1 00:00:00,440 --> 00:00:02,740 number one and thank you for joining 2 00:00:02,740 --> 00:00:05,130 this Operation Warp Speed Media 3 00:00:05,130 --> 00:00:08,260 briefing today . As we approach the 4 00:00:08,260 --> 00:00:11,070 rollout of safe and effective vaccines , 5 00:00:11,440 --> 00:00:13,273 we'll continue to be using these 6 00:00:13,273 --> 00:00:14,940 briefings to share the latest 7 00:00:14,940 --> 00:00:17,051 information we have with the American 8 00:00:17,051 --> 00:00:19,162 people and our partners at all levels 9 00:00:19,162 --> 00:00:21,496 of government and in the private sector . 10 00:00:22,140 --> 00:00:24,750 In that same vein , yesterday we held 11 00:00:24,750 --> 00:00:27,670 the first of a regular Siris of O . W s 12 00:00:27,670 --> 00:00:29,790 focused briefings with governors , 13 00:00:29,990 --> 00:00:32,230 which included myself , General Purna 14 00:00:32,230 --> 00:00:35,080 and our vaccine chief , Dr Matt Hepburn . 15 00:00:35,480 --> 00:00:37,480 This was a technical level briefing 16 00:00:37,480 --> 00:00:39,647 with governors . This , of course , is 17 00:00:39,647 --> 00:00:41,480 in addition to the almost weekly 18 00:00:41,480 --> 00:00:43,640 briefings that the vice president 19 00:00:43,650 --> 00:00:45,680 chairs with our governors , where 20 00:00:45,680 --> 00:00:47,800 Operation warp speed and vaccine and 21 00:00:47,800 --> 00:00:49,856 therapeutic distribution have been a 22 00:00:49,856 --> 00:00:53,280 regular topic of discussion . The past 23 00:00:53,280 --> 00:00:55,230 several days of seen a continuing 24 00:00:55,240 --> 00:00:57,740 torrent of good news around Covad 19 25 00:00:57,740 --> 00:01:00,830 vaccines . On Friday , Pfizer submitted 26 00:01:00,830 --> 00:01:03,190 data for an emergency use authorization 27 00:01:03,190 --> 00:01:05,960 by the FDA , which means that we could 28 00:01:05,960 --> 00:01:07,682 begin distributing millions of 29 00:01:07,682 --> 00:01:10,016 authorized vaccines in just a few weeks . 30 00:01:10,840 --> 00:01:13,320 Then , yesterday morning , AstraZeneca 31 00:01:13,320 --> 00:01:15,209 announced promising data from its 32 00:01:15,209 --> 00:01:18,970 trials in the UK and Brazil through 33 00:01:18,970 --> 00:01:21,400 operation warp speed . We have purchase 34 00:01:21,400 --> 00:01:23,810 agreements for up to 300 million doses 35 00:01:23,810 --> 00:01:25,754 of the AstraZeneca vaccine for the 36 00:01:25,754 --> 00:01:28,470 American people . As all of these 37 00:01:28,470 --> 00:01:30,950 pieces come together , we want to try 38 00:01:30,950 --> 00:01:33,070 to give Americans the best sense of 39 00:01:33,640 --> 00:01:35,640 when our most vulnerable will start 40 00:01:35,640 --> 00:01:38,160 receiving vaccines . As many of you 41 00:01:38,160 --> 00:01:40,382 know , the FDA has said it will consult 42 00:01:40,382 --> 00:01:42,650 with its independent vaccine Advisory 43 00:01:42,650 --> 00:01:44,710 board before making a decision on 44 00:01:44,720 --> 00:01:46,942 emergency use authorization for a Covad 45 00:01:46,942 --> 00:01:49,320 19 vaccine , and they have now 46 00:01:49,320 --> 00:01:51,960 scheduled a meeting for December 10th . 47 00:01:52,840 --> 00:01:54,562 If all goes well , we could be 48 00:01:54,562 --> 00:01:56,830 distributing vaccine soon after 49 00:01:56,890 --> 00:01:59,790 December 10th , as General Purna has 50 00:01:59,790 --> 00:02:02,000 shared , we believe we can distribute 51 00:02:02,000 --> 00:02:05,200 vaccine all 64 jurisdictions within 24 52 00:02:05,200 --> 00:02:08,710 hours of FDA authorization . Then we 53 00:02:08,710 --> 00:02:10,932 hope Administration could begin as soon 54 00:02:10,932 --> 00:02:12,932 as the product arrives . One of the 55 00:02:12,932 --> 00:02:15,210 private sector partners we've enlisted , 56 00:02:15,210 --> 00:02:17,377 CVS Health , has said that they expect 57 00:02:17,377 --> 00:02:19,543 to be vaccinating residents of nursing 58 00:02:19,543 --> 00:02:21,599 homes one of the top priority groups 59 00:02:21,599 --> 00:02:24,200 within 48 hours after FDA authorization . 60 00:02:25,610 --> 00:02:27,610 To ensure all of this can happen on 61 00:02:27,610 --> 00:02:29,900 such incredibly tight timeframes , O . 62 00:02:29,900 --> 00:02:32,067 W s and our partners have been running 63 00:02:32,067 --> 00:02:34,233 not only tabletop exercises but actual 64 00:02:34,233 --> 00:02:36,067 field exercises for the shipment 65 00:02:36,067 --> 00:02:38,289 procedures . This week , for instance , 66 00:02:38,289 --> 00:02:40,410 we will be making test shipments with 67 00:02:40,410 --> 00:02:42,577 the ordering system that states we use 68 00:02:42,740 --> 00:02:44,740 that is , performing shipments that 69 00:02:44,740 --> 00:02:46,851 don't contain actual product in order 70 00:02:46,851 --> 00:02:48,796 to ensure that all goes smoothly . 71 00:02:48,840 --> 00:02:50,951 These are the kinds of procedures you 72 00:02:50,951 --> 00:02:52,840 put in place to ensure a seamless 73 00:02:52,840 --> 00:02:55,220 logistical operation . And we're so 74 00:02:55,220 --> 00:02:57,442 grateful for the expertise that the U . 75 00:02:57,442 --> 00:02:59,664 S military on our private partners have 76 00:02:59,664 --> 00:03:02,080 brought to this task well , much of our 77 00:03:02,080 --> 00:03:04,302 briefing today is focused on vaccines . 78 00:03:04,740 --> 00:03:06,684 I want to note that Operation Warp 79 00:03:06,684 --> 00:03:08,629 speed continues to charge ahead on 80 00:03:08,629 --> 00:03:10,573 therapeutics , and our therapeutic 81 00:03:10,573 --> 00:03:12,740 options continue to expand . We have 82 00:03:12,740 --> 00:03:16,520 already distributed more than 120,000 83 00:03:16,530 --> 00:03:18,520 courses of Eli Lilly's monoclonal 84 00:03:18,520 --> 00:03:20,900 antibody treatment through state health 85 00:03:20,900 --> 00:03:23,770 departments to more than 2400 treatment 86 00:03:23,780 --> 00:03:26,970 sites across America . We've allocated 87 00:03:26,980 --> 00:03:29,980 another 50,000 courses which will ship 88 00:03:30,050 --> 00:03:33,930 this week . Then , following FDA is 89 00:03:33,930 --> 00:03:36,300 authorization of Regeneron's antibody 90 00:03:36,300 --> 00:03:38,860 cocktail . This past weekend , we began 91 00:03:38,860 --> 00:03:42,500 distribution of the 1st 35,000 doses 92 00:03:42,700 --> 00:03:46,220 of that product Today . This means 93 00:03:46,570 --> 00:03:49,130 we have two new options for Americans 94 00:03:49,130 --> 00:03:51,410 who aren't hospitalized with Covad 19 95 00:03:51,640 --> 00:03:53,529 but are at risk of progressing to 96 00:03:53,529 --> 00:03:56,400 severe disease . I encourage everyone 97 00:03:56,400 --> 00:03:59,500 to spread the word if you test positive 98 00:03:59,500 --> 00:04:02,770 for Covad 19 and are over 65 99 00:04:03,440 --> 00:04:05,607 or have underlying conditions that put 100 00:04:05,607 --> 00:04:07,718 you at high risk for severe disease , 101 00:04:07,910 --> 00:04:10,132 you may have access to a treatment that 102 00:04:10,132 --> 00:04:12,188 can help you , and you should get in 103 00:04:12,188 --> 00:04:14,410 touch with your health care provider or 104 00:04:14,410 --> 00:04:16,480 state health department . Toward the 105 00:04:16,480 --> 00:04:19,420 end of last week , FDA also granted an 106 00:04:19,420 --> 00:04:21,642 emergency use authorization for the use 107 00:04:21,642 --> 00:04:23,864 of Barrys . It nib on anti inflammatory 108 00:04:23,864 --> 00:04:25,753 drug in conjunction with Romney . 109 00:04:25,753 --> 00:04:28,270 Severe for hospitalized patients . This 110 00:04:28,270 --> 00:04:30,381 was based on results from N . I . H s 111 00:04:30,381 --> 00:04:33,290 act to trial , coordinated with 112 00:04:33,300 --> 00:04:35,710 Operation Warp Speed , which found that 113 00:04:35,710 --> 00:04:38,120 there was a statistically significant 114 00:04:38,120 --> 00:04:40,320 reduction in hospital stay for that 115 00:04:40,320 --> 00:04:43,000 drug combination versus Romney . Severe 116 00:04:43,010 --> 00:04:45,310 alone . This is a product that is 117 00:04:45,320 --> 00:04:47,760 already widely available in the United 118 00:04:47,760 --> 00:04:51,660 States . Over 250,000 people 119 00:04:51,660 --> 00:04:53,660 have received convalescent plasma . 120 00:04:54,340 --> 00:04:56,930 It's critical that we keep our supplies 121 00:04:56,940 --> 00:05:00,500 up to meet demand . Please ask your 122 00:05:00,500 --> 00:05:03,000 viewers , readers and listeners if 123 00:05:03,000 --> 00:05:05,222 they're within three months of recovery 124 00:05:05,222 --> 00:05:08,060 from co vid 19 . Please consider giving 125 00:05:08,060 --> 00:05:10,227 the gift of life this holiday season . 126 00:05:10,740 --> 00:05:13,800 Go to coronavirus dot gov . The fight 127 00:05:13,810 --> 00:05:17,260 is in us dot org's Contact your local 128 00:05:17,260 --> 00:05:20,050 American Red Cross or your local 129 00:05:20,060 --> 00:05:22,350 American blood center to be a donor . 130 00:05:24,040 --> 00:05:26,850 All of this good news should encourage 131 00:05:26,860 --> 00:05:29,590 all of us to continue keeping ourselves , 132 00:05:30,140 --> 00:05:32,362 our families and our communities safe . 133 00:05:32,540 --> 00:05:34,810 Remember the three W's . Wash your 134 00:05:34,810 --> 00:05:37,070 hands , watch your distance where your 135 00:05:37,070 --> 00:05:39,070 face coverings when you can't watch 136 00:05:39,070 --> 00:05:41,237 your distance and avoid settings where 137 00:05:41,237 --> 00:05:43,400 you can't do those things with 138 00:05:43,400 --> 00:05:45,660 Thanksgiving this week , I encourage 139 00:05:45,660 --> 00:05:47,370 Americans to consult Cedric's 140 00:05:47,370 --> 00:05:49,259 recommendations and guidelines to 141 00:05:49,259 --> 00:05:51,426 understand the risks around gatherings 142 00:05:51,600 --> 00:05:54,620 and how you can reduce those risks . I 143 00:05:54,620 --> 00:05:56,787 know that the possibility of not being 144 00:05:56,787 --> 00:05:59,009 able to see family and friends over the 145 00:05:59,009 --> 00:06:01,287 holiday is heartbreaking for all of us . 146 00:06:01,287 --> 00:06:03,453 But because of the president's support 147 00:06:03,453 --> 00:06:05,509 of Operation warp speed , because of 148 00:06:05,509 --> 00:06:07,453 the incredible work of the U . S . 