Fauci “Shares Insights on His Career” and the (On-Going) Covid Pandemic

By Lambert Strether of Corrente.

From 1984 until 2022, Anthony Steven (“Tony”) Fauci’s power base was the National Institute of Allergy and Infectious Diseases (NIAID), one of 27 institutes and centers that make up the National Institutes of Health[1]. Fauci has advised every US President since Ronald Reagan. He is now a distinguished Professor at Georgetown University. Reason magazine describes Fauci’s clout:

[His post as NIAID director] made Fauci the federal government’s de facto top pandemic expert across the dozens of agencies—from the Centers for Disease Control and Prevention (CDC) to the Food and Drug Administration to the Office of the Surgeon General—that share responsibilities for preventing and responding to disease outbreaks. Fauci steered the U.S. government’s response to AIDS, Zika, Ebola, and swine flu. He oversaw billions in annual research grants aimed at stopping the next disease outbreak.

When COVID struck, Fauci was the face of public health when public health was all anyone was talking about.

Clout unblemished by democratic accountability. Sam Adler-Bell:

There is no one in American government — or perhaps any government — quite like Dr. Anthony Fauci. His position, with its mixture of informal power and public visibility, scientific authority and beltway influence, is sui generis. Few other unconfirmed civil servants have access to as many rooms in the executive interagency; no public official commands as much respect in the world of science and medicine.

And clout used, naturally, only for good. Scientific American:

Researchers who Nature spoke to say that Fauci will be best remembered for his unwavering dedication to research and the development of treatments for HIV, as well as for his uncanny ability to communicate directly and clearly to the public.

Matters occurrent have prevented me from giving Tony Fauci the full yellow wader treatment, which he richly deserves; but I would also have needed to understand Fauci’s complex role in the AIDS crisis, which remains controversial. Anyhow, he’s still out there selling books doing interviews, so I thought I’d look into last week’s, which didn’t get any coverage at all, except for a few irritated tweets.

In what follows, I’m going to be quoting great slabs from that interview: “Dr. Anthony Fauci Shares Insights on His Career and Leadership of the NIAID,” published September 16, 2024 in Pathogens and Immunity[2]. After each slab, I’ll add some commentary (though for most I’ll be relying on common knowledge in the NC commentariat, being, again, pressed temporally). I think we will be able to reverse engineer much of Covid policy from what Fauci says and his personal history. The quotes are more or less in order–

Fauci’s Choice of Field

[FAUCI:] The thing that attracted me about infectious diseases, and I’ll talk about immunology in a moment, was wanting to be able to have a target of my work. There are many diseases, that we all are aware of, that have multifaceted components — cardiovascular, immunity, GI, and endocrinology. With infectious disease, you had a target. It was an individual agent that was causing the disease. Usually the disease is preventable, and usually it’s entirely treatable; if not entirely treatable, cer-tainly suppressible, as we’ve done so successfully with HIV. Also, I wanted a disease in which the stakes are high.

Lambert here: Fauci appears to be an adherent of Maggie Thatcher: “There is no such thing as society.” For example, cholera is an infectious disease. But John Snow didn’t need to wait to find the “individual agent.” He took the handle off the Broad Street pump. The analogy between waterborne transmission of cholera and airborne transmission of Covid is exact, but a blind spot for Fauci.

Fauci’s Childhood

[FAUCI:] My father was a pharmacist in a small pharmacy that he owned in the Bensonhurst section of Brooklyn. That was a very long time ago. That was in the 1940s and 1950s. At that time the neighborhood pharmacy was sort of like the hub of the neighborhood advice about medicine. And, unlike the chain pharmacies of CVS and Walgreens of today, it was kind of the doc of the neighborhood: family counselor, neighborhood psychiatrist, and person who you would go to if you didn’t have enough money to go to a physician. You could get free advice from the pharmacist. So, the idea about service to others was something that I kind of grew up with from the time I was a child.

Lambert here: So pharma — today, Big Pharma — has occupied the central position in Fauci’s worldview since he was a boy.

Fauci on Vaccine Development

[INTERVIEWER] So COVID shows up, becomes a pandemic, and amazingly an effective vaccine was developed incredibly rapidly. What are the implications of that for us?

