Benjy Renton Profile picture
29 Mar, 27 tweets, 11 min read
Now on @CNN: @drsanjaygupta unpacks the U.S.' Covid-19 missteps and lessons learned with the nation's top doctors in a special documentary entitled #CovidWar. Follow along here for highlights.
Was there a moment when you thought this was the big one?

"When I saw what happened in New York City…it was like oh my goodness. That’s what it became very clear that the decision we made on January 10 to go all-out and develop a vaccine may have been the best decision."
On February 21, government officials and doctors held a simulation exercise in the Situation Room. "While containment was ideal," Dr. Robert Kadlec says, "it’s more likely than not that this virus is already in the United States and we needed to be prepared to go to mitigation."
Dr. Gupta asks, Why were we still saying the risk to Americans was low at this point?

Dr. Birx: "So now you know why I came to the White house, because I could see the avalanche coming and I could see we were not prepared. I thought I could do something."
When you walked into this pandemic, how far behind do you think we were at that point?

Dr. Giroir: "We had no systems in place. The way to find out how many ventilators were in place was to call up and find out."
"People really believed in the White House that testing was driving cases, rather than testing is a way for us to stop cases," Dr. Birx said. "Testing was this flashpoint. It continued to be a flashpoint."
CNN reached out to Dr. Atlas for comment for this documentary. He did not respond.
The doctors devised a set of guidelines which turned into 45 days to slow the spread of the virus. However, states opened too quickly.

"When Memorial Day came it was shocking," Dr. Birx said.

"That's when I believed there was really a problem," Dr. Fauci said.
"The thing that hit me like a punch to the chest was then all of a sudden he got up and said, 'Liberate Virginia, liberate Michigan,' and I said to myself, 'oh my goodness, what is going on here?'" Dr. Fauci says.
"There was one event in the Rose Garden. It was made clear that they didn't want us wearing masks," Dr. Birx said. "They didn't want us front and center and masked."
In March, the FDA issued an EUA for hydroxychloroquine.

Do you think you would have done the same thing if President Trump wasn’t touting it?

"Given the publicity around hydroxychloroquine, if there hadn’t been that publicity, the need…wouldn’t have been there."
Wow. The Dr. Redfield quote in full: "I was on more than one occasion called by the Secretary [Azar] and his leadership directing me to change the MMWR. Now, he may deny that but that’s true. The one time that was the most egregious was not only was I pressured by the Secretary…
…and his office and his lawyers, as I was driving home his lawyer and his chief of staff called and pressured me again for at least another hour, even to the point of accusing me of failing to make this change that would cost thousands of lives. And I finally hit a moment…
…in life where I said, enough’s enough. If you want to fire me, fire me, I’m not changing the MMWR."

Statements from former Secretary Azar and his staff refute Dr. Redfield's claim.
Dr. Birx describes the local strategy she took starting in the summer.

"I was not capable of keeping the White House on a message," she said. "[The VP] looked at me and said you do what you need to do. To me that was permission to take the message that I needed."
Were you being censored?

"Clearly someone was blocking me from doing it. My understanding was that I could not be national because the president might see it."
In August, Dr. Birx said that the U.S. was in a "new phase" of the pandemic.

"I got called by the president…I would say it was even more direct than what people have heard."

Were you threatened?

"I would say it was a very uncomfortable conversation."
cnn.com/2020/08/02/pol…
Towards the end of the year, Pfizer announces its clinical trial results. "I get a call on my cell phone and it's Albert Bourla. He said, 'Tony, are you sitting down?'" Dr. Fauci says. "He said it's more than 90%…It was just like this emotional catharsis."
Dr. Hahn says that he never received a call saying, "we want a vaccine before Election Day."

"Get it out as quickly as possible? Yes, to save lives.…we did not play politics with respect to the timing of the release of the data."
Both Dr. Hahn and Dr. Redfield believe their positions should not be political.

"Having a set term…I think there are real benefits to the consideration of that."

"This job should be a 7-10 year appointment.I think these are important jobs to get out of the political cycle."
Dr. Giroir: "I felt the lives of everyone’s grandmother on my shoulders."

Dr. Birx: "You can’t look at any of this and say it was okay."

Dr. Giroir: "We have a terrific sick care system. We don’t have a public health or well care system."
At the end of every autopsy is the primary cause of death.