149 00:06:07,453 --> 00:06:09,453 Military , public servants at every 150 00:06:09,453 --> 00:06:11,620 level of government and the brilliance 151 00:06:11,620 --> 00:06:13,842 of American scientists , we have an end 152 00:06:13,842 --> 00:06:15,842 in sight , and we have much happier 153 00:06:15,842 --> 00:06:18,790 holidays in the near future . American 154 00:06:18,790 --> 00:06:21,530 people can be confident that hope and 155 00:06:21,530 --> 00:06:24,690 help are on the way . With that , I'll 156 00:06:24,690 --> 00:06:27,040 hand things over to Dr Moncef Slowey to 157 00:06:27,040 --> 00:06:29,318 discuss updates on vaccine development . 158 00:06:29,318 --> 00:06:31,720 Dr . Sloppy . Thank you , Mr Secretary . 159 00:06:31,730 --> 00:06:34,100 Maybe maybe just a few words very 160 00:06:34,100 --> 00:06:35,940 quickly . with Don't answer your 161 00:06:35,940 --> 00:06:37,996 questions . After also , the General 162 00:06:37,996 --> 00:06:40,240 Purna gives you an update . A few words 163 00:06:40,240 --> 00:06:42,970 about the AstraZeneca face retrial 164 00:06:43,040 --> 00:06:45,920 Things have been very interesting and 165 00:06:45,920 --> 00:06:49,230 encouraging data . The fact that one 166 00:06:49,230 --> 00:06:51,830 part of the trial has demonstrated 90% 167 00:06:51,830 --> 00:06:54,670 efficacy further reinforces 168 00:06:55,220 --> 00:06:58,790 the observations with Pfizer on Moderna 169 00:06:58,790 --> 00:07:02,510 vaccines that this virus can be very , 170 00:07:02,510 --> 00:07:04,732 very strongly protected against . And I 171 00:07:04,732 --> 00:07:06,910 think that's very important for 172 00:07:07,220 --> 00:07:09,530 everybody to understand and hopefully 173 00:07:09,770 --> 00:07:12,900 will help the majority of the US 174 00:07:12,900 --> 00:07:15,750 population , too . Stay with an open 175 00:07:15,750 --> 00:07:17,890 mind in terms of accepting to be 176 00:07:17,890 --> 00:07:21,510 vaccinated . Stay to listen to all the 177 00:07:21,510 --> 00:07:23,677 data that will be shared transparently 178 00:07:23,677 --> 00:07:25,510 through the FDA reviews with its 179 00:07:25,510 --> 00:07:27,860 advisory committee off the fighter 180 00:07:27,860 --> 00:07:31,100 vaccine . As Mr Secretary said on 181 00:07:31,100 --> 00:07:33,170 December 10th and off the Moderna 182 00:07:33,170 --> 00:07:35,900 vaccine , more or less a week later on , 183 00:07:35,900 --> 00:07:37,990 hopefully these vaccines will become 184 00:07:38,000 --> 00:07:41,670 available . The AstraZeneca face Treats 185 00:07:41,670 --> 00:07:44,360 right had also more intriguing data in 186 00:07:44,360 --> 00:07:48,020 that a certain particular schedule off 187 00:07:48,020 --> 00:07:50,970 immunization in terms of those that has 188 00:07:51,180 --> 00:07:53,620 yielded an efficacy that was somewhat 189 00:07:53,670 --> 00:07:57,260 less 62% . And when the two combined 190 00:07:57,320 --> 00:08:00,590 together , a knave ridge of about 70% 191 00:08:00,590 --> 00:08:03,300 protection has bean achieved . These 192 00:08:03,300 --> 00:08:05,680 observations and data were generated 193 00:08:05,680 --> 00:08:07,920 from clinical trials run in the UK and 194 00:08:07,920 --> 00:08:10,430 in Brazil we have a face retrial 195 00:08:10,430 --> 00:08:12,570 running here in the U . S . It has 196 00:08:12,580 --> 00:08:15,170 already recruited more than 11,000 197 00:08:15,170 --> 00:08:17,880 subjects into it . Unfortunately , the 198 00:08:17,880 --> 00:08:20,360 pandemic in the U . S . Is progressing 199 00:08:20,360 --> 00:08:23,020 so fast that it is very likely that 200 00:08:23,020 --> 00:08:25,100 this trial , not long from now , may 201 00:08:25,100 --> 00:08:27,820 have enough evidence generated within 202 00:08:27,820 --> 00:08:31,020 it to assess the efficacy off the 203 00:08:31,020 --> 00:08:33,860 vaccines as administered here . We are , 204 00:08:33,870 --> 00:08:35,870 of course , also reviewing in depth 205 00:08:35,880 --> 00:08:38,047 with the AstraZeneca , an Oxford teams 206 00:08:38,340 --> 00:08:40,660 ALS the specifics of the data generated 207 00:08:40,660 --> 00:08:42,890 to understand what difference there is 208 00:08:42,890 --> 00:08:45,660 between the schedule that gives the 62% 209 00:08:45,660 --> 00:08:47,438 efficacy and one that gives 90% 210 00:08:47,438 --> 00:08:51,320 efficacy . On the therapeutic side , 211 00:08:51,320 --> 00:08:54,170 I'd like to also add one element of 212 00:08:54,170 --> 00:08:57,180 information to the information that Mr 213 00:08:57,180 --> 00:08:59,940 Secretary gave , which is a new 214 00:08:59,940 --> 00:09:02,107 important one , I think , in the sense 215 00:09:02,107 --> 00:09:04,960 that Merck , large U S . Pharmaceutical 216 00:09:04,960 --> 00:09:07,390 company has acquired a small biotech 217 00:09:07,390 --> 00:09:09,750 company called Encore Immune that we 218 00:09:09,750 --> 00:09:13,590 have identified about 78 weeks ago as 219 00:09:13,590 --> 00:09:16,700 holding data with a particular program 220 00:09:16,710 --> 00:09:20,240 in their portfolio that are really 221 00:09:20,240 --> 00:09:22,620 impressive in that in the interim 222 00:09:22,620 --> 00:09:24,787 analysis of their face streets , while 223 00:09:24,787 --> 00:09:28,020 that was ongoing . They had over 50% 224 00:09:28,030 --> 00:09:30,040 relative reduction in the risk of 225 00:09:30,040 --> 00:09:33,370 mortality in patients that had severe 226 00:09:33,840 --> 00:09:36,570 hospitalized but not yet intubated 227 00:09:36,570 --> 00:09:39,240 condition with covered 19 . This 228 00:09:39,240 --> 00:09:41,351 acquisition is something that we have 229 00:09:41,351 --> 00:09:44,340 participated to make happen in 230 00:09:44,340 --> 00:09:46,650 connecting the company , the small 231 00:09:46,650 --> 00:09:48,860 company that has 10 10 people working 232 00:09:48,860 --> 00:09:51,320 in it with Merck as a mean to help 233 00:09:51,330 --> 00:09:54,450 accelerate the development off this 234 00:09:54,450 --> 00:09:56,850 therapeutic important therapeutic for 235 00:09:56,860 --> 00:09:59,150 us patients . And finally , the last 236 00:09:59,160 --> 00:10:02,670 point I'd like to make is to invite 237 00:10:03,130 --> 00:10:05,240 as many volunteers as possible to 238 00:10:05,240 --> 00:10:09,040 please come and participate into the 239 00:10:09,040 --> 00:10:12,670 vaccine trials if you are healthy and 240 00:10:13,140 --> 00:10:15,700 particularly if you correspond to the 241 00:10:15,700 --> 00:10:18,270 at risk populations over the age of 65 242 00:10:18,640 --> 00:10:22,130 with commerce abilities or if you are 243 00:10:22,130 --> 00:10:25,390 parts off the rich , diversity off 244 00:10:25,390 --> 00:10:27,501 populations in the United States , it 245 00:10:27,501 --> 00:10:29,668 is through your generous participation 246 00:10:29,668 --> 00:10:31,834 in clinical trials that we are able to 247 00:10:31,834 --> 00:10:34,057 generate and understand the performance 248 00:10:34,057 --> 00:10:36,740 of our vaccines and help us make them 249 00:10:36,740 --> 00:10:39,730 available faster and better for all of 250 00:10:39,730 --> 00:10:42,000 you . Thank you . I'll pass on now to 251 00:10:42,010 --> 00:10:44,280 General Purna for a brief update . 252 00:10:44,480 --> 00:10:46,702 Thanks , Dr Slowly . And of course , Mr 253 00:10:46,702 --> 00:10:48,869 Secretary , thanks for the opportunity 254 00:10:48,869 --> 00:10:50,924 to be part of this so Good morning , 255 00:10:50,924 --> 00:10:53,240 everybody . Um , want to say thanks for 256 00:10:53,240 --> 00:10:55,810 participation , Aziz . Both my 257 00:10:55,820 --> 00:10:58,200 secretary and Dr Slowly said it's 258 00:10:58,200 --> 00:11:00,311 really just important that we're able 259 00:11:00,311 --> 00:11:02,311 to get the message out on a routine 260 00:11:02,311 --> 00:11:05,960 basis . So thank you for that . Last 261 00:11:05,960 --> 00:11:08,760 week I talked about our distribution in 262 00:11:08,760 --> 00:11:11,500 our method just as a recap . You know , 263 00:11:11,500 --> 00:11:14,800 we chose a whole of America approach in 264 00:11:14,800 --> 00:11:18,380 distribution for two reasons . One , we 265 00:11:18,380 --> 00:11:20,550 wanted the experts who know how to do 266 00:11:20,550 --> 00:11:23,350 this , uh , to help us plan and be a 267 00:11:23,350 --> 00:11:25,500 part of it to ensure that we had the 268 00:11:25,500 --> 00:11:28,330 right capability and capacity . So from 269 00:11:28,330 --> 00:11:31,450 Pfizer , Madonna , McKesson trucking 270 00:11:31,460 --> 00:11:34,910 through FedEx ups , uh , down to the 271 00:11:34,910 --> 00:11:38,270 pharmacy such as CVS and Walgreens , Uh , 272 00:11:38,280 --> 00:11:41,240 and many others . The intent was to 273 00:11:41,250 --> 00:11:43,090 integrate , synchronized and 274 00:11:43,090 --> 00:11:45,860 capitalized on known 275 00:11:46,140 --> 00:11:49,050 professionals who know how to execute 276 00:11:49,050 --> 00:11:52,250 this . Our cornerstone is the CDC . 