[FAUCI] There are a lot of major implications and collateral implications. The major implication is the importance of investment in basic and clinical biomedical research. Because if you look at the investments that were made in the mRNA platform technology, you go back and look at the first paper that modified the mRNA to allow it to avoid an inflammatory neutralization, to be able to be used as a vaccine was a 2005 paper in Immunity by Katalin Karikó and Drew Weissman

Lambert here: The question is wrong, because several effective vaccines were developed under Operation Warp Speed (of which more later). And speaking of Big Pharma, Fauci’s answer is wrong: He identifies “vaccine” with “mRNA vaccine,” ignoring inactivated virus vaccines like Sinovac, protein-based vaccines like Novavax, or adenoviral DNA vaccines like AstraZenaca. (NOTE This is not a post about the merits of various vaccine technologies. My point is that Fauci, again, has a blind spot. He is only able to focus on mRNA.)

[FAUCI] When the body shows you that it can make an adequate immune response that can clear the virus and protect you, then that is a road-map to a vaccine. If you get infected with measles or infected with polio, even though there’s a degree of morbidity and mortality, the overwhelming majority of people survive and are left with immunity that protects them against reinfection. And when you have a pathogen that doesn’t change much, like measles and polio, you can use the body’s natural immune response as a roadmap to developing a vaccine. That’s exactly what happened with COVID.

Lambert here: I believe Fauci is wrong to say “clear the virus.” My recollection is that in fact the body does not neecessarily clear the virus, even taking the weasel words “the overwhelming majority” into account. Being pressed temporally, I must rely on memory, but studies keep coming out showing viral reservoirs, certainly in the gut, and also in the nervous system and the brain (I think a Swedish study of about 20 autopsies found SARS-CoV-2 in every brain).

[FAUCI] So, what Operation Warp Speed [OWS] did is not only did it finance and bankroll clinical trials of 30,000 people per trial, but it pre-manufactured the vaccine before we knew it even worked, so that as soon as the clinical trial showed that the vaccine was highly effective. Bingo. We have tens of millions of doses of vaccine available to go. So, it’s got to be investment in science and bold investment in combination with the pharmaceutical companies. And the reason I say that is we can do that with any disease.

Lambert here: Fauci is correct that OWS had a great business model and was, administratively, a brilliant success. There are many, including me, who would quarrel with “the clinical trial showed that the vaccine was highly effective.” Notice again that Fauci erases multiple vaccines with “the vaccine” (I assume Pfizer). Finally, I don’t see why “it’s got to be” a public-private partnership. The Manhattan Project wasn’t. Etc.

Fauci on Vaccine Effectiveness

[FAUCI] What we learned from experience, and you know the people who criticize the scientists and criticize the public health officials say, “You told us it was going to protect.” We made an assumption, that protection would remain at a high level, and it didn’t. It was lower than we wanted to begin with, and it didn’t stay very long. One of the things that is curious is the duration of the protection of a mRNA vaccine. Now, I don’t know whether that’s a peculiarity of a coronavirus or the peculiarity of the mRNA platform. But we know when we vaccinate somebody, the protection is not measured in decades. It’s measured in months to a year. That’s the issue that we’ve got to work out.

Lambert here: Yeah, oopsie. “The people who criticize” are 100% correct. And take all the time you need to “work out” that issue.

Fauci on Vaccine Hesitancy

[FAUCI] Well, it’s a very difficult problem. And one of the things that we’ve learned is that vaccine hesitancy and not wanting to get vaccinated comprises a broad spectrum of people. From those who are inherently anti-vax, anti-science and those who are hesitant because they need more information. So, you’re not going to change the mind of a completely recalcitrant person, who, no matter what you say, is against it. And that person is probably more anti-science than anti-vax. But there is a substantial proportion of people who are hesitant, that [we can perhaps persuade] if we in a good faith and transparent way reach out to them and try to get them to understand the data and the science associated, and don’t sugar-coat anything. If we talk in real terms and say that no intervention is 100% safe, but the risk-benefit of vaccinations over decades and decades and decades has proved overwhelmingly in favor of the positive aspect of vaccines. We just need to keep talking about that and not condemning people who are hesitant. We should not tire of reaching out to them and trying to explain to them in pure, simple, scientific terms and risk-ben-efit terms why it’s important to get vaccinated.

Lambert here: Holy moley. “You told us it was going to protect.” And it didn’t. All the “vax and relax” messaging was nothing but sugarcoating. So now you want to be seen as acting in “good faith” with “transparency”?

Fauci on Masks

[INTERVIEWER] How effective are masks —if we wear them, if we wear them well or if we wear them not well —how good are they?