Birx: "Not being as prepared as we thought we were and not implementing what we knew work."
Giroir: "Lack of transparency early on."
Redfield: "We lacked the public health infrastructure."
Fauci: "The environment in which the outbreak occurred in our country."
Hahn: "We were so divided."
Kadlec: "Hubris…there was this idea somehow we could weather our way through this."
"Where do we go from here? As bad as this was, it could be worse, and there will be another pandemic, guaranteed," Dr. Kadlec said.
Former Surgeon General Dr. Jerome Adams declined to be interviewed for this documentary. CNN reached out to former President Trump and Vice President Pence, to no response.
See more highlights here on CNN. cnn.com/health/live-ne…
And coverage from @JacqEHoward here.
cnn.com/2021/03/28/hea…

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More from @bhrenton

29 Mar
"Our progress in vaccination is a stunning example that there's nothing this country cannot do if we put our mind to hit and do it together," @POTUS says. "Our work is far from over. The war against Covid-19 is far from won. This is deadly serious." Image
President Biden announces that there will be 33 million doses of vaccine made available this week — a new record. This week, the administration will achieve the milestone of 75% of Americans over the age of 65 with at least one shot.
President Biden has directed @WHCOVIDResponse to ensure there is a vaccine site within 5 miles of 90% of all Americans by April 19.
Read 7 tweets
29 Mar
As @apoorva_nyc reports, the number of new Covid-19 cases in Florida has been steadily rising. With concerns of spring break spread, we are beginning to see in the data increased spread among the younger population. A short thread on the numbers:
nytimes.com/2021/03/28/wor…
First, let's acknowledge the limitations. While many young people are traveling to Florida for spring break, many will not test positive until they return home. Regardless, evidence from @danielmangrum shows that spring break 2020 did contribute to spread.
Using epi line list data of all 2 million+ cases in the state since the pandemic began, we are beginning to see an uptick in two age bands: 15-24 (orange) and 25-34 (red). These are increasing more steeply than other age bands. Image
Read 11 tweets
29 Mar
My thoughts: @drsanjaygupta excelled in dissecting every misstep of our pandemic preparedness and response in chronological order, pressing these officials on what they knew, when they knew it and the decisions they made as a result. History will remember those who were…
…complicit, those who did not speak the truth and hid behind the curtain while Americans perished. History will salute those like @RickABright, @OliviaTroye and others who spoke up and spoke truth to power. But above all, we must ensure…
…that future generations know the story of Covid-19 — the missteps, the mistakes and the lessons we learned — so that this large-scale American tragedy will never happen again. Our nation's heart grieves for the 548,828+ lives that have been lost from this pandemic…
Read 5 tweets
27 Mar
An update on the situation in Michigan, which continues to worsen. The state has the highest confirmed cases per capita of B.1.1.7 in the country and we are seeing rising case counts in Minnesota as well. Test positivity is at 9% in the last week.
Michigan and Minnesota currently have the highest sequenced B.1.1.7 cases per capita, according to the CDC. Curious to see if these trends are related.
Over time, sequenced cases in Michigan have risen beyond the national rate.
Read 5 tweets
26 Mar
A major study was announced today with 12,000 college students to help understand the impacts of Covid-19 vaccination on further spread and transmission. @lindsayaellis discusses the project here, which is funded by NIAID. Short thread on the study:
chronicle.com/article/when-t…
The study will take place at 21 universities, many large institutions, nationwide. About half of the students will receive the vaccine injections right away, and the other half will receive the vaccine a few months later. The students will each identify “close contacts.”
These close contacts, around 25,000 of them, will also be in the study. Information on specifics was presented in today's White House briefing. The clinical trial record is available here, for those interested in specific endpoints.
clinicaltrials.gov/ct2/show/NCT04…
Read 9 tweets
24 Mar
2,256,824 doses have been reported administered in the last 24 hours. 33% of adults have received at least 1 dose.

Doses Delivered: 169,223,125 (+4.9M)
Doses Administered: 130,473,853
7-day average: 2.49 million shots per day
Supply used: 77.1%

public.tableau.com/views/COVID-19… Image
North Dakota now leads the states with 88.1% of shots used. Image
Next week is the largest week for allocations yet, with over 20 million doses scheduled to be allocated to states.
Read 4 tweets

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