277 00:11:52,420 --> 00:11:54,970 These experts know how to distribute 278 00:11:55,340 --> 00:11:58,410 vaccines . They do it annually on . We 279 00:11:58,410 --> 00:12:00,410 were able to take all their lessons 280 00:12:00,410 --> 00:12:02,521 learned over the years and apply them 281 00:12:02,521 --> 00:12:05,760 into the plan . Second reason we chose 282 00:12:05,760 --> 00:12:07,920 this whole of America approach is we 283 00:12:07,920 --> 00:12:09,920 wanted the American people toe have 284 00:12:09,920 --> 00:12:13,880 confidence in the process . Uh , not to 285 00:12:13,880 --> 00:12:17,120 be afraid of or enamored by all the 286 00:12:17,120 --> 00:12:20,760 grandiose schemes . But yet just know 287 00:12:20,990 --> 00:12:23,420 that the common names of America are 288 00:12:23,420 --> 00:12:26,500 distributing the vaccine to them , and 289 00:12:26,500 --> 00:12:28,278 that when they have the vaccine 290 00:12:28,278 --> 00:12:30,444 administered , it will be in locations 291 00:12:30,444 --> 00:12:32,556 that they're comfortable with . Local 292 00:12:32,556 --> 00:12:34,660 hospitals , doctors offices , local 293 00:12:34,660 --> 00:12:38,350 pharmacies such as CVS and Walgreens or 294 00:12:38,350 --> 00:12:40,930 private pharmacies supporting rural 295 00:12:40,930 --> 00:12:44,120 areas areas . So again , it was about 296 00:12:44,120 --> 00:12:46,287 making sure we have the capability and 297 00:12:46,287 --> 00:12:48,287 capacity and to giving the American 298 00:12:48,287 --> 00:12:50,960 people the confidence that the vaccine 299 00:12:50,960 --> 00:12:52,849 will be delivered in a timely and 300 00:12:52,849 --> 00:12:55,640 routine manner . So today , with that 301 00:12:55,640 --> 00:12:57,640 said , I'd like to talk about three 302 00:12:57,640 --> 00:13:01,210 things . One our allocation strategy to 303 00:13:01,220 --> 00:13:03,740 the Pfizer testing that they've been 304 00:13:03,740 --> 00:13:05,851 doing and moving their product around 305 00:13:05,851 --> 00:13:08,400 the nation in their containers and then 306 00:13:08,400 --> 00:13:10,570 three . How are we actually managing 307 00:13:10,580 --> 00:13:13,030 ultra cold storage ? I think three 308 00:13:13,030 --> 00:13:15,197 points . The highlight that would help 309 00:13:15,197 --> 00:13:18,230 you see the specificity of the things 310 00:13:18,230 --> 00:13:21,340 we're doing . So first allocation 311 00:13:21,340 --> 00:13:24,210 numbers went to the 64 jurisdictions 312 00:13:24,220 --> 00:13:27,120 and five federal agencies last Friday , 313 00:13:27,130 --> 00:13:30,570 in fact , that we hit the button at 11 314 00:13:30,570 --> 00:13:34,530 35 PM or 23 35 military 315 00:13:34,530 --> 00:13:37,410 time , and that information went out to 316 00:13:37,410 --> 00:13:39,840 all the jurisdictions and five agencies 317 00:13:39,840 --> 00:13:42,870 through Tiberius each received their 318 00:13:42,880 --> 00:13:45,840 allocation of the vaccine so that they 319 00:13:45,850 --> 00:13:49,480 can plan on figure out where they want 320 00:13:49,480 --> 00:13:52,870 the vaccine to be distributed to . As a 321 00:13:52,870 --> 00:13:55,590 reminder , we are able to distribute 322 00:13:55,590 --> 00:13:59,080 the vaccine to any location in any 323 00:13:59,080 --> 00:14:02,340 jurisdiction that has been enrolled as 324 00:14:02,340 --> 00:14:04,970 a provider . We're not constrained by 325 00:14:04,970 --> 00:14:07,360 numbers . It could be one . It could be 326 00:14:07,460 --> 00:14:11,310 1000 or beyond as long as they are a 327 00:14:11,320 --> 00:14:14,390 enrolled provider on the state approves 328 00:14:14,390 --> 00:14:16,600 them . Uh , and they have the minimum 329 00:14:16,600 --> 00:14:18,711 requirement of the vaccine , which is 330 00:14:18,711 --> 00:14:22,590 975 doses by Pfizer and 100 doses by 331 00:14:22,590 --> 00:14:25,470 Madonna . We collectively , with this 332 00:14:25,470 --> 00:14:28,230 whole of America approach , can deliver 333 00:14:28,240 --> 00:14:31,260 anywhere in America to that end . 334 00:14:32,540 --> 00:14:35,670 Second , we have maintained a minimum 335 00:14:35,680 --> 00:14:38,940 safety stock , but on Lee to assess the 336 00:14:38,940 --> 00:14:41,840 initial distribution of the vaccine to 337 00:14:41,840 --> 00:14:44,300 ensure that all everybody understands 338 00:14:44,300 --> 00:14:47,210 the process , understands the clarity 339 00:14:47,220 --> 00:14:51,170 of requirements for ultra cold storage 340 00:14:51,340 --> 00:14:54,730 on , understands how to utilize and 341 00:14:54,730 --> 00:14:57,290 administer the vaccine . But once we're 342 00:14:57,290 --> 00:15:00,060 confident that that the jurisdictions 343 00:15:00,060 --> 00:15:02,320 air confident , then we will release 344 00:15:02,320 --> 00:15:05,190 the safety stock to ensure maximum use 345 00:15:05,200 --> 00:15:09,060 in the country . We have provided and 346 00:15:09,060 --> 00:15:10,560 we're working with each of 347 00:15:10,560 --> 00:15:12,671 administration or jurisdictions right 348 00:15:12,671 --> 00:15:16,100 now methods to plan on , then figure 349 00:15:16,100 --> 00:15:18,180 out allocation within the States 350 00:15:18,190 --> 00:15:20,520 through the system we call Tiberius . 351 00:15:20,530 --> 00:15:22,197 We have been working with the 352 00:15:22,197 --> 00:15:24,419 jurisdictions for quite some time now . 353 00:15:24,419 --> 00:15:27,280 Partner at the 500 level on how to run 354 00:15:27,290 --> 00:15:30,200 scenarios toe actually determine where 355 00:15:30,200 --> 00:15:32,367 they put their allocation of vaccine , 356 00:15:32,367 --> 00:15:35,330 uh , to the best advantage in following 357 00:15:35,340 --> 00:15:39,020 f d a . You A guidance as well as C D . 358 00:15:39,020 --> 00:15:42,470 C uh , a sip guidance this way 359 00:15:42,480 --> 00:15:45,000 that the leadership of the state has a 360 00:15:45,000 --> 00:15:48,470 maximum capability and capacity to plan , 361 00:15:48,710 --> 00:15:51,010 look through different scenarios and 362 00:15:51,010 --> 00:15:52,954 then make a final decision to best 363 00:15:52,954 --> 00:15:55,680 impact the people of the United States . 364 00:15:55,690 --> 00:15:58,370 Really powerful system toe . Help us 365 00:15:58,370 --> 00:16:01,190 lead our way through execution and not 366 00:16:01,190 --> 00:16:04,580 react . We will be sending , 367 00:16:04,590 --> 00:16:07,110 um , after we send the initial push of 368 00:16:07,110 --> 00:16:10,080 the vaccine here . A pendant you a . 369 00:16:10,090 --> 00:16:13,140 Then we'll be on a steady drumbeat of 370 00:16:13,140 --> 00:16:14,670 sending allocations to the 371 00:16:14,670 --> 00:16:17,350 jurisdictions every week . Right ? 372 00:16:17,350 --> 00:16:19,980 We'll allocate vaccines . Jurisdictions 373 00:16:19,980 --> 00:16:23,670 will be allowed Thio go in 24 7 374 00:16:23,740 --> 00:16:26,770 and order and distribute the vaccine to 375 00:16:26,780 --> 00:16:28,860 where they want it on . Then the 376 00:16:28,870 --> 00:16:31,140 following day , we'll be able to get it 377 00:16:31,140 --> 00:16:33,196 to the locations that they designate 378 00:16:33,196 --> 00:16:36,240 really hard work . Great 379 00:16:36,240 --> 00:16:39,800 collaboration with both HHS 380 00:16:39,810 --> 00:16:42,780 Department of Defense and Industry to 381 00:16:42,780 --> 00:16:44,836 get this right . But I'm very , very 382 00:16:44,836 --> 00:16:48,070 confident that we have a solid plan and 383 00:16:48,070 --> 00:16:51,110 that we have the ability to to observe , 384 00:16:51,120 --> 00:16:54,870 watch , monitor , adjust , uh , to meet 385 00:16:54,870 --> 00:16:57,170 the requirements , um , has been 386 00:16:57,170 --> 00:16:59,490 specified , uh , through the through 387 00:16:59,490 --> 00:17:01,750 the states . So very difficult 388 00:17:01,750 --> 00:17:03,740 challenge . We're working on this 389 00:17:03,740 --> 00:17:06,700 constantly . We work rehearsals of 390 00:17:06,700 --> 00:17:09,870 different , um uh , scenarios to make 391 00:17:09,870 --> 00:17:12,092 sure we're capturing all the nuances of 392 00:17:12,092 --> 00:17:14,259 the delivery . But each and every week 393 00:17:14,259 --> 00:17:16,426 we get stronger . It's it's not lost . 394 00:17:16,426 --> 00:17:18,370 Anybody listening ? We're one week 395 00:17:18,370 --> 00:17:21,120 closer to distributing the vaccine . 396 00:17:21,130 --> 00:17:23,550 We're one week closer to refining to 397 00:17:23,550 --> 00:17:25,717 the exactness that we need the have to 398 00:17:25,717 --> 00:17:28,120 do this on . I'm very confident in that 399 00:17:28,130 --> 00:17:30,460 process . So the second thing I'd like 400 00:17:30,460 --> 00:17:32,404 to talk to you about is the Pfizer 401 00:17:32,404 --> 00:17:35,360 initiated tests really remarkable . You 402 00:17:35,360 --> 00:17:37,480 know , we do this all the time in the 403 00:17:37,480 --> 00:17:39,702 Department of Defense . It's one of our 404 00:17:39,702 --> 00:17:41,758 strengths . We know how to plan . We 405 00:17:41,758 --> 00:17:43,647 know how to rehearse . Uh , I was 406 00:17:43,647 --> 00:17:46,190 equally excited . Toe watch . Pfizer 407 00:17:46,190 --> 00:17:48,410 and Madonna go through similar 408 00:17:48,410 --> 00:17:50,690 processes to make sure that their 409 00:17:50,690 --> 00:17:53,240 product is right to begin with . But 410 00:17:53,240 --> 00:17:55,407 most importantly , we can get it where 411 00:17:55,407 --> 00:17:57,629 it needs to be when it's time , uh , to 412 00:17:57,629 --> 00:17:59,629 get it out to the American people . 413 00:17:59,629 --> 00:18:01,970 Pfizer is really implementing a very 414 00:18:01,970 --> 00:18:05,940 aggressive approach to figuring out how 415 00:18:05,940 --> 00:18:08,700 to get their product out to the 416 00:18:08,700 --> 00:18:10,870 administration sites as designated by 417 00:18:10,870 --> 00:18:12,930 the states . They're running dry 418 00:18:12,930 --> 00:18:16,380 rehearsals . Aziz . We like to call it 419 00:18:16,390 --> 00:18:18,910 in d o D . This way they run through 420 00:18:18,910 --> 00:18:21,880 the actual process of registering 421 00:18:21,890 --> 00:18:25,710 product through a jurisdiction . Then 422 00:18:25,720 --> 00:18:28,140 they deliver the product . Then they 423 00:18:28,140 --> 00:18:30,251 walk the administration sites through 424 00:18:30,251 --> 00:18:33,330 the actual opening on . How do they 425 00:18:33,330 --> 00:18:36,720 manage the product out of the container ? 426 00:18:36,730 --> 00:18:40,340 Really powerful to watch and see 427 00:18:40,340 --> 00:18:43,610 people learning . Pfizer is capturing 428 00:18:43,620 --> 00:18:45,731 lessons learned , and they're putting 429 00:18:45,731 --> 00:18:48,530 it in training product fact sheets , as 430 00:18:48,530 --> 00:18:51,540 well as creating YouTube like videos 431 00:18:51,550 --> 00:18:54,370 for everybody to observe and monitor . 432 00:18:55,140 --> 00:18:57,950 We started small at four locations . We 433 00:18:57,950 --> 00:19:00,700 recently expanded the 10 locations . Uh , 434 00:19:00,710 --> 00:19:03,770 we're going to go to the remaining 54 435 00:19:03,770 --> 00:19:05,950 locations , uh , to ensure that 436 00:19:05,950 --> 00:19:08,228 everybody has an understanding of this . 