID) [ElRE: SuggestionThanks for the note. Very important point .Best,TonyFrom: Murphy, Philip (NIH/NIAID) [El- -------- (b)(6) Sent : Sunday, March 22, 2020 7:23 PM ------~= To: Fauci, Anthony (NIH/NIAID) [El- ------- CbH6)> Subject : SuggestionAll the best,ehil ______________________________ ~ (b ~~~(S)NIH-000331(b) (5)PhilNIH-000332From: (b)(6)Sent:To:Subject:Sun, 22 Mar 2020 17:23:08 -0400Cicala, Claudia (NIH/NIAID) [E]Re: Your idea about COVID-19Thanks, ClaudiaOn Mar 22, 2020, at 5: 17 PM, Cica la, Claudia (NIH/NIAID) [E](b)(6)Dear Tony,Thank you for taking the time to answer. I want you to know that a huge number ofpeople here and in Italy asked me to pass along a message of support. Thank you forall you are doing .Take a good care of yourse lf,ClaudiaSent from my iPhoneOn Mar 22, 2020 , at 1 :27 PM , Fauci , Anthony (NIH/NlAID) [E](b) (6):Jim:(b) (5)I Needless to say, this is a overwhelmingly compellingpub lic health and scientific issue. Keep me posted.Thanks,TonyAnthony S. Fauci , MDDirectorNational Institute of Allergy and Infectious DiseasesBuilding 31, Room 7A-0331 Center Drive, MSC 2520National Institutes of HealthBethesda , MD 20892-2520Phone : (b)(6)NIH-000338FAX: (301) 496-4409E-mail: Cb™The information in this e-mail and any of its attachments is confidentialand may contain sensitive information . It should not be used by anyonewho is not the original intended recipient. If you have received this emailin error please inform the sender and delete it from your mailbox orany other storage devices . The National Institute of Allergy andInfectious Diseases (NIAID) shall not accept liability for any statementsmade that are the sender 's own and not expressly made on behalf of theNIAID by one of its representatives .NIH-000339NIH-000344NIH-000473From:Sent:To:Subject:Thanks!Anthony S. Fauci , MDDirectorFauci, Anthony (NIH/ NIAI0) [E)Sun, 22 Mar 2020 17:29:47 +0000Hallett, Adrienne (NIH/OD) [E]RE: Senate Supplemental #3National Institute of Allergy and Infectious DiseasesBuilding 31, Room 7A-0331 Center Drive, MSC 2520National Institutes of HealthBethesda , MD 20892-2520Phone (b) (6)FAX: (301 496-4409E-mail Cb) (6)The information in this e-mail and any of its attachments is confidential and may contain sensitiveinformation . It should not be used by anyone who is not the origina l intended recipient . If youhave received this e-mail in error please inform the sender and delete it from your mailbox or anyother storage devi ces. The National Institute of Allergy and Infectious Diseases (NIAID) shall notaccept liability for any statements made that are the sender 's own and not expressly made onbehalf of the NIAID by one of its represent atives .From: Hallett, Adrienne (NIH/OD) [ElSent: Sunday, March 22, 2020 1:21 PMTo: icddir-l@LIST.NIH.GOVSubject : Senate Supp lemen ta l #3(b)(6)>NATIONAL INSTITUTES OF HEALTH NATIONAL HEART , LUNG, ANDBLOOD INSTITUTEFor an additional amount for ''N ational Heart, Lung, and Blood Institute'' ,$103,400 ,000, to remain available until September 30, 2024, to prevent, preparefor, and re- spond to coronavirus, domestically or intern ationall y: Pro- vided, Thatsuch amount is designate d by the Congress as being for an emergency requirementpur suant to sec- tion 251 (b )(2)(A) (i) of the Balanc ed Budget and Erner- gencyDefici t Control Act of 1985.NATIONAL INSTITUTE OF ALLERGY AND INFECTIOUS DISEA SESFor an additional amount for "N ational Institute of Allergy and Infe ctiousDiseases", $706,000,000 , to re- main available unt il September 30, 2024, toprevent , pre- pare for, and respond to coronavirus, domes tically or internat ionally:NIH-000345NIH-000346Provided, That not less than $156,000,000 of the amounts provided under thisheading in this Act shall be provided for the study of, construction of, demolitionof, renovation of, and acquisition of equip- ment for, vaccine and infectiousdiseases research facilities of or used by NIH, including the acquisition of realproperty: Provided further, That such amount is designated by1. 2 the Congress as being for an emergency requirement pur-2. 3 suant to section 251(b)(2)(A)(i) of the Balanced Budget3. 4 and Emergency Deficit Control Act of 1985.4.s. 5 NATIONAL INSTITUTE OF BIOMEDICAL6. 6 IMAGING AND BIOENGINEERING7. 7 For an additional amount for "National Institute of8. 8 Biomedical Imaging and Bioengineering", $60,000,000, to9. 9 remain available until September 30, 2024, to prevent,10. 10 prepare for, and respond to corona virus, domestically or11. 11 internationally: Provided, That such amount is designated12. 12 by the Congress as being for an emergency requirement13. 13 pursuant to section 25l(b)(2)(A)(i) of the Balanced Budg-14. 14 et and Emergency Deficit Control Act of 1985.15.16. 15 NATIONAL LIBRARY OF MEDICINE17. 16 For an additional amount for "National Library of18. 17 Medicine'', $10,000,000, to remain available until Sep-19. 18 tember 30, 2024, to prevent, prepare for, and respond to20. 19 coronavirus, domestically or internationally: Provided,21. 20 That such amount is designated by the Congress as being22. 21 for an emergency requirement pursuant to section23. 22 25l(b)(2)(A)(i) of the Balanced Budget and Emergency24. 23 Deficit Control Act of 1985.HEN20279 S.L.C. 781. I NATIONAL CENTER FOR ADVANCING2. 2 TRANSLATIONAL SCIENCES3. 3 For an additional amount for ' 'N ational Center for4. 4 Advancing Translational Sciences" , $36,000,000, to res.5 main available until September 30, 2024, to prevent, pre-6. 6 pare for, and respond to coronavirus , domestically or7. 7 internationally: Provided, That such amount is designated8. 8 by the Congress as being for an emergency requirementNIH-0003479. 9 pursuant to section 251(b)(2)(A)(i) of the Balanced Budg-10. 10 et and Emergency Deficit Control Act of 1985.11.12. 11 OFFICE OF THE DIRECTOR13. 12 For an additional amount for "Of fice of the Direc-14. 13 tor", $30,000,000, to remain available until September15. 14 30, 2024, to prevent, prepare for, and respond to16. 15 coronavirus, domestically or internationally: Provided,17. 16 That these funds shall be available for the Common Fund18. 17 established under section 402A( c )( 1) of the PHS Act: Pro-19. 18 vided further, That such amount is designated by the Con-20. 19 gress as being for an emergency requirement pursuant to21. 20 section 251 (b )(2)(A)(i) of the Balanced Budget and22. 21 Emergency Deficit Control Act of 1985.From: Fauci, Anthony (NIH/NIAIO) [E)Sent : Sun, 22 Mar 2020 17:28:59 +0000To: Haskins, Melinda (NIH/NIAID) [E]Cc: Crawford, Chase (NIH/NIAID) [E];Selgrade, Sara (NIH/NIAID) [E];Mascola, John(NIH/VRC) [E];Conrad, Patricia (NIH/NIAID) [E]Subject: RE: Dr. Fauci: Senate Draft COVID-19 SuppThanks.Anthony S. Fauci, MDDirecto rNational Institute of Allergy and Infectious DiseasesBuilding 31, Room 7A-0331 Center Drive, MSC 2520National Institutes of HealthBethesda , MD 20892-2520Phone : (b)(6)FAX : (301) 496-4409E-mail : (b)(6l(b)(5The information in this e-m ai l and any of its attachments is confidential and may contain sensitiveinfo rmation. It should not be used by anyone who is not the origi nal intended recipient. If youhave received this e-mail in error please inform the sender and delete it from your mailbox or anyother storage devices . The National Institute of Allergy and Infectious Diseas es (NIAID) shall notaccept liability for any statements made that are the sender's own and not expressly made onbehalf of the NIAID by one of its repre sent atives .From: Haskins, Melinda (NIH/NIAID) [E] ---------- (b)(6)Sent : Sunday, March 22, 2020 1:24 PM ------ == To: Fauci, Anthony (NIH/NIAID) [E] (b)(6J>Cc: Crawford, Chase {NIH/NIAID) [E] --------- (b)(6)> ; Selgrade, Sara {NIH/NIAID) [E] (b )( 6)Subject : Dr. Fauci: Senate Draft COVID-19 SuppNIH-000348From:Sent:To:Subject :Ms. Carluccio:(b)(6)Sun, 22 Mar 2020 10:58:06 -0400Miche la CarluccioRe: telmisartan and covid -19Thank you for your note .Best regards ,AS FauciOn Mar 22, 2020, at 9:33 AM, Michela Carluccio (b(6))> wrote :Dear Professor Fauci,sorry for the disturb.My name is Michela, I contacted her from Italyand I am (b)(6)yeaorlsd .I hope you understand my concern, I willcontact you for advice if possible:NIH-000349(b)(6)(b)(6)Sincerely,NIH-000350NIH-000351Ms. Michela CarluccioNIH-000352From:Sent:To:Fauci, Anthony (NIH/NIAID) [E]Sun, 22 Mar 2020 05:29:11 +0000guy@vidaldesigncollaborative.comSubject: RE:• Suggestion from former Israel Defense Forces memberMy work with the Coronavirus Task Force and the large volume of incoming emailsprecludes me or my staff from answering each indiv idual message. I would encourageyou to visit www.coronavirus .gov for the latest information and guidance related toCOVID-19.Thank you, and best regards.Anthony S. Fauci, M.D.From:Sent:To :Cc:Subject:Att achments:Bob:Fauci, Anthony (NIH/NIAIO) [E)Sat, 21 Mar 2020 23:02:34 +0000Redfield, Robert R. (CDC/OD)Conrad, Patricia (NIH/NIAID) [E]TF Agenda for tomorrow (Sunday)White House Coronavirus Task Force Agenda 3.22.20.docxSee attached TF Agenda for tomorrow.----------------- (b)(S •. Many thanks, TonyAnthony S. Fauci, MDDirectorNational Institute of Allergy and Infectious DiseasesBuilding 31, Room 7A-0331 Center Drive, MSC 2520National Institutes of HealthBethesda , MD 20892-2520Phone: (b)(6)FAX: (301) 496-4409E-maill (b)(6)(b) (5)(b)( S)The information in this e-mail and any of its attachments is confidential and may contain sensitiveinformation. It should not be used by anyone who is not the original intended recipient. If youhave received this e-mail in error please inform the sender and delete it from your mailbox or anyother storage devices. The National Institute of Allergy and Infectious Diseases (NIAID) shall notaccept liability for any statements made that are the sender's own and not expressly made onbehalf of the NIAID by one of its representatives.NIH-000353From:Sent :To:Cc:(b)(6)Sat, 21 Mar 2020 18:17:02 -0400Auchincloss, Hugh (NIH/NIAID) [E]Folkers, Greg (NIH/NIAID) [E]Subject : Fwd: Posit ive COVID-19 test result for ---------- (b)(Sent from my iPhoneBegin forwarded message:From: "Holland, Steven (NIH/NIA]D ) [E]"Date: March 21, 2020 at 4:40 :28 PM EDT(b)(6) >To: "McGowan , Colleen (NIH/OD/ORS) [E]" CbH6) >,"Fauci, An thony (NIH/N IAID) [E]" -----CbH >, "Lane , Cliff (NIH/NIAID) [E]" _____ C_>b< , "Harper, Jill (NIH/NIAID) [E]"CbH6>J, "McGowan , John J. (NlH/NIAID) [E]"(b)(6)(b)(6)Subject: Re: Positiv e COVID-19 test result for ------------ (b)(6)Thank s, Colleen. Cb()6 ), to bring him intothe loop. I am also -------------- Cb()6 ) into this for her know I edge .SteveDirector, Division of Intramural ResearchNational Institute of Allergy and Infectious DiseasesNational Institute s of HealthBldg. 10/11N248 MSC 1960Bethesda, MD 20892-1960-----(b) (6)voice 301-480-4507 fax----(-b) (6) emailAssistant lab: Eva Porti llo===~-.::--(-b)-( email ----(-b) (6) voiceNIH-000354Assistant to SD: Beth Schmidt(b)(6)-----(b)( voiceFrom: "McGowan, Colleen (NIH/OD/ORS) [E]" CbH6)>Date: Saturday, March 21, 2020 at 4:17 PMTo: Steven Holland (b)( >, Anthony Fauci(b)(6) Henry Lane CbH >, Jill Harper ========~ --------- (b)(6), John J McGowan CbH6)> Subject: Positive COVI D-19 test result for (b)(6)I'm writing to share that we have received a positive COVID-19 test result of(b)(6)--- These results just came out of the 2pm test run today.supervisor ir CbH6J The person reported beingsymptomatic on 3/13/2020, contacted OMS on Monday, but didn't getscheduled for testing till Friday 3/20/20. I'm told (b)(6) continued towork (b)(6) even when feeling ill. I'm not permitted to share PHI, but Iam to ld that OMS has notified the employee, and if they haven't done soalready, OMS will contact the supervisor w ith general information regardingthe person's general health status. They will not divulge a positive testresult for COVID-19, but rather state a general health condition whichprecludes the staff member from working.Since (b)(6) is working in (b)( , I presume (b)(5)____________________ , but please let meknow if this isn't the case. ORF typically closes down the location for 7 daysto allow environmental dissipation of contact surface contamination. Iknow this area is mission critical, so I will help you contact ORF aboutprioritizing cleaning procedures. We ask that you take great care in keepingt hat information as confidentia l as you can.ThanksColleenColleen A. McGowan, MHA, FACHEDirector, NIH Office of Research ServicesBldg 31, Room 4B54Office Phone: ___ "(b"")"('=6-)NIH-000355NIH-000356From:Sent:To:(b)(6)Sat, 21 Mar 2020 18:13:55 -0400NIAID Public InquiriesSubject : Fwd: Jafri_Research VolunteeringSent from my iPhoneBeg in forwa rded message:From: Riaz Jafr i (b)(6) >Dat e: March 21, 2020 at 5:34:20 PM ED-T- -----~~ To: "Fauci, Anthony (NIH/NlAID) (E]" --------- (b)(6J. Subject: Jafri_Re search Volunte eringHi Dr. Fauci,Hope you are doing well and thanks for your leadership during this pandemicsituation.I have a medica l degree and has exper ience in bas ic and clinical resea rch for almost30 years. Currently in clinical trials, doing studies monitoring. I would like tovoluntee r during this COVID-19 situations. Please let me know ifl can share inanyway.I appreciate it.Best regards and be safe ..Dr. Syed R. Jafr iPh: (b)C6JSent from my iPhoneNIH-000357From: (b)(6)Sent : Sat, 21 Mar 2020 18:13:34 -0400To: Cassetti, Cristina (NIH/NIAID) [E];Auchincloss, Hugh (NIH/NIAID) [E];Handley,Gray (NIH/NIAID) [ElSubject: Fwd: Possible joint collaboration Polish -American CollaborationHoping one of you can handle. Taking this out of ASF inboxIf we need to discuss with him let me know.Sent from my iPhoneBegin forwarded message :From: Aleksandra W esolowska (b) (6)>Date: March 21, 2020 at 6:08:46 PM ED-T- -----~~ To: "Fauci, Anthony (NIH/NJAID) [E]" (bH6JSubject: Possible joint collaboration Polish -American CollaborationDear Dr Anthony Fauci ,I am w riting in connection to email from Prof Robert Schwartz about possible Polish- American collaboration in the clinica l trial focus on treatment patients suffer fromCOVID-19As a Polish Medical Research Agency we desire fa cing th is pandemicwith NIAID leading vaccine and therapy efforts against SARS-Cov-2.F. Gray Handley has got in contact with the President of our Agency last week butfrom that time we have no furthe r infor mation in this pressing issue.I will be very appreciated if we could discussed with you or your eminent staff anypossibility for polish scientists to join t collaboration with NIAID to figh t corona virusfor patients all of the world.I will be personally responsible to hold this topic on behalf of Polish MedicalResearch Agency.NIH-000358Thank you for your time and incredible efforts you made to global health andsafety.I remain at your disposal,Aleksandra Wesotowska, PhDSenior Research CoordinatorAgencja Sadan Medycznychul. Mo niuszki lA00-014 Wars zawawww .abm. gov .plNIH-000359From:Sent :To:Subject:Conrad, Patricia (NIH/NIAID) [El on behalf of Fauci, Ant hony (NIH/NIAIO) [ElSat, 21 Mar 2020 16:43:19 +0000NIAIDODAMFW: Virtual Town Hall with College Students (30+ Schools)?From: John Monahan <John.Monahan@georgetown.edu>Sent: Saturday, March 21, 2020 10:-11- -A-M- - --,;-,~ To: Fauci, Anthony (NIH/NIAID) [E] (b)( >Subject: Virtual Town Hall with College Students (30+ Schools)?Tony--Fi rst of all, thank you for all you are doing to lead om country's respo nse during this cr is is.I hesitate to reach out to you with so much on your plate , but I think this idea might help with thenational response.In light of the con tinuing cha llenge of engaging young p eople in social dis tancing measures ,combined with the fact that so many colleges and univer sities are now teaching online,Georgetown's Globa l Health Initiati ve and Institute for Politics and Public Service areconsideri ng a "vi11ual town hall" in which you could spea k directly with student s at co lleges anduniversitie s via Zoom ( or some other platform) about the collective challenge of COVID-19 andits risk to their health and to other members of their communities.This could be a unique forum for you, as the most trusted per son in the public dialogue , to makethe case directly to young people about thei r vital role in social distancing to flatten the curve intheir communities. W/ e would use social media, of course, to push out key segments andmessages from this event more broadly.While Georgetown would organi ze this "virtua l town ha ll", we would work closely with anetwork of more than 30 colleges and universitie s with which our Institute of Politics and PublicService regularly collaborates. We would also reach out to other schoo ls to ensure a geograp hicreach and a mix of public and private institutions. Of course, our team would work closely withyour staff to manage all logistics so as to use your scarce time as efficiently as possible.Before we go any further in pl anning or thinking about this, I wanted to see if you would havetime to participate or think this is a good idea.Be st!JohnJohn T. Monahan, JDNIH-000360NIH-000361Senior Advisor to the President of Georgetown UniversitySenior Fellow, McCowt School of Public PolicySenior Scholar, O'Neill Institute for National and Global Health LawGeorgetown University3307 M Street NW, Suite 202Washington, DC 20057202-431-6556From:Sent:To:(b)(6)Sat, 21 Mar 2020 07:48:05 -0400KEN GLENSubject: Re: COVID-19Thank you for your note.AS FauciSent from my iPhoneOn Mar 21, 2020, at 7;43 AM, KEN GLEN- ------- (b)( · wrote:Good morning, from Vancouver , Canada.We hope you are keeping yourself, and your families safe.Your calm approach, and real life experience being shared during the daily briefingsis what everyone looking towards the USA for information needs to see.As in anything, real knowledge, both sharing and accepting is critical to geteveryone focused on overcoming the current situation.We don't see social distancing between everyone at the news conferences, andthat is disappointing, we also don't see Donald Trump acquiring the skills andabilities to truly turn over communication and leadership to people such asyourself and your colleagues on the podium.Whi le that is also disappointing, it has come to be expected, therefore easy to tuneout.Our Global world needs a Global approach of honesty and transparency, we can'tafford to get this one wrong due to our normal tribal tendencies.Best regards, be safe,Ken &Cathy Glen (b)(6) ) ---------NIH-000362From: (b)(6)Sent: Sat, 21 Mar 2020 07:44:54 -0400To:Subject:Lerner, Andrea (NIH/NIAID) [E);Auchincloss, Hugh (NIH/NIAID) [E)Fwd: Provider's question!From PattyCan one of u pis take this.Sent from my iPhoneBegin forwarded me ssage :From: "Rostami , Nahid" (b)(6)Date: March 20, 2020 at 7:25 :06 PM ED-T- ------=-::-:-= To: "Fauci, Anthony (NIH/NIAID) [E]" (bH >Cc: "Rostami, Nahid" (b)(Subject: Provider 's question!Dear Dr. Fauci,I am one of the UCSF neonatologist and I have beenam (b)(6) now. As you know, in neonatal intensive care unit at leastone parent stays at bedside. Considering the recent coronavirusoutbreak, I am (b) (6)· for both potential patient (b) (6)- and staff exposures. I appreciate your advice andrecommendation for (b)(6) who is workingin an inten sive care unit. Since I have to go to work , do I need to haveextra percuss ions besides hand washing? If so, what would yourecommend?I appreciate your help.Thanks,Nahid RostamiNIH-000363From: (b)(6)Sent:To:Subject :Sat, 21 Mar 2020 07:42:07 -0400Parks, Donna (djholmes@uidaho.edu)Re: Thank youThank you for your note.AS FauciSent from my iPhone> On Mar 20, 2020, at 8:49 PM, Parks , Don.na (djho lmes@uidaho .edu) <djholmes@uidaho .edu> wrote:>> Dear Dr.Fauci:>> I want to thank you and commend you for all you 're doing during the COVID -19 pandemic. You are the voice ofscience and reason - and you seem to be able to get through to President Trump in a subtle way yet with a great dealof integrity. I don't envy you this gig - part icu larly with an administration that is so hostile to science, reason, andpreparedness on the federal level.>> I'm stil] squirming from Trump 's latest declara tions that hydroxquinolone could be used for COVID. The moreyou can explain why this might not be the place to put federal resource s right now , the better. Friends of mine arebuying it off label in Mexico now, and as a biologist and medical educator I find this alarming.>> Thank s. You 're the best.>> Donna Holmes Parks I djholmes@uidaho.edu> WWAMI Medical Education Program> University of Idaho and University of Washington>>NIH-000364From: (b)(6)Sent :To:Subject :Sat, 21 Mar 2020 07 :39:16 -0400Conrad, Patricia (NIH/NIAID) [E)Fwd: Coronavi rus interviewSent from my iPhoneBegin forwarded message:From: "Lindenberger, Isaac D." <1indenberger.9@buckeyema il.osu.edu>Date: March 21, 2020 at 1: 19:57 AM ED-T- ----- --== To: "Fauci, Anthony (NIH/NIAID) [E]" CbH6)Subject: Coronaviru s interviewDr. Fauci,I have Pau l Offit coming on my podcast tomorrow to discuss coronavirus, and Iwould love to have you on after him to talk abo ut your thoughts and what we shoulddo. My friend Nikk i Roy recommended you who I have also interviewed for myvaccine show "Straight To The Point." If you 're interested we can do an interview atyour earliest convenience. My listeners would benefit grea tly from it, thank you foryour cons ideration.Get Outlook for Andro idNIH-000365From:Sent:To:Subject :Thank you for your note.AS FauciSent from my iPhone(b)(6)Sat, 21 Mar 2020 07:38:39 -0400Friedmann, TheodoreRe: COVID-19 information for the public> On Mar 21, 2020, at 2:0 I AM, Friedmann , Theodore <tfriedmann@health.ucsd .edu> wrote:>> Dear Tony: T'm sure that you realize how dism ayed and saddened many of us are at the inaccurate and harmfulcomments coming from our political leaders regarding the COVID-19 pandemic. That feeling hit a new height todaywith the irresponsi ble and nonsensical announcement from President Trump regarding his claimed effectiveness ofchloroquine and hydroxychloroqu ine. This announcement and many other untru ths were delusional, irrational, unscientificand revealed a profound ly harmful and unethical betrayal by President Tmmp his responsib ility to protectthe health of the public that pus th republic in sever danger. I was very glad to hear your pub lic comments thatcountered this ho1Tibly danger ous misinfonnation. l hope that your message falls on receptive ears in the public andleads to a major change in the kind of public announcements that are currently being foisted on the desperat e pub licwho depend on knowing and acting based on the truth. Please continue and even expand your role as the truth tellerin the who crowded collection of muzzled officia ls and sycophants who seem to be more devoted to deceiving thepublic rather than preparing the public for hard truths and solving the logistics failures of masks, availability oftesting its. Please continue your brave and essential role as honest broker that you play valiantly privately duringyour policy discussions that the public also deserves to know about the wrong and unethical self -serving propagandathat the public is fed by President Tnimp and some other members of the Corona Vims task force. It is a deadlygovernmental game. I wish you good luck in alerting the public to this immoral, uneth ical and deadly plague ofgovernmental misinformation designed to shape political quandaries rather than public welfare. Please continuespeaking out about public misinformation.>>>Ted Friedmann, MDNIH-000366From:Sent :To:(b)(6)Sat, 21 Mar 2020 07:38:1 1 -0400DMID Word NerdsSubject: Fwd: hypertensive drug - ACE2- inhb itor related and our workAttachments : A Combinatorial Antihypertensive Drug (Reserpine and Hydrazine) Does NotCause Severe Depression .pdf, ATTOOOOl.htm, medrx ivcognitionandadelphanel.pdf, A TT00002.htmSent from my iPhoneBegin forwa rded message:From: "Dr.Jamuna R Subraman iam" <jamunal 7@sriramachandra .edu.in>Date: March 21, 2020 at 2:04: 14 AM ED-T- -------,;-=, To: "Fauci, Anthony (NlH/NlAID ) [E]" (b)( ·,jamunasubramaniam (b) (6)>Subject: hypertensive drug- ACE2- inhbitor related and our workDear Prof. Ant hony Fauci ,Good Morn ing!I am Dr. Jamuna R. Subramaniam. I did my Ph.D from Georgetown University andpostdoc in Johns Hopkin s on neurodegenerative disease s. After r eturning to India Istarted working on biogenic amine neuortransmitters. One of the major trajectory ofmy research career was on an FDA approved , antihyper tensive drug.Given the current scena rio of ACE2 being the receptor for Covid -19, and the widelyused antihype1tensive drugs also target the same. I thought of sensitiz ing you on avery effect ive antihypertensive drug, adelphane and adelphane esidrex made andsold by Novaritis This contains a historical VMA T - biogenic amines loading insynaptic vesicles, molecule , reserpine. Here, in India, a well known Nephro logist,has used this to treat a commun ity of close to 3000 patients for almost twodecades. From him and others I have heard that it is a very effective, well toleratedantihype rtensive. Res erpine is a historical molecule that it had been used in theIndian system of medicine, Ayurv eda. But ade lphane has the single specific purifiedmolecule , reserpine, an alkaloid. Now Nova ritis has stopped making it. One of thereasons being given is reserpine's nega tive publicity when it was used anantipsycho tic drug. The reason given was a side effect of severe depression. We dida study on these patients on adelphane and find that it had not caused depression .Fmther, it seems to be reta ining cognitio n in these patients. I could not pub lish thesein big journals as you can understand. I am enclos ing these two papers.NIH-000367As many lives are at stake, I thought I will sensitize you on this. Hope somethinggood will come out of this. I am telling whomever I come across about the same.That is the best I can do. Hope the current scenario will show the living daylight forreserpine and helps the humanity.Thank youWith regardsJamunaDr. Jamun a R. SubramaniamAssociate ProfessorCenter for Preclinica l and Translational Medicine ResearchCentral Rese arch FacilitySri Ramachandra Institute of Higher Education and ResearchPorur , Chennai 600 116, IndiaExtn:8170; Tel: 91-44-45928500;Cell: CbH6)www .s riramachandra .edu .inAcadem ic Editor, PLoS One , Public Library of Science, San Franci sco, USAWebsite:Pubmed: https:/ /www.ncbi.nlm.nih.gov/pubmed/?term=Subramaniam+ JRResearch Gate: https://www.researchgate.net/profile/Jamuna SubramaniamGoogle Scholar :https://scholar.google.co.i n/citati ons?use r=T4Z2VMAAAAAJ&h l=enQuote : "I remain an Optimist. Not that I can give any evidence that right is going toprosper, but because of my unflinching faith that right should prosper in the end" -Mahatma GandhiNIH-000368From:Sent :To:(b)(6)Sat, 21 Mar 2020 07:37:38 -0400Mr ChiognaSubject: Re: The Virucidal Efficacy of Blue light (222 nm) UV light with Respect toCorona VirusThank you for your note.AS FauciSent from my jpboneOn Mar 21 , 2020, at 2:46 AM, Mr Chiogna <jchiogna @ho lycross .bc.ca>wrote:Dear Dr. Fauci ,My name is John Chiogna. I work as a Physics teacher in Vancouver BritishColumbia. Attached below is a short write up on a possible inexpensive means ofquickly sanitizing private and public locations such as care facilities, hospitals ,schoo ls, chu rches , government workplaces, arena s, etc .I'm sure that the efficacy of 222 run light has been considered by some already.Howeve r, I have included some numbers that take into account human safety limits ,as well as references to peer-reviewed journa ls that support my claims . It is my hopethat this may make this simp le idea more p lausible.Please consider the merits of such an idea and implement it as you wish , thankyou.Yours since rely ,John Chiogna51 What is the Viruc idal Efficacy of Blue light (2 ...Thise -mail is intended onlyf or the individualn amed above.Any distribution, use or copying of this e-mail or the information1t contains by other than on Intended recipient Is unauthonzed.If you have received this e-mail in error, please delete immediately.NIH-000369From:Sent:To:(b)(6)Sat, 21 Mar 2020 07 :35:58 -0400DMID Word NerdsSubject: Fwd: Note from a NIH "alumnus" re. SARS-CoV-2Sent from my iPhoneBegin forwarded message:From: Robert Wiskocil Cb<) 6>JDate: March 21, 2020 at 4:30:43 AM ED-T-- ---~~ To: "Fauci, Anthony (NIH/NIAID) [E]" CbH6>:Subject: Note from a Nm "alumnus" re. SARS-CoV-2Dear Dr. Fauci,I used to work in Bob Goldberg's division at the NCI (Blgd 37) from '78-'80. I'm now arbeumatologist in the SF Bay Area.I'm including a Letter to the Editor (submitted 3.19.20) for the NEJM that proposes a costeffectivetherapy for COVID-19. (I've included a slightly longer version with morereferences):N-acetyl cysteine for CoronavirusRobert Wiskocil, MDAffiliation: Private Practice Rheumato logyDate: March 19, 2020Telephone Number: (b)(6)Email: (b)(6)Abbreviations: N-acety l cysteine (NAC), porcine epidemic diarrhea virus (PEDV)In a recent letter to Cell Research , Remdesivir and chloroquine were foundto inhibit the SARS CoV-2 (COV ID-19) virus activity and replication in Verocells (1 ). That study was the basis for current clinical trials involving thosemedicines .There might be a more cost-effective treatment for the Coronavirus. I believeit will be sensitive to oral high dose N-acetyl CysteineA final common pathway to host destruction (autophagy) in infected cells inboth Corona and Rota viral infections involves the Pl3K/AKT/mTOR pathway(2,3). This pathway is inhibi ted by "rapalogues " (like Rapamycin) where theNIH-000370NIH-000371viral infection is stopped and the host cell survives. N-acetyl-cysteine, apotent anti-oxidant and glutathione precursor, alters the redox state oftreated cells and can quench this same pathway (4,5). NAG (N-acetylcysteine) has been used to rapidly clear Rotavirus diarrheal infections inchildren (6). Furthermore, the porcine epidemic diarrhea virus(PEDV) coronavirus has been studied in Vero cells. In vitro, NAG blocksthat particular virus (7), and in vivo, NAG blocks intestinal damage causedby this virus (8). NAG likely provides a "redox clamp" on the autophagypathway this virus exploits.Since the PEDV coronavirus is effectively blocked in Vero cells by NAC, theSARS-GoV-2 (COVID-19) will likely also be inhibited. This test should bedone, and if positive, clinical trials ought to follow.Doses of 2.4-3.5 g/d of NAC have been used to treat patients with Lupus(4). That dose is well tolerated and inexpensive .If NAC were effective in symptomatic patients, it could add a cost-effectivemeasure of protection to healthcare workers and exposed individuals .References:1) Wang , M., Cao, R., Zhang, L. et al. Remdesivir and chloroquineeffectively inhibit the recently emerged novel coronavirus (2019-nCoV) invitro. Cell ResY Yin et. al. Pl3K-AKT-mTOR axis sustains rotavirus infection via the 4EBP1mediated autophagy pathway and represents an antiviraltarget. Virulence , 2018 VOL. 9, NO. 1, 83-983) J Kindrachuk et. al, Antiviral Potential of ERK/MAPK andPl3K/AKT/mTOR Signaling Modulation for Middle East RespiratorySyndrome Coronavirus Infection as Identified by Temporal KinomeAnalysis Antimicrobial Agents and Chemotherapy February 2015 Volume59 Number 2 p 1088-10994) Zhi-Wei Lai, et al, N-Acetylcysteine reduces disease activity by blockingmTOR in T cells of Lupus patients, Arthritis Rheum. 2012 September;64(9): 2937-29465) C. C. Xu, S. F. Yang , L. H. Zhu, X. Cai, Y. S. Sheng , S. W. Zhu , J. X. Xu,Regulation of N-acetyl cysteine on gut redox status and major microbiota inweaned piglets, Journal of Animal Science , Volume 92, Issue 4, April2014, Pages 1504- 1511, https ://doi.org/10.2527/jas .2013-67556) C Guerrero et al. N-Acetylcysteine Treatment of Rotavirus-AssociatedDiarrhea in Children Pharmacotherapy7) Xu X, Xu Y, Zhang Q, et al. Porcine epidemic diarrhea virus infectionsinduce apoptosis in Vero cells via a reactive oxygen species (ROS)/p53, butnot p38 MAPK and SAPK/JNK signaling pathways. Vet Microbiol.2019;232:1-12.8) Wang L, Zhou J, Hou Y, et al. N-Acetylcyst eine supplementat ionalleviates intestinal injury in piglets infected by porcine epidemic diarrheavirus . Amino Acids . 2017;49(12):1931-1943 .I hope you find this helpful!Sincerely,(b)(6)Robert Wiskocil MD(b)((i}NIH-000372From:Sent:To:(b)(6)Sat, 21 Mar 2020 07:19:19 -0400PITTMAN, RYAN DSubject: Re: Preparing for COVID-19 in my NeighborhoodSent from my iPhoneOn Mar 21, 2020, at 12:10 AM, PITTMAN , RYAN D< rpi ttman@email.sc.edu>wrote:Good Evening Dr. Fauci,My name is Ryan Pittman. I live in (b)(6) South Carolina, right outside of (b)(6)The virus is here. Seeing as this is likely to get worse before it gets better, I want tobe prepared to help people in my neighborhood when they start developingsymptoms and the hospitals are not ready for them.How do you recommend I go about doing this. I am prepared to acqui re a modeststockpile of supplies to give to those suffering through this, but I am not entirelysure what would be best. The hope is to take your information and pass it on tothose in other neighborhood s in the area, so we can come together and help asmany people as we can get through this pandemic.Thank you for your time.Ryan Pittman, MSUniversity of South Carolina Department of StatisticsNIH-000373From:Sent :To:Subject:Priscilla:Fauci, Anthony (NIH/NIAID) [E)Sat, 21 Mar 2020 02:19:38 +0000Priscilla KellyRE: Thank you from ScienceThank you for your kind note.Best regards,TonyFrom: Priscilla Kelly <pkelly@aaas.org>Sent : Friday, March 20, 2020 9:20 PM ------~~ To: Fauci,A nthony (NIH/NIAID) [E]- ------- CbH6J> Subject: Thank you from ScienceDear Tony,I wanted to send our sincerest thanks from everyone at Science, for the superb leadership thatyou are showing the United States (and the world) during this pandemic. Thank you also foreducating the public that the most productive countermeasures will be based on data-dr ivenscience. We will continue to do our part here at Science to publish the strongest COVID-19studjes to help advance research as rapidly as possible.All the best,PriscillaPriscilla N. Kelly , Ph.DBiomedicine Editor, ScienceNIH-000374From: Fauci, Anthony (NIH/NIAIO) [E)Sent: Fri, 20 Mar 2020 22:45:24 +0000To: Stephen Hahn;Redfield, Robert R. (CDC/OD);Birx, Deborah L.EOP/NSC,----- -~:a'~"-"c=~Subject: Treatment DocumentAttachments: dblnformation for Clinicians on COVID-19 Therapies31hcl - wi th Fauci and Lanetracked changes showing.docx, dblnformation for Clinicians on COVID-19 Therapies31hcl - with Fauciand Lane tracked Clean copy.docxTeam:As per my discussion with Steve a few minutes ago, I have made some changes in thedocument. ~)(5)~)(5)-------------------------- ~)(5) I am attaching a tracked version of the document that was your FINAL as well as a clean copy wi th all of the changesaccepted. Please take a look and Steve said that he wou ld like to set up a quick call to discussafter you have had a look. I am very sorry to come in with these changes at this late point, butI rea lly did not get a chance to have a good look at the document as I was in a car.Thanks,TonyAnthony S. Fauci, MDDirectorNational Institute of Allergy and Infectious DiseasesBuilding 31, Room 7A-0331 Center Drive, MSC 2520National Institutes of HealthBethesda , MD 20892-2520Phone : ~)(~FAX: (301 496-4409E-mail : ~)(~The information in this e-ma il and any of its attachments is confidential and may contain sensitiveinformation . It should not be used by anyone who is not the original intended recipient . If youhave rece ived this e-mail in error please inform the sender and delete it from your mailbox or anyother storage devices . The National Institute of Allergy and Infectious Diseases (NIAID) shall notaccept liability for any statements made that are the sender's own and not expressly made onbehalf of the NIAID by one of its representatives .NIH-000377From:Sent:To :Subject :Attachment s:Anthony S. Fauci , MDDirectorFauci, Anthony (NIH/NIAIO) [E)Fri, 20 Mar 2020 21:08:04 +0000(b)(6)therapydblnformation for Clinicians on COVID-19 Therapies3.docxNational Institute of Allergy and Infectious DiseasesBuilding 31, Room 7A-0331 Center Drive , MSC 2520National Institutes of HealthBethesda , MD 20892-2520Phone : (b)(6)FAX: (301) 496-4409E-mail Cb()6 )The information in this e-mail and any of its attachments is confidential and may contain sensitiveinformation . It should not be used by anyone who is not the original intended recipient. If youhave received this e-mail in error please inform the sender and delete it from your mailbox or anyother storage devices . The National Institute of Allergy and Infectious Diseases (NIAID) shall notaccept liabi lity for any statements made that are the sender's own and not expressly made onbehalf of the NIAID by one of its representatives .NIH-000378From:Sent :To:Cc:Subject:Fauci, Anthony (NIH/NIAIO) [E)Fri, 20 Mar 2020 11:52 :45 +0000Lerner, Andrea (NIH/NIAID) [ElMarston, Hilary (NIH/NIAID) [ElRE: Modeling of COVID-19 from Mike LevitIt would be a good idea to get a feel for what our modelling people think about this .Thanks,TonyFrom: Lerner , Andrea {NIH/N IAID) [E] (b)(6)Se nt: Thursday, March 19, 2020 3:11 PMTo: Fauci, Anthony {NIH/NIAID) [E]_ _____ _,(:b:-);..:(.6,".)"'Cc: Marston, Hilary (NIH/NIAID) [El (b)(6)Subject: FW: Modeling of COVI0-19 from Mike LevitDr. Fauci,Just re-upping this as your in box is hopefully less stuffed now. See original email at the bottom fromLarry Tabak letting you know about this modeling work .My summary is below and if you'd like me to ask some NIAID modeling SM Es what they think, let meknow .Andrea•••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••Dr. Fauci-I took a look at this and here is my impress ion:(b) (5)NIH-000379I would defer to our modeling experts at NIAID as to the valid ity of his model - let me know if you'd likeme to reach out to them . (b) (5 .CCing Hilary if she has additional thoughts.Sincerely,AndreaFrom: "Fauci, Anthony (NIH/ NIAI D) [E]" --------- (b)(6)> Date : Monday, March 16, 2020 at 10:59 PM -------~~ To: "Lerner, And rea (NIH/N IAID} [E)" --------- Cb)( > Subject: FW: Modeling of COVID-19 fr om Mike LevitPlease take a look and see what you think.From: Tabak, Lawrence (NIH/OD) [El ---------- (b)(6) Se nt: Friday, March 6, 2020 8:46 PM -----~~ To: Collins, Francis (NIH/OD) (E]- ------ (b)(6)>; Fauci, Anthony (NIH/NIAID) [E] (b) ~ >Cc: Lauer, Michae l (NIH/OD) [E]- -------- (b)(6)> Subject: Modeling of COVID-19 from Mike LevitFrancis, Tony-Mike Levitt (Nobel prize in Chemistry, 2013) sent the attached modeling of the COVID-19 epidemic toMike Lauer. I don't know if this will prove useful but wanted to pass it along in case.He indicated that he was amazed to see how an Excel level analysis could allow him to predict the Chinaepidemic would end as early at 2-Feb and get what he considers the best estimates for case fatalityratio . His first report from 2-Feb is attached as wel l as his most recent two -part report.LarryNIH-000380From:Sent :To:(b)(6)Fri, 20 Mar 2020 06:56 :52 -0400Eisinger, Robert (NIH/NIAID) [E)Subject: Fwd: COVID-19 multidisciplinary FAQ articleAttachments : COVIDQ uestion_v2.docx, ATT0000l .htmBeg in forwarded message:From: Andreas Kronbichler (b)(6) ------------- Date: March 20, 2020 at 3 :50:20 AM ED-T- -------=-:-:-= To: "Fauci , Anthony (NIH/NlAID) [E]" -------- (b)( (b)(6)Subject: COVID-19 multidisciplinar y FAQ articleDear Prof. Fauci,May I briefly introduce myself: My name is Andr eas Kronbichler, I am nephrologistbased in Austria, and do have an interest in renal autoimmune disease. As suc h, Iknow your landmark study about cyclophosphamide use in GPA published in 1971;and I have learned that you were involved in the management of David FajgenbaumMCD, whose story is so impressive.I am contacting you and asking you for your help regarding a multidisciplinary FAQarticle we would like to write and which does make sense in our eyes, given therapid spread of this devastating infectious disease.We would like to invite experts in the field to comment on a selected topic and thensumma rize this as a paper with hopefully high impact in the field.If you agree, can you answer 1his question (around 400 words max. ):Can you describe the pathophy siology and some of the immunological aspects ofSARS-CoV-2 infection and COVID-19disea se?I would be personally very honored to work together with you. A select ion of topicsis attached to this e-mail.With best regards,Andreas Kronbichler M.D. Ph.D.NIH-000381From: Fauci, Anthony (NIH/NIAIO) [E)Sent : Fri, 20 Mar 2020 10:42:16 +0000To: Collins, Francis (NIH/OD) [ElCc: Conrad, Patricia (NIH/NIAID) [El;Barasch, Kimberly (NIH/NIAID) [Cl;Folkers, Greg(NIH/NIAID) [El;Myles, Renate (NIH/OD) [ElSubject: RE: COVID-19 science brainstorm at NIH, and town meetingThanks , Francis.From: Collins, Francis (NIH/OD) [E] (b)(6)>Sent: Friday, March 20, 2020 5:29 AMTo: Fauci, Anthony {NIH/NIAID) [E)------ (=b)c(-=c>Cc: Conrad, Patricia {NIH/NIAID) [El (b)(6) Barasch, Kimberly {NIH/NIAID) [C](b)(6) ; Folkers, Greg (NIH/NIAID) [El (b)( ·>; Myles, Renate( N-:l-H:--/-:0:--:--D::-): -:[-=E :]- ;::====~ -(-b-.) .(. 6=)Subject: RE: COVID-19 science brainstorm at NIH, and town meetingThanks , Tony . The town meeting runs from 1 to 2. If your press conference runs late, I'd beglad to have you call in at any other time during that hour - we would squeeze you in!FrancisFrom: Fauci, Anthony {NIH/NIAID) [E] CbH >Sent: Thursday, March 19, 2020 10:54 PM -----~~ To: Collins, Francis {NIH/OD) [E] (b)(6)>Cc: Conrad, Patricia (NIH/NIAID) [El CbH ; Barasch, Kimberly {NIH/NIAID) [C]________ C_>b<> ; Folkers, Greg (NIH/NIAID) [E] (b)(6)Subject : RE: COVI0-19 science brainstorm at NIH, and town meetingFrancis:I was just told by the VP's office that I will have to be at the press conference between 11 :00and 12:30 PM. And so I definitely cannot be at NIH physically at 1:00 PM and if the pressconference starts and finishes late, I may not even be able telephone in. My guess is that it willend before 1:00 PM and so I will likely be able to phone in. Let us see how tomorrow unfo lds.Regard ing the session of IC Directors, this would be fine with me .Best,TonyPatty :Please let us discuss the phone in logist ics if I canno t physically get there.Thanks,,TonyNIH-000382From: Collins, Francis (NIH/OD) [E] (b)(6)Sent : Thursday, March 19, 2020 9:31 PM ------~ = To: Fauci, Anthony (NIH/NIAID) [E] (b)(6)>Cc: Tabak, Lawrence (NIH/OD) [E] (b)(6)Subject : COVID-19 science brainstorm at NIH, and town meet ingHi Tony,Nice Face book session with Zuck! And I heard you were just on CNN, but I missed that one. I did aninterview with Sheila Kaplan late this afternoon - and she greatly appreciated your message of apology.I don't think (b)(S).When we spoke yesterday, you were enthusiastic about the convening of a 2 - 3 hour session of ICDirectors and SM Es from thei r ICs, to brainstorm about additional scientific efforts that could bemounted at NIH to address COVID-19. It looks as if th is can be arranged for an early afternoon nextweek. Obviously there would be nothing better than to have you there in person for this. While I knowyour schedule is not exactly under your control, is there any 2 - 3 hour period next week that mighthave a chance of being open for you? If not, who would you want to be the presenter of the currentportfolio of NIAID investments? (b)(S)We have the NIH virtual Town Meeting at 1 PM tomorrow . Is there any chance you can come to WilsonHall in person for that? If not, is there a chance you can call in? I will serve as moderator, and after afew minutes of opening remarks, would hope to turn this over to you for ten minutes or so of theunique Fauci perspective. After that, Larry and Alfred will talk for a few minutes about the NIH COVIDResponse Team, and Jim Gilman will talk about what's happening at the CC. Then we' ll open it up toquestions, which we can accept in real time from the estimated 20,000 staff who will be logged in. Butyou wouldn't need to stay for all that- if we could somehow have your participation (either in person oron the phone) from about 1:10 to 1:20, that would be really wonderful. Please let me know if that willbe possible.Sorry about the long e-mail. Get some sleep!Best, FrancisNIH-000383From:Sent :To :Fauci, Anthony (NIH/NIAIO) [E)Fri, 20 Mar 2020 03:01:09 +0000Besser, RichardSubject: RE: Checking inRich:Thanks for the note. Much appreciated . I hope that all is well with you.Best regards,TonyFrom: Besser, Richard <rbesser@rwjf .org>Sent: Thursday, March 19, 2020 3:59 PM To : Fauci, Anthony (NIH/NIAID) [E] <-- ------------ -(b-)-(6=J> Subject: Checking inHi Tony:I hope you are well . I want to applau d you and thank you for your incred ible leadership incommunic ating about this pandemic. I wish CDC were standing with you but I know that is not likely tohappen . I hope that you will continue to ta lk about all that is being done to learn what works to mitigatethe impact of the pandemic . Your absence these two days has been quite noticeable. If there is anythingI can do to support you, please let me know.Best regards,RichRichard E. Besser, MD. President and CEOOffice (b) (6) 1 rbesser@rwjf.orgConnect with me on Twitter I Linkedln I FacebookRobert Wood Johnson FoundationBuilding a Culture of Health in America. Learn more at rwjf.orq.Follow the Foundation Twitter IFacebook I YouTubePlease note: In light of the requests made for increased social distancing related to the coronavirus (COVID-19), wehave closed all three RWJF campuses in Princeton , New York City, and Washington until further notice. All RWJFemployees are now working remotely, and all in-person meetings are either cancelled or will be conducted virtually.For the most up-to-d ate inf ormatio n regar ding COVID-19 please see resources on CDC, NIH as well as your statehealth depa rtment websites.NIH-000384From:Sent:To:Cc:Subject :Fauci, Anthony (NIH/NIAID) [E)Fri, 20 Mar 2020 02:39:21 +0000Jonathan E. ShoagElemento, OlivierRE: Specimens-Would be much more useful ---------------------- (b) (5) From: Jonathan E. Shoag ----------(b)(6)Sent: Thursday, March 19, 2020 9:33 PM -------=-c-c= To: Fauci, Anthony {N_IH:/N..IA_ID _) :[E_] :-=.!:===~(b~)(6~)> -- Cc: Elemento , Olivier (b)(6) ---------- Subject : FW: SpecimensHi Dr. Fauci,All the best,Jonathan Shoag MDFrom: Denny, Joshua (NIH/OD) [ElSent: Monday, March 16, 2020 6:17 PMTo: Jonathan E. ShoagCc: Olson. Janet E .• Ph.D.: Cicek. Mine: Olivier Elemento : Thibodeau. Steve: Gebo. Kelly (NIH/OD) [GlSubject : [EXTERNAL] Re: SpecimensJonathan -Thanks for the thoughts and the offer to help . This is indeed something we have discussedBest,JoshI'm copying our chief medical & science officer, Kelly Gebo.On Mar 16, 2020, at 2:16 PM, Jonathan E. Shoag (b)(6) wrote : ----------Hi Dr. Denny,NIH-000385(b)(5)All the best,Jonathan Shoag MDOn Mar 16, 2020, at 12:47 PM, Thibodeau, Stephen N., Ph.D.(b)(6J> wrote: ________ _.Dear JonathanI am one of the Co-Pt's of the Biobank for the All of Us Research Program.Although samples are store here at Mayo, (b) (SL(b) (5)Sorry, the situation is evolving quite rapidly, so no additional information atthis point .Hope this helps.SteveFrom: Jonathan E. Shoag ....,..,...,....e--,----(-b)-(6-)]- ··- --- Sent: Monday, March 16, 2020 3:35 AMTo: BiobankSubject: [EXTERNAL] SpecimensTo Whom it May Concern,I imagine someone has thought of this already - but do you knowif (b) (5)NIH-000386(b) (5)(b) (5)I study prostate cancer epidemiology at Weill Cornell, and indiscussing this idea with the head of our precision medicineinitiative, was informed that the AllofUs specimens reside atMayo .All the best,Jonathan Shoag MDNIH-000387From: Fauci, Anthony (NIH/NIAIO) [E)Sent : Thu, 19 Mar 2020 22:16:02 +0000To: (b)(6)Subject: RE: ATTN: Dr. Fauci/ Good ACE bad ACE do batt le in lung injury SARS-CoVcoronavirus Nicholls S Peiris M NATURE-Med 9-2005.pdf)(6)All of the therapy stuff is anecdotal. We are trying to get randomized clinical trials doneinstead of just compassionate use for all of these unproven drugs. (b)(6)Best regards,TonyFrom: Cb) (6J.>Sent : Thursday, March 19, 2020 4:19 PM ------~~ To: Fauci, Anthony (NIH/NIAID) [E] CbH6J>Subject : Re: ATTN: Dr. Fauci/ Good ACE bad ACE do battle in lung injury SARS-CoV coronav irus Nicholls SPeiris M NATURE-Med 9-2005.pdfFascinating - thanks for sharing with me. The question that I have is whether COVID 19 adheresand infects epithelial cells through the same mechanism as SARS did. Why the increasedlethality and how to we decrease likelihood of infection?Just saw today that antiretroviral therapy and malaria agents are being touted as potentialtherapies - how well founded is this - anything more than anecdotal data to support this?Hope you are getting a few moments of rest. --------- (b)(6) and do not hesitate to call me if I can help.Best,KenFrom: Fauci, Anthony (NIH/NIAID) [E] -------- (b) ( > Sent: Wednesday, March 18, 2020 7:09 PMTo:Cc: 'L.-a-n-e,""C":"'I. i."f"f::"":(" N:~"l'.'H.""'/::N'""'..I"'A-':.-1"-D::-:)- :[~E:l-:======~Subject : [EXTERNAL) FW: ATTN: Dr. Fauci/ Good ACE bad ACE do battle in lung injury SARS-CoVcoronavirus Nicholls S Peiris M NATURE-Med 9-2005.pdf** A TTENTTON: This email origi nated from outs ide the MedStar netwo rk.** DO NOT CLICK links or attachme nts unless you recogn ize the sender and know the con tent is safe .The situation gets confusing. See attached brief commentary and e-mail string. As you cansee, I was too tired to make any sense of it. However , my deputy (Cliff Lane) notes that thisNIH-000388paper argues the opposite , i.e. that ACE inhibito rs might have a benefit and counters theargument to stop ACE inhibitor .s Bottom line is that we really do not know what the effect willbe cl inically w ith respect to COVID- 19. In any event, (b)(6)Best,TonyFrom: Lane, Cliff (NIH/N IAID) [El (b)(6)>Sent : Wed nesday, March 18, 2020 5:51 PMTo: Fauci, Anthony (NIH/NIAID) [E] (b)(6)Subject: Re: ATTN: Dr. Fauci/ Good ACE bad ACE do battle in lung injury SARS-CoV coronav irus Nicholls SPeiris M NATURE-Med 9-2005.pdfA 2005 paper post-SARS advocating for use of ACE inhibitors to increase ACE2. The opposing argumentto stop ping ACE inhibitors.From: An thony Fauci Cb) (6)Date: Wednesday, March 18, 2020 at 5:22 PMTo : "Lane, Cliff (N IH/NIA ID) [E]" (b)(6J 1>Subject: FW: ATTN: Dr. Fauci / Good ACE bad ACE do battle in lung injury SARS-CoV coronav ir usNicholls S Peiris M NATURE-Med 9-2005.pdfI cannot make hea ds or t ails of this. Please ta ke a look and let me know what youthin k. Thankjs.Anthony S. Fauci, MDDirectorNational Institute of Allergy and Infectious DiseasesBuilding 31, Room 7A-0331 Center Drive , MSC 2520National Institutes of HealthBethesda , MD 20892-2520Phone : (b)(6)FAX: (301) 496-4409E-mail : -------- (b)(6) The information in this e-mail and any of its attachments is confidential and may contain sensitiveinformation . It should not be used by anyone who is not the original intended recipient . If youhave rece ived this e-mail in error please inform the sender and delete it from your mailbox or anyother storage devices . The National Institute of Allergy and Infectious Diseases (NIAID) shall notaccept liability for any statements made that are the sender 's own and not expressly made onbehalf of the NIAID by one of its representatives .From: Ste McCon Cb) (6)Sent : Wed nesday, March 18, 2020 5:09 PMSubject : ATTN: Dr. Fauci / Good ACE bad ACE do battle in lung injury SARS-CoV coronavirus Nicholls SPeiris M NATURE-Med 9-2005.pdfNIH-000389"Clearly, the potentia l th erapeutic utili ty of recombinan t ACE2 and angiotensin II receptorinhibitors.[ARB's ?)s- already in clinical use for control of blood pressure-for acute lunginjury result ing from viruses and other causes will be a productive field for investigation . This ispart icularly relevant as we prepare to confront a potential avian flu pandemic, [COVID-19 ?]armed with onlya limit ed number of therapeutic opt ions."Regard s,St eph en D. McConnell, BS, MSc-CCP, CISLipidemiologi st - Clinical Application Specia listMedicare-CMS ACO/MSSP/Direct-Contracting ConsultantMedical Science LiaisonMobile: (b)(6)(b)(6)Sent from my iPhoneMedStar Health is a not-for-profit, integrated healthcare delivery system, the largest m Maryland and the Washington, D.C., region. Nationallyrecogn12ed for clinical quality In heart, orthopaedics, cancer and GI.IMPORTANT. This e-mail (including any attachments) may conta•n mforrnat,on that Is private, confidential, or protected by attorney-client orother privilege If you received this e-mail in error, please delete ii from your system without copying it and notify sender by reply e-mail, sothat our records can be corrected ... Thank you.Help conserve valuable resources - only print this email if necessary.NIH-000390From:Sent:To:(b)(6)Thu, 19 Mar 2020 08:30:51 -0400Holland, Steven (NIH/NIAID) [E]Subject: Re: Link to Wash post article re: Kim HasenkrugHe is a good guy, but this is the second time for himOn Mar 19, 2020, at 8:20 AM, Holland, Steven (NIH/NIAID) [E](b)(6)https://www.washingtonpost.com/health/ trump-ban-on-fetal-lissue-research-blocks -coronavirustrealment-effort/2020/03/18/ddd9f754-685c-11 ea-abef-020f086a3fab story.htmlJust making you aware of the WP article this morning. This was a surprise to us and I have tobelieve that Kim was unaware of its preparation or release.SteveDirector, Division of Intramural ResearchNationa l Institute of Allergy and Infectious DiseasesNational Institutes of HealthBldg. 10/11N248 MSC 1960Bethesda, MD 20892-1960-----(b) (6) voice 301-480-4507 fax-----(b)(6)emai lAssistant lab: Eva Porti llo~==~~~--Cb)( 6) email -----(b) ( voiceAssistant to SD: Beth Schmidt(b)(----(b) -(6) voiceFrom : Karyl Barron CbH6)>Date: Thursday, March 19, 2020 at 7:35 AMTo : Amy Agrawal (b)(6)Subject: Link to Wash post article re: Kim Hasenkrughttps :/ /www. wash i ngton post.com/health/trump-ban-on-fetal-tissue-research-blocks -coronavi rus-treatment-effort/2020/03/18/ddd9f7 54-685c-11 ea-abef-020f086a3fab _story.htmlNIH-000391From: (b)(6)Sent:To:Subject:Thu, 19 Mar 2020 08:29:22 -0400Verma, Seema (FDA/CDER) (CTR)Fwd: Long term care facil itiesSee below. As per your prior discussionBegin forwarded message:From: Dorothy Franklin __________ _,Date: March 19, 2020 at 8:22:2 4 AM ED-T- -----~~ To: "Fauci , Anthony (NIH/N IAID) [E] " --------- (b)(6) Subject: Long term care facilitiesBased on studies at Kirkland care facility indicating staff were spreading thecoronavirus to multiple facilities sharing staff, is there or will there be guidance torequi re these facilitie s to re tain_ a dedica ted staff on ly?NIH-000392From: Fauci, Anthony (NIH/NIAID) [E)Sent : Thu, 19 Mar 2020 02:33:41 +0000To: Redfield, Robert R. (CDC/OD);Stephen Hahn;Birx, Deborah L. EOP/NSCCc: (b)( ;Troye, Olivia EOP/NSC;Short, Marc T. EOP/OVP;Miller,Katie R. EOP/OVP;Hicks, Hope C. EOP/WHO;kellyanne conwaySubject : FW: NEJM: A Trial of Lopinavir - Ritonavir in Adults Hospitalized with SevereCovid-19 http://bit.ly/2x91Ji0As per my prior e-mail. The medical people likely are aware of this. It just came out tonight.