MR. ZIENTS: an excellent morning, and thank you because that joining us. Dr. Walensky, Dr. Fauci, Dr. Nunez-Smith and I will store our comments quick this morning so we can obtain to your questions.

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I’ll start with an update on our fight against the Delta variant. The Delta variant continues to journey a rise in cases, with instances concentrated in areas with lower vaccination rates.

In the past week, Florida has had more COVID cases than every 30 says with the lowest situation rates combined. And Florida and Texas alone have accounted for practically 40 percent of new hospitalizations throughout the country.

We all know that vaccinations room the very best heat of defense versus COVID and also how we end this pandemic. That is why we’ve been tireless in our initiatives to get much more and more Americans vaccinated.

For the an initial time due to the fact that mid-June, we’re averaging about a fifty percent million world getting recently vaccinated each and also every day. And overall in the last week, 3.3 million Americans rolled up your sleeve to obtain their very first shot.

In the previous month, we have doubled the average variety of 12- to 17-year-olds obtaining newly vaccinated every day — critical progress together millions of adolescents start heading ago to school.

Importantly, we’re see the most far-ranging vaccinations progression in states with the highest situation rates.

In fact, in the previous month, we have almost tripled the average variety of shots every day in Arkansas and also quadrupled in Louisiana, Alabama, and Mississippi.

So, we’re getting an ext shots in arms in the places that require them the most. That’s what that going to take it to end this pandemic: more vaccinations, an ext Americans doing their part and rolling up their sleeve.

Over the past few weeks, we’ve seen strong actions from throughout the public and private sectors to assist end the pandemic.

The President freshly announced vaccination demands for every 4 million commonwealth workers, and we are working come apply comparable standards come all federal contractors.

On Monday, the department of Defense announced its plan to add COVID-19 vaccines to the perform of vaccines compelled for more than 1.7 million energetic duty, reserve, and also National security personnel.

And simply this morning, the room of Veteran Affairs and also the department of Health and also Human services announced new requirements: all 350,000 VA health care personnel and also all 25,000 HHS medical care personnel need to now be fully vaccinated.

State and also local governments; medical care systems; businesses, little and large; universities; and also other organizations are likewise stepping up.

Since last week, Washington State; Washington, D.C.; and also Seattle have actually all embraced vaccination requirements, and more than 50 health and wellness systems across the nation have announced the all staff must be vaccinated, bringing the total to more than 200 health systems.

Just in the past 24 hours, Amtrak, McDonald’s, NBCUniversal, Discovery, and also Capital One all announced new rules that workers have to be vaccinated to go back to the office.

California announced all schoolteachers and also staff in the state, serving more than 6 million students, will certainly be forced to it is in vaccinated or tested weekly.

And the NEA and the AFT, 2 of the biggest unions in the nation — representing 5 million educators, childcare workers, and also school employee — both come out in favor of institution districts follow COVID-19 vaccination policies, including requirements for teachers and staff.

And across the country, practically 700 colleges and universities have announced vaccination requirements, which will certainly cover roughly 5 million students gaining ready to head ago to school.

So, clearly, vaccination demands are acquiring momentum throughout the country and also are currently covering 10s of millions of workers, educators, college and also university students, and also healthcare providers.

They will help keep people and also communities for sure and assist stop the spread out of the virus.

Here’s the bottom line: with vaccination requirements, employers have actually the power to aid end the pandemic.

As we drive progression on vaccinations, us are speeding up our initiatives to help states respond to outbreaks led to by Delta.

Our COVID-19 Surge response Teams have deployed more than 500 commonwealth personnel, consisting of hundreds of healthcare personnel in Louisiana, Mississippi, and Arizona to provide emergency clinical care.

CDC is ~ above the ground in Tennessee, Illinois, and also Missouri to assist local outbreak investigations and also vaccination efforts.

We’ve sent ambulances and paramedics come Missouri and also Louisiana. And also in Florida, we’ve stood up dozens of free testing sites and sent 200 ventilators to hospitals in the state.

And importantly, together Dr. Nunez-Smith will discuss, us sent 5 times as countless lifesaving therapeutics to says in July compared to June.

I’ll close through this: We are doing whatever we deserve to to get human being vaccinated and support state and also local leaders on the ground. Yet as we have actually said native the start, ending this pandemic calls for every American doing their part.

