1 00:00:00,340 --> 00:00:02,730 and thank you for joining this week's 2 00:00:02,740 --> 00:00:05,950 Operation Warp Speed briefing . I want 3 00:00:05,950 --> 00:00:08,470 to begin by providing some context on 4 00:00:08,470 --> 00:00:11,640 how far we've come and how that informs 5 00:00:11,640 --> 00:00:13,610 the next stage of the vaccination 6 00:00:13,610 --> 00:00:17,010 program we're announcing today through 7 00:00:17,010 --> 00:00:19,360 Operation Warp Speed , we've supported 8 00:00:19,360 --> 00:00:21,193 the development of six candidate 9 00:00:21,193 --> 00:00:24,060 vaccines to have been shown to be safe 10 00:00:24,070 --> 00:00:26,680 and incredibly effective within record 11 00:00:26,680 --> 00:00:28,430 time , leading to the their 12 00:00:28,430 --> 00:00:30,860 authorization by FDA . Just last month , 13 00:00:31,740 --> 00:00:34,110 we've seen substantial rises in 14 00:00:34,110 --> 00:00:35,960 Americans , confidence in these 15 00:00:35,960 --> 00:00:38,127 vaccines and interest in taking them . 16 00:00:39,140 --> 00:00:42,390 We're now at an important juncture in 17 00:00:42,390 --> 00:00:45,150 the vaccine program where we're ready 18 00:00:45,640 --> 00:00:48,360 for a transition that we outlined last 19 00:00:48,360 --> 00:00:51,100 September in the vaccine playbook we 20 00:00:51,100 --> 00:00:55,000 sent to states . That shift occurs as 21 00:00:55,000 --> 00:00:57,160 supply expands to meet demand , 22 00:00:57,540 --> 00:00:59,690 allowing us to expand the scope of 23 00:00:59,690 --> 00:01:01,579 people recommended to receive the 24 00:01:01,579 --> 00:01:04,250 vaccine and expand the delivery sites 25 00:01:04,260 --> 00:01:07,860 used . We have achieved several 26 00:01:07,870 --> 00:01:10,490 milestones , several triggers that 27 00:01:10,490 --> 00:01:14,030 brought us to this point . Nearly 38 28 00:01:14,040 --> 00:01:16,890 million total doses of vaccine to date , 29 00:01:17,050 --> 00:01:20,670 including about 25 million first doses , 30 00:01:21,040 --> 00:01:23,210 have been made available for states to 31 00:01:23,210 --> 00:01:25,550 order against , with mawr becoming 32 00:01:25,550 --> 00:01:28,750 available this week . The doses 33 00:01:28,750 --> 00:01:30,830 allocated exceeds the priority 34 00:01:30,830 --> 00:01:34,430 populations in Group One A , including 35 00:01:34,430 --> 00:01:36,960 frontline health workers and seniors 36 00:01:36,970 --> 00:01:39,180 living in long term care facilities , 37 00:01:39,190 --> 00:01:42,060 which means that supply now exceeds 38 00:01:42,060 --> 00:01:45,670 demand from those groups . Onley Four 39 00:01:45,670 --> 00:01:48,380 weeks into our launch , we have gained 40 00:01:48,380 --> 00:01:50,324 confidence in the integrity of our 41 00:01:50,324 --> 00:01:52,360 distribution system , which is now 42 00:01:52,360 --> 00:01:55,620 successfully delivered to over 14,000 43 00:01:55,630 --> 00:01:58,960 locations , essentially without a hitch . 44 00:01:59,940 --> 00:02:02,020 Over the last several days , we've 45 00:02:02,020 --> 00:02:05,080 averaged around 700,000 reported 46 00:02:05,080 --> 00:02:08,370 vaccinations each day , and we are on 47 00:02:08,370 --> 00:02:11,990 track to hit one million per day in a 48 00:02:11,990 --> 00:02:15,620 week to 10 days time . In total , we 49 00:02:15,620 --> 00:02:17,509 have more than nine million first 50 00:02:17,509 --> 00:02:20,220 vaccinations already given farm or than 51 00:02:20,230 --> 00:02:22,940 any Western country . By the end of 52 00:02:22,940 --> 00:02:25,840 next week , 95% of long term care 53 00:02:25,840 --> 00:02:28,150 facilities will have had their first 54 00:02:28,160 --> 00:02:32,000 visit with vaccine doses . All of 55 00:02:32,000 --> 00:02:34,220 this means it's time to move on to the 56 00:02:34,220 --> 00:02:37,260 next phase of the vaccination campaign , 57 00:02:38,540 --> 00:02:40,880 as we had planned to dio when the data 58 00:02:40,880 --> 00:02:44,670 showed we could . This next phase 59 00:02:44,780 --> 00:02:47,020 reflects the urgency of the situation 60 00:02:47,030 --> 00:02:50,360 we face . Every vaccine dose that is 61 00:02:50,360 --> 00:02:52,304 sitting in a warehouse rather than 62 00:02:52,304 --> 00:02:54,700 going into an armed could mean one mawr 63 00:02:54,700 --> 00:02:57,440 life lost or won Mawr hospital bed 64 00:02:57,450 --> 00:03:00,680 occupied The next phase has several 65 00:03:00,680 --> 00:03:04,190 components . First we're expanding . 66 00:03:04,190 --> 00:03:06,540 The group's getting vaccinated because 67 00:03:06,540 --> 00:03:09,100 state restrictions on eligibility have 68 00:03:09,110 --> 00:03:11,740 obstructed speed and accessibility of 69 00:03:11,740 --> 00:03:15,390 administration . Second , we're telling 70 00:03:15,390 --> 00:03:17,510 states to expand the channels and 71 00:03:17,520 --> 00:03:19,298 access points for administering 72 00:03:19,298 --> 00:03:21,520 vaccines , and we're helping them to do 73 00:03:21,520 --> 00:03:25,310 so . Third , we are releasing the 74 00:03:25,310 --> 00:03:27,930 entire supply we have for order by 75 00:03:27,930 --> 00:03:31,090 states rather than holding second doses 76 00:03:31,100 --> 00:03:34,370 in physical reserve . Fourth , 77 00:03:34,840 --> 00:03:37,070 we're announcing a forthcoming change 78 00:03:37,070 --> 00:03:39,180 to how we allocate doses in order to 79 00:03:39,180 --> 00:03:41,100 encourage states to support rapid 80 00:03:41,100 --> 00:03:43,760 vaccination and to focus on the most 81 00:03:43,760 --> 00:03:46,630 vulnerable . So the first point about 82 00:03:46,630 --> 00:03:49,520 expanded eligibility ? We're telling 83 00:03:49,520 --> 00:03:51,590 states today that they should open 84 00:03:51,590 --> 00:03:53,550 vaccinations to all of their most 85 00:03:53,560 --> 00:03:56,870 vulnerable people . That is the most 86 00:03:56,870 --> 00:03:59,800 effective way to save lives now . And 87 00:03:59,800 --> 00:04:01,530 some states heavy handed 88 00:04:01,530 --> 00:04:03,610 micromanagement of this process has 89 00:04:03,610 --> 00:04:05,832 stood in the way of vaccines , reaching 90 00:04:05,832 --> 00:04:07,721 a broader swath of the vulnerable 91 00:04:07,721 --> 00:04:11,090 population more quickly . Specifically , 92 00:04:11,450 --> 00:04:14,310 as Dr Redfield will discuss , we're 93 00:04:14,310 --> 00:04:16,530 telling states they should open 94 00:04:16,530 --> 00:04:19,990 vaccinations to all people over age 60 95 00:04:19,990 --> 00:04:23,780 65 over , and all people under age 96 00:04:23,780 --> 00:04:27,440 65 with a co morbidity with some form 97 00:04:27,440 --> 00:04:30,140 of medical documentation as defined by 98 00:04:30,140 --> 00:04:33,300 governors , leaders in some states have 99 00:04:33,300 --> 00:04:35,356 forged ahead with steps like this in 100 00:04:35,356 --> 00:04:37,650 very diverse settings and demonstrated 101 00:04:37,650 --> 00:04:40,280 riel success . I'll just mention a 102 00:04:40,280 --> 00:04:42,380 couple like Governor Lamont in 103 00:04:42,380 --> 00:04:44,410 Connecticut and Governor Justice in 104 00:04:44,410 --> 00:04:47,550 West Virginia . Expanding eligibility 105 00:04:47,550 --> 00:04:49,772 to all of the vulnerable is the fastest 106 00:04:49,772 --> 00:04:52,180 way to protect the vulnerable . It's 107 00:04:52,180 --> 00:04:54,402 simply much easier to manage allocating 108 00:04:54,402 --> 00:04:56,513 vaccines and appointments to everyone 109 00:04:56,513 --> 00:04:58,740 65 over , rather than narrower , more 110 00:04:58,740 --> 00:05:00,740 complex categories , and it enables 111 00:05:00,740 --> 00:05:02,990 states to use much more diverse 112 00:05:02,990 --> 00:05:06,260 administration channels . There was 113 00:05:06,260 --> 00:05:08,316 never a reason that states needed to 114 00:05:08,316 --> 00:05:10,371 complete vaccinating all health care 115 00:05:10,371 --> 00:05:12,482 providers before opening vaccinations 116 00:05:12,482 --> 00:05:14,930 to older Americans and other vulnerable 117 00:05:14,930 --> 00:05:17,740 populations . States should not be 118 00:05:17,740 --> 00:05:20,420 waiting to complete one a priorities 119 00:05:20,420 --> 00:05:22,087 before proceeding the broader 120 00:05:22,087 --> 00:05:24,410 categories of eligibility Think of it 121 00:05:24,410 --> 00:05:26,570 like boarding an airplane . You might 122 00:05:26,570 --> 00:05:28,626 have a sequential order in which you 123 00:05:28,626 --> 00:05:30,990 bored people , but you don't wait until 124 00:05:30,990 --> 00:05:33,212 literally every person from a group has 125 00:05:33,212 --> 00:05:35,379 boarded before moving on to the next . 126 00:05:35,379 --> 00:05:37,490 You have to keep the process moving . 