[FAUCI] Thank you for asking that question, because there’s a lot of misinformation and disinformation [no kidding –lambert]. A properly fitted mask worn consistently — of an N95, and to a lesser extent a KN95 — clearly is protective. There are studies now that clearly take the fog away from the question: Do they protect or not? They clearly are protective. Are they 100%? No, of course not. Because people wear masks, and then every once in a while they take them off because they have to go eat on a plane. People say, ‘Well, I wore it for the entire time, except when I was eating.’ Well, sorry about that.

Lambert here: There was no fog; NIOSH recommended masks in the workplace, up to and beyond N95 levels, for years before Covid (the ignorance and malice of hospital infection control is another matter). And much of the disinformation and misinformation was generated by Fauci himself, and the public health establishment.[3]

[INTERVIEWER] What about the case of mask mandates, are they worth trying? Clearly, it must be the case based on what you just said, and that was my own expectation: that they’re effective if worn properly. When we’re applying it on a mass scale, at least in the social context in the US, is that going to work in the future?

[FAUCI] Well, I think the mood of our society has said, in a perfect world, if you had a society that didn’t have that strain of independence — you can’t tell me what I’m going to do with my life — that mask mandates would work just like other mandates, because it would get virtually everybody to wear a mask. I think the pushback against any mandate of anything thus far may turn out to be counterproductive, unfortunately.

Lambert here: When I watch how social norming was engineered and operates against masks, I have great difficulty believing in “that strain of independence” at all.

Fauci on Aerosols

[INTERVIEWER] One of the issues that I took note of, particularly during the early months of the COVID pandemic, was use of the word “airborne” in describing pathogens. As you no doubt remember, initially, people were saying that SARS-CoV-2 was spread through droplets. And then, I think, over time, eventually it was accepted that it can also spread as aerosols. And there were some people who were not using the word airborne, or didn’t think the word airborne applied to droplets, which I find odd because droplets are suspended in air. Do you have any thoughts about whether that term should be used for both situations.

Lambert here: “People were saying.” Note lack of agency! The “people” were WHO and CDC (which is fighting aerosol transmission to this very day).

[FAUCI] I think that if you look at the aerodynamic experts who are now getting involved. They’re saying that droplets themselves hang around much longer than we thought they would. True aerosol obviously floats around for very extended periods of time. So, I think that the use of the word air-borne is probably going to avoid confusion. Anything that you get through the air, be it a droplet or a classic aerosol, is an airborne pathogen. I would think that sooner or later, if we incorporate that, it’s going to be less confusing. The aerodynamic people absolutely insist that this idea that if you have a droplet, it drops in 3 feet, is not so.

Lambert here: These scientists (not experts) are aerosol scientists, not “aerodynamics” scientists (and “classic” aerosol as opposed to what? A post-modern aerosol?). Clearly, aerosol tranmission is another blind spot for Fauci. In fact, you have to wonder if he’s as familiar with the literature as we would expect a scientist of his eminence to be:

Conclusion

Reviewing, I don’t think how Fauci went so wrong with Covid — that is, if over a million deaths in a field in which he is the acknowledged expert is the appropriate metric — is all that complicated. Leave Trump out of the equation, and figure Biden, given the stopgap of vaccines from OWS, could have rectifed Trump’s errors by implementing a national layered strategy with airborne transmission at the heart, including masking, ventilation, testing, and not necessarily vaccine mandates (given the other layers). None of that happened, and we got vax-only. Fauci was Biden’s chief medical advisor and “one of the leaders” of the White House COVID-19 Response Team (and given his “clout,” I would be willing to say “the leader”). Well, if I wanted to pick a dominant infectious disease expert who would bet the entire country’s farm on vax-only, what would they look like? They would look like a person with Fauci’s blind spots:

1) They would identify public health with the treatment of “individual agents”;

2) They would have put pharma at the center of their lives since childhood;

3) They would focus on a single vaccine technology, the one produced by the pharma manufacturer with the most political clout;

4) They would, “eternal sunshine of the spotless mind”-style, have the ability of note mistakes while evading accountability and promising future transparency;

5) They would butcher the implementation of non-pharmaceutical interventions;

6) They would would be ignorant or dismissive of airborne (aerosol) tranmission.

That’s Tony Fauci. No wonder we are where we are.

NOTES

[1] “Institutes,” plural, just like “Centers” in “Centers for Disease Control and Prevention.” What is it with the weirdly accretive institutional structures of these Federal Health agencies?

[2] Pathogens and Immunity ranks 107 of 265 at Research.com. They claim a 2022 Scopus CiteScore of 8.7, and a 2023 CiteScore tracker of 11, all of which I take to mean respectable, though not top-ranking.