So, please, if you’re unvaccinated, acquire your shot. The free, that convenient, that works, and it’s never been an ext important.

With that, let me hand it end to Dr. Walensky.

DR. WALENSKY: give thanks to you, Jeff. Great afternoon.

Let’s begin with an overview of the data. Yesterday, CDC report 132,384 new cases that COVID-19. Ours seven-day median is around 113,000 cases per day, and this represents boost of virtually 24 percent from the prior seven-day average.

The seven-day median of hospital admissions is at around 9,700 per day, boost of about 31 percent indigenous the front seven-day period. And also the seven-day average of everyday deaths has also increased come 452 per day, rise of 22 percent indigenous the prior seven-day period.

We proceed to watch cases, hospitalizations, and deaths increase throughout the country. And now, end 90 percent that counties in the United claims are experiencing an extensive or high transmission.

As we have been saying: by far, those at highest possible risk remain world who have not however been vaccinated. This week, we space taking two essential steps in encouraging and improving vaccine protection for Americans.

First, because that pregnant human being who space at higher risk that severe condition from COVID-19, we are strengthening our guidance and recommending that all pregnant people or world thinking about becoming pregnant acquire vaccinated.

We now have brand-new data that reaffirm the safety and security of our vaccines for people who room pregnant, consisting of those early on in pregnancy and around the moment of conception. This data build on previous evidence from three security monitoring solution that did not find any kind of safety concerns for pregnant world who room vaccinated late in pregnant or for your babies.

Now these brand-new data discovered no boost in the threat for miscarriage among people who obtained an mRNA COVID-19 vaccine prior to 20 mainly of pregnancy.

Clinicians have seen the variety of pregnant civilization infected v COVID-19 increase in the previous several weeks. The raised circulation that the highly transmittable Delta variant, the general low vaccine uptake amongst pregnant people, and also the raised risk of major illness and also pregnancy complications pertained to COVID-19 infection among pregnant people make inoculation for this population more urgent than ever.

Second, I want to take it a minute to discuss what we space doing to aid increase protection against COVID-19 for certain individuals who are moderately and severely immunocompromised.

As we’ve been saying because that weeks, arising data display that details people who room immunocompromised, such as world who have had actually organ transplant and also some cancer patients, may not have had actually an enough immune an answer to simply two sheep of the COVID vaccine.

To be clear, this is a very tiny population. We estimate it to be much less than 3 percent that adults. 

We’ve been functioning to recognize how best to provide increased security to this vulnerable world who are disproportionately affected by severe outcomes because of COVID-19. FDA is working v Pfizer and also Moderna to permit boosters because that these delicate people.

An additional dose could aid increase protections because that these individuals, i beg your pardon is especially important as the Delta different spreads.

Following the FDA’s decision, CDC will organize a meeting of that is Advisory Committee on Immunization techniques tomorrow to talk about this issue and also offer their professional insights and also recommendations. We look front to the discussion and to helping assistance this breakable population.

At this time, only specific immune endangered individuals might need second dose. Emerging data, including from a far-reaching study released in the new England newspaper of medicine yesterday, present that there’s an amplified antibody response after an additional dose of one mRNA COVID-19 vaccine in some immunocompromised people.

This activity is around ensuring our most vulnerable, who may need secondary dose to improve their biological responses to the vaccines, are much better protected against COVID-19.

The science and also resulting data in this pandemic are moving extremely rapidly. The U.S. Government, in turn, is moving swiftly to analyze the science and make the referrals most appropriate to defend Americans. We understand our vaccines room safe and also effective. And if you have actually not acquired a vaccine yet, please execute so today.

Thank you. I’ll rotate things over to Dr. Fauci.

DR. FAUCI: thank you really much, Dr. Walensky.

So, it’s becoming really clear currently — if you walk to the first slide — that us are taking care of a an international outbreak the the Delta variant. I keep updating this slide; it currently shows that at the very least 117 countries now have the Delta variant due to the fact that it was first detected in June of 2020.

So, let’s just review some of the elements of Delta to help put it into the context of what we’re talk about. We know the transmissibility — that it’s better than the Alpha variant, at the very least two times as great. This renders a significant difference in transmissibility. The viral load is as much as 1,000 times higher in the nasalpharynx of world with Delta than Alpha, i m sorry is a mechanistic factor why you have actually such a tremendous rise in transmissibility.