127 00:05:37,490 --> 00:05:39,601 Imagine if you find a gate agents for 128 00:05:39,601 --> 00:05:41,823 boarding people out of order . You'd be 129 00:05:41,823 --> 00:05:44,010 standing at the gate for hours . Of 130 00:05:44,010 --> 00:05:46,121 course , moving on from initial phase 131 00:05:46,121 --> 00:05:48,177 of , say , healthcare workers before 132 00:05:48,177 --> 00:05:50,399 everyone is vaccinated is not declaring 133 00:05:50,399 --> 00:05:52,600 victory for that category . State 134 00:05:52,600 --> 00:05:54,544 should continue working to support 135 00:05:54,544 --> 00:05:56,767 vaccinations of those populations , but 136 00:05:56,767 --> 00:05:58,878 moving on to broader populations when 137 00:05:58,878 --> 00:06:00,989 supply meets . Demand was always part 138 00:06:00,989 --> 00:06:03,211 of the recommendations 100 had provided 139 00:06:03,211 --> 00:06:05,860 to states . Second , we're telling 140 00:06:05,860 --> 00:06:08,027 states toe , open up more channels for 141 00:06:08,027 --> 00:06:10,138 administration and we're helping them 142 00:06:10,138 --> 00:06:13,540 do so . Hospital hospitals made sense 143 00:06:13,540 --> 00:06:15,710 as the early distribution sites when 144 00:06:15,950 --> 00:06:18,117 the focus was on health care workers . 145 00:06:18,540 --> 00:06:20,762 But they're not where most Americans go 146 00:06:20,762 --> 00:06:23,660 To get vaccines , states should move on 147 00:06:23,920 --> 00:06:26,270 to pharmacies , community health 148 00:06:26,270 --> 00:06:30,110 centers and mass vaccination sites as 149 00:06:30,110 --> 00:06:33,200 desired or needed to support that work . 150 00:06:33,200 --> 00:06:35,256 Last week , we announced that states 151 00:06:35,256 --> 00:06:37,367 could start using pharmacies enrolled 152 00:06:37,367 --> 00:06:39,589 through our federal partnership with 19 153 00:06:39,589 --> 00:06:41,533 pharmacy chains and associations . 154 00:06:41,533 --> 00:06:43,422 General Purna Dr Redfield in some 155 00:06:43,422 --> 00:06:45,478 pharmacy leaders held a briefing for 156 00:06:45,478 --> 00:06:47,700 governors on this topic last Thursday . 157 00:06:48,040 --> 00:06:50,400 This federal partnership allows states 158 00:06:50,400 --> 00:06:52,600 to allocate vaccines directly to these 159 00:06:52,600 --> 00:06:54,711 partners , and these partners connect 160 00:06:54,711 --> 00:06:56,600 administer vaccines to particular 161 00:06:56,600 --> 00:06:58,656 groups and eventually to the general 162 00:06:58,656 --> 00:07:00,878 public . These pharmacy partners handle 163 00:07:00,878 --> 00:07:02,711 the administrative tasks such as 164 00:07:02,711 --> 00:07:04,822 scheduling appointments and reporting 165 00:07:04,822 --> 00:07:06,878 vaccinations . States can and should 166 00:07:06,878 --> 00:07:08,933 choose the most strategically placed 167 00:07:08,933 --> 00:07:11,044 pharmacy partners to send vaccines to 168 00:07:11,044 --> 00:07:13,760 now We're also activating are federally 169 00:07:13,760 --> 00:07:15,960 qualified community health centers for 170 00:07:15,960 --> 00:07:18,470 vaccination . Some of these community 171 00:07:18,470 --> 00:07:20,303 health centers are already being 172 00:07:20,303 --> 00:07:22,303 utilized by state plans , but every 173 00:07:22,303 --> 00:07:24,470 state should be using them . Community 174 00:07:24,470 --> 00:07:27,020 health centers have mawr than 13,000 175 00:07:27,020 --> 00:07:29,660 delivery sites across America , and 176 00:07:29,660 --> 00:07:31,327 they have both , particularly 177 00:07:31,327 --> 00:07:33,530 convenient locations and strong 178 00:07:33,530 --> 00:07:35,697 connections in low income and minority 179 00:07:35,697 --> 00:07:39,010 communities . Further , if states wish 180 00:07:39,010 --> 00:07:41,550 to set up mass vaccination sites , we 181 00:07:41,550 --> 00:07:43,606 stand ready to help both through 500 182 00:07:43,606 --> 00:07:46,040 guidance and other support , including 183 00:07:46,040 --> 00:07:47,984 deploying personnel to assist with 184 00:07:47,984 --> 00:07:50,420 technical expertise and set up . We're 185 00:07:50,420 --> 00:07:52,476 here to work with them . States have 186 00:07:52,476 --> 00:07:55,010 ample funding , including $3 billion 187 00:07:55,010 --> 00:07:56,899 MAWR , on the way to support such 188 00:07:56,899 --> 00:08:00,270 efforts . Third , we're now making the 189 00:08:00,270 --> 00:08:02,660 full reserve of doses we have available 190 00:08:02,660 --> 00:08:06,390 for order . We are 100% committed to 191 00:08:06,390 --> 00:08:09,000 ensuring a second dose is available for 192 00:08:09,000 --> 00:08:11,111 every American who receives the first 193 00:08:11,111 --> 00:08:14,370 dose . Let me repeat that our approach 194 00:08:14,380 --> 00:08:17,130 continues to ensure that there will be 195 00:08:17,130 --> 00:08:19,352 a second dose available for someone who 196 00:08:19,352 --> 00:08:22,910 gets a first dose of vaccine based on 197 00:08:22,910 --> 00:08:25,021 the science and evidence we have . It 198 00:08:25,021 --> 00:08:27,243 is imperative that people receive their 199 00:08:27,243 --> 00:08:29,720 second doses on time . That's what the 200 00:08:29,720 --> 00:08:31,887 science says , and ignoring that would 201 00:08:31,887 --> 00:08:34,900 be reckless , but we had always planned 202 00:08:34,900 --> 00:08:37,010 to move to um , or advanced phase of 203 00:08:37,010 --> 00:08:38,843 how we manage this . Once we had 204 00:08:38,843 --> 00:08:41,550 confidence in our supply chains . That 205 00:08:41,780 --> 00:08:44,150 is the key trigger we needed to see . 206 00:08:45,140 --> 00:08:47,730 Because we now have a consistent pace 207 00:08:47,730 --> 00:08:50,840 of production , we can now ship all of 208 00:08:50,840 --> 00:08:52,830 the doses that had been held in 209 00:08:52,830 --> 00:08:55,700 physical reserve , with second doses 210 00:08:55,810 --> 00:08:58,560 being supplied by doses coming off of 211 00:08:58,560 --> 00:09:01,320 manufacturing lines , with quality 212 00:09:01,330 --> 00:09:05,060 control going forward each week . 213 00:09:05,440 --> 00:09:07,840 Doses available would be released to 214 00:09:07,840 --> 00:09:10,400 first cover the needed second doses and 215 00:09:10,400 --> 00:09:12,370 then cover additional first 216 00:09:12,380 --> 00:09:15,150 vaccinations . Finally 217 00:09:16,040 --> 00:09:18,360 effective two weeks from now , we're 218 00:09:18,360 --> 00:09:20,960 changing how we allocate first doses 219 00:09:20,970 --> 00:09:23,310 among the states in order to ensure 220 00:09:23,310 --> 00:09:25,880 doses were being put to use and put to 221 00:09:25,880 --> 00:09:28,600 use for the most vulnerable . We will 222 00:09:28,600 --> 00:09:30,960 be allocating them based on the pace of 223 00:09:30,960 --> 00:09:33,660 administration , as reported by states 224 00:09:34,340 --> 00:09:37,760 and by the size of the 65 over 225 00:09:37,760 --> 00:09:41,570 population in each state . We're giving 226 00:09:41,570 --> 00:09:43,681 states two weeks notice of this shift 227 00:09:43,681 --> 00:09:45,903 to give them the time necessary to plan 228 00:09:46,250 --> 00:09:48,417 and to improve their reporting if they 229 00:09:48,417 --> 00:09:51,760 think their data is faulty . This new 230 00:09:51,760 --> 00:09:53,927 system gives states a strong incentive 231 00:09:53,927 --> 00:09:55,927 to ensure that all vaccinations are 232 00:09:55,927 --> 00:09:58,038 being promptly reported which they're 233 00:09:58,038 --> 00:10:00,149 currently not , and it gives states a 234 00:10:00,149 --> 00:10:02,260 strong instead of to ensure doses air 235 00:10:02,260 --> 00:10:04,427 going toe work , thio going toe work , 236 00:10:04,427 --> 00:10:06,538 protecting people rather than sitting 237 00:10:06,538 --> 00:10:08,780 on shelves and freezers . With the case 238 00:10:08,780 --> 00:10:10,447 counts we face now , there is 239 00:10:10,447 --> 00:10:12,670 absolutely no time to waste . We need 240 00:10:12,670 --> 00:10:14,503 doses going toe where they'll be 241 00:10:14,503 --> 00:10:16,670 administered quickly and where they'll 242 00:10:16,670 --> 00:10:20,470 protect the most vulnerable . Finally , 243 00:10:21,140 --> 00:10:23,130 as we face rising case counts in a 244 00:10:23,130 --> 00:10:25,290 number of parts of the country . We 245 00:10:25,290 --> 00:10:27,457 need all Americans to keep up the same 246 00:10:27,457 --> 00:10:29,346 public health measures we've been 247 00:10:29,346 --> 00:10:31,457 recommending throughout this crisis . 248 00:10:31,457 --> 00:10:33,623 Hope is here in the form of vaccines . 