(b) (5)From: Folkers, Greg (NIH/NIA ID) [E) -------- (b) (6)>Se nt: Wednesday, March 18, 2020 10:14 PMSubject: NEJM: A Trial of Lopinavir-Ritonavir in Adults Hospitalized with Severe Covid-19http://bit.ly/2x91Ji0Access provided by NIH LibraryA Trial of Lopinavir-Ritonavir in AdultsHospitalized with Severe Covid-19List of authors.• Bin Cao, M.D., et al.AbstractBackgroundNo therapeutics have yet been proven effective for the treatment of severe illness caused by SARS-CoV-2.MethodsWe conducted a randomized, controlled, open-label trial involving hospitalized adult patients withconfirmed SARS-CoV-2 infection, which causes the respiratory illness Covid-19, and an oxygen saturation(Sao2) of 94% or less while they were breathing ambient air or a ratio of the partial pressure of oxygen(Pao2) to the fraction of inspired oxygen (Fio2) of less than 300 mm Hg. Patients were randomly assignedin a 1:1 ratio to receive either lopinavir - ritonavir (400 mg and 100 mg, respectively) twice a day for 14days, in addition to standard care, or standard care alone. The primary end point was the time to clinicalimprovement, defined as the time from randomization to either an improvement of two points on aseven-category ordina l scale or discharge from the hospital, wh ichever came first.ResultsA tot al of 199 patients with laboratory-confirm ed SARS-CoV-2 infection underwent randomization; 99were assigned to the lopinavir-ritonavir group, and 100 to the standard -care group . Treatment withlopinavir - ritonavir was not associated with a difference from standard care in the time to clinicalimprovement (hazard ratio for clinical improvement, 1.24; 95% confidence interval [Cl], 0.90 to 1.72).NIH-000397Mortality at 28 days was similar in the lopinavir - ritonavir group and the standard-care group (19.2% vs.25.0%; difference , - 5.8 percent age points; 95% Cl, - 17.3 to 5.7). The percentages of patients withdetectable viral RNA at various time points were similar . In a modified intention-to -treat analysis,lopinavi r- ritonavir led to a median time to clinical improvement that was shorter by 1 day than thatobserved with standard care (hazard rat io, 1.39; 95% Cl, 1.00 to 1.91). Gastrointestinal adverse eventswere more common in the lopinav ir- ritonavir group, but serious adverse events were more common inthe standard -care group. Lopinavir- rit onavir treatment was stopped early in 13 patients (13.8%)because of adverse events.ConclusionsIn hospitalized adult patients with severe Covid-19, no benefit was observed with lopinavir-ritonav i!Jt reatment beyond standard care. Future tr ials in patients with severe illness may help to confirm orexclude the possibility of a treatment benefit . (Funded by Major Projects of National Science andTechnology on New Drug Creation and Development and others ; Chinese Clinical Trial Register number,ChiCTR2000029308 . opens in new tab.)1.0.. 09& o.al 01J 06OS-~ O•~:iOJ:E, 02 u010 .0 •N o. •t Risklol)1nav1t- rito1t.11v1t '}9 93Control 100 100I939&1218gg16so60l,opln.11v1-1flton.11v,r20333926322822 ,oFigure 2 . .__ ________________________ _. ime to ClinicalImprovement in the Intent ion-to-Treat Population.Disclaimer: Any third-party material in this emaiJ has been shared for internal use under fair use provisionsof U.S. copyright law, without further verification of its accuracy/veracity . It docs not necessarily representmy views nor those ofNIAID , NIH, HHS, or the U.S. government.NIH-000398From:Sent:To:Fauci, Anthony (NIH/NIAIO) [E)Thu, 19 Mar 2020 02:20:05 +0000sheila.ka plan@nytimes.comCc:Subject :Collins, Francis {NIH/OD) [El;Conrad, Patricia (NIH/NIAID) [ElFW: Coronavirus interview with Dr. CollinsSheila:I do not recall getting a request from you. I am completely swamped and so it may have justgotten buried in a pile and I did not see it. I apologize. I am mostly locked into the Whi teHouse where we must give up our phones and so it makes it very difficult for me to returncalls. I talk to Francis all the time and he is very well versed in these issues. He will do a finejob of providing you with the information you need. If you would still like to speak w ith melater on, we can try to make that work. Again, I am sorry if you felt snubbed.Best regards,TonyFrom: Kaplan, Sheila <sheila .kaplan@nyt imes.com>Sent: Wednesday, March 18, 2020 4:10:58 PMTo: Myl es, Renate (NIH/OD) [El (b)(6)Cc: Burklow, John (NIH/OD) [El (b)(6)> ; Fine, Amanda (NIH/OD) [El(b)(6)Subject : Re: Coronavirus interview with Dr. CollinsHi Renate,Thank you .... We appreciate it. SKOn Wed, Mar 18, 2020 at 3:56 PM Myl es, Renate (NIH/OD) [E]Hi Sheila:(b)(6) wrote:The questions you shared with Amanda were really for Dr. Fauci; he's our spokesperson on allresearch specific questions. I know he's really backed up and NIAID is doing the best they can with hisincredibly packed schedule . The interview with the Atlant ic was really intended as a profile , but endedup covering a lot of COVI D questions. We can check in with NIAi D to see what we can do.Thanks,RenateNIH-000399From: Kaplan, Sheila <sheila.kaplan@nytimes.com>Sent: Wednesday, March 18, 2020 3:27 PMTo: Myles, Renate (NIH/OD) [E]--------(b)(6)>; Fine, Amanda (NIH/OD) [E] Subject : Re: Coronavirus interv iew with Dr. CollinsHi there,>; Burklow, John (NIH/OD) [E](bH >Why were we told we could not do an interview, when, after our request, he did one with TheAtlantic. You referred us to Dr. Fauci but he isn't t alking, either . This doesn't seem fair to us. Can wereally not speak to either of them for a story this weekend?Thanks, SKOn Sun, Mar 15, 2020 at 4:00 PM Kaplan, Sheila <sheila.kaplan@nytimes .com> wrote :Dear Renate, John and Amanda:Sheri Fink and I would like to interview Dr. Collins as soon as possible for a story on coronavirus.Can you please let me know when he might be available .Thank you,SheilaSheila KaplanReporter, Washington BureauThe New York TimesOffice: {202) 862-0312Cell: ------(b)(6)1Sheila KaplanNIH-000400Reporter, Washington BureauThe New York TimesOffice: (202) 862-0312Cell: -----(b)(6)Sheila KaplanReporter, Washington BureauThe New York TimesOffice: {202} 862 -0312Cell: (b)(6)NIH-000401From:Sent:To:Cc:Subject :Francis:Fauci, Anthony (NIH/NIAIO) [E)Thu, 19 Mar 2020 02:13:35 +0000Collins, Francis (NIH/OD) [ElConrad, Patricia (NIH/NIAID) [ElRE: Coronavirus interview with Dr. CollinsGo for it. We need all the help we can get I do not remember getting a request fromSheila. I will write and apologize.Best,TonyFrom: Collins, Francis (NIH/OD) [El- ------- (b) (6)> Sent: Wednesday, March 18, 2020 9:25 PMTo: Fauci, Anthony (NIH/NIAID) [E] -------=- (be)(-= >Cc: Myles, Renate (NIH/OD) [El (b)(6) >; Burklow, John (NIH/OD) [E)(b)(6)Subject: FW: Coronavirus interview with Dr. CollinsHi Tony ,I could use your guidance on press interviews. I understand that only Task Force members aresupposed to do television events - and I declined the NewsHour tonight to be consistent withthat. But what is your preference for printed press pieces, when you can't do them all? Wou ldit help the cause for me to accept some of those, or is it better to hold off? If I were to engage,I would certainly seek to provide answers that are 100% with what you are doing.An example is the thread from Sheila Kaplan of the New York Times. I have declined so far -but is this the kind of query that you would like some help with?FrancisFrom: Kaplan, Sheila <sheila.kaplan@nytimes.com>Sent: Wednesday, March 18, 2020 4:10:58 PMTo: Myles, Renate (NIH/OD) [E] (b)(6)Cc: Burklow, John (NIH/OD) [E] =====~ (b~)(~6)]; Fine, Amanda (NIH/OD) [E](b)(6)Subject : Re: Coronavirus interview with Dr. CollinsHi Renate,Thank you .... We appreciate it. SKOn Wed, Mar 18, 2020 at 3:56 PM Myles, Renate (NIH/OD) [E] _____ C_b)_(6)> wrote:NIH-000402Hi Sheila:The questions you shared with Amanda were really for Dr. Fauci ; he's our spokesperson on allresearch specific questions. I know he's really backed up and NIAID is doing the best they can with hisincredibly packed schedule. The interview with the Atlant ic was really intended as a profile , but endedup covering a lot of COVID questions . We can check in with NIAID to see what we can do.Thanks,RenateFrom: Kaplan, Sheila <sheila.kaplan@ nytim es.com>Sent: Wednesday, March 18, 2020 3:27 PMTo: Myles, Renate (NIH/OD) [E) (b)(6)>; Burklow, John (NIH/OD) [E]-------- CbH >; Fine, Amanda (NIH/OD) [E] CbH > Subject: Re: Coronavirus inte rview with Dr. CollinsHi there,Why were we told we could not do an interview, when, after our request, he did one with TheAtlantic. You referred us to Dr. Fauci but he isn't t alking, either . This doesn't seem fair to us. Can wereally not speak to either of them for a story this weekend?Thanks, SKOn Sun, Mar 15, 2020 at 4:00 PM Kaplan, Sheila <sheila.kaplan@nytimes.com > wrote :Dear Renate, John and Amanda:Sheri Fink and I would like to interview Dr. Collins as soon as possible for a story on coronavirus.Can you please let me know when he might be availa ble.Thank you,SheilaNIH-000403Sheila KaplanReporter, Washington BureauThe New York TimesOffice: (202) 862-0312Cell:- ----(b)(6)Sheila KaplanReporter, Washington BureauThe New York TimesOffice: {202) 862-0312Cell:- ----(b)(6)Sheila KaplanReporter, Washington BureauThe New York TimesOffice: {202} 862 -0312Cell: (b)(NIH-000404From:Sent:To:Subject:Fauci, Anthony (NIH/NIAID) [E)Thu, 19 Mar 2020 02:12:30 +0000Eisinger, Robert (NIH/NIAID) [E)FW: typo, etc. fixed , (b) (6)Too long for me to readFrom: Erik Nilsen <eni lsen@b io- signal.com>Sent: Wednesday, March 18, 2020 10:11 PM -----~~ To: Fauci, Anthony {NIH/ NIAID) [E] (b)(6)_ __:_.:...:!= (b ~ )~(6) :;------Subject: typo, etc. fixed , ______ ____,Hi Dr. Fauci,I'm now back in my office. I typed the orig inal message onphone. I just noticed a bunch of typos. Below is a betterversion.Regards,ErikDear Dr. Fauci,You're beyond busy but I hope you read this message.(b) (4)I'm only mentioningthis so you don't think I'm a paranoid freak. I'm convinced youalready know the outbreak is way past the point of containment,and, unfortunately, herd immunity will soon ensue. Then,outbreak 2 will happen shortly after, and, hopefully, not adinfinitum.I'm writing to make sure you already know or at least suspecteverything I'm about to tell you. I need to clear my conscienceNIH-000405because it's possible (albeit unlikely) that some of what tell you isnew and possibly useful in, at least, saving lives in the USA.I'm a physicist and have been modeling this outbreak sinceJanuary. My panic started minutes after I learned tvSM peopleleft Wuhan around January 22 a few days before the CCP startinglocking the country down. The SM peop le scattered to 13,000+cities in China to visit family & friends for the Lunar Festival(Ch inese New Year). I 've been communicating with quite a fewpeople around the world including an NYU epidemiologist (b)(6). We've both been warningour families, to mostly deaf ears at first, since January. It's beenf rustrating and exhausting, but, finally, most are as prepared aspossible for what's about to happen.I have lots of information about China due to my business,scientif ic, friendship, and other ties with many there, includingimmunologists & virologists at top-tier institutions andlaboratories . My WeChat account (like Skype / Whatapp) wasblocked by the CCP for 3 days late February / early March, but,after a warning message, it is now unblocked . I'm willing toshare with you everything I know, think I know, or seriouslysuspect.Here are a few examples:I'm confident t hat China stop counting dead COVID-19 infectedbodies since tvJanuary 7, 2020. They'v e been add ing fabricateddata daily to show (to save face) the world and their own peoplean impressive flattening of China outbreak curve . It's easy toprove this via data analysis because, for example, improbablecoincidences occurred in much of the data. My suspicions wereeventually confirmed by at least two of my sources in China(b)(6)------------------ ). The data posted byChin a is not only garbage, it has mis led the world into a falsesense of security wrt death rate, age vs death, and other things;that is, if people analyzed the world's data including China, theNIH-000406NIH-000407results are heavily biased towards nonsense, because China'snumber of cases accounted for the majority of cases worldwide(until a day or so ago).I want to emphasize that I do not believe China intentionally didthis to harm the world. I sincerely believe it was done for savingfacereasons. Saving face is possibly the most powerfulmotivating force in China. it is the key to understanding howmost Chinese think and why they do what they do. China wantedthe world to believe that their Herculean quarantining effortscontained the outbreak . However, I don't think this is true, evenafter spraying ~billions of gallon of "Clorox" all the country. Thenumber of body bags my contacts told me about about, evenafter short 15-minutes walk to/from grocery stores in one cityduring CCP-authorized time slots, suggest the number of deathsis several orders of magnitude larger than what China's posteddata indicates . Also, everyone I know in China continues to be inlock down ( ~6+ weeks now), and several went "silent" sinceabout a week ago. This greatly troubles me because those whowent silent live in Wuhan. And, yesterday, the CCP revokedpermits/license for several Foreign reporters who were trying tolearn about about the situation in Wuhan and other parts ofChina. Several of my sources have told me, in coded language,that the situation in at least Wuhan is not under control at all. Inmy opinion, China is continues to be extremely concerned aboutsaving face (first) and their economy (second). Their economy isalready suffering terribly, and they can't afford to lose the manylarge manufacturing and other business agreements with foreigncountries . This is why I believe they're trying, and succeeding toconvince many, to convince most of their population that theoutbreak is under control, and it will soon be ok to return to work-- even though it will not be safe, because of current outbreakand outbreak # 2 that will likely start soon. Citizens are notallowed to travel beyond a few stores and, in special cases, theirwork office, so even people who live their have no idea what'sreally going on especially in Hubei province including Wuhan.Also, an H 15N outbreak seems to have recently started inNIH-000408humans in Hunan province (which neighbors Hubei/Wuhan area) .I also have lots of information about USA.Here is some:I believe that many COVID-19 deaths were incorrectly labelled at2019-2020 flu deaths. The spreading in the USA is almostcertainly already homogeneous, because it's been going on sincelast year without any containment whatsoever. Once massivetesting finally starts, this truth/reality will, unfortunately, becomeobvious. It will manifest itself as hyper exponential (hyperbolic)growth starting a day or two after the millions of testing kitsarrive and start being used . The hyper exponential dynamics willeventually evolve to a more accurately calibrated exponentialcurve once the number to tests is large enough to properlysample the population. I don't think Italy is ahead of us. I thinkwe're ahead and by a large amount.A few other quick bits of info ...The time between infection and death seems to have decreasedfrom about ~20 days (a few months) ago to possibly as short as~8 days. And, the incubation period seems to be significantlylonger. Both, and other data I've looked at, strongly suggest atleast one mutation has occurred. This is extremely concerning tome. Another concern is the distribution of deaths vs. age appearsto not be as strongly biased, compared to when China data wasincluded, towards older people and/or people with chronic healthconditions.Over the past 15+ years, I've traveled to China multiple timesper year. I'm pretty sure you've known this for a while, but Itruly believe the outbreak tsunmai in the USA is either alreadyhappened or is about to happen. As you know, as soon as asurge is sensed, the Tsunami will immediately follow. I believewe missed the containment boat quite a while ago. I've beenclosely listening to your comments on TV, and I'm pretty sureyou've already come to the same conclusion but don't want tocause mass panic (I understand that).I'm 99% sure that SARS-CoV-2 been spreading in the USA sincelate November / earlv December last year. (b)(6)(b)(6)--(b-)(6) She works at (b)( 6) and it's possible that everyone in her office got infected too. Whoknows how many people in Alaska got it too, but I suspect manytens of thousands possible much more. CbH6)but it has been impossible to gettested. I've called 5 places in Alaska and none wanted me tocome it for the test.I've instructed my family and, recently (after family), closefriends to get some Alvesco ( ciclesonide) for emergency useonly. I've been told by colleagues on the front-line in Japan,China, and Korea, and found several pre-pr int papers, that it isan effective treatment for late-stage COVID-19 patients. Somepatients on ventilators who were approaching death have fullyrecovered after treatment with ciclesonide; ciclesonide has muchsmaller particles than other corticosteroids so it reaches deeperinto lungs and alveolis) . Also, the treatment seems to be apotent suppressor of virus replication. Recovered patients havetested negative shortly after the treatment. Of course, data islimited so can't be sure the treatment is effective. However,because Alvesco has been shown to be safe for infant - 100+year-old patients, I'm ok with my family and I having it foremergency use. That is, only if healthcare facilities are unable toaccept them or me as a patient to treat with ventilator,NIH-000409NIH-000410corticosteroids ( or whatever the best available treatment is atthat time). Having Alvesco in our emergency kits is a muchbetter option that someone avoidably dying because of anoverburdened healthcare facility. The other drug I have, andhave told my family and some friends to get, is calledhyro xychloriquine -- also seem to be effective and safe. But , Ithink Alvesco is better because it appears to prevent the virusfrom replicated so infection is wiped out and no longercontagious. Alvesco seems to be two silver bullets in one.I don't believe in coincidences and I'm not a conspiracy theorist,but there are many things out of Iran that also concern megreatly . That's all I say right now.If all of this is old news to you, then I would greatly appreciate aresponse. It can be as short as "yes". Anyway, I had to share thisinformation with you. Now my conscience is clear . My concern isthat it's possible you don't have some of the above info, so Idecided to send you this message .I wrote this quickly, so I apologize in advance for any typos,etc .I truly appreciated your efforts, and I'm now confident thatPresident Trump, you, and everyone else involved is doingeverything possible to ensure the best possible outcomes. I wasdeeply concerned a few weeks ago, when the gravity of thesituation seemed to not be fully recognized by several in DC.Feel free to call me anytime. My cell # is below. If you do call, Iwill keep anything we discuss confidential (if necessary) .Sincerely,ErikErik A. Nilsen, PhD(b)(6) I www .bio-si gnal.com I Request a demo or quoteBio-SignalTechnologiesNIH-000411From:Sent:To:Subject:Fauci, Anthony (NIH/NIAIO) [E)Thu, 19 Mar 2020 02 :07:41 +0000Conrad, Patricia (NIH/NIAID) [ElFW: Coronavirus interview with Or. CollinsSee yellow highlight. Has Sheila Kaplan tried to get to me and has anyone said that I am " ... nottalking"? I doubt that.From: Collins, Francis (NIH/OD) [El ------- (b)(6)>Sent: Wednesday, March 18, 2020 -9:-25- -P-M- ::;..,...,= To: Fauci, Anthony (NIH/NIAID) (El (b)(6J1>Cc: Myles, Renate (NIH/OD) [El..:....:~==== (b ~)~~~;~Burklow, John (NIH/OD) (El(b)(6)Subject: FW: Coronavirus interview with Dr. CollinsHi Tony,I could use your guidance on press interviews. I understand that only Task Force members aresupposed to do televis ion events - and I declined the NewsHour tonigh t to be consistent withthat. But what is your preference for printed press pieces, when you can' t do them all? Wou ldit help the cause for me to accept some of those, or is it better to hold off? If I were to engage,I would certainly seek to provide answers that are 100% with what you are doing .An example is the thread from Sheila Kaplan of the New York Times. I have declined so far -but is this the kind of query that you would like some help with?FrancisFrom: Kaplan, Sheila <sheila.kaplan@nyt imes.com>Sent : Wednesday, March 18, 2020 4:10:58 PMTo: Myles, Renate (NIH/OD) [El (b)(6)> ""':======~~ Cc: Burklow, John (NIH/OD) [El ---------- (b)(6); Fine, Amanda (NIH/OD) [El (b) (6)>Subject: Re: Coronavirus interview with Dr. CollinsHi Renate,Thank you .... We appreciate it. SKOn Wed, Mar 18, 2020 at 3:56 PM Myles, Renate (NIH/OD) [ElHi Sheila:NIH-000412(b)(6)> wrote :The questions you shared with Amanda were really for Dr. Fauci ; he's our spokesperson on allresearch specific questions . I know he's really backed up and NIAID is doing the best they can with hisincredibly packed schedule. The interview with the Atlantic was really intended as a profile, but endedup covering a lot of COVID questions. We can check in with NIAID to see what we can do.Thanks ,RenateFrom: Kaplan, Sheila <sheila.kaplan@nyt imes.com>Sent: Wednesday, March 18, 2020 3:27 PMTo: Myles, Renate (NIH/OD) [E) >; Burklow, John {NIH/OD) [E]-------- CbH >; Fine, Amanda {NIH/OD) [E)- -------- (b)(6) Subject: Re: Coronavirus interview with Dr. CollinsHi there,Why were we told we could not do an interview, when, after our request, he did one with TheAtlantic. You referred us to Dr. Fauci but he isn't talking, either. This doesn't seem fair to us. Can wereally not speak to either of them for a story this weekend?Thanks, SKOn Sun, Mar 15, 2020 at 4:00 PM Kaplan, Sheila <sheila.kaplan@ny t imes.com> wrote:Dear Renate, John and Amanda:Sheri Fink and I would like to interview Dr. Collins as soon as possible for a story on coronavirus.Can you please let me know when he might be available.Thank you,SheilaSheila KaplanReporter, Washington BureauNIH-000413The New York TimesOffice: {202) 862-0312Cell:- ----(b)(6)Sheila KaplanReporter, Washington BureauThe New York TimesOffice: (202) 862 -0312Cell!- ---- (b)(6)Sheila KaplanReporter, Washington BureauThe New York TimesOffice: (202} 862-0312Cell: (b)(6)NIH-0004 14From: Fauci, Anthony (NIH/NIAID) [E)Thu, 19 Mar 2020 02:05:42 +0000Doug BrustSent:To:Subject: RE: Please HelpDoug:Thanks for the note. I have pushed hard on PP Es and as you may know, the POTUS hasinvolved the Department of Defense to provide 5 million N-95 respirators. Hopefully that willalleviate at least a portion of the PPE shortage. Regarding the bars and beaches, I have beenscreaming on TV 2 to 5 times per night to tell t he younger generation to start tak ing thisseriously. I am very surprised that Gov. Desantis has not completely closed the bars, even ifthey serve food. Take out only. I will bring this up at the Task Force meeting tomorrow.Please take care of yourself. You are an indisp ensable front line warrior.Best regards,TonyFrom: Doug Brust (b)(6)>Sent: Wednesday, March 18, 2020 8:16 PM ------~= To: Fauci, Anthony (NIH/NIAID) [E)- ------- (b)(6J> Subject: Please HelpTony-I know you're ridiculously busy so please do not be upset with me, but I am frustrated and yes angry.Again, I think you have to hear from the front line while formulating policy.• Today at the RW clinic I dealt with at least 12 URl's with fever.• We cannot test .• We have no PPE in clinic.• We have a case that tested positive for influen za then SARS-CoV-2--t his scared me the mostgiven I'm trying to r/o COVID-19 by doing PCR for other respiratory viruses.• On the drive home just now, the gyms, bar-grilles and restaurants still packed. Yes, bars areclosed in Florida--but if they serve food (which they all do) ....... they're open. Ans, so much forthe 50% capacity "suggestion" .• The beaches still ful l for Spring Break. Look at the pies of St Pete.• The DOH? This is from the the FL DOH just a few hours ago. Yes, this is TODAY." If a cluster of confirmed cases were to be discovered in Florida, the department wou ldmove quickly to engage with and isolate any infected individuals to prevent furtherspread," said Alberto Moscoso, the state health department's spokesman .I don't have to explain to you how ridiculous that statement is.NIH-000415• I've written to our DOH and Governor Desantis three times (includ ing speaking with his staff)asking to close restaurants (aside from take -out), gyms, beaches etc. They are "monitoring".I'm the HIV doc here. I'm it . You know how seriously I take caring for my patients . I have (b)(6)- I am putting my life on the line so fo lks can go pump iron, drink beer, have a burger and get a ta n.The band is playing on. Again.Please help.With tons of respect and admiration,DougNIH-0004 16From:Sent:To:Subject :Fauci, Anthony (NIH/N IAID) [ElThu, 19 Mar 2020 01:59:12 +0000Lerner, Andrea (NIH/N IAID) [ElFW: CoronavirusPlease respond to this person.-----Original Message -----From: Be th Abramson ______ __,('b")'..~.=, >Sent: Wednesday, March 18, 2020 9:5-8 -P-M-- ~~= To: Fauci, Anthony (NIH/NIAID) [E]..._ _____ (b_)_C_,>Subject: CoronavimsWondering whether it has been considered that only the vulnerable population (those over 60 and/or those withunderlying hea lth cond itions)be isolated? I am a (b)(6)psyc hiatrist and after contemplating this option waswonde1ing if this could still reduce the risk to healthca re Systems with less disruption to our society. I await yourresponse and apprec iate all you are doing. Beth Abramson MD (b) (6)Sent from my iPhoneNIH-000417From:Sent :To:Fauci, Anthony (NIH/NIAIO) [ElThu, 19 Mar 2020 01:54:06 +0000Lerner, Andrea (NIH/NIAID) [ElSubject: FW: Plaquenil Shortage Causing National Health Emergency for lupus PatientsPlease respond.From: Bruce Wilder Cb) (6)>Se nt: Wednesday, March 18, 2020 9:52 PMTo: Fauci, Anthony (NIH/NIAID) [E]-------= (b-)c(c-6-)=Subject: Plaquenil Shortage Causing National Health Emergency for Lupus Patients--------------------------- (b)(6) When I tried to refill Plaqueni l today, I learned that there was a nationa l shortage due to doctors prescrib ing Plaquenil to their well patientsand themse lves. Recent news articles have reported its success in preventing and treating the coronavirus .What can you do to protect the life of (b) (6) and the millions of other Americans who depend on this drugto stay alive?Brenda Wilder(b)(6)NIH-0004 18From:Sent:To:Subject :Fauci, Anthony (NIH/N IAID) [ElThu, 19 Mar 2020 01:53:32 +0000Lerner, Andrea (NIH/N IAID) [ElFW: Please read- idea for Mask ShortagePlease take a look and hand le.From: Dust i Rainey ~ (b)( ~Sent : Wed nesday, March 18, 2020 9:5 1 PM To: Fauci, Ant hony {NIH/NIAID) [E] ---------------- (~b)(=6) Subje ct: Please read- idea for Mask ShortageI have an idea to HELP with the MASK SHORTAGE!Please don't disregard th is, as this could help our whole country!I know we are concerned as a nation about a mask shortage and I have an idea to what might help.I Don't know who to go to that can help imp lement this and want your input if you think this is a viableaid, then maybe you can help me reach the right people to make the biggest impact, maybe even up tothe Coronavirus team in the White House.I have (b) (6) & when I first heard about China quarantin ing 43 million peop le I gotworried about masks, I looked up how to sew a mask for myself & family. I found a site that talked aboutsewing masks for cancer treatment patients and to use 100% quilters cotton for outside & 100% flannelcotton on inside. I started sewing several. I know they aren't the N95, but they are bette r than nothingIF needed. My Dr just told me yesterday not to go anywhere without a mask because it's too much of arisk for my health . It got me thinking. What if while people across the country were in home quarantine,ALL those who know how to sew, they sew these masks to donate in their communities. Not for useagainst Coronavi rus, but for other things normal masks are used (food prep, non-sickness medicalreasons, etc) then they aren't using up the valuab le higher rated masks that are needed for doctors,nurses & first responders fighting Coronavirus . These masks can also be washed as needed again andagain which will just keep saving other masks.During the WH Press Release this morning, Seema expresses the need for masks & Dr Birx explainedhow the virus is being spread from surfaces, but that it can't survive in fabric . Which means maybe thesecloth masks will even help against the spread of the virus.Either way, if you can help ok for these to be used in some manner vs a medical mask being used willhelp pro long the need for more masks and hopefully 3M can have more made by then so we never haveto exper ience an lack of masks.What do you think?Dusti Bacon(b)(6)NIH-0004 19From:Sent :To:(b)(6)Wed, 18 Mar 2020 19:56 :42 -0400John BrouseSubject: Re: Covid19 treatmentThank you for your note.A.S. FauciSent from my iPhoneOn Mar 18, 2020 , at 7 :02 PM, John Brouse ---------- CbH>6)wrote:Sent from Mail for Windows 10Dear Dr. FauciI understand that South Korea has been administering Hydroxl Chloroquine, a treatme ntfor Malaria, to her citizens that have contracted Coronavirus . Is America considering thisdrug to help lessen the symptoms of t his virus? This drug may not prevent anyone fromgetting ill, but may be a viable treatment to speed the recovery of individual afflic ted withthis disease.Respectfully,John BrouseNIH-000420From:Sent:To:(b)(6)Wed, 18 Mar 2020 19:55:14 -0400Holly KreutterSubject: Re: airport screeningsThank you for your note.A.S. FauciSent from my iPhoneOn Mar 18, 2020, at 7: 10 PM, Holly Kreutter --------- (b)(6) wrote:Dear Dr Fauci,First of all, thank you for all the hard work you've done to help mitigate thecoronavirus outbreak. We're clearly not there yet, but are further along with yourefforts.I'm not sure whom to contact about this, and so am writing you because I'mconfidant you can get it to the right hands. With regards to the recent closures toEurope and so many Americans coming home, I was at first heartened to hear thatall Americans returning would be medically screened and encouraged to/made toquarantine for 14 days. However, I was then disheartened to learn that that hasn'tbeen the case, at least through this past Saturday.(b)(6) was on business in Amsterdam last week and rushed home last Thursdayafter hearing on Wednesday evening about President Trump's Friday midnightshutdown . He came in through LAX from Amsterdam, and wasn't asked anymedical questions, nor was he asked to quarantine. Then a friend came in throughMiami from Paris on Saturday, and was only given a short medical form to fill out,and then let go. No medical check, no temperature screening, no further questions.From touchdown to taxi (plus picking up bags), 45 minutes total.Having lived in Singapore through SARS, I'm deeply disturbed. We hadmedical/temperature checks at all airports, and mandatory quarantines for anyonewith possible contact with a SARS contact/patient . The virus was quickly andefficiently contained, and the same has been done in Singapore to date with Covid19.I was heartened last Friday as I learned that the federal government was on board,and hearing about significant measures that would be taken soon. I must say I'vebeen disheartened as of today, with not enough tests, mask, respirators andventilators in place. And then hearing of the lack of medical screenings at airports.Please help, as I know you've so desperately been trying to do. And please help tostem any incorrect information going out from our President, information whichNIH-000421NIH-000422gives us hope for a couple of days, and then dashes that and puts many into afrenzied despair. We can cope with what's happening, and will continue to changeour behavior per the guidelines , but only with information that's accurate.Thank you, and keep safe,Holly KreutterVirginia ResidentFrom:Sent:To:(b)(6)Wed, 18 Mar 2020 19:54:24 -0400NIAID Public InquiriesSubject: Fwd: Volunteer status for current nursing studentsSent from my iPhoneBegin forwarded message:From: Ivan Boc ardo Cb)(Date: March 18, 2020 at7:16:25 PM ED-T- ------~~ To: "Fauci, Anthony (NIH/NlAID ) (E]" CbH6· JSubject: Vol unteer status for current nursing studentsDear Dr. Anthony Fauci,My name is Ivan Bocardo, and am a (b)(6) U.S. Army Medic (68W) deployed toAfghanistan in 2011-2012. I can send you my resume so you can see my skills and abilities that Ican bring to the table. Am currently in nursing school ( R.N. ) in Rego Park, Queens with a(b)(6) .._ _________ -=-:,~My school (----=- .-- ,-.-- ,. .. ....,,..._..----..---..--. (b) (6)) hasrecieved a request from New York Governor Cuomo's office looking for nursing students to helpvolunteer. However many students like myself are very hesitant to volun teer for the simple factthat it will interfere with our studies and we will still have to comply with class assignments andclass exams and especially with final exams this current semester coming up at the middle toend of April 2020. Yet many of my fellow classmates would love a chance to stand up anddeliver help during these trying times. However our school will not except any excuses forlateness or absence even though we are now on an online learning as of this moment. So ourgreatest fear is that we wont finish this semester and will not be able to start next semester ( itstarts April 28, 2020 for our school ) ... basically 2 semesters wasted and it will push back ourgraduation date and furthermore incur more student loans in order to continue with school.This is why I am writing to your office if an exception can be made and we can have OT J ( on thejob training for nursing) and recieve credit and for our current semester and possibly our nextsemester. Many of the students I speak about already have a Bachelor's degree ( I myself havea B.S. In Biology from (b) < ) and many are or have worked as Nurseaides in many NYC area local hospitals with many years of excellent experience. Imagine if youare able to approve this for many nursing school students in just the New York City area andLong Island Suburbs .This would be virtually an untapped experienced workforce ofliterally hundreds perhaps maybe thousands of hands on personnel ready to go to help relievethe over burdened health system workers and provide additional reinforcements due to thecoronavirus. In not only my area of New York city but possibly all over the country where we canhelp provid ing help and additional assistance and reinforcemen tsDr. Fauci, I am humbly asking for special permission, we all will need all the help we can get.Please consider this option as this can be a win/ win situation for not only NYC residents but forother areas of the country hit hard by this crisis . I have spoken to many of my fellowclassmates and they all understand the risk and would be willing to share the burden with theNIH-000423extreme pressures put on the health care system at this time. Many of us including myself wouldbe willing to work on site or what ever site you may need us the most, many us fully understandthat we could potentially be away from our families for an extensive unknown period oftime which we are ready for and prepared for or possibly put our health on the line too.I implore you to give us a chance and only ask for special permission for OT J in order to fullyfinish our R.N. nursing degree.Thank you for your time in reading this letter.You are doing one fine heck of job in providing outs tanding information and keeping the publicinformedSincerely ,Ivan BocardoPersonal Cell phone ____ (_b)_(6.)NIH-000424From:Sent:To:(b)(6)Wed, 18 Mar 2020 19:52:49 -0400Margaret WilburSubject: Re: coronavirus immunityThank you for your note.A.S. FauciSent from my iPhoneOn Mar 18, 2020, at 7:25 PM, Margaret Wilbur (b) <6l>wrote:Have we reached a time when it might be useful to prove who is immune toCovid-19? I understand that there is an antibody test already available. Ifwe could identify who is already immune , we could then let those peoplereturn to daily life, work safely in essential positions, and feed the economy.I practiced internal medicine in Cleveland, Ohio for (b)(6). I was amazedon a daily basis by the breakthrough that was PCR testing. Right now oldfashionedantibody tests might make a critical difference to us.Margaret Wilbur, MD(b)(6)NIH-000425From: (b)(6)Sent:To:Wed, 18 Mar 2020 19:52:29 -0400Ronald FrankSubject : Re: Dental offices and the coronavirus IMPORTANTThank you for your note.A.S. FauciSent from my iPhone> On Mar 18, 2020, at 7:28 PM, Ronald Frank -------- (b) (6) > wrote: >> Dear Dr Fauci,>> Firstly, I would like to commend you on your expertise and leadership.>> As we develop a comprehensive plan lo tackle the coronavirus pandemic , I believe that we have failed to address acritical piece of the puzzle to contain the virus.>> I am a physic ian and urologist, but I mn astutely aware of the dental profession. I have a older brother who is apracticing dentist and I have voiced my concems to him.>> Each and everyone of us who has had an appointment with a dentist knows the procedure of pressure irrigation inthe mouth resulting in a mist and aerosol of secretions and saliva depositing on the faces of patients, the dentist andon all the surfaces in the treatment rooms. While the dentist wears a face mask, the spray of secretions, in apotential coronavims carrier, widely contaminates surfaces, other employees and patients.>> l pose the question, should dental offices be actively treating patients during this critical phase in the Coronaviruspandemic? Everything which J have mentioned is corroborated by several practicing dentists. ls the he CDC andthe NTH obligated to set guidelines and restrictions on dental care during this critical time as we try to get control ofincreasing numbers of cases. Should the ADA take a stronger stance during this crisis?>> r respectively reserve these decisions and recommendations to you and your colleagues Thank you>> Sincere ly,>> Ronald G. Frank , M.D.> 1500 Pleasant Valley Way> Suite 201> West Orange, New Jersey 07052> 0. 973•73 I •6600>>> Sent from my iPhoneNIH-000426From:Sent:To:(b)(6)Wed, 18 Mar 2020 19:51 :14 -0400dalt222Subject: Re: Plaquenil for Covid 19Thank. YOll for your note.A.S:;,Fauci~e1it.fri)i1'm1 y iPhone'On Mar 18, 2020 , at 7:41 PM, _________ (b)(.6.J.w. rote:Dr Fauci,I hope all is well with you. I am a Dermatologist practicing in the MetropolitanDetroit area. I have done some literature searching on potential treatmentsfor the novel coronavirus and stumbled across a few case case reports fromChina in 2005 at the time of the SARS outbreak. They detailed somesuccesses in treatment of severe cases with chloroquine. I saw a morerecent study showing hydroxychloroquine had better in vitro efficacy thanchloroquine. Have you heard of this? Plaquenil is so innocuous, I wonder ifwe shouldn't just try it.I think you are doing phenomenal work and really presenting a level,measured and realistic view of this epidemic to the world. Please keep upthe great work. It is much appreciatedDavid A. Altman MD FAADAssistant Clinical ProfessorDivision of Internal MedicineMichigan State University CollegeOf Human MedicineSent from my Verizon, Samsung Galaxy smartphoneNIH-000427From:Sent:To:(b)(6)Wed, 18 Mar 2020 19:50:23 -0400DMID Word NerdsSubject: Fwd: Interest in collaboration on COVID-19 antibody developmentPls handleSent from my iPhoneBegin forwarded message:From: Dea Shahinas (b)(6)Date: March 18, 2020 at 7:41:40 PM ED-T- -----~~ To: "Fauci, Anthony (NIH/NlAID ) [E]" (b)(6 J:-Cc: (b)( >Subject: Interest in collaboration on COVID-19 antibody developmentDear Dr. Fauci,We learned about your research on COVID-19 at NIAID and are int erested incollaborating with you in order to fast-track our efforts in developing antibodiesagainst this infection.We have two decades of experience with single domain antibody (nanobody)technology.I will provide below a brief summary about our company:Virotek is a private Canadian biotec h with focus on t he development of novelbiologics for the treatment of viral infe ctions. Our primary focus area has been inthe areas of infectious diseases and immuno-on cology in animal and humanvert icals. (b) (4)NIH-000428(b) (4)We are also proposing (b)(4). Please let us know if you are interested and we are happy to arrange for a timeto discuss in further detail with you.Best regards,Dea ShahinasDirector, R&DVirotek Inc.(b)(6)NIH-000429From:Sent:To:Fauci, Anthony (NIH/NIAIO) [ElWed, 18 Mar 2020 23:09:32 +0000(b)(6)Cc: (b)(6)Subject: FW: ATTN: Dr. Fauci/ Good ACE bad ACE do battle in lung injury SARS-CoVcoronavirus Nicholls 5 Peiris M NATURE-Med 9-2005.pdfAttachments : Good ACE bad ACE do battle in lung injury SARS-CoV coronavirus Annotated-YELLOW Nicholls S Peiris M NATURE-Med 9-2005.pdf)(6)The situation gets confusing. See attached brief commentary and e-mail string. As you cansee, I was too tired to make any sense of it. However , my deputy (Cliff Lane) notes that thispaper argues the opposite, i.e. that ACE inhibitors might have a benefit and counters theargument to stop ACE inhibi tor.s Bottom line is that we really do not know what the effect willbe clinically wi th respect to COVID-19. In any event, (b)(6)Best,TonyFrom: Lane, Cliff (NIH/NIAID) [E) (b)( >Sent: Wednesday, March 18, 2020 5:51 PM ------=--c= To: Fauci, Anthony (NIH/NIAID) [El (b)(6)>Subject: Re: ATTN: Or. Fauci /Good ACE bad ACE do battle in lung injurySARS-CoV coronav irus Nicholls SPeiris M NATURE-Med 9-2005.pdfA 2005 paper post-SARS advocating for use of ACE inhibitors to increase ACE2. The opposing argumentto stopping ACE inhibitors .From: Anthony Fauci (b)(6)Date: Wednesday, March 18, 2020 at 5:22 PMTo: "Lane, Cliff (NIH/NIAID) [E]" (b)(6)Subject: FW: ATTN: Dr. Fauci/ Good ACE bad ACE do battle in lung injury SARS-CoV coronavirusNi cholls S Peiris M NATURE-Med 9-2005.pdfI cannot make heads or tails of this. Please take a look and let me know what youthink. Thankjs.Anthony S. Fauci , MDDirecto rNational Institute of Allergy and Infectious DiseasesBuilding 31, Room 7A-0331 Center Drive , MSC 2520National Institutes of HealthBethesda , MD 20892-2520Phone : (b)(6)NIH-000430FAX: (301) 496-4409E-mail: -------- (b)(6) The information in this e-mail and any of its attachments is confidential and may contain sensitiveinformation. It should not be used by anyone who is not the original intended recipient. If youhave received this e-mail in error please inform the sender and delete it from your mailbox or anyother storage devices . The National Institute of Allergy and Infectious Diseases (NIAID) shall notaccept liability for any statements made that are the sender's own and not expressly made onbehalf of the NIAID by one of its representatives.From: Ste McCon Cb) (6) >Sent: Wednesday, March 18, 2020 5:09 PMSubject: ATTN: Dr. Fauci/ Good ACE bad ACE do battle in lung injury SARS-CoV coronavirus Nicholls SPeiris M NATURE-Med 9-2005.pdf"Clear ly, the potential therapeutic utility of recombinant ACE2 and angioten sin II receptor inhibitors.[ARB's ?]s- already in clinical use for control of blood pressure-for acute lunginjury resulting from viruses and other causes will be a productive field for investigation. This isparticu larly relevant as we prepare to confront a potent ial avian flu pandemic, [COVID-19?]armed w ith onlya limited number of therapeutic options."Regards,Stephen D. McConne ll, BS, MSc-CCP, CISLipidemiologist - Clinical Application SpecialistMedicare -CMS ACO/MSSP/Dircct-Contracting ConsultantMedical Science LiaisonMobile: (b)(6) -----Sent from my iPhoneNIH-000431From:Sent :To:Fauci, Anthony (NIH/NIAIO) [E)Wed, 18 Mar 2020 23:03:32 +0000SWAMINATHAN, SoumyaCc: Collins, Francis {NIH/OD) [El ------- (b)(6));Marston, Hilary {NIH/NIAID) [ElSubject: RE: Confidential and urgent request regardingThanks, Soumya.From: SWAMI NATHAN, Soumya ---------- (b)(6)Sent : Wednesday, March 18, 2020 6:49 PMTo: Collins, Francis (NIH/OD) (El (b)(6)>Cc: Fauci, Anthony {NIH/NIAID) (El ------- (b)(6)>; Marston, Hilary {NIH/NIAID) [El (b)(6)Subject : Re: Confidential and urgent request regardingDear FrancisI am sure you have seen the results which came out today, and are inconclusive. The DG announced thelaunch of the WHO Solidarity trial, which will hopefully provide a definitive answer to all thesequestions. Many thanks to NIAID for their support .Warm regardsSoumyaSent from my iPhoneOn 17 Mar 2020, at 18:50, Collins, Francis {NIH/OD) [El- ------ (b)(6)> wrote :Hi Soumya,Thanks for any help you can give.FrancisFrom: Hudson, Thomas J -----------(b)(6)>Sent: Tuesday, March 17, 2020 10:15 AMTo: Collins, Francis {NIH/OD) [E] ------ (=b)"('=6")Cc: Marston, Hilary (NIH/NIAID) [El _______ CbH_6) Fauci, Anthony (NIH/NIAID)NIH-000432[El (b)(6)>; Hudson, Thomas J ------------ (b)(6)>Subject: RE: Confident ial and urgent request regardingDear Francis,I have not received an response from Dr. Swaminathan to mv message sent yesterday(b) (4)I expect tha t we are not the on ly group try ing to get to WHO leaders. A call from Tony oryou may be more successful.In additio n to my contact information below, I can be reached via my cell phone: -· TomTHOMAS HUDSONSenior Vice-President, R&DChief Scientific OfficerAbbVie, North Chicago1 North Waukegan RdR473, Building AP9-1N Chicago, IL 60064 ---~=TEL (OF_F_IC_E..):-.-==== (b:)(:6=) --="'="EMAIL (b)(6) _________ _,abbvie.comNIH-000433(b)(6)This communication may contain information that is proprietary, confidential, or exempt from disclosure. If you arenot the intended recipient, please note that any other dissemination, distribution, use or copying of thiscommunication is strict ly prohibited. Anyone who receives this message in error should notify the senderimmediately by telephone or by return e-mai l and de lete it from his or her computer.From: Collins, Francis (NIH/OD) [E] <1- -------(b) (6)>Sent: Monday, March 16, 2020 8:43 AMTo: Hudson, Thomas J -~-""!""'::~===(b)=(6)>= =~:! .-.~ Cc: Marston, Hilary (NIH/NIAID) [E]- --------- (b)( >; Fauci, Anthony (NIH/NIAID) [E] (b) (6)>Subject: [EXTERNAL] RE: Confidential and urgent request regardingTom,Thanks again for reaching out. I can only imagineThe best contacts would be the WHO Chief Scientist Soumya Swaminathan(b)(6) and pote ntially Director General Tedros~===== (b=) (.6.-):~-(b)(4(b) (4)Let me know if you hit a roadb lock with WHO. I might then want to weigh in too.FrancisFrom: Hudson, Thomas J ------------(b)(6)Sent: Monday, March 16, 2020 9:16 AM ------ ---= To: Collins, Francis (NIH/OD) [E] -------- CbH > Subject: RE: Confidential and urgent request regardingThank you.THOMAS HUDSONNIH-000434Senior Vice-President, R&DChief ~Scientif·ic Of ficer AbbVie, North Chicago1 North Waukegan RdR473, Building AP9-1N Chicago , IL 60064TEL (OFFICE) ---= (b=) (6=)EMAIL _______ (.b_)...(.6,..),abbvie .comThis communication may contain information that is proprietary, oonfidential, or exempt from disclosure. If you arenot the intended recipient, please note that any other dissemination, distribution, use or copying of thiscommunication is strict ly prohibited. Anyone who receives this message in error should notify the senderimmediately by telephone or by return e-mail and delete it from his or her computer .From: Collins, Francis (NIH/OD) [E] -------- (b)( > Sent: Monday, March 16, 2020 8:14 AMTo: Hudson, Thomas J (b)(6)Cc: Marston, Hila ry (N~IH'./'""N:.""I:.A"::-I:D~- ):-:[~E]" ."-'::::=====~ "("b='H=6)Subject: (EXTERNAL] RE: Confidential and urgent request regardingHi Tom,Got your message, am looking into it, hope to get back to you later today.Best, FrancisFrom: Hudson, Thomas J- -----------(b-)(6) Sent: Monday, March 16, 2020 9:10 AMTo: Collins, Francis (NIH/OD) [E] ------ (=b).-(.=6)>; Collins, Francis (NIH/OD) [E](b)(6)>Subject: RE: Confidential and urgent request regardingThis follow-up message is a duplicate that I am send ing to another e-mail address that Ihave on file.Dear Francis,aJJLse.udl ng tbis_br.Lei..Rote as a..re.a: u..estJ.oL gu_idao.ce0. ,0 pJLe)Lo \li~ sltu.a__.nti .o.w .i..tb,. ....,.,..,(b) (4)NIH-000435I am reaching out to you to see if you have any suggestions or individuals that weshould contact .Best wishes,TomTHOMAS HUDSONSenior Vice-President, R&DChief Scient ific Officer1 ~ IAbbVle , North Chicago1 North Waukegan RdR473, Building AP9-1N Chicago, IL 60064TEL (OFFICE) ---= (b,)..(,6=)EMAIL _______ (.b)...(.6,_),abbvie .com(b) (4)This communication may contain information that is proprietary, confidentia l, or exempt from disclosure. If you arenot the intended recipient, please note that any other dissemination, distribution, use or copying of thiscommunication is strict ly prohibited. Anyone who receives this message in error should notify the senderImmediately by telephone or by return e-mail and delete It from his or her computer .(b) (4)NIH-000436From :Sent :To:Subj ect :Fauci, Anthony (NIH/NIAIO) [ElWed, 18 Mar 2020 20:09:47 +0000Lerner, Andrea (NIH/NIAID) [ElFW: Covid-19Anthony S. Fauci , MDDirectorNational Institute of Allergy and Infectious DiseasesBuilding 31, Room 7A-0331 Center Drive , MSC 2520National Institutes of HealthBethesda , MD 20892-2520Phone : (b)(6)FAX: (301 496-4409E-mail : (b)(6)The information in this e-mail and any of its attachments is confidential and may contain sensitiveinformation . It should not be used by anyone who is not the origina l intended recipient . If youhave received this e-mail in error please inform the sender and delete it from your mailbox or anyother storage devi ces . The National Institute of Allergy and Infectious Diseases (NIAID) shall notaccept liability for any statements made that are the sender 's own and not expressly made onbehalf of the NIAID by one of its represent atives .From: Ann Beloten (b)(6)Se nt: Wednesday, March 18, 2020 -4-:0-7- -P-M-~ ~ To: Fauci, Anthony (NIH/NIAID) [El- -------- (b)(6) Subject : Covid-19Dear Dr. Fauci,I am writing to you because I have a question regarding Covid-19. How come you do not tell thecompete truth to the American people regarding this virus? All I hear is the bad facts about it . Why notgive people some help and tell us the good facts about it? Good facts such as the number of actualpatients is very small compared to the whole population, most people who get it make a full andcomplete recovery. Are you enjoying the senseless panic you made? Panic where people arehoarding food/goods , stealing full shopping carts from the elderly, losing their jobs/wages, inadequateeducation now that schools are closed.The number of people who will actually be sickened by the virus will be dramatically dwarfed by thepeople who lose their jobs, receive a poor education despite the ir teachers best efforts and miss out ononce in a lifetime events such as weddings, graduations, communions.What you are doing is not right for the American people!! You need to stop playing GOD and tell thepeople the complete truth!! The country and the people need to get back to our normal lives NOW!!Sincerely,Ann BelotenNIH-000437From :Sent :To:Fauci, Anthony (NIH/NIAIO) [E)Wed, 18 Mar 2020 20:07:28 +0000Eisinger, Robert (NIH/NIAID) [E]Subj ect : FW: Rapid diagnostic support for Covid-19Anthony S. Fauci , MDDirectorNational Institute of Allergy and Infectious DiseasesBuilding 31, Room 7A-0331 Center Drive , MSC 2520National Institutes of HealthBethesda , MD 20892-2520Phone : (b)(6)FAX: (301 496-4409E-mail : (b)(6)The information in this e-mail and any of its attachments is confidential and may contain sensitiveinformation . It should not be used by anyone who is not the origina l intended recipient . If youhave received this e-mail in error please inform the sender and delete it from your mailbox or anyother storage devi ces . The National Institute of Allergy and Infectious Diseases (NIAID) shall notaccept liability for any statements made that are the sender 's own and not expressly made onbehalf of the NIAID by one of its represent atives .From: Tony Lemmo (b)(6)>Sent : Wednesday, Marc h 18, 2020 -3-:5-2- P-M-~ ~ To: Fauci, Anthony (NIH/NIAID) [E)- ------- CbH6)> Subject : Rapid diagnostic support for Covid-19Hi Dr Fauci,Hello from (b)(6) ------------I'm sure you are swamped . I'll be brief . I am CEO of the world's leading provider of dispensingequipment for the diagnostics market, BioDot Inc. We have been around for 25 years and provideenab ling technology to virtually every rapid immunoassay and molecular diagnostics company in theworld. We are actively involved today with companies around the globe to help commercialize lateralflow point of care products to help fight Covid-19. If there is anybody in your organization or on the taskforce that could help facilitate gett ing us involved with companies looking to produce tests - we are hereto help! For example we are actively working with Biomedomics to get their LFD test into thecommunity as fast as possible.We will move heaven and earth to help the country in any way we can.Thank you for all you have done and best of luck in fighting th is pandemic(b)(6)NIH-000438TonyAnthony V. Lemmo, Ph.DCEO and PresidentBioDot Inc.2852 Alton ParkwayIrvine, CA 92606p (b) (6)F 949-440-3694www .biodot.comNIH-000439From :Sent :To:Subj ect :Fauci, Anthony (NIH/NIAIO) [ElWed, 18 Mar 2020 20:05:50 +0000Lerner, Andrea (NIH/NIAID) [ElFW: Fabric Face MasksAnthony S. Fauci , MDDirectorNational Institute of Allergy and Infectious DiseasesBuilding 31, Room 7A-0331 Center Drive , MSC 2520National Institutes of HealthBethesda , MD 20892-2520Phone : (b)(6)FAX: (301 496-4409E-mail : (b)(6)The information in this e-mail and any of its attachments is confidential and may contain sensitiveinformation . It should not be used by anyone who is not the origina l intended recipient . If youhave received this e-mail in error please inform the sender and delete it from your mailbox or anyother storage devi ces . The National Institute of Allergy and Infectious Diseases (NIAID) shall notaccept liability for any statements made that are the sender 's own and not expressly made onbehalf of the NIAID by one of its represent atives .From: AmiSimms (b)(6)>Sent : Wednesday, March 18, 2020 4:01 PM To: Fauci, Anthony (NIH/NIAID) [El-- -----------::--:-:-=(b),(( ;)> Subject: Fabric Face MasksDr Fauci,Thank you for your guidance and expert ise at this difficult time .My friend and I are quilters. She lives in (b)(6) and I live i (b)(6) _ She has created a pattern fora fabric face mask. We read Dr. Tufekci's oped in the NYT yesterday and have been brainstormingtogethe r ever since on ways we can help.htt ps://www .nyt imes.com/2020/03/17 /opinion/ coron avirus-face-masks. htm ISeveral years ago I mobilized quilters throughout the US and we raised more than $1.1 million forAlzheimer's Disease research. All grass roots, all volunteer . There are 7-10 million quilters in the US.My friend and I would like to make a fabric face mask pattern available at no charge so that quilters,sewers, and crafters can make face masks. We understand these are nowhere near medical grade, butthey would be better than nothing at all. {See research cited in link above .) They would be made fromfabric scraps and supplies on hand; no trips to the fabric store would be necessary.At this t ime there are no masks available to the public at all. Sewing for a cause would give purpose tothose of us staying home . Wearing a mask on rare occasions when we do venture outside has thebenefits signaling others to step back even if the masks do not protect against transmission of the virus .NIH-000440We are just two individuals wanting to help. I've been advised by an attorney that sharing this freepattern might open us up to scrutiny from regulatory agencies or possible law suits. We don't want tostep on any toes, nor do we want any legal entanglements .Could the NIH make t his pattern available? Or the CDC? There are millions of sewers who would bedelighted to step up and help right now. It would be great for morale , and even though it's one step upfrom nothing , IT IS SOMETHING. This could even be scaled beyond indiv iduals making fabric face masksfor th emselves. Masks could be sewn for ot hers.Could we please work with you?Thank you for your consideration ,Ami Simms (b)(6)and Emanuela D' Amico (b)(6)NIH-000441From:Sent:To:Fauci, Anthony (NIH/NIAID) [ElWed, 18 Mar 2020 19:07:06 +0000Lerner, Andrea (NIH/NIAID) [ElSubject : FW: Covid-19 symptoms outside of ChinaPoint this person in the righ t directionAnthony S. Fauci , MDDirectorNational Institu te of Allergy and Infectious DiseasesBuilding 31, Room 7 A-0331 Center Driv e, MSC 2520National Institu tes of HealthBethe sda , MD 20892-2520Phone: (b) (6)FAX: (301) 496-4409E-mail: (b)(6)The informa tion in this e-mail and any of its attachments is confidential and may contain sensitive infom1ation. Itshould not be used by anyone who is not the original intended recip ient. lf you have received this e-mail in eITorplease inform the sender and delete it from your mailbox or any other storage devices. The National Institute ofAllergy and Infe ctio us Diseases (NIAID) shall not accept liability for any statements made that are the send er's ownand not expressly made on behalf of the NlAID by one of its representatives.