Next slide.

In vault reviews before this group, i have presented this slide, in checking the boxes as to the proof of protection against SARS-CoV-2 Delta variant. There to be one glaring, lacking check in vault iterations that this, and also that remained in the J&J clinical effectiveness.

Next slide.

I had actually showed you before this slide looking in ~ data the immune responses in vitro. And also this was the J&J vaccine study, which proved that that elicited durable antibody and cellular responses against Delta with minimal decreases for at the very least eight month after immunization.

Next slide.

We now have a slide that recently — a research that newly came the end from south Africa and other southern African countries — it’s called the Sisonke research — involving around 478,000 medical care workers. And this is real-world effectiveness versus Delta, with a 91 come 96 percent protection versus Delta, and then 71 percent protection versus hospitalization.

And remember, I verified you before that the to trust of the immune solution is the end to eight months. And this is the first real-world data to show the effectiveness of J&J native this challenging epidemiological setting of Delta, specifically in the context of world who could have HIV.

Next slide.

Finally, if you look at breakthrough infections — i beg your pardon are unavoidable with any kind of vaccine, since no vaccine is 100 percent effective — together you can see, together we’ve seen in other studies, the breakthrough infections, specific infections that happen in the setup of complete vaccination, were mild in 96 percent, middle in 3 percent, major in much less than 0.05 percent, with fatality in much less than 0.05 percent.

So, I’ll protect against there and hand it over to Marcella Nunez-Smith.

DR. NUNEZ-SMITH: thank you so much, Dr. Fauci. And an excellent afternoon come everyone. Today, I’ll simply take a couple moments. I desire to update you on inoculation equity, and on the importance of COVID-19 therapies.

So, first, once it pertains to vaccinations and also equity, crucial to keep in mind that the bulk of human being who are obtaining vaccinated through the straight federal programs room self-identifying as people of color — therefore that’s through ar health centers, with dialysis centers, and also at our Federal retail Pharmacy partners.

In a sense, chairman Biden made all adult in the U.S. Eligible for vaccine on April 19th, and the bulk of individuals receiving vaccines have identified as civilization of color.

So that is remarkable progress, but it does not readjust the fact, as we’ve been discussing, that there is, the course, still an ext work come do.

And the work in this step of the vaccination campaign remains hyperlocal. And that’s why the Biden-Harris management will continue to work simply hand in hand v states and also territories, Tribes, urban — always centering our partnerships through faith-based and also community-based organizations, sustaining that reliable outreach occupational that demands to be done.

I simply want to carry out a pair examples the the administration’s source commitment to engage partnership. Friend know, in June and July, the federal administration awarded over $240 million to support community-based workers, community-based initiatives — really widening local, tailored opportunity to develop both vaccine confidence and also vaccine access.

This past week, the CDC officially launched the Partnering for Vaccine same program. That’s an investment of $120 million in grants that have actually been awarded.

And later on this week, $20 million will certainly be dispersed specifically to aboriginal Hawaiian communities.

In meeting people where castle are, cooperation is for this reason powerful. And also many that the tremendous partners act this work-related are wellness centers. This is national Health center Week. And on instead of of the administration, I want to say say thanks to you to health and wellness centers across the country: your commitment, her dedication reaching underserved teams — health centers on the frontline in vaccine administration, in testing, and in the management of safe, reliable therapies.

As Jeff pointed out earlier, this therapies do incorporate monoclonal antibodies. And also I desire to talk a minute around those, however to people throughout the country, allow me simply reiterate: The best strategy come remain protected from the worst of COVID-19 is to get totally vaccinated.

But if you acquire COVID-19 and you’re in ~ high risk, I want to guarantee you around these therapies. The monoclonal antibodies work. They are safe. They’re free. Castle keep people out that the hospital and help keep castle alive.

And our surge teams have actually been working very closely with states, boosting access, provider uptake, and also patient confidence. We’ve conducted virtual trainings because that physicians and health mechanism officials. And this has been — you know, in Arizona, Nevada, Utah, Wyoming, with much more to come in Alabama and also elsewhere.

And in fact, in Arizona, we have actually a commonwealth clinical team ~ above the ground now, help to collection up and also run 2 sites to carry out these treatments. And also those efforts are paying off.

Now, of the COVID-positive patients the Arizona team has actually treated so far, no one has compelled hospitalization after that treatment.