249 00:10:33,623 --> 00:10:35,846 We just have to keep up our guard for a 250 00:10:35,846 --> 00:10:38,340 bit longer . I want to add one more key 251 00:10:38,340 --> 00:10:40,229 message to our recommendations of 252 00:10:40,229 --> 00:10:42,118 washing our hands , watching your 253 00:10:42,118 --> 00:10:43,840 distance and wearing your face 254 00:10:43,840 --> 00:10:45,840 coverings when you can't watch your 255 00:10:45,840 --> 00:10:48,410 distance . If you test positive and are 256 00:10:48,410 --> 00:10:50,950 at risk for severe disease , meaning 257 00:10:50,950 --> 00:10:53,950 you are over 65 or have a co morbidity , 258 00:10:54,910 --> 00:10:56,910 you should be asking your doctor or 259 00:10:56,910 --> 00:10:59,640 health care provider why you are not 260 00:10:59,790 --> 00:11:02,670 being given one of the FDA authorized 261 00:11:02,680 --> 00:11:05,120 antibody therapies that are in ready 262 00:11:05,130 --> 00:11:07,610 supply . We have products sitting on 263 00:11:07,610 --> 00:11:10,050 the shelves that can help keep people 264 00:11:10,060 --> 00:11:13,210 out of the hospital . That is just a 265 00:11:13,210 --> 00:11:15,790 zoo . Unacceptable Is vaccines sitting 266 00:11:15,790 --> 00:11:18,910 on shelves ? Unused people in the 267 00:11:18,910 --> 00:11:21,240 appropriate categories should be asking 268 00:11:21,240 --> 00:11:23,351 their doctors or healthcare providers 269 00:11:23,351 --> 00:11:25,760 why they aren't being offered these 270 00:11:25,770 --> 00:11:29,670 antibody therapies . With that , I'll 271 00:11:29,670 --> 00:11:32,450 hand things over toe . Dr . Redfield 272 00:11:32,460 --> 00:11:34,450 are 100 Director Dr Redfield . 273 00:11:39,740 --> 00:11:42,890 Thank you , Mr Secretary . I want to 274 00:11:42,900 --> 00:11:44,900 echo some of the important comments 275 00:11:44,900 --> 00:11:48,470 that the Secretary made clearly as we 276 00:11:48,470 --> 00:11:52,320 began vaccination with our frontline 277 00:11:52,320 --> 00:11:54,487 healthcare workers and individuals and 278 00:11:54,487 --> 00:11:57,400 long term nursing care and assisted 279 00:11:57,400 --> 00:11:59,620 living . That was the initial phase to 280 00:11:59,620 --> 00:12:02,000 begin to roll out this vaccine 281 00:12:02,000 --> 00:12:05,130 distribution . As the Secretary said 282 00:12:05,130 --> 00:12:07,740 that as we sit here in the fourth week 283 00:12:07,750 --> 00:12:11,320 of this vaccination program , we now at 284 00:12:11,320 --> 00:12:13,800 a time where actually there's more 285 00:12:13,800 --> 00:12:16,050 vaccine available than is being 286 00:12:16,050 --> 00:12:18,990 requested for vaccination within the 287 00:12:18,990 --> 00:12:22,510 one a group . Thea , The pipe and 100 288 00:12:22,520 --> 00:12:25,060 guidelines that came out on vaccination 289 00:12:25,060 --> 00:12:27,860 to the States were never meant to be 290 00:12:27,860 --> 00:12:30,200 somehow finished the first phase . Then 291 00:12:30,200 --> 00:12:32,422 you move to the second phase . Then you 292 00:12:32,422 --> 00:12:34,478 move to the third . So I'm here . Is 293 00:12:34,478 --> 00:12:36,680 the CDC Director Thio , Ask our 294 00:12:36,680 --> 00:12:38,780 governors , uh , echo what the 295 00:12:38,780 --> 00:12:42,140 secretary said and strongly recommend 296 00:12:42,530 --> 00:12:44,586 the vaccination now be expanded that 297 00:12:44,586 --> 00:12:48,280 those individuals 65 or over and those 298 00:12:48,280 --> 00:12:50,750 individuals between 16 or 18 , 299 00:12:50,760 --> 00:12:54,200 depending on the vaccine being used to 300 00:12:54,200 --> 00:12:56,870 64 that have a co morbidity . With the 301 00:12:56,870 --> 00:12:59,970 medical documentation off such we 302 00:12:59,970 --> 00:13:01,970 clearly have enough vaccine at this 303 00:13:01,970 --> 00:13:04,640 point to begin to expand and get Maura 304 00:13:04,640 --> 00:13:07,020 Maura of the vulnerable individuals in 305 00:13:07,020 --> 00:13:09,550 our country vaccinated . This is 306 00:13:09,550 --> 00:13:12,340 particularly important right now as 307 00:13:12,340 --> 00:13:15,970 we're seeing the post holiday 308 00:13:15,970 --> 00:13:18,850 surge surge . We have many 309 00:13:18,850 --> 00:13:22,730 jurisdictions now that are on the verge 310 00:13:22,740 --> 00:13:25,370 of going from a linear growth thio 311 00:13:25,380 --> 00:13:27,950 basically exponential growth . And we 312 00:13:27,950 --> 00:13:30,006 believe it's critically important at 313 00:13:30,006 --> 00:13:32,172 this time to get those most vulnerable 314 00:13:32,172 --> 00:13:34,520 people as quickly as we can into 315 00:13:34,520 --> 00:13:38,020 vaccination programs as a key strategy 316 00:13:38,640 --> 00:13:41,300 to maintain hospital resilience . I 317 00:13:41,300 --> 00:13:43,356 also want to echo what the secretary 318 00:13:43,356 --> 00:13:46,060 said about the importance of using the 319 00:13:46,060 --> 00:13:48,470 approved E Way approved monoclonal 320 00:13:48,470 --> 00:13:50,820 antibodies for individuals at highest 321 00:13:50,820 --> 00:13:53,070 risk that developed symptoms part of 322 00:13:53,070 --> 00:13:54,959 hospitalization . That's a second 323 00:13:54,959 --> 00:13:58,070 really important , um uh , intervention 324 00:13:58,070 --> 00:14:00,310 that we have at this moment to maintain 325 00:14:00,310 --> 00:14:03,090 hospital resilience . And finally , I 326 00:14:03,090 --> 00:14:05,650 just have to echo also the closing 327 00:14:05,650 --> 00:14:07,870 comments of the secretary . This is a 328 00:14:07,870 --> 00:14:10,940 time that we call on all Americans to 329 00:14:10,940 --> 00:14:13,700 be vigilant in the mitigation steps 330 00:14:13,700 --> 00:14:15,940 that we've asked , particularly in 331 00:14:15,940 --> 00:14:18,330 their own health households . Most of 332 00:14:18,330 --> 00:14:20,441 transmission that is occurring in our 333 00:14:20,441 --> 00:14:22,497 nation right now is not occurring in 334 00:14:22,497 --> 00:14:24,663 the public square . It's occurring one 335 00:14:24,663 --> 00:14:26,886 household , the one household , the one 336 00:14:26,886 --> 00:14:29,052 household . So again , where mask they 337 00:14:29,052 --> 00:14:32,470 work social distance , it works 338 00:14:32,940 --> 00:14:35,051 of staying away and being smart about 339 00:14:35,051 --> 00:14:38,070 crowds washing your hands . They work . 340 00:14:38,540 --> 00:14:40,760 We need to work altogether . Now it's 341 00:14:40,760 --> 00:14:42,760 going to be a difficult , difficult 342 00:14:42,760 --> 00:14:45,180 January and probably February . But 343 00:14:45,180 --> 00:14:46,791 with the vaccine and the new 344 00:14:46,791 --> 00:14:49,400 Therapeutics we have , there's really 345 00:14:49,400 --> 00:14:51,622 strong light at that end of that tunnel 346 00:14:51,622 --> 00:14:53,678 as we enter March . But we need Thio 347 00:14:53,678 --> 00:14:55,910 really commit right now and get us many 348 00:14:55,910 --> 00:14:58,021 Americans vaccinated as we can . That 349 00:14:58,021 --> 00:15:00,077 air particularly the most vulnerable 350 00:15:00,077 --> 00:15:02,299 and at risk for hospitalization . Thank 351 00:15:02,299 --> 00:15:04,466 you . We'll have the general permanent 352 00:15:04,466 --> 00:15:06,688 next . Oh , what stuff is good ? Yeah . 353 00:15:06,688 --> 00:15:08,521 General partner will talk next . 354 00:15:18,940 --> 00:15:22,840 Good morning , everybody . So we are 355 00:15:22,850 --> 00:15:26,330 in the beginning of our continuing our 356 00:15:26,330 --> 00:15:28,552 new for our execution , right ? And I'm 357 00:15:28,552 --> 00:15:30,830 very excited . I'm very proud about it . 