-----Original Message-----From : WW (b) (6)Sent: Wednesday , March 18, 2020 3:05 -P-M- ---~~ To: Fauci , Anthony (NlH/NlAID) [E] (b)(6) >Subject: Covid-19 symptoms outsideofCh inaDear Dr. Fauci,Many insist on coughs as one of the requirements for self-isolation or testing for covid-19. However , l have readabout instances where coughs were not experienced by those who tested positive.ls it possible to share a list of covid - 19 symptoms that *exclude* the patients in China and perhaps France due totheir fairly high numb er of smokers? Does coughing remain a symptom ? l am concern ed about the health of ournursing home resideni s, as well as the financial well-being of service sector workers.Thank you,WinnieNIH-000442From: Fauci, Anthony (NIH/NIAIO) [E)Sent: Wed, 18 Mar 2020 18:27 :08 +0000To: Redfield, Robert R. (CDC/OD);Stephen Hahn;Birx, Deborah L. EOP/NSCCc: (b)( ;Troye, Olivia EOP/NSC;Short, Marc T. EOP/OVP;Miller,Katie R. EOP/OVP;Hicks, Hope C. EOP/WHO;kellyanne conwaySubject: Follow -up of today's conversationFolks:---------CbH5J. Happy to discuss. Thanks,TonyAnthony S. Fauci , MDDirectorNational Institute of Allergy and Infectious DiseasesBuilding 31, Room 7A-0331 Center Drive, MSC 2520National Institutes of HealthBethesda MD 20892-2520Phone : (b)(6)FAX: (301 496-4409E-mail : (b)(6)(b) (5)The information in this e-mail and any of its attachments is confidential and may contain sensitiveinformation . It should not be used by anyone who is not the original intended recipient . If youhave received this e-mail in error please inform the sender and delete it from your mailbox or anyother storage devices . The National Institute of Allergy and Infectious Diseases (NIAID) shall notNIH-000443NIH-000444accept liability for any statements made that are the sender's own and not expressly made onbehalf of the NIAID by one of its representatives.From:Sent:To:Fauci, Anthony (NIH/NIAIO) [E)Wed, 18 Mar 2020 15:09 :54 +0000(b)(6)Subject: FW: Bloomberg: 99% of Those Who Died From Virus Had Other Illn ess, Italy SaysLook at the hypertension percentageAnthony S. Fauci , MDDirectorNational Institute of Allergy and Infectious DiseasesBuilding 31, Room 7A-0331 Center Drive, MSC 2520National Institutes of HealthBethesda , MD 20892-2520Phone : (b)(6)FAX: (301 496-4409E-mail : (b)(6)The information in this e-mail and any of its attachments is confidential and may contain sensitiveinformation . It should not be used by anyone who is not the origina l intended recipient . If youhave received this e-mail in error please inform the sender and delete it from your mailbox or anyother storage devi ces. The National Institute of Allergy and Infectious Diseases (NIAID) shall notaccept liability for any statements made that are the sender 's own and not expressly made onbehalf of the NIAID by one of its represent atives .From: Folkers, Greg (NIH/NIA ID) [El (b)(6)Sent: Wed nesday, March 18, 2020 9:52 AMSubject: Bloomberg : 99% of Those Who Died From Virus Had Other Illness, Italy Says99o/o of Those Who Died From VirusHad Other Illness, Italy SaysBy Tommaso Ebhardt, Chiara Remondini , and Marco BertaccheMarch 18, 2020 , 8:56 AM EDTMore than 99% of Italy's coronavirus fatalities were people who suffered fromprevious medical conditions, according to a study by the country's nationalhealth authority.After death s from the virus reached more than 2,500, with a 150% increase inthe past week, health authorities have been combing through data to provideclues to help combat the spread of the disease.NIH-000445Prime Minister Giuseppe Conte's government is evaluating whether to extenda nationwide lockdown beyond the beginning of April, daily La Stampareported Wednesday. Italy has more than 31,500 confirmed cases of theillness.Italy Coronavirus Deaths By prior illnesses(%)0.8No other illness 725.11 other illness- -48 .5--3 or more illnesses25 .62 other illnesses--Source: ISS Italy National Health Institute, March 17 sampleThe new study could provide insight into why Italy's death rate, at about 8% oftotal infected people, is higher than in other countries.The Rome-based institute has examined medical records of about 18% of thecountry 's coronavirus fatalities, finding that just three victims, or o .8% of thetotal, had no previous pathology. Almost half of the victims suffered from atleast three prior illnesses and about a fourth had either one or two previousconditions.More than 75% had high blood pressure, about 35% had diabetes and a thirdsuffered from heart disease.The average age of those who've died from the virus in Italy is 79.5. As ofMarch 17, 17 people under so had died from the disease. All of Italy's victimsund er 40 have been males with serious existing medical conditions.While data released Tuesday point to a slowdown in the increase of cases, witha 12.6% rise, a separate study shows Italy could be underestimating the realnumber of cases by testing only patients present ing symptoms.NIH-000446NIH-000447According to the GIMBE Foundation, about 100,000 Italians have contractedthe virus, daily Il Sole 24 Ore reported. That would bring back the country'sdeath rate closer to the global average of about 2%.- With assistance by Karl MaierFrom: Folkers, Greg (NIH/NIAID) [E] on behalf of Fauci, Anthony (NIH/NIAID) [E)Sent: Tue, 17 Mar 2020 18:13:38 +0000To: Fauci, Anthony (NIH/NIAID) [E];Conrad, Patricia (NIH/NIAID) [E];Auchincloss,Hugh (NIH/NIAID) [E];Folkers, Greg (NIH/NIAID) [E]Subject : RE: Covid-19 coverage in Nature Reviews ImmunologyDear Alexandra,Thank you for your kind words.Yes, we can send yuu references of notable papersMy chief of staff, Greg Folkers (cc'd here), will be my conduit/surrogate.Regards,AS FauciFrom: Alexandra Flemming <A.Flemming@nature .com>Sent: Tuesday, March 17, 2020 10:26 AM -----~ = To: Fauci, Anthony (NIH/NIAID) [E] <O. (b)( ~ >Subject: Covid-19 coverage in Nature Reviews Immunolo gyDear Tony,Thank you again for contributing the fabulous year in review article to Nature reviews Immunology lastyear!Given the current pandemic, we can only imagine how incredibly busy you are at the moment. At NatureReviews Immunology we have decided that we would like to introduce an in-brief section that providesa brief overview of the most notab le/important research on SARS-CoV-2, particular ly with regards to itsimmunopathology and vaccine development. To this end, we are recruiting a small number of advisorsto point us in the right direction - this wou ld involve no actual writing, just sending us references to thepapers as and when they come out . Would you, or a member of your team, be willing to act as anadvisor for this project, by sending us between 1-5 references for notable papers per month? We feelthat particularly in th is fast evolving situation, it is of paramount importance that amongst the deluge ofdata, scientists are guided towards the most important papers.I look forward to hearing from you,With best regards,AlexandraDr Alexandra FlemmingNIH-000448Chief EditorNature Reviews ImmunologyNatu re Research4 Crinan Street, London Nl 9XW, UK(b)(6)a.f lem ming@natu re.comwww .nature.com/n rii~~natureCELEBRAT15IN0YG E ARS1869-2019DISCLAIMER: This e-mail is confidential and should not be used by anyone who is not the originalintended recipient. If you have received this e-mail in error please inform the sender and delete it fromyour mailbox or any other storage mechanism. Springer Nature Limited does not accept liability for anystatements made wh ich are clearly the sender's own and not expressly made on behalf of SpringerNature Ltd or one of their agents.Please note that Springer Nature Limited and their agents and affiliates do not accept any responsibilityfor viruses or malware that may be contained in th is e-mail or its attachments and it is yourresponsibi lity to scan the e-mail and attachments (if any).Springer Nature Limited . Registered office: The Campus, 4 Crinan Street, London, Nl 9XW. RegisteredNumber: 00785998 England.NIH-000449From:Sent:To:(b)(6)Tue, 17 Mar 2020 10:42:33 -0400Conrad, Patricia (NIH/NIAID) [E)Cc:(NIH/NIAID) [E]Subject:Barasch, Kimberly (NIH/NIAID) [C];Lane, Cliff (NIH/NIAIO) [E];Marston , HilaryFwd: Invitatio n: BIO Coronavirus Collaboration Initiat iveAttachments: INVITATION_Fauci BIO COVID19 Virtual Summit 15Mar2020.pdf, ATTOOOOl.htmLet us discuss and decide one way or another.Begin forwarded me ssage:From: Hannah Dorsey <hdor sey@bio.org >Date: March 16, 2020 at 3 :51:02 PM EDTTo: "Fauci, Anthony (NlH/NlAID ) [E]" --------,;-, =Cc: "Conrad, Patricia (NIH/NIAID) [E]" >, "Marston,Hilary (NIH/NIAID) [E]"<parthur@bio.org>:r-----,------------(b) Cb6, Phyllis ArthurSubject: Invitation: BIO Coronavirus Collaboration InitiativeDear Dr. Fauci,On behalf of BIO, I wou ld like to invite you to participate in our multi-stakeholder COVID-19 Collaboration Virtual Summit which will take place March 24-25. We are hosting thissummit in order to facilitate near-term collaboration among indust ry, government,academic and non-governmental experts to help confront this growing and unpredictablepubl ic health crisis.We would like you to be a speaker during the Plenary session on March 24th. We wouldlike you to give 5-10 minutes of opening rema rks to the Summit participants. Please notethat the plenary session of the event will be open to the press, while the remainingsessions will be closed to just invited guests to ensure a robust discussion and maximumcollabo ration. You are welcome to attend any of the subsequent Breakout sessionsscheduled over the two days.This virtual meet ing will take place over two days:• March 24th: 10:00am -11:45am - Plenary Session• March 24th: 12:00pm - 2:30pm - Treatment Break Out Session• March 25th: 10:00am - 12:30pm - Prevention Break Out Session• March 25th: 1:00pm - 3:30pm - Diagnostics Break Out SessionNIH-000450NIH-000451Attached is the full invitation to our event from our CEO Jim Greenwood, the full agendawill be to follow. Please let us know if you would be available as a speaker for the Plenarysession on March 24th .Best,Hannah DorseyCoordinator, Health PolicyBiotechnology Innovation Organization (BIO)1201 Maryland Ave. SW, Ste. 900Washington, DC 20024Office: (202) 962-6644hdorsey@bio.orgwww.b io.orgFrom: (b)(6)Sent :To:Subject:Tue, 17 Mar 2020 07:30:48 -0400Conrad, Patricia (NIH/NIAID) [E)Fwd: UpdatesSent from my iPhoneBegin forwarded message:From: "Fauci, Ant hony (NIH/NIAID) [E]"Date: March 17, 2020 at 7: 14:00 AM EDTTo: Janet Tob ias <jane t@ikanamedia.com >Subject: RE: UpdatesThanks, Janet. Please continue to work with Patty to make t his happen.Best regards,TonyFrom: Janet Tobias <janet@ikanamedia.com>Sent : Tuesday, March 17, 2020 7:00 AM -----~~ To: Fauci, Anthony {NIH/ NIAID) [E] ------- (b)(6) Subject: UpdatesDear Tony:Quick updates , we have partnered with Story Syndicate/John Hoffman(who was in charge of First In Human and Alzheimer's and Obesityprojects) on the film about your life . This will help us make sure thatnext year this film has maximum impact and we carry the messagewidely of "men serving men" and public health . NIH Communicationshead John Burklow, and the main office , knows and is very supportiveand excited about the potential impact. They have worked superclosely with John in the past.We are putting in the request for filming with the Vice President'soffice and we will work with Patty to figure out how to film your workand NIAID's work on COVID-19, which is important. But safety andNIH-000452NIH-000453modelling appropriate behavior always first and foremost. Crews on myside tiny and all from Unseen Enemy.Thanks for everything, every day, and stay healthy,JanetPS The Aids project, and the educational partnership with HowardHughes Medical lnsitute continues in good state, just on hold as itshould be.From:Sent :To:Fauci, Anthony (NIH/NIAIO) [ElTue, 17 Mar 2020 03:04:31 +0000Lerner, Andrea (NIH/NIAID) [ElSubject: FW: Question about COVI0-19 Mechanism of TransmissionPlease respond.From: EDWARD EITZEN (b)(6)Sent: Sunday, March 8, 2020 3:10 PM ------- ~= To: Fauci, Anthony (NIH/NIAID) [E] (b)(6)Subject: Question about COVI0-19 Mechanism of TransmissionHi Tony:Thank you for what you are doing for our country to try and limit the consequences of COVID-19. ManyAmericans are hanging on your every word, as they should be, and that includes me.A question about COVID-19 mechanism of spread: The reported reproductive number from China ofabout 2.6 indicates a likelihood of large droplet spread as the mode of transmiss ion from person toperson . My question is - could there be a component of airborne spread (droplet nuclei) with this virus?If super spreaders exist with COVI D-19, is airborne spread possible? Knowing the answer to th is questionwould help to inform decisions about PPE and Decontamination in settings such as EmergencyDepartments . If this is not already known definitively, could NIOSH and some key partners possibly studyit in current quarantine settings?Thanks, Tony . God bless you and your important work!Best, EdEdward Eitzen, M.D., M.P.H.Senior Partner, Biodefense and Public Health ProgramsMartin-Blanck and Associates2034 Eisenhower Avenue, Suite 270Alexandria, VA 22314-4678Office Phone: 719-548-9207Cell Phone: (b)(6)Email: ------- (b) (6)NIH-000455From:Sent:To:Subject :Please respond for me.-----Original Message -----Fauci, Anthony (NIH/N IAID) [ElTue, 17 Mar 2020 03:02:00 +0000Lerner, Andrea (NIH/N IAID) [ElFW: Flu statist icsFrom: Candace Gunn --------- (b-),(-=.6. )Sent: Sunday, March 8, 2020 10:53 AM -----~~ To: Fauci, Anthony (NIH/NIAID) [E] (b)( >Subject: Flu statist icsDear Dr. Fauci,First of all, thank you so much for the wonderful job you are doing regarding the infomrntion on the coronavirus.You were excellent with Chris Wallace!Js it possible to give facts on the FLU - number of people who have had it and how many have died - during the pastmonth? I wonder if that might perhaps slow down the media frenzy.Many thanks for yow-consideration of my question.Best regards ,Candace GunnNIH-000456From:Sent :To:Subject:Roy:Fauci, Anthony (NIH/NIAIO) [E)Tue, 17 Mar 2020 03:00:44 +0000Anderson, Roy MRE: Lancet Commentary on COVID-19Thank you for your kind note. Very nice article! I hope that all is well with you .Best,TonyFrom: Anderson, Roy M -----------(b) (6) > Sent: Saturday, March 7, 2020 5:27 AM --------, .----..-.= To: Fauci, Anthony (NIH/NIAID) [E]- -------- (b)(6) Subject: Lancet Commentary on COVID-19Dear Tony,I thought the attached may be of interest to you .You have been doing a very good job in communicating the important issues around this epidem ic - welldone.Kind regards,RoyProfessor Sir Roy Anderson FRS FMedSciDirectorLondon Centre for Neglected Tropical Disease Research (LCNTDR)Department of Infect ious Disease Research,Faculty of MedicineImperia l College London Praed StreetLondon W2 lPGTe (b)(6)(b)(6)Assistant - (b)(6) ------.==============---- ~= Project Manager - (b) (6)1 -=================~~;- Man ager LCNTDR (b) (6)NIH-000457From:Sent :To:Subject :Fauci, Anthony (NIH/NIAID) [ElTue, 17 Mar 2020 02:59:48 +0000Lerner, Andrea (NIH/NIAID) [ElFW: Modeling of COVID-19 from Mike LevitAttachment s: 1.Analysis_of_Coronavirus-2O19_Data_Michael_Levitt-vl.pdf,1.The_Corona_Chronologies. Part 11-Rest of the World. Michael_Lev itt,Stanford.pdf,3O.The_Corona_Chronologies. Part I - China. Michael_Levitt,Stanford.pdfPlease take a look and see what you thin k.From: Tabak, Lawrence (NIH/OD) [El (b)(6)>Se nt: Friday, March 6, 2020 8 :46 PM ------ == To: Collins, Francis (NIH/OD) [El (b)(6); Fauci, Anthony (NIH/N IAID) [El(b) (6) >Cc: Lauer, Michael (NIH/OD) [El (b)( >Subject: Modeling of COVID-19 from Mike LevitFrancis, Tony-Mike Levitt (Nobel prize in Chemistry, 2013) sent the attached model ing of the COVID-19 epidemic toMike Lauer. I don't know if this will prove useful but wanted to pass it along in case.He indicated that he was amazed to see how an Excel level analysis could allow him to predict the Chinaepidemic would end as early at 2-Feb and get what he considers the best estimates for case fatalityrat io. His first report from 2-Feb is attached as well as his most recent two-part report.LarryNIH-000458From:Sent :To:Subject :Fauci, Anthony (NIH/NIAIO) [E)Tue, 17 Mar 2020 02:54:15 +0000Eisinger, Robert (NIH/NIAID) [E]FW: Community -Spread Covid-19 Contact TrackingTake a look and handle.From: John G. Boland (b)(6bSent: Thursday, March 5, 2020 10:00 PMTo: Fauci, Anthony (NIH/NIAID) [E]-------=- (b)c-(=c >Subject : Community-Spread Covid-19 Contact TrackingDear Dr. Fauci :Without success. for more than a week, I have tried to reach any techie CDC person about the problem ofcommunity-spread Covid-19 contact tracking.Though your workload is unimaginable. I thought you might personal ly know and could provide contactinformation of an appropriate CDC or NIH epidemio logist.***Brief Summary of Concept***skip to End, if obvio us***Had I been to a doctor or ER with a virulent disease, they would immediately have asked where I hadbeen, with whom, and for what duration . With that information, epidem iolog ists can notify and test thosecontacts ... and their contacts ... before their symptoms are eviden ced.This manual contact tracking process is workload intensive, calendar -day wasting, data-poor, andinaccurate ."Location tracking" can provide the raw data needed to identify potential contacts automatically , early, andthorough ly, from information routinely collected by network providers.The location , at a date and time, of a vast number of anonymo us cell phones , over the preceding twoweeks, would be very useful for identifying the index case and subsequent contacts of an individual.As an illustration , the New York Times published , on 19 December 2019. "Twelve Million Phones, OneDataset , Zero Privacy" about the commercial location tracking industry :https://www.nytimes.com/interactive/20 19/12/19/op inion/location-trackinq-cell-phone . html***End of Summary***Ignoring the techie and legal detai ls. can you suggest an appropriate contact, while Covid-19 infections inthe United States are few?Your continuing dedication , candor , and data-driven focus are refreshing and very much appreciated, Dr.Fauci.Best,John G. BolandNIH-000459(b)(6) .__ __ ______ (24 hr, text or leave msg if no answer)NIH-000460From:Sent :To:Subject:Fauci, Anthony (NIH/NIAIO) [E)Tue, 17 Mar 2020 02:53:27 +0000Tom FriedenRE: FYII tried to call you this evening but got voice mail that said you were not accepting calls. Let us try to connect soon.-----Orig inal Message-----From: Tom Frieden _________ ("b"~,.c.=.. -Sent: Wednesday , March 4, 2020 l J: 1-2 -A-M- --~~ To: Fauci, Anthony (NIH/NIAID) [E] .___ ____ (b)_(6_).>Subje ct: FYIh tlps ://theh ii I. com/po Ii cy/healthca re/ 48560 4-mee l-the-fede ra I-govern men ts-corona virus -expertI know you don't read the papers but "super smru1:, super able to communicat e very cleru·ly, with a ve1y deep ethicalcommitment to doing the right thing" is exactly what f think, not just what I'm telling the media.All the best ,TomNIH-000461From:Sent :To:Subject:Pardis:Fauci, Anthony (NIH/NIAIO) [E)Tue, 17 Mar 2020 02:48:31 +0000Pardis SabetiRE: Planning for a hearing on Global Health Security TeamSorry that I did not respond sooner. I am getting over 1500 emai ls per day and this one gotlost in the pile. Anything that you can do to help would be welcome.Best,TonyFrom : Pardis Sabeti (b)(6)Sent: Tuesday, March 3, 2020 9:31 PM -------~= To: Fauci, Anthony (NIH/NIAID) [E] (b)(6)Subject: Fwd: Planning for a hearing on Global Health Security TeamDear Tony,I hope that all is well given our current circumstances. I am sure you are very busy, so apologize for theintrusion, but wou ld love your insight if you have a moment .I just had a very interesting talk today with Wendy Ginsberg on the House Committee on Oversight andReform, with an opportunity to testify at a hearing next Wednesday {email attached) .While I am very excited for an opportunity to advocate for further funding and operational support forpandemic preparedness, I also recognize that th is forma t may not be the right one to do so. Moreover , Imay not be the right person to do so, as I think you, Francis, or Eric Lander would do far better thanme.I imagine they have already asked you to part icipate, and would just love any insight you might have asto whether I should consider doing this, and if so, how I should proceed . I really only would want to doso if it is a place where I can help the larger infectious disease community and make a positivenonpolitical impact.Thanks so much fo r your consideration,Pardis---------- Forwarded messa-ge- -------------------,,~ From: Ginsberg, Wendy ------------ CbC) > Date: Mon, Mar 2, 2020 at 8:54 AMSubject: Planning for a hearing on Global Health Security TeamTo: (b)(6)>NIH-000462Richard Preston pointed me in your dire ction, saying you wou ld be the right person to help me thinkthro ugh a potential hearing on codifying the global health security team on the National SecurityCouncil.The hearing (as of right now in my mind) wou ld1. Examine the lessons learned from the Ebola and ot her previous outbreaks about how federalgovernment design and operations can fac ilitate or hinder global health and stemmingpandemics;2. Analyze how eliminating the global health security team has put us several steps behind wherewe need to be in figh ting coronavirus ; and3. Argue for codifying the team and its leader ship as part of the larger national security apparatusand avoid kowtowing to outbreak fatigue.I'm hoping you might be willing to speak with me about your expertise and thoughts in this area. I'mdefin itely not the expert and I would love someone with your background to ensure I'm getting thisstory right - and that I have the right people at the witness stand to tell it.Would you have time to ta lk today or some time very soon? We are hoping to have this hearing nextweek .Yours,WendyPardis Sabeti, MD, DPhilWen dy Gins berg. Th.D.Staff DirectorHouse Committee on Oversight and ReformSubcommittee on Government Opera tions(b)(6)Professor, Harvard University & Harvard School of Public HealthBroad Institute of MIT and HarvardHoward Hughes Med ical InstituteAssistan-t=: ===~~----------- Phone: ------(b)(6)(b)(6)Website: www .sabetilab.orgNIH-000463From:Sent :To:Subject :Fauci, Anthony (NIH/NIAID) [E)Tue, 17 Mar 2020 01:46:44 +0000Conrad, Patricia (NIH/NIAID) [E)FW: Wall Street Journal requestPlease decide if we can do this.From: Wi llick, Jason <jason .willick@wsj.com>Sent : Monday, March 16, 2020 9:44- -P-M- -- ::;..,..-,= To: Fauci, Anthony (NIH/NIAID) [E] -------- (b)(6 )1> Subject : Wall Street Journal requestDear Dr. Fauci,My name is Jason Will ick wi th the Wall Street Journal. I was wondering if you would be willing to ta lk tome for the WSJ weekend interview section on pandemics and the coronavirus - the US response butalso the broader challenges from infectious disease. I know you are beyond busy, but I thought I'd ask.Let me know if this is a possibility and I can discuss more details.JasonNIH-000464From:Sent:To:Subject:Michael:Fauci, Anthony (NIH/NIAIO) [E)Tue, 17 Mar 2020 00:27:13 +0000Michael liuRE: Great advice from Chinese expertThank you for your note. We indeed have learned much from our Chinese colleagues .appreciate your bringing these issues to our attention.Best regards,TonyFrom: Michael liu (b)( >Sent: Monday, March 16, 2020 8:14 PM ------~~ To: Fauci, Anthony (NIH/NIAID) [E] -------- (b)(6) Subject: Great advice from Chinese expertDear Dr. Fauci,Dr. Wenhong Zhang, has become very famous in China's war against COVID-19 because of hisgreat excellence in anti-virus. Dr. Zhang is the Director of the Infectious Disease Department ofHuashan Hospita l in Shanghai. He is very good according to my observation all long. Anothergreat doctor in China is Dr. Nanshan Zhong.According to Dr. Zhang's video at https ://www. thepaper.cn/newsDeta il forward 6537248,COVID-19 can really be prevented with 3 key measures, i.e. to keep social distancing , washhands frequently and wear masks. I strongly suggest American people should wear masks likeChinese, Soutl1 Korean people, etc., because even China 's highest leader, Mr. Jinping Xi, wearsmasks. If it is difficul t for all the US people to do this now, I suggest working staff in airport s,supern1arkets and other public places should wear masks firstly in order to avoid crossinginfection.Further, Dr. Zhang said, if a person is still infected though he/she takes the above 3 measurescarefully, the person must be infected by his/her family members . So I propose the concentratedisolation of mild confirmed cases should be considered as I advised yesterday.I strongly suggest American government should learn precious experience of anti-COVID-19from and cooperate with the mainland China, Taiwan, South Korea with an open mind. If youneed any help to contact with Dr. Zhang, I will do what I can.I am very confident that the US government will lead American people to win the anti-COVID-19 war by you and other great experts. Science, expertise and great learning are best medicines.God bless you! God bless America, China and the whole world !Best regards,NIH-000465Michael Liu~f!J:AF: auci, Anthony (NIH/NIAID) [E] [mailto: -------- (b)(6)~~la Ia .J2: 020if3J:315B 13:28IHlf!l:AJi:n gming Liu (Michael) <- --------- (b)(6)3:.B: Re: Great Advice on How to Avoid Family Spread of COVID-19Thank you for your noteA.S. Fauci.Sent from my iPhoneOn Mar 15, 2020, at 1:26 PM, Jingming Liu (Michael) -------- (b)(6)> wrote :Dear Dr. Fauci,My name is Michael Liu. My family are living in (b)(6) now. I have been followingspread of COVID-19 (Corona Vims) closely because such virns is very contagious anddangerous.If a person is mildly sick with COVID-19 , the CDC now suggests the person should "stay homeexcept to get medical care", i.e. home-isol ation, according tohttps ://www.cdc.gov /coronav irus/2019-ncov /downloads /slck-with- 2019-nCoV-fact- sheet.pdfHowever, the home isolation may result in family spread of COVID-19 in certain kinds offamilies, e.g., parents are infected but their kids are too young to take care of them, adults areinfected but their parents are too old and risky to look after them (if they live together) , an oldhusband /wife is infected but the spouse is too vulnerable to take care of him/her, etc. In suchscenarios, the home isolation may increase family spread and even community spread risks in theus.A great method to avoid home-isolation risks is the concentrated isolation, i.e. to isolatemild symptomatic people in a concentrated place instead of thefr homes.The concentrated isolation can avoid the above family spread risks, provide professional medicalhelp to isolated people, reduce mental pressure of other family members, etc., so that it canreduce community spread risks. Such method has been proved to be effective by China's waragainst COVID- 19.The concentrated place can be a hotel , university dorm building, etc., which should be easilymanaged for medica l surveillance.NIH-000466NIH-000467The concentration isolation may be voluntarily chosen by relevant families at the beginning, andadjusted to apply subject to different conditions.Hope the above advice helpful!Best regards,Michael LiuFrom: Fauci, Anthony (NIH/NIAIO) [E)Sent: Tue, 17 Mar 2020 00:23:16 +0000To: Billet, Courtney (NIH/NIAID) [E]Cc: Folkers, Greg (NIH/NIAID) [E];Conrad, Patricia (NIH/NIAID) [E];Stover, Kathy(NIH/NIAID) [E];Routh, Jennifer (NIH/NIAID) [E]Subject: RE: offer from Mark ZuckerbergI will write to or call Mark and tell him that I am interested in doing this. I will then tell himthat you will get for him the name of the USG point of contact. I agree it shou ld be Bill Hallwho could then turf to the White House Com ms if he wishesFrom: Billet, Courtney (NIH/NIAID) [E] (bH >Sent: Monday, March 16, 2020 6:53 PM -----~~ To: Fauci, Anthony (NIH/NIAID) [E] (b)(6)>Cc: Folkers, Greg (NIH/NIAID) [El (bH ; Conrad, Patricia (NIH/NIAID) [El(b)(6); Stover, Kathy (NIH/NIAID) [E) (bH >; Routh, Jennifer"(' .N-'"1-H/-:N---IA- l'D:"): "-[-'E::":l"-===::::::...-____;-= (b'")('="">Subject: ASF: offer from Mark ZuckerbergPer email below, Mark Zuckerberg has extended a few offers to do videos with you that we would behappy to seek clearance on for you to do, if you are amenable. These would have the weight and impactof television - really, more so. Please advise if you want to do and we will seek clearance with VP officeand work with Patty to sort out the logistics.But an even bigger deal is his offer (b)(4)- The sooner we get that offer up the food-chain the better. I gave Bill Hall a heads-up about thisopportunity and he is standing by to discuss this with HHS and WH comms, but I didn't want him to doanything without you being aware of the offer. Is it OK if I hand this aspect off to Bill to determine whothe best point of contact would be so the Administration can take advantage of this offer, soonest?Do you plan to call MZ? His cell number is in his message below.From: Mark Zuckerberg (b) (6)Sent: Sunday, March 15, 2020 12:18 PM ------ ..-.-,= To: Fauci, Anthony (NIH/NIAID) [E] -------- (b)(6J> Subject: Thanks and ideasTony:I wanted to send a note of thanks for your leadership and everything you're doing to make our country'sresponse to this outbreak as effect ive as possible. I also wanted to share a few ideas of ways we couldhelp you get your message out, but I understand you 're incredibly busy, so don't feel a need to replyunless these seem interest ing.This isn't public yet, but we're building a Coronavirus Information Hub that we're going to put at the topof Facebook for everyone (200+ million Americans, 2.5 billion people worldwide) with two goals: (1)NIH-000468make sure people can get authoritative information from reliable sources and (2) encourage people topractice social distance and give people ideas for doing this using internet tools. This will be live withinthe next 48 hours.As a central part of this hub, I think it would be useful to include a video from you because people trustand want to hear from experts rather than just a bunch of agencies and political leaders. This could bedone in a number of formats if you're open to it. Probably best would be recording a Q&A where youanswer people's top questions, but we'd be open to other fo rmats too.I'm also doing a series of livest reamed Q&As with health experts to try to use my large following on theplatform {100 million followers) to get authoritative information out as well. I'd love to have you do oneof these Q&As. This could be the video we put in the Coronavirus Hub or it could be a different thingthat we distribute separately, but I think it could be effective as well.Again, I know you're incredibly busy, so don't feel the need to respond if this doesn't seem helpful. If it 'seasy to talk live, give me a call anytime on my mobile phone: (b) (6) .Thanks again for everything you're doing.MarkNIH-000469From: Fauci, Anthony (NIH/N IAID) [E)Sent : Tue, 17 Mar 2020 00:22:45 +0000To: Mark ZuckerbergCc: Conrad, Patricia (NIH/NIAID) [E);Billet, Courtney (NIH/ NIAID) [E];Barasch,Kimberly (NIH/NIAID) [CJSubject: RE:Thanksand ideasMark:Thank you for your kind note. I tried to cal l you, but got voice mai l. FYI, my cell phonenumber is (b)(6) Your idea and proposal sound te rr ific. I would be happy to do avideo for your hub. We need to reach as many people as possible and convince them to takemitigation strateg ies seriously or th ings will get much , much worse. Also, your idea about (b)(4 )is vey exciting. I am copying my Special Assist ant, Patty Conrad. Her office numbe r is (b)(6)Cb)( • ----- Please have your people contac t her to arrange for the video. I am also copy ing the Director of my Communications and Governmen t Relations gro up . She can put your people incontact with the best person who cou ld be the US Government poin t of con tact for (b)(4).Best regards,TonyFrom: Mar k Zuckerberg (b)(6)>Sent : Sunday, March 15, 2020 12:18 PM ------~~ To: Fauci, Anthony {NIH/NIAID) [E]- ------- (b)(6)> Subject: Thanks and ideasTony:I wanted to send a note of thanks for your leadership and everything you 're doing to make our country'sresponse to this outbreak as effective as possible. I also wanted to share a few ideas of ways we couldhelp you get your message out, but I understand you're incredibly busy, so don't feel a need to replyunless these seem interesting .This isn't public yet, but we're building a Coronavirus Information Hub that we're going to put at the topof Facebook for everyone (200+ million Americans, 2.5 billion people worldwide ) with two goals: (1)make sure people can get author itative information from reliable sources and {2) encourage people topractice social distance and give people ideas for doing this using internet tools. This will be live wit hinthe next 48 hours.As a centra l part of this hub, I think it would be useful to include a video from you because people trustand want to hear from experts rather than just a bunch of agencies and politi cal leaders. This could bedone in a number of fo rmats if you're open to it. Probably best would be recording a Q&A where youanswer people's top questions, but we'd be open to other fo rmats too.I'm also doing a series of livest reamed Q&As with health experts to try to use my large following on theplatform (100 million followers) to get authoritative information out as well. I'd love to have you do oneNIH-000470of these Q&As. This could be the video we put in the Coronavirus Hub or it could be a different thingthat we distribute separately, but I think it could be effective as well.Again, I know you're incredibly busy, so don't feel the need to respond if this doesn't seem helpful. If it 'seasy to talk live, give me a call anytime on my mobile phone: (b)( 6)Thanks again for everything you're doing.MarkNIH-000471From: (b)(6)Sent:To:Subject:Mon, 16 Mar 2020 19:40:27 -0400Lerner, Andrea (NIH/NIAID) [E)Fwd: Coronavirus antibodiesPlease handleBegin forwarded message:From: Andrew Sprouse ---------- (b)(6)Date: March 16, 2020 at 4:00:44 PM ED-T- ----~~ To: "Fauci, Anthony (NIH/NlAID ) [E]" --------- (b)(6J: Subject: Re: Coronavirus antibodiesIf millennials are spread ing the corona virus sho uld we allow them to be tested withmilder symptoms? Otherwise they have no idea they have it.On Mar 13, 2020 , at 5:27 AM, Fauci, Anthony (NIH/NIAID) [E](b) (6)>wrote:It likely wouldOn Mar 13, 2020 , at 2:58 AM, Andrew Sprouse(b)(6J:How about human breast milk? Would it have theantibodies as well?Sent from my iPboneOn Mar 12, 2020, at 7:53 PM,Andrew Sprouse--------- (b) (6l>wrote:Dr. Fauci,If China is taking patients and using the.plasma/ant ibodies from them to help cure otherpatients why couldn ' t we do that to heaittwpeople to give them immunity to the yip.I*?AndrewNIH-000472NIH-000473(bX5) -PCENIH-000474From:Sent:To:Fauci, Anthony (NIH/NIAIO) [E)Mon, 16 Mar 2020 23:19:56 +0000Monticone, GiuliaSubject: RE: COVID19 emergencyYour arguments are solid.From: Monticone, Giulia (b)(6)>Sent: Monday, March 16, 2020 7:00 PMTo: Fauci,A nthony (NIH/NIAID) [E]-------=- (b)c(-=c>Subject: COVID19 emergencyDear Dr. Fauci,I am a postdoc researcher working at LSU health sciences center In New Orleans. I would like tocommunicate my concern about the COVID19 in the US.I am Italian and my partner is Chinese and we have been carefully following the COVID19spread first in China and now in Italy and Europe. Based on my scientific and personalknowledge I am confident to say that the US is only few weeks ahead of What is happening inItaly now and this could only be stopped if strict measures will be taken in the enti re country assoon as possible.If you have the power , I ask you to please try to convince the government to apply suchmeasures, even if this means to shut down the entire country for some weeks. I know that theeconomy and money interests are what often prevents to take such decision, but in this casewe are ta lking about life and death and we cannot risk this high price.We have a very clear example of how severe the COVID19 can be if we do not act on t ime andth is is unfortunately my country at this time. We also have a good example, China, in whichvery aggressive measures have been applied and, despite some delay in their application atfirst, they now have reached a strong regression in the virus spread and they gradually canrestart the country. China measures were to close every city borders, close working places andevery non essential activity. They asked the population to stay at home and go out only for foodand health emergencies. I think th is is what we should do in US too.A recent study from Italy in which they tested every person in one Italian city showed that the50-70% of the peop le positive for the virus were asymptomat ic. This is such an impor tantinformation that tells us the only way to prevent the spread is to prevent the people frommoving because we cannot really know who is caring the virus. Also, screening is important andshould be ideally extended to everyone. http s:// www .repubblica.it /s alut e/ medicina-ericerca/2020/03/16/n ews/ coronavirus studio ii 50-75 dei casi a vo sono asintomat ici e molto contagiosi-251474302/NIH-000475NIH-000476My lab is based in New Orleans where the number of COVID19 cases is now growing fast.However, there is no sign from the university or my institute to close. We are working as usualwith only some mild restrictions even if we have colleagues that are at home sick, or worse,that showed up at work coughing. The city mayor applied some restrictions but the people arestill celebrating events on the street. Up to today we were acknowledged that we have apresumptive positive case in the building where we live. We are doing what we can asresponsible individuals but tomorrow we will go to work again not knowing if we are spreadingthe virus.I thank you for reading this email and I hope my arguments are solid and accurate enough toencourage you to take action.Best wishes,GiuliaFrom:Sent:To:Fauci, Anthony (NIH/NIAIO) [E)Mon, 16 Mar 2020 21:28:51 +0000Conrad, Patricia (NIH/NIAID) [E)Subject: RE: INTERVIEW QUOTE FOR ESPN FROM YOUR CALL WITH CARLO DEL RIOSI did not say that they necessar ily should actually cancel the tournament, i.e . not play thegames. They could still play the tournament and have it televised without having manyspectators in the gym. There is a big difference there. And I did not say that all sports shouldmake a similar callFrom: Conrad, Patricia (NIH/NIAID) [E) (b)(6)Sent : Monday, March 16, 2020 3:22 PM ------- =---c-c= To: Fauci, Anthony (NIH/NIAID) [E) (b)(6)Subject: INTERVIEW QUOTE FOR ESPN FROM YOUR CALL WITH CARLO DEL RIOSPLEASE ADVISEPatricia L. ConradPublic Health Analyst andSpecial Assistant to the DirectorNat ion al Institute of Allergy and Infectious DiseasesThe National Institutes of Health31 Center Drive, MSC 2520- Room 7A03Bethesda, Maryland 20892(b)(6)301-496-4409 faxDisclaime r:The informat ion in this e-mail and any of its attachments is confidential and may contain sensitive information. It should not be usedby anyone who is not the original intended recipient. If you have rece ived this e-mail in error please inform the sender and delete itfrom your mailbox or any other storage devices. National Institute of Allergy and Infectious Diseases (NIAID) shall not acceptliability for any statement made that are sender's own and not expressly made on behalf of the NIAID by one of its representatives .From: Deat rick, Elizabeth (NIH/NIAID) [C) (b)(6)>Sent: Monday, March 16, 2020 3:19 PM -------~~ To: Conrad, Patricia {NIH/NIA ID) [E) (b)(6)>Cc: NIAID COGCORE <COGCORE@mail.nih .gov>; NIAID Media Inqu iries <mediainqu iries@niaid.nih.gov>;NIAID FOG <fog@niaid .nih.gov>Subject : Interview request: ESPNESPNTisha Thompson(b)(6)Tisha.Thompson@esp n.comNIH-000477NIH-000478Deadline: COB todayHi Patty,This reporter is writing about the NCAA's reaction COVID-19, and would like confirmation that thefollowing actually occurred:Dr. Brian Hainline said two members of the NCAA's advisory panel, Dr. Colleen Kraft and Dr. Del Rio,spoke with Dr. Fauci, who said he would back the NCAA in its decision to cancel the tournament. That Dr.Fauci 11wholeheartedly" agreed and said to the NCAA reps, "Not only would he back us that this was theright thing to do ... he believed that all sports should make a similar call. 11The reporter would like a quick call/confirmation this evening, before they publish the story.From:Sent:To:Fauci, Anthony (NIH/NIAID) [E)Mon, 16 Mar 2020 21:17:44 +0000Jon LaPookSubject : RE:G reat news.- -------------------- (b)(6] _______ .., . Thanks again.Wonderful!!-----Origi11aMl essage-----From: Jon LaPook ,,;::;..----- (~b)~(=6)>Sent: Monday, March 16, 20204:13 PM ----- -=s:"=<t To: Fauci, Anthony (.N,..I;.H. INI;A_.J;.D. :):.[.E:.:.]:......!::===== (=b)=(=6)->---------- ~=Subject: Great news . (b)(6) . Thanks again .Jonathan LaPook, M.D.Chief Medical Correspondent, CBS NewsProfessor of MedicineNYU Langone HealthTwitter @DrLaPookNIH-000479From:Sent:To:Subject:Please respond.Fauci, Anthony (NIH/NIAIO) [E)Mon, 16 Mar 2020 21:17:06 +0000Cassetti, Cristina (NIH/NIAID) [E]FW: Treatments that may be useful against the novel coronavirusFrom: PEAK (b) (6bSent: Monday, March 16, 2020 4:58 PMTo: Fauci, Anthony (NIH/NIAID) [E]--------=- (b'")("=6' )>Subject: Treatments that may be useful against the novel coronavirusDear Dr. Fauci:I am a Cb) (6) assistant attorney general of the States of New York and Oregon. I have receivedsome information that may be useful in dealing with the novel coronavirus, but I am not able toevaluate this information personally. It is in an a1iicle authored by a former asst. secretary of theUS Treasury. I would like to make this information available to you for evaluation, and to thatend I am copying it immediately below.Sincerely ,Robert RothEugene, OregonTreatments for Coronavirus That Have Worked in ChinaPaul Craig Roberts • March 13, 2020These are scientific papers showing effective treatments for coronavirus being used in ChinaH ydrox ychloroqu inehttps ://www.ncbi.nlm.nih.gov/pubmed/32 l 506 18https:/ /reader.elsevier.com/reader/sd/pii/S0924857920300820?token =92457EBC4 E7 5F28D02F3 l 1f610OB2D48113£ 501DC04D49C824E6 FD819F77BE34A99378 4AEAC0D l 15710BDB7BCC2175B5These research papers show great antiviral promise for both HydroxychJoroquine and Chloroquine. TheChinese have started using them. So should we. The antiviral effects were originally discovered in Europeduring SARS, but then forgotten about as SARS was so aggressive it killed the host too quickly and diedout. French ProfRaoult and others have helped the Chinese advising them to proceed in this way and theyhad the good sense to trial it.Unlike vaccine s and costly new antiv irals, Hydroxychloroquine and Chloroqu ine are generally safe, verywell tested , cheap and readily available today. They could be a real game changer. Please publish anddissemina te. Please also re -refer to the Blaylock cytokine paper to emphasize the importance of vitaminC, D3 etc.Hydrox ychl oroquine and Chloroqu inehttps ://www.ncbi.n lm.nih .gov/pubmed /32 l 506 18https :/ /reader.elsevier.corn/reader/sd/pi i/S0924857920300820?token =92457EBC4E7 5F28D02F3 11F610DB2D48113E50 1DC04D49C824E6FD819F77BE34A9937B4AEAC0D 1157 10BDB7BC C2175B5https://www.ncbi.nlm.nih .gov/pubmed/?term=chloroquine+coronavirus(Republi shed from PaulCraigRobe 1ts .org by permission of author or representative)NIH-000480NIH-000481More at Roberts' homepage: https://www.paulcraigroberts.org/wpcontent/uploads/2020/03/ 14 2020.010 12.pdfFrom:Sent:To:Cc:(b)(6)Mon, 16 Mar 2020 16:23:09 -0400Luo, Yiming (NIH/NIAMS) [E)Kadlec, Robert ( OS/ ASPR/1O)Subject:healthcare settingsRe: concerns regarding CDC recommendations for COVID-19 prevention inYiming:Thanks for your note. I will forward your email to dr. Robert Kadlec who is in charge of theSNS.Best regards ,TonyOn Mar 16, 2020, at 2:53 PM, Luo, Yiming (NIH/NIAMS) [E](b)(6) > wrote: ---------Dear Dr. Fauci,My name is Yiming and I am a clinical fe llow in rheumato logy at NIH/NIAMS. I havecolleagues and friends working in community hospita ls fighting against COVID-19 and weare deeply concerned regarding the CDC inte rim recommendations for COVID-19prevention in healthcare settings saying that "facemasks are an acceptable alternativewhen the supply chain of respirators cannot meet the demand" . Currently hospitals in NewYork City are asking their healthcare providers to wear surgical mask while t reating COVID-19COVID-19 is highly contagious in healthcare settings with a large proportion of healthcareprofessionals being infected reported in early literature [1]. A recent study suggested thatasymptomatic patients can transmit SARS-CoV-2 which puts potentially additional threatsto healthcare providers [2].Although surgical mask can effectively prevent droplet transm ission, whether and to whatdegree SARS-CoV-2 can transmit through aerosol approach is still uncerta in. Studies with2003 SARS virus suggest a high level of concerns for aerosol transmission [3], and a recentunpublished study from MedRxiv revealed that SARS-CoV-2 has similar aerosol stabilitycompared to SARS [4).Healthcare professionals are our frontline force against the coronav irus emergency and wecannot afford even a slight probability of a large scale infect ions among healthcare workersdue to insufficient personal protective equipment. We hope that accessing the StrategicNational Stockpile (SNS) and any potential mass production program are actively beingconsidered to protect, and ultimately, save lives for U.S. people.Sincerely,NIH-000482NIH-000483Yiming Luo, MD[1] Wang et al, Clinical Characteristics of 138 Hospitalized Patients With 2019 NovelCoronavirus-lnfected Pneumonia in Wuhan, China. JAMA. 2020 Feb 7. Doi:10.1001/jama.2020.1585.[2] Chang et al, Protecting health care workers from subclinical coronavirus infect ion,Lancet Respir Med . 2020 Mar;8(3):e13. doi: 10.1016/52213-2600(20)30066-7.[3] Jones et al, Aerosol transmission of infectious disease. J Occup Environ Med. 2015May;57(5) :501-8. doi: 10.1097/JOM.0000000000000448.[4] Doremalen et al, Aerosol and surface stability of HCoV-19 (SARS-CoV-2) compared toSARS-CoV-1. doi: https ://doi.org/10 .1101/2020.03.09.20033217 (MedRxiv)From: (b)(6)Sent: Mon, 16 Mar 2020 14:31:15 -0400To: Redfield, Robert R. (CDC/OD);Deborah BirxSubject: Fwd: (b)(4)Algorithm for addressing people with mild upper respiratory symptoms in the age of Covid-19.This is a (b) (5)Begin forwarded message:From: Jon LaPook (b) (6)Date: March 16, 2020 at 1 :52:57 PM EDT To: "Fauci , Anthon y (NIH/NlAID) [E]" ----------==-=(b)( --· =-=-Subject: (b) (4)______ Algorithm for addressing people with mild upper respiratorysymptoms in the age of Covid-19.Hi Tony,Thank you so much for calling me this morning, and for your terrific help last night trying tothink through the issue (b)(4), (b)(6)Given our discussion this morning, I think it would be very helpful if the task force oncoronavirus came up wi th a clear algorithm for addressing issues related to people havingsymptoms that could be from a cold, flu, or other virus - and not related to the virus thatcauses COVID-19.Let's say there's a hypothetical patient with some combination of sore throat, aches andpain, low grade fever in the 99's by mouth, and cough; there's no shortness of breath. let'ssay they are now proactively self-quarantined at home and are in the process ofevaluation. Questions include :1. Who, if any, of the person's contacts within the previous days should becontacted?2. If it's only "close contacts" - those who were within 6 feet of the person for anextended period of time:a. What's the definition of extended period of time?b. Does any physical touch ing- such as a hug or handshake - immediatelymean there is significant contact?c. How far back from the onset of the person's illness do we need to checkfor "close contacts?" This gets to the issue of how long before symptomsbegin can asymptomatic shedding occur.3. If no Covid-19 test ing is available or the person has been told they are not sickenough for testing: how do we think about the potential risk to that person'scontacts, for example, at home or work?NIH-0004854. If Covid-19 testing is available: before the result is back, what is the advice for acorporation or other entity where the person being tested may have infectedothers through asymptomatic shedding of virus? Should the possible exposure,even if relatively "low risk", set off any protocol that deals with trying to minimizepossible spread of the virus?Thanks!JonJonathan LaPook, M.D.Chief Medical Correspondent , CBS NewsProfessor of MedicineNYU Langone HealthTwitter @DrlaPookNIH-000486From:Sent:To:(b)(6)Mon, 16 Mar 2020 14:23:32 -0400Billet, Courtney (NIH/NIAID) [E]Subject: Fwd: coronavirus vaccine using cow pox-small pox exampleNiaid inquiriesBegin forwarded message:From: nishit sawa l (b)(Date: March 16, 2020 at 1 :39:58 PM EDT ------~~ To: "Fauci, Anthony (NIH/NIAID ) (E]" (b)(6J: , "Auchincloss ,Hugh (NIH/NIAID ) (E]" (b)(6) , "Barasch, Kimberly(NIH/NIAID) [C]" _____ (b><, "Conrad, Patricia (NIH/NIAID)[E]" (bH6)>, "Lerner, Andrea (NIH/NIAID) [E]"(bH6), "Mascola, John (NIH/YRC) [E]"(bH6J , "Graham, Barney (NIWVRC) [E]"(b)(6)Subject: coronavirus vaccine using cow pox-small pox examplehi sir,currently an effective vaccine for covid-19 appears 12-16 months away. in view oframpant spread of disease, we can use the cow pox-small pox idea to minimize thedisease mortality.if general population at large was purpo sefu lly infected with human coronavirusstra ins which classically cause mild URTI's, the chances of them gett ing infected ormore probably getting severe ly ill with covid-19 would be definitely reduced. we donot need to make a vaccine of these strains - classically they cause mild , selflimitingURTI's.we have these resources and can do this in a ve1y short period.think over it - time to innovate like Edward Jenn er did.regards,Dr Nish it sawa l.Consultant NeurologistGovernmen t Medical College and Hosp ital.Chand igarh ,IndiaNIH-000487From:Sent :To:(b)(6)Mon, 16 Mar 2020 13:45:28 -0400Jethro PenSubject: Re: Steven Hilton of Fox News' Covid19 Question to Dr Fauci et al.Stay tunedOn Mar 16, 2020, at 1: 40 PM, Jethro Pen -------- Cb)( 6>>\wrote :Dear Dr Fauci:Apologies for further burdening your staff at this time of Covidl 9 crisis, by submittingthis question.Fox News' Host Steven Hilton posed a question to ou on his March 15th program: myunderstanding of it - which my wife and I, (b)(6), believe to be a "good"question - is as follows:"Given the relative safety of all but the elderly and those whose immune systems arecompromised, and that they are far fewer than the rest of the population, why notquarantine only them?"Mr Hilton says he believes t here to be an answer, but it's not yet been given to thepublic. For what it's worth, I too believe there's an answer . I'm less certain that it's notbeen given . Below is the link to this matter on the Fox website.https: //www . fox news .com/opin ion/steve -h ilton - on-coronavi rus-dr-fauci -offic ials-m ustanswer-t he-big- quest ion-america ns-are-askingThanks for such attention as this may be given. If in the present circumstances, thatmeans none, I get it; nothing further is necessary or expected.Happy to t ry to provide anythi ng fu rt her which is needed or helpful.Sincerely,/s/ Jethro PenNIH-000488From: (b)(6)Sent :To:Cc:Subject :Mon , 16 Mar 2020 13:36:16 -0400Conrad, Patricia (NIH/NIAID) [E)Barasch, Kimberly (NIH/NIAID) [C)Fwd: March 26th hearing postponedYeah!Begin fo1warded message:From: "Hallett, Adrienne (NIH/OD) [E]" ________ Cb _H_6)Date: March 16, 2020 at 1:23:40 PM E-D-T- ------=-c-= To: "Hodes , Richard (NIH/NIA) [E]" ------- CbH6), "Volkow, Nora (NIH/N IDA) [E]" .