437 00:19:08,228 --> 00:19:10,940 What we have found in general is 438 00:19:10,940 --> 00:19:13,410 initial hesitation once the product is 439 00:19:13,410 --> 00:19:17,090 received . But as Pfizer has walked , 440 00:19:17,100 --> 00:19:19,211 uh , the administration sites through 441 00:19:19,211 --> 00:19:20,990 the execution , we see growing 442 00:19:20,990 --> 00:19:23,870 confidence in everybody that's using it 443 00:19:23,880 --> 00:19:26,960 on . That has been the story throughout 444 00:19:26,970 --> 00:19:30,360 every , uh , rehearsal so far 445 00:19:30,370 --> 00:19:32,148 again , we have to walk through 446 00:19:32,148 --> 00:19:34,148 everybody to make sure everybody is 447 00:19:34,148 --> 00:19:36,380 confident in it . But I think I 448 00:19:36,380 --> 00:19:38,213 personally have gone through the 449 00:19:38,213 --> 00:19:40,269 process I've managed . I've actually 450 00:19:40,269 --> 00:19:42,470 put my hands in the box . I pulled 451 00:19:42,470 --> 00:19:45,520 trays out . I've watched and I've timed 452 00:19:45,530 --> 00:19:49,210 myself in execution . Uh , it is a very , 453 00:19:49,220 --> 00:19:53,150 very doable process . Are professionals 454 00:19:53,160 --> 00:19:56,340 both medical attn medical level and 455 00:19:56,340 --> 00:19:59,130 then at the pharmacy level are very 456 00:19:59,130 --> 00:20:01,241 well versed on how to do this . It is 457 00:20:01,241 --> 00:20:04,130 not the first time , Andi . I feel the 458 00:20:04,140 --> 00:20:06,362 confidence in the reinforcement through 459 00:20:06,362 --> 00:20:09,460 our rehearsals are training products 460 00:20:09,470 --> 00:20:12,280 and then actual execution will create a 461 00:20:12,280 --> 00:20:14,400 steady level of confidence for the 462 00:20:14,410 --> 00:20:16,190 final , full and complete 463 00:20:16,200 --> 00:20:18,422 administration of the vaccine . So well 464 00:20:18,422 --> 00:20:21,730 done by Pfizer on Madonna getting ready 465 00:20:21,730 --> 00:20:25,050 to do summer acts accordingly . So 466 00:20:25,060 --> 00:20:28,250 last but not least , it is about the 467 00:20:28,250 --> 00:20:31,260 ultra cold storage of the vaccine . 468 00:20:31,270 --> 00:20:33,340 We've all heard Visor vaccine has a 469 00:20:33,340 --> 00:20:36,350 requirement of 88 minus 80 degrees , 470 00:20:36,360 --> 00:20:39,380 right at ultra cold storage . This 471 00:20:39,380 --> 00:20:43,060 freezer is , uh , important , but not 472 00:20:43,070 --> 00:20:46,270 to a limiting limiting end . In other 473 00:20:46,270 --> 00:20:48,980 words , Pfizer has created a container , 474 00:20:48,990 --> 00:20:51,930 which is augmented with dry ice that 475 00:20:51,930 --> 00:20:53,920 maintains the vaccine at the 476 00:20:53,920 --> 00:20:56,920 appropriate level . Uh , in doing so , 477 00:20:56,920 --> 00:20:59,460 they have enabled the extension of 478 00:20:59,460 --> 00:21:02,420 vaccine storage at the rights to 479 00:21:02,430 --> 00:21:04,597 maintain the right stability for up to 480 00:21:04,597 --> 00:21:08,040 20 days . Really a tremendous effort , 481 00:21:08,050 --> 00:21:10,160 as I just described in the training 482 00:21:10,160 --> 00:21:12,271 that they're doing to ensure that the 483 00:21:12,271 --> 00:21:15,270 vaccine is available on stable and 484 00:21:15,270 --> 00:21:17,960 appropriate for administration . Uh , 485 00:21:17,970 --> 00:21:21,230 and we feel confident that if states 486 00:21:21,230 --> 00:21:23,750 plan to the right dosage at the right 487 00:21:23,750 --> 00:21:26,520 locations , that the drumbeat , the 488 00:21:26,520 --> 00:21:29,860 cadence , the administration of vaccine 489 00:21:29,870 --> 00:21:32,660 to the minimum amount , which is 975 490 00:21:32,660 --> 00:21:35,900 doses , is very doable within the 20 491 00:21:35,900 --> 00:21:39,100 days . Uh , clearly , we have to have a 492 00:21:39,100 --> 00:21:41,490 plan . Clearly , we have to hold 493 00:21:41,490 --> 00:21:43,657 ourselves accountable to administering 494 00:21:43,657 --> 00:21:46,000 that . But it is a plan that could be 495 00:21:46,000 --> 00:21:48,810 done on . We feel confident in talking 496 00:21:48,810 --> 00:21:50,810 with the jurisdictions that they've 497 00:21:50,810 --> 00:21:52,977 worked through these details , uh , to 498 00:21:52,977 --> 00:21:54,754 ensure that the vaccine is used 499 00:21:54,754 --> 00:21:58,680 appropriately on without any waste , 500 00:21:58,690 --> 00:22:00,801 which is the biggest important factor 501 00:22:00,801 --> 00:22:04,740 for us . So a challenge , yes , but it 502 00:22:04,740 --> 00:22:07,340 should not hold us back from 503 00:22:07,350 --> 00:22:09,690 administering a very good vaccine to 504 00:22:09,690 --> 00:22:12,640 the American people . Madonna eyes a 505 00:22:12,640 --> 00:22:14,840 different case there . At minus 20 506 00:22:14,840 --> 00:22:17,660 degrees , uh , minus 20 degrees is 507 00:22:17,660 --> 00:22:20,480 equivalent to a normal kitchen , 508 00:22:20,490 --> 00:22:23,490 refrigerator , freezer or a freezer 509 00:22:23,490 --> 00:22:25,800 that is most commonly found in most 510 00:22:25,800 --> 00:22:28,380 pharmacies , etcetera . It has greater 511 00:22:28,380 --> 00:22:30,602 stability and that it could go into the 512 00:22:30,602 --> 00:22:33,950 refrigeration for up to 30 days . Yes , 513 00:22:33,960 --> 00:22:36,970 So it becomes a vaccine that its 514 00:22:36,970 --> 00:22:40,500 administration becomes easier to do on 515 00:22:40,500 --> 00:22:43,230 it will enable us to get to many places 516 00:22:43,230 --> 00:22:45,119 throughout the country . As we've 517 00:22:45,119 --> 00:22:47,341 talked about before , from inner city , 518 00:22:47,341 --> 00:22:49,920 out to rural America , it produces an 519 00:22:49,920 --> 00:22:53,240 advantage to that end . But I will tell 520 00:22:53,240 --> 00:22:55,340 you that I believe the jurisdictions 521 00:22:55,340 --> 00:22:57,750 already they've been well informed on 522 00:22:57,750 --> 00:23:00,800 the information of both vaccines . Both 523 00:23:00,800 --> 00:23:03,670 requirements for cold chain storage . 524 00:23:03,680 --> 00:23:06,280 They have , uh , added capability and 525 00:23:06,280 --> 00:23:08,940 capacity has required they have trained 526 00:23:08,940 --> 00:23:11,260 people to administer it . Uh , they 527 00:23:11,260 --> 00:23:13,810 have contacted pharmacies for support , 528 00:23:13,810 --> 00:23:16,760 like Walgreens and CVS toe . Help them 529 00:23:16,840 --> 00:23:19,100 on . We're well on our way to 530 00:23:19,100 --> 00:23:21,260 successfully administering both 531 00:23:21,260 --> 00:23:23,427 vaccines to the American people in the 532 00:23:23,427 --> 00:23:26,130 near future . So , Mr Secretary , that 533 00:23:26,130 --> 00:23:28,130 concludes my comments . Thank you , 534 00:23:28,130 --> 00:23:30,130 general . And at this point , we'll 535 00:23:30,130 --> 00:23:31,797 take questions from the media 536 00:23:37,240 --> 00:23:39,530 pressure . A reminder this call is 537 00:23:39,530 --> 00:23:42,300 recorded . If you would like to ask a 538 00:23:42,300 --> 00:23:44,430 question , please press star one from 539 00:23:44,430 --> 00:23:46,790 your phone a new airline and speak your 540 00:23:46,790 --> 00:23:49,100 name clearly when prompted . Your name 541 00:23:49,110 --> 00:23:51,221 is needed to introduce the question . 542 00:23:51,640 --> 00:23:54,940 Please limit to one question so we can 543 00:23:54,940 --> 00:23:57,730 try to address all questions today . If 544 00:23:57,730 --> 00:23:59,508 you would like to withdraw your 545 00:23:59,508 --> 00:24:01,730 question , please press star to again . 546 00:24:01,730 --> 00:24:03,841 If you would like to ask a question , 547 00:24:03,841 --> 00:24:06,008 please Press star 11 moment , please . 548 00:24:06,008 --> 00:24:07,970 As we wait for any questions , our 549 00:24:07,980 --> 00:24:10,120 first question will come from Helen 550 00:24:10,130 --> 00:24:13,440 Brands Ball . Helen , your line is 551 00:24:13,440 --> 00:24:16,620 open . Thanks very much . Think is 552 00:24:16,630 --> 00:24:18,797 probably a dumb question , but can you 553 00:24:18,797 --> 00:24:21,410 talk us through the logistics of how 554 00:24:21,410 --> 00:24:24,580 this will work ? Um , somebody , you 555 00:24:24,580 --> 00:24:26,890 know ? Ah , hospital in , Say , uh , 556 00:24:26,900 --> 00:24:29,640 Reno get , uh , 557 00:24:29,650 --> 00:24:33,240 995 doses of the sizer vaccine . 558 00:24:33,250 --> 00:24:36,350 Are they meant to then try to vaccinate 559 00:24:36,350 --> 00:24:39,020 995 healthcare workers as quickly as 560 00:24:39,020 --> 00:24:40,909 they can ? Or they're supposed to 561 00:24:40,909 --> 00:24:44,030 reserve half of that trash so that they 562 00:24:44,030 --> 00:24:46,880 can give that group of people their 563 00:24:46,880 --> 00:24:50,850 second vaccine waiting . It's not 564 00:24:50,860 --> 00:24:52,971 how do they ? How can they be assured 565 00:24:52,971 --> 00:24:55,082 that they're going to be in the right 566 00:24:55,082 --> 00:24:57,110 place in the line to get the second 567 00:24:57,110 --> 00:24:59,030 dose when those people need their 568 00:24:59,030 --> 00:25:02,620 second dose . Okay , so , uh , what 569 00:25:02,630 --> 00:25:04,741 what we're working with is the states 570 00:25:04,741 --> 00:25:06,908 have really worked there . Micro plans 571 00:25:06,908 --> 00:25:09,740 on the final distribution on That's 572 00:25:09,740 --> 00:25:11,684 what they're actually putting into 573 00:25:11,684 --> 00:25:13,518 place over the next two weeks in 574 00:25:13,518 --> 00:25:15,890 preparation for EU A and their 575 00:25:15,890 --> 00:25:19,050 specified they identified , 576 00:25:19,060 --> 00:25:22,230 uh , amounts of providers . 577 00:25:22,540 --> 00:25:24,484 Providers could be everywhere from 578 00:25:24,484 --> 00:25:27,420 local hospitals , doctor's offices , 579 00:25:27,430 --> 00:25:30,410 pharmacies , etcetera , a song as their 580 00:25:30,410 --> 00:25:32,910 enroll . We can distribute to them in 581 00:25:32,910 --> 00:25:35,590 their plans and with their identify 582 00:25:35,590 --> 00:25:38,490 priorities , they will specify how they 583 00:25:38,490 --> 00:25:41,330 want to administer the vaccine . So in 584 00:25:41,330 --> 00:25:44,750 your example , let's say one tray from 585 00:25:44,750 --> 00:25:47,160 Pfizer vaccine goes to a hospital . It 586 00:25:47,160 --> 00:25:50,970 has 975 doses in the tray . 587 00:25:51,640 --> 00:25:54,490 Files could be taken out of the tray 588 00:25:54,500 --> 00:25:56,980 right every single day and brought down 589 00:25:56,980 --> 00:25:59,147 to room temperature for administered . 