23 ordspråk av Dr. Anthony Fauci

Dr. Anthony Fauci

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We have a vaccine we know can spur an immune response, albeit at very high doses. We're going in the right direction. The sobering news is we have a long way to go. So it's muted good news.

It's obviously a small step, but at least we have something that could buy us some time. It would probably go to first-responders _ especially hospital personnel _ in case of an emerging pandemic.

With seasonal flu, the response rate in healthy young adults ranges from 60 to 90 percent. We all hoped for 70 percent with this vaccine, but it wasn't to be. The next step is to give a booster to those who failed to respond, which we're already doing. Earlier studies have shown a third shot often increases immunity dramatically.

We have a long way to go.

We hoped to see a 75 percent response rate, but the fact it came in at 50 percent is not way out of line for our expectations.

Developing a vaccine doesn't mean we will stockpile it to a great extent.

The surveillance is going to be so intense that it is very unlikely that there is going to be the type of situation we see everywhere from Nigeria to Indonesia.

One migratory bird does not a pandemic make.

It won't be what you see in countries in which there is no regulation, in which there is no incentive to compensate farmers, in which the people, who are so poor, when they see their chickens are getting infected they immediately sell them or they don't tell anybody because they don't want them culled. That is a critical issue that is fundamentally different than what we see in Western Europe and that we will see in the United States.

It is entirely conceivable that this virus is inherently programmed that it will never be able to go efficiently from human to human. Hopefully the epidemic (in birds) will burn itself out, which epidemics do, before the virus evolves the capability of being more efficient in going from human to human.

At the end of the day, you have a broader, more favorable, beneficial effect on society by preventing the spread by vaccinating the spreaders ? not the grandpa who sits at home watching TV and doesn't go out and spread it to anybody but is concerned about it coming into the house. There has not been a policy change in that, but it is under very active discussion.

People ask me, 'How worried should we be?

That is a critical issue that is fundamentally different than what we see in Western Europe and that we will see in the United States.

It will take years to get stockpiles to the point you can effectively use it at the doses you want.

It is unclear whether the mutation occurred in the person or whether it occurred in the chicken.

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