------ CbH6), "Sharpless, Norman (NIH/NCI) [E]" (b )( 6) , "Fauci, Anthony (NIH/NIAID) [E]"CbH6") Bianc hi, Diana (NIH/N ICHD) [E]"CbH >, "Gordon, Joshua (NIH/NIMH) [E]"________ C_>b<6), "Collins, Francis IH/OD) @,l~ ------~ C~Hb=6>1Cc: "Kelley, Melinda (NIH/NIA/ERP) [E]" Cb)C>6,) "Hobin,Jennifer (NIH/NIDA) [E]" CbH , "Holohan, MK (NIH/NC I)[E]" Cb(>6 ) , "Haskins , Melinda (NIH/NIAID) [E]"CbH6>), "Kaeser, Lisa (NIH/NICHD) [E]"CbC> 6,J "Ampofo, Phyllis (NIH/NIMH) [E]"CbH6") Mitchell, Miche lle (NIH/OD) [E]"(b)(6)Subject: March 26th hearing postponed0MB is putting a hold on sending HHS witnesses to the Hill through the end of March . Thiswill indefinitely postpone our budget hearing.Thanks for your patience,AdrienneDear Agency Legislative Affairs Teams:Due to the full Administration mobil ization underway, we are placing a temporary hold onsending up government witnesses who are engaged in the coronavirus response. TheExecutive Branch needs all of its resources directly focused on executing its day-to-dayrespo nse to coronavirus. We will continue to practice "radical transparency" with CongressNIH-000490NIH-000491and the American people, but participation in hearings cannot continue to divert resourcesfrom our response effort.This pause is effective immediately. It is intended to last for three weeks, through the endof March, though we will reevaluate if it needs to be extended at a later date .Importantly, as noted above, this does not only include witnesses for hearings that areexplicitly focused on coronavirus, but also, to be determined on a case-by-case basis,witnesses and agencies who are playing vital roles on the Task Force or the broaderAdministration response, whether or not the hearing topic is coronavirus .Therefore, please do not accept hearing invitations from Congress for hearings throughMarch if you believe they meet the above criteria . If you already have hearings confi rmedthat you believe fits th is cr iteria, please notify us immed iately. You will likely have topostpone those hearings.Four corners leadersh ip offices have already been notified of this policy.Please reach out to 0MB if you have any questions, and we will be happy to work with youas we implement this policy.Thank you.From:Sent:To:(b)(6)Mon, 16 Mar 2020 13:34:42 -0400Billet, Courtney (NIH/NIAID) [E]Subject: Fwd: A SIMPLES TRATEGYF ORP REVENTINGC ORONAVIRUS PREADNiaid inquiriesBegin forwarded message:From: Walter Tenge lsen (b)(6)Date: March 16, 2020 at 1: 32:43 PM ED-T- -----~~ To: "Fauci , Anthony (NIH/N IAID ) [E]" CbHSubject: A SIMPLE STRATEGY FOR PREVENTING CORONA VIRUSSPREADTo: Dr. Anthony S. Fauci , MD, Head of NIAIDFrom: Walter Tengelsen , Chmn. of MACROSYSTEMS INST.First,, allow me to thank and congratulate you for telling the government, and thepress, about our nation'sunpreparedness for the coronavirus spread. But while we wait for Big Pharma todevelop a vaccine for thisdisease, there is something that could be done NOW to prevent the spread of thevirus ... and it wouldn'tcost the gove rnment anything! Allow me to explain.Decades ago, when I was a designer in Aerospace , and took my drawing s up to theblueprint room for copies,I would always notice the 'aroma' of ammonia in the room. Inquiring about thesafety of this constant exposureby the blueprinting staff I was told that there are three groups of people who don'tget co lds: 1) those work ingin salt mines, 2) those working in sewe rs, and 3) tho se working in blueprint rooms!A few decades later I wasadvised, by an MD, that the way to avoid colds is to keep saucers of householdammonia in my house rooms( and in the office rooms , if allowed), and that one would not even notice the smellafter a few days. Since coldvirus transmission is by aerosol particles from the already -in fected, and the diluteammonia fumes are able toNIH-000492'inactivate' them, might these ammonia fumes be able to protect us against thecoron avirus?Admitted ly, too much ammonia gas can be very irritating (and even fatal, as inWW!), but evidently peopleseem to survive and thrive at the just-noticeab le gas levels being recommended here .If there is some potentiallung damage from ammonia gas, that might be prevented by taking (freeze-dried)stinging nettles leaf, a widelyrecognized lung-cleaning supplement that is recommended by NaturopathicDoctors. But it would seem thatthe potentia l benefits of limiting the spread of the coronavirus in our entirepopulation far outweighs the risksof lung damage . Since most homes already have bottles of anunonia (in theirlaundry area), this preventivestrategy could be impl emented immediately, and would provide the public withthe satisfaction of feelingthey are doing 'their part' in combatting this pandemic ... and protecting themselvesand their loved-ones.NOTE: I am NOT a medical doctor, but an electron ic systems enginee r and scientist( who takes systemsengineering as a license to meddle in all things), but I was the first male familymember in 4 generations whodid NOT become a pham1acist or physician. I'm emailing my (old address) CVseparately, but the em-a-i-l- a~n~d cell phone number -- Cb)( still reach me as I'm (b)(6)_ , and then plan to_ ___ ~=return to my new home in Cb) (6) (IF there's no travel res trictions in force)!I can be reached via emailor cell phone to explain this preventive strategy further. Meanwhi le, good luck onall your efforts to containthis pandemic; the next four weeks or so will be critical!NIH-000493From:Sent:To:(b)(6)Mo n, 16 Mar 2020 13:33:40 -0400Carlos del RioSubject : Re: FYI. ..Thanks, CarlosOn Mar 16, 2020 , at 1:31 PM, Del Rio, Carlos --------- (bH6>)wrote:Dear super -st ar fr iends:I wanted to give you a heads up abou t a letter (attached} that myself as well as two AAASLesher fellows have been work ing on. Our goal is to send t his with as many signatures aspossible to the WH. Most of what we ask for is wha t you are already doing or going to bedoing but we are calling fo r e nforced social distancing mea sures, including closing orseverely limiting all non-essential business and schools nationwide. I hope t his is useful inour efforts.Sincere ly,Carlos del Rio, MD, FIDSADistinguished Professor for Emory Clinical and Academic Affa irs at GradyProfessor of MedicineExecutive Associate Dean for Emory at GradyEmory University School of MedicineProfessor of Global Health and EpidemiologyRollins School of Public HealthCo-Director , Emor CFARTel: (b)(6)Tweeter: .___("b,)".(.".=6",.)Pronouns: he/him/hisThis e-mail message (includ ing any attachments) is for the sole use ofthe intended recipient(s) and may contain confidentia l and privilegedinformation . If the reader of this message is not the intendedrecipient. you are hereby notified that any dissemination. distributionor copying of this message (including any attachments) is strictlyprohib ,tedIf you have received this message in error, please contactthe sender by reply e-mail message and destroy all copies of theoriginal message (including attachments).<Open letter from the Infectious Disease scientific and medical community onCOV TD-19.do cx>NIH-000494From:Sent:To:(b)(6)Mon, 16 Mar 2020 13:19:42 -0400Cassetti, Cristina (NIH/NIAID) [E]Subject:illness?Fwd: Can existing SARS vaccine be used to possibly limit severity of COVID-19Please bandleBegin forwarded message:From: Benjamin Cintz (b) CDate: March 16, 2020 at 1:10:48 PM EDT To: "Fauci, Anthony (NIH/NlAID) [E]" --------::-:--(b:)(-6)=.Subject: Can existing SARS vaccine be used to possibly limit severity ofCOVID-19 illness? .Dr. Fauci,I have read that COVID-19 is close ly related to SARS.I am wondering if the existing SARS vaccine be used to possibly limit the sever ity of COVID-19 illness in highly at-risk populations?Thanks,Ben CintzMobile: (b)(6)NIH-000495From: (b)(6)Sent :To:Subject :Mon, 16 Mar 2020 13:12:18 -0400Marston, Hilary (NIH/NIAID) [E]Fwd: Coronavirus AntidoteAttachments : Zn2+ Inhibits Coronavirus • 14 March 2020.pdf, ATT000Ol.htmPeople respondBegin fo1warded message:From: FH Mughal Cb(6>)>Date: March 16, 2020 at 1:05:20 PM EDT -------=-c--c To: "Fauci , Anthony (NJH/NIAID) [E]" CbH6)Subject: Fw: Coronavirus Anti doteI'm anxiously waiting for your respo nse. Kindly respond , thesoonest - Thank you----- Forwarded Message -----From: FH Mu hal ----~~To: Cb)( >Sent: Sunday, March 15, 2020 , 03:54:48 AM PDTSubject: Coronavirus AntidoteDear Dr Anthony Fauci and Hilary D. MarstonKindly enlighten me on the following points:Can the high temperature (30-35 degrees C) kill the virus?Can the heatwave ( 40-49 degrees C) kill the virus?During last heatwave, the te mperature in some cities of Pakistanwas 47-49 degrees C.What is the antidote for coronavir us?In the fol low ing link, Pastor Jim Bakker is suggesting that thesilver solution can kill the coronavirus within 12 hours. What areyour views:Coronav irus 'Cu re ' Claims Get FTC Warn ing, So Maybe Don't DrinkSilverNIH-000496NIH-000497Coronavirus 'Cure' Claims Get FTC Warn ing, SoMaybe Don't Drink SilverThomas BrewsterScience says drinking silver won't cure coronavirus, butcompanies offering the "cure" are trying to capitalize ..Coronavirus 'Cure' Claims Get FTCWarning, So Maybe Don't Drink SilverThomas BrewsterScience says drinkin g silver wo n't curecoro nav iru s, but companies offe ring the"c ure" are t ry ing to capita lize ...In the attached paper, the authors say zinc can inactivate thevirus. Your comments on silver and zinc, please.Could I kindly request for an early response, please.Thank you,Kind regards,NIH-000498F H Mughal (Mr)Karachi, PakistanFrom:Sent:To:(b)(6)Mon, 16 Mar 2020 13:04:59 -0400Billet, Courtney (NIH/NIAID) [E]Subject : Fwd: Hypothesis for reducing fata lities from CoronavirusNIAID inquiriesBegin forwa rded message:From: Patrick Hackenbe rry (b)(6)Dat e: March 16, 2020 at 12:59:07 PM ED--T- ---~~ To: "Fauci, Anthony (NIH/N lAID ) [E]" (b)(6J:Subject: Hypothesis for reducing fatalities from CoronavirusDear Dr. Fauci / to whom it may concern:I am not a medical doctor but I have an idea. I know you have every exper t on earthworking on this virus. I am watching the attem pts to slow the transmission and"flatten the CUJve."What if we could reduce the fatality rate? Wouldn't that be huge and assist inreducing the panic ?I am hearing that hosp itals are going to be short on respirators and that the virusattacks the lungs. My idea - might help people to breath more efficien tly.Summary:Here is my idea: Doctors need to uti lize methods that endurance athle tes have usedin the past to increase their red blood cells in order to increase their body'sblood-o xygen carrying capacity.Further descript ion:Athletes like Lance Armstrong used blood doping and other ways to increase the irErythropo ietin (EPO). This was called cheating in sports. Howeve r, the resultsgave him an advan tage because his body could get more (V0-2 max) oxygen with asingle breath compa red to others. This helped Armstro ng to become more "superhuman ." I agree that this should be illegal in sports. However, I think it wou ld begreat if a person was fighting for their life to be super human.NIH-000499There are natural ways to increase your EPO and there are drugs to trick your bodyinto producing more EPO. One of the best natural ways is high altitude training(think Boulder, CO and Kenya marathon runners). Also, the risks involved inincreased red blood cell count obviously include stroke, blood clot, heart attack andmany others. But I think that if monitored closely and as a last resort this methodmight help some people to survive this outbreak.Sincerely ,Patrick HackenberryFrom (b)(6)(b) (6) cellI have NO connections to the website(s) or companies below:Reference the article below from www.harnmemu trition.c omBy: William Misner, Ph.D.From 1996 until his retirement in 2006, Dr. Bill worked full-time as Director ofResearch & Development at Hammer Nutrition. Among his many accomplishments,both academically and athletically , he is an AAMA Board Certified AlternativeMedicine Practi tioner and the author of "What Should I Eat? A Food-EndowedPrescription For Well Being". - Dr Bill's Full BioWhat is EPO?Erythropoietin (EPO) is a naturally occurring hormone that stimulates theproduction of red blood cells (RBC). Erytbropoietin is a glycoprotein hormoneproduced in the kidneys, containing a 165-amino acids structure. Mosterythropoietin is produced by the kidney's renal cortex, but some is also produced inthe liver (mainly in the fetus), the brain and uterus.Why is it important?Erythropoietin production is stimulated by low oxygen levels in interst itial cells ofthe peritubular capillaries in the kidneys. Following its production in the kidneys ,EPO travels to the bone marrow where it stimulates production ofred blood cellsNIH-000500NIH-000501(RBC's) [2]. EPO increases the body's blood-oxygen carrying capacity, but only upto a point. An overabundance may comprom ise health and hinder blood flowdynamics with performance-limiting implications . In the absence ofEP O, only afew RBC's are formed by the bone marrow.Why are RBC's important?Red blood cells carry iron-rich hemoglobin for up to 120-days, then they die. Unlessthere is a continual supply of Iron, Vitamin B-12, Vitamin C and Folacin, anemiaand reduced oxygen carry ing capacity manifests in two ways:Low red blood cell countMalformed red blood cells.How can one increase their oxygen carrying capacity?There is a distinct difference between unethical , harmfu l, EPO-blood dopingmethods and the safe nutr ition that effectively increases indiv idual oxygen-ca rryingcapac ity. Once can improve their health and oxygen carry ing capac ity similar toEPO without compromising the athlete's health or integrity. EPO levels up to 48%safely improve performance in males, however beyond this level, the risk ofcompro mised health increases . Look to dietary suggestions below regardingvitamins, minera ls, proteins, and avoid ing anemia to ensure oxygen carry ingcapacity.Can excess EPO can be lethal?Yes. The margin between effective and lethal quantities of EPO is very narrow. EPOuse can be LETHAL. Many athletes seeking to derive its performance -enhancingeffects have died from incorrec tly-administered EPO. Inappropriate use ofexogeno us EPO can cause elevated hematocrit levels (i.e. thickened blood that isdifficult to pump). Elevated EPO increases the risk of heart attack due to theincrease in hematocrit. Choosing sustainable, healthy choices is preferred.Exogenous EPO is totally cleared from the urine with in 48 hours of itsadministration and is cleared from the blood within 72 hours of its administrationbut its physiologica l effects prevai l for several months). [3) A look at EPO's complexpathway further illustrates a complex physiological process below, seePATHWAYS[4]. Research followed over 7,000 middle-aged men for more than 12years, and discovered that the risk of diabetes increases proportionate to hematocritincrease.[19) [20). Men with hematocrits above 48 percent have a 400% increasedrisk of non-insul in-depe ndent-diabe tes mellitus. The upper recommended levels fora female is slightly lower at 45%.This nutritional intervent ion parallels exerc ise intensitys effect for increasing EPO.Nutr itional and training interventions for reso lving low EPO levels during ironNIH-000502supplementation (only prescribed by a physician who should monitored progress)shou ld not be permitted above a refere nce ra nge of 48% in males and 45% infema les. Similar resea rch confirms this repo rt. [21] [22] [23]Does exercise intensity increase EPO?It's comp licated. Roberts & Smith measured the effects of exerc ise-ind uced hypoxiaon the physiological production of erythropoie tin. Twenty athletes exercised for 3min at 106-112% maximal oxygen consumption. The fitness of these athletesprov ides a physiological env ironment for increasing EPO naturally from short 3-minute all-out intervals . Estimated oxyhemoglobin saturat ion was measured byreflective probe pulse oximetry (Nellcor N200) and was validated against arterialoxyhemoglobin saturation by CO-oximetry in eight athletes. Serum erythropoietinconcentrat ions, as measured using the IN CST AR Epo-Trac radio immunoassay,increased significant ly by 19-37% at 24 hours post-exercise in 11 participants whoalso had an arterial oxyhemoglobin saturation< or= 91 %. Decreased ferritin levelsand increased reticulocyte coun ts were observed at 96 hours post-exercise. However ,no significant changes in EPO levels were observed in nine non-desaturatingathletes and eight non-exe rcise contro ls. Good agreement was shown betweenarterial oxyhemoglobin saturation and percent estimated oxyhaemoglobin saturation(limits of agreement= -3.9 to 3.7. They concluded that a shor t 3 minutessupramax imal exerc ise pe riod cou ld induce both hypoxem ia and increasederythropo iet in levels in well-train ed indi viduals . The dec line of arterial hypoxemialevels below 91 % during exercise appears to be necessary for the exercise -inducedelevation of serum erythropoietin levels. Furthermore, reflective probe pulseoximetry was found to be a valid predic tor of percent arter ial oxyhemoglob insaturation during supramaxima l exercise when percent estimated oxyhemog lob insatura tion> or= 86%.[9]What naturally occur ing, nutritional building block s aid in EPO production?Protein adequacy is a factor in erythropoietin (EPO) production . Inadequate proteinnutrition can reduce the EPO produced. The erythroid response to Erythropoietin(EPO) is highly dependent on dietary protein adeq uacy and qua lity . The mousespleen is an erythropo iet ic organ, which contains an EPO-responsive cell populationthat can be easily amplified by administration of the hormone. Researchersdetermined the effect of a protein-free diet offered freely to mice up to two daysafte r injection of r-Hu EPO (l000mU /200 ul) on the response of the abovepopul ation. Sp lenic cell suspen sions from control and experimental mice wereprepared in microwells containing 400 mU r-Hu EPO and appropriate medium. Theresponse to EPO was evaluated in terms of 3H-thymidine uptake. The resultsobta ined indicate that acute ly induced protei n restr iction suppressed the response ofthe EPO-responsive splenic cell population to EPO when it was imposed on miceimmediately after hormone injection, and suggest the appearance of deficient ratesof differentiation of erythropoietic units by protein restriction .[ 11] Adequate dietaryprotein intake is 1.4-1.7 grams /kilogram body weight per day for an enduranceNIH-000503athlete.What other nutritional elements and processes affect the natural product ion of EPOand the body's oxygen carrying capacity?Dietary Iron. To ensure oxygen carry ing capacity, one shou ld take the recommendeddai ly va lue of iron. Food sources of iron are red meat, liver, and egg yolks. Mostflour , bread, and cereals are iron-fortified. If the diet continues to be iron-deficient ,only a physician should prescribe and supervise iron supplementation.Ca lories. Calor ies are needed for EPO production . Calorie sufficie ncy (in spite ofexercise expense) is required for optimal EPO-r elease. If training is causing weightloss, then EPO loss may be occurring. In order to test the hypo thesis that the earlycessat ion of erythropoietin (Ep) production during hypobaric hypoxia is induced bylowered food intake, researchers compa red the plasma Ep titer of rats after expos ureto continuous hypoxia ( 42.6 kPa = 7000 m altitud e) for 4 days in fed or fasted ratsafter exposure to discontinuous hypoxia. They found that plasma Ep was rather lowafter 4 days of cont inuous hypoxia . Their findings showed that fast ing lowers theEPO- response to hypoxia in normal rats [12].Hormone and Glucose. EPO production also has hormonal-dependant rootscomplex ly related to glucose metabolism, and calorie adequacy . The effect ofThyroid-T3 rep lacement and glucose supplemen tation on erythropo ietin productionwas investigated in fasted hypoxic rats. It was found that 48 hr of fastingsignificantly reduced the circulating levels of thyroid hormones and the prod uctionof renal and extra renal erythropo ietin in response to hypoxia . These effects offast ing were complete ly abo lished when the an imals had free access to 25% glucosesolution as drinking water , despite their Lack of protein intake. Replacement doses ofT3 (0.5 micrograms / 100 gm per day) restored erythropoietin production in the fastedanima ls but a lso increased the response of the fed contro ls. To avoid the effec t ofendoge nous T3, the experiments were repeated in thyroidectomized rats. EPOprod uction in athyroid rats was found to be markedly decreased , with valuesequivalent to those found in nonnal fasted animals, and were not affected by fastingor glucose supp lementa tion. Replaceme nt doses of T3 increased EPO product ion inall three gro ups, but the fasted anima ls needed five times as much T3 to obta in aresponse similar to that observed in the fed group. Glucose supplementationenhanced the effect ofT3 in the fasted animals but did not completely restore them.These results indicate that caloric deprivat ion is primarily respons ible for thedecreased EPO production induced by fasting and that this effec t is proba blymediated by both a decreased level of T3 and a decreased responsiveness to it.[13]A calorie deficit therefore requires 500% more Thyroid Hormone (T3) to maintainEPO leve ls. This is a good reason for monitoring calorie intake during high h·ainingcalori e expense.Iron abso rbtion. Dietary intervent ions sign ifican tly advance nonheme ironabso rptio n rate during EPO production. It is very important to include foods toNIH-000504enhance nonheme iron absorption, especially when an exercise-induced iron loss ishigh or when no heme iron is consumed, such as in a vegetarian diet. Absorption ofheme iron is very efficient; the presence of red meat increases absorption of nonhemeiron +400%. Only 1-7% of the nonheme iron in vegetable staples in rice,maize, black beans, soybeans, and wheat are absorbed consumed alone. Vitamin Cimproves the rate of absorption of nonheme iron from red meats. Diets that include aminimum of 5 servings of fruits and vegetables daily provide adequate vitamin C toboost nonheme iron absorption. Calcium , polyphenols , tannins from tea, andphytates (a component of plant foods), rice, and grains inhibit the absorption ofnonheme iron. Some of the protein found in soybeans inhibits nonheme ironabsorpt ion. Most hea lthy individuals maintain normal iron stores when the dietprovides a wide variety of foods. However, if the diet contains large amounts ofoxalates and phytates from dark green leafy vegeta bles and whole cerea l grains theabsorption of iron decreases due to binding with iron in the gut. High absorption ofheme iron is further advanced by foods containing vitamin C in an acid environmentfound of the stomach. The recommended for daily iron intake is between 10-18milligrams for adult males and postmenopausal females. Most endurance athletesconsume too much iron. Iron is added to breads, cereals, and most packaged foods.From a computer-generated dietary analysis on 16 endurance athletes and 9 nonathletes,iron intake from their reported food intake was assessed.The results of this data is as follows:GROUPPERCENT DAILY IRON (RD I/RDA)MALE ENDURANCE ATHLETE279%FEMALE ENDURANCE ATHLETE193%MALE SEDENTARY158%FEMALE SEDENTARY115%What are some food combinations that incr ease the absortion of iron?NIH-000505How foods are combined may affect iron absorption rate. Excess iron overdose isunhealthy and should be avoided. Common side effects of acute iron overload aregastro-intes tinal pain, constipation, nausea, and heartbwn. Excess iron levels maygenerate a continuous low-grade infection. Foods are the best source of iron. Thebest food source of iron is liver and red meats. These foods contain heme iron,which is better absorbed than non-heme iron. No n-heme iron can be found in darkgreen, leafy vegeta bles (spinach, chard and kale) and whole cereal gra ins (bran andwhole wheat bread). Include dark green, leafy vegetables and whole cereal grains inthe daily diet. Oxalates and phytates found in dark green leafy vegetables and wholecereal gra ins decrease the absorption of iron because they bind with iron in thegash·ointestinal tract. Iron fo11ified cereals increase iron from the diet. Anemia maydevelop on a meat-free diet and/or if the iron store or intake is low.Red meat contains arachidonic acid, an EPO-p recu rsor nutrient, but it also conta inshigh leve ls of saturated fats and chol esterol sugges ting a little (now and then) isgood but too much will harmfully compromise cardiovascular lipid levels. Addingiron to the diet in supplementa l form is not reconunended except under thesuperv ision of a physician who is monitoring blood serum leve ls for a spec ificoutcome. It has been shown that eating red meat 1-2 per week may contribute toproviding substrates known to regenerate EPO as shown in animal research . Theability of Arachidonic Acid (AA), the bisenoic pro staglandin precursor to stimulateerythropoi esis and Eiythropoietin (EP) Production in exhypox ic polycythemic miceand the programmed isola ted perfused canine kidney was found to stimul ateerythropoi esis when adminis tered to exhypoxic polycythernic mice in the lowestdose tested (50 microgram/kg i.p.). Endogenous ly synthesized prostaglandins, theirintermediates and/or other products of AA metabo lism, such as prostacyclin andprostaglandins pl ay an importan t role in the control EPO production.[14] Hematocritlevels are restored through the supplying dietary or supplementa l specific substratesto support the body's natural EPO-produ cing mechanisms during endurance exercisestress .SUBSTRATES THAT ASSIST EPO METABOLISM[l5]Acidophilu s - 15-30 Billion Count ProbioticsCoenzyme QlO - 150-300 mg dailyGarlic - 2 cloves or 2 capsules up to 3 x dayKelp - 100-225 microgramsVitamin B6 - 50-100 mgVitamin B12 - 200-1 ,000 mcgFolic Acid - 800 mcgProteolytic enzymes - Bromelain & PapainSelenium - 200 mcgVitamin A - 15,000 IU daily or Beta Carotene - 25,000 IU dailyVitamin B Complex - 50-100 mgVitamin C plus Biofla vonoids - 1-3 grams (divided dose)Vitamin E - 400 IU dailyNIH-000506Copper- 2 mgZinc 40 mg daily ---->(Do not take zinc in amounts over 40 mg daily as it mayinterfere with metabolism of iron and copper)More Dietary RecommendationsThere is a method to improve iron uptake in the absence of oxalate or phytate richfoods previously mentioned above. If hematocrit, hemog lobin, or fe1ritin blood labmeasures are low, the athlete may add 1-gram of vitamin C to a 3-4 ounce lean cutof red meat cooked in an iron skillet one to two times each week. A complete dietaryprotoco l for cance r patients going through chemotherapy and radiation waspublished and is applicable to over-trained endurance athletes who present lowhematocrit levels. [ 16]ConclusionIn normal adults, the kidneys produce EPO, which initiates approximately 90% ofnatural erythropoietin production. Tissue oxygenation exposure regulates theproduction of erythropoietin . Less oxygen saturat ion in the air we inhale (either byaltitude or hypoxic interval training) stimulates the kidneys to activate the chemica lmessengers to instruct the bone marrow to increase the production of EPO to resolvethe lack of oxygen exposure. Hypoxia or Anemi a stimulates the kidney productionof erythropoietin to increase production red blood cells . EPO released from thekidneys increases the rate of red blood cell division and differentiation of specificcells in the bone marrow.Dietary deficiency of spec ific foods and micronutrients, hormone imbalance, andlack of specific hypoxic training stress inhibit the endogenous (natural) productionof EPO. Additionally, nutritional imbalance from caloric restriction (or exerciserelated expense), dehydrat ion, fluid intoxication, excess calcium, excess inositol,excess oxalates foods, excess phytic acid from cereal gra ins, or a lack of hypoxicinterval trainin g all inhibit the natural production of EPO also. [17] [18],Manipulating diet for protein and total calor ie adequacy, monitoring hydration,using supplements, timing food combinations, adding weekly hypoxic exercisefollowed by easy or rest days all increases the release of natural EPO for healthymaximal oxygen carrying capacity. Plus, there are many ways to use diet andwellness to ensure that the body's production of red blood cells is sound and thattheir oxygen carrying capacity is functioning.[1] Director of Research & Product Development for HAMMER NUTRITIONLTD. 1-800-336-1977, Whitefish, Montana.[2] Courtesy of From Wikipedia , the free encyclopedia@:http ://en.wikipedia.org/wiki/Main PageNIH-000507[3] In-Tele-Health 2002 (from Hyperhealth Pro CD-ROM)[4] Courtesy ofBioca 1ta@http://www.biocarta .com/pa thfiles /h eponfkbPathway.asp[5] CLINICAL PHARMACOLOGY OF PROCRIT @:http ://www.procrit.com/profo nly/nephrology/what is procrit/clinical pharmaco logy.html[6] Fisher JW. Pharmacologic modulation of erythropoietin production. Annu RevPharmacol Toxico l. 1988;28:10 1-22.[7] Plasmapheresis is the process of separating certain cells from the plasma in theblood by a machine; only the cells are returned to the person. Plasmapheresis can beused to remove excess antibodies from the blood.[8] Roberts D, Smith DJ, Donnelly S, Simard S., Plasma-volume contrac tion andexercise-induced hypoxaemia modulate e1ythropoiet in production in healthyhuman s. Clin Sci (Lond). 2000 Jan ;98( 1):39-45.[9] Roberts D, Smith DJ. Erythropo ietin concentration and arterial haemoglobinsaturation with supramaxima l exerc ise. J Sports Sci. 1999 Jun; 17(6):485-93.[10] Brun JF, Bouchahda C, Chaze D, Benhaddad AA, Mica llef JP, Mercier J. Theparadox of hematocrit in exercise physiology: which is the "normal" range from ahemorheologist's viewpoint? Clin Hemorheol Microcir c. 2000;22(4):287-303.[11] Depressed respon se of the erythropoietin-responsive splenic cell population toerythropoietin in acutely protein restricted mice. In Vivo. 1995 Jan-Feb ;9( 1):71-3.[12] Jelkmann W, Kurtz A, Bauer C., Effects of fasting on the hypoxia -inducederythr opoi etin production in rats. Pflugers Arch. 1983 Feb;396(2): 174-5.[13] Caro J, Silver R, Ers lev AJ, Miller OP, Birgegard G., Eryt hropoietin productionin fasted rats. Effects of thyroid hormones and glucose supplementat ion. J Lab ClinMed. 1981 Dec;98(6):860-8.[14] Foley JE, Gross DM, Ne lson PK, Fisher JW. The effects of arac hidonic acid onerythropoietin produc tion in exhypox ic polycythemic mice and the isolated perfusedcanine kidney. J Pharmacol Exp Ther. 1978 Nov;207(2):402 -9.[ 15] As with any supplement , always confirm with your phys ician as to theappropr iate level and selection prior to use.[ 16] Nutritional Interventions for Reducin g the Negat ive Side Effec ts ofChemothera py, Bill Misner, Ph.D. http ://www .cancure.org/Chemo support.htmNIH-000508[17] Oxala te-rich foods are: Spinach, Cerea ls, Green Beans (steamed), Potato (raw),Pean ut Butter, Tea (brewed), Cele ry, Choco late, Rav ioli, and White Bread.[18] Phytate-rich foods are Grains , Corn, Oats , Rice Bran , Wheat Bran, Legumes ,Peanuts , Soybeans, and Seeds .[19] Catalano C, Muscelli E, Natali A, Mazzoni A, Masoni A, Bernardini B,Seghieri G, Ferrannini E. Reciprocal association between insulin sensitivity and thehaematocr it in man. Eur J Clin Invest. 1997 Jul;27(7):634 -7.[20] Wannamethee SG, Perry IJ, Shaper AG. Hematocrit and risk ofNIDDM.Diabetes. 1996 May;45(5):576-9.[21] Sit D, Kad iroglu AK, Yilmaz ME, Kara TI-II, sikoglu B. The prevalence ofinsulin resistance and its relationship between anemia, secondaryhyperparathyroidism , inflammation , and cardiac parame ters in chronic hemodialysispatients. Ren Fail. 2005;27( 4):403- 7.[22] Evrengul H, Dursunoglu D, Kaftan A, Kilicaslan F, Tanriverdi H, Kilic M.Relation of insulin resistance and left ventricular function and structure in nondiabetic pat ients with essential hype rtension . Acta Cardiol. 2005 Apr;60(2) : 191-8.[23] Amoah AG, Schuster DP, Gaillard T, Osei K. Insulin resistance, beta cellfunction and cardiovascular risk factors in Ghanaians with varying degrees ofglucose tolerance. Ethn Dis. 2002 Fa11;12(4):S3-10-7.From:Sent:To:(b)(6)Mon , 16 Mar 2020 13:00:10 -0400Lerne r, Andrea (NIH/NI AID) [E)Subject: Fwd: natu ral course of the coronavi rus pandem icPlease handleBegin forwa rded mess age :From: Martin Gelbaum Cb)< >Date: Mar ch 16, 2020 at 12:52:24 PM ED-T-- --~~To: "Fauci, Anthony (NIH/NIAID) [E]" CbH6JCc: Martin Gelbaum Cb)(Subject: natural course of the coronavirus pandemicReply-To: Cb)(6)2020-03-16Dear Dr. Fauci,Thank you very much for courageous and tireless efforts to defeatthe coronavirus pandemic .One of the statements attributed to you puzzled me.The articleDr. Anthony Fauci Says He Would Like a 'Dramatic' Reduction ofPersonal Interactions at Social Gatherings to Fight Coronavirus, byDonica Phifer, newsweek.comMarch 15, 2020 02:20 PMhttps ://www .newsweek.com/dr-anthony-fauci-savs-he-would-like-dramaticreduction-personal-interactions-socia l-149241 O"quotes you as saying,"I've said many times if you just leave it alone and left the virus to its owndevices then it'll go way up and it'll come down naturally over a period ofseveral weeks ," Fauci said. "Unfortunately for our colleagues in Italy, inFrance, and certainly in China, that's what happened ."NIH-000509NIH-000510Question: Is the implication that the virus would have stopped spreadingrapidly in China even if their government had not instituted drastic measuresto curtail the epidemic?Put another way: Is it not correct that the drastic measures implemented bythe Chinese government were very helpful in halting the spread of the virus inChina?From yet another angle: Is it correct that the public health measures adopted inSouth Korea and Taiwan have proved very effective in controlling the spread of theepidemic?Thank you very much again for your hard work,MartinFrom: (b)(6)Sent:To:Subject:Mon, 16 Mar 2020 12:58:37 -0400Conrad, Patricia (NIH/NIAID) [E)Fwd: thank youPlease handleBegin forwarded message:From: Robyn Cotter (b)(6)Date: March 16, 2020 at 12:53:29 PM ED--T- ----~~ To: "Fauci, Anthony (NIH/NIAID) [E]" --------- (b)(6) Subject: thank youHello Dr. Fauci,--------- (b)(6) I live a very normal life in a Tennes see suburb. We have a 1 ways kept a modest supply of important sw-vival items in our home, so we areprepared , not panicked. We are carefully following the information and factsregarcling the Coronavirus and taking the appropriate safety suggestions.The reason for my email today is to thank you for your expertise. You must beexhausted from the stress. Not to mention having to continually repeat yourself...and stretch your political diplomacy to the breaking point while walking the fine linebetween stating facts and debunking myths (or outright lies) .Please know that my family and I thank you for your continued professionalism,swift communication of facts and overall leadersh ip while we ride this rollercoas terwith our neighbors and the rest of the world.Sincerely,Robyn CotterNIH-000511From:Sent:To:(b)(6)Mon, 16 Mar 2020 12:56:53 -0400Conrad, Patricia (NIH/NIAID) [E)Subject: Fwd: [EXTERNALR] e: Fox News Request for Dr. FauciFYIBegin forwarded message:From: "Koerber, Ashley" <Ashley.koe rber@FOXNEWS.COM>Date: March 16, 2020 at 12:56:25 PM ED-T-- -----~~ To: "Conrad , Patricia (NIH/NIAID) [E]" (b)(Cc: "Deatrick , Elizabe th (NIHINIAID) [CJ" -------- (b) < , "Routh , Jenni fer (NIH/NIA ID) [E]" (b) (6) , "Op linger, Anne(NIH/N IAID) [E]" ...----------- (b)( , "Fauci, Anthony (NIH/NIAID) [E]" (b)(6)Subject: Re: [EXTERNAL] Re: Fox News Request for Dr. FauciHi Patricia,Would Dr. Fauci be available to join Bret Baier in the 6pm hour one night thisweek?I underst and he is very busy , but we wou ld accommodate him any night tba t be isavai lable.Please get back to me when you can - thanks!-AshleyAshley Koerber MoirBooking ProducerSpecial Report wl Bret BaierFox News Channel- DC Bureau-----(b)(6) ( cell) Sent from my iPhoneOn Mar 13, 2020, at 15:32, Conrad, Patricia (NIH/NIA ID) [E](b) (6)>wrote :I am sorry- we cannot make this work . Apologies .Patricia L. ConradNIH-000512Public Health Analyst andSpecial Assistant to the DirectorNational Institute of Alle rgy and Infect ious DiseasesThe National Inst itutes of Hea lth31 Center Driv e, MSC 2520- Room 7A03Bethesda, Maryland 20892(b)(6)30 1-496-4409 faxDisclaime r:The information in this e-mail and any of its attachmen ts is confidential and may contain sensitiveinformation . It shou ld not be used by anyone who is not the original intended recipient. If you havereceived this e-mail in error please inform the sender and delete it from your mailbox or any otherstorage devices. National Institute of Allergy and Infectious Diseases (NIAID) shall not acceptliability for any statement made that are sender's own and not expressly made on behalf or theNIAID by one of its representatives.From : Baier, Bret <bret.baier@FOXNEWS.COM>Sent : Friday, March 13, 2020 3:30 PMTo: Koerber, Ashley <Ashley.koerber@FOXNEWS.COM>; Conrad, Patricia(NIH/NIAID) [E) (b)(6bCc: Deatrick, Elizabeth (N_.I;H../.N._I.A..I.D;..); ..[.C;.:]: ::==c~=---:-:-:------:--- (b)(6)>; Routh,Jennifer (NIH/NI_AI D_) .[.E:] ._.:.....:.====(b)(= =; O~pli~ng-er-, Anne (NIH/NI A ID) [E] (b)(6) ; Fauci, Anthony (NIH/NIAID) [E](b)(6)Subject : RE: [EXTERNAL] Re: Fox News Request for Or. FauciThank you for considering .I know Dr. Fauci has been a lot... and will be this weekend ... but tonight towrap th e week .. afte r the national emergency declaration .. .We'd love to have himBretBret BaierChief Political Anchor, Fox News ChannelAnchor &Executive Editor "Special Report with Bret Baier"From: Koerber , AshleySent: Friday, March 13, 2020 3:27 PM -------~~ To: 'Conrad, Patricia (NIH/NIAID) [E]' (b)(6)Cc : Deatrick, Elizabeth (NI.H,/.N..IA.:ID _). :[.C.]. :.......:...!:=~=~-(b-)(-6J->-; -Routh,Jennifer (NIH/N_IA_ID:). .[:E...].: :.....====~~-::"' (b")("_".'>; Oplinger, Anne(NIH/ NIAID) [E] (b)(6b; Baier, BretNIH-000513<bret.baie r@FOXNEWS.COM>Subject: RE: [EXTERNAL] Re: Fox News Request for Dr. FauciHi Patricia,I know this is last minute, but any chance Dr. Fauci can join us in the 6pmhour tonight? Looping in Bret as well.Please get back to us when you can - thanks!-AshleySorry - will not work.Patricia L. ConradPublic Health Analyst andSpecial Assistant to the DirectorNational Insti tute of Allergy and Infectious DiseasesThe National Institutes of Health31 Center Drive, MSC 2520 - Room 7 A03Bethesda, Maryland 20892(b)(6)301-496-4409 fa xDisclaime r:The informat ion in this e-mail and any of its attachments is confidential and may contain sensitiveinformation. It shou ld not be used by anyone who is not the original intended recipient. If you havereceived this e-mail in error please inform the sender and delete it from your mailbox or any otherstorage devices. National Institute of Allergy and Infectious Diseases (NIAID) shall not acceptliability for any statement made that are sender's own and not expressly made on behalf of theNIAID by one of its representatives.From: Koerber, Ashley <Ashley.koerber@FOXNEWS.COM>Sent: Thursday, March 12, 2020 8:55 AMTo: Conrad, Patricia (NIH/NIA ID) [E) ______ _,(,b.~.,=(6")' >Cc: Deatrick, Elizabeth (NIH/NIA ID) [C] (b)(6) Routh, Jennifer {NIH/NIAID) [E] -"""("b)"( ">"; "O'p"li:n"ge=r, :A-n-n-e- -----NIH-0005 14(NIH/NIAID) [E] ----------- (b)( > Subject: Re: [EXTERNAL] Re: Fox News Request for Dr. FauciHi Patricia,Would Dr. Fauci be available to join Bret tonight in the 6pm hour?Ashley Koerber MoirBooking ProducerSpecial Report w/ Bret BaierFox News Channel - DC Bureau(b)(6)( cell)Sent from my iPhoneOn Mar 10, 2020, at 11:20, Conrad, Patricia (NIH/NIAID) [E]Cb) (6)>wrote: _______...._. _Oh - tonight is even worse . I don't think it willworkPatricia L. ConradPublic Health Analyst andSpecial Assistant to the DirectorNational Institute of Allergy and Infect ious DiseasesThe National Inst itutes of Heal th31 Center Drive, MSC 2520 - Room 7 A03Bethesda, Maryland 20892(b)(6)301-496-4409 faxDisclaimer :The information in this e-mai l and any of its attachments is confidential and maycontain sensitive informat ion. It should not be used by anyone who is not theoriginal intended recipient. If you have received this e-mail in error please informthe sender and de lete it from your mailbox or any other sto rage devices. NationalInstitute of Allergy and Infect ious Diseases (NIAID) shall not accept liability forany statement made that are sender's own and not express ly made on behalf ofthe NIAID by one of its represe ntatives.From: Koerber , Ashley <Ashley.koe rber@FOXNEWS.COM>Sent: Tuesday, March 10, 2020 11:08 AM ---------=-=-=- To: Conrad, Patricia (NIH/NIAID) [E] (b)(6)Cc: Deatr ick, Elizabeth (NIH/NIAID) [C]NIH-000515--=======~5Cb'")( ">;~ R outh, Jennifer (NIH/NIAID) [E] (b)(6)>; Opl inger , Anne (NIH/NIAID) [E]:========~ (b~)( ~ >Subje ct: Re: [EXTERNAL] Re: Fox News Request for Dr. Fauci@6pm on TuesdayI'm asking about tonight.Ashley Koerber MoirBooking ProducerSpecial Report w/ Bret BaierFox News Channel - DC Bureau(b)(6)(cell)Sent from my iPhoneOn Mar 10, 2020, at 10:51, Conrad , Patr icia(NIH/NIAID) [El CbH6>>wrote:Hi Ashley I don't think we can make this worktomorrow. If anything changes will let you know.Sent from my iPhoneOn Mar 10, 2020, at 10:49 AM,Koerber, Ashley<Ashley. koerbe r@foxnews.com >wrote:Hey Patricia ,Just checking on this!Ashley Koerber MoirBooking ProducerSpecial Report w/ Bret BaierFox News Channel - DC Bureau----(-b)(-6) ( cell)Sent from my iPhoneOn Mar 9, 2020, at15:11, Koerber, AshleyNIH-0005 16<Ashley.koerber@foxnews.com >wrote :Our special is actually6-8pm tomorrow, sowe could do either6pm hour or 7pmhour.From: Koerber, AshleySe nt: Monday, March 9,2020 11:48 AMTo: Patricia Conrad(b)(6) -Subject: Fox NewsRequest for Dr. Fauci@6pm on TuesdayHey Patricia,Wou ld Dr. Fauci beavailable to join us inthe 6pm hourtomorrow (Tuesday)to discuss the latestwith COVID-19 fromany of the NIHstudios? Bret Baierand MarthaMaccallum are coanchoring from NewYork .Please get back to mewhen you can -thanks!-AshleyAshley Koerber MoirNIH-000517Booking ProducerSpecial Report w/Bret BaierFox News Channel -DC Bureau____ CbH6) ( cell)This message and its attachmentsmay contain legally privileged orconfidential information . It isintended solely for the namedaddressee. If you are not theaddressee indicated in this message( or responsible for delivery of themessage to the addressee), you maynot copy or deliver th is message orits attachments to anyone. Rat her,you should permanently delete thismessage and its attachments andkindly noti fy the sender by reply email.Any content of this messageand its attachments that does notrelate to the official business of FoxNews or Fox Business must not betaken to have been sent or endorsedby either of them. No representationis made that this email or itsattachments are without defect.NIH-000518From:Sent:To:Subject :Victoria:(b)(6)Mon, 16 Mar 2020 12:55:29 -0400Victor ia BaronRe: Thank youI saw it and thanks for sending it.Best rega rds,Tony> On Mar 16, 2020 , at 12:53 PM, Victor ia Baron (b)( > wrote: ________ _,>> Dear Dr Fauci,>> I am a Cal ifornia resident and wanted to take a moment to thank you for your professionalism and integrity duringthis crisis with the Coronavirus.>> It is so evidently clear that you are forced to work "around" the ignoranc e, ineptness and narcissism of Dona ldTrump, yet you continue to provide the countly with the truth.>> I'm guessing that the odds of you actually seeing this emai l might be slim but l feel better for having sent it. Youwill be remembered as a hero during a very dark time.>> With Appreciation,>> Victoria Baron> (b) (6)>> Sent from my iPhoneNIH-000519From: Fauci, Anthony (NIH/NIAIO) [E)Sent : Mon, 16 Mar 2020 11:54:30 +0000To: Eisinger, Robert (NIH/NIAID) [E]Subject: FW: press release and "cheat sheet"Attachment s: NIAID press release mRNA Phase 1 FINAL.docx, CONDENSED mRNA phase 1talking points 3.14 CB.docxAnthony S. Fauci, MDDirecto rNational Institute of Allergy and Infectious DiseasesBuilding 31, Room 7A-0331 Center Drive, MSC 2520National Institutes of HealthBethesda , MD 20892-2520Phone : (b)(6)FAX: (301) 496-4409E-mail : (b)(6lThe information in this e-m ai l and any of its attachments is confidential and may contain sensitiveinfo rmation . It should not be used by anyone who is not the origi nal intended recipient. If youhave received this e-mail in error please inform the sender and delete it from your mailbox or anyother storage devices . The National Institute of Allergy and Infectious Diseas es (NIAID) shall notaccept liability for any statements made that are the sender's own and not expressly made onbehalf of the NIAID by one of its repre sent atives .From: Billet, Courtney (NIH/NIAID) [El --------- (b)(6)Sent : Sunday, March 15, 2020 10:1-3 -P-M- ----, .....,..,= To: Fauci, Anthony (NIH/NIAID) [El ~=======(b~)(6) ~ Cc: Conrad, Patricia (NIH/NIA ID) [El CbH ; Folkers, Greg (NIH/NIAID) [E](b)(6)>; Stover, Kathy (NIH/NIAID) [El (b)(6) Routh, Jennifer(NIH/NIAID) [E (b)( >; Marston, Hila-ry- (:-N:'-.I"H"'.'/".:"'N".".~"I'A.~ID:-:)-:[:-E:]:~=~-...:...--.a- (b"H'"=" >Subject: ASF: press release and "cheat sheet"Attached, per discussion.NIH-000527From:Sent :To:Cc:Subject:Thanks!Fauci, Anthony (NIH/NIAIO) [E)Mon, 16 Mar 2020 11:03:39 +0000Marston, Hilary (NIH/NIAID) [E];Collins, Francis (NIH/OD) [E]Tabak, Lawrence (NIH/OD) [ElRE: URGENT: Confidential and urgent request regarding (b)(4)From: Marston, Hi lary (NIH/N IAID) [E] _______ C_b>_C_6)>Se nt: Monday, March 16, 2020 7:00 AM -----~~ To: Collins, Francis (NIH/OD) [E] (b)(6)>Cc: Fauci, Anthony (NIH/NIAID) 1'=E·-]: :=-.====== '("b=-)'(= ; Tabak, Lawrence (NIH/OD) [E](b)(6)Subject: Re: URGENT: Confidential and urgent request regarding (b)(4)I will draft something for you today .I will send a draft later today.Best,HilaryOn Mar 16, 2020, at 5:05 AM, Collins, Francis {NIH/OD) [El ------- (b)(6h wrote:Hi Tony and Hilary,See message below from Tom Hudson of Abbvie. (b) (5)FrancisFrom: Hudson, Thomas J ----------- (b)(6)Se nt: Sunday, March 15, 2020 11:08 PMNIH-000528(b) (5)To: Collins, Francis (NIH/OD) [E] (b)(6)>Subject: Confidential and urgent request regardingDear Francis,I am sending this brief note as a request for guidance on an evolving situation with(b) (4)I am reaching out to you to see if you have any suggestions or individuals that weshould contact .Best wishe s,TomTHOMAS HUDSONSenior Vice -President, R&DChief Scientific OfficerAbbVie , North Chicago1 North Waukegan RdR473, Build ing AP9-1N Chicago , IL 60064TEL (OFF ICE) --~ (b~) (6=)EMAIL.( -----------abbvie.comThis communication may contain information that is proprietary, confidential. or exempt from disclosure. If you arenot the intended recipient, please note that any other dissemination, distribution, use or copying of thisNIH-000529NIH-000530communication is strict ly prohibited. Anyone who receives this message in error should notify the senderimmediately by telephone or by return e-mail and delete it from his or her computer.NIH-000531(bXS) - PCPNIH-000532From: (b)(6)Sent:To:Subject:Mon, 16 Mar 2020 06:09:17 -0400Lerner, Andrea (NIH/NIAID) [E)Fwd: DentalRespondSent from my iPadBegin forwarded message:From: (b)(6) ------------------- Date: March 16, 2020 at 5:54:34 AM EDT,- ------- ~= To: "Fauci , Anthony (NIH/NlAID) (E]" (b)(Subject: DentalI ask you to addres s the explosion of concern s among the dental community inregards to COVID-19. We, the dental community , already high risk personnel , are atan even higher risk at this point and time. Many of those who do not work in thedental community are not aware of how high risk our cun-ent situation is. For 8-12hours a day we are creating aerosols while sitting 8-12 inches from a persons openmouth. These aerosols contain saliva and blood drop lets, along with billions of otherbacteria and materials . In dentistry , saliva is considered a blood borne pathogen.Although OSHA requi res Level 3 masks for all aerosol producing procedmes, notall offices are complying. This DOES NOT matter anyway as we know SURGICALMASKS DO NOT FILTER OUT THE COVID-19 virus. I ask that you suspend nonessential dental pro cedures such as dental clean ings and other procedures that arenon-emergent. That we triage patients and accept EMERGENCIES ONLY. We areat such a HIGH risk , not only to ourselves and our families, but a HIGH RISK tospreading this virus COMMUNITY wide . Many ofus are taking extra precaut ionsbut screening patients, but with a up-to-14 day incubation period, that obvious lydoes not matter.Plea se hear our plea to addJes s our concerns. The American Dental Association andthe American Dental Hygienists Association has failed us.Thank youAlicia JewellSent from my Verizon, Samsung Galaxy smartphoneNIH-000533From:Sent:To:Subject:Attachments :Hilary :Fauci, Anthony (NIH/NIAIO) [E)Mon , 16 Mar 2020 10:07:04 +0000Marston, Hilary (NIH/NIAID) [E]FW: lifting EUACOVID-19 ASM survey comments.docxPlease take a look at this and see if th ere is anything that we can do here.Th anks,TonyFrom: Bertuzzi, Stefano -------- (b)(6)> Sent: Sunday, March 15, 2020 8:02 PM ------ ~= To: Fauci, Anthony (NIH/NIAID) [E] (b)(6)>_C_c : Se..g;a;:l._,; _A_l_le-n= =====;:;;,,:,;:;---:-----:-~~~----:-- CbH6l;M elissa Miller.M..- - L~======= (=b-,-==c(~b-)(6)>; Stevens-Garcia, Jonathan .,__ ________ (b_)(, '>; Wat t s,ary ee -------- , Subject : Lifting EUAHi Tony-Per our conversat ion, see the attached email asking FDA to lift the EUA, which would allowCUA hospital labs to ramp up test capacity significantly . We have sent this letter also to Francisand to Adam Boehler and were on a call with them. Jeff Shuren at FDA also knows , but we thinkit will be important to take action quickly.Many thanks, let me know if you need anything else from me at this time.Sincerely ,StefanoStefano Bertuzzi , Ph.D., M.P.H.Chief Executive OfficerAme rican Society for Microb iology (ASM)1752 N St., NWWashington, DC 20036 -2904Phone (b) (6)NIH-000534From:Sent :To:Fauci, Anthony (NIH/NIAID) [E)Mon, 16 Mar 2020 10:07:03 +0000Eisinger, Robert (NIH/NIAID) [E]Subject: FW: TytoCare: COVID19 Telehealth SupportFrom: David Bardan (b)(6)>Sent: Sunday, March 15, 2020 9:25 PMTo: Fauci, Anthony (NIH/NIAID) [E]--------=- (b'")("=6' )>Cc: Shriya Palekar <Shriyap@tytocare .com>Subject: TytoCare: COVID19 Telehealth SupportImportance: HighHi Dr. Fauci -good evening. I represent TytoCare, a company that built the industry's first and only allin-one medical device that pairs with a virtual exam, going beyond the means of audio and visual.TytoHome, an OTC and FDA approved/c leared device is meant to either synchronously orasynchronously examine a patient with capabilit ies to capture heart/lung/gastrointestinal sounds,ear/throat/skin exams, and temperature .Due to the outbreak of COVID-19, Tyto has experienced an influx of orders worldwide to support thosethat need to be monitored when quarantined. I would like to offer Tyto's assistance here in the U.S. andthink through ways and oppo rtunities that the product can make a difference.Please see a few a couple of examples on how Tyto is making a difference below :• Patient Quarantine/Discharge at Homeo Design: patients receive TytoHome or have it delivered for remote evaluation by infectiousdisease specialists• Example: Home Admission Service with TytoCare• Create & manage quarantine locations, onsite or offsiteo Setup: Patients do a self-exam with TytoClinic while a prov ider evaluates them from adistance• Patient is remotely guided to fully disinfect the device and station before it'sreturned to staff for a second round disinfection• Example: Nursing Home TriageThank you for all that you do during this difficult time .Thanks,DavidDavid BardanVice President, Provider Solutionsm: (b)(6)NIH-0005352 15 W 40 th Street , 9th FloorNew York, NY 10018www.ty toca re.com~ t~toca re ...NIH-000536From:Sent:To:Subject :Fauci, Anthony (NIH/N IAID) [ElMon, 16 Mar 2020 10:07:03 +0000Lerner, Andrea (NIH/N IAID) [ElFW: LeronlimabPlease check out and respond .-----Original Message ----- From: nicho las Agresti .-.._-_ -__-_-__-__-_- - .(b._~-. <... ,. a-s-=Sent: Sunday, March 15, 2020 9:15 PM -----~~ To: Fauci, Anthony (NIH/NIAID) [E] (b)( >Subject: LeronlimabDr. Fauc i,T can't even imagine how busy you are. r am a gastroen terologis t in ---(b) -(6) Georgia. I read about Leronlimab for coronavirus. Any word on results of the clinical trial?Thank youNicholas Agresti MDNIH-000537From: (b)(6)Sent :To:Subject:Sun, 15 Mar 2020 22:52:40 -0400Lerne r, Andrea (NIH/NI AID) [E)Fwd : COVID-19Please handleSent from my iPadBegin forwa rded message:From: Deb Whitney Cb()6 JlDate: March 15, 2020 at 10:28:48 PM E-D-T-- -----~~ To: "Fauci , Anthony (NIH/NIAID) [E]" -----------CbH6) Subject: COVID-19Thank you for your frank speaking about COVID-19.1 cred it your willingness to stand up andspeak aloud that "the emperor has no clothes " ... You have already helped so many throughthe current pandemic . I know you will understand my concern. But, please help me spread thismessage as we ll.In light of public school closures ... these include chil dren and young people from kindergartenthrough high school. These closures also include preschool programs (Volunta ry Pre-KinFlorida) for 4-year-olds that are part of a public elementary school.These school closures do not apply to children whose ages range from infants throughpreschoo l (including VPK) receiving care and education in pr ivate, corporate , or faith -basedcenters . My center is one of these , and we are not closing.This is a business decision.No kids = No money .At what price?We have more than 90 infants, todd lers and young children enro lled at ou r center, with 20-plusemployees on premises thro ughout the day between the hours of 6:30 am and 6:00 pm. Oursis a 5-Star rated, NAEYC accredited preschool program . I have 17 t hree-year-old preschoolchildren in my classroom on any given day, with 3 t eachers assigned to this room. This is a highquality program .Please expla in how I am supposed to take recomme nded precautions against COVID-19?Does social distance apply only to adults? If not, please help me know how to maintain socialdistance of 3 feet between child ren and adults at arr ival or departure times when I am helpinga child with separation from their prima ry care giver o r saying goodbye at the end of t he day?How do I maintain social distance between children during center time in the block area , in theNIH-000538dramatic play area, in the classroom library or computer center, during story time or musiccircle? Our 3 table surfaces are used for multiple activities through the day including mealsandthey seat six children at each table. Friday afternoon, I had 9 children sharing space andmaterials engaged in cooperative play for an extended period outside in a sandbox thatmeasures S'xl0' ... you do the math. Our spacing for cots at nap time is considerably less than 3feet.We have no hot water in our classroom for hand washing for children or staff which isconsidered a safety measure. We are relentless in our efforts to teach hygiene to 3-year-oldchildren who cough, sneeze, vomit upon (and occasionally may spit, bite or lick) each other or astaff member. we work to teach them to use a tissue instead of their hand/arm/shirt to wipe arunny nose ... then throw it in the trash and wash their hands again. Believe me when I say adetermined child can sing "Happy Birthday" twice in an amazingly short time--definitely lessthan 20 seconds--all the while whipping through instructions to wash the tops, bottoms andfingers of their hands while they sing. Hand washing is monitored by 3 adults through the dayto ensure it happens after each cough, sneeze, nose wipe and use of the bathroom. Hands arewashed after sensory play indoors or out, before am snack, lunch, and pm snacks (andsometimes during), and when we transit ion from outside play. At a minimum, these 17 childrenare taking turns washing hands (at our single sink) six times during a full day at preschoolbeforewe add in those runny noses, coughs or sneezes.Avoid touching shared objects ... seriously? We work daily to teach these 3-year-olds to sharematerials and space. Yes, we disinfect our toys regularly and our room daily--but that stuffedanimal may move from dramatic play to the reading nook and to a nap cot all in one day andmay be held by a different child with each move. our families send a blanket from home fortheir child to use through the week at nap time-along with a soft "sleep toy" if this is needed,to sooth their child to sleep. These items are stored in the child's open "cubby box" in theclassroom through the week . Do we know how log COVID-19 "l ives" on soft surfaces?I am convinced school closures are necessary at this time to stem community spread of COVID-19. I understand the strain on multiple levels this will inevitably put on families to provide carefor and education of their own children for this period. But-young children can contract thisvirus and can spread it even though they may not demonstrate symptoms themselves. Or,what may be dismissed as allergies or "just a cold" may not be. Young children can carry thisvirus home to their fam ily and neighborhoods just as easily as a school age child; and, they cancertainly bring it into our center from their home. How many of our children in preschooldepend upon elderly family members for their care? We have infants as young as 6 weeks oldand children th rough 5 years old at our center . How many young children in care are we willingto expose? How many and which grandparents are we going to risk?