590 00:25:59,147 --> 00:26:01,890 It's not a requirement to do all 119 591 00:26:01,890 --> 00:26:05,750 7900 and 75 1 day or one 592 00:26:05,750 --> 00:26:08,650 week they have , As I talked about up 593 00:26:08,650 --> 00:26:11,770 to 20 days to really administer those 594 00:26:11,780 --> 00:26:14,730 975 doses , uh , to 595 00:26:14,730 --> 00:26:17,530 ensure that they can get the right 596 00:26:17,540 --> 00:26:19,762 people in the right places at the right 597 00:26:19,762 --> 00:26:23,020 time . Currently , right now , our plan 598 00:26:23,030 --> 00:26:26,700 is to initially distribute the first 599 00:26:26,700 --> 00:26:29,770 dose vaccines to the states and then on 600 00:26:29,770 --> 00:26:33,260 a second delivery at 21 days for Pfizer 601 00:26:33,260 --> 00:26:36,230 and 28 days for Moderna , the states 602 00:26:36,230 --> 00:26:39,170 will receive the vaccine for the second 603 00:26:39,180 --> 00:26:42,590 dose . There is methods from , 604 00:26:42,600 --> 00:26:46,310 uh , very simple . Here's your card . 605 00:26:46,320 --> 00:26:48,431 Come back on this day for your second 606 00:26:48,431 --> 00:26:51,730 dose to very elaborate automated plans 607 00:26:51,730 --> 00:26:54,370 at both the state and national level to 608 00:26:54,370 --> 00:26:57,440 ensure reminders are sent , uh , in the 609 00:26:57,440 --> 00:27:00,570 vaccine is available for the persons . 610 00:27:00,940 --> 00:27:03,840 We are continually to assess the 611 00:27:03,840 --> 00:27:07,280 manufacturing of the vaccine on . We 612 00:27:07,280 --> 00:27:09,910 think that once we have a really steady , 613 00:27:09,920 --> 00:27:13,050 confident cadence and manufacturing in 614 00:27:13,050 --> 00:27:14,940 the very near future , there is 615 00:27:14,940 --> 00:27:18,550 potential to just , um , vaccinate at 616 00:27:18,550 --> 00:27:21,200 maximum allocation because we have 617 00:27:21,200 --> 00:27:23,422 confidence that the second dose will be 618 00:27:23,422 --> 00:27:25,960 available accordingly . Uh , we're just 619 00:27:25,960 --> 00:27:28,130 the starting this way initially to 620 00:27:28,130 --> 00:27:30,660 ensure that everybody understands the 621 00:27:30,660 --> 00:27:33,770 process on we can be accounted for . 622 00:27:34,540 --> 00:27:36,596 Thank you . Next question , please . 623 00:27:39,120 --> 00:27:41,398 The next question is from Zach Brennan . 624 00:27:41,398 --> 00:27:45,060 Political , I think so . Questions 625 00:27:45,840 --> 00:27:48,620 a little bit about the timing with a 626 00:27:48,620 --> 00:27:51,360 sip recommendation after a possible u A 627 00:27:51,740 --> 00:27:53,684 states be able to adjust where the 628 00:27:53,684 --> 00:27:56,390 first round of doses will go based on 629 00:27:56,390 --> 00:27:58,550 the ace of recommendations , even if 630 00:27:58,550 --> 00:28:00,890 you're shipping within 24 hours after 631 00:28:00,890 --> 00:28:04,750 the U A . So Zach , I think it's 632 00:28:04,750 --> 00:28:06,972 important to understand the nature of a 633 00:28:06,972 --> 00:28:09,220 C . I . P s role this is for for other 634 00:28:09,220 --> 00:28:11,276 members of the media is the Advisory 635 00:28:11,276 --> 00:28:13,387 Committee on Immunization Practices , 636 00:28:13,387 --> 00:28:15,498 which is an advisory committee set up 637 00:28:15,498 --> 00:28:17,331 under statute that's used by 500 638 00:28:17,331 --> 00:28:19,276 connected , especially usually the 639 00:28:19,276 --> 00:28:22,710 vaccine for Children's program . The 640 00:28:22,720 --> 00:28:24,942 has , of course , a very important role 641 00:28:24,942 --> 00:28:28,470 in that when they make a recommendation 642 00:28:28,480 --> 00:28:32,290 for a group to be vaccinated that they 643 00:28:32,290 --> 00:28:34,290 say essentially , that the efficacy 644 00:28:34,290 --> 00:28:36,512 outweighs safety risk for vaccination , 645 00:28:36,512 --> 00:28:38,512 and they recommend vaccination that 646 00:28:38,512 --> 00:28:40,234 triggers various reimbursement 647 00:28:40,234 --> 00:28:42,720 mechanisms in our system . Once there's 648 00:28:42,720 --> 00:28:45,360 an A C . I P recommendation , Um , as 649 00:28:45,360 --> 00:28:47,527 we have with the National Academies of 650 00:28:47,527 --> 00:28:49,304 Science , we've worked with the 651 00:28:49,304 --> 00:28:51,249 Advisory Committee on Immunization 652 00:28:51,249 --> 00:28:53,430 Practices . In addition to their 653 00:28:53,430 --> 00:28:56,610 statutory obligation on that binary 654 00:28:56,620 --> 00:28:59,820 recommendation to vaccinate , we've 655 00:28:59,820 --> 00:29:01,710 also sought any insight , input , 656 00:29:01,720 --> 00:29:04,720 etcetera around when dealing with a 657 00:29:04,720 --> 00:29:08,190 scarce quantity vaccine , which groups 658 00:29:08,190 --> 00:29:11,440 which which cohorts to prioritized at 659 00:29:11,440 --> 00:29:14,030 the end of the day . That is a decision , 660 00:29:14,030 --> 00:29:16,141 though , of the U . S . Government to 661 00:29:16,141 --> 00:29:18,308 make , which is where to recommend the 662 00:29:18,308 --> 00:29:22,120 prioritization and in the final say it 663 00:29:22,120 --> 00:29:24,180 will be our nation's governors and 664 00:29:24,190 --> 00:29:27,900 implementing the distribution plans to 665 00:29:28,010 --> 00:29:29,732 tell us . As General Purna has 666 00:29:29,732 --> 00:29:32,160 repeatedly said where to ship and they 667 00:29:32,160 --> 00:29:34,490 will decide whom the vaccine is given . 668 00:29:34,490 --> 00:29:37,190 Thio . We hope that our recommendations 669 00:29:37,320 --> 00:29:39,930 will carry weight with them , but at 670 00:29:39,930 --> 00:29:41,930 the end of the day , they will make 671 00:29:41,930 --> 00:29:43,819 that decision . And so we are not 672 00:29:43,970 --> 00:29:46,770 dependent on any delay for a Skype in 673 00:29:46,770 --> 00:29:49,560 terms of helping to advise states on 674 00:29:49,560 --> 00:29:51,727 that prioritization . We received some 675 00:29:51,727 --> 00:29:54,060 information just yesterday from a Skype . 676 00:29:54,060 --> 00:29:56,227 We had received the National Academies 677 00:29:56,227 --> 00:29:58,449 input previously , which is still going 678 00:29:58,449 --> 00:30:00,671 through some public comment with them . 679 00:30:00,671 --> 00:30:03,870 Uh , but we will work . We're working 680 00:30:03,870 --> 00:30:06,360 expeditiously to formulate our 681 00:30:06,370 --> 00:30:09,920 recommended prioritization for vaccine 682 00:30:09,920 --> 00:30:11,864 distribution based on where we can 683 00:30:11,864 --> 00:30:14,710 secure the maximum effect under 684 00:30:14,710 --> 00:30:16,766 whatever the current epidemiological 685 00:30:16,766 --> 00:30:19,060 circumstances are in the United States 686 00:30:19,070 --> 00:30:22,820 at that time . Thank you . Next 687 00:30:22,820 --> 00:30:26,420 question , please . The next 688 00:30:26,420 --> 00:30:28,420 question is from John Cone . John , 689 00:30:28,420 --> 00:30:31,990 your line is open so much . Um , the 690 00:30:32,000 --> 00:30:34,500 company has been less than transparent 691 00:30:34,500 --> 00:30:37,190 about how the half , half does occurred 692 00:30:37,200 --> 00:30:39,367 and I'm wondering whether they explain 693 00:30:39,367 --> 00:30:41,478 to you what happened and also whether 694 00:30:41,478 --> 00:30:43,644 you have plans to switch toe half does 695 00:30:43,730 --> 00:30:46,970 as the prime for the AstraZeneca Oxford , 696 00:30:48,140 --> 00:30:52,040 right ? Yes . So we have been 697 00:30:52,040 --> 00:30:55,570 made aware off the school . Now , the 698 00:30:55,570 --> 00:30:58,120 half those at the time it has happened 699 00:30:58,130 --> 00:31:01,830 this waas a change in the 700 00:31:01,830 --> 00:31:05,460 way the quantity of vaccine , the 701 00:31:05,460 --> 00:31:08,450 amount of vaccine put in a vile 702 00:31:08,630 --> 00:31:12,410 waas tested . And , uh , 703 00:31:12,420 --> 00:31:15,020 when they When they realized that there 704 00:31:15,020 --> 00:31:18,190 was an error or change in the approach 705 00:31:18,190 --> 00:31:22,070 and technique used , they corrected it . 706 00:31:22,070 --> 00:31:25,360 And in the meantime , about 3000 707 00:31:25,360 --> 00:31:27,582 subjects who are recruited half of them 708 00:31:27,582 --> 00:31:29,749 in the placebo and half of them in the 709 00:31:29,749 --> 00:31:31,860 vaccine group . And that's the cohort 710 00:31:31,860 --> 00:31:35,240 that has shown 90% efficacy . That's I 711 00:31:35,240 --> 00:31:38,550 would say the fact in terms of what has 712 00:31:38,550 --> 00:31:41,110 bean inputted into the vaccine ease . 713 00:31:41,310 --> 00:31:43,870 What we are now looking to analyze is 714 00:31:43,870 --> 00:31:46,710 what immune response has been induced 715 00:31:46,720 --> 00:31:49,440 in Those who have received have those 716 00:31:49,440 --> 00:31:51,650 and the full does versus those that 717 00:31:51,650 --> 00:31:54,490 have received twice the full does and 718 00:31:54,490 --> 00:31:56,101 understand whether there are 719 00:31:56,101 --> 00:31:58,268 differences in the immune response and 720 00:31:58,268 --> 00:32:00,434 used . You should also know that there 721 00:32:00,434 --> 00:32:02,520 are also differences in the age 722 00:32:02,520 --> 00:32:05,370 brackets present in the cohorts in that 723 00:32:05,370 --> 00:32:07,820 the first cohort that received they 724 00:32:07,820 --> 00:32:09,987 have those and full does , followed by 725 00:32:09,987 --> 00:32:12,280 a full does , had a cap on the age at 726 00:32:12,290 --> 00:32:15,180 the age of 55 when there are older 727 00:32:15,180 --> 00:32:18,150 people included in the city that 728 00:32:18,150 --> 00:32:20,650 received full does and full does . So 729 00:32:20,650 --> 00:32:22,790 there are number of variables that we 730 00:32:22,790 --> 00:32:25,600 need to understand and what what has 731 00:32:25,600 --> 00:32:28,000 been the role of each one of them in 732 00:32:28,010 --> 00:32:31,440 achieving the difference in 733 00:32:31,450 --> 00:32:34,630 efficacy . Once we understand , then 734 00:32:34,630 --> 00:32:38,060 we'll make a decision as to whether to , 735 00:32:38,060 --> 00:32:41,160 for instance , modify in part the 736 00:32:41,160 --> 00:32:44,160 ongoing face retrial here and introduce , 737 00:32:44,170 --> 00:32:46,226 for instance , I have those and full 738 00:32:46,226 --> 00:32:48,337 does or any otherwise . But we wanted 739 00:32:48,337 --> 00:32:51,080 to be based on data and science because 740 00:32:51,080 --> 00:32:53,247 we understand the input . But we don't 741 00:32:53,247 --> 00:32:55,191 understand the consequences of the 742 00:32:55,191 --> 00:32:56,858 input . I should just say for 743 00:32:56,858 --> 00:32:58,913 completeness , scientifically , that 744 00:32:58,913 --> 00:33:01,110 the 90% Efficacy Group and the 62% 745 00:33:01,110 --> 00:33:03,140 Efficacy group are overlapping 746 00:33:03,140 --> 00:33:05,540 statistically , so it is still possible 747 00:33:05,770 --> 00:33:08,430 that that difference is a random 748 00:33:08,430 --> 00:33:10,570 difference . It's unlikely , but it's 749 00:33:10,570 --> 00:33:12,292 still possible . It's a random 750 00:33:12,292 --> 00:33:14,237 difference . We need to understand 751 00:33:14,237 --> 00:33:16,459 what's behind it scientifically , Thank 752 00:33:16,459 --> 00:33:20,370 you next question . The next question 753 00:33:20,370 --> 00:33:22,537 is from Carlo , Don . Oh , Carl , your 754 00:33:22,537 --> 00:33:25,740 line is open . Hi , this is Carla 755 00:33:25,740 --> 00:33:27,740 Donald from Reuters . You mentioned 756 00:33:27,740 --> 00:33:30,350 that you had given some guidance to the 757 00:33:30,740 --> 00:33:33,500 the States in terms of the general size 758 00:33:33,500 --> 00:33:36,220 of the initial allocation vaccine that 759 00:33:36,220 --> 00:33:38,109 they're going to get to help them 760 00:33:38,109 --> 00:33:40,331 prepare . Do you have a national figure 761 00:33:40,331 --> 00:33:42,664 at this point for the amount of vaccine , 762 00:33:42,664 --> 00:33:44,276 you know , that that will be 763 00:33:44,276 --> 00:33:46,331 distributed overall to the different 764 00:33:46,331 --> 00:33:48,498 states and jurisdictions on . But what 765 00:33:48,498 --> 00:33:50,387 what is that figure ? And are you 766 00:33:50,387 --> 00:33:52,609 confident that will still get to the 40 767 00:33:52,609 --> 00:33:54,664 million figure overall by the end of 768 00:33:54,664 --> 00:33:56,442 the year ? So , yes , I do feel 769 00:33:56,442 --> 00:33:58,553 confident that we're going to get too 770 00:33:58,553 --> 00:34:00,420 close , close as we can . The 40 771 00:34:00,420 --> 00:34:02,753 million at the end of the year . I mean , 772 00:34:02,753 --> 00:34:04,920 it's not the chalk line . What exactly 773 00:34:04,920 --> 00:34:07,142 comes off . We'll know at the end . But 774 00:34:07,142 --> 00:34:09,364 I do feel confident , and we've planned 775 00:34:09,364 --> 00:34:11,320 scenarios to that end . And we've 776 00:34:11,320 --> 00:34:13,431 worked with the jurisdictions for the 777 00:34:13,431 --> 00:34:16,160 total amount through December , the 778 00:34:16,160 --> 00:34:19,490 initial amount Azzawi were speculating 779 00:34:19,500 --> 00:34:21,820 on when you would a would come out 780 00:34:21,820 --> 00:34:23,764 because we're not involved in that 781 00:34:23,764 --> 00:34:25,931 process , literally on the white board 782 00:34:25,931 --> 00:34:27,987 we're trying to figure out when that 783 00:34:27,987 --> 00:34:30,209 decision might be made . I finally made 784 00:34:30,209 --> 00:34:32,320 the decision Friday night late Friday 785 00:34:32,320 --> 00:34:35,240 night to snap the chalk line . Eso 786 00:34:35,250 --> 00:34:38,160 states could prioritize based on amount . 787 00:34:38,170 --> 00:34:40,340 That amount that we allocated to the 788 00:34:40,340 --> 00:34:43,170 country was 6.4 million doses of 789 00:34:43,170 --> 00:34:46,610 vaccine . Uh And then what will happen 790 00:34:46,620 --> 00:34:49,100 if , uh , if there's mawr available 791 00:34:49,110 --> 00:34:51,700 after the initial push ? Then it will 792 00:34:51,700 --> 00:34:53,820 go out in the following Kate Weekly 793 00:34:53,820 --> 00:34:56,640 cadences of distribution accordingly , 794 00:34:56,650 --> 00:34:59,100 but yes , 40 million by the end of the 795 00:34:59,100 --> 00:35:02,760 year . Next question , please . 796 00:35:06,140 --> 00:35:08,430 Next question is that the Amber Gano 797 00:35:08,430 --> 00:35:12,360 buzzfeed news ? Thanks very much . Uh , 798 00:35:12,370 --> 00:35:14,481 I'm wondering if you have any concern 799 00:35:14,481 --> 00:35:16,481 that the general population will be 800 00:35:16,481 --> 00:35:18,770 disappointed when they figure out the 801 00:35:18,780 --> 00:35:20,724 prioritization is going on That is 802 00:35:20,724 --> 00:35:22,910 going to health care workers , uh , 803 00:35:22,920 --> 00:35:25,087 nursing homes , that sort of thing and 804 00:35:25,087 --> 00:35:27,309 not sort of the general public until it 805 00:35:27,309 --> 00:35:29,253 sounds like months from now , um , 806 00:35:29,253 --> 00:35:31,364 months have been discussed like April 807 00:35:31,364 --> 00:35:33,476 to June Thereabouts . If you have any 808 00:35:33,476 --> 00:35:32,680 guidance on that as well , that would 809 00:35:32,680 --> 00:35:34,736 be great . Thanks very much . Well , 810 00:35:34,736 --> 00:35:37,430 Dan , we've been very transparent 811 00:35:37,430 --> 00:35:39,820 throughout for the American people and 812 00:35:39,820 --> 00:35:42,710 for you all about the timelines as we 813 00:35:42,710 --> 00:35:44,766 best understand them at each step of 814 00:35:44,766 --> 00:35:46,700 the way and potential prioritized 815 00:35:46,700 --> 00:35:49,280 groups . Of course , we have not 816 00:35:49,280 --> 00:35:51,447 announced recommended prioritization . 817 00:35:51,447 --> 00:35:53,447 We've talked about some core groups 818 00:35:53,447 --> 00:35:55,724 that makes , um , fairly obvious sense , 819 00:35:55,724 --> 00:35:57,724 especially in light of the National 820 00:35:57,724 --> 00:35:59,970 Academies . Uh , Input and the Advisory 821 00:35:59,970 --> 00:36:01,970 Committee on Immunization Practices 822 00:36:01,970 --> 00:36:04,200 Focus . Uh Those , of course , are 823 00:36:04,340 --> 00:36:06,118 those in nursing homes . As you 824 00:36:06,118 --> 00:36:08,490 mentioned , our most vulnerable 825 00:36:08,500 --> 00:36:10,980 citizens are health care workers who 826 00:36:10,980 --> 00:36:12,924 are on the front lines . Are first 827 00:36:12,924 --> 00:36:14,869 responders those air ? Some of the 828 00:36:14,869 --> 00:36:17,036 broad groups we've talked about and we 829 00:36:17,036 --> 00:36:19,258 focused , and we've said that we expect 830 00:36:19,258 --> 00:36:21,424 by the end of December toe have enough 831 00:36:21,424 --> 00:36:23,647 vaccine to vaccinate those who are most 832 00:36:23,647 --> 00:36:25,702 vulnerable just by way of sizing and 833 00:36:25,702 --> 00:36:27,924 scaling that by the end of January , we 834 00:36:27,924 --> 00:36:30,147 think we would have enough to vaccinate 835 00:36:30,147 --> 00:36:32,091 our senior citizens as well as our 836 00:36:32,091 --> 00:36:31,470 health care workers and first 837 00:36:31,470 --> 00:36:33,637 responders . And then , as the general 838 00:36:33,637 --> 00:36:35,637 has talked about progressively week 839 00:36:35,637 --> 00:36:37,692 after week , just more vaccine keeps 840 00:36:37,692 --> 00:36:39,692 coming off of the production , gets 841 00:36:39,692 --> 00:36:41,748 quality controlled and released into 842 00:36:41,748 --> 00:36:43,637 the system additional prioritized 843 00:36:43,637 --> 00:36:45,637 groups or eventually , just general 844 00:36:45,637 --> 00:36:47,748 vaccination availability to the point 845 00:36:47,748 --> 00:36:49,970 that in the second quarter of next year 846 00:36:49,970 --> 00:36:52,137 we believe we have enough vaccine from 847 00:36:52,137 --> 00:36:54,248 all sources to be able Thio make that 848 00:36:54,248 --> 00:36:56,192 so that anyone who wanted to get a 849 00:36:56,192 --> 00:36:58,303 vaccine in the United States would be 850 00:36:58,303 --> 00:36:58,290 able to get that . But that's a 851 00:36:58,290 --> 00:37:00,457 progression , a constant progression . 852 00:37:00,457 --> 00:37:02,620 And and so we've been very clear for 853 00:37:02,620 --> 00:37:05,050 months really about about that sequence , 854 00:37:05,050 --> 00:37:07,272 and that's that's the best we can do is 855 00:37:07,272 --> 00:37:09,161 just to use forums like these and 856 00:37:09,161 --> 00:37:12,540 others to educate . In that regard , we 857 00:37:12,540 --> 00:37:14,596 have time for three more questions . 858 00:37:20,190 --> 00:37:23,520 The next question comes from Tom . How ? 859 00:37:23,520 --> 00:37:27,430 Washington Times . I Thanks for doing 860 00:37:27,430 --> 00:37:29,263 the call . Uh , this question is 861 00:37:29,263 --> 00:37:31,486 probably for the secretary . Earlier in 862 00:37:31,486 --> 00:37:33,597 the year , there were some polls this 863 00:37:33,597 --> 00:37:35,819 showed , um , some people were leery of 864 00:37:35,819 --> 00:37:38,041 taking a vaccine , so that was tied toe 865 00:37:38,041 --> 00:37:39,930 campaign timelines . Now that the 866 00:37:39,930 --> 00:37:42,041 election is over . And now , that's , 867 00:37:42,041 --> 00:37:44,208 um , Data's coming in that shows these 868 00:37:44,208 --> 00:37:45,986 shots are quite effective . How 869 00:37:45,986 --> 00:37:48,097 confident are you that people will be 870 00:37:48,097 --> 00:37:50,263 eager to go take up the vaccine ? Um , 871 00:37:50,263 --> 00:37:52,486 and what are you doing to ensure , um , 872 00:37:52,486 --> 00:37:54,152 to alleviate any skepticism , 873 00:37:54,152 --> 00:37:56,374 Especially among minority populations . 874 00:37:56,374 --> 00:37:58,652 Thank you . Yeah . Thank you very much , 875 00:37:58,652 --> 00:38:00,986 Tom . Excellent question . You're right . 876 00:38:00,986 --> 00:38:03,510 We saw ever increasing uh , numbers of 877 00:38:03,510 --> 00:38:06,150 potential vaccine hesitancy in previous 878 00:38:06,150 --> 00:38:08,206 months . Unfortunately , there was a 879 00:38:08,206 --> 00:38:10,372 lot of rhetoric out there that was not 880 00:38:10,372 --> 00:38:12,428 helpful . Uh , in terms of inspiring 881 00:38:12,428 --> 00:38:14,206 confidence in the process , the 882 00:38:14,206 --> 00:38:16,620 president and I have been clear that 883 00:38:16,630 --> 00:38:19,440 politics would play no role in the 884 00:38:19,440 --> 00:38:21,600 development , the manufacturer , the 885 00:38:21,600 --> 00:38:24,160 distribution or approval of a vaccine . 886 00:38:24,520 --> 00:38:26,520 I think the proof is in the pudding 887 00:38:26,520 --> 00:38:29,870 there that we now that we have all of 888 00:38:29,870 --> 00:38:32,092 these various checks on independence in 889 00:38:32,092 --> 00:38:34,092 the system . I've talked about five 890 00:38:34,092 --> 00:38:36,650 separate checks the Data and Safety 891 00:38:36,650 --> 00:38:38,850 Monitoring Board that determines even 892 00:38:38,850 --> 00:38:41,017 if the drug company gets to see data . 