But we can additionally report the we’ve surged shipping to the states with the highest possible rates of neighborhood transmission. For example, Florida shipments raised over eightfold end the previous month.

And in July, more than 108,000 therapies were shipped everywhere the nation by the commonwealth government. And as Jeff mentioned, this represents an ext than a fivefold boost nationally indigenous June.

Over the food of the entire pandemic, more than 600,000 patients throughout the nation have obtained monoclonal antibody treatments; that’s hospitalizations averted and also lives saved.

So, the Biden-Harris management continues come stand ready to help states and also territories and jurisdictions throughout the nation to get much more people associated to testing, to treatment, and, absolutely, come vaccination.

So, give thanks to you therefore much. And with that, I’ll turn it ago over come you, Jeff.

MR. ZIENTS: Okay, well, say thanks to you, doctors. Let’s open it up because that questions.

First question.

MODERATOR: Sabrina Siddiqui in ~ The wall surface Street Journal.

Q Yes. Hi, say thanks to you so lot as constantly for doing the briefing. We’re seeing a rising number of children being infected with COVID-19. So, I have actually a two-fold question: Is over there data to imply that the Delta variant is an ext virulent in children? and also given that increase, room you still i was sure that schools can fully reopen because that in-person instruction, or are you considering further alters to the guidelines?

MR. ZIENTS: Let’s begin with Dr. Fauci on the first part that the question, and also then Dr. Walensky on school openings.

Dr. Fauci.

DR. FAUCI: say thanks to you, Jeff. Well, in answer come the an initial part of her question: There’s no doubt the there are more children acquiring infected. As I mentioned in among my slides, the Delta different is much much more highly transmissible than was Alpha. So, provided that, you will certainly see more children likely gain infected.

And due to the fact that you have a specific percentage of children, also though the percentage is small, a certain percentage of youngsters will call for hospitalization. So, quantitatively, you will certainly see an ext children in the hospital.

Regarding the severity the illness, there to be a couple of studies, mostly international, which argued that Delta was more severe in adults, specific causing an ext (inaudible) relative percentage of hospitalization and much more severe disease.

With regard to children, this can possibly be the case, however we space not seeing this in a critical way. The only thing we recognize for certain is that an ext infections mean an ext children will be in the hospital.

With regard come the school component — around that, i think we’ll go ago to Dr. Walensky.

DR. WALENSKY: give thanks to you, Dr. Fauci. And thank you, Sabrina, for that question.

What we recognize is that where we have higher rates of infection amongst children is where we have actually lower prices of vaccination, in general — greater rates of neighborhood transmission.

We execute know just how to save our youngsters safe. We know how to execute so in schools. And we understand that most of the infections that is comes in with — into schools is comes from high prices of an illness in the community.

So, the best method to store our colleges safe — and also we know exactly how to execute it — is to vaccinate anyone who deserve to be vaccinated, vaccinate household members of children who cannot however be vaccinated, and also then to monitor the mitigation techniques in our institution guidance, including masking in schools.

MR. ZIENTS: The one point I’d include there is, due to the passage of the American Rescue setup several month ago, every schools have the resources to carry out those mitigation strategies.

Next question.

MODERATOR: mock Wingrove at Bloomberg.

Q Hi, say thanks to you. Can you offer us an upgrade on the arrangement to start shipping those 500 million Pfizer doses that was meant to commence this month? has actually that started? and what kind of pace will certainly we check out in the coming weeks? give thanks to you.

MR. ZIENTS: Thanks, Josh. The 500 million Pfizer doses that were announced in June to be donated to the world — those shipments do begin this month, and we will certainly ship a complete of 200 million by the finish of this year — this calendar year, with the remaining 300 million transport no later than the very first half of 2022. So, every little thing is top top schedule there, Josh, and also shipments are beginning in the following several days.

Next question.

MODERATOR: following question. Let’s walk to Weijia in ~ CBS.

Q Thanks, Kevin. And thanks for taking my question. Mine — a rapid follow-up ~ above Sabrina’s. What is the latest data around children and also long-haul symptom after they recover also from gentle cases?

And then, Jeff, because that you: now that an ext entities are requiring vaccines, is the management reconsidering something choose a QR code or a passport to help verify people’s inoculation status? and if not, what space you act to prevent the proliferation that fake vaccine cards? thank you.