(b)(6)----------------------(b)(6)l Forget sporting events, museums, concerts or even worship services--1 am worried about going to work on Monday ... anduncertain what may happen if I stay home.Again ...This is a business decision.NIH-000539NIH-000540No kids = No moneyAt what price?Respectfully,Deb WhitneyFrom:Sent:To:Subject :Glen :(b)(6)Sun, 15 Mar 2020 22:48:23 -0400Glen GoldmarkRe: Thank youTha nk you for your kind note.Be st rega rds,TonySent from my iPad> On Mar 15, 2020. at I 0:39 PM. Glen Goldmark _______ (b_)_~_ > wrote:>> Dr.Fauci,>> You are my hero! Thank you for being the voice of reason and credibility dur ing the COVID -19 crisis.>> All the best,>> Glen GoldmarkNIH-000541From:Sent:To:Subject :Emory:(b)(6)Sun, 15 Mar 2020 22:43:39 -0400Emory FordRe: Great JobThank you for your kind note. It is much appreciated .Best rega rds,TonySent from my iPad> On Mar 15, 2020 . at 10:23 PM. Emory Ford ______ (b)_(6_>. wrote:>> Dear Dr. Fauci:>> You are doing a great job and a great service to the cow1try. Amid the chaos you are one of few voices thatprovides clear, accurate information on the coronavirus pandemic.>> Please continue providing that service despite the presid ents continued effort(s) to spin the situation withmisleading and false information. In the end biology wins , the virus ignores political needs and wants.>> Emory A. Ford PhDNIH-000542From:Sent:To:(b)( 6)Sun, 15 Mar 2020 19:38:20 -0400Conrad, Patricia (NIH/NIAID) [E)Subject: Fwd: "Leading Through A Time of Crisis In Healthcare" - ZRG Thought LeadershipSent from my iPhoneBegin forwarded message:From: Greg Gerson <ggerson@zrgpartners.com>Date: March 15, 2020 at 7:34:59 PM EDT -------~= To: "Fauci , Anthony (NIH/NlAID ) (E]" (b)( >Subject: "Leading Through A Time of Crisis In Healthcare" - ZRG ThoughtLeadershipHi Dr. Fauci -I am reaching out as you have been doing an incred ible job as part of the WhiteHouse Coronavirus Task Force. These are difficult times and you seem to providethe most informative interviews without sending signals of panic to the Americanpublic.Not sure if you remember, but we were in touch years back through many executiveclinical leadership searches I conducted during my 18 years at Korn Ferry . I amnow leading the hospital/hea lth system practice for ZRG. ZRG is an innovativeglobal boutique firm disrupting the traditional execut ive search industry .As a result of the COVI0-19 crisis, I am speak ing with/ interviewing many healthcareleaders (Chief Medical Officers, Hospital CE Os, Leading Scientists , etc.) as part ofa thought leadership piece .The topic is "Leading Through a Time of Crisis in Healthcare". I know you areextremely busy with the task force, but I would very much appreciate if you havesome time for an interview/call.As you know, strong leaders hip is crucial in times of crisis and we are facingweeks /months of extremely important decis ions by our healthcare leadersnationwide.Do you have any avai lability over the next few weeks to connect? I will make myselfavailab le to meet and/or have a video or phone call at your convenience.Hope to hear from you soon.Regards ,GregNIH-000543Greg GersonManaging DirectorZRG Partners, LLCAmericas EMEA Asia PacificC: (b)(6)0: 215-422-3576mJZRG p artn ers com•• The informa tion and attachments in this e-mail is the property of ZRG Partners, LLC and is confident ial and maybe privileged . If you are not the intended recipient , please destroy this commun ication and notify the sende rimmediately . You should not reta in, copy or use the contents of this e-mail for any purpose , nor disclose all or anypart of its contents to any other person or persons .NIH-000544From:Sent:To:(b)(6)Sun, 15 Mar 2020 19:37:43 -0400Lei WuSubject: Re: Please shut down the country NOWThank you for your note.A.S. Fauci.Sent from my iPhoneOn Mar 15, 2020 , at 7:35 PM, Lei Wu ------- (b)(6>)w rote:Dr. Fauci. This is Lei Harrison. In the coronavirus crisis , as a former------------- (b)(6) I have been calin until now. No one can anymore after seeing the photos of the international airports todaywhere hundreds if not thousands of people standing in line for 5-6 hoursand reali zing immediately the virus transmission will explodeexponentially because of this. I strongly request:1. Shut down the country NOW. Mobility has to be as low aspossible. We have to do the very best RIGHT NOW to break thetransmission chain.2. Please talk to Dr. Zhong Nanshan (tlfl¥j LU) , the Chiensedoctor and advisor during the coronavirus crisis. His advice andexperience would be of tremendous value for the U.S. now.3. Sofar, we've been acting in a reactive instead of proactivefashion. Not anymore. People need to realize that we are enteringwar time. We need to act fast, in light speed to beat the virus.4. Healthcare worker s need to most strongly protected - treat it asairborne if needed at the hospitals and pharmacies. Supplies ofessential protective medical supplies for healthcare workers areequally important as supplies needed for the patients. Make suresupply chain from China is uninterrupted; and have Americancompanies to start making masks, ventilators etc. Plan ahead.NIH-000545NIH-0005465. Grocery store and restaurants can potentially become a hubtoo. They need to have high level of hygiene, and ideally nocontact with the customers.6. Garbage and belongs and bodies need to be burned.7. Safety protocol at the labs, public and private labs that haveaccess to the virus or experimental animals with the virus.8. Plan ahead. Instruct patient to self -treat or be treated by familyat home. If we ever come to it, recruit and train volunteers ( howand whom?) to help taking care of patients.Dr. Fauci. Clock is ticking. It's a race against time. And it's timethat every single American takes responsibility. Please lead usthrough the crisis.Respectfully,Lei HarrisonFrom:Sent:To:(b)(6)Sun, 15 Mar 2020 19:37:15 -0400Lori HallSubject: Re: Real Estate Appraisals-Coronavirus (COVID-19)Thank you for your note.A.S. Fauc i.Sent from my iPhoneOn Mar 15, 2020, at 7:35 PM, Lori Hall _________(b )( .6.b.w. rote :Dr. Fauc i,Thank you for your impor tant work and for educa ting the public. Earlier today I sentthe message below to President Trum p. I am writ ing out of concern both for myhusband's safety, others in the industry, and knowing refinances (especially with lowrates) will help the American people through this unpre cedented time. Iunde rstand that om Loca l and Nat ional Govern ment continues to look at all potent ialsolutions, with advice from experts such as yourself. I fully under stand thissuggestion from one mom and wife might be way too simplist ic for banks/lenders toeven cons ider. I am hoping to be ahead of the curve and that it starts/cont inues whatI cons ider to be a much needed conve rsation for this industry, for the safety forapprai sers and homeow ners alike, and for the pipeline for the lenders. It's verymuch appreciated.Be Safe. Kindes t Regards,Lori HallDear Mr President ,First , our great apprecia tion to you and your staff for all you do every day and inkeeping our country &ci tizens safe . We have a family real estate appraisal business(Chicago Metro Area). I hand le all service related items from the comfort of myhome. However, my husband, William Hall, who is a Certified Gen eral Real EstateAppraise r, is out in the field all day perform ing interior appra isa ls. I have reac hedout to all our appraisal management compa nies with this quest ion to ask theirlenders. Considering the abundance of caution everyone is taking and the refinanceindustry seeing unprecedented volume, is there any talk about lenders moving toexterior only appra isals (and possibly following up after with an interior)? We heardfrom ServiceLink, a Fidelity company, and they have not heard any word from theirnational banks/lenders changing to exterior only apprai sals at this time . Thank youvery much!God Bless,Lori HallNIH-000547NIH-000548Best Regard s,Lori HallFor updated real estate news &more, please visit our websiteat: www.alphavalues .netFrom:Sent:To:(b)(6)Sun, 15 Mar 2020 19:11:49 -0400Gandam, Shyam Ki ranSubject : Re: Front line physicians in limbo needing reassuranceThank you for your note.A.S. Fauci.Sent from my iPhoneOn Mar 15, 2020 , at 4: 13 PM , Gandam , Shyam Kiran(b) < >wrote :Dear Dr.Fauci,I would like to congratulate you for your excellent work and thank you for leading us inthe fight against COVID-19 pandemic .We are 14 critical care physicians and almost 30 hospitalist physicians at Memorial medicalcenter and HSHS St. John medical center in Springfield Illino is and are the frontline workersin dealing with the situation .We are developing protocols and creating safety net for the hospitals and community withthe help of your guidance.I would like to bring up an issue plaguing us with concern for years and now even more so.It concerns us and more importantly our helpless fami lies. It might be untimely to bring upthis issue but it is very important for us and our families.(b)(6)During this pandemic, it's important th atphysicians can help other areas in the country in need.Immigrant work force on Work Visa (H-1 visa) constitute s at least 50% of physicians.(b)(6)(b)(6)Your assist ance in bringing up these issues with the presidentwill help us work with reassurance fr om governm entand help our communi ty with peace of mind.NIH-000549NIH-000550Again, We thank you for the hard work you and your team are putting to guide us in thesetumulus times.Regards,Shyam Kiran Gandam MDCritical Care MedicineAssociate professor, SIU school of medicineSpringfield ClinicSpringfield, IllinoisFrom:Sent:To:(b)(6)Sun, 15 Mar 2020 19:10:41 -0400ABCDE FGHIJKSubject : Re: COVID-19 • The necessity of using fluo rescent light lamps to prevent orreduce or slow down the spread of coronavirusThank you for your note.A.S. Fauc i.Sent from my iPhoneOn Mar 15, 2020 , at 4:15 PM, ABCDE FGHIJK ----------(b)( >wrote :Dear Dr. Anthony S. Fauci,It's critical to disinfect droplets, aerosols and surfaces continuous ly to prevent or reduce orslow down the spread of COVID-19.The best way is using UVC ultraviolet light. UVC's wavelength is germicidal and it is capableto inactiva te coronavirus by destroying nucleic acids anddisrupting its DNA because Waveleng ths between about 200nm and 300nm are stronglyabsorbed by nucleic acids . The absorbed energy can result indefects including pyrimidine dimers. These dimers can prevent replication or can preventthe express ion of necessary proteins.resulting in the death orinactivation of the coronavirus.Fluorescent light lamps emit ultraviolet (UV) light , including UVC ultraviolet light.I think it's necessary to use fluorescent tube light lamps and CFL (Compact fluorescentlamps) lamps in hospita ls, Health centers, stores , supermarkets,elevators, public lavatory , toilets, restrooms and other public places and should always beon 24 hours a day, 7 days a week in order to be effective.Research has shown that Fluorescent light lamps must be installed without any glass shadeor decorative shade and should be at least 40 watts .I hope you find the UVC-based continuous disinfection solution helpful.Thank you for your time and consideration.Sincerely,P.SalimiNIH-000551From: (b)(6)Sent:To:Subject:Sun, 15 Mar 2020 19:09:44 -0400Auchincloss, Hugh (NIH/NIAID) [E]Fwd:Sent from my iPhoneBegin forwarded message:From: Sia Hersini (b) (6JDate: March 15, 2020 at4:15: 21 PM EDT,------- -;;-c-;= To: "Fauci, Anthony (NIH/NlAID) (E]" (b)(Dear Dr. Fauci,Many yea rs ago, I did some resea rch on the effect of SIV infect ion on the Macaqueimmun e response .I have some thoughts on the current COVID -19 spread and in general about othervirus with unknown cure or immunity vaccine.In research, we have adhered to a scientific method necessary for the protection ofthe public in the development of new technology and treatment. There are timeshowever when that Boyle method and ph ilosophy should give way to Desca ,tesapproac h.The current infection has thus far shown a predilection for causing severe illness inmen more than women and in adults over 30 sparing children from mortality.I believe there is a reason for this and it's not because of past exposure to othercoronovirus strains. I believe it is because of children being in the middle of orhaving recently completed their immunization schedule for school. Theseimmuni zations are abso lutely not prov iding an immuni ty to COVID-19, BUT, theyare caus ing an increase in the numb ers of gamma delta t cells and NK cells . Thechild ren are responding better to a virus with an 5 .1 day median incuba tion periodbecause of the higher values of gd and nk cells. Women hav e a better gd and nk: cellresponse to the flu and other viral infections which could explain why there is agender difference in mortality. I would suggest that adults update their vaccines andespecially the hep b. Interestingly, the hep viruses illicit a better gd and nk cellresponse and although most Wes tern countries require hep b for health care workers,the immunization rate in China is only 60% which may explain the high mortalityamong health care prov iders.NIH-000552NIH-000553This has been on my mind for a few days and I felt I should share.Thank you for your timeSiaFrom:Sent:To:(b)(6)Sun, 15 Mar 2020 19:09:26 -0400Eliot RobinsonSubject: Re: Pre guidance on coronavirusThank you for your note.A.S . Fauci.Sent from my iPhoneOn Mar 15, 2020, at 4: 15 PM, Eliot Robinson<elio t@robinsonmanagementserv ice.com> wrote:Dr. Fauci,thank you for all you do .one of my chinese friends sent me the attached pre guidance on corona virus. itincludes both western medicine as well as traditional medicine approached. On itsface, it seems to be complete and very up to date.I apologise for your having to follow of dear leader trump' s instructions to praisehim.thankseliotEliot Steele Robin sonRobinson Managemen t Service4290 Bella Casca da StreetLas Vegas, NV 89135-2436----- CbH6)(cell7) 02-330-9921 (fax) Eliot@RobinsonManagementService.comhttps ://www.Rob insonMan agementService.comDUNS 079879598 CAGE 7EEU6 JCP 0073645<Guidance +for+Corona+ Virus +Disease +2019 : Prevention ,+Cont:rol,+Dia gnosis+and+Management.pdf>NIH-000554From: (b)(6)Sent: Sun, 15 Mar 2020 19:06:03 -0400To:Subject:Auchincloss, Hugh (NIH/NIAID) [E];Lerner, Andrea (NIH/NIAID) [E]Fwd: CoronavirusFrom pattyPis respond.Sent from my iPhoneBegin forwarded me ssage :From: Kathleen Quinlan (b)(6)Date: March 15, 2020 at 5:16:22 PM ED-T- ------=-::-:-= To: "Fauci, Anthony (NIH/NIAID) [E]" -------- (bH > Subject: CoronavirusDear Dr . Fauci,I have a question which has been troubling me since we began checking people'stemperatures. --------. (b)(6) _ I haveseen the temperature cutoff is 99.5F. (b) (6)---------------------------- ? I doubt very much that in screening people the question is asked them whether theyhave taken a med icine for pa in or for fever in the last 24 hour s. I am a nur se andmany people do rea lize that the common pain relieve rs also relieve feve rs. Shou ldwe up our game and do be tter at screening?You seem to be the wisest person on the government task force for the Coronavirns.I hope this reaches you.Thanks,Kathy QuinlanP.S. Please practice socia l distancing during the White Hou se briefing,etc. It is hardto watch all of you people bunched around the President and telling the pub lic tostay 6 feet apart. If you do it maybe the others will follow suit.Sent from my iPadNIH-000555From:Sent:To:(b)(6)Sun, 15 Mar 2020 19:04:54 -0400flippi 333333Subject: Re: CoronovirusThank you for your note.A.S. Fauci.Sent from my iPhoneOn Mar 15, 2020, at 5:22 PM , flippi 333333 (b)(6) wrote: ----------Dr. Fauci: Sending all students home may be increasing the spread of Covid-19 inthe us because the young people now off college, middle and high school, see this asa vacation to go out and frequent social businesses, parents are taking kids out toenterta in them, and they are traveling to visit friends in other cities and states, all aidingthe spread of Covid-19.Please cons ider more strict MANDATES TO ENFORCE TEMPORARY CLOSING OFRESTAURANTS, BARS, BOWLING ALLIES, MOVIE THEATERS, MALLS or otherplaces of gathering and TRAVEL ONLY IF IT IS AN EMERGENCY, to mitigate theincreasing cases of Covid-19 in the US. People are clearly not taking the advice givento minimize social or publ ic gatherings .In order for our United States not to follow the same fate as Italy, we need mandatedchanges asap. Please conside r telling people over 60 or 65 to also stay home fromwork for a 2-week period.Thank you very much for your fine leadership in this critical matter .Concerned parent and scientis t,Robbin.NIH-000556From:Sent:To:Subject :Thank you for your note.A.S. Fauci.Sent from my iPhone(b)(6)Sun, 15 Mar 2020 19:02:51 -0400Luanne NovakRe: Corona virus suggestions> On Mar 15, 2020, at 5:39 PM, Luanne Novak ----------(b) (6)> wrote : >>> Dear Dr. Fauci:>> First, thank you for your honest and forthright testimony and advice during this crisis. Your calm but seriousapproach is a great comfort to me. (b) (6)>> He is a Pharmacologist by training, and taught physiology at the School of Health Professions at Baylor College ofMedicine until he retired in January. We have been discussing the COVID -19 situation and he has severa lsuggestions. (b) ( .>> 1. Since South Korea got such a quick handle on this situation, could we buy their tests? Since it has taken such aJong time for the US to gear up, could we not just buy their system turn-key?>> NPR reported that there is a national stockpile of respirator s - when will those be released ?> 2. Since China appears to be back online, can the US contract with them to build mechanical respirators toreplenish our "strateg ic reserve"?>> l hope that you will continue to be able to speak the truth, and that you stay healthy.>> Many thanks,> Luanne Novak and David Johnson , PhD> (b) (6)NIH-000557From:Sent:To:(b)(6)Sun, 15 Mar 2020 19:01:28 -0400Daniel GutsteinSubject : Re: Daniel Gutstein: Regarding Synagogue Services during the Covid-19PandemicThank you for your note.A.S. Fauci.Sent from my iPhone> On Mnr 15, 2020 , at 5:53 PM, Dan ie l Gutstein>>> Dear Dr. Fauci,-------(-b)(-6) > wrote:> I would like to commend you for providing needed doses of stabi lity and reas surance to our nation at this troubl edtim e. Your knowledge and professionalism have been indispensable to the masses. I am an assistant to the rabbi of aJewish congregation in Chicago which holds services thrice daily. Due to the tight-nit natw·e of the large r Jewishcommunity, many synagogues in the city and surrounding suburbs have closed indefinitely in order to limit thecommunity spread of the Covid - l 9 virus. (One person visiting the community from New York and who interactedwith numerous individuals has so far tested po sitive.) Our synagogue is few in parishione rs though is an essentialsanctum of sustenance and faith to those who make usage of its services. We would like to keep our doors open forthe longest duration possible but remain cognizant of the 1·ealities of the pandemic. Consider ing that we gather in asanctuary of impressi ve size with usua lly no more than 20 members who are sta tioned at a distance apart from oneanother, would it be responsible to continue services for the remainder of the week and this upcoming Sabbath solong as no specific member of the congregation itself has contracted the virus?> Thank you.> Wishing you sustained health and much success ,> Daniel GutsteinNIH-000558NIH-000559From:Sent:To:Fauci, Anthony (NIH/NIAID) [E]Sun, 15 Mar 2020 23:00:03 +0000Talbert, Patricia YSubject: Re: Public Health 101: -- Please listen to my Public Health Cry/RecommendationAttachments : Outlook-1516124588.jpgThank you for your note.AS . Fauci.Sent from my iPhoneOn Mar 15, 2020, at 6: 14 PM, Talbert, Patricia Y <patr icia.ta lbert@howard.edu>wrote :Greetings Dr. Fauci,As you know, we are currently experiencing a public health pandemic, Coronavirus(COVID-19). I am asking that you take a moment to listen to Fareed Zakaria's showthat was aired today, Sunday, March 15, 2020, at(https://www.cnn.com/shows/fareed-zakaria-gps ). Please listen to the messageand review the attached chart that was presented on Fareed's show. This is NOTabout politics, but instead the people. Therefore, let's call to action that the UnitedStates of America government officials and leaders call for a mandate similar toother countries, such as China, Italy, and Spain (i.e., now, New York & Illinois) tohelp reduce the spread of this virus, flatten the curve, reduce the inundation to ourhealthcare system, (which is about to experience the worst morbidity and mortalityoutcomes), and work to save lives.There are too many unknowns for us to continue to go on as status quo. Let's bepublic health officials and petition to mandate the US Administration to move toaction - by putting in place a Mandatory Shutdown of Movement throughout thisCountry.Currently, we have approximately (9 airports in the United States) in total chaos,which will be another wave and spread of this virus. We are not proactive; instead,we continue to react late. This is not the public health that I know and have seenthroughout the duration of my public health vocation. We have to change thisPandemic, so let's get to work.#Cry for Pubic Health Action Needed -----****We need thisAdministration/Government Committee to LockDown the United States ofAmerica. This can slow down the spread of this disease, save lives, and maybewithin 30 days we can get back on our feet.Warm and sincere regards - please push action.Dr. Pat Talbe rtDr. Pat Y.8. TalbertPatricia Y. B. Talbert, PhD, MPH,M S, CPHA,C HESc, PHNAssociate Dean of Academic Affairs and AdministrationHoward University, College of Nursing and Allied Health SciencesHealth Sciences Executive Suit e, Towers 60002041 Georgia Avenue NWWashington DC 20059Email: patric ia.talbert@howard .eduHoward U: https ://home .howard .edu/CNAHS: https ://cnahs.howa rd.edu/Cell#: (b)(6J"Of all the forms of inequal ity, injustice in health care is the most shocking andinhumane." Rev. Martin Luther King, Jr."Once a task is just begun, never leave it till it's done. Be the labour great orsmall, do it well or not at all." Quincy Jones<Outlook-1516124588.jpg ><COVID-19 Testing Data 2020 .jpeg>150 THE TIME IS ALWDS NOWHOWARD UNIVERSITYSESQUICENTENNIAL--- 1867 - 20 17 ---Excellencea n Trutha nd ServiceNIH-000560~THE TIME IS ALWAYS NOW15ClHO WARD UNIVERSITY -Qu:~ -~ENNIALExcellencein Trutha nd StnictFrom:Sent:To:(b)(6)Sun, 15 Mar 2020 18:58:40 -0400Lindley LeeSubject: Re: Under 10 Minute P-O-C Testing Reported by ColoradoThank you for your note.A.S. Fauci.Sent from my iPhoneOn Mar 15, 2020 , at 6:22 PM, Lindley Lee ---------- (b)(6) wrot e:Dr. Fauci,I am not sure you are aware, but there is already a point-of-caresolution available for Coronavirus, and the Denver newsrooms havebeen reporting about it. 9News and FoxNews are all reporting aboutAytu Bioscience of Englewood, Colorado. The kits have already beenused in China, and are immediately available to assist burden thetesting time and backlog. Who do we need to inform of this alreadyavailable option? Thank you.Regards,Lindley Lee(b)(6)NIH-000562From:Sent:To:(b)(6)Sun, 15 Mar 2020 18:58:19 -0400JOHN LightbodySubject : Re: Thank You!Thank you for your note.A.S. Fauci.Sent from my iPhoneOn Mar 15, 2020 , at 6:22 PM, JOHN L ightbod y --------- (bH6)wrote:Dear Dr. Fauci ,Thank you for your service and your honesty.It is difficult for me to watch you telling the truth with all of the people of theTrump Administration spouting lies constantly!Keep up the good work!Our prayers are with you and those who are working to help this countrydeal with this coronavirus.Sincerely,Sonja C. Lightbody(proud (bH6) federal employee)(b)(6)NIH-000563From:Sent:To:(b)(6)Sun, 15 Mar 2020 18:58:06 -0400Clarence JonesSubject: Re: A Telemedicine Book to help Doctors & Staff Cope with the COVID-19OverloadThank you for your note.A.S. Fauci.Sent from my jpboneOn Mar 15, 2020, at 6:22 PM, Clarence Jones <cjones@winning-newsmedia.com>wrote:Dr. Fauci:If your predictions come true, the entire medical system will soon beoverwhelmed. Only massive use of telemedicine will be able to cope with theover load.I'm a former TV reporter, now full-time writer , with nine books in pr int. One ofthem - "Webcam Savvy for Telemedicine" -- can help th ose in the medicalcommunity quickly learn how to use this medium. It is available at amazon.comin both print & digital versions. https://smile .amazon.com/Webcam-Sawy Telemedicine-Clarence-J ones/ dp/1546501894/ref =sr 1 f kmr0 1?keywords=webca%2C+savyy+for+telemedicine&gid=1584307097&sr =8-1-fkm r0I'll attach a PDF copy to this message & also send the same message without anattachment, just in case your system rejects messages with att achments. I canalso overnight you a print copy if you'd like. Bulk pricing is available for bothprint & digital versions.You've become a rock star in the current crisis. As a long-time on-cameracoach, I don't think I could teach you a THING you haven't already mastered .Congratulations.Cheers,Clarence Jones(b) (6).NIH-000564(b)(6)Land line: (b) (6)Cell:- -=~ (b,):,(,~:6:)r--website: www.winning-newsmedia.comBooks by Clarence Jones in both print and e-book versions:LED Basics: Choosing and Using t he Magic LightSweet hear t Scams - Online Dat ing's Billion-Dollar SwindleThey're Gonna Murder You - War Stories From My Life at the News FrontWinning with the News Med ia - A Self -Defense Manual When You're the StoryWebcam Savvy - For the Job or the NewsWebcam Savvy- For Telemedic ineFilming Family History - How to Save Great Stories for Future GenerationsSailboat Projects - Clever Ideas and How to Make ThemMore Sailboat Projects - Clever Ideas and How to Make Them<We beam Savvy for Telemedicine & covers.pdf>NIH-000565From:Sent:To:(b)(6)Sun, 15 Mar 2020 18:57:17 -0400NIAIDODAMSubject: Fwd: CANCELUHION amfAR Capitol Hill Briefing, Ending the HIV/AIDS Epidemicon Thursday, March 26thSent from my iPhoneBegin forwarded message:From: (b)(Date: March 15, 2020 at 6:25:06 PM EDT To: "Fauci , Anthony (NIH/NlAID ) [E]" ---------::-,:-(b:)(-6)=Cc: "Folkers, Greg (NIH/NIAID) [E]" (b) (6), "Conrad, Patricia(NIH/NIAID) [E]" (b)(6)Subject: CANCELLATION amfAR Capitol Hill Briefing, Ending theHIV/AIDS Epidemic on Thursday, March 26thReply-To: (b)(6)Dear Tony:amfAR, The Foundation for AIDS Research will be postponing our Capitol Hill Briefing,"Ending the HIV/AIDS Pandemic: Lessons Learned for the Coronavirus Outbreak" plannedfor Thursday , March 26th, due to the declaration of a National Emergency in our country.Once the coronavirus public health crisis abates, amfAR will reschedule the briefing andhope that you will be able to speak as planned. At that meeting , you and several other ofour nation's leading health officials will address two pandemics - AIDS and COVID-19. andthe lessons learned from fighting both of these diseases. We will very much look forward tohearing your perspectives about global initiatives for ending AIDS and the work done toeradicate the coronavirus pandemic. We know your remarks will help provide a roadmap forending HIV and other infectious disease threats now and in the years ahead.I was proud to see the contributions of the US Public Health Service highlighted in today'sWH briefing. You did an excellent job with your remarks.Thanks for your work and dedication to safeguarding and advancing globa l health. Hope weget a chance to catch up soon.Sincerely,SusanSusan Blumenthal , MD, MPASenior Policy and Medical Advisor, amfARRear Admiral (ret)Former US Assistant Surgeon GeneralFirst Deputy Asst Secretary for Women's HealthNIH-000566From:Sent:To:Subject :Thank you for your note.A.S. Fauci.Sent from my iPhone(b)( 6)Sun, 15 Mar 2020 18:56:55 -0400Linda JonesRe: Emulating Social Distancing During Press Conference> On Mar 15, 2020, at 6:25 PM, Linda Jones --------- (b) (6) > wrote: >> Thank you so much for all your EXTREMELY IMPORTANT info on COVID-19. You are a national treasure.Please emulate Social Distancing during ALL press conferences and the press Corp as well.> Please be safe and stay wel I.> Linda Jones>> Sent from my iPadNIH-000567From:Sent :To:(b)(6)Sun, 15 Mar 2020 18:55:37 -0400elSubject: Re: Coronavirus Cases in New JerseyThank you for your note.A.S. Fauci.Sent from my iPhoneOn Mar 15, 2020, at 6:30 PM, el -------- CbH >wrote:Dear Dr. Fauci,My apologies if you have already spoken withMike Maron, but it seems the political machinehere :in New Jersey is ignor:ing our own medicalexperts and I thought it important that yourteam be aware of how this crisis is manifestingon the front lines:https://WW1.rvo.i-nj.com/202 0/03/ l 4/opiruon/li fe-at-the-epicenter -of-n-j-scoronavirus-outbreak/Om family is keeping you and your team in ourthoughts and prayers.With infinite respect for you and the daunting task you face,Rosanna GalluccioNIH-000568From:Sent :To :Subject :(b)(6)Sun, 15 Mar 2020 18:52:24 -0400Eva Sperling MDRe: For your urgent attention (COVID-19)Thank you for your note.A.S. Fauc iSent from my iPhoneOn Mar 15, 2020, at 6:38 PM, Eva SperlingM D --------- CbH6) wrote:Dear Dr. Fauci,Thank you for your leadership during the current COVID-19 crisis. We're writing to askyou to consider spearheading an additional initiative in this effort.As you know, one of our greatest immediate needs is an adequate supplyof ventilators for use in hospitals . We will face a severe shortage of this crucialequipment during a surge of COVID-19 hospitalizations. This will creat e a bottleneckin our ability to de liver care , a situation where we have to triage who shouldlive and who should die . Tragically, we see this happening already in Ita ly.This is a situation we must avoid.So we propose to immediately help existing factories to increase production , toconvert other existing factories for the production of ventilators and to build newfactories to do so.Some of this will take a long time to accomplish but this pandemic is also predictedto be with us for a long time. We must stay ahead.We should make an all-out effort to supply our hospitals properly and quickly. We are ina time of war and we must make the commensurate effort now.We believe we have the knowledge and the resources to do such a thing.We just need the will, and the leadership.We're writing to urge you to use your position of leadership to make this happen.Here is a link to NPR's report on this crucial issue: https://www.npr.org/sections/healthshots/2020/03/14/8156 7 567 8/as-the-pandemic-spreads-will-there-be-enoug hventilatorsThank you,Eva Sperling, MDElisabeth SperlingNIH-000569From:Sent:To:Subject :Thank you for your noteSent from my iPhone(b)(6)Sun, 15 Mar 2020 15:33:20 -0400Xiaoyang Hua, M.D., Ph.D.Re: COVID-19 some suggestions> On Mar 15, 2020 , at 3:17 PM, Xiaoyang Hua, M.D. , Ph.D. ---------- (b)( > wrote: >> Dear Dr. Fauci:> Jam writing to you to express my deepest concerns on the COVTD-19 outbreak in the USA and would like toshare some though ts with you.>> I am a (b) (6) and an otolaryngo logist at the Duke Medical Center. I completed my training inOtolaryngology at the University of lowa in 2019. From 2013 to 20 I 5, l did a research fellowship with Dr. StanleyPer lman , an expert in corona virus , to study SARS. Before I came to the States, I was an ENT doctor and hadworked in the epicenter of the COVID- I 9 outbreak, Wuhan, China for several years. Many of my friend s, neighbors,and colleagues were infected . Some of them have died or are dying. I truly appreciate what you have done to wakethe Americans and warn them about this dangerous virus outbreak. J hope we arc not repeating the mistakes that theChinese and Ita lians have made earlier.>> I know many physicians and nurses who have been on the frontlines against this coronavirns outbreak in WuhanChina. Over the past a coup le of months , I have been communicating with them about the COVID-19 ou tbreak. Thave obtained much firsthand information about this virus from medical profess ionals, including the ICU directorsof major hospitals in Wuhan. Here l want to share some thoughts with you and hope that I can help prevent theworst in the USA.>> For the government:>> I. Close all public school s immediat e ly. My family is in (b) (6). They are yet to decide if they should closethe schools after the spring break . This is one example that has concerned me a lot. In the email from the (b) (6)School Distr ict, quote: "there are many factors to be considered any time a decision is made to close schools. Thesefactors range from eva luating the consequences of missed instruction to providing meals to students who rely on theschool's food service program ", this is extremely short -sighted . These factors, as quoted above, will be very minorissues and easier to handle, compared with the potential catastrophic consequences should the virus outbreak be outof control and have para lyzed ow· already -overwhelmed medical system in the USA. I hope the foderal governmentcan issue an administrati ve order to close the public schoo ls.>> 2. Cance l or postpone any large gathering events more than 20 people. Use tele-conference if necessary.>> 3. Every county in this country should have contingent plan in place and have one or several isolationfac ilities/temporary shelters in the remote areas using co!Jege dorms or hotels, in preparation of future largeoutbreaks ofCOVJD-19 in the community.>> 4. Work with local or state media to inform the pub lic oftbe status of basic life necessity (e.g. food, water, tissuepaper) and essential med ical supplies (including PPE). If there is a shortage, the estimated back-to-stock timelineshould be provided. for PP Es, if the shortage cannot be so lved within a short period of time, they should be savedfor those who truly need them includ ing medical professionals treating patients with COVID-19. All local medicalsupply businesses should tum in their inventories since the State Emergency has been declared. These timelyupdates will provide assurance to the public to avoid panic and chaos.NIH-000570NIH-000571>> 5. Encourage online shopping and drive-thru pick-up including groceries. Help the local businesses to expandtheir delivering capacities.>> 6. Provide the public live updates on the outbreak , including the number of confinned cases , their currentclinical status, strategies of tracing their close contacts , as well as the number of tota l cases being tested. From whatT have learned, the more transparent the government is, the less panic the public will be.>> 7. Issue laws that prohibit intentional spread of COVID- 19, irresponsible behaviors that put other innocentpeop le or medica l professiona ls at risk of contracting the virus.>>>> For medical professionals :>> Early January in Wuhan, many patients very likely contracted CO YID- I 9 in the local hospita ls when they visitedtheir physicians for other medical conditions. In addition, the medical system in Wuhan China was almost paralyzedat that time. One of major reasons is that many medical professionals were infected and sick. The medicalprofessionals are the backbone in the fight against this vims outbreak . We need to prepare for the worst scenario thatthis outbreak can last for a few or several months. We need to protect om medical professionals first.>> I. Set up a centralized Fever/COYID-19 hotline operated by trained provider/nursing staff. This telephone line canuse the current available state infom1ation hotline , with expanded functions serving as a gatekeeper and triagemechanism for potential COVID-19 patients to receive guidance on where to seek help before visiting a busy clinic,an urgent care, or a hospital emergency room to minimize the chances of cross-infection and over-whelming largemedical centers.>> 2. Establish designated Fever/COVTD-19 clinics or hospitals led by well-trained ID teams (MD , NP), especially inhighly populated areas. These clinics will serve as the secondary triage and referral centers for the aforementionedFever /COVTD-19 hotline, plus for primary care clinics that are not equipped with adequate staff and testing tools .These clinics should have adequate staff including physic ians and middle level providers, equipped with testing kitsto perfonn COYID -19 test on site. They should have the capacity of testing drive-through patients , securing airwayfor ventilation if needed before transferr ing severe patients to tertiary medical facilities. They should be operatedcollaboratively with larger healthcare systems like U Iowa , Unity Point , and Mercy who are setting up their ownisolated COVID-19 centers for more severe cases.>> 3. Establish a clear conunun ication and transfer protocol between Fever/COVID -19 hotlines, clinics and treatinghospitals for management of suspicious and confirmed cases. For those with mild COVID-19 infection, they shouldbe self-quarantined at home and monitored closely and remotely. If they cannot perform self-quarantine safely, suchas living by themselves or in nursing homes, they should be kept in the county isolation facilities (as mentionedabove), being monitored there.>> 4. If drive-through testing is available at CVS or Walgreen , patients with positive results should call the hotline ortheir PCPs first if clinically stable to receive guidance for self-quarantine , monitoring and follow-up. If they cannotperform self-quarantine safely , they should be kept in the county isolation facilities as mentioned above.>> 5. lnform the public and other healthcare providers of the availability of these Fever/COYID-19 hotline andclinics, encouraging patients with symptoms to utilize these resources first before visiting clinics , emergency roomsto reduce the chances of cross-infection , and the burden on large medical centers.>> 6. Encourage medical professionals to call their clinic patients for screening . Allow the medical providers topostpone all non-urgent medical visits for annual checkups , stable and non-urgent chronic conditions et al.>> 7. Encourage all physicians and healthcare professiona ls who provide direct patient care to wear personalprotective equipment (PPE) such as masks, eye shields and gloves to protect themselves and to minimize thechances of spreading the virus to other patients, if necessary or based on their screening phone calls.NIH-000572>>>>>> Sincerely,>>>> Kind regards,> ----------------------- --------> Xiaoyang Hua, MD/PhD> Duke Head and Neck Surgery>>>>>>>From:Sent :To:(b)(6)Sun, 15 Mar 2020 15:08:54 -0400Jon LaPookSubject : Re: TIME SENSITIVEf;r om Jon LaPook to Tony FauciI would not use an age number, but if you had to I would say 70. I would say "serious"underlying condition. Not sure about ACE inhibitor s.On Mar 15, 2020, at 3:01 PM, Jon LaPook ------- CbH6l wrote:Tony,Since "elderly" means different things to different people (to me, it's 10 years older thanme - and l' ~ hould I give a certain age after which people should voluntarily selfisolatenow?And for underlying conditions, should I say "serious underlying conditions" or leave itvague at "underlying medical condit ions?" I think the more specific the bet t er.And, fina lly, I'm hearing that it's puzzling that hypertension is such a risk factor and thatperhaps people on ACE inhibitors are upregulating receptors for ACE2 in the lung. Anyevidence of that? If so, maybe we should switch people off ACE inhibitors for now.Thanks,JonFrom: Fauci, Anthony (NIH/NIAID) [E] (b)(6)>Sent: Sunday, March 15, 2020 2:46 PMTo: Jon LaPook CbH6J>Subject : RE: TIME SENSITIVE; from Jon LaPook to Tony FauciJon:Looks quite good. I suggest that you lean out there and explicit ly say that theelderly and certainly those with underlying conditions should voluntar ily self-iso latenow.Best regards,TonyFrom: Jon LaPook- ------ (b)(6) Sent: Sunday, March 15, 2020 2:20 PM ------ == To: Fauci, Anthony (NIH/NIAID) [E] -------- (b)( > Subject: TIME SENSITIVE; from Jon LaPook to Tony FauciHi Tony,NIH-000573NIH-000574I would like to post this widely today, but want your input first. Can you please makesuggestions/add itions/correct ions?Thanks so much!JonThe World Health Organization has declared the Covid-19 outbreak to be apandemic -- official recognition that the virus respects no borders and nowaffects masses of people in countries all over the world. And there is nodenying the world is changing, in painful ways . We see it in financialmarkets, where prices are plunging -- and in supermarkets, wherecustomers are stripping shelves bare. All driven by fear , as the number ofvirus cases grows with each passing day. While we may feel powerless overthis threat, we are not. There are important things we can and must do -andright now.To borrow a phrase from the war on terror, the coronavirus only has to beright once to infect us. We have to be right every time to prevent it. So, everytime you cough or sneeze , use a tissue or the crook of your arm. Every timeyou think of it, wash your hands -- as frequently as you can. Every time youcan, practice "social distancing" -- stay away from others during thisoutbreak. Social distancing is now being enforced throughout our society.Schools are closing, sporting events of every kind are being canceled. Thecurtain has even come down on Broadway shows as the Great White Waygoes dark.Despite our best efforts , it's likely many of us will eventually get infected bythe virus , since we have no immunity to it. If that's the case, you may ask,does it really matter when we get infected? The answer is a resoundingyes! And here's why: slowing the spread of coronavirus -- and consequentlydelaying infections -- can make an enormous difference in our ability tohandle the pandemic .Take a look at this illustration. It appeared in the Economist and is based ona CDC report . The blue curve shows what happens when you do nothing .The number of infections peaks relatively quickly. This can overwhelm ahealthcare system that is not prepared to handle such a huge number ofpatients. Emergency rooms and hospitals can become overloaded. We maysee shortages of medical supplies -- including protective gear and breathingmachines -- and shortages of healthcare workers, especially if many of thembecome infected. But look at the yellow curve. It shows what can happenwhen you slow the epidemic. The outbreak is stretched out. And while it maylast longer , the peak number of infections is much lower, putting less stresson the healthcare system and allowing better care for each patient. It alsogives scientists more time to develop new treatments and vaccines .NIH-000575Is there any evidence this works? Absolutely, especially when coupled withthe time-proven technique of aggressive testing to find and isolate infectedpeople as early as possible. In China , where there has been strict quarantineand social distancing in the epicenter of the outbreak, new infections havedramatically slowed. In South Korea, where health officials cleverly useddrive-through testing, we' re also seeing the number of new cases slowdown. And there 's a history lesson from the 1918 flu pandemic . Back then ,Philadelphia held a parade attended by several hundred thousand people.Soon, every hospital bed in the city reportedly was filled with sick patients .Saint Louis, on the other hand, practiced social isolation and saw fewercases.So we have work to do, and it won't be easy, because it means changing theway we live our daily lives and how we interact with our neighbors . And wehave to start now -- when we can make the most difference .And here's something we need to keep in mind. We are all in this together.So even as we keep a distance from each other physically , we need to stayclose emotionally. Social isolation is bad for your health! If ever there was atime to call or video chat with friends and loved ones. And don't forget toreach out to the elderly --who may be alone and afraid.Demonstrating grace under pressure is easier said than done. But that is thisdoctor's prescription for getting through this . And, if we treat each other withkindness and empathy, we will.Jonathan LaPook, M.D.Chief Medical Correspondent, CBS NewsProf essor of Medic ineNYU Langone HealthPLEASE NOTE: IF YOU LEA VE ME A MEDICAL MESSAGE AND DO NOTHEAR BACK WITHIN 24 HOURS, PLEASE CALL MY OFFICE AT 646-754 -2000 . PLEASE NEVER LEA VE AN EMAIL ABOUT AN URGENT MEDICALISSUE.This message is confidential.WARNING : THIS EMAIL MAY CONTAIN CONFIDENTIAL MEDICAL INFORMATIONThe medical inform ation in this message is confidential and privileged. It is unlawfu lfo r unauthor ized persons to review, copy, disclose or disseminate confidentialinformation . If the reader of th is warn ing is not the intended email recipient , or theintended recipient 's agent, you are hereby notified that you have received t hisemail in error and that review or furth er disclosure of the information containedNIH-000576therein is strictly prohibited. If you have received this email message in error,please notify us immediately at 646-754-2000 and delete the original message.HIPAA regulations require proxy/patient approval before use of electronic media.By requesting and/or agreeing to email correspondence, you are agreeing to use ofelectronic media for transmission of info rmation.From:Sent:To:Subject :(b)(6)Sun, 15 Mar 2020 15:02:52 -0400LizRe: Concern for young 'Vapers' population; this will be serious for them. Vapingwas already it's own epidemic .Good point> On Mai 15, 2020, at 2:42 PM, Liz ______ (b.).,(.6).. wrote:>> Hello Dr. Fauci ,>> T hope you will see this message. The subject line is part of the eq ua tion , for Covid - 19, in the US whi ch is anunknown . Tam highly concerned how ft will affect this group. Please let all hea lthcare systems know to be awareand have this on their radar. We keep hearing it's for older adults but it's for people with compromised lungs amongother all pre -existing conditions you've mentioned.>> Sincere ly,> Lyzzy CrouseNIH-000577From:Sent:To:(b)(6)Sun, 15 Mar 2020 15:02:32 -0400Schuchat, Anne MD (CDC/OD)Subject: Fwd: Concern for young 'Vapers' population; th is will be serious for them.Va ping was already it's own epidemic.This pe rson makes a good point.Beg in forwarded message:From: Liz (bH >Date: March 15, 2020 at 2:42:24 PM EDT --------=-=--:= To: "Fauci, Anthony (NIH/NlAID ) [E]" (b)( ·Subject: Concern for young 'Vapers' population; this will be serious for them.Vaping was already it's own epidemic.Hello Dr. Fauc i,I hope you will see this message. The subject line is part of the equation, for Covid-19, in the US which is an unknown . I am highly conce rned how It will affect thisgroup. Please let all heal thcare sys tems know to be aware and have this on theirradar. We keep hearing it's for older adults but it's for people with compromisedlungs among other all pre-existing condit ions yo u 've mentioned.Sincerely,Lyzzy CrouseNIH-000578From:Sent :To:Subject :Please handle.From: Landrigan, DavidFauci, Anthony (NIH/NIAID) [E)Sun, 15 Mar 2020 18:33:06 +0000Eisinger, Robert (NIH/NIAID) [E)FW: Tools that may help you(b)(6) ------------- Sent: Sunday, March 15, 2020 1:44 PM To: Fauci, Anthony {NIH/NIAID) [El ------------~-=- -- (b)( >; Fauci, Anthony (NIH/NIAID) [El (b)(6)Subject: Tools that may help youTony,It has been about 20 years since you and I talked about SARS and my model that David Will iams at WHOused. I didn't know if your old email still worked, so I'm using the directory listing by NIH in addition. Ihave some ideas to share with you about the use of tools in the current war on covid-19.Your 'close the bars' statement is right on target with what I was writing when I heard you say it . It was agreat illustration counterintuit ive to what will work . You could have more correctly said keep the barsopen only to those in their twenties and thirties. Five minutes later Mayor DeBlasio said everything is onthe table including closing bars and restaurants! Below you will see me argue why there are betterapproaches and this total closure approach is the wrong move. Selective participation will work in ourfavor to blunt the curve! Total closure will not work and can work against us!In a period of two weeks demand for medical treatment can go from 50% of hospital capacity to 200%due to disease progression and binomial expansion. You know the math and ideas, so there's no need togo into them. There is a need to closely consider how available tools are being used to mitigate anoverwhelm ing of the health care system. I can tell you now that what needs to be done isn't being doneand that the road we are on now will at most postpone crossing the threshold of 100% capacity. It willnot achieve the desired result of distributing cases over a greater time period so that beingoverwhelmed is avoided .Consider the curves:The 'without protective measures' curve is the normal distr ibution as modeled by the binomialdistribut ion. The 'w ith protect ive measures' distribution is what we want to achieve, although thatwould be fore ign to an experimenta list. We don't want the number of cases to exceed capacity asindicated by the horizontal dotted line. If the 'protective measures' are social distancing, school closings,entertainment/sporting cancelations, restaurant closings, and hygiene and similar uniformly appliedmeasures, the 'with' curve should have a shape similar to the 'without' curve, just shifted to the right,unless there is some unpartitioned factor interaction. The flattened curve WILL NOT RESULT becauseerrors should be random and SAMENESSO F TREATMENTP RODUCESS AMENESSO F EFFECTW. ithUNIFORM application of measures the curve afte r application will still exceed a height showing thesystem capacity has been exceeded.NIH-000579NIH-000580We could expect to flatten the mesokurtic 'without' curve into the platykurtic 'with' curve by systematictime staggering in the use of the protective measures and selectively apply ing the measures to drivetoward herd immunity. As immunity builds toward HIT (Herd Immunity Threshold), there will be greaterand greater slowing of infections as the linkages for transmission decrease. There are two points toconsider here.The first point is whether measures should be applied in a uniform and blanket manner. The answer istypically no when the effect is on an existing population because the curve won't flatten. There are twoaspects of the application of measures to consider. Is the effect of the application defining thepopulation or is it an effect within a defined population. In the instance of halting all air traffic to the USfrom China, the population is being defined and altered if influx is allowed and that would both increasethe infections and population turbulence. There would be movement away from HIT. Any measure suchas people influx, which moves the US away from HIT, is to be avoided.School, restaurant, and sporting event closings need to be examined in relationship to their impact onan existing, not an increasing population . The actions have many criteria to influence them, but from theviewpoint of keeping the healthcare system from becoming overwhelmed closings that are staggered,variable, and alternating will work to increase movement toward HIT and promote flattening of the'with' curve.The second point to consider is whether we can move the US toward HIT by age selective application ofavailable measures. The answer is yes and this could provide the best tool. Susceptibility and strengthsof covid-19 infections covary with age. People less than 30 rarely have severe infections and the youngerones may not become infected. People under 40 show a low frequency of severe infection. It will beimportant to know if there is a large age cohort exempt from infection because that would underminepart of the result from selective application of measures or limit the sampling age because these peoplewouldn't develop immunity , but might contribute to delaying herd effects. If they develop immunitytheir contribution can be substantial and they can be kept separated from more vulnerable people untiland unless it is established that there isn't a need.Opening night clubs, sporting events, restaurants, and other places to people in their twenties andth irties will build immunities, break infection transmission links, and move toward HIT with little or norisk to the people or the rest of the herd. Have admission to the venues by existing ID, like a driver'slicense with age, and have agreement that they do not mingle with vulnerable older people. Leaving thebars open to people in their 20's and 30's will flatten the curve!From:Sent :To:Fauci, Anthony (NIH/NIAIO) [E)Sun, 15 Mar 2020 18:32:34 +0000Birx, Deborah L. EOP/NSCSubject : RE: [EXTERNAL] CNN question/German vaccine company?This is the first that I have heard anything about this subject.From: Birx, Deborah L. EOP/NSC (b)(6)>Sent : Sunday, March 15, 2020 1:38 PMTo: Fauci, Anthony (NIH/NIAID) [E]--------=- (b'")("=6' )>Subject: Fwd: [EXTERNAL] CNN question/German vaccine company?Do you know anything about this?Sent from my iPhoneBegin forwarded message:From: "Miller, Kat ie R. EOP/OVP" (b)(6)Dat e: March 15, 2020 at 1:14:28- -P-M-- E-D--T- ~~ To: "Birx, Deborah L. EOP/NSC" (b)(6J>Subject : Fwd: [EXTERNAL] CNN questi on/ German vaccine company?Sent from my iPhoneBegin forwarded message:From: "Liptak, Kevin" <Kevin.Liptak@turne r.com>Date: March 15, 2020 at 1:09:32 PM EDT ----------=-~ To: "Miller, Katie R. EOP/OVP" (b)( >, "Fetalvo, NinioJ. EOP/OVP" (b)(6J>, DL NSC Press(b)( >Subject : [EXTERNAL] CNN question/ German vaccine company?Afternoon - checking to see whether the White House has any comment onthese allegations in German media that President Trump is offering largesums of money to lure a German vaccine maker to the UnitedStates? >https://www .reuters .com/art icle/us -health -coronav irus-germany usa-idUSKBN2120IV<ThanksKevinNIH-000581Kevin LiptakCNN White House(b)(6)NIH-000582(bX5) - PCl1NIH-000583(bX5)-PCINIH-000584NIH-000585NIH-000586From:Sent :To:(b)(6)Sun, 15 Mar 2020 13:30:08 -0400Soumya JayarajSubject: Re: Concern about Covid spread in South Padre Island TexasThank you for your noteA.S. Fauci.Sent from my iPhoneOn Mar 15, 2020, at l :29 PM, Soumya Jayaraj ---------- CbH6)wrote:Hello Dr. Fauci ,I hope you get to read this and you can do someth ing about it. I am wr iting from------ Cb)~. Here at South Padre Island spring break events are going in full swing with no concern whatsoever about coronavirus spread. We do not havepositive cases yet in the Rio Grande Valley but this is inviting the disease here.People come from all over USA , especially students in huge numbers for springbreak to SPI. In spite of repeated requests by press and general public the authori tieshave not shut down the event. I am attach ing a couple of articles below . It is veryconcern ing to see the author ities do not seem to understand the gravity of thesituation and the importance of social distancing which is the need of thehour. Kindly look into this and please do what you can to put a stop to this.Please note the crowd is expected to increase next week.Appreciate your help.ThanksRegardsSoumya J ayarajhttps:/ /www.themonitor.com/2020/03/ 12/ sp i-spring-break-con tinue/https://www.facebook.com/KRGVChris tian/v ideos/ 1954047085687 68/NIH-000587From:Sent:To:Subject :Thank you for your noteA.S. Fauci.Sent from my iPhone(b)(6)Sun, 15 Mar 2020 13:29:23 -0400Daphne ColeyRe: Confidence in you> On Mar 15, 2020, at 1: 22 PM, Daphne Coley ____(b_) (. ._.w.r ote:>> Dear Dr. Fauci.