[3] From Adler-Bell:

Then there was the mask fiasco. In February and March, Fauci, the World Health Organization, and the CDC all recommended against protective masks for non-symptomatic members of the public. Their line was: don’t bother. On February 19, Fauci told USA Today, “In the United States, there is absolutely no reason whatsoever to wear a mask.” On March 8, as scientists estimated tens of thousands of undetected Covid cases in the US, Fauci told 60 Minutes, “There’s no reason to be walking around with a mask. When you’re in the middle of an outbreak, wearing a mask might make people feel a little bit better and it might even block a droplet, but it’s not providing the perfect protection that people think that it is.” In the same interview, laying the foundation for a fog of disinformation that is still very much with us, Fauci suggested wearing a mask might actually increase the risk of contracting the virus, “Often, there are unintended consequences — people keep fiddling with the mask and they keep touching their face.”

Two weeks later, at an April 3 press briefing, the White House reversed its guidance. Now authorities were advising us to wear “non-medical cloth” face-coverings in public spaces. (Fauci didn’t attend that briefing, prompting a round of “where is Fauci?” speculation from his fans on Twitter, but also sparing him the embarrassing display.) Surgeon General Adams, who had tweeted on February 29, “Seriously people- STOP BUYING MASKS! They are NOT effective in preventing general public from catching #Coronavirus,” acknowledged that the shifting guidance had been “confusing to the American people.” (I’ll say.) And Trump, adopting a vague and unhelpful line on masks, one he’d maintain basically until contracting the virus himself, said, “It’s going to be, really, a voluntary thing. You can do it. You don’t have to do it. I’m choosing not to do it, but some people may want to do it, and that’s okay. It may be good.”

The flip-flop was a blow to the integrity of public health experts. It fueled and credited the suspicions of conspiracists — right-wing media outlets continue to insist that masks don’t help, cause health problems, and that mandating them is an oppressive imposition of the liberal nanny state. And it provided an opening for Trump to sow further doubt and confusion. “Dr. Fauci said don’t wear a mask,” Trump complained to Fox News in July. “Our Surgeon General, terrific guy, said don’t wear a mask. Everybody was saying don’t wear a mask. All of a sudden, everybody’s got to wear a mask. And as you know, masks cause problems too.”

When the guidelines changed, Fauci cited two factors: (1) the Covid taskforce had feared that a run on medical-grade masks — specifically, N95s — would deprive healthcare providers dealing with sick patients every day, and (2) new confirmation that asymptomatic carriers were transmitting the virus. In retrospect, neither of these explanations was sufficient. The latter explanation relied on a scientific ambiguity. Asymptomatic spread had in fact been confirmed in January 2020, by Fauci himself.

READER NOTE

Please, no quotes from Kennedy’s The Real Anthony Fauci. Both Yves and I have cracked it, and let us just say that it is inarguably very far from being a work of scholarship, or even journalism. Also, there is one topic not covered in the interview: The Covid origins controversy. That too is out of scope for both this post and comments.

NOTES

[1] “Institutes,” plural, just like “Centers” in “Centers for Disease Control and Prevention.” What is it with the weirdly accretive institutional structures of these Federal Health agencies?

[2] Pathogens and Immunity ranks 107 of 265 at Research.com. They claim a 2022 Scopus CiteScore of 8.7, and a 2023 CiteScore tracker of 11, all of which I take to mean respectable, though not top-ranking.

[3] From Adler-Bell:

Then there was the mask fiasco. In February and March, Fauci, the World Health Organization, and the CDC all recommended against protective masks for non-symptomatic members of the public. Their line was: don’t bother. On February 19, Fauci told USA Today, “In the United States, there is absolutely no reason whatsoever to wear a mask.” On March 8, as scientists estimated tens of thousands of undetected Covid cases in the US, Fauci told 60 Minutes, “There’s no reason to be walking around with a mask. When you’re in the middle of an outbreak, wearing a mask might make people feel a little bit better and it might even block a droplet, but it’s not providing the perfect protection that people think that it is.” In the same interview, laying the foundation for a fog of disinformation that is still very much with us, Fauci suggested wearing a mask might actually increase the risk of contracting the virus, “Often, there are unintended consequences — people keep fiddling with the mask and they keep touching their face.”