893 00:38:41,017 --> 00:38:43,239 The drug companies own ethical checks , 894 00:38:43,239 --> 00:38:45,406 where they determine if they even find 895 00:38:45,406 --> 00:38:45,370 the data to meet their ethical 896 00:38:45,370 --> 00:38:47,537 standards to submit for approval . The 897 00:38:47,537 --> 00:38:50,150 fact that the FDA has laid out both 898 00:38:50,150 --> 00:38:52,480 final biologic license as well as you a 899 00:38:52,480 --> 00:38:54,660 guidance on what standards they would 900 00:38:54,660 --> 00:38:58,160 hold a vaccine applicant to the fact 901 00:38:58,160 --> 00:39:00,720 that the FDA would hold a public 902 00:39:00,720 --> 00:39:02,720 advisory process with their vaccine 903 00:39:02,720 --> 00:39:04,776 advisory committee . Uh , that is an 904 00:39:04,776 --> 00:39:06,609 independent , transparent public 905 00:39:06,609 --> 00:39:08,776 process . They've already announced on 906 00:39:08,776 --> 00:39:10,887 Friday that December 10th will be the 907 00:39:10,887 --> 00:39:13,164 date for the Pfizer Advisory Committee , 908 00:39:13,164 --> 00:39:15,109 and then finally the fact that FDA 909 00:39:15,109 --> 00:39:17,450 career scientists career leaders will 910 00:39:17,450 --> 00:39:19,450 make the ultimate call on whether a 911 00:39:19,450 --> 00:39:21,850 vaccine meets FDA is data , scientific , 912 00:39:21,860 --> 00:39:23,860 evidentiary and legal standards for 913 00:39:23,860 --> 00:39:26,640 authorization or eventual approval . Uh , 914 00:39:26,920 --> 00:39:28,976 we have seen , since the fighter and 915 00:39:28,976 --> 00:39:31,031 Madonna data have come out with such 916 00:39:31,031 --> 00:39:33,087 exceptional results on , of course , 917 00:39:33,087 --> 00:39:35,087 with the passing of the election we 918 00:39:35,087 --> 00:39:37,600 have seen in public polling increases 919 00:39:37,610 --> 00:39:40,460 in vaccine acceptance among them among 920 00:39:40,460 --> 00:39:43,060 people we obviously remain concerned , 921 00:39:43,060 --> 00:39:44,949 especially in various underserved 922 00:39:44,949 --> 00:39:46,838 communities , about any issues of 923 00:39:46,838 --> 00:39:50,080 vaccine hesitancy . The C D . C . Our 924 00:39:50,080 --> 00:39:52,620 assist sector for public affairs as 925 00:39:52,620 --> 00:39:54,453 well as all of our public health 926 00:39:54,453 --> 00:39:56,287 leaders were working on a public 927 00:39:56,287 --> 00:39:58,231 service announcement campaign that 928 00:39:58,231 --> 00:40:00,009 would work to educate the broad 929 00:40:00,009 --> 00:40:02,231 population regarding , uh , the need to 930 00:40:02,231 --> 00:40:04,120 be vaccinated . The safety of the 931 00:40:04,120 --> 00:40:06,342 vaccine , the efficacy of the vaccine , 932 00:40:06,342 --> 00:40:08,564 uh , importance of getting vaccinated . 933 00:40:08,564 --> 00:40:10,287 If you're in one of the target 934 00:40:10,287 --> 00:40:12,620 prioritized groups on , we'll just keep . 935 00:40:12,620 --> 00:40:14,620 We'll keep doing that . And I think 936 00:40:14,620 --> 00:40:16,731 progressively as more and more people 937 00:40:16,731 --> 00:40:18,842 get vaccinated , overtime prioritized 938 00:40:18,842 --> 00:40:20,842 groups moving forward eventually to 939 00:40:20,842 --> 00:40:22,731 general vaccination . Hopefully , 940 00:40:22,731 --> 00:40:24,620 there's a positive experience for 941 00:40:24,620 --> 00:40:26,842 individuals and that by word of mouth , 942 00:40:26,842 --> 00:40:29,064 in addition , of course , to all of the 943 00:40:29,064 --> 00:40:31,009 education efforts . We continue to 944 00:40:31,009 --> 00:40:33,120 reduce vaccine hesitancy and continue 945 00:40:33,120 --> 00:40:35,342 to increase support among people to get 946 00:40:35,342 --> 00:40:37,790 vaccinated . Uh , I've told you , uh , 947 00:40:37,800 --> 00:40:40,460 I certainly , uh , will will have 948 00:40:40,460 --> 00:40:43,570 complete confidence in the process on I 949 00:40:43,570 --> 00:40:45,792 will get myself vaccinated as soon as I 950 00:40:45,792 --> 00:40:47,792 will be allowed to be vaccinated to 951 00:40:47,792 --> 00:40:49,903 demonstrate to the American people my 952 00:40:49,903 --> 00:40:52,126 complete confidence in the independence 953 00:40:52,126 --> 00:40:54,181 and integrity of the process and the 954 00:40:54,181 --> 00:40:56,750 quality of any vaccine that I would 955 00:40:56,760 --> 00:40:58,982 make available to the American people . 956 00:41:00,810 --> 00:41:03,800 Next question . The next question is 957 00:41:03,800 --> 00:41:06,320 from Andrew Don Business Insider Andrew , 958 00:41:06,320 --> 00:41:09,510 you may begin . Thank you . I was 959 00:41:09,520 --> 00:41:12,540 wondering what do you see as the to put 960 00:41:12,540 --> 00:41:14,840 it simply the ultimate responsibility 961 00:41:14,840 --> 00:41:17,710 of state in the distribution process . 962 00:41:17,720 --> 00:41:20,060 Um , can you go over clearly what 963 00:41:20,070 --> 00:41:22,126 jurisdictional public health leaders 964 00:41:22,126 --> 00:41:24,459 will need to do as part of the campaign ? 965 00:41:24,459 --> 00:41:26,626 And have you heard from many states of 966 00:41:26,626 --> 00:41:28,737 regions about the need for additional 967 00:41:28,737 --> 00:41:30,959 funding to actually make that happen at 968 00:41:30,959 --> 00:41:33,126 the state level ? Yeah , thanks . I'll 969 00:41:33,126 --> 00:41:35,237 start in the last General Penneteau . 970 00:41:35,237 --> 00:41:37,403 Add to it s o . Uh , this is obviously 971 00:41:37,403 --> 00:41:39,514 as we talked about in our last call . 972 00:41:39,514 --> 00:41:41,737 This is there two types of partnerships 973 00:41:41,737 --> 00:41:41,710 here that are involved . The first is 974 00:41:41,710 --> 00:41:43,877 the public private partnership of what 975 00:41:43,877 --> 00:41:45,988 we're trying to do to really leverage 976 00:41:45,988 --> 00:41:48,210 the systems around vaccine distribution 977 00:41:48,210 --> 00:41:50,154 in the United States that are well 978 00:41:50,154 --> 00:41:52,377 rehearsed and at work . We want to make 979 00:41:52,377 --> 00:41:54,488 the experience for people as close to 980 00:41:54,488 --> 00:41:56,377 the flu vaccination experience as 981 00:41:56,377 --> 00:41:58,599 possible in terms of meeting them where 982 00:41:58,599 --> 00:42:00,550 they are . The second is a federal 983 00:42:00,550 --> 00:42:03,100 state partnership , very tight linkage 984 00:42:03,100 --> 00:42:06,370 between us . We have gotten the vaccine 985 00:42:06,380 --> 00:42:08,810 we're paying for the vaccine . We are 986 00:42:08,810 --> 00:42:10,754 paying for the distribution of the 987 00:42:10,754 --> 00:42:12,977 vaccine . We have secured the kits that 988 00:42:12,977 --> 00:42:14,810 go with vaccination . That's the 989 00:42:14,810 --> 00:42:17,032 needles , the syringes , the deal . You 990 00:42:17,032 --> 00:42:19,143 want the last mile dry ice , etcetera 991 00:42:19,143 --> 00:42:21,930 to marry that up with the vaccine up , 992 00:42:21,980 --> 00:42:24,590 we have the data systems for 993 00:42:24,600 --> 00:42:26,822 distributing the vaccine as well as for 994 00:42:26,822 --> 00:42:28,940 accounting for the immunization of 995 00:42:28,940 --> 00:42:30,607 individuals , the tracking of 996 00:42:30,607 --> 00:42:32,829 individuals to ensure they get a second 997 00:42:32,829 --> 00:42:34,996 dose of the same vaccine . What is the 998 00:42:34,996 --> 00:42:37,051 role of the states ? Of course , the 999 00:42:37,051 --> 00:42:39,220 governors will determine distribution 1000 00:42:39,220 --> 00:42:41,276 within their states , prioritization 1001 00:42:41,276 --> 00:42:43,442 within their states where to ship to , 1002 00:42:43,442 --> 00:42:45,553 as the general has said , we can ship 1003 00:42:45,553 --> 00:42:47,664 toe one site or 1000 sites in a state 1004 00:42:47,664 --> 00:42:49,776 depending on the governor's , long as 1005 00:42:49,776 --> 00:42:51,942 they're enrolled in the system and the 1006 00:42:51,942 --> 00:42:54,109 governor tells us what he or she would 1007 00:42:54,109 --> 00:42:56,331 like us to dio , uh , that's one . Tell 1008 00:42:56,331 --> 00:42:58,609 us as almost an air traffic controller , 1009 00:42:58,609 --> 00:43:00,850 where would you like us to send or have 1010 00:43:00,850 --> 00:43:04,470 sent the product ? The second is ensure 1011 00:43:04,470 --> 00:43:07,560 your data systems are working with ours 1012 00:43:07,570 --> 00:43:09,403 and that you've signed out a use 1013 00:43:09,403 --> 00:43:11,459 agreements to ensure the transit the 1014 00:43:11,459 --> 00:43:13,670 ability of coordination of information 1015 00:43:13,930 --> 00:43:16,460 across the United States so that if 1016 00:43:16,460 --> 00:43:18,682 somebody gets vaccinated with the first 1017 00:43:18,682 --> 00:43:20,849 dose in New York and they then go down 1018 00:43:20,849 --> 00:43:23,071 to Florida for the rest of the winter , 1019 00:43:23,071 --> 00:43:25,071 they could get their second dose in 1020 00:43:25,071 --> 00:43:27,238 Florida . And if it was Pfizer remains 1021 00:43:27,238 --> 00:43:27,210 fighter was Madonna . It remains 1022 00:43:27,320 --> 00:43:29,610 Madonna . Uh , the states will , 1023 00:43:29,620 --> 00:43:31,990 obviously , if there are additional 1024 00:43:32,000 --> 00:43:34,056 areas that they would like to ensure 1025 00:43:34,056 --> 00:43:35,889 distribution to be on the normal 1026 00:43:35,889 --> 00:43:37,778 traditional mechanisms that we've 1027 00:43:37,778 --> 00:43:39,611 worked on hospitals , uh , chain 1028 00:43:39,611 --> 00:43:42,140 drugstores , community pharmacies , uh , 1029 00:43:42,150 --> 00:43:44,180 community health centers , public 1030 00:43:44,180 --> 00:43:46,390 health departments . If governors feel 1031 00:43:46,390 --> 00:43:49,090 there's a need for customized other 1032 00:43:49,090 --> 00:43:52,140 approaches , they are fully at liberty 1033 00:43:52,150 --> 00:43:54,690 to set those up . That is , that is , 1034 00:43:54,700 --> 00:43:56,589 that is part of them being in the 1035 00:43:56,589 --> 00:43:59,160 driver's seat on that localized micro 1036 00:43:59,160 --> 00:44:02,100 distribution planning . Uh , we've put 1037 00:44:02,100 --> 00:44:05,650 out $340 million for flu and Pan and co . 