>> Out of this whole mess you are the voice of reason that is most comforting. Your intelligence, calm demeanor andlack of p ersonal agenda (I hope) come through in your explanations of this recent crisis.>> I have read how many lives that you saved during the AIDS crisis and Laude you for it. I trust, given enough rein,that you can do it for the COVID-19 crisis.>> You must be feeling the weight of crushing political and media forces_ a real tightrope. Then, of course you dohave to worry about the illness itself, which should be your primary concern but might be probl emat ic given theinfig hting and> terri torial nature of politic s.>> Anyway , I wanted you to know that you have a real fan in (b) (6) . If there aretwo there are many , many more . .lust keep on doing what you do so well and know that you are appreciated by lotsof American s.>> Best,> Daphne ColeyNIH-000588From:Sent:To:(b)(6)Sun, 15 Mar 2020 13:28:26 -0400rclavalleSubject: Re: Thank you!Thank you for your noteA.S. Fauci.Sent from my iPhoneOn Mar 15, 2020 , at 1:25 PM , rclavalle (b)( >wrote: --------Good afternoon Sir,Thank you for your continued vigilance in protecting the American people. Yourwise guidance regarding a temporary national lockdown may greatly help inreducing the spread of COVID-19.If this action were to occur it should be in phases:Phase 1: Federal Quarantine. Effective Immediately until 4 MAY 2020 ( or furthernotice) - ONLY Key and Essential federal employees of all agencies (IC included)should repo1t to work. Eve1yone else is on administrative leave. While buildings areempty, staff remaining should conduct deep cleaning (air systems, etc.) to ensure ahealthy environment when employees come back to work.Phase 2: Federal recall: Beginning 4 MAY 2020, federal employees are called backto work on an as-needed basis (indefinitely) depending on how the virustrends. Excluding postal workers, that accounts for nearly 2 million full-timeemployees. There should be a mandatory home-quarantine so people are not outspreading the disease.Phase 3: Mitigation and recovery. Federal agenc ies need to produce mitigationmeasures ( crisis action plans) should something of this nature occur in thefuture. Federal agencies must be ready to respond in an organized manner when acns1s occurs.Throughout this COVID-19 event, military and law enforcement must have anincreased presence to prevent mass hysteria and mob mentality. Increased militaryand law enforcement presence may help enforce the home quarantine measures andprevent looting and other crimes that tend to occur during crisis events.NIH-000589NIH-000590The National messages may include the following:The top priority is the safety and security of the peopleWe will make decisions based on health guidance and current conditions here andelsewhereWe will get through this together (share resources , express kindness etc.)We need to care for each other - It is vital it is to unite around this crisisAs a Nation , we need to come together as a conununity to survive this internationaldisasterThis health crisis is challenging each of us to make sacrifices and implementchanges out of the norm.Ultimately , this crisis is not about us. It's about our responsibility to each other.Thank you for all you are doing during this difficult time.Thank you, Sir, for taking the time to review this corres pondence .Best regards ,RC La Valle-McIntoshFrom:Sent :To:(b)(6)Sun, 15 Mar 2020 13:21:50 -0400Laetitia MoreauSubject: Re: Alert: ADVIL= killer with COVID19, references and moreThank you for your noteA.S. Fauci.Sent from my iPhoneOn Mar 15, 2020, at 1:16 PM, Laetitia MoreauCb) (6J>wrote:Est imated docto r FauciWi t h covi d t he re are dos and don' ts.An important DON'T f i rst and a DO he reI heard fr om Fr ance and Eur ope. USA to be advise d .Self medication / Unecessary medication of Advil&corticoids is highl y dangerous with Covid4 young adults were in critical conditions in Francewith no special reasons except they self medicated onAdvilhttps ://www.theguardian.com/world/2020/mar/14/anti inflammatory- drugs -may- aggravate-coronavirus infection?CMP=share btn twIn French newshttps : //www.lefigaro.fr/sc i ences/coronavirus- alerte-sur l- ibuprofene - et -autres - anti - inflammatoires -20200314French people directly instructed by Health Minister toavoid Advilhttps://twitter.com/ol i vi erveran/status/1238776545398923264Reference articleshttps://www.thelancet.com/action/showPdf?pii=S2213 -2600%2820%2930116-8NIH-000591htt www. t hel an ourna l s lancet artic l e PIISOl40- 20 30317-2Also about oo. I have been sharing about s leep / mor ningsun and covid.Sleep protects against virus. we should keep standardtime permanently. A good move alreaqy in normal times.covid is an additional reason.https: // www.ucsf.edu{news/ 2015/ 08/ 131411/ short - sleepers are-four - times-more- ikely - catch - coldhttps ://www.ncbi.nlm.nih .gov/pubmed/26118561"The impact of daytime light exposures on sleep and mood in officeworkers ." High levels in the morning is associated with reducedsleep onset latency ... and increased sleepquality . ncbi.nlm.nih.qov/oubmed/2852625Thank you for your work.Laetitia Moreau(b)(6)<>NIH-000592From:Sent:To:(b)(6)Sun, 15 Mar 2020 13:19:05 -0400(b)(6)Subject : Re: Suggestion for the Coronavirus Task ForceThank you for your noteA.S. Fauci.Sent from my iPhoneOn Mar 15, 2020 , at 12:05 PM,wrote :Dear Director Fauci,(b)(6) ---------While important stores with pharmacies (Walmart, CVS, Walgreens) remain open, manyelderly folks are afraid to enter due to the mixing of young and old and the increased risk ofcoronavirus exposure. I suggest that these stores designate certain hours for for those 60years of age and older. Now that stores are reducing hours to clean and restock the storesovernight, the best hours might be first thing in the morning . For example for Walmart , thehours designated for those 60 and over could be 6 a.m. to 9 a.m. This could reduce theirexposure to younger people who might have the virus but who are asymptomatic (orrelatively so). This same idea could be applied to grocery stores.Best wishesAlan R. Ertle MD MPH, MBA(b)(6)NIH-000593From:Sent :To:Subject:(b)(6)Sun, 15 Mar 2020 13:17:01 -0400HerbRe: CoronavirusThank you for your noteA.S. Fauci .Sent from my iPhoneOn Mar 15, 2020 , at 12:24 PM, Herb ----------- CbH6>)wrot e:(b)(6)I feel that theinformation I have might be of interest to your posit ion in this matter . If so, please reply byreturn email. Thank you. Herbert E. JohnsonSent from Mail for Windows 10NIH-000594From: (b)(6)Sent:To:Subject:Sun, 15 Mar 2020 12:02:05 -0400Conrad, Patricia (NIH/NIAID) [E)Fwd: Request for interviewSent from my iPhoneBegin forwarded message:From: Larry Milian <lmilian @slammiami.com >Date: March 15, 2020 at 10:42:39 AM EDT,------- --;;-~To: "Fauci, Anthony (NIH/NlAID) (E]"- ------- (b)( Cc: Larry Milian <lmilian@slammiami.com>Subject: Request for interviewDr. Fauci,My name is Larry "The Amigo" Mi lian and I am the Nationa l General Manager andProgram Director for SLAM Radio on Sirius XM 145. I would like to respectfullyrequest to have you on with me on my national morning show to update and discussCoronavirus.I will be on air tomorrow starting at 7am est. While my show normally ends at11am, [ have decided to stay on air in order to keep our listeners properly infom1ed.I would like to thank you in advance. Kind ly email me or ca ll me back (b) (6)~ ) and let me know what might be the best time to come in the air with me .LaITy 'The Amigo " MilianNational General Manager/Program DirectorSLAM Radio on Sirius XM - Channel 145LMilian @SLAMMiami.com(b)(6)NIH-000595From:Sent:To:Subject :Thank you for your note.A.S. FauciSent from my iPhone(b)(6)Sun, 15 Mar 2020 11:57:49 -0400Alex TannerRe: Nasal spray> On Mar 15, 2020, at 11:56 AM, Alex Tanner ------------(b)( > wrote: >> Greetings Dr. Fauci:>> Wouldn't some concoction/ratio ofbleach to water put in a nose spray bottle help prevent or kill covid-19? Whatabout hydrogen peroxide?>> Regards,> Alex>> Char les A Tanner(b)(6)>> Sent from my iPhoneNIH-000596From:Sent:To:Subject :Thank you for your note.A.S. FauciSent from my iPhone(b)(6)Sun, 15 Mar 2020 11:57:34 -0400Deborah LoweryRe: Hospitalization of covid-19 positive patients> On Mar 15, 2020 , at 11: 57 AM, Deborah Lowery --------- (b)(6) wrote: >> Eve ry large US city has several hospitals within city limits . Would it be possible to set up at least one hospital forONLY covid -19 positive pa tients requir ing hospitalizat ion. This cou ld belp prevent transfer of virus to thosehospitalized that do not have the viru s and could help reduce the need for more personal protective supplies neededfor staff, since only those staff at that particular hospital would be taking care of those with covid- l 9. Thank You foryour time.> Deborah LoweryNIH-000597From: (b)(6)Sent:To:Sun, 15 Mar 2020 10:17:01 -0400Esam.AlmarzouqSubject : Re: God bless you allThank you for your kind note.> On Mar 15, 2020, at 10:13 AM, Esam.Alrnarzouq <esam.almarzouq@jsgroup.com.kw> wrote:>> Dear Dr Anthony>> My name is Esam AIMarzouq from (b) ~ a country that Jam sure you know. My daughter is studying in one ofthe universit ies in (b) (6)>> I ju st wanted to take the oppo1tunity to say God bless you for all the effo11 taken by you along with yourcolleagues in NIAID and President office to contain Corona Virus. I am confident, with God help we sha ll allovercome Covid-19 pandemic.>> All the best wishes to you all>> Regards> Esam AlMarzouq> CEO - JS GROUP, private company in the area of general trading and construction in KuwaitNIH-000598From:Sent:To:Subject :Than.ks!(b)(6)Sun, 15 Mar 2020 09:28:21 -0400Mary LaneRe: Honest Communication> On Mar 15, 2020, at 9: 17 AM, Mary Lane --------- (b) (6)> wrote: >> Thank you so much for being hone st about the coronavinis. We feel we can trust what you say!>> Sent from my iPhoneNIH-000599From:Sent:To:(b)(6)Sun, 15 Mar 2020 09:15:29 -0400NIAID Public InquiriesSubject : Fw d: Ind igenous Peoples - Bat Guano Harvesters - COVID-19Sent from my iPhoneBeg in forwa rded message:From: Geoffrey Wilcox (b)(6)Dat e: March 15, 2020 at 9:11:50 AM EDT,------- -;;-c-;= To: "Fauci, Anthony (NIH/NlAID) (E]" (b)(Subject: Indigenous Peoples - Bat Guano Harvesters - COVID-19Dear Mr Fauci:Is it poss ible to be immune to the virus? What if any research has been done on theindigenous people around the world, including the US, that have harvested guano forcenturies?Geoff WilcoxNIH-000600From:Sent :To:Subject :Attachment s:Fauci edit.docxFrancis:Fauci, Anthony (NIH/NIAID) [ElSun, 15 Mar 2020 01:58:46 +0000Collins, Francis (NIH/OD) [ElRE: Draft all hands messageDraft_AII_Staff_F irst_NIHStaff_Coronavirus_3 .14.20_ V2 fsc clean - with minorIt looks fine, but I made one minor edit that is tracked.Thanks,TonyFrom: Collins, Francis (NIH/OD) [E] ------- (b)(6)>Sent : Saturday, March 14, 2020 9:38 PM ------~~ To: Fauci, Anthony (NIH/NIAID) [E:] ;.::::====(=b)(6=)> ~-,-=, Cc: Tabak, Lawrence (NIH/OD) [E]- -------- (b)(6) Subject: Draft all hands messageHi Tony,If you have a couple of minutes to review it, please let me know if you see any problems wi th this draftall-hands message.FCNIH-000601From:Sent :To:Fauci, Anthony (NIH/ NIAIO) [E)Sun, 15 Mar 2020 01:11:43 +0000Robert JonesSubject: RE: Avoid ing Italy 's Coronavirus DisasterThank you for the note.From: Rob ert Jones (b)(6)Se nt: Saturday , March 14, 2020 8 :26 PMTo: Fauci, Anth ony (NIH/ NIAID) [E] -------=- (bc) -(=c >Subject: Avoid ing Italy's Coronavirus DisasterDear Or. Fauci,Thank you for your leadership. I ask that you take two minutes to read the followingartic le in today's Boston Globe written by an Italian journalist.https://www .bostonq lobe .com/2020/03/ 13/ opin ion/coro navirus-ca utionary-ta le-italy-dontdo-what-we-did/Bottom line: Please consider a lockdown or some form of a lockdown by the end of thisweek.Best regards ,Bob JonesNIH-000602From:Sent:To:Subject:Fauci, Anthony (NIH/NIAIO) [ElSun, 15 Mar 2020 01:00:13 +0000Lerner, Andrea (NIH/NIAID) [ElFW: Covid 19 MinocyclineFrom:R amaswamy,S riram- ------------ (b)(6) Sent: Saturday, March 14, 2020 9:00 PMTo: Fauci, Anthony (NIH/NIAID) [E] -------=- (bc) -(=c >Subject: Covid 19 MinocyclineHi Dr. Fauci,Pardon the intrusion into your email. I am sure you are super busy spearheading the fightagainst COVID-19, hence I will cut to the chase. If your research team is looking for ideas tomanage this novel virus, perhaps you can consider adjuvant minocycline. Personally Iconducted a small proof of concept study with minocycline in veterans with PTSD and am nowcollaborating with the San Francisco VA for a larger and definitive study. The point I am makingthat minocycline has potential benefits beyond antibacterial .. I see that the re is preliminaryevidence that it can slow down viral replicat ion.Anyway you are the international expert and we all THANK YOU for all that you do!Best,Sriram Ramaswamy, MOProfessor of Psych1alryVice Chair for ResearchDepartment of PsychiatryCreighton University School of Medicine7710 Mercy Road, Suite 601Omaha, Nebraska 68124-237NIH-000603From:Sent:To:(b)(6)Sat, 14 Mar 2020 19:24:11 -0400FabienSubject: Re: Great talk, as usual ...Thank you for your note .A.S. Fauci.Sent from my iPhoneOn Mar 14, 2020, at 3:42 PM, Fabi en --------- CbH >wrote:Dear Professor,We see you every where at telev ision in France currently .I fully understand that you have much more urgent to do than answe ring my previousemail and 1 apologize to have bothered you.Bon courage ...With all my respect and admiration , for decades,Fabien Sordet.Envoye de mon iPhoneLe 10 mars 2020 a 19:09, Fabien ---------Cb>< a ecrit:Dear Professor Fauci,Great talk at CROI ... Thank you.I follow your works on HIV for 25 years.-----(b)(6) when I stated to work on HIV myself. This give me the chance to have your email address, but it is notas health care professional that I write you today . Just as human,lambda human ...My parents are a bit older than you .Imagine fo r yourself :If tomorrow, whereas you are already vaccined against Flu, youhave significative start of feve r and cough, in an environmentNIH-000604where Covid-19 is epidemic, would you right away take Kaletraand Plaquenil (knowing the fact that if there is a little chance itworks, the soonest is the best) ?Kind Regards,(b)(6)NIH-000605From:Sent:To:Subject :Thank you for your note.A.S. Fauci.Sent from my iPhone(b)(6)Sat, 14 Mar 2020 19:23:16 -0400Janice StraussRe: Truthful science information> On Mar 14, 2020, at 4:04 PM, Janic e Strauss (b) ( > wrote:> ----------> Dr.Fauci.>> Thank you for your determ ination and stamina to infonn the American public with science-based upda tes andinformation regarding the novel coronavirus .>> Without the appropriat e data the virus trajec tory will leave the country in a state of greater uncertainty and fear.Among many of the public who watch the task force briefing s you rema in a bulwark against chaos and panic.>> When politicians announce policy regard ing the virus they may fear accusations of"flip flopping" when a fluidsituation requires nimbleness through recalibration or reversal. That instinct is not party-based. However , an honest,neutral agent eschewing disinfom1ation, misinforma tion, or omissions might better protect the public than apolitician concerned with polls , contributions, and election results.>> Thank you, Dr. Fauci, for being the honest, neutra l agent despi te direct or untoward pressure to ignore sciencebasedevidence.>> Sincerely,> Janice Straus s>>>NIH-000606From:Sent:To:(b)(6)Sat, 14 Mar 2020 19:22:43 -0400Cassetti, Cristina (NIH/NIAID) [E]Subject: Fwd: Helping to mass produce more dosages of cornavirus vaccines andantibodies at lower cost wit h potential ly greater potencyPis respondSent from my iPhoneBegin forwa rded message:From: Mark Emalfarb (b)( ·Date: March 14, 2020 at 4:11:01 PM ED-T- -----=~ To: "Fauci , Anthony (NIH/N lAID ) [E]" (b)(6)Subject: Helping to mass produce more dosages of cornavirus vaccines andantibodies at lower cost with potentially greater potencyDear Dr. FauciI don't want to overburden you with a long e1nail, so I'll try andget to the point.First, we have developed a gene expression system, our C 1 cellline which is significantly more efficient than traditional celllines being used by Big Pharma to manufacture recombinantvaccines and drugs . The hyper produc tive Cl cells can begrown at flexible commercial scales and are proving to be themost efficient, cost effective way to produce the tens ofmillions of preventative vaccines and/ or antibody treatmentsthe world so desperately needs.In a collaborat ion with Sanofi, C 1 cells were developed toproduce recombinant proteins for use in manufacturing a lowercost better performing influenza vaccine. After conducting aNIH-000607mice trial Sanofi concluded that the use of our Cl platformresulted in equal or better influenza protection, using a loweramount of vaccine that could be produced at 10-30 timeshigher productivity levels.The Original Sanofi Presentation can be found at the followinglink:https: //www.dyadic.com/wp -content/up loads/2018/01/Sanofi Pasteur-C 1-Presentation.pdf(b) (4)Working togethe r we can "Keep America Safe" by helpingto addre ss the immediate coronavirus outbreak , be betterprepared for future infectious diseases, pandemic, andepidemic outbreaks, and leveraging this unfortunate situation toadvance biopharmaceutical manufacturing to help speeddevelopment, lower the cost and improve the performance ofNIH-000608biologic vaccines and drugs such as insulin, seasona l flu andother vaccines and antibod ies to make healthcare moreaccessible and affordable to patients.I am confident that a meeting with you can be very productivein further stimulat ing big pharma and other researchinstitutions to speed effective, low cost vaccines and antibodiesto market.Given the severity of the current coronavirus situation, I amprepared to make myself available for a meet ing at yourconvemence.My cell number is ----- CbH6) should you want to reach me quickly.Sincerely,Mark EmalfarbChief Executive OfficerMark EmalfarbCEODyadic International, Inc.CbH6) (Office)------ CbH6)( Cell) www.dyad ic.comNIH-000609From:Sent:To:(b)(6)Sat, 14 Mar 2020 19:21:17 -0400Richard LynnSubject: Re: So proudThank you for your note.A.S. Fauci.Sent from my iPhoneOn Mar 14, 2020, at4:41 PM, RichardLynn ----------- CbH>6)wrote:So well said Carol.Be we llRichardRicha rd A. Lynn, MD,F ACS,RPVI(b)(6)On Fri, Mar 13, 2020, 5:23 PM Carol Storey-Johnson<csj ohnso@med. corn ell. edu>wrote:Dear Dr. Fauci--I fully agree with Dr. Lynn's message. I have been following your commentary onthe current COVID-19 pandemic. Our Dean, Dr. Augustine Choi, has also been amajor positive voice at WCM, communicating frequently with our communityand, in his role as an expert in pulmonary diseases, echoing your messages atWCM as we struggle to educate students and trainees and manage theoverwhelming questions and administrative issues that present themselves atthis time. The measures he has implemented at WCM have been scientificallysound and commensurate with national expert (yours included)recommendations .As a member of the Board of Directors of the Alumn i Association, I am also soproud of your work in this critical time for our nation. I'm sure WCM isappreciative of your representing the quali ty of your train ing, career experience ,scient ific thinking, and academic acumen in your advice to the nation and itspeople in these challenging times.The Alumn i Association has recognized your work in the past, but your continuedefforts speak so well to the excellence in the rigor and standards of theNIH-000610educational, research, and clin ical experience that all of our alumni have had atWCM.We wish you well and hope that you have continued influence in these matters.Sincerely,carol Storey-Johnson MDProfessor Emerita of MedicineWeill Cornell Medical CollegeNote: This information, transmitted from Weill Cornell Medical College, is intended only forthe person or entity named above, and may contain legally confidential and/or privilegedmaterial. Any forwarding, copying, disclosure, distribut ion, or other use of this informationby any person is prohibited . If you are not the intended recipient, any review or taking of anyaction in reliance upon this information is strictly prohibited. If you received t his in error,please contact the sender and delete the material from all computers. Thank You.From: Richard Lynn (b)(6)>Sent: Tuesday, March 3, 2020 8:22 AM ------~~ To: Fauci, Anthony (NIH/NIAID) [E] (b)(6)Cc: nl121 <nl121@cumc.columbia.edu >; Natasha I Leibel <nl121@columbi a.edu>;kathleen foley (b)(6); Carol Storey-Johnson<csjohnso@med .cornell.edu>; Lewis M Drusin <ldrusin@med.corn ell .edu>Subject: [EXTERNAL] So proudDear Tony,As a member of the Board of Directors of Weill Cornell MedAlumni Association, J am so proud of what you are doing and proud that it allstarted in Olin Hall and 1300 York Ave.Drs McDermott , Hook , Kilbourne, Kean and Johnson must have great pride inhow you are a voice of science and reason during this crisis.Stay strong and thank youRic hard 1(6)Ric hard A. Lynn, MD,FACS,RPVI(b)(6)NIH-000611From: (b)(6)Sent:To:Sat, 14 Mar 2020 19:19:57 -0400Jim EdwardsSubject : Re: Nitrile gloves request for COVID19Thank you for your note.A.S. Fauci.Sent from my iPhone> On Mar 14, 2020 , at 4:49 PM, Jim Edward s --------- (b) (6) wrote : >>> Dear Dr. Fauchi:>> Regard ing testing by drive through cars , ______________________ (b_)_(6_),>> It has been hard for me to grocery shop during this corona virus illness because the retailers are allowing theemployees and baggers to (b) (>> l so wish you could address this for u -------- (b)(6) >> You do not know how much this would mean to me.>> Thank you for your service!>> Best Regards,>>>>>NIH-000612From:Sent:To:Subject :Thank you for your note.A.S. Fauci.Sent from my iPhone(b)(6)Sat, 14 Mar 2020 19:19:29 -0400Norm HarrisRe: Thank you VERY VERY much> On Mar 14, 2020 , at 4:51 PM, Norm Har ris --------- (b) ( > wrot e: >>> For your recent frequent, focused , knowledgeable and unde rstandable asse ssments and recommendationsregarding the COVID-19 pandemic.>> A clear and transparent voice makes a very pos itive difference .>> Thank you,>> Linda and Nonn Harris> (b) (6)NIH-0006 13From:Sent :To:(b)(6)Sat, 14 Mar 2020 19:18:47 -0400Auchincloss, Hugh (NIH/NIAID) [E]Subject: Fwd: Our Company Offer of Assistance During this Critical Time of theCoronavirus.Pis hand le.Sent from my iPhoneBegin forwarded message:From: Kay Savio Cb>bl iiDate: March 14, 2020 at 4:59:41 PM EDT To: "Fauci, Anthony (NIH/NIAID) [E]" ---------::-,:-C:b-H=6 )Cc: "Auchincloss, Hugh (NIH/N IAID) [E]" --~~"McGowan, John J. (NIH/NIAID) [E]" ________ _Subject: Our Company Offer of Assistance Dur ing this Critical Time of theCoronaviru s.Dear Dr. Fauci:I work for Focus Pointe Global, a Schlesinger Group Clinical Research Company that has adata base of over 6 million participants globally. Our company is the largest of its kind inthe world. I wanted to reach out to the NIH &NIAID to see if there is any way our companycan be of help during the coronavirus epidemic.We have the unique ability to survey this panel of participants on line or in person, askingvarious questions getting data back fairly quickly (approximately 2 weeks). Our companyutilizes industry leading techniques and can follow this group for years in the future. Wehave worked with the NIH, CDC &such institutions as Northwestern University, Stanford,Harvard, Battelle, NORC, ICF etc., for many years.Please contact me if this is of interest and our company can be of help.Kind Regards,Kay SavioVP Client Development &Clinical ResearchFocus Pointe Global - A Schlesinger Company___ Cb H6) I (b)(6).F n GFo cusP ointe r GlobalNIH-0006 14NIH-000615-Qualitative &Quantitative Solutions I Visit our website~~ SCHLESINGER., GRO PLearnin,g Growing& InnovatingPeople, Pass10 & Pu poseFrom:Sent:To:(b)(6)Sat, 14 Mar 2020 19:16:32 -0400NIAID Public InquiriesSubject: Fwd: COVID-19 reportingSent from my iPhoneBegin forwarded message:From: G C (b) (6)Date: March 14, 2020 at 5:18:16 PM EDT,------- --;;-~To: "Fauci, Anthony (NIH/NlAID ) (E]" -------- (b)( Subject: COVID-19 reportingIn VA, there is a woman who says she had "the corona" back in November and herhusband had it in Decembe r.If this is fact, how can we trust om government when it comes to Public Health?Sent from my iPadNIH-000616From:Sent :To:(b)(6)Sat, 14 Mar 2020 19:15:18 -0400Cassetti, Cristina (NIH/NIAID) [E]Subject: Fwd: Proposal for new treatment of established COVID-19 - CORRECTED EMAILAttachments : PastedGraphic-10.tiff, ATTOOOOl.htmPis respond.Sent from my iPhoneBegin forwa rded message:From: "Prof.Shimon Slavin" (b)(6)Date: March 14, 2020 at 5:36:53 PM EDT --------=-=--:= To: "Fauci, Anthony (NIH/NlAID) [E]" (b)(6>fSubject: Proposal for new treatment of established COVID-19 - CORRECTEDEMAILI APOLOGISE FOR SOME TYPOS IN MY PREVIOUS EMAIL SENT TO YOUOUT OF SPONTANEOUS ENTHUSIASM. PLEASE CONSIDER THIS CORRECTEDVERSION INST ED.Dear Dr. Fauci,You may not remember but we have met years back when I was at Stanford University and Trainingwith the late Donald E Thomas to consider cell therapy of HIV based on the use of reduced intensity ,non-myeloablative conditioning in preparation for stem cell transp lantation to induce tolerance andthen apply cell therapy with donor lymphocytes which I have proposed for consideration of treatmentof patients with HIV with secondary malignancy.The purpose of this email is to try and capture your attention in order toconsider a new treatm ent option for COVID-19 that can be applied forpatients in need with evidence of disease with no delay. Whereas manycompanies focus on development of anti-corona vaccine, I believe the morerational approach should be to develop treatment for COVID-19 and then, ifthe virus will be deleted and/or the disease controlled ormodified, vaccination will result without the need for specific corona-specificvaccination which is not yet available and by the time it may be available itmay no longer be relevant.I am serving as the Medical Director of a company in Hungary and webelieve that one simple and safe experimental treatment of patients withexisting viral disease may already be at hand, (bH 4JNIH-000617I will greatly appreciate if you could give me a call or have one of yourcolleagues contact me and then I will be able to discuss the concept ingreater details , after I will provide supportive scientific and clinical literature.I am available 24/7 on my mobile phone listed below.Shimon Slavin, M.D.Professor of MedicineScientific &Medical Director, Biotherapy InternationalThe Center for Innovative Cancer lmmunotherapy &Cellular MedicineWeizmann Center, 14 Weizmann StreetFloor 15, Suite 1503Tel Aviv 64239 , IsraelEmail: _ ___, (b)(6)Mobile phone: ____ _C...b),..(,6..),NIH-000618(b) (4),N-I~H--000 619 ~!B iotherapyIn1ernat1onaINIH-000620From:Sent:To:Subject :(b)(6)Sat, 14 Mar 2020 19:11:42 -0400Alex AmonetteRe: Thank you for your leadership!Thank you for your note.A.S. Fauci.Sent from my iPhoneOn Mar 14, 2020 , at 5:43 PM , Alex Amon etteDear Dr . Fauci,(b)(6) wrote:Thank you for your leadersh ip and expertise on the coronav irus and for yourother great works . You are a true hero . Thank goodness you are here for all ofus r ight now.No reply expected .To your continued good health fo r many many years to come!Sincerely,Alexandra Amonette(b)(6)NIH-000621From:Sent:To:Subject :Fauci, Anthony (NIH/NIAID) [ElSat, 14 Mar 2020 19:22:47 +0000Cassetti, Cristina (NIH/NIAID) [ElFW: Use SARS DrugsFrom: (b)(6)Se nt: Saturd ay, March 14, 2020 3:22 PM To: Fauci, Ant hony {NIH/NIAID) [E]-- -------~-~- - (b)(6)> Subject: Use SARS DrugsDr. Fauci; In germany they found the drug camostat mesilate they used on SARS in2003 kills the coronavirus in a petri dish. why wouldn't you give it a try? Will drugcompanies lose too much monies? Makes sense to use an already approved drug withlittle side effects. God is watching !!!!!!!!!!!!!NIH-000622From:Sent:Folkers, Greg (NIH/NIAID) [E] on behalf of Fauci, Anthony (NIH/NIAID) [E)Sat, 14 Mar 2020 17:49:09 +0000To:Subject:Halula, Madelon (NIH/NIAID) [E];Fauci, Anthony (NIH/NIAID) [E]RE: Thank you - It 's worth itThank you!From: Halula, Madelon (NIH/NIAID) [E] --------- (b)( > Sent: Monday, March 9, 2020 10:10 AM ------~~ = To: Fauci, Anthony (NIH/NIAID) [E] _______(b)_( 6.h .Subject : Thank you - It's worth itDear Dr. Fauci,Thank you for being willing to step up publ icly and have your life over taken by the coronavi rus.This can't be easy and is likely to be harder in the coming weeks and months.Know that we appreciate it and that I am willing to do whatever needs doing to help.Sincerely,Madelon HalulaMadelon Halula, PhDInitiative CoordinatorEmail : (I?)(©Tel (b)(6)FAX: 240-627-3466DHHS NIH NIA ID DAIDSScient ific Programs & Ope rations BranchMSC 9831 (rm 8C48}5601 Fishers LaneRockville , MD 20852-9831. ~ The information in this e-mail and any of its attachments is confidential and may contain sensitive information . Itshould not be used by anyone who is not the original intended recipient. If you have received this e-mail in errorplease inform the sender and delete it from your mailbox or any other storage devices. National Institute of Allergyand Infectious Diseases shafl not accept liability for any statements made that are sender's own and not expresslymade on behalf of the NIAID by one of its representatives . ~NIH-000623From:Sent:To:(b)(6)Sat, 14 Mar 2020 13:15:38 -0400Mike BettsSubject: Re: Coronavirus responseThank you for your note.A.S. FauciSent from my iPhoneOn Mar 14, 2020 , at 12: 19 PM, Mike Bett s ------- (b)(6>) w rote:I wanted to convey an idea I had with regard to the coronavirus. Itseems to me that trying to contain the virus as we are doing atpresent will be futile. Since the virus can be present for many dayswithout a person having any symptoms, you would literally need totest everyone at the same time to determine who has it--animpossible task .I have a different thought. We know that the virus isespecially dangerous for the old and/or immunosuppressed. IMOwe should be focusing all of our efforts on keeping that group frombecoming infected. To do so that group should be encouraged toself-isolate, to limit their social interactions and other groups shouldbe instructed to avoid them. Sort of a reverse-quarantine idea. Alltesting would be done within those groups and all groups would alsobe encouraged to continue with the hygien ic suggestions they'vealready received .The problem right now is that the media has created a panic. Lastnight my wife and I went to the local Whole Foods and many of theshelves were empty and healthy younger people were wearingmasks .The message is not getting out that the virus is almost solelydangerous to the elderly and immunosuppressed. [Why aren't thedemograph ics being released? That in itself could calm manypeople.] With my suggestion, exposures to them would bediminished, significantly reducing the number of deaths, as well asNIH-000624the potential impact on hospitals. Any person outside of that groupthat was severely affected could be identified andtreated. Quarantining otherwise healthy people outside of thosegroups who finally demonstrate symptoms--like the NBA players--isridiculous. They are likely to get the sniffles and have also alreadyspread the virus. As long as they're not spread ing it to theendangered group we should not worry about it.In sum, we need to isolate the vulnerable and realize that themortality rate for people outside of that group is likely lower than theflu.Of course, while this occurs we are working on finding treatmentsand vaccines. But sending home workers who have next to nolikelihood of being significantly impacted by this virus isridicu lous. The virus hits hardest the old and infirm, two groups thatare most likely NOT to even be in the workforce!To me, this solution is a lot simpler than what is being tried rightnow and is much more likely of success. To everyone besides theendangered group this virus is literally less dangerous than theflu. There is no reason that anyone outside of the endangered groupshould have any concern at all and we need to make thatclear. Please let me know what you think.Sincerely ,Michael Betts(b)(NIH-000625From:Sent :To:(b)(6)Sat, 14 Mar 2020 13:14:36 -0400Sharon GandersonSubject : Re: Subject. Virus recommendat ionsThank you for your note.A.S . Fauc iSent from my iPhoneOn Mar 14, 2020, at 12:42 PM, Sharon GandersonCb)~ wrote:Dear Dr. Fauci:Thank you for your incre dible dedication &expert ise in dealing with the coronavirussituation. My conce rn is that when the President &the virus team and others are seentogether they stand close together &shake bands. This has been ill advised by all themedical experts, including you.I m hoping you and the other experts will strong ly advise changes in this behav ior inaccordance with current recommenda tions. We need them to set a good exam ple forall.Many thanks for your help - its greatly appreciated.Sharon Fink(b)(6)NIH-000626From:Sent:To:Subject :Thank you for your note.A.S. FauciSent from my iPhone(b)(6)Sat, 14 Mar 2020 13:12:23 -0400Adrienne DeluccaRe: THANK YOU> On Mar 14, 2020, at l :04 PM, Adrienne Delucca ----------- (b) (6) > wrote: >>> Dear Dr. Fauci:>> My name is Adrienne Delucca and I live in Connecticut. I am a Labor Attorney and repre sent almost 40,000public school teachers. You may not read this until months from now a~ I know you are working tirelessly on theCoronavirus Task Force. I just felt the need to send you a quick note to thank you. Your expertise and presenceduring interviews and White House briefing has offered me so much comfort at such an anxiety ridden time. l haveheard from so many friends and family members who feel the same way about you. Without your involvement wewouJd be lost as yours is the most credible voice that we have come to rely on. Thank you for all you are doing forour country. We are all so lucky to have you. I pray that you and your family stay healthy.>> Sincerely,> Adrienne DeluccaNIH-000627From:Sent :To:Fauci, Anthony (NIH/NIAID) [E)Sat, 14 Mar 2020 13:10:59 +0000Celia LewisSubject: RE: No BSCelia and Jim:Thank you for your kind note.Berst,TonyFrom: Celia Lewis (b)(6)>sent: Saturday, March 14, 2020 6:44 AMTo: Fauci, Anthony (NIH/NIAID) [E)------= (b")"('=6J>Subject: No BSDear Dr. Fauci:My husband and I are both -----(b) (6) so we've followed a lot of TV news regarding COVID-19.We want to express our appreciation for your "no BS" presentation of the realities of the disease spreadand what we, as a country, can expect .We hear the polit icians and the news anchors, but we find our comfort in the unwavering truth youdeliver through the lens of your decades of experience and experti se.And we thank you, more than you know.Highest regards,Celia and Jim LewisNIH-000628From:Sent:To:Fauci, Anthony (NIH/NIP.ID) [E]Sat, 14 Mar 2020 13:09:28 +GOOODiane GaarvSubject : RE: Thank youThan.ks, Diane. I will try your suggestions.----- Original Message ----- ..----- .-,;-,-= From: Diane Gaary (b) (6)Sent: Saturday , March 14, 2020 7:45 A-M- ----~~ = To: Fauci , Anthony (NIH/NIAID) [E]..._ _____ (b)_(6..).Subject: Thank youDear Dr Fauci,Thank you.Your efforts to infonn and help all of us during the Covid-19 situation are greatly appreciated.You are in our prayers.Sincerely,Diane GaaryPS. I am a speaking voice teacher.If your voice is tired from the constant talking , here are 2 easy suggestions:1) a closed mouthed yawn (as one might do in a boring class) is a quick stretch and tension reliever for the entirevocal mechanism2) 10-20 minutes of constructive rest ( on your back with knees bent and head on a book to keep it in line with yourspine) will put your spine into a passive traction and give your back and neck muscles a chance to rest and releasel know you don't have much time for this sort of thing, but decreasing your physical stress will help your voicetremendously and help you work even more efficiently.Once again, Thank you for your knowledge commitment , and integrity.NIH-000629From:Sent:To:Subject :Deborah:Fauci, Anthony (NIH/NIAID) [E)Sat, 14 Mar 2020 13:05:46 +0000Deb WebsterRE: Thank youThank you for your kind note.Best,Tony-----Original Message- ----From: Deb Webster.-------~ (b ~)~(=6JSent: Saturday, March 14, 2020 9:04 A"'M;..;;_.._.._. _ ~~To: Fauci, Anthony (NTH/NIAI D) [E]_ _____ C>b<_.Subject: Thank youDr. Fauci,J have been so very heartened and impressed with your forthcoming and rational communications and actionsaround the COVID-19 crisis. This includes your insistence on speaking trnth to power and taking more aggressivesteps in thls combat.Don't relent, and keep up the great work. We all need you.] wish you well.Deborah Webster(b)(6)NIH-000630From:Sent:To:Subject :Fauci, Anthony (NIH/NIAID) [E)Sat, 14 Mar 2020 12:58:29 +0000William TempletonRE: Thank youWilliam. Thank you for your kind note.Best,TonyFrom: William Temple ton __________ Cb _) (6)>Sent : Saturday, March 14, 2020 8:33 AM To: Fauci, Anthony (NIH/NIAID) [E] ----------~-=- -- (b)(6);, Subject: Thank you(b)(6) as an Infectious Diseases physician in southern Indiana and Louisville. _____ ......During my career I cared for hundreds of individuals with HIV/AIDS and remember well your tirelessefforts in this regard.Even in the midst of the current coronavirus pandemic, your know ledge and expertise cont inue topreva il- a model for many . There has never been a more important time for dissemination of facts notblind faith .Again, congratulations !William C. Templeton, MDNIH-000631NIH-000638(bX5) -PCP.NIH-000639From:Sent :To:Subject:Billy:Fauci, Anthony (NIH/NIAID) [E)Sat, 14 Mar 2020 00:32:38 +0000Bill CanavanRE: REGIS v FORDHAM (b)(6)Thank you so much for you note. You brought back a flash of happy memory that waswedged in the bottom of my brain. What a game that was! Billy Canavan and Donnie Walshversus Tony Fauci and Artie Guar ino. You guys were clear ly better than we were; yet we wonwhich proved to me then that anything is possible. Thanks again for bringing back suchamazing memories. I hope that you are well and I wish you all the best.Warm regards,TonyFrom: Bill Canavan (b)(6)>Sent : Friday, March 13, 2020 8:23 PMTo: Fauci, Anthony (NIH/NIAID) [E]-------= (b-):(-=6)Subject: REGIS v FORDHAM .... 1958 ...TONY ...BEAT CORONAV IRUS THE WAY YOU AND ARTIE BEAT DONNIE AND ME --(-b)(6) REGARDS. .. BILLY CANAVAN ...NIH-000640From:Sent:Conrad, Patricia (NIH/NIAID) [El on behalf of Fauci, Anthony (NIH/NIAIO) [ElFri, 13 Mar 2020 17:54 :56 +0000To: Alecia Siuta;Fauci, Anthony (NIH/NIAID) [ElSubject : RE: Thank you and how can I help? From the wife of a hospitalis tDr. Fauci asked me to thank you for your note.Best,Patricia L ConradPublic Health Analyst andSpecial Assistant to the DirectorNational Institute of Allergy and Infectious DiseasesThe National Institute s of Heal th31 Center Driv e, MSC 2520 - Room 7 A03Bethesda, Maryland 20892(b)(6)301-496-4409 faxDisclaimer:The infom1ation in this e-mail and any of its attachments is confidential and may contain sensitive infom1ation . Itshould not be used by anyone who is not the original intended recip ient. If you have received this e-mail in errorplease inform the sender and delete it from your mailbox or any other storage devices. Nationa l Institute of Allergyand Infec tious Diseases (NIAID) sha ll not accep t liabi lity for any statement made that are sender's own and notexpressly made on behalf of the NlAlD by one of its representatives.-----Original Message-----from : Alecia Siuta :.:-------- (~b)-(~6)Sent: Friday, March 13, 2020 1:53 PM -----~~= To: Fauci , Anthony (NTH/NTAID[)E l (b)(6) >Subject: Tharlk you and how can I help? From the wife of a hosp italistDr. Fauc i,Thank you so much for being the honest, clear minded medical leader that our country needs right now. You aredoing a superb job handling this difficult situation. My ______ (b)(6) a hospitalis t in State College,PA is on the front lines of this impending crisis in our community (he is (b) (6)ra;'1d also works clinically forboth intemal medicine and pediatrics).T appreciate the clear and easy to understand campaign to the general public to "flatten the curve" and slow theinev itable sp read so that we don't overwhelm the medical community's capac ity to care for the seriously ill. Isuggest that to add to this campaign (espec ially given the serious lack of testing; current ly he is waiting 4-7 days fortest results for hospita lized suspected covid-19 patients ) that you make it clear to the American public that theyshould NOT go to their docto r/hospital/ urgent care and instead stay at home, isolate themselves, and make a phonecall to their doctor 's office or some sort of dept of health hotline.If everyone with mild/moderate symptoms (and their immediate contacts) are bringing the virus into medicalfac ilities, it greatly increases exposure and outs healthcare workers (and their families and communities) atunnecessary risk. We need to convey to the American public the importance of keeping our healthcare workersfrom falling ill (and into quarantine) so that they can treat those that absolute ly need to be hospitalized. There alsoshould be a mandated no visitor policy for suspected/confirmed patients al every point of care.NIH-000641I am interested in helping in any way lam able. Please let me know what I can do to increase awareness andspread the vital messages you are trying to convey.Thank you for your service and sacrifice for the greater good of the American people,Sincerely,Alecia Fay SiutaSent from my iPhone(b)(6)NIH-000642From:Sent:To:Subject:Conrad, Patricia (NIH/NIAID) [E) on behalf of Fauci, Anthony (NIH/NIA ID) [E)Fri, 13 Mar 2020 15:52 :12 +0000Lynda Hayashi;Fauci, Anthony (NIH/NIAID) [E]RE: dr ive up covid-19 te sts for Washington StateDr. Fauci wanted me to thank you for your note.Best,Patric ia L. ConradPublic Health Analyst andSpecial Assistant to the DirectorNat ional Institute of Allergy and Infectious DiseasesThe National Inst itutes of Health31 Center Drive, MSC 2520 - Room 7 A03Bethesda, Maryland 20892(b)(6)301-496-4409 faxDiscla imer:The informat ion in this e-mail and any of its attachme nts is confidential and may contain sens itive information. It should not be usedby anyone who is not the original intended recipien t. If you have received this e-mail in error please inform the sender and delete itfrom your mailbox or any other storage devices . National Institute of Allergy and Infectious Diseases (NIAID) shall not acceptliability for any statement made that are sender's own and not expressly made on behalf of the NIAID by one of its representatives .From: Lynda Hayashi (b)(6)Sent : Thursd ay, March 12, 202010 :17 PMTo: Fauci, Anthony (NIH/ NIAID) [E] _____ (b ...,)"'~= >Subject : dr ive up covid-19 tests for Washington StateIf South Korea can make th is happen why can't we? At least here in t he most hardest hit state.Please make t his happen. We're all scared.Lynda C. Hayashi(b)(6)NIH-000643From:Sent :To:(b)(6)Fri, 13 Mar 2020 09:23:12 -0400NIAID Pub lic Inquir iesSubject : Fwd: Coronavirus quest ion - please readSent from my iPhoneBegin forwarded message:From: Zofia Agee Cb()6 )>Date: March 13, 2020 at 8:02:50 AM ED-T-- -----~= To: "Fauci , Anthony (NIH/NIAID) [E]" ---------C-bH6>: Subject: Coronavirus question - please readDr. Fauci,I'm not a medical professional. I'm just someone who is paying attention to what is going on.I'm hearing that in many cases people have died because they developed pneumonia due tocoronavirus. Since there is no coronavirus vaccine and won't be for a while can pneumonia beprevented by getting pneumonia vaccination? To me, that seems like a very logical course. I wasactually trying to get that vaccine but I was turned away because I do not have any medical historyshowing that I need it and I'm not 65 yet. Could this be some way to lower the death while working onthe vaccine? I have sent this to a few other places/people but not sure I'm reaching the right people,so I'm hoping it will reach you or someone in your office that will read it:).lfw e can not cure the virus yet, maybe we could get in front of it and prevent it from being deadly ...Just a thought.Zofia AgeeZofia Agee(b)(6)NIH-000644From:Sent :To:(b)(6)Fri, 13 Mar 2020 09:18:32 -0400NIAID Public Inquir iesSubject : Fwd: thanks very much for your honesty and clear-eyed scientific integ rityabout coronav irus ! an analysis you might want to read or shareSent from my iPhoneBegin forwarded message:From: Jonathan Fritz CbH6)Date: March 13, 2020 at 8:31 :51 AM EDT --------=-=--= To: "Fauci, Anthony (NIH/NIAID) [E]" CbH6)Subject : thanks very much for your honesty and clear-eyed scientific integrityabout coronavirus! an analysis you might want to read or shareHello Dr. Fauci,I would like to thank. you for being one of the few honest and tmstworthy scientificv01cesas the world and the US confron t the challenges of coronavirus. I was recently sentthis thoughtful statistical analys is and thought you or one of your colleagues mightwish to see it.best wishes, yours, Dr. Jonathan Fritzhttps: //medium .com/@tomaspueyo/coronavirus-act-todayor-people -will-die-f4d3d9cd99caNIH-000645From: (b)(6)Sent: Fri, 13 Ma r 2020 09:16:52 -0400To:Subject:Cassett i, Cristina (NIH/NIAID) [E];Auchincloss, Hugh {NIH/NIAID) [E]Fwd : NK Cells for COVED-19Pls respond.Sent from my iPhoneBegin forwarded message:From: Jeffrey Miller CbH6JDate: March 13, 2020 at 8:53:29 AM ED--T- ----~~Cc: "Fauci , Anthony (NIH/NIAID) [E]" --------- CbH6J Subject: Re: NK Cells for COVED-19Dr. Fauci ,I am working with Ashley Haase and others at Minneso ta to think through thefeasib ility and wisdom of this appro ach. Let me know your thoughts if you have thetime. You look busy lately!JeffOn Fri, Mar 13, 2020 at 7:49 AM Julian AdamsDear Dr Fauci (Tony),--------- CbTI>6w>irote:You may remember me from the early 90' s as I was the inventor of nevirapine ,the first NNRTi. We met severa l times at NW D and FDA. I have since turnedmy scie ntific interests to cancer research and discovered and developed Velcadefor multip le myeloma. And I have changed career paths again, turning toimmuno therapy to treat cancer. I am curr ently the CEO of Gamida Cell with afocus on cellular therap ies.One of our programs is the expansion of allogeneic NK cells. We arecollaborating with Dr Jeff Miller at the University of Minnesota and areadministering 10-20 billion freshly expanded NK cells in combination withrituximab to pat ients with NHL. The results are stunning with 8/ l l patientsNIH-000646achieving CR or very good PR with a single infusion. (see EBMT abstractbelow). In addition, the safety profile has been remarkably good since two thirdsof our pati ents have Karno fsky perform ance <80. (NO CRS or Tumor lysissyndrome or neurotoxicity has been observed)I thank you in advance, and look forward to your response, (also copied is DrSimantov, our Chief Medical Officer)Warmest regards ,Julian Adams, PhDEBMT Abstract: (the conference due to have taken place in Madrid is postponedbut the abstract is availabl e online)RESULTS OF A PHASE 1 TRIAL OF GDA-201, NICOTINAMIDEEXPANDEDALLOGENEIC NATURAL KILLER CELLS (NAM-NK) INPATIENTS WITH REFRACTORY NON-HODGKIN LYMPHOMA (NHL)AND MULTIPLE MYELOMAVeronika Bachanova1, David McKenna1, Xianghua Luo1, Todd Defor1,Murali Janakirami, Claudio Brunstein 1, Daniel Weisdorf 1, EricaWarlick1, Rose Wangen1, Fiona He1, Joseph Maakaron1, Zuzan Caycii,Bartosz Grzywacz 1, Guy Brachya2, Tony Peled 2 , JeffreyNIH-000647(b) (4)NIH-000648Miller 1 1University of Minnesota, Masonic Cancer Center, Minneapolis, MN,United States, 2Gamida Cell, Jerusalem, IsraelBackground: NK cells have the capacity to kill tumor targets and potentialin cancer therapy. Limitations include specificity, persistence after infusionand how to maximize NK cell activity in vivo. We report results of a Phase 1clinical trial of GDA-201, a cellular product composed of Natural killer (NK)cells from healthy donors expanded ex-vivo with nicotinamide (NAM) andIL-15, a unique ex vivo activation strategy to induce persistence. Prior invitro studies and pre-clinical models demonstrated that NAM-exposed NKcells exhibit augmented resistance against exhaustion and improved killingfunction, proliferation, and organ trafficking. We report safety andpreliminary efficacy from a phase I trial of GDA-201 in patients (pts) withrelapsed or refractory (R/R) NHL or MM.Methods: Following donor apheresis, CD3-depleted mononuclear cellswere cultured for 14-16 days with NAM (5mM) and IL-15 (20ng/m l),resulting in a 40-fold increase in NK cells and increased expression ofCD62L from 2.9% to 21%. GDA-201 contained ~98% NK cells, and CD3content was maintained at <0.5% (<5x10s/kg/dose). Pts with R/R B-cellNHL or MM received cyclophosphamide (400mg/m 2 IV x 3d) andfludarabine (30 mg/m 2 /d IV x 3d), followed by two doses of GDA-201(Days 0 and 2) and low-dose IL-2 (6 million units sc). Pts with NHL or MMreceived rituximab (375 mg/m 2) or elotuzumab (10 mg/kg), respectively, x3 weekly infusions to enhance NK cell targeting through antibodydependentcellular cytotoxicity (ADCC).Results: 25 pts were enrolled:11 with NHL (5 follicular, 5 diffuse large celllymphoma, 1 mantle cell lymphoma) and 14 with MM, in 3 cohorts ofescalating GDA-201 dose; 14 pts received the maximum target dose(median 1.7 x 1Qscells/ kg, range 1.6-2.0 x 1 Os cells/kg). There were no doselim iting toxicities. The most common grade 3/4 adverse events wereneutropenia and thrombocytopenia, febrile neutropenia (n=2), increasedcreatinine, hyponatremia, pulmonary edema; all events were transient.There were no neurotoxic events, confirmed CRS, GVHD or marrow aplasia.One patient died of E-coli sepsis.r4mong 11 NHL pts, there were 7 CR and 1 PR with an overall response rateof 72%. Median duration of response is 11 months (CR patients) and 3months (PR patients). In MM patients, 1 patient with extramedullarydisease had CR and 4 had SD with median duration 2.5 months. In ourprevious study using overnight activated NK cells, persistence 7 days afteradoptive transfer was limited. Using GDA-201, flow cytometry confirmedthe persistence of donor NAM-NK in peripheral blood up to day 7-10 (day7 range 2-55% donor NK cells; Figure 1), as well as enhanced in vivoproliferation (median Ki67 99%). In addition, the enhanced expression ofthe homing receptor CD62L correlated with trafficking to bone marrowand lymp h nodes in vivo as confirmed by flow cytometry of biopsiedtissues at day 4.Conclusions: Cellular therapy using GDA-201 with mono clona l antibodieswas safe, and demonstrated early evidence of clinical activity in heavilypre-treated pts with advanced NHL and MM. Laboratory studies show thatthe GDA-201 product shows better persistence. Larger phase II studies arewarranted.Clinical Trial Registry: clinicaltr ials.gov NCT03019666Disclosure: Funding for the trial is provided by Gamida Cell. BMS isproviding drug only support.Veronika Bachanova: Research Funding Gamida Cell, Advisory Board:Gamida CellJulian Adams , Ph.D.Chief Executive OfficerGamida Cell673 Boylston St 4th FlBoston, MA 02116(b)(6)Heather DiVeccbiaChief or StaffGamkla Cell Ud. Cell Therapy Technologies673 Boylston Street, 4th FloorBoston . MA 02 116Direct: (b)(6)NIH-000649(b)(6)www.gamida-celJ.comgamida~ellJeffrey s . Mille r , M.D.Profes sor of MedicineDeputy Director , 11asonic Cancer CenterDivision of Hematol ogy , Oncology and Transplantation, Univers it y of MinnesotaRoger L . and Lynn C. Headrick Famlly Cha i r in Cancer Therapeuti c sRegular Mail :Divisio n of Hematology , Oncology , and Transplantation420 Delaware St . SE, Mayo Mail Code 806Minneapolis , MN 55455Federal Express or courier delivery:University of Minnesota Cancer Center , Room 654A425 E. Riv er RoadMinneapolis , MN 55455CONFIDENTCALITYN OTICE:Electronic messages canoe misctjrectect or Lntercep tect oy unint enctectparties . '!'he University of Min nesota can not a nd does not g u.;,rantee c he confidentiality o fmessages sent over the I nte rnet . Messages sent to or received from work e -mail accountsalso may be monitored or vie wed by your employer . I f you have rece i ved this communicationin error , plea se notify the sender imme diately a nd delete the information .NIH-000650From:Sent:To:(b)(6)Fri, 13 Mar 2020 09:10 :05 -0400Cassetti, Cristina (NIH/NIAID) [E]Subject: Fwd: UV light for COVID-19 preventionSent from my iPhoneBegin forwarded message:From: David Levi (b)(6) >Date: March 13, 2020 at 9:06: 16 AM EDT- -----~~ To: "Fauci, Anthony (NIH/NlAID) (E]" (bH6·JSubject: UV light for COVID-19 preventionThank you for all your hard work trying to deal with this horrible pandemic. Pleasecons ider ways to get UV light cleaning devices through out the U.S. that they arecurrently using in Wuhan, China to attempt to contain this virus. Closed schools andsports venues can be cleaned with UV light while workers wear PPE and sunglassesto protect themselves. This pandemic could be seen as an opportunity to helpprevent the spread of other contagious diseases by impl ementing rational publicpolicy such as UV cleaning when schools and sporting events have concluded . Itmay also help "flatten the curve" and hopefully rebuild consumer confidence so wecan resume activ ities such as travel and commerce that is vital for the healthy of notonly our economy but our citizens.Thank you again for your work and your time.Sincerely,Dr. David LeviNIH-000651From:Sent :To:(b)(6)Fri, 13 Mar 2020 09:09:39 -0400NIAID Public InquiriesSubject: Fwd: Metr icsSent from my iPhoneBegin forwarded message:From: Steve Fisher CbH6)Date: March 13, 2020 at 9:06:43 AM EDT-- -----~~To: "Fauci , Anthony (NIH/NIAID) [E]" CbH6JrSubject: MetricsThanks for your hard work on Coronavirus. What we desperately need are specific metrics(available daily to everyone) on the disease. We also need to know how to evaluatethem. When will we know if it is getting better? It is really as bad as the media would haveus believe? Please set some goals and objectives on the metrics so we know where we areand know when we have won or lost.Yesterday Rush Limbaugh compared this to data on the Swine Flu in 2009 (60 million cases,275,000 hospitalizations, 12,500 deaths from your website) and suddenly the Corona virusdoesn't sound very bad at all. Yet we have shut down the world economy and doneirreparable harm to many lives. Can you explain this? Frankly no one even remembers theSwine Flu epidemic only 10 years ago.SieJ>RJeJ.