358 00:15:30,830 --> 00:15:32,900 Ah , month ago is when we started 359 00:15:32,900 --> 00:15:36,050 delivering vaccines around the world 360 00:15:36,060 --> 00:15:38,227 around the country on they went to the 361 00:15:38,227 --> 00:15:41,280 hospitals . Aziz , we focused on the 362 00:15:41,280 --> 00:15:43,410 categories for first line medical 363 00:15:43,410 --> 00:15:46,020 responders . Four weeks later , we've 364 00:15:46,020 --> 00:15:47,964 made significant progress . As the 365 00:15:47,964 --> 00:15:50,880 secretary has highlighted on , there is 366 00:15:50,880 --> 00:15:54,040 nobody working harder right to ensure 367 00:15:54,040 --> 00:15:56,160 that vaccines are being distributed 368 00:15:56,170 --> 00:15:59,280 than the O . W s team , uh , in 369 00:15:59,280 --> 00:16:01,660 execution to get it to where it needs 370 00:16:01,660 --> 00:16:04,450 to be . So distribution of the vaccines 371 00:16:04,450 --> 00:16:07,370 is getting them to the States so that 372 00:16:07,370 --> 00:16:10,430 they can , uh , ensure that it gets to 373 00:16:10,430 --> 00:16:12,650 the arms . And we are enabling that 374 00:16:12,650 --> 00:16:16,060 every day . We , as a secretary said , 375 00:16:16,070 --> 00:16:18,530 have sent over 25 million doses of 376 00:16:18,530 --> 00:16:22,350 vaccines over to 16,000 377 00:16:22,350 --> 00:16:25,260 different locations . Really , really 378 00:16:25,260 --> 00:16:27,650 great effort . The cadence of 379 00:16:27,650 --> 00:16:30,970 allocations , the cadence of orders , 380 00:16:30,980 --> 00:16:33,780 the cadence of picking and packing the 381 00:16:33,780 --> 00:16:36,340 cadence of what's being shipped is 382 00:16:36,340 --> 00:16:39,530 really become a remarkable feat for all 383 00:16:39,530 --> 00:16:41,752 of us , right ? The whole of America to 384 00:16:41,752 --> 00:16:44,370 be proud off . We are executing this 385 00:16:44,540 --> 00:16:47,610 every day , every week , and the months 386 00:16:47,610 --> 00:16:50,810 will go by on the result . The effects 387 00:16:50,810 --> 00:16:53,010 will be safe and effective vaccine to 388 00:16:53,010 --> 00:16:55,910 the American people . I do want to , as 389 00:16:55,910 --> 00:16:58,670 I always do thank the men and women of 390 00:16:58,670 --> 00:17:02,010 Pfizer , Madonna , McKesson , FedEx and 391 00:17:02,010 --> 00:17:05,460 UPS who are working , uh , 24 hours a 392 00:17:05,460 --> 00:17:08,130 day , seven days a week to deliver the 393 00:17:08,130 --> 00:17:11,660 vaccine in a timely manner . Uh , a za 394 00:17:11,660 --> 00:17:13,810 secretary talked about our 395 00:17:13,810 --> 00:17:16,050 responsibility is to make sure all 396 00:17:16,050 --> 00:17:19,360 vaccine that is releasable 397 00:17:19,370 --> 00:17:21,840 available for distribution gets out to 398 00:17:21,840 --> 00:17:24,007 the American people . And that is what 399 00:17:24,007 --> 00:17:27,140 we're doing as early as 24 November . 400 00:17:27,140 --> 00:17:29,420 Standing right here talking to you . I 401 00:17:29,420 --> 00:17:32,450 talked about our ability to plan our 402 00:17:32,450 --> 00:17:35,070 ability to collaborate our ability to 403 00:17:35,070 --> 00:17:38,480 see ourselves and then to make sure we 404 00:17:38,480 --> 00:17:41,610 continue to execute to the maximum 405 00:17:41,610 --> 00:17:44,260 extent possible , delivering the most 406 00:17:44,260 --> 00:17:46,440 vaccines to the American people . That 407 00:17:46,450 --> 00:17:48,970 is what we're doing now . That is what 408 00:17:48,970 --> 00:17:52,320 the secretary laid out in execution of 409 00:17:52,320 --> 00:17:55,240 how we're managing The second dose is 410 00:17:55,240 --> 00:17:57,900 to ensure first and foremost foremost . 411 00:17:57,900 --> 00:18:00,900 It's always available , but second , we 412 00:18:00,900 --> 00:18:03,340 ensure that the max available doses of 413 00:18:03,340 --> 00:18:05,670 vaccine are available to the American 414 00:18:05,670 --> 00:18:09,320 people every day . Are my personal 415 00:18:09,320 --> 00:18:12,660 confidence in both the distribution 416 00:18:13,340 --> 00:18:15,340 capability as demonstrated over the 417 00:18:15,340 --> 00:18:18,720 last four weeks , Azaz and the addition 418 00:18:18,730 --> 00:18:21,470 of manufacturing confidence has 419 00:18:21,470 --> 00:18:23,900 increased significantly . Uh , which 420 00:18:23,900 --> 00:18:26,540 allows me to approach and execute 421 00:18:26,540 --> 00:18:28,484 distribution and allocation of the 422 00:18:28,484 --> 00:18:31,850 vaccines differently . It ensures 423 00:18:31,940 --> 00:18:35,490 maximum execution and allows us to pass 424 00:18:35,500 --> 00:18:37,680 maximum doses of vaccine to the 425 00:18:37,680 --> 00:18:39,760 American people in a timely manner . 426 00:18:40,940 --> 00:18:42,884 Today , I want to give you a quick 427 00:18:42,884 --> 00:18:44,662 update of where we are with the 428 00:18:44,662 --> 00:18:46,551 facilities , UH , that we've made 429 00:18:46,551 --> 00:18:48,770 significant progress in working to get 430 00:18:48,770 --> 00:18:51,540 long term health care facilities up and 431 00:18:51,540 --> 00:18:53,850 running in collaboration with CVS and 432 00:18:53,850 --> 00:18:56,600 Walgreens . We know we have 70,000 433 00:18:56,600 --> 00:18:58,656 facilities that are enrolled , which 434 00:18:58,656 --> 00:19:01,260 includes skilled nursing facilities and 435 00:19:01,260 --> 00:19:04,240 assisted living facilities . We started 436 00:19:04,240 --> 00:19:06,860 in Week one , right three weeks ago , 437 00:19:06,860 --> 00:19:09,730 with 900 facilities in three weeks . 438 00:19:09,730 --> 00:19:12,740 Since we've completed over 11,000 439 00:19:12,740 --> 00:19:16,220 facilities , just under a million first 440 00:19:16,220 --> 00:19:19,480 doses have been given . 12,000 MAWR 441 00:19:19,480 --> 00:19:21,950 clinics are scheduled this week and 442 00:19:21,960 --> 00:19:24,680 every week following . As we go forward 443 00:19:25,040 --> 00:19:28,090 today , we know that we are making a 444 00:19:28,090 --> 00:19:30,600 difference in these facilities , and it 445 00:19:30,600 --> 00:19:32,822 is because of the great work by the C , 446 00:19:32,822 --> 00:19:35,980 D . C , CVS and Walgreens that are 447 00:19:35,980 --> 00:19:38,410 making a difference , as the secretary 448 00:19:38,410 --> 00:19:41,650 said were quickly coming on to 449 00:19:41,660 --> 00:19:43,570 administering first dose toe . 450 00:19:43,580 --> 00:19:47,260 Everybody in these in this category we 451 00:19:47,260 --> 00:19:49,660 are expanding our distribution to the 452 00:19:49,660 --> 00:19:52,050 retail pharmacies as a secretary talked 453 00:19:52,050 --> 00:19:54,990 about . We have opened it up for states 454 00:19:54,990 --> 00:19:58,910 to utilize the over 40,000 provider 455 00:19:58,910 --> 00:20:01,077 pharmacy providers that are enrolled , 456 00:20:01,080 --> 00:20:04,610 and we want to expand it up to 70,000 457 00:20:04,620 --> 00:20:07,860 providers that are enrolled . We think 458 00:20:07,940 --> 00:20:10,690 that we can open up the aperture and 459 00:20:10,690 --> 00:20:13,320 give access greater access to the 460 00:20:13,320 --> 00:20:16,650 American people through the pharmacies . 461 00:20:16,660 --> 00:20:20,100 What does it do ? It allows us to have 462 00:20:20,100 --> 00:20:22,510 confidence in the execute er's . It 463 00:20:22,510 --> 00:20:24,630 allows us to distribute it throughout 464 00:20:24,630 --> 00:20:28,450 the country . It allows us to give a 465 00:20:28,450 --> 00:20:30,720 place where the American people are 466 00:20:30,720 --> 00:20:33,080 comfortable of going and receiving the 467 00:20:33,080 --> 00:20:36,240 shot . I want to give you four , uh , 468 00:20:36,250 --> 00:20:38,440 slides that I asked the team to put 469 00:20:38,440 --> 00:20:40,490 together . The first slide is the 470 00:20:40,490 --> 00:20:43,830 vaccinations that we executed on day 471 00:20:43,830 --> 00:20:45,886 one of distribution of the fights or 472 00:20:45,886 --> 00:20:49,020 product , right ? We went to over 473 00:20:49,020 --> 00:20:52,170 636 sites on day one 474 00:20:52,170 --> 00:20:55,880 across the country of our country . Why 475 00:20:55,880 --> 00:20:58,102 do we do this specifically , it was the 476 00:20:58,102 --> 00:21:00,324 Pfizer vaccine . We knew there was cold 477 00:21:00,324 --> 00:21:02,213 chain requirements . We wanted to 478 00:21:02,213 --> 00:21:06,200 ensure capability and capacity match 479 00:21:06,200 --> 00:21:08,160 the distribution . We worked with 480 00:21:08,160 --> 00:21:10,390 states , we collaborated with them and 481 00:21:10,390 --> 00:21:12,590 we put it exactly where they wanted it 482 00:21:12,600 --> 00:21:15,960 when they wanted it on the second week 483 00:21:15,960 --> 00:21:18,293 when we brought the modern a vaccine in , 484 00:21:18,293 --> 00:21:21,110 we were able to expand distribution 485 00:21:21,120 --> 00:21:23,490 primarily because of the availability 486 00:21:23,490 --> 00:21:26,680 of doses at lower amounts where the 487 00:21:26,690 --> 00:21:29,880 Madonna vaccine is at 100 minimum , 488 00:21:29,890 --> 00:21:32,730 ordering at 100 doses . So what could 489 00:21:32,730 --> 00:21:35,020 we do ? We could expand out through the 490 00:21:35,020 --> 00:21:38,320 country because of the dose requirement , 491 00:21:38,330 --> 00:21:40,750 minimum dose requirement and also less 492 00:21:40,750 --> 00:21:42,830 refrigeration requirement . We were 493 00:21:42,830 --> 00:21:45,330 able to send doses to long term health 494 00:21:45,330 --> 00:21:47,219 care facilities . We were able to 495 00:21:47,219 --> 00:21:50,030 extend it into doctor's offices and 496 00:21:50,030 --> 00:21:52,810 into pharmacies , as the state's asked 497 00:21:52,810 --> 00:21:55,370 us to do so . The expansion was quick 498 00:21:55,380 --> 00:21:58,780 and rapid in just a week . Now today , 499 00:21:58,790 --> 00:22:01,540 as of yesterday , we have gone toe over 500 00:22:01,540 --> 00:22:05,070 16,000 locations across the country , 501 00:22:05,360 --> 00:22:07,990 right as depicted on this slide , we go 502 00:22:07,990 --> 00:22:10,290 there on a routine basis , delivering 503 00:22:10,290 --> 00:22:13,650 vaccines as directed by the 504 00:22:13,650 --> 00:22:15,670 states in distribution to the 505 00:22:15,670 --> 00:22:18,550 quantities and locations that they want , 506 00:22:18,740 --> 00:22:22,160 really covering the mass population of 507 00:22:22,160 --> 00:22:24,450 the country . Now what is in the realm 508 00:22:24,450 --> 00:22:27,710 of possible this last slide as we open 509 00:22:27,710 --> 00:22:31,480 up the 70,000 pharmacy chain and 510 00:22:31,490 --> 00:22:35,110 individual capabilities we are covering 511 00:22:35,120 --> 00:22:38,400 the entire United States and vaccine 512 00:22:38,400 --> 00:22:41,340 can be distributed as of this week to 513 00:22:41,340 --> 00:22:43,510 where the states would like it to go 514 00:22:43,520 --> 00:22:47,440 across the country . We know that these 515 00:22:47,440 --> 00:22:49,662 pharmacies , because we've been working 516 00:22:49,662 --> 00:22:51,829 with them at the C . D . C level , are 517 00:22:51,829 --> 00:22:54,450 ready to execute this mission . And as 518 00:22:54,450 --> 00:22:57,910 the states allocate vaccine to them and 519 00:22:57,910 --> 00:23:00,600 direct it , we are ready to deliver toe 520 00:23:00,600 --> 00:23:03,890 all these locations every day , every 521 00:23:03,890 --> 00:23:07,500 week , every month . Aziz required 522 00:23:07,510 --> 00:23:10,810 this alone will open up the capability 523 00:23:10,810 --> 00:23:12,900 and capacity to ensure that the 524 00:23:12,900 --> 00:23:15,530 American people have direct access to 525 00:23:15,530 --> 00:23:18,900 the vaccine . Aziz , we go forward . So 526 00:23:18,900 --> 00:23:22,110 in closing challenging times , as I've 527 00:23:22,110 --> 00:23:25,030 told you many times on , the secretary 528 00:23:25,030 --> 00:23:28,460 said we were not fighting the plan , 529 00:23:28,550 --> 00:23:31,260 right ? We're fighting the situation 530 00:23:31,370 --> 00:23:34,330 and we're making adjustments on moving 531 00:23:34,330 --> 00:23:36,460 forward in that light , just like we 532 00:23:36,460 --> 00:23:39,850 had always planned to do . We're just a 533 00:23:39,850 --> 00:23:43,720 able thio change in , um , or rapid and 534 00:23:43,720 --> 00:23:46,760 steady pace . I want to say thank you 535 00:23:46,760 --> 00:23:50,640 for all the support from the States . 536 00:23:50,650 --> 00:23:53,530 I want to say thank you for again to 537 00:23:53,540 --> 00:23:56,260 the industry partners that air helping 538 00:23:56,260 --> 00:23:59,760 us execute this flawless distribution 539 00:24:00,040 --> 00:24:02,340 because every day they do their job , 540 00:24:02,350 --> 00:24:04,461 more vaccine gets out to the American 541 00:24:04,461 --> 00:24:07,190 people on then , enclosing a Zai like 542 00:24:07,190 --> 00:24:09,610 to remind us all . There is a group of 543 00:24:09,610 --> 00:24:11,554 people that are on the front lines 544 00:24:11,554 --> 00:24:14,060 every single day , helping us take care 545 00:24:14,070 --> 00:24:17,810 of those who who have reached a 546 00:24:17,810 --> 00:24:20,270 certain point of their illness on these 547 00:24:20,270 --> 00:24:22,380 medical professionals on their 548 00:24:22,380 --> 00:24:24,602 supported staff are really just doing a 549 00:24:24,602 --> 00:24:26,760 tremendous job on . I just wanted to 550 00:24:26,760 --> 00:24:28,910 say thanks to all of you . So that 551 00:24:28,910 --> 00:24:31,077 concludes my comments , Mr Secretary . 552 00:24:33,140 --> 00:24:35,362 Thank you very much . And I did want to 553 00:24:35,362 --> 00:24:37,750 note , as you saw , Dr Slough is with 554 00:24:37,750 --> 00:24:39,861 us on stage and will be available for 555 00:24:39,861 --> 00:24:41,861 questions . He just didn't feel the 556 00:24:41,861 --> 00:24:43,639 need to have an opening opening 557 00:24:43,639 --> 00:24:45,806 statement . But Michael Prep thank you 558 00:24:45,806 --> 00:24:48,139 all . We will now open up for questions , 559 00:24:48,139 --> 00:24:50,139 Operator . A friendly reminder that 560 00:24:50,139 --> 00:24:49,780 when asking a question , please state 561 00:24:49,780 --> 00:24:51,836 your name and publication and please 562 00:24:51,836 --> 00:24:53,947 keep your questions short as possible 563 00:24:53,947 --> 00:24:56,002 so we can get to a many as we can in 564 00:24:56,002 --> 00:24:58,169 the time that we have and I'll turn it 565 00:24:58,169 --> 00:25:00,290 over to the operator . Thank you so 566 00:25:00,290 --> 00:25:02,457 very much . If you would like to ask a 567 00:25:02,457 --> 00:25:04,679 question , please Press star , then one 568 00:25:04,679 --> 00:25:06,870 on your phone . And be sure to provide 569 00:25:06,870 --> 00:25:09,350 your name and media outlets Our first 570 00:25:09,350 --> 00:25:11,830 now is from Drew Armstrong with 571 00:25:11,840 --> 00:25:14,470 Bloomberg News . So your line is open . 572 00:25:15,140 --> 00:25:18,230 Hi , It's true I run our vaccine 573 00:25:18,240 --> 00:25:20,462 tracker here and had a question for you 574 00:25:20,462 --> 00:25:23,660 all about what has actually been the 575 00:25:23,660 --> 00:25:26,350 problem in administering shots in some 576 00:25:26,350 --> 00:25:29,670 of these states that are showing low 577 00:25:29,670 --> 00:25:31,281 numbers of percentage of the 578 00:25:31,281 --> 00:25:33,970 distributions to them used because 579 00:25:33,970 --> 00:25:35,914 clearly there's a number of states 580 00:25:35,914 --> 00:25:38,081 they're working through between 70 and 581 00:25:38,081 --> 00:25:40,350 80% of their distributions on a rolling 582 00:25:40,350 --> 00:25:42,880 basis . But others in Mississippi , 583 00:25:42,880 --> 00:25:45,800 Alabama , Georgia , North Carolina , 584 00:25:45,830 --> 00:25:49,690 perpetually kind of stuck in a 585 00:25:49,700 --> 00:25:51,670 very low percentage of what's been 586 00:25:51,670 --> 00:25:53,503 shipped to them is that they get 587 00:25:53,503 --> 00:25:55,614 distributed to the wrong places . Are 588 00:25:55,614 --> 00:25:58,030 they having problems with our their 589 00:25:58,030 --> 00:26:00,140 holdups in shipping what is actually 590 00:26:00,140 --> 00:26:02,251 going on here ? Because I don't think 591 00:26:02,251 --> 00:26:04,418 we've really gotten a good answer from 592 00:26:04,418 --> 00:26:06,529 anybody about where these bottlenecks 593 00:26:06,529 --> 00:26:08,751 are there , preventing some states from 594 00:26:08,751 --> 00:26:10,862 reaching some of the numbers that you 595 00:26:10,862 --> 00:26:10,430 all excited as being successes 596 00:26:10,430 --> 00:26:13,290 elsewhere , Drew and our last general 597 00:26:13,290 --> 00:26:16,310 permit , or Dr Redfield to add , add to 598 00:26:16,310 --> 00:26:19,950 what I've got to say . But , uh , first , 599 00:26:20,340 --> 00:26:23,060 we need to recognize that we're now 600 00:26:23,060 --> 00:26:25,380 four weeks into this program , and this 601 00:26:25,380 --> 00:26:28,350 is a major operational logistics issue . 602 00:26:28,360 --> 00:26:30,230 It's a scale up . As with any 603 00:26:30,230 --> 00:26:32,230 enterprise , you're going to have a 604 00:26:32,230 --> 00:26:34,397 scale up that is predictable and known 605 00:26:34,397 --> 00:26:36,452 that that would happen . But we have 606 00:26:36,452 --> 00:26:38,452 seen variable performance among the 607 00:26:38,452 --> 00:26:40,452 states and among providers . What's 608 00:26:40,452 --> 00:26:42,563 going on there now ? Each state maybe 609 00:26:42,563 --> 00:26:44,674 slightly different . But for the most 610 00:26:44,674 --> 00:26:46,841 part , what we have seen is the states 611 00:26:46,841 --> 00:26:49,730 that are lagging . It certainly could 612 00:26:49,730 --> 00:26:52,060 be a data issue . The health 613 00:26:52,060 --> 00:26:54,116 commissioner here in the District of 614 00:26:54,116 --> 00:26:56,338 Columbia , for instance , revealed that 615 00:26:56,338 --> 00:26:58,560 40% of pharmacies aren't reporting . We 616 00:26:58,560 --> 00:27:00,504 had data reporting issues with one 617 00:27:00,504 --> 00:27:02,616 chain pharmacy in terms , its ability 618 00:27:02,616 --> 00:27:04,282 to connect into the system on 619 00:27:04,282 --> 00:27:06,338 vaccinations . We had one state that 620 00:27:06,338 --> 00:27:08,560 has had some significant challenge with 621 00:27:08,560 --> 00:27:08,430 interconnectivity of data reporting 622 00:27:08,430 --> 00:27:11,420 systems . And a Dr Redfield can let you 623 00:27:11,420 --> 00:27:13,364 know what we're asking for is very 624 00:27:13,364 --> 00:27:15,364 novel In the history of vaccination 625 00:27:15,364 --> 00:27:17,587 programs in the United States , usually 626 00:27:17,587 --> 00:27:19,587 with public health vaccinations are 627 00:27:19,587 --> 00:27:21,920 providers have to report within 30 days , 628 00:27:21,920 --> 00:27:23,753 right , Bob within 30 days . Now 629 00:27:23,753 --> 00:27:25,809 they've they signed as part of their 630 00:27:25,809 --> 00:27:27,920 agreement to be providers in Tiberius 631 00:27:27,920 --> 00:27:30,142 with Operation Warp speed agreements to 632 00:27:30,142 --> 00:27:32,198 provide their data within 72 hours . 