Two weeks later, at an April 3 press briefing, the White House reversed its guidance. Now authorities were advising us to wear “non-medical cloth” face-coverings in public spaces. (Fauci didn’t attend that briefing, prompting a round of “where is Fauci?” speculation from his fans on Twitter, but also sparing him the embarrassing display.) Surgeon General Adams, who had tweeted on February 29, “Seriously people- STOP BUYING MASKS! They are NOT effective in preventing general public from catching #Coronavirus,” acknowledged that the shifting guidance had been “confusing to the American people.” (I’ll say.) And Trump, adopting a vague and unhelpful line on masks, one he’d maintain basically until contracting the virus himself, said, “It’s going to be, really, a voluntary thing. You can do it. You don’t have to do it. I’m choosing not to do it, but some people may want to do it, and that’s okay. It may be good.”

The flip-flop was a blow to the integrity of public health experts. It fueled and credited the suspicions of conspiracists — right-wing media outlets continue to insist that masks don’t help, cause health problems, and that mandating them is an oppressive imposition of the liberal nanny state. And it provided an opening for Trump to sow further doubt and confusion. “Dr. Fauci said don’t wear a mask,” Trump complained to Fox News in July. “Our Surgeon General, terrific guy, said don’t wear a mask. Everybody was saying don’t wear a mask. All of a sudden, everybody’s got to wear a mask. And as you know, masks cause problems too.”

When the guidelines changed, Fauci cited two factors: (1) the Covid taskforce had feared that a run on medical-grade masks — specifically, N95s — would deprive healthcare providers dealing with sick patients every day, and (2) new confirmation that asymptomatic carriers were transmitting the virus. In retrospect, neither of these explanations was sufficient. The latter explanation relied on a scientific ambiguity. Asymptomatic spread had in fact been confirmed in January 2020, by Fauci himself.

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About Lambert Strether

Readers, I have had a correspondent characterize my views as realistic cynical. Let me briefly explain them. I believe in universal programs that provide concrete material benefits, especially to the working class. Medicare for All is the prime example, but tuition-free college and a Post Office Bank also fall under this heading. So do a Jobs Guarantee and a Debt Jubilee. Clearly, neither liberal Democrats nor conservative Republicans can deliver on such programs, because the two are different flavors of neoliberalism (“Because markets”). I don’t much care about the “ism” that delivers the benefits, although whichever one does have to put common humanity first, as opposed to markets. Could be a second FDR saving capitalism, democratic socialism leashing and collaring it, or communism razing it. I don’t much care, as long as the benefits are delivered. To me, the key issue — and this is why Medicare for All is always first with me — is the tens of thousands of excess “deaths from despair,” as described by the Case-Deaton study, and other recent studies. That enormous body count makes Medicare for All, at the very least, a moral and strategic imperative. And that level of suffering and organic damage makes the concerns of identity politics — even the worthy fight to help the refugees Bush, Obama, and Clinton’s wars created — bright shiny objects by comparison. Hence my frustration with the news flow — currently in my view the swirling intersection of two, separate Shock Doctrine campaigns, one by the Administration, and the other by out-of-power liberals and their allies in the State and in the press — a news flow that constantly forces me to focus on matters that I regard as of secondary importance to the excess deaths. What kind of political economy is it that halts or even reverses the increases in life expectancy that civilized societies have achieved? I am also very hopeful that the continuing destruction of both party establishments will open the space for voices supporting programs similar to those I have listed; let’s call such voices “the left.” Volatility creates opportunity, especially if the Democrat establishment, which puts markets first and opposes all such programs, isn’t allowed to get back into the saddle. Eyes on the prize! I love the tactical level, and secretly love even the horse race, since I’ve been blogging about it daily for fourteen years, but everything I write has this perspective at the back of it.

29 comments

  1. flora

    Can’t wait for the yellow waders treatment. / ;)

    Meanwhile, back at the ranch: Here’s Pierre Kory’s report about what happened to medical training of young docs during Fauci’s tenture as the most influential and respected man of the science in the US.

    Policy Shifts Against The mRNA Platform Rapidly Emerged This Past Week

    https://pierrekorymedicalmusings.com/p/policy-shifts-against-the-mrna-platform

    It would be unkind of me to mention AZT here so I won’t. ~

    1. i just don't like the gravy

      Regarding the discussion in your link, it sounds to me that what the author describes is indistinguishable from Long Covid.

      Wouldn’t it make more sense that those physicians and nurses that are getting disabled or dying from cancer, etc are just loaded to the brim with Long Covid due to workplace exposure since 2020?