£s.bi _.e._ __ ,.._,,,_,(b)(6)NIH-000652From:Sent:To:(b)(6)Fri, 13 Mar 2020 07:22:03 -0400Morris FlaumSubject: Re: Thank youThank s, Morris. I appreciate your noteOn Mar 13, 2020, at 12:37 AM, Morris Flaum --------- (b)(6) wrote:Dear Tony,I had the good fortune of working with you and Harvey Gralnick when I was aClinical Associate at the NIH from 1977-1979.I am writing to expre ss my deep appre ciation for speaking truth to power and beingone of the few honest voices in the governme nt at this time of crisis.Your confidence and approach to articulating the issue and ramifications haveprovided critical information to the American population.Although COVID-19 is a unique event, we would have been much better preparedhad you been leading the effort,;; in dealing with this outbreak.The US owes you a great deal of gratitude.Morris FlaumMorris A Flaum, MD, MBAFlaum Consultants , LLCConsultant to the Healthcare IndustryNIH-000653From: (b)(6)Sent:To:Subject:Fri, 13 Mar 2020 07:18:58 -0400Lerner, Andrea (NIH/NIAID) [E)Fwd: Trial by fire?Please handleBegin forwa rded message:From: Aaron Harber Cb) (6)Date: March 13, 2020 at 6:52:52 AM ED--T- -----~~To: "Fauci, Anthony (NIH/NIAID) [E]"- --------- CbH6) Subject: Trial by fire?Dear Tony,You're doing a great job und er terrible circums ta nces so I hope you hang in th ere . I'msure the President is driving you nuts at t imes.T know you 're probab ly far too busy to do yet anot her program with me(HarberTV.com / Fauci) but, if you can send me a couple of quick answers thismorning, that would be great.l. Do you think it's realistic we could have an effective vacci ne for the COVID-19virus by this Fall? My guess is it will be more like the Fall of 2021 but tell me ifI might be wrong.2. Given that we've known abou t the probability of a pan demic, why are we sopoorly prepared to address it (e.g., mas ks, test ing kits, medical staffing etcetera)? I rea lize most of the needs rarely occur and when they do, there areextraordinary spikes in demand for cer tain products and expertise but onewould think the re are ways to address this far bett er than we have.3. Is there anything people should know that is not being emphasized?Thanks for any resp onse you can send, even if it's a few words. And keep up the goodwork . You are greatly appreciate d .Best wishes,AaronAaron@HarberTV.comNIH-000654P: (b)(6)(+voicemail) C: (b)(6) (+texts)HarberTV .com/I nfo + Har berTV.com/AwardNIH-000655From:Sent :To:Cc:Subject:Fauci, Anthony (NIH/NIAID) [ElFri, 13 Mar 2020 01:26 :08 +0000Marston, Hilary (NIH/NIAID) [ElBillet, Courtney (NIH/NIAID) [El;Conrad, Patricia (NIH/NIAID) [ElRE: Moderna trialNeed less to say, ___________________ CbH_5.-----Origi11aMl essage-----From : Marston, Hilary (Nll-1/NIAID) [ElSent: Thur sday, March 12, 2020 8:23 PM(b)(6)-------~ = To: Grigsby , Garr ett (HHS/OS/OGA) (b)(6) >Cc: Stecker , Judy (OS/TOS) (b)(6) >; Pauc i, Anthony (NIH/NIA ID) [E] (b)(6) ;Mango, Paul (HHS/IOS)Kyle (HHS/0S /OGA)(b)( ·; Harrison, Brian (HHS/TOS) ...__ ____ ...C..,Hb....i ; Zebley,----(-b)( >; Richardson, Juliana (HHS/0S /OGA)Su~ject: Re: Modema trialCorrect - as of right now(b)(6)Will let you know ifthere is an unforeseen delay.On Mar 12, 2020, at 7: 19 PM, Grigsby, Ga rrett (HHS/OS/OGA) ---------(b) ( wrote: >> Hilary,>> Please let us know soonest.>> Many thanks!>>>>> Sent from my iPhoneNIH-000661(b) (5))(5)From:Sent:To:Fauci, Anthony (NIH/NIAIO) [E)Wed, 11 Mar 2020 10:28:35 +0000(b)(6) (OS/IOS);Giroir, Brett (HHS/OASH)Cc:Subject:Harrison, Brian (HHS/10S);Stecker, Judy (OS/10S);Redfield, Robert R. (CDC/OD)RE: High Risk from CDC WebsiteJust checked the CDC guidance, which I had not had the time to read before. The secret ary wascorrect Here it is: CbH5)(b)(S)From: (b)(6) (OS/105) (b)( >Sent: Wednesday, March 11, 2020 5:28 AMTo: Giroir, Brett (HHS/OASH)'======='--="Cc: Harrison, Brian (HHS/105) (b)( >; Stecker, Judy (05/105)"'.'--.-'.":==(=b)( =;= Fa-u=ci,~ An thony (NIH/NIAID) [E] (b)(6J>; Redfield, Robert R. (CDC/OD) (b)(6)Subject : Re: High Risk from CDC WebsiteThanks Brett. Tony and Bob, (b) (5)(b) (5)On Mar 10, 2020, at 6:59 PM, Giroir, Brett (HHS/OASH)_ ______ C_)b_C_6 )wrote:<Picture (Device Independent Bitmap) l.jpg>Brett P. Giroir, MDADM, us Public Health ServiceNIH-000690Assistant Secretary for Health (ASH)200 Independence Avenue, SWWashington, DC 20201Office Phone: (b) (6)NIH-000691From: Fauci, Anthony (NIH/NIAID) [E)Sent : Wed, 11 Mar 2020 01:59:54 +0000To: Stecker, Judy (OS/10S);Redfield, Robert R. (CDC/OD)Cc: Conrad, Patricia (NIH/NIAID) [E);McGowan, Robert (Kyle) (CDC/0D/OCS);Lepore,Loretta (CDC/0D/OCS);Murphy, Ryan -(O-S-/A-S-P-A-) ,;- ~ Subject : RE: URGENT- (b)(5)I amok with thisFrom: Stecker , Judy {OS/10S) -------- (b)( 'Sent : Tuesday, March 10, 2020 9 :54 PM ------~ = To: Fauci, Anthony (NIH/NIAID) [E] -------- (b)( ; Redfield, Robert R. (CDC/OD) (b)( >Cc: Conrad, Patricia (NIH/NIAID) [E] .----:----:-~===~~ (b)( ; McGowan, Robert {Kyle) (CDC/0D/OCS)(b)(6) >; Lepore, Loretta (CDC/0D/OCS) (b)( ; Mu rphy, Ryan (OS/ ASPA)(b)( >Subject: URGENT-.__ _____ (b_) _(5. )I understand you both know what this is regarding . Are you good with this?(b)(5)Sent from my iPhoneNIH-000703From:Sent:To:Cc:(b)(6)Sun, 8 Mar 2020 09:02 :09 -0400Bright, Rick ( OS/ ASPR/BARDA)Lane, Cliff (NIH/NIAID) [ElSubject: Fwd: IL6 RRick;See below.TonyBegin forwnrded message:From: "Lane, Cliff (NIH/NIAID) [E]"Date: March 7, 2020 at 11:33:28 PM EST(b)(6)iTo: "Fauci, Anthony (NIH/NJAID) [E]" _-_-_-_-_-_- ~~ (b_><_ >Subject: Re: IL6 Rlt poss16le, 1t woulo 6e of mterest to receive a copy or1'11eChmese treatmentguidelines you reference.Thanks,On Mar 7 , 2020 , at 10: 13 PM, Fauci , Anthony (NIH/NIA ID) [E](b)(6) wrote:Please advise.From: Bright, Rick (OS/ASPR/BARDA) -------- (b)(6)Sent: Saturday, March 7, 2020 3:18 PM -------=-:--= To : Fauci, Anthony (NIH/NIAID) [E] (b)(6),; Kadlec, Robert(OS/ASPR/I0) (b)(Cc: Walke r, Robert (OS/ AsP_R./:B._.A_R_D_A.):. ===~~-~-- (b_H_6); Disbrow,Gary (05/ASPR/BARDA) (b)(6); Johnson, Robert(OS/ASPR/BARDA) (b)( ; Marston, Hilary (NIH/NIAID)[E] (b)(6); Shuy, Bryan (OS/ASPR/10)(b)(6); Redd, John (OS/ASPR/SPPR) _______ _, -------- (b)(6)Subject: Fwd: ll6 RNIH-000828(b) (5)Dr Fauci,I know that Dr Kadlec has mentioned the news we heard fromgenentech about the evaluation of monoclonal antibodies to IL-6 andIL-6R in severely ill COVID-19 patients in China.Additional information became available yesterday and we learnedthat China updated Their clinical guidelines to include anti-I LG.(b) (4)(b) (5)I welcome your thoughts and would also make our team available fo r aquick call if you prefer.Many thanks. I know you are very busy.RickBegin forwarded message:(b) (4)NIH-000829(b) (4)NIH-000830(b) (4)NIH-000831From:Sent:To:(b)(6)Sat, 7 Mar 2020 15:35:47 -0500Lane, Cliff (NIH/NIAID) [E]Subject: Fwd: IL6 RSent from my iPhoneBegin forwarded messag e:From: "Bright, Rick (OS/ ASPR/BARDA)"Date: March 7, 2020 at 3: 18:02 PM EST(b)(6) ---------------~~ To: "Fauci , Anthony (NIH/NlAID ) (E]" (b)( ·, "Kadlec, Robert(OS/ASPR/10)" (b)(6)> Cc: "Walker, Robert (OS/ASPR/BARDA)" -----_-,--------=-- -(:b)-(6:) =, "D isbrow,Gary (OS/ASPR/BARDA)" (bH >, "Johnson, Robert(OS/ASPR /BARDA)' ,------- (b)( >, "Marston, Hilary (NIH/NIAID) [E]" (b)(6) "Shuy, Bryan (OS/ASPR/IO) " ---- ---------=-=-= -------- (b)( >, "Redd , John (OS/ASPR/SPPR) " (b)(6) Subject: Fwd: IL6 RDr Fauci ,I know that Dr Kad lec has mentioned the news we heard from genentech abou t theevaluation of monoclonal antibodies to IL-6 and IL- 6R in seve rely ill COVID-19patient s in China .Additional information became available yesterday and we learned that Chinaupdated Their clinical guideline s to include anti-IL6.Many thank s. I know you are very busy.RickBegin forwarded mes sage:NIH-000859(b) (4)(b) (5)(b) (4)NIH-000860(b) (4)NIH-000861From: Fauci, Anthony (NIH/NIAIO) [E)Sent : Wed, 11 Mar 2020 02:58:28 +0000To: Redfield, Robert R. (CDC/OD);Birx, Deborah L. EOP/NSCSubject: RE: County specific guidanceAttachments : Seattle_Community_Mitigtion_3_10 as version final with minor Fauciedits .. docx, Santa Clara_Community_Mitigtion_3_10 as (002) - with Fauci minor edits.docxBob :They look pretty good . I have made a few minor changes that are tracked in the attacheddocuments.Best regards,TonyFrom: Redfield, Robert R. (CDC/OD)_ ___ C>b<_ >Sent: Tuesday, March 10, 2020 6:39 PMTo: Fauci, Anthony (NIH/NIAID) [E)------ (~b)-(~6)>; Birx, Deborah L. EOP/NSC(b)(6)Subject : Fwd: County specific guidanceDraft I am reviewing now but wanted you both now so not delayGet Out look for iOSFrom: Schuchat, Anne MD (CDC/OD) CbH6J>Sent : Tuesday, March 10, 2020 5:58:15 PMTo: Redfield, Robert R. (CDC/OD) (b)(6)>Cc: Cohn, Amanda (CDC/DDID/NCIRD/OD) (b)(6J>;J ernigan, Daniel B. (CDC/DDID/NCIRD/ID)-----(b)(6J>;R edd, Stephen {CDC/DDPHSIS/OD) CbH6J>M; essonnier, Nancy (CDC/DDID/NCIRD/OD) (b)( >; Schuchat, Anne MD (CDC/OD) (b)(6J>; McGowan,Robert (Kyle) (CDC/0D/OCS) (b)(6); Berger, Sherri (CDC/OC00/0D) (b)(6J>;Warne r, Agnes (CDC/0D/OCS) CbH6J>Subject : FW: County specific guidanceOr Redfield: Attached please find (b)(5 t(b)(5)Note that if you are trying to send to Debbi Birx she mentioned that things going to her CDC email willnot reach her so you may want to include Olivia Troye to make sure to meet your deadline.NIH-000702From:Sent:Fauci, Anthony (NIH/NIAIO) [ElTue, 10 Mar 2020 17:54:45 +0000To:Subject:Mermin, Jonathan (CDC/DDID/NCHHSTP/OD)RE: Great talkJon:Thank you for your kind note. It is much appreciated. I hope that you arewell.Best regards ,TonyAnthony S. Fauci, MDDirectorNational Institute of Allergy and Infectious DiseasesBuilding 31, Room 7A-0331 Center Drive, MSC 2520National Institutes of HealthBethesda , MD 20892-2520Phone: (b)(6)FAX: (301 496-4409E-mail: (b)(6)The information in this e-mail and any of its attachments is confidential and may contain sensitiveinformation. It should not be used by anyone who is not the original intended recipient. If youhave received this e-mail in error please inform the sender and delete it from your mailbox or anyother storage devices . The National Institute of Allergy and Infectious Diseases (NIAID) shall notaccept liability for any statements made that are the sender's own and not expressly made onbehalf of the NIAID by one of its representatives .From: Mermin, Jonathan (CDC/DDID/NCHHSTP/OD-) ----- CbH > Sent: Tuesday, March 10, 2020 1:40 PM -------= ~ To: Fauci, Anthony (NIH/NIAID) [El CbH6J>Subject : Great talkTony:Superb presentation on COVID-19 today!----------• Excellent work with the media, Congress, and scientific community--youhave made a great difference for the nation and world in a complex time .Best,JonaNIH-000710From:Sent:To:(b)(6)Fri, 13 Mar 2020 06:26 :43 -0400Cassetti, Cristina (NIH/NIAID) [E]Subject: Fwd: Urgent info rmation about a Corona Virus Management DeviceAttachments: Medixair Micro virus report. pdf, ATT000Ol.htm, Medixair White Paper - 2016Jan.pdf 1.pdf, ATT00002.htmPlease handleBegin forwarded message:From: Ani John (b) (6)>Date: March 13, 2020 at 3 :13:38 AM ED-T-- ---~~ To: "Fauci, Anthony (NIH/N IAID) [E]" (b)(6JSubject: Urgent information about a Corona Virus Management DeviceDear Dr. FauciGiven the gravity of the corona pandemic, my brother and I are reaching outto make you aware of product that we think could help mitigate the spread ofthe virus and protect health care workers as well as the public . We havealready tried the usual channels to contact the White House and theemergency authorization use division at the FDA but also wanted to bringthis to your attention also.Medixair™ , an ultraviolet (UVc) air sterilizer with proven , well establishedunique patented germicidal technology to effectively and safely eradicateviruses and bacteria up to 99.9%. It is capable of delivering a log6 reductionin microbial concentration , by penetrating the nucleus of microorganisms,disrupting their DNA thus destroying the ability of the organism to reproduce ;effectively rendering it harmless .Medixair™ is a portable unit and can easily be installed in a variety ofsettings including hospitals , emergency rooms , waiting rooms , dentistoffices , cruise ships and airport lounges. In both clinical trials and under invitrotesting conditions (see attached white paper) , Medixair™ has beendemonstra ted to be highly effective in protecting patients and health careworkers from pathogens (e.g. MRSA, Clostrid ium Difficile) and also bypreventing cross infection . Specifically , Medixair™ was tested and foundeffective for a strain of Coronavirus known as FCoV and thus COVID-19would have the same susceptibility to eradication with UVc within a relativelyshort period of time (attached).NIH-000656NIH-000657Medixair™ has been on the market since 2005 and is fully CE marked to ENstandards. Currently it has been safely and effectively used in acutehospitals , dental surgeries , in UK, Malaysia, India, Israel, and SouthernAfrica .Please let us know how we can help make these units available for use inthe US during this critical period of time.Kind regards,Ani John, BSN, MPH, PhD Mathew Kaye,San Ramon, California Manufacturer of Medixair™Dudley, United KingdomFrom:Sent:To:Subject:Fauci, Anthony (NIH/NIAIO) [ElFri, 13 Mar 2020 03:19:54 +0000Lerner, Andrea (NIH/NIAID) [ElFW: Question from Jefferson Health NE PhiladelphiaPlease respond or refer.From: Robert Danoff (b)(6)Sent: Thursday, March 12, 2020 11:02 PMTo: Fauci,A nthony (NIH/NIAID) [E] ------ -(=b-)c(-c6-)=Subject: Question from Jefferson Health NE PhiladelphiaHi Dr. Fauci,Hope all is wel l.Dr. Fauci, we will be setting up COVID-19 testing facilities and I wanted to ask your opinionregarding the following:Is it ok to expand our testing beyond the current strict testing criteria to includ e those withlesser symptoms or potential exposure whom we want to rule out Covid-19?We are concerned that while we isolate those with more severe symptoms who currentlyqualify for testing, the majority with lesser symptoms would be ambulatory and potentiallyspreading the illness to others. Plus, it is hard to get someone to isolate for 14 days withoutprov iding a diagnosis.Just as we can test those we suspect fo r Inf luenza A, Influenza Band RSV, it would be helpful tobe able to test those we suspect with Covid-19, including healthcare workers with no symptomsbut with possible exposure.Thank you for your time and your leadership for our nation's healthcare.Be well.RobRob Danoff DO, MS, FACOFP, FAAFPProgram Director, Family Medicine ResidencyProgram Director , Combined Family Medicine /Emergency Medicine ResidencyNIH-000658Jefferson Health - No1theastClinica l Pro fessor of Family and Coilllmmity MedicineSidney Kimmel Medical College of Thomas Jefferson University(b)(6)JeffersonPhiladelphia University +Thomas Jeff e~o n UnlversityHOMEO f 5IDIUYK IMMUM B>ICACI. DlLEGfThe info r matio n contained in this tr ansmiss ion contains privilege d and confidential information. It is intended only for the useof the person named above. I[ you are not the intended recipient. you are hereby notified that any review, dissem ination .distribution or dup lication of this communication is strict ly prohibited. If you are not the intended recipient, please contactthe sender by reply email and destroy all copies of the original message.CAUTION: Intended recip ients should NOT use email communication for emergent or urgent hea lth care matte r s.NIH-000659From:Sent :To:Subject:Please respond.Fauci, Anthony (NIH/NIAIO) [ElFri, 13 Mar 2020 03:18:51 +0000Lerner, Andrea (NIH/NIAID) [ElFW: Varicella vaccine-COVI0-19 connectionFrom: Rose Marie Codling <rosemarie@literacymatters .education>Sent : Thursday, March 12, 202011:-16- -P-M- -- .-=-- -..-. To: Fauci, Anthony (NIH/NIAID) [E] (b)(6)Subject : Varicella vaccine-COVID-19 connectionDr. Fauci,Is it possible that the varicella vaccine could be playing a role in why children are not presenting with theCOVID-19 virus? If the vaccine became common around 1995, we wo uld be seeing little to no infectionof children and young adults up to about 25 years old, which seems to be the case. Could something inthe varicella vaccine have provided immunity to COVID-19?Just an idea from a concerned citizen ...Thank you for your remarkab le leadersh ip during this crisis.Sincerely,Rose Mar ie CodlingRose Marie Codling, Ph.D.Educational ConsultantNIH-000660From:Sent :To:Cc:Subject:I wouldFauci, Anthony (NIH/NIAIO) [E)Fri, 13 Mar 2020 01:23:58 +0000Collins, Francis (NIH/OD) [El;Tabak, Lawrence (NIH/OD) [ElErbelding, Emily (NIH/NIAID) [ElRE: ASM Recommendations for speeding up COVID-19 testing(b) (5)From: Collins, Francis (NIH/OD) [E] ------- (b)(6)>Se nt: Thursday, March 12, 2020 8:22 PM ------~= To: Fauci, Anthony (NIH/NIAID) [E] (b)( ; Tabak, Lawrence (NIH/OD) [El _______ _,(b)(6)>Cc: Erbelding, Emily (NIH/NIA ID) [E) --------- (b) ( >Subject: FW: ASM Recommendations for speeding up COVID-19 testingHi Tony and Lar ry,Bit of a sto ry hereThoughts would be most welcome.Franc isFrom: Collins, Francis (NIH/OD) (E]Se nt: Thursday, March 12, 2020 8:07 PMTo: Bertuzzi, Stefano (b) (6b; (b) (6)(b) (5)(b) (5)Cc: Erbelding, Emily (NIH/NIA ID) [E] (b)(6); Miller, Melissa(b)(6); Stevens-Garcia, Jonathan (b)( >; Segal,'"':'"'.":'---;;=:::=====~:;;---"".-:''""' Allen CbH6lM; cNult, Peggy _(b.)(.6.)>= -:----------Subject: RE: ASM Recommendations for speeding up COVID-19 testingHi Stefano,Thanks for this rapid turnaround survey and concise recommendations.Adam, I'm glad to help with conveying this message to FDA- though we should involve ADMGiroir as well. How would you like to proceed?NIH-000662FrancisFrom: Bertuzzi, Stefano Cb()6 J>Sent: Thursday , March 12, 2020 7:57 PM ------------~ To: Collins, Francis (NIH/OD) [E] (b)(6) '":"::":-:============::::-_=-=-- Cc: Erbelding, Emily (NIH/NIAID) [E] (b)(6) ; Miller, Melissa'":":':'---::====(b=)(6)~> ;~ Ste-v-en:s--G:a~rcia~, J onathan (b)(6)> ; Segal, Allen (b)(6J>; McNult, Peggy (b)(6)Subject: ASM Recommendat ions for speeding up COVID-19 testingDear Francis and Adam -Sorry for the slight delay in gett ing to you the recommendations that ASM collected from clinicallab directors . See attached document.ASM leaders remain availab le for any further discussion that may be helpful to solve the currentimpasse. Please do not hesitate to contact us, we are here to serve as a resource to you .Sincerely ,StefanoStefano Bertu zzi, Ph.D., M.P.H.Chief Executive OfficerAmerican Society for Microbiology (ASM)1752 N St., NWWashington, DC 20036-2904Phon (b)(6)NIH-000663From:Sent :Fauci, Anthony (NIH/NIAID) [E)Thu, 12 Mar 2020 23:20:57 +0000To:Subject:Tabak, Lawrence (NIH/OD) [E);Collins, Francis (NIH/OD) [E]RE: Time-sensitivePlease be "presumptuous" and go for it. Many thanks.From: Tabak, Lawrence (NIH/OD) [E] --------- CbH > Se nt: Thursday, March 12, 2020 7:18 PMTo: Collins, Francis (NIH/OD) [E]-------= C"Hb'"=" ; Fauci, Anthony (NIH/NIA ID) [E](b)(6)>Subject: FW: Time-sensitiveFrancis, Tony-I am certainly willing to do this so that neither of you have to, but I did not want to be presumptuous incase either of you preferred a different spokesperson.Please let me know how I should respond to Mary.ThanksLarryFrom: Mary Woolley <mwoolley@researchamerica .org>Date : Thursday, March 12, 2020 at 10:02 AM -------- -== To: "Tabak, Lawrence (NIH/OD) [E)" (b)(6)Cc: Ellie Dehaney <edehoney@resea rchamerica .org>Subject: Time-sensitiveLarry,I have a favor to ask. Wou ld you or a designee be willing to join a teleconference next week with ourall iance members to discuss NI H's efforts to mitigate the negative impact of COVID-19 on federally fundedresearch? We would need no more than 30 minutes of your time, and can schedule aroundyou. Ideally, though, we could make this happen soon (to state the obvious, everyone is feeling theneed for touch points right now, and you are a wonderfully calming one for our university members!) .We could arrange the teleconference fo r as early as this Monday , the 16th: ifthere is a 30-minutewindow for you or a designee between 1:00 pm and 3:00 pm on that day or within that same block oftime Tuesday, the 1ih, we'll commandeer it!Thank you, Larry, for considering this ask. I'm sure it comes amidst many ot hers.NIH-000664NIH-000665I would love to close by saying something insightful about the indescribable times we were in, but all Ican come up with is "indescribable ."My Best,MaryFrom:Sent:To:Fauci, Anthony (NIH/NIAIO) [ElThu, 12 Mar 2020 23:10:14 +0000Lerner, Andrea (NIH/NIAID) [ElSubject: FW: Feds say Florida has 'community spread' of coronavirus. Florida disagrees.Check this out and get back to me. Not sure what he is talking about.From: Robert Tober (b) (6)>Sent: Thursday, March 12, 2020 6:44 PMTo: Fauci, Anthony (NIH/NIAID) [E]--------=- (b")"(="6) Nancy Lascheid (b)(6)>; GailDolan (b) ( ; .L. e-s-l:i-e_L-as-c-h:--ei'.d"-":.===::!....-....:... ___ -======= (-b=)=-(6:;):-- ---------------- Subject: Fw: Feds say Florida has 'commun ity spread' of coronavirus . Florida disagrees.Dear Dr. Fauci,I am medical director of a charity clinic in Nap les, Florida. Although we try to screen pts forcough, fever, sore throat, URI sxs, dyspnea or unusual fatigue, appa rently some patients areasymptomat ic and neg for these 5 hallmarks but still contagious. There is conflict between whatour Florida governor states and what CDC states. Do you believe all of our staff should be ingoggle s, mask, gown and gloves for AAL PATIENTS that we treat regardless of not meeting oneof the 5 screening criteria above. If indeed there is community spread happening, I and manyothers are sitting ducks. It is not if but when !!Thanks for any guidance you might be able to provide. l am copying to my administrative staffas well.Good luck. This is quite the challenge.Robert Boyd Tober, M.D., F ACEPMedical Director Neighborhood Health ClinicNaples, Florida 34102(b) (6)-cellTo: Bob Tober (b)( ,Sent: Thursday, March 12, 2020, 04:46:08 PM ESTSubject: Feds say Flo1ida has 'communit y spread' of corona virus. Florida d isagrees.https:/ /www.tampabay.com/news/health/2020/03/ 11/feds-say-:florida-has-communi ty-spread-of-corona virus-t1oridadisagrees/NIH-000666From:Sent:To:Fauci, Anthony (NIH/NIAIO) [ElThu, 12 Mar 2020 23:07:14 +0000Lerner, Andrea (NIH/NIAID) [ElSubject: FW: Hi Dr Fauci (re: URGENT: epiqar Systems & Coronavirus 2nd tier events)Please handle.From: Jason Ressler (b)(Sent: Thursday, March 12, 2020 6:55 PM ------~~ To: Fauci, Anthony (NIH/NIAID) [E] (b)(6)Subject: Hi Dr Fauci (re: URGENT: epiqar Systems & Coronavir us 2nd t ier events)Hi Dr. Fauci,epiqar (https://epigar.com/) is the only system in the world that can help experiencedsurgeons continue to support teams of less experienced surgeons worldwide, which we'redoing with Coronavirus quarantined surgeons in France & Italy now while we expand toother theaters.For Coronavirus care we've just developed an easy plug in kit for remote hospital surgerieswhich US hospitals need to be made aware of before they get overwhelmed the way theyare in Italy & China.Here's an article on epiqar from today inThe Hill.Please let me know how we can help your teams.Thanks,Jason ResslerDirector, Business DevelopmentENGAUGE/EPIQARwww.en g.uswww .epigar .comThe world's first low -cost telementoring, surgeon tra ining and instanc Cloud-archiving Platformus 888.615. 7874EUROPE 44 2031399059NIH-000667From:Sent :To:Subject:Fauci, Anthony (NIH/NIAIO) [E)Thu, 12 Mar 2020 23:06:46 +0000Billet, Courtney (NIH/NIAID) [E] FW: Very urgen t Coron avirus ---------- (,ba)(6-) s-r:=NIAID inquiries, please.From: Sushama Talwalkar (b)(6)> --------- Sent : Thursday, March 12, 2020 7:04 PMTo: Fauci, Anthony (NIH/NIAID) [E] --------=- (b')""('=6)>Cc: Conrad, Patricia (NIH/NIA ID) [E] (b)(6)>; Barasch, Kimber ly (NIH/NIAID ) [CJ(b) (6)·>Subject: Very urgent CoronavirusMarc h 12, 2020Dr. Fauci,Sincerely,SushamaGet Out look fo r Andro id------(b)(6)NIH-000668(b)(6)From:Sent :To:(b)(6)Thu, 12 Mar 2020 14:22:38 -0400El-Sadr, Wafaa M.Subject: Re: Thank youThanks , WafaaOn Mar 11, 2020, at 8:33 PM, El-Sadr, Wafaa M.------------Cb)( wrote:Adding Tony's correct email address.Dear Zunyou , John, Ralph and Tony,Thank you for your superb presentations in the Special COVID-19 Session at the VirtualCROI 2020. As you can imagine, your presentations were very much appreciated by all theaudience . There is great thirst for more information at this point in time, which made yourpresentations particularly timely and impactful.Al I the best,WafaaWafaa El-Sadr, MD, MPH, MPADirector, ICAP at Columbia UniversityUniversity Professor of Epidemiology and MedicineMathilde Krim-amFAR Professor of Global HealthTel: (b)(6)Fax: 212 342 1824www .icap.columb ia.eduNIH-000669From:Sent :To:Cc:Subject:Conrad, Patricia (NIH/NIAID) [El on behalf of Fauci, Ant hony (NIH/NIAIO) [ElThu, 12 Mar 2020 14:09:11 +0000O'Donnell, Norah;Fauci, Anthony (NIH/NIAID) [ElVerdugo, AdamRE: Thursday nightWE are working with Adam. Thank youPatricia L. ConradPublic Health Ana lyst andSpecial Assistant to the DirectorNational Inst it ute of Allergy and Infectious DiseasesThe National Institutes of Health31 Center Drive, MSC 2520 - Room 7 A03Bethesda, Maryland 20892(b)(6)301-496-4409 faxDisclaimer :The informat ion in this e-ma il and any of its attachments is confidential and may contain sensitive information. It should not be usedby anyone who is not the original intended recipient. If you have received this e-mail in error please inform the sender and delete itfrom your mailbox or any other storage devices. National Institute of Allergy and Infectious Diseases (NIAID) shall not acceptliability for any statement made that are sender's own and not expressly made on behalf of the NIAi D by one of its representatives.From: O'Donnell, Norah <N0D3@cbsnews.com>Sent: Thursday, March 12, 2020 9:12 AMTo : Fauci, Anthony (NIH/NIAID) [E]--------=- (b")'("='6)Cc: Conrad, Patricia (NIH/NIAID) [E] ---------- (b)( ; Verdugo, Adam <Verdugo A@ c b s news. com>Subject: Thursday nightDear Tony and Patricia,Hoping for tonight from the White House or in studio . Adam Verdugo has been in touch and hope wecan lock down and confirm time.Thank you W!D~□W!DNorah O'DonnellNIH-000670On Mar 9, 2020, at 8:53 PM, Fauci, Anthony (NIH/NIAID) [E] -------- (b)(6)wrote:External EmailNorah:Sorry that I took so long to get back to you. Just got out of the WhiteHouse a little while ago to get to my office where I am now and it isobviously too late . Please copy my assistant, Patty Conrad, (copiedhere) in future correspondence. I am so swamped with coronavirus"stuff", I rarely get to e-mail until late at night.Thanks,TonyAnthony S. Fauci, MDDirectorNational Institute of Allergy and Infectious DiseasesBuilding 31, Room 7A-0331 Center Drive, MSC 2520National Institutes of HealthBethesda , MD 20892-2520Phone : (b) (6)!FAX: (301) 496-4409E-mail (b) (6)The information in this e-mail and any of its attachments is confidential and maycontain sensitive information . It should not be used by anyone who is not theoriginal intended recipient. If you have received this e-mail in error please inform thesender and delete it from your mailbox or any other storage devices . The NationalInstitute of Allergy and Infect ious Diseases (NIAID) shall not accept liability for anystatements made that are the sender's own and not express ly made on behalf of theNIAID by one of its representatives .From: O'Donnell, Norah <N0D3@cbsnews .com>Sent: Monday, March 9, 2020 10:33- -A-M- ---c:-~ To: Fauci, Anthony (NIH/NIAID) [E] -------- (b)(6) Cc: Verdugo, Adam <VerdugoA@cbsnews .com >Subject: Monday nightDear Dr. Fauci,You are doing an amazing job helping to educate and inform during this crisis.Are you available tonight or any night this week to join us for the Evening News?NIH-000671NIH-000672I am also happy to come to your office .Thank you for your consideration.Norah O'DonnellFrom:Sent:To:Subject:Art:Fauci, Anthony (NIH/NIAID) [E)Thu, 12 Mar 2020 10:48:06 +0000Arthur AmmannRE: Art againGood idea. I will mention this to CDC during this AM's daily meeting. Hope that you arewell.Best,TonyFrom: Arthur Ammann (b)(6) ------------- Sent: Wednesday, March 11, 2020 -9-:5-4- P-M-- =:-:-=, To: Fauci, Anthony (NIH/NIAID) [E)_ _____ C_Hb_6)Subject: Art againTony. So good to see you now on TV in full charge. Your entire expression has changedalmost like when I bumped into you in the Washington Metro after you had gotten offthe plane with President Bush.I have an interesting question regarding pneumococcal polysaccharide immunization.One of our staff members phoned. Her father is a physician in France and has manyphysician acquaintances. She was told that the doctors believe that the older patientswho received pneumococcal vaccine have less of a mortality than those who did not getthe vaccine.When we did the studies and got the pneumococcal vaccine approved for the elderly in1976 there was a battle about who should get it and whether was cost-effective. Sincethen, other studies have documented the benefit, especially in older people and youprobably have received it. It is now routine but I know many elderly individuals havenot gotten immunized. Historically, many, if not the majority of deaths from influenzain some of the past epidemics was a result of secondary infection with pneumococcus.I'm not hearing anything about urging people to get immunized with pneumococcalvaccine. The message would need to be clear so they don't confuse pneumococcalsecondary infection with primary coronavirus infection. It would be a good idea forpeople to be urged to get the pneumococcal vaccine. If they had not received it. I'mnot seeing any recommendations from the CDC or elsewhere regarding this.Please note : this document has been produced by a voice recognition program and may contain errorsor words that are out of context. Please let me know if clarification is required .Arthu r J Ammann M.O.NIH-000673(b)(6)www .Glob alStrat eg ie s.orgEthics in Healthhttp :// ethics inhealth.org /NIH-000674From:Sent:To:Subject:Attachments:Please handle .Fauci, Anthony (NIH/NIAID) [ElThu, 12 Mar 2020 10:23:36 +0000Cassetti, Cristina (NIH/NIAID) [ElFW: News - Germ/V irus ContainmentXTI Deck - Key Information OSHA.pdfFrom: ___________________ C_)b_(6)Sent: Thursday, March 12, 2020 6:07 AMTo: Fauci, Anthony (NIH/ NIAID) [E]_ _____ ("b"~"' "(6=' ) >Subject: News - Germ/Virus ContainmentImportance: HighHi Dr. Fauci,I have been following the news and some interviews with yourself. I was hoping you would be willing tospeak with me about our technology?Testing for the positive patients and finding a vaccine are essential, but containment is paramount.We have the only GERM CONTAINMENT TECHNOLOGY of it's kind.The ongoing Coronavirus and FLU viruses pose a significant threat to public health globally and here inthe US.We have the most powerful solution to minimize infection and maximize protection against SARS,EBOLA, FLU, and all types of germs and viruses.With local 3rd party tested efficacy of 100%, no other technology anywhere can yield this result orsustainable 24/7/365 protection .XTI02 is a world exclusive containmen t technology with self-cleaning functions that can help minimize therisk of cross-contamination in hospitals, planes, public transportation, elevators, and public places.XTI02 technology works by forming an invisible protective layer on mostly ALL material surfaces (plastic,steel, glass , fabric, paper, walls, etc ... ). It is green, sustainable, and has yielded up to 100% efficacyproven by SGS LABS (US).NIH-000675I look forward to hearing from you and attached is an information file for your review.Thank you,Michael HolbertCleancoati ng LLC2522 State Rd., BLDG ISPBCBensalem , PA 19020http://www.cleancoa tinq.usEmail: Cb) (6)Direct: Cb) (6)Mobile Cb) (6)DISCLAIMERThis e-mai l message is intended for sole use of the above named recipient(s) . If you are not the intendedrecipient, you may not review , copy or forward this e-mail message . If you have received thiscommunication incorrectly , please notify Clean Coating Technologies LLC immediately via e-mail orphone and delete the message accordingly .NIH-000676From:Sent:To:(b)(6)Wed, 11 Mar 2020 19:14:07 -0400Eisinger, Robert (NIH/NIAID) [E)Subject: Fwd: CORONAVIRUDS ATAS UPPORTINGP ROACTIVEE FFORTBegin forwarded message:From: dennis malone (b)(6)>Date: March 11, 2020 at 6:35:32 PM ED-T- -------=-:-:-= To: "Fauci, Anthony (NIH/NIAID) [E]" CbH6)Subject: CORONA VIRUS DATA SUPPORTING PROACTIVE EFFORTSlr,I appreci ate the effo rt of your entire team in ident ification and reso lution of thepredicament the chinese government has gotten us into. That said, I believe youmight add a more proact ive edge by mining existing data. You' re going to have todig deep.It seems that the common denominator in originating vector, at least by your newsreleases, is plainly travel-related co-mingling of persons not otherwise incontact. There fore, l would propose that there is a great trove of existing datawaiting to be filtered within the travel manifest s' histo ry of US-bound airlines andUS-bound cruise vessels. Suggest as a start the collection of every manifest from thelast 4 months or so, filtered and compared with principl e contractees known to existin the US, and list every other person on said aircraft/vessel that disembarked on USsoil. DO NOT WAIT FOR PEOPLE TO GET SICK - Employ the National Guardand Coast Guard to track these folks and put a swab in their nose. If positive, thencontact trace this smalle r group. If nega tive maintain them on the list and forcecomplian t reporting if they develop suspected symptoms.I know it would seem to be a lot of work. However, I presume your are familiar withthe FRAM Oil Filt er Guy from the 1970s, where it's better to pay now thanlater because you're going to pay one way or another. Get a proac tive jump onDETECTIO N, IDENTIFICATION , CONTROL. We're burning daylight.Respectfully submitted,Dennis J. Malone(b)(6)NIH-000679(b)(6)NIH-000680From:Sent :To:Fauci, Anthony (NIH/NIAIO) [E)Wed, 11 Mar 2020 23:10:18 +0000Sharon CumbieSubject : Re: Need to add cell phone disinfecting to the hand washing messagingAttachments : image.png, POSTING.jpgThanks !On Mar 11, 2020, at 6:46 PM, Sharon Cumbie ---------- CbH6)> wrote :Dr. Fauci,First , thank you for all you are doing to keep the publ ic infonned in a clear , direct ,and truthful manner. I am writing to offer a suggestion.The following is a post I just p laced on my Facebook page:It's a 2-step process!!!We are seeing the ubiquitous pleas for proper hand-washing as apreventative against contracting the corona virus. BUT ... I have observedpeople doing a great job of hand-washing , then picking up their dirty cellphones!! The cell phone should FIRST be wiped down using a disinfectingwipe (do NOT use sprays or household cleaning supplies). After cleaning thephone , THEN do a proper 20 second hand-washing. Now, CARRY ON!Step 1: https://www.tomsguide.com /news/how-to-clean -your -phone-to -protect against -coronav irus ?tbcl id=lw AR 1 WHGawAANyt kUOSmSV2SM UcZ5776l mAsp -XR.k:UEKDsl YhcLRKXFBOJ ioStep 2: Proper Hand Washing<image. png>Photo message montage :<POSTING .jpg >I hone-stly do not see people disinfecting their cell phone s. I am active in our-----Cb)( 6) community and am trying to get this information across to people in the community. They have told me it was helpful and something they had notcons ider ed. I tho ught it would be helpful for me to share with you .Best Regards ,Sharon CumbieNIH-000681Sharon Ann Cumbie, PhD, RN, CS, CNE(b)(6)Professor of Nursing (b) (6)Resea rch and Educa tion Cons ultant , Certifi ed Nurse Educatore.ptal l::lealth Csm nseJ_uo.,__~=(b)(6)Skype: _____ (b_H_6l!&)\\et~LI'ldttrunnnwaoto ,b)~ ,.,.p3"drubPHnSI OQ911lO10I WUlOcompliweo r~•tI ) ~/ PMIIC\lla.(i ttae11ontolhe~(Cl Sp,...u tM Lr.Mf IWff1.1'»IW luSo f the llilndl{9}Prffi t~ 11'1!0l~ Pitit!oIf ffeh 11.\/ldNIH-0006821<$Mlk•S<.r~lh+so-,p!)'II In bot;>,_ Ul4fl lgt(S!\) Oly lhol:~wlCh Idt~n 10'1,.lFrom: (b)(6)Sent:To:Subject:Wed, 11 Mar 2020 19:08:46 -0400Eisinger, Robert (NIH/NIAID) [E)Fwd: CoronavirusPlease handleBegin forwarded message:From: Terr i Davis (b)(6)Date: March 11, 2020 at 7 :04:02 PM ED-T- ------::-,--:=, To: "Fauci , Anthony (NIH/NlAID) [E]" --------- (b)(6) Subject: CoronavirusDear Dr. Fauci;I live in (b) (6) Last week there was the first incidenceof the Coronavirus. The officials in Media gave no true information on theindividual but that it was a female. When questio ned by the press as to the locat ionin which the individual was - the response was that that information could not begiven. [ have also heard that it is in a violation of a person's privacy. No one isasking for the person's name or address. If the public were given the general area ofthe affected person they would proba bly stay clear of the area. The people directly inthe area would be more cautious . Knowing where the person freq uented, forexample, the market would be pertinent in preventing spread of this virus. There isso much information about this virus that is unknown yet most officials continue tounderscore the severity of this virus.Sincerely,Teni DavisSent from my iPadNIH-000683From:Sent:To:(b)(6)Wed, 11 Mar 2020 19:08:05 -0400Cassetti, Cristina (NIH/NIAID) [E]Subject: Fwd: Application for NIH and Dr. Bruce Aylward from W.H.O.Please handleBegin forwarded message:From: David Craig (b) (6)>Date: March 11, 2020 at 7 :05:42 PM EDT ------~~ To: "Fauci , Anthony (NIH/NIAID ) [E]" (b)( >Subject: Re: Application for NIH and Dr. Bruce Aylward from W.H.O.Evening Dr. Fauci,My name is David Craig and I am one of the Founders of the Medsoft Group, aAnalytics, Telemetry and Reporting medical platform out of Canada. We would liketo offer our solution to the NIH free of charge, much like we have done with Dr.Bruce Aylward and the World Health Organization earlier today.Our application will track, log and provide a pathway to true two-way real timecommunication of COVID-19 as citizens around the US report their symptoms ontheir mobile device. We are currently implementing our technology with ourpartners at the University of Alberta, but we would like to refocus our immediateattention in helping with the novel coronavirus .Deployment of our application would allow the NIH to manage and understandpotential clusters and outbreaks of the pandemic, taking advantage of theestimated 96% of Americans that use a smart phone to easily record a potentialcase, providing all stakeholders across the US with the latest information.Medsoft Group is ready to offer th is immediately and without delay. With yourcooperation we believe we could be up and running with in a week, providing th isinvaluable too l to better understanding where and what the virus is doing aroundthe country in real time.Please let me know if you would like to speak further. We would be happy todemonstrate our technology as well as discuss how we wou ld put this ambitiousplan into place.Best,David CraigCo-founder &Chief Executive OfficerMedsoft Group Inc.NIH-000684C: CbH6) T: (b)(6) ------- U: www .medsoftqroup.comIMPORTANT: The contents of this email and any attachm ents are confidential. They areintended for the named recipient(s) only. If you have received th is email by mistake,please notify the sender immediately and do not disclose the contents to anyone or makecopies thereof .NIH-000685From: (b)(6)Sent:To:Wed, 11 Mar 2020 18:35:29 -0400Stephen ChiarelloSubject : Re: Treatment of Corona virusThan.ks, Steve. l will fo1ward to my program staff> On Mar 11, 2020, at 6:22 PM, Stephen Chiarello (b) ( wrote: ___________ __,>> Anthon. .y _: ___ ~~=> This is (b)(6) Stephen Chiar ello from ----------- (b)(6) _ I am a board-c ertifi ed de rm at o Io gist and interni st.>> Justa brief note and certainly somew hat quixotic: The treatment of toxic epidermal necrolysis With TV vitamin Cand th iamine (benfotoxamine) May well stop the cytoki ne casca de with the coronav irus. This was used Wayback inthe po lio epidemic before the vaccine with great success but limi ted subscrip tion.> I 'll send you the references.> Sincerely,> Steve chiarello>> Sent from my iPhoneNIH-000686From: (b)(6)Sent:To:Subject:Wed, 11 Mar 2020 18:34:29 -0400Cassetti, Cristina (NIH/NIAID) [E]Fwd: Treatment of Corona virusPlease handle .Begin forwarded message:From: Stephen Chia rello ----------- (b)( >Date: March 11, 2020 at 6:22: 13 PM ED-T- ----~~ To: "Fauci , Anthon y (NIH/NIAID) [E]" --------- (b)(6J: Subject: Treatment of Corona virusAnthon-y-: --- == This is (b)(6) Stephen Chiarello from ------------ (b)(6) 1 am a board-certified dermatologi st and internist.Just a brief note and certa inly somewhat quixot ic: The treatment of toxic epide rmalnecro lysis With IV vitamin C and thiamine (benfoto xamine) May well stop thecytokine cascade with the coronavirus. This was used Wayback in the polioepidemic before the vaccine with great success but limited subsc1i ption.I'll send you the references.Sincerely ,Steve chiarelloSent from my iPhoneNIH-000687From:Sent:To:Fauci, Anthony (NIH/N IAID) [ElWed, 11 Mar 2020 11:53 :45 +0000Lerner, Andrea (NIH/N IAID) [ElSubject : FW: From Whit Clark; possible theory and plausib le new thinking about aCoronavirusPlease respond.Anthony S. Fa uci, MDDirectorNationa l Ins titute of Allergy and Infectiou s DiseasesBuilding 31, Room 7 A-0331 Center Driv e, MSC 2520Nationa l Institutes of HealthBethesda, MD 20892-2520Phone: (b) (6)FAX: (301) 496-4409E- mail (b) (6)The information in this e-mail and any of its attachme nts is confidential and may contain sens itive infom1at ion . Itshould not be used by anyone who is not the original intended recipie nt. If you have received this e-mai l in eITorplease inform the sender and delete it from your mailbox or any other storage devices. The Nationa l Institute ofAllergy and Infectious Disease s (NJAlD ) shall not accept liability for any statements made that are the sender's ownand not expressly made on behalfofthe NIAID by one of its representa tives.-----Original Message-----From : Whit Clark ,,,_..-----= (b,.),".("6=')-Sent: Wednesday, March 11, 2020 7:39 AJ\'1 To : Fauci, Anthony (NlH/NlAlD) [E] --------=-=(b-) (-6}: -=Subject: From Whit Clark; poss ible theory and plausib le new thinking about a Coronav irusJn Later November,After a discus sion with my daughte ryesterday (an Asst. Principal in (b)(6) area) , we theorized that the Coronavirus May well have already beenhere before the close of 2019. China had likely had the outbreak begin much ear lier but never acknowledged it;peop le traveling to China from the US could have returned and brough t the virus with them at a much earlier date .When thinkin g about the numb er of people my daughte r and I have known that bad a bout of respiratory illnes s witha cough that cont inued much longer than the t)'p ical cold, we are propos ing a theory that possibly Coron a made itsentry here much ear lier .... and this new expected outbreak may well be more of a contin uation and less threateningthan possibly theo rized at this time. It is ju st a thought but I thought it was worth sharing. If true, we have alreadymet the disease and the deaths attributed to "nom1al" flus and respiratory causes in the elderly and prev iously.impaired, may have been caused by Coronavirus. This could be a slight ly new twist and could present a slightlylower concern for a new major outbreak. Just a thought .....Whit Clark William W(b)(6)Sent from my iPhoneNIH-000689From: (b)(6)Sent:To:Subject:Wed, 11 Mar 2020 06:23:48 -0400Cassetti, Cristina (NIH/NIAID) [E]Fwd: The CoronavirusPis respondSent from my iPhoneBegin forwarded message :From: LAB (b) CDate: March 10, 2020 at 11 :23 :49 PM EDT To: "Fauci, Anthony (NIH/NIAID) [E]" -----------------::-:--(b:)-(6)=. Subject: The CoronavirusDear Dr. Fauci,My name is Sargon Gorjian and I am a research chemist at Clean Plus Chemical inS dne . Man ears a o I wa5 workin at Nanosonics com any in Sydney on(b) (4)----------- (b) (4) I just wanted to share with you my experience with this type of work. I would suggest to have a look at Virox Pat ents. It will not do anyharm. It might be the right way to go.Sorry to take up your valuable time.I wish you all the best and good luck!NIH-000692RegardsSargon GorjianLaboratory Manager(b)(6)Stop the spread.Instant Hand Sanitiser Is an alcohol based gel which killsbacteria (99.9916) w,rhin 30 seconds, no washing or rinsingrequired. Testeda nd approveda ccordingto TGAm elhocsl.Glycerinm oisturiser& Vitamin E.Contacut s todayt o placey our orde,.Codt numbtr: 36430 (1211S OOmtLtN )Any views expressed in this message are those of the 1nd1v1duasl ender, except where specifically stated to be theview of the Company, its subsidiaries or associates. When addressed to our customers, any opinions or advicecontained in this email are subject to the relevani Company terms of businessBe earth -smart . Please con.sider the environment and cost of paper before you print. .......NIH-000693Plusicals Pty Ltdrge Young St .44444 F:7s.comFrom:Sent:To:(b)(6)Wed, 11 Mar 2020 06:21:19 -0400Cassetti, Cristina (NIH/NIAID) [E]Subject: Fwd: Breakthro ugh: Chloroquine phosphate has shown apparent efficacy int reatment of COVID-19 associated pneumonia in clin ical studiesPis respondSent from my iPhoneBegin forwa rded message:From: RJ Claymont (b)(Date: March 11, 2020 at 4:22:35 AM ED-T- -------=-:-:-= To: "Fauci , Anthony (NIH/N lAID) [E]" (b)(6)Subject: Breakthrough: ChJoroquine phosphate has shown apparent efficacy intreatment of COVID-19 associated pneumonia in clinical studiesDr. Fauci -Just thoug ht I'd bring this article to your attentio n.Are your rese arch ers trying Chloroq uine?https://www.js tage.jst.go.jp /article/bst/advpu b/O/advpub _ 2020.0104 7 /_artic leBest RegardsRJ Claymon tNIH-000694From:Sent:To:(b)(6)Wed, 11 Mar 2020 06:20 :35 -0400Cassetti, Cristina (NIH/NIAID) [E]Subject: Fwd: NIH ketone ester for Coronavirus treatment?Pls respondSent from my iPhoneBegin forwarded message:From: Frank LLosa - KetoneAid (b) (6JDate: March 11, 2020 at4:14:0 8 AM EDT,------- --;;-~To: "Fauci, Anthony (NIH/NlAID ) (E]" (b)(Subject: NIH ketone ester for Corooavirus treatment?Dear Dr. Fauc iThe re was a paper recently showing a ketogen ic diet helped tame the general flu, inmice.Meanw hile, there is a drink developed via DARPA and NIH (Dr Veech) that mimicsthe benefits of the diet. It is called a ketone ester. Even shown to block effec ts ofnuclear bomb style radiat ion (LD-70 to 100% survival).Who can I soak to about te sting this drink on mice for the general flu , or evenhumans with Coronavirus symptoms?Can I send you the paper?Thank you,Frank LlosaCEO KetoneAid(b)(6)NIH-000695From:Sent:To:(b)(6)Wed, 11 Mar 2020 06:19:56 -0400Cassetti, Cristina (NIH/NIAID) [E]Subject : Fwd: Curevac, meeting with President TrumpPlease respondSent from my iPhoneBeg in forwa rded message:From: Ingmar Hoen- (b)(6)Dat e: March 11, 2020 at 2:20 :51 AM EDT,------- -;;-c-;=To: "Fauci, Anthony (NIH/NlAID) (E]" (b)(Subject: Curevac, meetin g with President TrumpDear Dr. Fauci,I am the new CEO of Cure Vac. Would be good to update you on our efforts onCovid-19 vaccine here in Europe. This is a globa l challenge, we shou ld learn fromeach other to act fast and avoid mistakes . I do not accept any barrie rs from StephaneBanceljust for compe titive reasons. Happy to call or to mee t persona lly.Best regards, Ingmar HoerrGesendet iiber BlackBerry Work(www.blackberry.com)NIH-000696From:Sent:To:(b)(6)Wed, 11 Mar 2020 06:19:13 -0400NIAID Public InquiriesSubject: Fwd: Coronavirus bioweapon production methodSent from my iPhoneBeg in forwarded message:From: Adam Gaertner (b) (6)Date: March 11, 2020 at 6:16:40 AM EDT,------- --;;-~To: "Fauci, Anthony (NIH/NlAID) (E]" (b)(Subject: Coronavirus bioweapon production methodHello Anthony ,This is how the virus was created .Inte rvirion Fusion. HIV-luc(ACE2) (500 ng ofp24) was mixed with 1,000 ng of p24of HIV-gfp particles incorporating ASLV-A envelope, SARS-CoV S prote in, orboth envelopes in PBS at 4 °C for 30 min to allow bind ing. Samples were raised to37°C for 15 min to allow for conformational rearrangements. Virions were adjus tedto the desired pH with 0.1 M citric acid. PBS, TPCK-trypsin (final concentration 10~tg/ml), CTSL , cathepsin B (CTSB) (fina l concentrations 2 ~tg/ml) or CTSL bufferalone was then added . Recombinant CTSL (R &D Systems) was preactivated byincubat ion for 15 min at 10 μg/ml in 50 mM Mes, pH 6.0, on ice. RecombinantCTSB (R &D Systems) was preactiv ated in 25 mM Mes, 5 mM OTT, pH 5.0, for 30min at 25°C. After a 10-min incubation at 25°C, proteolysis was hal ted by theaddition of 300 μ1 ofDMEMIO conta ining leupept in (25 μg/ml) and STI (75 μg/ml).Virions were then incubated at 37°C for 30 min to allow membrane fusion. 100 μl ofthe virion mixture was added in quadrupl icate to HeLa- Tva cells pretreated for 1 hwith leupepti n (20 ~tg/ml). The cells were spin-infect ed and incubated at 37°C for 5hNIH-000697From:Sent:To:(b)(6)Wed, 11 Mar 2020 06:15:22 -0400NIAID Public InquiriesSubject: Fwd: Prevalence of smoking, and reported mortality rates in COVID-19Sent from my iPhoneBegin forwarded message:From: Charles Knight (b) (6JDate: March 10, 2020 at 10:40:45 PM E,D-T- ------ ~= To: "Fauci, Anthony (NIH/NlAID) (E]" (b)(Subject: Prevalence of smoking, and reported mortality rates in COVID-19To whom it may concern:I assert that the frequency of clinically significant disease, as well as severe diseaseand mortality of COVID -19 is much higher in smokers, as is the case with anypulmonary infection, such as influenza, or bacterial pneumonia.This is clearly in addition to that due to theprevalence of elderly and immunocompromised patient s; but smoking status overallmay be a more significan t risk factor for clinically significant disease.In listening to the news media, smoking has not been addressed as a significant riskfactor for disease.I would suspect that smoking is at least one reason that such a high mortality hasrecent ly been seen in Italy, and China, and I expect that mortality rates, as well asrates of clinically significant cases, will also be increased in other populations withincreased prevalences of smokers, and strongly associated with the prevalence ofsmoking in the given population.Of course, the reporting of severe disease will be modulated by the effective ness ofthe given population in containing the virus) as well as the effective reporting ofclinical disease within the community, whether severe or not.ln listen ing to the news media, smok ing has not been addressed as a significant riskfactor for disease. I think that it should be addressed.One wonders if it could be a modifiable risk factor, at least in certain patients (suchas those who have not smoked for very long).NIH-000698NIH-000699One also wonders whether this could be another good prognostic factor for limitedreported/ clinically significant cases (and thus limited perceived spread) in theUnited States, obviously in addition to our early, effective containment measures.Just thought this might be helpful.Dr. Charles W. Knight, MDSent from my iPhoneFrom:Sent :To:Cc:(b)(6)Wed, 11 Mar 2020 06:12:10 -0400Lerner, Andrea (NIH/NIAID) [E)Auchincloss, Hugh (NIH/NIAID) [E]Subje ct: Fwd: Covid-19 patie nt in hospital without negati ve pressure roomSent from my iPhoneBegin forwa rded message:From: 00~Date: March 11, 2020 at 3:53:18 AM EDT --------=-=--= To: "Fauci, Anthony (NIH/NlAI D) [E]" (b)(6)Subject: Covid-19 patient in hospital without negative pressure roomHi Dr. Anthony Fauci ,I saw you on Meet the Press this weekend and you we re so awesome! Veryinformative, calm, assuring but with the right amount of inst illing the need for us allto move fo1wa rd with the appropr iate caut ion for ourse lves. It's extreme ly reas surin gto have you leading and guiding us during this time .I'm emai ling you because I work at Kai ser Pem 1anente Hospita l in (b)(6)- · Our administration init ially sa id if any Covid-19 patient came into theho spital needing emergeny care and needing to be admitted they wou ld be given anN95 mask and put in a negative pressure room . Now they reversed that decision andsaid they'd be put in a regular positi ve pressure roomn even after I showed them theCDC's recommend ation for both confimed and possib le Covid-19 cases needing tobe placed in negati ve pressure rooms /A IIR.Well tonight a possible Covid- 19 patient came to the Emergency Room and had tobe admitted to the ICU. The patient was given ju st a regular mask and put in anelevator to the ICU . Management would not confirm if the patient was in a negativepres sure room and wouldn't give staffN95 masks. I again showed them the CDCwebsite hospital protocol Covid-19 recommendations but same response. And evenwas yelled at by the hospit al nur sing superv isor for ask ing about it.I feel this is not safe at all for other patients , visitors and staff if the air is beingrecirculated not vented outside or through a hepa filter before recirc ulating backNIH-000700through the hospital. I don't know what to do. Please help. The hospital main phonenumber is Cb) (6) the Chief of the hospital is Cb) (6)I know you're extremely busy now but any help or guidance is appreciated .. even ifit's just to confirm that any confirmed or suspected Covid -19 patient needs to be in anegative pressure room . Thanks so much!Sincerely,Kara SmallsNIH-000701From:Sent:To:Fauci, Anthony (NIH/NIAI0) [E)Wed, 11 Mar 2020 01:38:17 +0000NIAID0DAMSubject: Fwd: Cancellation of 2020 Stanford Drug Discovery SymposiumSent from my iPhoneBegin forwarded message:From: Joseph Wu <joewu @stanford.edu>Date: March 10, 2020 at 6: 11: 52 PM ED-T-- ---~~To: "Fauci , Anthony (NIH/NIAID) [E]" CbH6>:Cc: "David L.M.Preston" <preston@stanford.edu >, Amanda Chase<chaseam a@stanford.edu >, Sanjay Malhotra <svmalhot @sta nford.edu >Subject: RE: Cancellation of 2020 Stanford Drug Discovery Symposium,. -.. .,.