633 00:27:32,198 --> 00:27:32,110 But that's a major workflow change for 634 00:27:32,110 --> 00:27:34,221 them and they're going to be kinks in 635 00:27:34,221 --> 00:27:36,030 the system on that data , uh , 636 00:27:36,040 --> 00:27:38,310 improving consistently over time . And 637 00:27:38,310 --> 00:27:40,366 I think with the new incentives that 638 00:27:40,366 --> 00:27:42,421 we're announcing today , that states 639 00:27:42,421 --> 00:27:44,643 will received their allocations in part 640 00:27:44,643 --> 00:27:47,360 based on the data that we have on what 641 00:27:47,440 --> 00:27:49,720 percent of vaccines they've received 642 00:27:49,720 --> 00:27:51,998 have they actually gotten administered ? 643 00:27:51,998 --> 00:27:54,370 We'll see that data improve . The other 644 00:27:54,370 --> 00:27:56,481 major barrier and I talked about this 645 00:27:56,481 --> 00:27:58,700 last week has been states that are 646 00:27:58,700 --> 00:28:01,090 being overly prescriptive and trying to 647 00:28:01,090 --> 00:28:03,360 micromanage every single dose of 648 00:28:03,360 --> 00:28:05,770 vaccine down toe . Who gets it to 649 00:28:05,770 --> 00:28:09,440 ensure that Onley Group 18 people get 650 00:28:09,440 --> 00:28:11,496 vaccinated before they're willing to 651 00:28:11,496 --> 00:28:13,773 open up and look a Group one be people , 652 00:28:13,773 --> 00:28:13,680 even if that's the approach that 653 00:28:13,680 --> 00:28:16,620 they're taking . So that might be 654 00:28:16,620 --> 00:28:18,870 states that are insisting that all 655 00:28:18,870 --> 00:28:20,537 health care providers have to 656 00:28:20,537 --> 00:28:22,759 vaccinated before you start vaccine the 657 00:28:22,759 --> 00:28:24,981 most vulnerable . That's why , from the 658 00:28:24,981 --> 00:28:27,314 get go , I've talked about the need toe , 659 00:28:27,314 --> 00:28:29,310 not be cab and in by the different 660 00:28:29,310 --> 00:28:31,650 groups from the A , C . I P or from the 661 00:28:31,650 --> 00:28:33,650 C . D . C . They're not meant to be 662 00:28:33,650 --> 00:28:35,940 prescriptive . Some governors have 663 00:28:35,950 --> 00:28:38,172 overreacted , have taken them in overly 664 00:28:38,172 --> 00:28:40,172 prescriptive manner , and this is a 665 00:28:40,172 --> 00:28:42,339 logistical issue . This is operational 666 00:28:42,339 --> 00:28:44,283 issue . If you try to be too micro 667 00:28:44,283 --> 00:28:47,300 managed to tailored to focused , you 668 00:28:47,300 --> 00:28:49,300 let the perfect be the enemy of the 669 00:28:49,300 --> 00:28:51,300 good . In the mass vaccine campaign 670 00:28:51,300 --> 00:28:53,522 like this , I said last week , we would 671 00:28:53,522 --> 00:28:55,880 rather have some low , lower priority 672 00:28:55,880 --> 00:28:57,991 individuals get vaccinated along with 673 00:28:57,991 --> 00:29:00,630 the high priority individuals if it 674 00:29:00,630 --> 00:29:02,970 makes us go fast and if it avoids 675 00:29:02,970 --> 00:29:05,320 vaccine sitting on the shelves . And 676 00:29:05,330 --> 00:29:07,190 for the love of God , not having 677 00:29:07,200 --> 00:29:09,890 vaccine actually wasted or thrown away 678 00:29:09,890 --> 00:29:12,600 because of a failure to administer . Um , 679 00:29:12,610 --> 00:29:14,721 so those have been the major issues , 680 00:29:14,721 --> 00:29:16,666 really , At the state level , it's 681 00:29:16,666 --> 00:29:18,888 first reporting , overly prescriptive , 682 00:29:18,888 --> 00:29:21,110 approaches the vaccination and unwell . 683 00:29:21,110 --> 00:29:23,221 And then , finally , an unwillingness 684 00:29:23,221 --> 00:29:25,443 toe move . Thio alternative channels of 685 00:29:25,443 --> 00:29:27,610 distribution over alliance . I call it 686 00:29:27,610 --> 00:29:27,460 the hospitalization of vaccine 687 00:29:27,460 --> 00:29:29,571 distribution , and that was natural , 688 00:29:29,571 --> 00:29:31,793 as I said at the outset , but it's time 689 00:29:31,793 --> 00:29:33,960 to move beyond that . We have too much 690 00:29:33,960 --> 00:29:35,682 vaccine sitting in freezers at 691 00:29:35,682 --> 00:29:37,904 hospitals , with hospitals not using it 692 00:29:37,904 --> 00:29:40,071 now . Sometimes hospital systems could 693 00:29:40,071 --> 00:29:42,071 be very effective partners in these 694 00:29:42,071 --> 00:29:44,349 vaccine programs as they have networks . 695 00:29:44,349 --> 00:29:46,516 They have primary care practices there 696 00:29:46,516 --> 00:29:48,571 themselves , health systems not just 697 00:29:48,571 --> 00:29:50,682 hospitals . And so if they can get to 698 00:29:50,682 --> 00:29:52,904 their patients , get to their customers 699 00:29:52,904 --> 00:29:55,016 and clients that air vulnerable those 700 00:29:55,016 --> 00:29:57,700 65 above and those under age 60 64 701 00:29:57,790 --> 00:30:00,660 below who have co morbidity ease . Well , 702 00:30:00,670 --> 00:30:02,559 that's ideal also . But use every 703 00:30:02,559 --> 00:30:04,781 channel , get the vaccine out there . I 704 00:30:04,781 --> 00:30:06,837 would rather have people , um , have 705 00:30:06,837 --> 00:30:10,270 people , uh , working to get 706 00:30:10,270 --> 00:30:13,240 appointments to get vaccinated , then 707 00:30:13,360 --> 00:30:15,750 having vaccine going toe waste , 708 00:30:15,760 --> 00:30:18,090 sitting in freezers , general partner 709 00:30:18,090 --> 00:30:20,312 or Dr Redfield . Anything you'd like to 710 00:30:20,312 --> 00:30:24,200 add , right . Thank you , 711 00:30:24,200 --> 00:30:26,256 Mr Secretary . And I agree with your 712 00:30:26,256 --> 00:30:28,422 answers . Uh , the other thing I would 713 00:30:28,422 --> 00:30:30,478 just say is right now , C d . C . Is 714 00:30:30,478 --> 00:30:32,589 doing a I'll call it Deep dive on the 715 00:30:32,589 --> 00:30:34,700 64 jurisdictions to try to understand 716 00:30:34,700 --> 00:30:37,530 exactly what that issue is . I do think 717 00:30:37,530 --> 00:30:39,419 a lot of it is reporting . As the 718 00:30:39,419 --> 00:30:41,586 Secretary said , the standard that CDC 719 00:30:41,586 --> 00:30:43,780 has had in the past for reporting 720 00:30:43,780 --> 00:30:46,280 vaccination was to providers to report 721 00:30:46,280 --> 00:30:48,840 within 30 days . We're now asking them 722 00:30:48,840 --> 00:30:50,951 to report within three days . So I do 723 00:30:50,951 --> 00:30:52,840 think some of that is part of the 724 00:30:52,840 --> 00:30:55,090 hiccup , but we're doing a deep dive in 725 00:30:55,100 --> 00:30:57,378 all the jurisdictions as was mentioned . 726 00:30:57,378 --> 00:30:59,500 Some of them are less than 15% . Then 727 00:30:59,500 --> 00:31:01,556 we have other jurisdictions that are 728 00:31:01,556 --> 00:31:03,667 over 80% . To understand exactly what 729 00:31:03,667 --> 00:31:05,833 those factors are . Pretty confident , 730 00:31:05,833 --> 00:31:08,056 we'll have an understanding that by the 731 00:31:08,056 --> 00:31:10,167 end of the week Fennel . Did you have 732 00:31:10,167 --> 00:31:12,389 anything you want ? Secretary ? I agree 733 00:31:12,389 --> 00:31:14,667 with all that was just said completely . 734 00:31:14,667 --> 00:31:16,611 I would just add the separation of 735 00:31:16,611 --> 00:31:19,450 distribution from actual administration . 736 00:31:19,460 --> 00:31:22,210 We are tracking distribution at a 737 00:31:22,210 --> 00:31:23,450 success rate of 738 00:31:23,450 --> 00:31:27,410 99.999% eso . In 739 00:31:27,410 --> 00:31:29,550 other words , if the state tells us 740 00:31:29,550 --> 00:31:32,070 where they want it in one of the 70,000 741 00:31:32,240 --> 00:31:34,600 enroll providers we are able to 742 00:31:34,600 --> 00:31:37,140 distribute there in accordance with the 743 00:31:37,140 --> 00:31:40,680 order on we , we Pfizer , 744 00:31:40,680 --> 00:31:44,450 Madonna , McKesson , UPS and FedEx are 745 00:31:44,450 --> 00:31:48,220 literally going through snowstorms on 746 00:31:48,220 --> 00:31:51,260 distributing vaccine every day , uh , 747 00:31:51,270 --> 00:31:54,500 to the to the location as desired at a 748 00:31:54,510 --> 00:31:56,160 very high success rate . 