      1. vao

        This is also what I thought. It seems that Pierre Kory has settled on ascribing all neurological, cardiac, respiratory, immunological, etc, damages to the covid “vaccines” and will just not consider any alternative explanation.

        As you say, the descriptions of the cases are indistinguishable from those of people who suffer(ed) from covid infections — and this is the tragic result of the policy forcing the large-scale application of a poorly tested, not terribly effective medication on the population.

        Since the mRNA “vaccines” never prevented infection nor transmission of covid, the “pandemic of the unvaccinated” became a “pandemic of the vaccinated” — and it has therefore become impossible to distinguish the physiological impact of covid infection alone, vaccination alone, the combination of vaccination and infection, and all of the preceding cases with repeated bouts of infection, repeated boosters, and repeated vaccinations and infections alternating in various ways at various times.

        The longer time passes, the more those confounding factors will prevent an analysis of what the actual long-term effects of the “vaccines” actually are — at least without a major, complex study, probably requiring an advanced statistical comparison between countries that relied on mRNA products and those that used different formulations (such as Cuba). I do not see such a large-scale endeavour and the necessary international cooperation forthcoming.

        And yes, the mRNA jabs had widespread, often severe side-effects: this was known right from the beginning of the inoculation campaign — and as commentators such as IM-Doc reported, this information was studiously ignored by administrative and medical authorities.

        And that article refers to a Surgeon General statement referring to the “high rate of global immunity”; what there is, is a high rate of global infection or “vaccination”, but we also know that none of these translate into a high rate of immunity to covid (at most to a mediocre, short-lasting one).

        How long are we going to have to deal with all that nonsense?

      2. Samuel Conner

        Thank you; reading this was interesting at first, then puzzling, and finally disturbing — no mention in page after page (up to the point I gave up) of sequelae of actual CV infection. The mention of the autopsy with spike-stained cardiac tissue “loaded with spike” caught my eye — gee, ubiquitous spike protein might happen after infection with a rapidly replicating CV; would one really expect that after a one-off administration of an mRNA based vaccine?

        That’s highly disappointing. I hope that PK still advocates layered protection from the CV itself. It would be a terrible shame, a disaster IMO, if the public debate about “how to stay well in the pandemic” devolved to “vax-only” versus “avoid the vax; no other precautions required.”

  2. Vicky Cookies

    Tellingly, the Dr.’s “perfect world” has no “strain of independence”. Technocratic totalitarianism is “perfect”, according to him; your observence about the engineering of the non-mask norm is not inconsistent with the Dr.s’ comment, so long as we control for the various elite interest groups represented by ostensibly public-minded work of technocrats: the ‘we need workers healthy enough to work’ camp, and the ‘we need shops open and consumers unafraid to spend’ camp, with overlaps and side-switching based upon the needs of the moment. Crucially, neither view is a working class perspective, or even a general, pro-human life perspective. Thanks as always for your work.

  3. ambrit

    I had a mental image spring into focus that had Fauci as one of the Four Horsemen of the Apocalypse. Three guesses which one he was.

  4. Samuel Conner

    Thank you, Lambert.

    Re: “vaccine hesitancy”, AF seems to not be aware of the possibility that people might be concerned about side effects new technology vaccines that had been subjected, prior to approval and widespread use, to much less thorough testing than prior conventional technology vaccines had been.

    Re: the first slab of interview,

    ” The thing that attracted me about infectious diseases, and I’ll talk about immunology in a moment, was wanting to be able to have a target of my work…. With infectious disease, you had a target. It was an individual agent that was causing the disease….”

    I think that “individual agent” here is not “individual human persons” (in contradistinction to “society”), but “identifiable microbial pathogens”. In context, I think he’s simply saying that infectious disease treatment and prevention is a more tractable problem than the other fields mentioned in the paragraph.

    AF may agree with Thatcher that there is no such thing as society (certainly his early-in-the-pandemic Noble Lie about the inutility of masking suggests (to me, anyway) that he doesn’t have high confidence in the ability of individual humans to behave in pro-social ways), but I don’t think this paragraph is evidence of that.

    1. Samuel Conner

      Reading that paragraph unsympathetically, one might interpret that AF went into “infectious diseases” because it was an easier problem to solve than the alternatives, … and then, arguably, he did not do a great job of solving multiple infectious disease crises.