1038 00:44:05,650 --> 00:44:08,330 Vid 19 vaccination to date . Another 1039 00:44:08,330 --> 00:44:10,510 140 million is going out in December . 1040 00:44:10,790 --> 00:44:13,012 Uh , money should not be the barrier to 1041 00:44:13,012 --> 00:44:15,123 effective , efficient distribution of 1042 00:44:15,123 --> 00:44:17,234 the product working with the states , 1043 00:44:17,234 --> 00:44:19,290 But it is important to remember just 1044 00:44:19,290 --> 00:44:21,234 how much of this entire process is 1045 00:44:21,234 --> 00:44:23,401 already federally funded and federally 1046 00:44:23,401 --> 00:44:25,290 supported in partnership with the 1047 00:44:25,290 --> 00:44:27,600 state's General . Mr . Secretary , I am 1048 00:44:27,610 --> 00:44:29,777 100% agreement and everything you said 1049 00:44:29,777 --> 00:44:31,888 and have nothing to add . Thank you , 1050 00:44:31,888 --> 00:44:34,110 General . One last question , I believe 1051 00:44:34,110 --> 00:44:37,890 Michael . Thank you . The next question 1052 00:44:37,890 --> 00:44:39,946 is from Jared Hopkins . Jared , your 1053 00:44:39,946 --> 00:44:43,130 line is open . Thanks . Uh , Jared 1054 00:44:43,130 --> 00:44:45,297 Hopkins from the Wall Street Journal . 1055 00:44:45,297 --> 00:44:46,963 Uh , regarding allocation , I 1056 00:44:46,963 --> 00:44:48,797 previously the c d . C . So that 1057 00:44:48,797 --> 00:44:51,980 besides , population local spread of 1058 00:44:51,990 --> 00:44:54,157 cove , it was going to be a factor for 1059 00:44:54,157 --> 00:44:56,390 determining for each state . So can you 1060 00:44:56,390 --> 00:44:58,900 explain sort of how you guys decided on 1061 00:44:58,910 --> 00:45:01,290 each state ? Individual allocations 1062 00:45:01,290 --> 00:45:03,320 within that six million that you 1063 00:45:03,320 --> 00:45:05,480 mentioned earlier based on infection 1064 00:45:05,480 --> 00:45:07,820 rates from Friday or something else ? 1065 00:45:08,690 --> 00:45:11,320 Yes . So ? So , Jared , You know , 1066 00:45:11,320 --> 00:45:13,240 given the national spread of the 1067 00:45:13,240 --> 00:45:15,480 disease at this point , and 1068 00:45:15,600 --> 00:45:17,489 unfortunately for the foreseeable 1069 00:45:17,489 --> 00:45:19,620 future , working and seeking 1070 00:45:19,620 --> 00:45:21,731 consultation with the governor's , we 1071 00:45:21,731 --> 00:45:23,620 asked the governor's for input on 1072 00:45:23,620 --> 00:45:25,564 allocation methodology . We didn't 1073 00:45:25,564 --> 00:45:27,620 receive feedback from many , but the 1074 00:45:27,620 --> 00:45:29,731 feedback we did get was supportive of 1075 00:45:29,731 --> 00:45:31,787 what we proposed , which was to keep 1076 00:45:31,787 --> 00:45:33,630 this simple and on the initial 1077 00:45:33,630 --> 00:45:36,690 allocations to follow a per capita over 1078 00:45:36,690 --> 00:45:40,460 the age of 18 population based formula 1079 00:45:40,470 --> 00:45:42,470 for for trying for distributing the 1080 00:45:42,470 --> 00:45:44,692 vaccine . We wanted to keep this simple 1081 00:45:44,692 --> 00:45:46,303 first , because we're seeing 1082 00:45:46,303 --> 00:45:48,248 effectively nation wide spread and 1083 00:45:48,248 --> 00:45:50,248 susceptibility to the disease . But 1084 00:45:50,248 --> 00:45:53,640 also , once we pass through these 1085 00:45:53,650 --> 00:45:56,170 initial tranches , where we're in much 1086 00:45:56,170 --> 00:45:58,870 more of a scarcity situation , we're 1087 00:45:58,870 --> 00:46:00,926 eventually going to get to the point 1088 00:46:00,926 --> 00:46:03,092 where it would need to be per capita . 1089 00:46:03,092 --> 00:46:04,981 And so instead of having multiple 1090 00:46:04,981 --> 00:46:07,203 methodologies , uh , we thought it best 1091 00:46:07,203 --> 00:46:09,037 to keep it simple . The governor 1092 00:46:09,037 --> 00:46:08,960 supported that from the feedback that 1093 00:46:08,960 --> 00:46:11,127 we received . That was the approach we 1094 00:46:11,127 --> 00:46:13,404 took correct , correct . Exactly right , 1095 00:46:13,404 --> 00:46:15,460 Mr Secretary . So we just we thought 1096 00:46:15,460 --> 00:46:17,516 that would be the fairest approach . 1097 00:46:17,516 --> 00:46:19,571 The most consistent . Um , I want to 1098 00:46:19,571 --> 00:46:21,627 thank you all for this . We're gonna 1099 00:46:21,627 --> 00:46:23,682 keep doing this weekly or as much as 1100 00:46:23,682 --> 00:46:23,590 needed . We wanna make sure that you're 1101 00:46:23,590 --> 00:46:25,646 getting your questions answered that 1102 00:46:25,646 --> 00:46:27,479 were being transparent about our 1103 00:46:27,479 --> 00:46:29,090 operation warp speed work on 1104 00:46:29,090 --> 00:46:30,868 therapeutics , on vaccines , on 1105 00:46:30,868 --> 00:46:32,812 distribution practices . I was not 1106 00:46:32,812 --> 00:46:34,923 asked about this , but I do wanna let 1107 00:46:34,923 --> 00:46:37,146 you know that consistent with the G s A 1108 00:46:37,146 --> 00:46:39,312 administrators ascertainment Yesterday 1109 00:46:39,640 --> 00:46:42,580 last night , our top career official , 1110 00:46:42,590 --> 00:46:44,646 Rear Admiral Schwartz , who has been 1111 00:46:44,646 --> 00:46:46,979 leading our transition planning efforts , 1112 00:46:46,979 --> 00:46:49,530 was last night in communication with 1113 00:46:49,530 --> 00:46:52,020 the Biden transition team . We are 1114 00:46:52,020 --> 00:46:54,242 immediately getting them all of the pre 1115 00:46:54,242 --> 00:46:56,520 prepared transition briefing materials . 1116 00:46:56,520 --> 00:46:59,290 We will ensure coordinated briefings 1117 00:46:59,290 --> 00:47:01,290 with them to ensure they're getting 1118 00:47:01,290 --> 00:47:03,290 whatever information that they feel 1119 00:47:03,290 --> 00:47:05,234 they need . That's consistent with 1120 00:47:05,234 --> 00:47:07,457 statute and past practice . Uh , I have 1121 00:47:07,457 --> 00:47:09,623 reiterated I've said pause . I've said 1122 00:47:09,623 --> 00:47:11,568 publicly to you all . I reiterated 1123 00:47:11,568 --> 00:47:13,234 Admiral Shorts , uh , my firm 1124 00:47:13,234 --> 00:47:16,380 commitment that transition , planning 1125 00:47:16,380 --> 00:47:18,436 and execution will be professional , 1126 00:47:18,436 --> 00:47:21,100 cooperative and collaborative in the 1127 00:47:21,100 --> 00:47:23,044 best spirit of looking out for the 1128 00:47:23,044 --> 00:47:25,156 health and well being of the American 1129 00:47:25,156 --> 00:47:27,267 people and in particular saving lives 1130 00:47:27,267 --> 00:47:30,390 through this cove in 19 Pandemic , I 1131 00:47:30,390 --> 00:47:33,370 want to say again , just thanks to the 1132 00:47:33,370 --> 00:47:35,660 support , unwavering and constant and 1133 00:47:35,660 --> 00:47:37,882 personal support that this team has had 1134 00:47:37,882 --> 00:47:40,104 from President Trump from the beginning 1135 00:47:40,104 --> 00:47:42,271 to create operation warp speed to give 1136 00:47:42,271 --> 00:47:44,327 us the full funding of resources and 1137 00:47:44,327 --> 00:47:46,493 the independence to act with speed and 1138 00:47:46,493 --> 00:47:50,220 agility . We now have face three data 1139 00:47:50,580 --> 00:47:53,450 on three vaccines . Three more vaccines 1140 00:47:54,060 --> 00:47:57,790 in active study . Five therapeutics 1141 00:47:57,800 --> 00:48:00,840 now are authorized or approved by the 1142 00:48:00,840 --> 00:48:03,790 FDA to help people suffering from Kobe . 1143 00:48:05,070 --> 00:48:08,840 So much is already here . So much is 1144 00:48:08,850 --> 00:48:11,940 on the way . As I say , hope and help 1145 00:48:11,950 --> 00:48:14,910 are on the way . But that also means 1146 00:48:14,980 --> 00:48:16,870 we're bridging . Right now we're 1147 00:48:16,870 --> 00:48:18,648 bridging toe when we have these 1148 00:48:18,648 --> 00:48:20,870 vaccines that General Purna is going to 1149 00:48:20,870 --> 00:48:22,870 ensure are getting out there to our 1150 00:48:22,870 --> 00:48:24,926 most vulnerable into our health care 1151 00:48:24,926 --> 00:48:26,981 workers and our first responders and 1152 00:48:26,981 --> 00:48:26,620 eventually the broad American 1153 00:48:26,810 --> 00:48:30,440 population . It means we need to bridge 1154 00:48:30,450 --> 00:48:33,270 through our individual behaviors . We 1155 00:48:33,270 --> 00:48:35,326 want to make sure that everybody can 1156 00:48:35,326 --> 00:48:37,270 get to the day of experiencing the 1157 00:48:37,270 --> 00:48:39,460 benefits of the work that that team is 1158 00:48:39,460 --> 00:48:42,380 delivering . And that means wash your 1159 00:48:42,380 --> 00:48:45,290 hands , watch your distance where your 1160 00:48:45,290 --> 00:48:47,290 face coverings when you can't watch 1161 00:48:47,290 --> 00:48:49,346 your distance . Stay out of settings 1162 00:48:49,360 --> 00:48:51,416 where you can't do those things . Be 1163 00:48:51,416 --> 00:48:54,410 especially mindful of indoor gatherings , 1164 00:48:54,830 --> 00:48:56,886 especially those where you might let 1165 00:48:56,886 --> 00:48:58,608 your guard down like household 1166 00:48:58,608 --> 00:49:00,386 gatherings , overcrowded indoor 1167 00:49:00,386 --> 00:49:02,690 restaurants , indoor bars . 1168 00:49:04,470 --> 00:49:06,840 Especially now , as we approach 1169 00:49:06,840 --> 00:49:09,710 Thanksgiving , I ask all Americans , 1170 00:49:10,370 --> 00:49:12,700 please be on guard . Take care of 1171 00:49:12,700 --> 00:49:15,200 yourselves . Be careful because there 1172 00:49:15,200 --> 00:49:19,110 is such a bright day ahead with what 1173 00:49:19,120 --> 00:49:21,342 this team is delivering on vaccines and 1174 00:49:21,342 --> 00:49:23,650 therapeutics . We want to make sure 1175 00:49:23,680 --> 00:49:26,550 that everybody is here for next year's 1176 00:49:26,550 --> 00:49:28,740 Thanksgiving . So thank you all very 1177 00:49:28,740 --> 00:49:30,851 much and members of the media , Thank 1178 00:49:30,851 --> 00:49:32,907 you for helping us in our efforts to 1179 00:49:32,907 --> 00:49:35,018 ensure the American people go on this 1180 00:49:35,018 --> 00:49:37,240 journey with us . Thank you , Thank you 1181 00:49:37,240 --> 00:49:39,073 all . You can send any follow up 1182 00:49:39,073 --> 00:49:41,240 questions to our press office at media 1183 00:49:41,240 --> 00:49:43,184 at HHS dot gov . Thank you all for 1184 00:49:43,184 --> 00:49:44,000 joining today's briefing .