749 00:31:58,440 --> 00:32:01,940 Next question , that is , from Dan 750 00:32:01,940 --> 00:32:04,420 Varga . No , with buzzfeed news , your 751 00:32:04,420 --> 00:32:07,080 line is open . Thank you , Dan for 752 00:32:07,080 --> 00:32:09,630 Ghana Buzzfeed news . I'm wondering if 753 00:32:09,630 --> 00:32:11,530 this change will necessitate any 754 00:32:11,530 --> 00:32:13,890 widening of the time window for the 21 755 00:32:13,890 --> 00:32:16,450 day and 28 day second dose . What ? 756 00:32:16,450 --> 00:32:18,672 What is the widening how close to 21 or 757 00:32:18,672 --> 00:32:21,250 28 days you have to get now . Uh , wh 758 00:32:21,250 --> 00:32:23,250 Ose advisory committee has said you 759 00:32:23,250 --> 00:32:25,370 might go to six weeks . Um , what do 760 00:32:25,370 --> 00:32:27,540 you see as the window for that ? Or 761 00:32:27,540 --> 00:32:29,651 what do you recommend eso Dan , Thank 762 00:32:29,651 --> 00:32:31,762 you for asking about that . I want to 763 00:32:31,762 --> 00:32:33,929 be very clear . The labeled indication 764 00:32:33,929 --> 00:32:35,984 from the FDA on the vaccines for the 765 00:32:35,984 --> 00:32:38,207 Pfizer vaccine is 21 days between first 766 00:32:38,207 --> 00:32:40,040 dose and second dose and 28 days 767 00:32:40,040 --> 00:32:42,207 between first dose and second dose for 768 00:32:42,207 --> 00:32:44,373 the moderate vaccine . That's what the 769 00:32:44,373 --> 00:32:46,596 clinical trials were based on . That is 770 00:32:46,596 --> 00:32:48,596 the data submitted to the FDA , and 771 00:32:48,596 --> 00:32:50,762 that is what we're executing towards . 772 00:32:50,762 --> 00:32:52,873 So that is the goal . Now , if people 773 00:32:52,873 --> 00:32:52,830 end up coming in a day or so on each 774 00:32:52,830 --> 00:32:56,830 side , the goal is still 21 or 28 775 00:32:56,830 --> 00:32:58,941 days . But we're not comfortable with 776 00:32:58,941 --> 00:33:00,774 approaches that are not based in 777 00:33:00,774 --> 00:33:02,774 evidence that has been generated to 778 00:33:02,774 --> 00:33:04,663 support these incredibly safe and 779 00:33:04,663 --> 00:33:06,886 effective vaccines . And I think that's 780 00:33:06,886 --> 00:33:08,886 part of why the American public has 781 00:33:08,886 --> 00:33:10,886 seen has shown such surging vaccine 782 00:33:10,886 --> 00:33:12,941 confidence that every aspect of this 783 00:33:12,941 --> 00:33:14,997 has been data and science driven and 784 00:33:14,997 --> 00:33:17,219 the FDA will make the determinations of 785 00:33:17,219 --> 00:33:19,386 what a purpose administrations are the 786 00:33:19,386 --> 00:33:21,441 general laid out and this was always 787 00:33:21,441 --> 00:33:23,663 part of the plan . You could go back to 788 00:33:23,663 --> 00:33:23,450 my statements . I think it was in 789 00:33:23,450 --> 00:33:25,450 December at these press conferences 790 00:33:25,450 --> 00:33:27,561 where I said , What we're going to do 791 00:33:27,561 --> 00:33:30,740 is manage the flow of vaccines . We 792 00:33:30,740 --> 00:33:32,740 must ensure that if you get a first 793 00:33:32,740 --> 00:33:34,650 vaccine , there will be a second 794 00:33:34,650 --> 00:33:37,430 vaccine at the 21 day or the 28 day 795 00:33:37,430 --> 00:33:39,486 market . The provider for you to get 796 00:33:39,486 --> 00:33:42,350 that . We have two sources for vaccine . 797 00:33:42,360 --> 00:33:44,471 One would be holding back some of the 798 00:33:44,471 --> 00:33:46,471 initial stocks of vaccine that were 799 00:33:46,471 --> 00:33:48,582 that were , releasable in December to 800 00:33:48,582 --> 00:33:50,916 guarantee that we have that second does . 801 00:33:50,916 --> 00:33:52,880 But I said over time , as we gain 802 00:33:52,880 --> 00:33:55,102 confidence in the manufacturing quality 803 00:33:55,102 --> 00:33:57,269 and processes of modern and Pfizer and 804 00:33:57,269 --> 00:33:59,820 with our deep , deep , deep operation , 805 00:33:59,820 --> 00:34:01,931 warp speed engagement Madonna and are 806 00:34:01,931 --> 00:34:04,042 increasing engagement now with Pfizer 807 00:34:04,042 --> 00:34:06,098 in their manufacturing processes and 808 00:34:06,098 --> 00:34:08,264 use of the Defense Production Act , we 809 00:34:08,264 --> 00:34:10,264 have greater visibility and greater 810 00:34:10,264 --> 00:34:09,700 confidence in their production 811 00:34:09,700 --> 00:34:12,230 capabilities . We now have been able to 812 00:34:12,230 --> 00:34:14,286 move to where we do not need to hold 813 00:34:14,286 --> 00:34:16,410 back reserve doses because we can 814 00:34:16,410 --> 00:34:19,290 predict with better certainty the doses 815 00:34:19,290 --> 00:34:21,290 that will arrive off the production 816 00:34:21,290 --> 00:34:23,512 lines and quality control at the 21 day 817 00:34:23,512 --> 00:34:25,623 and 28 day mark to fulfill our second 818 00:34:25,623 --> 00:34:27,846 dose obligations to patients . And that 819 00:34:27,846 --> 00:34:30,840 will be our primary . And so , if 820 00:34:30,850 --> 00:34:33,840 they're heaven forbid or any type of 821 00:34:33,840 --> 00:34:36,007 glitches and production , the way this 822 00:34:36,007 --> 00:34:38,290 would work is new production . Off the 823 00:34:38,290 --> 00:34:40,512 production lines would be going towards 824 00:34:40,512 --> 00:34:42,401 first and foremost fulfilling the 825 00:34:42,401 --> 00:34:44,568 second dose obligation , and any first 826 00:34:44,568 --> 00:34:46,679 doses would be delayed to ensure that 827 00:34:46,679 --> 00:34:48,901 patients get at the 21 or 28 day mark . 828 00:34:48,910 --> 00:34:51,570 That second dose . Thank you . We have 829 00:34:51,570 --> 00:34:55,220 time for two more questions . Thank you . 830 00:34:55,220 --> 00:34:58,340 Our next from Ricardo Alonso Zaldivar 831 00:34:58,350 --> 00:35:00,520 with Associated Press . Your line is 832 00:35:00,520 --> 00:35:03,950 now open . Thank you for taking my 833 00:35:03,950 --> 00:35:06,520 question . And , Mr Secretary , can you 834 00:35:06,520 --> 00:35:09,010 walk us through the change in 835 00:35:09,020 --> 00:35:11,050 allocation to the States that you 836 00:35:11,050 --> 00:35:14,070 announced today ? Does that mean that 837 00:35:14,080 --> 00:35:16,770 some states may end up getting less 838 00:35:17,240 --> 00:35:21,220 than they otherwise would have ? And is 839 00:35:21,220 --> 00:35:23,560 there a risk of disruption with that ? 840 00:35:23,570 --> 00:35:27,410 And finally , um , do you have buy in 841 00:35:27,420 --> 00:35:30,100 to that approach from the incoming 842 00:35:30,100 --> 00:35:32,490 administration ? So , Ricardo , thank 843 00:35:32,490 --> 00:35:34,920 you for the question on that . So the 844 00:35:34,920 --> 00:35:37,320 two changes that we have outlined our 845 00:35:37,330 --> 00:35:40,740 first that are allocations among the 846 00:35:40,740 --> 00:35:43,360 states will not remain purely on a per 847 00:35:43,360 --> 00:35:46,360 capita basis , but rather be based on 848 00:35:46,390 --> 00:35:48,590 the reported data showing the 849 00:35:48,590 --> 00:35:51,970 percentages vaccine administered versus 850 00:35:51,980 --> 00:35:54,313 their allocations that they've received . 851 00:35:54,313 --> 00:35:56,369 In other words , if you're not using 852 00:35:56,369 --> 00:35:58,369 vaccine that you had the right to , 853 00:35:58,740 --> 00:36:00,684 then we should be re balancing two 854 00:36:00,684 --> 00:36:03,490 states that are using that vaccine . It 855 00:36:03,490 --> 00:36:06,650 is common sense . It seems hard to 856 00:36:06,650 --> 00:36:08,650 actually defy that . But we want to 857 00:36:08,650 --> 00:36:10,650 give notice , especially because of 858 00:36:10,650 --> 00:36:12,650 these data issues . We want to give 859 00:36:12,650 --> 00:36:14,706 notice . Within two weeks . We'll be 860 00:36:14,706 --> 00:36:16,872 doing that . So get your data in order 861 00:36:16,872 --> 00:36:18,928 to work on that data . Ricardo , you 862 00:36:18,928 --> 00:36:21,150 may remember we followed a very similar 863 00:36:21,150 --> 00:36:23,039 approach when we were in shortage 864 00:36:23,039 --> 00:36:25,039 situations with from D severe doing 865 00:36:25,039 --> 00:36:27,261 allocations to the states on needing to 866 00:36:27,261 --> 00:36:29,340 get reported data on Romney , severe 867 00:36:29,340 --> 00:36:32,430 location and utilization on DSO . We 868 00:36:32,430 --> 00:36:34,374 follow that approach and it worked 869 00:36:34,374 --> 00:36:36,430 exceptionally well in the context of 870 00:36:36,430 --> 00:36:38,530 room disappear on then Thea other 