  5. Lee

    If I may pick a nit oft herein previously picked by me, and do feel free to correct me if I’m mistaken, there’s a line between “infection” and “disease”. Polio for example causes disease in the unvaccinated in only 1 to 3 of a hundred that it temporarily infects, depending on the strain. However, that line gets crossed in terms of transmission from an asymptomatic carrier to those vulnerable to the disease as happens in roughly 50% of symptomatic Covid cases. Unfortunately there are rather a lot of contemporary Covid equivalents to Typhoid Mary running around. That’s why, particularly given my age and comorbidities, I always wear my P-100 Elipse mask when sharing indoor air with others.

  6. Carolinian

    My library has Fauci’s new book. I know that because few seem inclined to check it out including me.

    And actually the Manhattan Project was a public/private partnership with Dupont, I believe, building Hanford and there were others. The science was however all from Los Alamos where the bombs were designed.

    A pity no questions about labs in China. The virus origin may have been a public/private partnership too.

    1. scott s.

      Also Kodak’s Tennessee Eastman Chemical at Oak Ridge. Eastman also developed a ran a massive RDX explosives plant in Longview TX.

  7. LY

    Mullis‘ views on AIDS and HIV are not mainstream, while Fauci is very much a public face in that sphere. So I would take his opinion with a large grain of salt.

    1. Dr. Nod

      It is worth noting that Kerry Mullis did not invent the PCR test as the X tweet indicated. He (arguably) invented PCR. I heard about PCR (althought it did not have a name yet) over a beer with a several guys from Cetus some time before it was published. I don’t remember Kerry being given sole credit for it by the other guys from Cetus, but more power to him. PCR has certainly been a wonderful tool in my lab. However, Kerry’s views on AIDS, climate change and a number of other things were just wrong. That being said, he does have a bit of a point about scientific figureheads (athough significantly overstated).

  8. The Rev Kev

    ‘Well, if I wanted to pick a dominant infectious disease expert who would bet the entire country’s farm on vax-only, what would they look like? They would look like a person with Fauci’s blind spots’

    I’m not so sure that it was simply a matter of selective blind spots. Looking at it from another angle, you could argue that Anthony Fauci is actually representative of what we call the Professional Managerial Class. His image is that of “America’s Doctor” but what he actually is is a sharp-elbowed bureaucrat who got to the top of the pile and kicked down on anyone trying to dislodge him. And like a lot of PMCs, his blind spots tend to coincide with lucrative financial interests which in this case is Big Pharma. AF is Big Pharma’s friend as he helped squash alternative treatments (masks are dangerous, stop taking horse medicine ya’ll) and steered America into only taking vaccines of doubtful efficiency and likely dangerous. And now that he has helped steer America into a viral ditch, gets out the car, comments ‘Mistakes were made’ and then walks off into the distance to enjoy his retirement where he uses the occasional interview to polish his reputation.

    1. dLambert Strether Post author

      you could argue that Anthony Fauci is actually representative of what we call the Professional Managerial Class.

      Quite right. “The system” seems constructed such that a person with Fauci’s blind spots rises to the top (or to put this another way, is optmized to amass an enormous amount of social capital in that field). But the focus of the post is quite narrow: convicting Fauci using the words from his own mouth. It wasn’t hard (“aerodynamics” ffs).

  9. dRbiG

    TL;DR: Did anyone see, and hopefully could link to, a dataset/report comparing mRNA vaccine injuries against the other vaccine types?

    Having just read posts by Pierre Kory and A Midwestern Doctor I’m mostly concerned about the wording of “mRNA” vs “vaccine injuries”; A) “is the problem the mRNA platform” vs B) “any COVID-19 vaccine, because it’s the spike protein/other very important detail”.

    Here in Poland at the time of the push for vaccines I was in the “older than 25, younger than 35” cohort and I have specifically decided that I will not participate in the mRNA experiment, and just patiently waited for the older platforms to become available.

    I’m unfortunately not sure which one I got, but most likely the AstraZeneca’s adenovirus-based one (I believe the Novavax recombinant protein became available later, at the time of “third booster”). I only remember feeling really bad for a day about 12h after getting the shot. Haven’t self-observed anything since then, and it has been at least 3 years now. So much for personal anecdata.

    1. Yves Smith

      A Midwestern Doctor is a highly unreliable source. I won’t belabor the point but he’s made many inaccurate statements about Covid, masking, and the vaccines. I would strongly urge you to ignore him. The fact that he comes off as sincere does not make him well informed.