•~=S~Dj DS 2020 !,-=-=. StanfordD rug Oi$<;overSyy mposium11 1.__ , # I April 20-21, 2020Dear Dr. Fauci,We greatly appreciate your willingness to participate in the 2020Stanford Drug Discovery Symposium (SODS). As you undoubtedlyknow, with the further spread of the novel coronavirus COVID-19,Stanford is taking precautionary measures to minimize anypreventable spread of this viral disease. After much consideration,we feel it is in the best interest of our speakers, guests, andcommunity to cancel the April 20-21, 2020, symposium.We apol ogize for the inconvenience this may cause in yoursche dules. We do hope th at you will agree to be our gues t speakerNEXT year for our April 19-20, 2021. As soon as your scheduleallows, please let us know if you would be able to s eak at our 2021SD OS meet ing.NIH-000704NIH-000705Please feel free to contact David Preston preston@stanford.edu orAmand a Chase chaseama@stanford .edu or myselfjoewu@stanford .edu if you have any qu estion s.Thank you for your und erstanding, and we hop e to see you nextyear.Lastly, THANK YOU for all service to our country and for educatingthe public about the corona virus, we're a big fan of yours on all thenews media.Sincerely,Joseph C. Wu, MD, PhDSanjay Malhotr a, PhDKuldev Singh, MDMark Mercol a, PhDJoseph C. Wu, MD, PhDDirector, Stanford Cardiovascular InstituteSimon H. Stertzer, MD, Professor of Medicine & RadiologyStanford University School of Medicine265 Campus Drive, Rm G1120BStanford, CA 94305-5454Ph: 650-736-2246; Fax: 650 -736-0234Email: joewu@stanford.e duTwitter: @StanfordCV ILab Websi te: http ://wulab.stanford .eduStanford CVI: http://med.stanford.edu/cvi .htmlS £ d Oi Cardiovascular ~ tan or V Institute ,From:Sent :Conrad, Patricia (NIH/NIAID) [El on behalf of Fauci, Ant hony (NIH/NIAIO) [ElTue, 10 Mar 2020 21:25:59 +0000To: NIAIDODAMSubject: FW: Fields SymposiumPatricia L. ConradPublic Health Ana lyst andSpecial Assistant to the DirectorNational Institute of Allergy and Infectious DiseasesThe National Institutes of Health31 Center Drive, MSC 2520 - Room 7 A03Bethesda, Maryland 20892(b)(6)301-496-4409 faxDisclaimer :The information in this e-ma il and any of its attachments is confidential and may contain sensitive information. It should not be usedby anyone who is not the original intended recipient. If you have received this e-mail in error please Inform the sender and delete itfrom your mailbox or any other storage devices. National Institute of Allergy and Infectious Diseases (NIAID) shall not acceptliability for any statement made that are sender's own and not expressly made on behalf of the NIAID by one of its representatives.From: David Knipe <david_knipe@hms.harvard.edu>Sent: Tuesday, March 10, 2020 5:03 PM ------ -=-<"= To: Fauci, Anthony {NIH/NIAID) [E] (b)( >Subject: Fields SymposiumDear Tony,I am sorry to write that we are going to have to cancel the Fields Symposium for April 24th, but we willre-schedule when we can. As you may know, Harvard has cancelled all meetings larger than 100 (andthis morning limited that to 25) through at least April 30th. We are sad to have to do this, but we needto help mitigate the spread of the virus. Harvard even told the undergraduates today to go home thisweekend and take their classes on line for maybe even the rest of the semester.Thank you for all you are doing to keep everyone informed about the coronavirus outbreak . We aregoing to give you the Harvard "Veritas " award when you are next here.Stay wel l.Best regards,DavidNIH-000706NIH-000707David M. Knipe, Ph.D.Higgins Professor and Head, Program in VirologyDept. of Microbiology, Blavatnik InstituteHarvard Medical SchoolNRB Room 950877 Avenue Louis PasteurBoston, MA 02115Ph. 617-432-1934Lab web site: htt p:/ /k nipelab.med.harvard .eduFrom:Sent :Fauci, Anthony (NIH/NIAIO) [E)Tue, 10 Mar 2020 17:56:17 +0000To: --------~~ Auchincloss, Hugh (NIH/NIAID) [C] (b)(6) ------------ Subject: F W: Funding, for Dr. FauciPlease respond to thi s person.Anthony S. Fauci , MDDirectorNational Institute of Allergy and Infectious DiseasesBuilding 31, Room 7A-0331 Center Drive , MSC 2520National Institutes of HealthBethesda , MD 20892-2520Phone : (b)(6)FAX: (301 496-4409E-mail (b) (6lThe information in this e-mail and any of its attachments is confidential and may contain sensitiveinformation . It should not be used by anyone who is not the origina l intended recipient . If youhave received this e-mail in error please inform the sender and delete it from your mailbox or anyother storage devi ces. The National Institute of Allergy and Infectious Diseases (NIAID) shall notaccept liability for any statements made that are the sender 's own and not expressly made onbehalf of the NIAID by one of its represent atives .From: Rena Patel (b)(6)>Sent : Tuesday, March 10, 2020 1:33 PMTol (b)(6)Cc: Fauci, Anthony (NIH/NIAID) [E)- -------- (b)(6) Subject: Funding, for Dr. FauciResponsiveness to emerging infect ious disease threats is important. However, I worry that increasingfunding is going away from global health priorities. It appears that the US Ending the HIV Epidemic hasalready diverted funding within NIH from global work to domestic . Will the NIH response to COVID-19only worsen funding available for global health?Thanks,RenaRena Patel, MD, MPHShe/herAssistant ProfessorDivision of Infectious Diseases, Dept. of MedicineInternational Clinical Research Center, Dept . of Global HealthEmail: (b)(6)Mobile : (b)(6)Skype: (b)(NIH-000709From:Sent:To:Fauci, Anthony (NIH/NIAIO) [E)Tue, 10 Mar 2020 17:46:08 +0000Gary SpinnerSubject: RE: Testing for Covid-19Gary:If you have the resources and capability to do it, you should.Best regards ,TonyAnthony S. Fauci , MDDirectorNational Institute of Allergy and Infectious DiseasesBuilding 31, Room 7A-0331 Center Drive , MSC 2520National Institutes of HealthBethesda MD 20892-2520Phone : (b)(6)FAX: (301 496-4409E-mail : (b) (6)The information in this e-mail and any of its attachments is confidential and may conta in sensitiveinformat ion . It shou ld not be used by anyone who is not the original intended recipient . If youhave received this e-mail in error please inform the sender and delete it from your mailbox or anyother storage devices . The National Institute of Allergy and Infectious Diseases (NIAID) sha ll notaccept liability for any statements made t hat are the sender's own and not expressly made onbehalf of the NIAID by one of its representatives .From: Gary Spinner (b)(6)Sent: Tuesday, March 10, 2020 1:45 PM To: Fauci, Anthony (NIH/NIAID) [E] ---------------- (~b)(=6) Subject : Testing for Covid-19Just heard your CROI talk. Thank you so much.Should we be testing for Covid-19 in patients with flu like symptoms in our Community Health Center byusing commercially available tests for patients without history of travel or known contacts? We have twocases thus far in (b) (6) where my center is located.Gary SpinnerSouthwest Community Health CenterGet Out look for iOSNIH-000713From:Sent:To:Fauci, Anthony (NIH/NIAIO) [E)Tue, 10 Mar 2020 16:26:19 +0000Cassetti, Cristina (NIH/NIAID) [E]Subject:Attachments :FW: asymptomatic infections of COVID-19thelancetrm-5-20-00427 .pdfPlease handle.Anthony S. Fauci, MDDirectorNational Institute of Allergy and Infectious DiseasesBuilding 31, Room 7A-0331 Center Drive, MSC 2520National Institutes of HealthBethesda , MD 20892-2520Phone : (b) (6)FAX : (301 496-4409E-mail : (b)(6)The information in this e-mail and any of its attachments is confidential and may contain sen sitiveinformation . It should not be used by anyone who is not the original intended recipient . If youhave received this e-mail in error please inform the sender and delete it from your mailbox or anyother storage devices . The National Institute of Allergy and Infectious Diseases (NIAID) shall notaccept liability for any statements made that are the sender's own and not expressly made onbehalf of the NIAID by one of its representatives .From:1 ii~J (b)(6)>Sent: Tuesday, March 10, 2020 1:46 AMTo: Fauci, Anthony {NIH/NIAID) [E]_ ______ (=b-),..(,6.=)Subject : asymptomatic infections of COVID-19Dear Prof. Anthony Fauci,At first, I express regret if I am bothering you in your busy schedule.I know you care about asymptomatic infection of COVID-19. COVID-19 isspreading rapidly all over the world, especially in Iran and Italy, and possibly evenmore widely. Asymptomatic infections and healthy carriers are possible sources fortransmission. However, such sources of infection cannot be effectively identified dueto the symptoms absent. The research evidence is ve1y lacking so far.NIH-000714(b)(4J(b) (4)This encourages me to write to you to seek help! I will be most grateful if you couldgive us some suggustion.Look forward to hearing from you soon,With kind regards,Yours sincerely,Yong HeNIH-000715From:Sent :Fauci, Anthony (NIH/NIAIO) [E)Tue, 10 Mar 2020 16:21:12 +0000To: Hahn,S tephenCc: Redfield, Robert R. (CDC/OD); (b)(6) ;Cassetti, Crist ina (NIH/NIAID)[E];Marston, Hilary (NIH/N IAID) [E]; (b)(6);Conrad, Patricia (NIH/NIAID) [E];Graham,Barney (NIH/VRC) [E];Mascola, John (NIH/VRC) [E];Lerner, Andrea (NIH/NIAID) [E];Eisinger, Robert(NIH/NIAID) [E]Subject:Attachments:FW: Coronavirus testnCoV-ColorimetriclAM P. pdfSteve:Let us discuss thi s whe n we are toge th er at the 4:00 PM TF meet ing.Thanks,TonyAnthony S. Fauci , MDDirectorNational Institute of Allergy and Infectious DiseasesBuilding 31, Room 7A-0331 Center Drive, MSC 2520National Institutes of HealthBethesda , MD 20892-2520Phone : (b)(6)FAX: (301 496-4409E-mail (b) (6)The information in this e-mail and any of its attachments is confidential and may contain sensitiveinformation . It should not be used by anyone who is not the original intended recipient. If youhave received this e-mail in error please inform the sender and delete it from your mailbox or anyother storage devices . The National Institute of Allergy and Infectious Diseases (NIAID) shall notaccept liability for any statements made that are the sender's own and not expressly made onbehalf of the NIAID by one of its representatives.From: Roberts, Rich (b)(6)>Sent: Tuesday, March 10, 2020 12:-05- A-M- --=--c= To: Fauci, Anthony (NIH/NIAID) [E] -------- (b)(6)> Subj ect : Coronavirus testDear Tony:If you can find a few minutes, I would very much like to talk with you briefly about a new diagnosticLAMP test for coronavirus COVID-19 that we have developed here at NEB. I attach a paper now in theMedRxiv that briefly describes the test. It has been used already in Wuhan and because of its simplicity,speed and visual output we think it would be very useful for use here in the US. We have just met withseveral people at Mass General Hospital and wil l be working with them for local validation here in MA.The test itself is very inexpensive, does not require any special equipment nor train ing of technicians .This would appear ideal for the FDA and the CDC to know about, but I have not so far been able to reachNIH-0007 16either Stephen Hahn or Robert Redfield . I would emphasize that our goals are to help deal wit h thehumanitarian aspects of the current problems.I can be reached on my cell at -----(b)(6) or in my office at the number below.RichSir Richard J. Roberts Ph.D. F.R.S.1993 Nobel Laureate in Physiology or MedicineChief Scientific OfficerNew England Biolabs240 County RoadIpswich, MA 01938-2723 USATel: (b)(6)Fax: (978) 412 9910emai l (b)(6)Executive Assistant: ---(b-)(6) Tel (b)(Fax: (978) 412 9910emai l (b)(6)NIH-000717From: (b)(6)Sent :To:Cc:Subject:Tue, 10 Mar 2020 11:13:29 -0400Cassetti, Cristina (NIH/NIA ID) [E]Auchincloss , Hugh (NIH/NIAID) [E]Fwd: Patented System - COVID-19From PattyPis respond.Sent from my iPhoneBegin forwnrded me ssage:From: JOHN FLYNN (b) CDate: March 10, 2020 at 10:49:44 AM E-D--T- ---~~ To: "Fauci, Anthony (NIH/NJAID) [E]" _______ (b_H_6JSubject: Patented System - COVID-19Dear Dr. Fauci,I know that you are extremely busy, but I would respectfully urge you to take 5ruins. of your time to review the information below as I believe that I have adisruptive technology that can help prevent the spread of COVID-19.My name is John Flynn. I previously founded a startup medical equipment companythat was focused within the area of orthop edics , which I ran for twe lve years. Iultimately sold the company to a public competitor, DJO Global. I have worked ondifferent healthcar e projects, but have exclusiv ely spent the last twenty month sfocused on a new medica l product within the area of infection prevention . My goalwas to introduce what I believe is a disruptiv e product to help healthcarefacilities to prevent the spread of MDRO's in order to reduce HAl's /SSl's;however , I believe that it can also help to reduce the spread of Coronavirus.(b) (4)NIH-000720(b) (4)NIH-000721(b) (4)NIH-000722-------------------------- Cb)< 4> I hope that you will have an intere st in a further discussion .Respectfully,John FlynnCell: (b)(6)NIH-000723(b) (4)From:Sent:To:Fauci, Anthony (NIH/NIAID) [E)Tue, 10 Mar 2020 10:45:53 +0000HoundsburghSubject : RE: Thinking of youLinda:Many thanks for your kind note. It is much appreciated.Best rega rds,TonyAnthony S. Fauci, MDDirectorNational Institute of Allergy and Iofectious DiseasesBuilding 31, Room 7 A-0331 Center Driv e, MSC 2520National Jnstitutes of HealthBethesda, MD 20892-2520Phone: (b) (6)f AX: (301) 496-4409E-ma il (b)(6)The information in this e-mail and any of its attachments is confidential and may contain sensitive infom1ation. Itshould not be used by anyone who is nol the original intended recip ient. If you have received this e-mail in errorplease inform the sender and delete it from your mai lbox or any other storage devices. The National Institute ofAlle rgy and lnfectious Diseases (N1AID) shall not accept liability for any statements made that are the sender's ownand not express ly made on behalf of the NIAID by one of its representatives.-----Original Messag·-e---------------=.,..,=. - from : Houndsburgh. ,...,,.....,..,,..,...,.....,..,..-,-(.b..).(,6.)-->- --Sent: Monday, March 9, 2020 4:24 PMTo: Fauci, Anthony (Nlli/N IAID) [E) --------- (b) (6)>Subject: Thinking of youDear Dr. Fauci,You have been a bulwark for me since Twas a resident in the 1980s, dealing with the ATDS epidemic at LA CountyGeneral. For so many years, you have prov ided expert guidan ce in a calm, rational manner. As the Coronavirw;becomes close r and closer to a pandemic, I know you have so much on your plate (hoarse vo ice, no? ).I send you my best wishes to stay well yowself during these trying times, and hope that you know how much youhave meant , and continue to mean, to all physicians out there. You have given so much.May God bless you always.Best,Linda Schmidt, MDInternal MedicineNIH-000724From:Sent :To:Cc:Fauci, Anthony (NIH/NIAID) [ElTue, 10 Mar 2020 10:16:29 +0000Cassetti, Cristina (NIH/NIAID) [ElMarston, Hilary (NIH/NIAID) [E]Subject: FW: Predict the potential outbreak of COVID-2019 in the region based on theage information of reported COVID-2019 infected peop leAttachment s: COVID2019Prediction20200310.pdf, S1.xlsxFYI-----Original Message-----From: (b) (6)>Senc: Tuesday , Marcb J 0, 2020 5:21 A-M- ----. ~= To : Fauci, Anthony (NIH/NIAJD) [E] (b)( >Subject: Predict the potential outbreak of COVTD-2019 in the region based on the age infomiation of reportedCOVTD-2019 infected peop leDear Prof. Anthony FauciMy name is Chao Wu and I am a research staff in national clinical research center for infectious disea~es. the firstaffiliated hospital of college of medicine of Zhejiang University of China .Based on the public data of COVID-2019 infected people in China, l have developed a simp le model to warn thepotential outbreak of COVID-2019 in a region based on the age information ofieported COYlD-2019 infectedpeople.Hope this could provide useful infonnationfor preventing COVID-2019 spreading in US. And hope the twocountries can be together to fight with COVID-2019Best wishes!Chao WuRoom6A17 13Qingchun BranchThe First Affiliated Hospital of College ofMedicine of Zhejiang University. HangzhouNIH-000725From:Sent:To:Fauci, Anthony (NIH/NIAID) [E]Tue, 10 Mar 2020 02:20:57 +0000Eisinger, Robert (NIH/NIAID) [ElSubject:Attachments :FW: FW: Coronavirus Remote Monitoringimage001.png , image001.pngPlease take a look.From: ezriel kornel Cb) (6)Sent: Monday, March 9, 2020 7:10 PMTo: Fauci, Anthony (NIH/NIAID) [Elr------ --..(b.)._c=. . >; Auchincloss, Hugh (NIH/N IAID) [El(b) (6) >Subject: Fwd: FW: Coronavirus Remote Monitor ingI think this may be a very valuable program . I have no involvement but was sent to me for my input .Ezriel Kornel, MD---------- Forwarded message --------·From: King, Nicholas <nicholas.king@bernstein.com >Date : Mon, Mar 9, 2020, 5:07 PMSubject: FW: Coronavirus Remote MonitoringTo 00~Hi Ed,I thought you'd find this to be of interes t. Greg is ~ (b)( ~ and I think the re may be an opportunityto help health agencies. Do you know anyone that this could be passed along to?Nicholas KingVice President - Financial AdvisorT (b)(6)nicholas.king@bernstein .com11 ::-c: IAfter Arts Group I ForbesFrom: Greg OKeeffe ------------ (b)(6) Sent: Monday, March 09, 2020 9:05 AMTo: King, Nicholas <nicholas .king@bernste in.com>Subject: Coronavirus Remote MonitoringNIH-000726External Email. Use caution when clicking links or opening file attachments.Nick,Following up on our conversation this weekend, I am including some information below about our Remote PatientMonitoring platform which we are making available for free to health agencies and organizations partic ipating inthe response to COVID-19 in the United States.Remote Patient Monitoring with FollowApp is a HIPAA-Compliant system that helps health officia ls to diagnose,contain and treat this highly transmiss ible vira l threat by enabling the effective screening of large numbers ofpotentia l patients and to triage/prioritize targeted clinical interventions including the use of test kits.FollowApp's monitoring dashboard and patient mob ile applications (iOS and Android) can be used to deliver two ofthe keys to an effective response plan: 1) encourage "self-qua rantin ing'' (a fundamenta l epidemiologic te net) and2) off -load exploding cl inical volume threatening hospital Emergency Departments . Healthcare systems are thusable to maintain important contact with these populations and recommend targeted escalation of care whenneeded, while decreasing exposure to both clinicians and other patients.The public perception of the lethality of this globa l pandemic is fueling panic wh ich, in and of itself, is creating itsown logistic issues that are already beginning to overwhelm hospita l Emergency Departments. The dilemma forhealth care systems, then, becomes a question of identifying subpopulations at increased risk while at the sametime, keeping these patients out of the hospita l.Please feel free to forward this email along with my contact information (cell ----(b-) (6)) -- I would be happy to provide a demo to anyone who may be interested.Thank you again,GregGreg O'KeeffePresident & CEOHuman Resolution Technologies, LLCwww .PatientMonitor ing.comLinkedlnThe informa tion contained in this e-mail is legally privi leged and confidential information intended only for the use of theindividual or enti ty to whom it is addressed. If the reader of this message is not the intended recipient, you are herebynotified that any viewing, dissemination, distri bution, or copy of this e-mail message is strictly prohibited. If you havereceived and/or are viewing th is e-mail in error, please immediately notify the sender by reply e-mail and delete this emailfrom your system. Thank you.e Virus-free. www .avast.comNIH-000727NIH-000728For further important information about AllianceBemstein please click herehttp ://www .alliancebernste in.com/discla imer/ema il/discla imer.html IHI BERNSTEINIHI BERNSTEINNIH-000729BERNSTEINNIH-000730BERNSTEINFrom:Sent :To:Subject :Attachment s:Fauci, Anthony (NIH/NIAIO) [E)Tue, 10 Mar 2020 02:19:50 +0000(b)(6)FW: Revised Nursing Home GuidanceQS020-14. COVID-19 Nursing Homes - REVISED NIAID.docxI had my staff review this and their edits/suggestions are incorporated into the attacheddocument.Best regards,TonyDisclaime r:The information in this e-mail and any of its attachments is confidential and may contain sensitive information . It should not be usedby anyone who is not the original intended recipient. If you have received this e-mail in error please inform the sender and delete itfrom your mailbox or any other storage devices. National Institute of Allergy and Infectious Diseases (NIAID) shall not acceptliabi lity for any statement made that are sender's own and not expressly made on behalf of the NIAID by one of its representatives.From : CMS (b)(6)Sent : Sunday, March 8, 2020 9:02 PMTo: (b)(6) Fauci, Anthony (NIH/NIAID) [E] ---------- (b)(6) Subj ect : Fwd: Revised Nursing Home GuidanceWould you mind reviewing our updated guidance to nursing homes? This is upgrading the policiesaround visiting etc. Would like to send this out tomorrow.Thanks.Sent from my iPhoneBegin forwarded message:From: "Shulman, Evan T. (CMS/CCSQ)"_ ________ Cb)_C_6)>Dat e: March 8, 2020 at 8:52 :14 PM EDTTo: CMS (b) (6)>Cc: "Hittle, Matthew (CMS/OA)" (b)( >, "Brookes, Brady;(.C,_M_S./O:.A..).": ......:.......!::::======(~b)(= ;,: -"M--oody -Williams, Jean D. (CMS/CCSQ)"(b )( 6) >, "Wright, David R. (CMS/CCSQ)"========::; (b:);(:c:6"">=>:--Subject : Revised Nursing Home GuidanceSeema,Attached is the Nursing Home memo with revised guidance (changes are in red/italics).This includes suggestions from Shari and Patti Meier, but they are still reviewing the fulldocument. We sent this to the CDC this afternoon and I just received their feedback (whileNIH-000731on this call). I skimmed through their feedback and while they recommended somechanges, they did not suggest any substantive changes.Summary of revisions:We've also been in contact with the industry, and believe they will support the revisions.Happy to answer any questions .Thanks,EvanEvan ShulmanDirector, Division of Nursing HomesQuality Safety and Oversight GroupCenter for Clinical Standards and QualityCenters for Medicare and Medicaid ServicesNIH-000732(b) (5)From:Sent :To:Subject:Fauci, Anthony (NIH/N IAID) [ElTue, 10 Mar 2020 02:11:06 +0000Marston, Hilary (NIH/N IAID) [ElFW: Coronavirus Case in Mu nichPlease respond to this person .From: Rita DiCasagrande Olsen -------- (b)(6)Sent: Monday, Mar ch 9, 2020 9:20- P-M- ----,;; ~ To: Fauci, Anth ony (NIH/N IAID) [E] -------- (b)(6) Subject: Coronavir us Case in MunichCarissimo Dr. Fauci -Greetings from Munich, Germany! It 's hard to believe so many years have passed sinceour t ime work ing avian influenza preparedness. I have watched every single interviewduring the past few months and I could not be more relieved to see you at the helm ofthis new, rapidly evolving crisis.I know you have very little time, so I will make this quick - hopefully to be followed by amore fulsome and proper hello.We have a prominent American businessman (age 64) here in Munich who testedposit ive a little over a week ago after skiing in the Dolomites in Italy. He has a historyof respiratory illnesses, including double pneumonias and various other similarcomplicat ions. In short, he is sedated and intubated , and was placed on ECMO duringthe past 24 hours. The team is administering ritonavir and lopinavir, as well as broadspectrum antibiotics.The German doctor here would like to acquire Remdesivir to have on hand if all othertreatments fail. Because it is not being tested here, he inquired whether we couldaccess it in the States. Would you be able to point me in the right direction for how, ifeven possible, we could transfer some to the Munich-based hospital here?Thank you so much in advance. Any other insights of course are certainly welcome.You continue to be a national treasure. All the best - RitaNIH-000733From:Sent :To:Subject:Fauci, Anthony (NIH/NIAI0) [E)Tue, 10 Mar 2020 02:09 :14 +0000Eisinger, Robert (NIH/NIAID) [E]FW: Science of COVID-19 Curriculum?Please respond to him for me. Try to help him out.From: michael dispezio ---------- (b)(6) Se nt: Monday, March 9, 2020 9:16 PMTo: Fauci, Anthony (NIH/NIAID) [E]-------= (b-)c(c-6-)=Subject: Science of COVI0-19 Curriculum?Dr. Fauci,Twenty years ago, I wrote the US curricu lum "The Science of HIV" and we were honored tohave you featured in our accompanying television broadcast, which was nominated for an Emmy(Discovery Channe l). Years prior to that, I snagged my Masters from BU on some nove l,emergent retrovirus called HIV.Now , its time for me to do my magic and educate this new generation on COVID-19. This is afamiliar audience (my people ), since most use the science programs I have authored for K-8 forthe past 30 yea rs!How do I best proc eed with developing materials in sync with the national needs that demys tifythe concepts sunounding COVID- 19? My skillset is in education, but my background in biologyand biochem.Plea se Goog le me and/or check out the links below.https ://www.ns ta .org/recommendsN iewProduct Print.aspx? ProductlD = 1213 8ht1ps://www.hmhco.com /people /michael -dispezioNIH-000734Sincerely,Michael Di Spezio ( anothe -------- Cb)< )Virus-free. www.avg.comNIH-000735From:Sent:Fauci, Anthony (NIH/NIAIO) [E)Tue, 10 Mar 2020 00:58 :15 +0000To:Cc:Collins, Francis (NIH/OD) [E);Trevor MundelDan Wattendorf;Jennifer WeismanSubject : RE: COVID-19Trevor:Ditto what Francis said. If Bill is seeing the VP tomorrow, he will surely bring itup to me at our 4:00 PM daily Task Force meeting.Thanks,TonyAnthony S. Fauci , MDDirectorNational Institute of Allergy and Infectious DiseasesBuilding 31, Room 7A-0331 Center Drive, MSC 2520National Institutes of HealthBethesda , MD 20892-2520Phone : (b) (6)FAX: (301 496-4409E-mail : (b)(6)The information in this e-mail and any of its attachments is confidential and may conta in sensitiveinformat ion. It shou ld not be used by anyone who is not the original intended recipient . If youhave received this e-mail in error please inform the sender and delete it from your mailbox or anyother storage devices . The National Institute of Allergy and Infectious Diseases (NIAID) shall notaccept liability for any statements made that are the sender's own and not expressly made onbehalf of the NIAID by one of its representatives .From: Collins, Francis (NIH/OD) [E]- ------ (b)(6)> Sent : Monday, March 9, 2020 8:25 PMTo: Trevor Mundel (b)(6) >; Fauci, Anthony {NIH/NIAID) [E)------ .C..~Hb.-;6;;:);>------------Cc: Dan Wattendorf (b) (6>r>J; ennifer Weisman--------=======- (~b~:(:6;:;)c;------Subject : RE: COVID-19Hi Trevor,Truly interesting opportunity. Tony is doing a media blitz (Sean Hannity on Fox right now) butI'm sure he will check in - and I would imagine that VP Pence will turn to him to decide how torespond to Bill's phone call. Doctor-based testing capability in the US has gone up substantiallyin the last couple of days - after admittedly a rocky start. But home testing presents a noveldetection scheme. I assume from what you say that false negat ives are uncommon and falsepositives are rare?NIH-000736For Africa, this seems like a technology that ought to be deployed as soon as possible. Itastounds me that there are no documented cases in East Africa yet-that defies everything weknow about air traffic with China. Providing an opportunity for low -tech testing in Addis, orKampala, or Nairobi, or Dar es Salaam seems like a highly desirable outcome.My two cents.FrancisFrom: Trevor Mundel (b)(6) ----------------- Sent: Monday, March 9, 2020 5:57 PM -----~~ To: Collins, Francis (NIH/OD) [E] ______ CbH_6)>; Fauci, Anthony (NIH/NIAID) [E](b)(6)>-C-c:- D-a-n- W-a-t-te!n:d=orf= ===~=-..::~------ (b)(6); Jennifer Weisman (b )( 6) >Subject: COVID-19Dear Francis, Tony,I wanted to give you a heads up on a call that Bill will have with Vice President Pence tomorrow aroundthe COVID-19 sit uation. As you might be aware, we have been running an influenza transmission studyin Seattle for the last 2 years. This involves at-home testing for ILi-symptomatic individuals (who log-invia a web app) and collection of nasal swabs, which are then sequenced for a range of respiratorypathogens . Dan can give you more details on this study if you have questions. When the Coronavirussituation arose, we added t his to the list of pathogens and hence were able to detect some of the earlycases in Washington.The CDC has been very interested in the approach and at one point we had the highest screeningcapacity in the US (though only 400 samples per day, so I hope this is no longer true). At the same time,we have developed a COVID-19 at-home screening and information system with robust software thatapproximates what China was doing but also takes into account the opt-in requirements that arenecessary in the US.We want to propose going beyond the Seattle area- this would be gated only by availability of testing.We can deploy this ready-now system more broadly in the US. Ideally we would also do a paralleloutreach to some African countries. I'd be interested in your views and would be happy to jump on aquick call.Warm regards,TrevorTrevor Mund el, MD, PhDPresident, Global Health ProgramV (b) (6)F +1.206.494.7041E (b)(6) -------------NIH-000737(b)(6)Executive AssistantOffice of the President, Global HealthV (b) (6)Bill & Melinda Gates Foundat ionwww .gatesfoundation.org(b)(6)NIH-000738From:Sent :To:Fauci, Anthony (NIH/NIAID) [E)Tue, 10 Mar 2020 00:47:56 +0000Del Rio, CarlosSubject :Attachment s:RE: [External] Re: Nice job in Press ConferenceSSRN-id3549276.pdfNot for distribution. lt may still be under reviewAnthony S. Fauci, MDDirectorNational Institute of Allergy and Infectious DiseasesBuilding 31, Room 7 A-0331 Center Driv e, MSC 2520National Institutes of HealthBethesda, MD 20892-2520Phone: (b) (6)FAX: (301) 496-4409E-mail (b) (6)The information in this e-mail and any of its attachments is confidential and may contain sensitive infom1ation. Itshould not be used by anyone who is not the original intended recipient. If you have received this e-mail in eITorplease inform the sender and delete it from your mailbox or any other storage devices. The National Institute ofAllergy and Infectious Diseases (NJAlD) shall not accept liability for any statements made that are the sender's ownand not expressly made on behalfofthe NIAID by one of its representatives.-----Original Message-----From: Del Rio, Carlos ------ ("b"),..(.=6);Sent: Monday, March 9, 2020 7:59 PM -------=-=-:-= To: Fauci, Anthony (NlH/NlAlD) [E] (b)( >Subject: Re: [External] Re: Nice job in Press ConferenceShare the Australian paper when you can. Could not find it.Carlos del Rio, MD.Sent from my iPhone> On Mar 9, 2020, at 7:54 PM, Fauci, Anthony (NTH/N[ATD)[ E]- -------- (b) (6} wrote: >> Thanks, Carlos.>>> On Mar 9, 2020, at 7:21 PM, Del Rio, Carlos ...__ ____ C_>b_<_ wrote:>>>>>>>> Carlos del Rio, MD .>> Sent from my iPhone>>>> -------------- > >>> This e-mail message (including any attachments) is for the sole use>> of the intended recipient(s) and may contain confidential and> > privileged information. If the reader of this message is not the>> intended recipient, you are hereby notified that any dissemination,> > distribution or copying of this message (including any attachments)NIH-000739NIH-000740>> is strictly prohibited.>>>> If you have received this message in error, please contact the sender>> by reply e-mail message and destroy all copies of the original>> message (including attachments).From:Sent :To:Fauci, Anthony (NIH/NIAIO) [E)Tue, 10 Mar 2020 00:30:13 +0000Michael GersonSubject:Well done!Anthony S. Fauci, MDDirectorRE: My column, just FYINational Institute of Allergy and Infectious DiseasesBui I ding 31, Room 7 A-0331 Center Drive, MSC 2520National Institutes of HealthBethesda, MD 20892-2520Phone: (b) (6)FAX: (30 I) 496-4409E-mail -------- (b)(6) The information in this e-mail and any of its attachments is confidential and may contain sensitive infom1ation. Itshould not be used by anyone who is not the original intended recipient. If you have received this e-mail in eITorplease inform the sender and delete it from your mailbox or any other storage devices. The National Institute ofAllergy and Infectious Diseas es (NIAID) shall not accep t liability for any statements made that are the sender's ownand not expressly made on behalf of the NIAID by one of its representa tives.-----Original Message-----From: Michael Gerson--------- (~b)(=Sent: Monday,Marcb 9, 2020 5:47 PM- -----~-~ To: Fauci, Anthony (N1H/N1AID)[ E] _____ Cb)_(6)Subject: My column,just FYIh ttps:/ /www.washingtonpost.com/ opinions/ corona virus-isnt-another-hurricane-katrina-i tsworse/2020/03/09/25c302f2-6224-l l ea-acca-80c22bbee96f story.htmlNIH-000741From:Sent:Fauci, Anthony (NIH/NIAIO) [E)Tue, 10 Mar 2020 00:26:59 +0000To: Mark Harrington ;Folkers, Greg (NIH/NIAID ) [ElSubject: RE: NYC community letter to Mayor De Blasio on social distancing measure s tomitigate COVID-19Tha nks, Mark. Goo d lett e r.Anthony S. Fauci, MDDirectorNational Institute of Allergy and Infectious DiseasesBuilding 31, Room 7A-0331 Center Drive , MSC 2520National Institutes of HealthBethesda , MD 20892-2520Phone : (b) (6)FAX : (301 496-4409E-mail : (b)(6)The information in this e-mail and any of its attachments is confidential and may contain sensitiveinformation . It should not be used by anyone who is not the original intended recipient . If youhave received this e-mail in error please inform the sender and delete it from your mailbox or anyother storage devices . The National Institute of Allergy and Infectious Diseases (NIAID) shall notaccept liability for any statements made that are the sender's own and not expressly made onbehalf of the NIAID by one of its representatives.From: Mark Harrington (b) < >Sent : Monday, March 9, 2020 5:42 -P-M- -----=-:~ To: Fauci, Anthony (NIH/NIAID) [E) ______ Cb _H_ >; Folkers, Greg (NIH/NIA ID) [El(b)(6)>Subject : NYC commun ity letter to Mayor De Blasio on social distancing measures to mit igate COVID-19At tached.Hope you're both we ll.cheers,MarkMark HarringtonExecutive DirectorTreatment Action Group90 Broad Street, Suite 2503New York, NY 10004 USA(b)(6) - tel.NIH-000742(b)(6)mark.harrington@ t reatment act iongroup .orgNIH-000743From:Sent :To:(b)(6)Mon, 9 Mar 2020 19:56:50 -0400Eisinger, Robert (NIH/NIAID) [E]Subject : Fwd: Requesting a copy of your articlePis handleSent from my iPhoneBegin forwarded message :From: Mahendra De Silva (b) (6]. ------------ Date: March 9, 2020 at 7:52:52 PM EDT ---------=-:-:-= To: "Fauci, Anthony (NIH/NIA ID) [E]" -------- Cb)(6). Subject: Requesting a copy of your articleDear Dr. Fauci:Would you be kind enough to send me a copy of this important article (see below)?Thank you.Sincerely,Mahendra De Silva, PhDJanuary 23, 2020Coronavirus Infections-MoreThan Just the Common ColdCatharine I. Paules, MD1; Hilary D. Marston, MD, MPH2; Anthony S. Fauci, MD2NIH-000744From:Sent:To:Subject :Kri sta:(b)(6)Mon, 9 Mar 2020 19:53:18 -0400Krista ConleyRe: Terry BeirnMany thanks for your kind note.Best rega rds,Tony> On Mar 9, 2020 , at 7:25 PM, Krista Conley (b) (6) > wrote:>__________ _,> Good evening Dr. Fauci:>> My name is Krista Conley and I was a staff assistant for Senator Kennedy's Labor and Human ResourcesCommittee in 1987. I was supporting the committee on health-related issues until one day, this smart-aleck of a guywalked in and said "You work for me, now.">> That was Terry Beim, and I spent the next year ofmy life working on the very first legislation for researchfunding and for anti-discrimination protections. Terry made me better, stronger, more empathetic than I everthought possible. He worked me relentlessly - and it never felt like work. Those were very tough times, and wenever let up, not even to eat.>> I fielded a lot of calls from you to Terry , and seeing the coronavirus press conference tonight, I wanted to thankyou for your tireless public health efforts. You changed lives to the good for millions - Terry did his bit, too.>> It's good to hear your voice at the lectern - makes me feel like we'll get through it. Thank you for always jump ingin - Krista ConleyNIH-000745From:Sent:To:(b)(6)Mon, 9 Mar 2020 19:43:06 -0400Conr ad, Patricia (NIH/NIAID) [E)Subject: Fwd: The Economist Asks request for Dr. Anthony FauciLet us discussBegin forwa rded message:From: Sujata Thomas <suja tathomas@economist.com>Date: March 9, 2020 at 7:41:03 PM EDT To: "Conrad, Patricia (NIWNIAID) [E]"- ------~~ CbH>6,J "Fauci,Anthony (NIWNIAID) [E]" CbC)6 >:Subject: Re: The Economist Asks request for Dr. Anthony FauciHi,I just wanted to follow up on this request for The Economist. The interview couldhappen at Dr. Fauci's convenience.Thanks for the cons iderat ion.Best,SujataOn Thu, 5 Mar 2020 at 08:48, Sujata Thomas<sujatathoma s@econ omist.com>wrote:Dear Dr. Fauci,"The Economist Asks", The Economist's award-winning interview podcastwould love to have you join the program this spring."The Economist Asks" is the Economist's flagship show, a current, frankand engaging profile-style interview , in a series that includes heads ofstate, cultural pioneers and business leaders, and hosted by AnneMcElvoy .Anne would like to discuss with you, your thoughts on coronavirus, itsspread and the managem ent of this global public health emergency.We'd record 20 mins of interview, very flexible as to date and location -though we'd love to do it soon - and are open to include subjects you feelNIH-000746need to be covered. We know you are likely inundated with requests, so ifyou could connect me with the appropriate person handling your speakingrequests, we'd greatly appreciate it.Economist Radio has over 12 million listens a month worldwide , with acore audience in the US and the UK. Previous guests on "The Economistasks" include Melinda Gates, Tony Blair, Hillary Clinton, lmran Khan,Salman Rushdie, Annie Lennox, Anna Wintour, Darren Aronofsky, DavidSedaris , David Mamet, Margaret Atwood, Ursula Burns, Juan ManuelSantos, Christine Lagarde, Jacinda Ardern, Michael Bloomberg, PussyRiot, Pete Buttigieg among many others. You can listen to previousepisodes here acast.com/theeconom istasks .Thank you for your consideration and hope to hear from you or someonefrom your office.Thanks ,Sujata(b)(6)This e-mai l may contain confidential material. If you are not an intended recipient, please notify the sender anddelete all copies . It may also contain persona l views which are not the views of The Economist Group. We maymonitor e-mai l to and from our network .Sent by a member of The Econom ist Group . The Group's parent company is The Econo mist Newspaper Limited ,registered in England with com pany number 236383 and registered office at The Adelphi, 1-11 John Adam Street ,London, WC2N 6HT. For Group company registration details go to http ://le gal.economist grou p.comNIH-000747From:Sent :To:Cc:(b)(6)Mon, 9 Mar 2020 19:25:47 -0400Nl;\JD PqhliC'lnquiriesAt.ithindoss, Hugh (NIH/NIAID) [E]Subject: Fwd: (b)(6)Sent from my iPhoneBegin forwa rded message:From: Laura (b)(6)Date: March 9, 2020 at 5:48:06 PM EDT To: "Fauci , An thony (NIH/NlAI D) [E]" -----------------=-=(b)(6->f -:= Subject: Still positive after 30 daysDe_ar Dr:. .£. a uc.. ·. __,_, _____________________ _, ...--,,.,(b)(6)Thank you,Laura Umphries(b)(6)Sent from my Verizon, Samsung Galaxy smartphoneNIH-000748From: (b)(6)Sent: Mon, 9 Mar 2020 19:22:39 -0400To:Subject :Auchincloss, Hugh (NIH/NIAID) [E];Lerner, Andrea (NIH/NIAID) [E]Fwd: Testing for COVID-19From pattyPis respond.Sent from my iPh oneBegin forwarded me ssage :From: Robert Langston (b)(Date : March 9, 2020 at 6:38:20 PM EDT ---------=-=-:-= To: "Fauci, Anthony (NIH/N IAID) [E]" (b)(6)Subject: Testing for COVID-19Hello Dr. Fauci,Are you able to provide false posit ive and false negat ive values for patients withCorona Virus infect ion and colonizat ion?Thank you fo r ta king t ime to read and respond my question .My regards,Robert Langston MDNIH-000749From:Sent:To:(b)(6)Mon, 9 Mar 2020 19:21:36 -0400Handley, Gray (NIH/NIAID) [E]Subject: Fwd: CoV collabo ration with Polish Medical Research AgencyAttachments: image00l.pngFromPatty. Does asf need to see thisI am trying to empty his emails. Pls advise ASAPSent from my iPh oneBegin forwarded message :From: "Hand ley, Gray (NIH/NIAID) [E]" (b)(6)Date: March 9, 2020 at 6:51:14 PM EDTTo:--------------. CbH6)Cc: "Fauci, Anthony (NIH/NIAID) [E]" CbH6) "Lane, Cliff(NIWNIAID) [E]" Cb>< , ''Auchincloss , Hugh (NIH/N IAID)[E]" ___________ .....Subject: CoV collaboration with Polish Medical Research AgencyDear Dr. Sierpinski,Dr. Fauci referred your message to me and other NIAID colleagues with a request that werespond on his behalf so as to avoid further delay. We certa inly sympathize with yoursituation, as we also are working urgently to prevent, control and manage COVID-19 in theUnited States.During his visit to NIH in 2018, I was pleased to meet Minister Szumowski and, although Iwas traveling when you visited Dr. Fauci last year, I am aware that the meeti ng wasproductive and that we remain interested in encouraging further U.5.-Poland scientificcollaboration . In part , as a result of that meeting, we are also very pleased to be planningan NIH and ABM-sponsored clinical research training workshop in Poland later this year .As you are likely aware, NIAID is collaborating with a number of organizations to developvaccines for SARS-CoV-2. We are expecting the first vaccine to start Phase I t rials within thenext month . As vaccines move through Phase I testing, there may be opportunities tocollaborate .In addition , with NIAID as the regulatory sponsor , we have initiat ed a randomized,controlled clinical tria l to evaluate the safety and efficacy of the investigational antiviralNIH-000750remdesivir in hospitalized adults diagnosed with COVID-19. This adaptive design trial willallow for the addition of new treatment arms as promising new therapeutics for COVID-19become available. Eventually, t his trial may be expanded to include international sites,potent ially includ ing some that have been affiliated with our INSIGHT Network in thepast. Three sites in Poland have part icipated in INSIGHT trials:Site Name: Wroclawsk ie Centrum Zdrowia (Wroclaw)Site Leader: Brygida KnyszSite Name: Wojewodzki Szpital Zakazny (Warsaw)Site Leader: Andrzej Jerzy HorbanSite Name: Uniwersytecki Szpital Kliniczny (Bialystok)Site Leader: Robert FlisiakIt might be a good idea to let any Polish sites/investigators considering participation in thistrial know that ABM might have available funding to support international collaborat iveresearch, if that is the case. This may be importan t info rmation as Polish scientists interactwith other European scientists considering the development of a multi -site clinical tr ial.In addition, there may be other opportunities for collaborative research engaging PolishInstitutions with access to COVID-19 patients, particula rly through the sharing of biolog icalsamples and research data. Another approach would be for interested Polish scientists toexplore shared interests with U.S. colleagues who are planning to apply for COVID-19funding in response to current Funding Opportunity Announcements in the NIH Guide toGrants and Contracts. To do what we can to facilitate possible collaborations, we wouldalso welcome receiving additional information on specific COVID-19 research interes ts,capabilities and activities current in Poland.Thank you again for reaching out to Dr. Fauci. We look forward to continuing to discusspotent ial areas of collaboration.Best regards,F. Gray HandleyAssociate Director for International Research Affa irsNational Institute of Allergy and Infectious DiseasesNational Institute of HealthU.S. Department of Health and Human ServicesTel: -----(b)(6) Fax: 301 480 2954Disclaimer:(b)(6)5601 Fishers Lane, Room lESOBethesda, MD 20892-9802The info rmation in this e-mail and any of its attachments is confidential and may conta in sensitive info rmat ion . Itshould not be used by anyone who is not the origina l intended recip ient . If you have rece ived this e-mail in errorplease inform the sender and delet e it from your mailbox or any ot her storage devices . Nat ional Institute of Allergyand Infectious Diseases shall not accept liability for any statements made that are sender's own and not expresslymade on behalf of the NIAID by one of its representat ives.NIH-000751From: Radostaw Sierpinski -------------(b)(6)> Date: March 9, 2020 at 6:42:08 AM EDTTo : "Fauci, Anthony (NIH/NIAID) [;E.l.".- .-:-.-.--=--=-=="='"="C"=bH"6~=)> ~--~ Cc: "Gupta, Ranjan (NIH/FIC) [E)" (b)(6) --------- Subject : CoV collaboration w ith Polish Medi cal Research AgencyDear Doctor Fauci,I hope this e-mail is finding you well and your efforts in fight againstCoronavirus epidemics is giving some effects. As you know in Poland we havecurrently 15 cases of CoV infection and we are also fighting mostly withgeneral society wo rries than epidemics. We would like also to take part inresearch on CoV vaccine or drug and Polish Medical Research Agency isplanning to start financing some project on it as soon as possible. Both polishmedical universities and institutes are fully prepared to take part in suchproject .On behalf of Polish Minister of Health Prof. Lukasz Szumowski I would like tokindly ask you for some support and collaboration options with NIH in thisvery delicate issue. Maybe NIH can take some advisory role in our scientificproject or Polish scientists may take some part in your work bilaterally .Looking forward to hearing from you,Radostaw Sierpinski MD , PhDPresident of Medical Research Agency in Poland(b)(6)<image0Ol.png>Medical Research Agencyul. S. Moniuszki 1A00-014 Warszawawww.abm.gov.plAGENCJABAOANMEDYCZNYCHNIH-000752NIH-000753AGENCJABAOANMEOYCZNYCHFrom:Sent :To:Subject:Attachments :Patr icia L. ConradConrad, Patricia (NIH/NIAID) [El on behalf of Fauci, Ant hony (NIH/NIAID) [ElMon, 9 Mar 2020 20:13:17 +0000NIAIDODAMFW: Opp to speak to U.S. CEO CommunityCEO overview _updated_5_31 _19_ (1) (2).pdfPublic Health Ana lyst andSpecial Assistant to the Direc torNat ion al Inst it ute of Aller gy and Infectious Disease sThe National Institutes of Heal th31 Center Drive, MSC 2520 - Room 7 A03Bethesda, Maryland 20892(b)(6)301-496-4409 faxDisclaimer :The informat ion in this e-ma il and any of its attachments is confidential and may contain sensitive information. It should not be usedby anyone who is not the original intended recipient. If you have received this e-mail in error please inform the sender and delete itfrom your mailbox or any other storage devices. National Institute of Allergy and Infectious Diseases (NIAID) shall not acceptliability for any statement made that are sender's own and not expressly made on behalf of the NIAi D by one of its representatives.From: Greg Reilly <Greg@theceoforumgroup .com>Sent: Monday , March 9, 2020 4:06 PM -------~~ To: Fauci, Anthony (NIH/NIAID) [E] (b)(6J>Subject: Opp to speak to U.S. CEO CommunityDr. Fauci,Our national radio and magazine audience is the U.S. CEO community, and th is is an invitation to beinterviewed for The CEO Show and The CEO Forum Magazine. The opportunity is to deliver your wordsdirectly, verbatim , with no reporter's interpretation. [Company Overview attached.]The line of questioning would be about advice for corporate leaders during a health crisis, such as weare experiencing now with COVID-19 and such that we may experience again in the future.We could do the 19-minute interview by phone or in person in New York City.Certainly we honor your service and excellence as a spokesperson.Our out lets would be effective fo r your messages specific to business leaders.Please consider this invit ation.NIH-000754Thank youGreg ReillyGreg Reilly I Associate Publisher-----(b)(6) I greg@theceoforumgroup .com I www .theceoforumgroup.comNIH-000755From:Sent:To:Cc:Fauci, Anthony (NIH/NIAID) [E)Mon , 9 Mar 2020 18:23:56 +0000(b)(6)Tabak, Lawrence (NIH/OD) [E)Marston, Hilary {NIH/NIAID) [E] ·------- Subject:requestRE: Appropriations - second supp for cornavirus - professiona l judgementWe will have additi onal needs. Wil l get back to you tod ay about the amou nt andwhat the plan is.Anthony S. Fauci , MDDirectorNational Institute of Allergy and Infectious DiseasesBuilding 31, Room 7A-0331 Center Drive , MSC 2520National Institutes of HealthBethesda , MD 20892-2520Phone : (b)(6)FAX: (301 496-4409E-mail: (b)(6)The information in this e-mail and any of its attachments is confidential and may contain sensitiveinformation . It should not be used by anyone who is not the original intended recipient. If youhave received this e-mail in error please inform the sender and delete it from your mailbox or anyother storage devices . The National Institute of Allergy and Infectious Diseases (NIAID) shall notaccept liability for any statements made that are the sender's own and not expressly made onbehalf of the NIAID by one of its representatives .From: Tabak, Lawrence (NIH/OD) [E]Sent: Monday, March 9, 2020 1:01 PMCbH >To: Collins, Francis (NIH/OD) IE)- ----~~ CbH6J>F;a uci, Anthony (NIH/NIAID) [E] ------- (b)( >Subject: FW: Appropriations - second supp for cornav irus - professional judgement requestImport ance: HighHow do you want this approached please?ThanksLarryFrom: "M itch ell, Michelle (NIH/OD) [E]" CbH6J>Date : Monday, March 9, 2020 at 12:43 PMTo: "Tabak, Lawrence (NIH/OD) [E)" CbH6)>", Shapiro, Nei l (NIH/OD) [El"(b)( >, "Hallett, Adrienne (NIH/OD) [E]" CbH6)",H iggins,Lauren (NIH/OD) [El" CbH6)Cc: "LaMontagne, Karen (NIH/OD) [El" CbH6)>",B auer, Jenna (NIH/OD)NIH-000756[E]" --------- (b)( >Subject : Appropriations - second supp for cornav irus - professional judgement requestHi everyone,Jen Cama wit h De Lauro just reached out to request our professional judgement on a secondsupplemental for the coronavirus . Below is her questio n. Would you let me know what I should tellher?Question: Does NIH, in its professional judgment, recommend any additional funding for coronavirus?Thanks.MichelleNIH-000757From: (b)(6)Sent:To:Subject:Mon, 9 Mar 2020 13:49:31-0400Oplinger, Anne (NIH/N IAID) [E]Fwd: Media Request: CBC NewsFrom Patty pls declineSent from my iPhoneBegin forwarded message:From: Adam Miller <adam.miller@cbc .ca>Date: March 9, 2020 at 1: 44:59P M EDT-- -----~~To: "Fauci , Anthony (NIH/NIAID) [E]" --------- CbH6J Subject: Media Request: CBC NewsHi Dr. Fauci,I'm a senior journalist with the health unit at Canada's public broadcaster, CBCNews, and I'm hoping to speak with you for a national story on COVID-1 9preparedne ss in the U.S. and Canada.I'm wondering if you'd be free for a brief phone interview on how prepared the U.S .bas been through out this outbreak and what further efforts need to be taken.Thanks , I would only need five minutes of your time by phone.Best,AdamAdam MillerSenior WriterCBC NewsDesk: 416-205-5719Cell: Cb(>6)Twitter: @adams millerNIH-000758From:Sent:To:(b)(6)Mon, 9 Mar 2020 13:23:24 -0400NIAID Public InquiriesSubject : Fwd: Celiac and Coronav irusPls handleSent from my iPhoneBeg in forwa rded message:From: Tenley Willock (b)(6)Dat e: March 9, 2020 at 1 :00: 11 PM EDT,------- -;;-c-;= To: "Fauci, Anthony (NIH/NlAID) (E]" (b)(Subject: Celiac and Corona virusHello Dr. Fauci,I am a teac her from -- -(b~ in a school district that closed this weekdue to the vims scare (b)(6) I am >< years old and I have (b)(6) Whatis my vulnerabi lity to getting this virus teaching around young children. I know youhave mentioned heart issues and chemothera py. Can you please give me advice?Tha nk you so much! Thank you for your hard work!Sincerely,Tenley Willock(b)(6)NIH-000759From:Sent :To:Cc:(b)(6)Mon, 9 Mar 2020 13:22:31 -0400Haskins, Melinda (NIH/NIAID) [E];Selgrade, Sara (NIH/NIAID) [E]Barasch, Kimberly (NIH/NIAID) [C]Subject: Fwd: Senator Barbara BoxerPis advise. Set this up?Sent from my iPhoneBegin forwarded message:From: Nicole Burak (b)(Date: March 9, 2020 at 1:18:11 PM EDT --------=-=--= To: "Fauci, Anthony (NIH/NlAID ) [E]" (b)(6) ________ _,Subject: Senator Barbara BoxerReply-To: (b)(6).Dr. Fauci - my name is Nicole Kaneko and I work for Senator Barbara Boxer from California .I know the Senator is (b)(6) and she is hoping you may have a few minutes to talkto her via phone regarding an exciting way to test for the COVID-19 virus. Thank you inadvance .Nicole Kaneko(b)(6)NIH-000760From: (b)(6)Sent:To:Subject:Mon, 9 Mar 2020 13:19:45 -0400Auchincloss, Hugh (NIH/NIAID) [E]Fwd: Virus TransmissionFrom PattyNot sure who responded. Canu take this repeat email.Sent from my iPhoneBegin forwarded message :From: DANIEL GAGNON (b)(6) ----------- Date: March 9, 2020 at 1: 16:07 PM EDT --------=-::-:-= To: "Fauci, Anthony (NIH/NIAID) [E]" -------- (b)( > Subject: Fwd: Virus TransmissionDr. Fauci:I appreciated your office calling me last Thursday regarding my email concernbelow on the CoYid 19 virus epidemic. The fact that China has a larger percen tageof smokers in its population may have something to do with the faster spreading ofthe virus there. Male smoke rs out number females by a huge number and arethere fore dying in much higher numbers because of that fact.Has anyone at CDC looked into when a pe rson is around cigarette smokers that theparticles of smoke land onto a persons clothing . That person then comes home withthose smoke particles on their clothing and they can be shed when the clothes areremoved from their body thus placing the possible virus laden particles back into theair at home to infect others. Just smell your clothes the next day and you can nodoubt smell smoke on them . Has this case in point been looked into as a possiblemeans of spreading the virus? Since a side effect of the virus is the patientdeveloping pneumonia wou ld giving an elderly person the Prevar 13 shot helpstreng then their immune system before the virus ever strikes them?I wish you &other virologist God Speed with finding a vacc ine that will stop thespread of this epidemic.Dan iel Ga non(b)(6)NIH-000761Begin forwarded message:From: DANIEL GAGNON (b)( > ----------- Subject : Virus Transmission