MR. ZIENTS: Okay. Dr. Walensky, top top the children, long-COVID question.

DR. WALENSKY: Right. Say thanks to you for that question.

We are analyzing long COVID in children, and also we room seeing long-COVID symptoms — greatly fatigue and headache. They appear to it is in happening at rates that are lower than they are in adult — in the 2 to 3 percent. But, that course, data v Delta and also long COVID will should be adhered to differently and longitudinally together we have actually been through Alpha. So more data to monitor on that.

MR. ZIENTS: you know, top top to inoculation verification: There space a number of ways human being can show their vaccination status. Companies and also organizations and the federal government are taking various approaches. And, you know, us applaud this innovation.

There will certainly be no federal inoculation database. As with all various other vaccines, the info gets held at the state and local level. But any kind of system that is developed, in the exclusive sector or elsewhere, have to meet crucial standards, including affordability, being accessible both digitally and on paper, and, importantly, protecting people’s privacy and security.

The second component of your question — girlfriend know, we are mindful of some situations of fraud or counterfeit COVID-19 cards being advertised on social media sites and eCommerce platforms. When the practice is not widespread, girlfriend know, I will certainly remind everyone the it’s a crime and also the Office that the Inspector General, the room of Health and Human solutions is investigating these schemes.

Next question.

MODERATOR: Cheyenne Haslett at abc News.

Q Hi, many thanks for acquisition my question. I desire to monitor up top top a question from critical week about the hospitalization rates for unvaccinated versus vaccinated people. The CDC has been speak it’s 97 percent of civilization winding increase in the hospital who room unvaccinated. Has that number readjusted with Delta? and do friend have far better numbers on the efficacy, yet, Dr. Walensky?

DR. WALENSKY: give thanks to you. The 97 percent was data indigenous January through might — January, sorry, through June. And, that course, with an ext and much more people being vaccinated and with the Delta variant, those numbers room fluid, and we’re continuing to advice those.

Next question.

MODERATOR: Let’s go to Kelly Lienhard at Inside health Policy.

Q Hi, many thanks for taking my question. There have been reports indigenous CDC that over a million people have already gotten unauthorized 3rd doses of mRNA vaccines. Do you understand if personal insurances and Medicare room still extending the administration fee for these shots even though they’re no recommended currently?

MR. ZIENTS: Dr. Walensky.

DR. WALENSKY: Yeah, we room doing an testimonial on that simply to do sure and understand — and we have actually the volume to track this and also to know the practice. Numerous of this are developing in the context of world who may believe they room — merit one more shot, might be severely immunocompromised and are doing so in advancement of our recommendations.

The one thing I want to to mark in the context of this is that it does undermine our capability to monitor safety in this contexts. So, we are asking civilization to monitor our guidance, to monitor what ACIP will say and the FDA will say in the coming day — several days, and also to follow references so we can we have the right to follow safety and security signals below as well.

Next question.

MODERATOR: last question. Let’s go to Michael Erman in ~ Reuters.

Q Hi. Dr. Fauci stated this morning on one interview that he trust boosters, in general, room an inevitability. I’m simply wondering just how soon you expect that you might make a decision top top that. And what sort of data are you trying to find to make that decision?

DR. FAUCI: Well, as soon as I made that statement — it’s a true declare that we believe, sooner or later, friend will require a booster because that durability that protection.

Right now, friend know, (inaudible), together we mentioned, we are analyzing this ~ above a day-by-day, week-by-week, month-by-month basis, looking at any kind of of a number of studies, both international and also domestic studies. And as we’ve stated countless times, ideal at this minute — except the immunocompromised, which was just debated — we execute not believe that rather — elderly or nonelderly — who room not immunocompromised, require a vaccine appropriate at this moment. However this is a dynamic procedure and the data will be evaluated.

The one point we room doing is we are preparing because that the eventuality of doing that. So, if the data mirrors us the in truth we do have to do that, we’ll be very ready to do it and also do the expeditiously.

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MR. ZIENTS: Yeah, I’ll simply emphasize what Dr. Fauci ended with, i beg your pardon is if and also when over there is a decision, we space prepared. We have the supply, and also people will have the ability to get a booster in a fast and also efficient way — if and also when the scientific research dictates.

Thank you. And I look front to seeing everybody at the following briefing.

1:08 P.M. EDT

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