      That does not mean that vaccine injuries are not a real issue but there is no trustworthy data, period. Our IM Doc (who was a prof of medicine at a top tier school in his speciality, has taught statistics [while among A Midwestern Doctor’s many problems is getting them badly wrong] and was on an Institutional Review Board, which oversees clinical drug trials for 15 years and 5 years its chair) has seen quite a few in his practice, and many of them have been seriously bad. He has tried reporting them to the VAERS database and my impression he that he has had more rejected than accepted despite persisting. He points out this should be a highly exceptional occurrence with ah MD submitted report.

      However, the flip side is there is AMPLE evidence that Covid does very serious damage to all sorts of body systems. And anti-vaxxers are all too wiling to depict every problem dimly connected with Covid as vaccine induces, as opposed to Covid induced.

      IM Doc has further pointed out that in the US the patient data on who is vaccinated and how many times with what is in the overwhelming majority of cases wrong (the officialdom relies on electronic health records when jabs given at pharmacies or outside the patient’s medical system are not included). IM Doc has also labored mightily to get his patient’s records corrected but the admins undo them. Public health officials in his county don’t give a damn.

      Having said all of that, IM Doc, based on his experience with clinical trials, said the Pfizer trial should have been immediately suspended when all cause mortality rose in its trial while it fell for J&J. In any trial he had even been part of, the IRB would have demanded it if the drug company had not done so voluntarily to understand why before continuing with the trial.

      Another issue with the mRNA vaccines is that even pretty early on, a big study using Cleveland Clinic data found that after either the 3rd or 4th shot, the period of better immunity was short (~3 months) and then those who had gotten the shots showed negative efficacy, as in they were MORE likely to get Covid.

      So shorter: even though the experts you have relied on have problems with their analyses, there are indeed bona fide reasons to have reservations about the mRNA shots.

      1. dRbiG

        Yves, many thanks for the detailed response.

        As for the two bloggers, I haven’t been aware of the existence of either before this morning and this very comment thread – link mentioned by flora sent me down this two-post hole. And indeed the latter raised the question and so we are here.

        My main reason for being maybe not even skeptical but careful about the mRNA platform is that, by definition, we cannot have 5, 10, 15+ years of “data from the wild”. Secondly, the mechanism of “it makes your cells produce stuff it normally would never produce” vs the oldest successful vaccine mechanism of “we introduce the virus, but deactivated”… To my non-medical but engineering mind the first sounds a lot riskier.

        I assume that with a brand new tech like mRNA the risk profile is mainly assessed from first principles – and I am very aware that a model of a system is not that system (in the same way that a topographical map is not the terrain). I would also like to assume even more strongly that any clinical observations made in actual system(s) (a mouse isn’t a human, but it’s orders of magnitude better than just purely theoretical thought) have been considered.

        My hopes are that we will, eventually, get an honest and thorough picture of this new tech. For now I will continue to opine that (especially younger) people should prefer the non-mRNA options. And yes, that means very much: “please, do get vaccinated”.

  10. .Tom

    I remember hearing right as panic was setting in at the start of 2020 that acquired immunity to corona viruses didn’t last so we can expect that to be the case also for novel one.

    Hence I knew a) Barrington’s herd immunity was bs and b) vaccines that stimulate acquired immunity likely won’t give lasting protection.

    I’m a network and software engineer and I could figure that out. What’s Faucci’s excuse?

    1. Basil Pesto

      Exactly right, and you can see Fauci repeating this on p162 of the linked interview (I assume Lambert was too busy to flag it, but it’s absolutely worth mentioning). He gives a very straightforward and accurate description of why herd immunity does not apply to SC2. This was known in 2020 by those familiar with the topic of coronaviruses and immunity. So why was Fauci saying, several times, that Herd Immunity was just around the corner in 2020 and 2021, thereby parroting the GBD line (a line which, incidentally, had a lot of cachet with a lot of Altstream Media enjoyers, probably more closely aligned with Fauci than they imagine!).

      Then, when it’s politically impossible to do anything about the problem thanks in large part to failed policies pushed by himself and two presidential administrations, he sticks his head above the parapet and says “whoops, sorry, that doesn’t actually apply” while pretending that it was new information instead of known from close-to-the-beginning. As evinced by actual history, Fauci was simply the good cop to the GBD signatories’ bad cop, both parties doing their part by dragging the world to this fait accompli that we now enjoy of boundless freedo… wait, no, of abject failure, continual pointless excess death, and steady health decline.

  11. Tom Stone

    Fauci’s excuse? $. and “Fame”, or more accurately, Infamy.
    He’s a bureaucratic Psychopath/Narcissist.
    Eichmann is better known, but it is the same phenomenon.

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