871 00:36:38,530 --> 00:36:41,300 changes to really emphasize to make it 872 00:36:41,300 --> 00:36:44,120 very clear how vitally important it is 873 00:36:44,220 --> 00:36:46,750 to prioritize and focus on those who 874 00:36:46,750 --> 00:36:48,583 are most vulnerable for whom the 875 00:36:48,583 --> 00:36:50,806 vaccine will have the biggest effect on 876 00:36:50,806 --> 00:36:53,160 those of those age 65 over , and those 877 00:36:53,160 --> 00:36:56,500 64 below with co morbidity . And so 878 00:36:56,510 --> 00:36:58,677 that will be a change . I believe it's 879 00:36:58,677 --> 00:37:00,843 about 10 states most impacted based on 880 00:37:00,843 --> 00:37:02,954 the data . Uh , there would be fairly 881 00:37:02,954 --> 00:37:05,121 common sense where that would be . But 882 00:37:05,121 --> 00:37:07,343 again , our states aren't using 100% of 883 00:37:07,343 --> 00:37:09,910 their allocated vaccine . Eso This ends 884 00:37:09,910 --> 00:37:12,021 up being , I think , a t least in the 885 00:37:12,021 --> 00:37:15,040 interim of redistribution between and 886 00:37:15,040 --> 00:37:17,510 among the states . That should not 887 00:37:17,510 --> 00:37:20,420 necessarily hurt many states , but will 888 00:37:20,430 --> 00:37:22,541 enhance the benefit to those that are 889 00:37:22,541 --> 00:37:24,486 actually getting vaccines done and 890 00:37:24,486 --> 00:37:26,541 performed . Thanks . Next question , 891 00:37:26,541 --> 00:37:28,652 please . Time for one last question . 892 00:37:29,630 --> 00:37:32,140 Our final question is from Tom Howell 893 00:37:32,140 --> 00:37:34,196 with The Washington Times , and your 894 00:37:34,196 --> 00:37:37,030 line is now open . Hi . Thanks for 895 00:37:37,030 --> 00:37:39,141 doing the call . Um , can you address 896 00:37:39,141 --> 00:37:41,252 the back end of a car ? Does question 897 00:37:41,252 --> 00:37:43,474 about whether the Biden team has bought 898 00:37:43,474 --> 00:37:45,474 into that plan . And also conductor 899 00:37:45,474 --> 00:37:47,586 slowly update us on AstraZeneca and J 900 00:37:47,586 --> 00:37:49,752 and J . When will they seek approval ? 901 00:37:49,752 --> 00:37:51,919 And how many doses have you secured of 902 00:37:51,919 --> 00:37:54,510 either one ? Thanks . So we at the 903 00:37:54,510 --> 00:37:57,250 operation Warp speed board made the 904 00:37:57,250 --> 00:37:59,580 determination on the changes and read 905 00:37:59,580 --> 00:38:01,250 in distribution allocation 906 00:38:01,250 --> 00:38:04,090 methodologies among the states . While 907 00:38:04,090 --> 00:38:07,230 we will certainly brief the Biden team 908 00:38:07,240 --> 00:38:10,510 on those changes , we operate as you 909 00:38:10,510 --> 00:38:12,677 know , with one government at a time . 910 00:38:12,677 --> 00:38:14,980 And we This is the approach that we 911 00:38:14,980 --> 00:38:18,070 believe best fulfills the mission and 912 00:38:18,070 --> 00:38:20,950 the current situation that we're facing . 913 00:38:21,920 --> 00:38:25,910 Thank you ducks like Thank you 914 00:38:25,910 --> 00:38:28,810 for your question . Eso regarding the 915 00:38:28,810 --> 00:38:31,150 young sons vaccine . As you know , the 916 00:38:31,150 --> 00:38:33,372 face retrial is fully recruited . There 917 00:38:33,372 --> 00:38:36,130 are unfortunately fortunately for the 918 00:38:36,130 --> 00:38:38,180 trial , very significant number of 919 00:38:38,180 --> 00:38:42,020 cases accruing We are very clear . 920 00:38:42,080 --> 00:38:44,890 We meaning operation and Johnson's 921 00:38:44,890 --> 00:38:48,200 pharmaceuticals . That analysis will be 922 00:38:48,200 --> 00:38:50,510 completed before the end of the month , 923 00:38:50,520 --> 00:38:52,720 and the U . S submission will take 924 00:38:52,720 --> 00:38:55,350 place at the end of this month . In 925 00:38:55,350 --> 00:38:58,050 terms of vaccine , those availability . 926 00:38:58,280 --> 00:39:00,391 If submission is happening at the end 927 00:39:00,391 --> 00:39:03,700 of January 1 could project that 928 00:39:03,710 --> 00:39:06,090 approval of the emergency use 929 00:39:06,090 --> 00:39:08,201 authorization may happen somewhere in 930 00:39:08,201 --> 00:39:10,312 the middle of the month of February . 931 00:39:10,312 --> 00:39:13,300 We project to have single digit million 932 00:39:13,380 --> 00:39:15,990 number of those is available in the 933 00:39:15,990 --> 00:39:18,157 second half of February . We're trying 934 00:39:18,157 --> 00:39:21,500 to make that number get as close to a 935 00:39:21,500 --> 00:39:23,890 double digit number as possible and 936 00:39:23,890 --> 00:39:26,550 then a larger number in March and a 937 00:39:26,550 --> 00:39:29,910 much larger number in April . Remember , 938 00:39:29,910 --> 00:39:32,310 this is a one shot vaccine , so those 939 00:39:32,310 --> 00:39:34,199 are millions of individuals fully 940 00:39:34,199 --> 00:39:36,620 immunized in terms of the AstraZeneca 941 00:39:36,620 --> 00:39:38,842 vaccine . The assumption we are working 942 00:39:38,842 --> 00:39:41,880 on is that the emergency use 943 00:39:41,880 --> 00:39:44,300 authorization will be submitted on the 944 00:39:44,300 --> 00:39:46,467 basis of the ongoing Phase three trial 945 00:39:46,467 --> 00:39:48,900 in the US The face retrial is 946 00:39:48,900 --> 00:39:51,067 effectively fully enrolled . There are 947 00:39:51,067 --> 00:39:53,370 few individuals Mawr enrolled on a 948 00:39:53,400 --> 00:39:56,460 primarily toe 949 00:39:57,220 --> 00:39:59,310 ensure appropriate representation of 950 00:39:59,320 --> 00:40:01,930 all diverse population in the country . 951 00:40:02,810 --> 00:40:06,200 Cases are accruing the 60 952 00:40:06,200 --> 00:40:09,520 days upon completion off full 953 00:40:09,520 --> 00:40:13,230 immunization scheduled follow up safety 954 00:40:13,230 --> 00:40:15,240 as required by the FDA . Guidance 955 00:40:15,450 --> 00:40:18,050 happens during the first week of the 956 00:40:18,050 --> 00:40:20,030 month of March on . The projection 957 00:40:20,030 --> 00:40:23,020 would be to have a submission of the EU 958 00:40:23,020 --> 00:40:25,560 a around that time assuming , of course , 959 00:40:25,860 --> 00:40:27,680 that cases have accrued again . 960 00:40:27,680 --> 00:40:29,736 Unfortunately , I think that will be 961 00:40:29,736 --> 00:40:32,650 the case and hopefully the vaccine 962 00:40:32,650 --> 00:40:35,270 again it's efficacious has been shown 963 00:40:35,270 --> 00:40:38,430 in the trials conducted in Brazil and 964 00:40:38,440 --> 00:40:42,180 in the UK eso maybe an approval 965 00:40:42,190 --> 00:40:44,780 somewhere towards the larger part of 966 00:40:44,780 --> 00:40:46,947 the month of March , and a significant 967 00:40:46,947 --> 00:40:48,947 number of those is available around 968 00:40:48,947 --> 00:40:50,724 that time and since you ask the 969 00:40:50,724 --> 00:40:52,730 question . Maybe also update on the 970 00:40:52,730 --> 00:40:55,570 Novavax vaccine . The Novavax vaccine 971 00:40:55,580 --> 00:40:57,760 is the fifth program out of the six 972 00:40:57,760 --> 00:41:00,400 programs we have that is in face 973 00:41:00,400 --> 00:41:02,750 retrial or completed the face retrial 974 00:41:03,210 --> 00:41:05,520 the face of Israel has now recruited 975 00:41:05,520 --> 00:41:09,480 about 8000 or so subjects is recruiting 976 00:41:09,480 --> 00:41:12,120 very fast at a rate of 800 subjects per 977 00:41:12,120 --> 00:41:14,287 day . Volunteers . Hopefully we can go 978 00:41:14,287 --> 00:41:16,260 to a higher number . It's very 979 00:41:16,260 --> 00:41:18,290 important that people continue to 980 00:41:18,350 --> 00:41:22,220 participate generously Thio 981 00:41:22,230 --> 00:41:25,140 be volunteers in this clinical trial . 982 00:41:25,430 --> 00:41:27,097 The projection is to complete 983 00:41:27,097 --> 00:41:29,490 recruitment of these trials somewhere 984 00:41:29,500 --> 00:41:32,410 very early in the month of February on , 985 00:41:32,420 --> 00:41:34,900 based on timelines of immunization , 986 00:41:34,900 --> 00:41:37,400 etcetera . Maybe there we can have an 987 00:41:37,400 --> 00:41:41,000 outcome somewhere in the month off 988 00:41:41,010 --> 00:41:43,990 very late March or in April , the 989 00:41:43,990 --> 00:41:45,990 Sanofi trial program , which is the 990 00:41:45,990 --> 00:41:48,180 last program in our portfolio , will 991 00:41:48,180 --> 00:41:50,402 start face to be trial in the middle of 992 00:41:50,402 --> 00:41:52,458 February in a comparative trial to a 993 00:41:52,458 --> 00:41:55,970 messenger RNA vaccine . Maybe also on a 994 00:41:55,970 --> 00:41:58,330 progress part of things we are working 995 00:41:58,340 --> 00:42:02,080 now experimentally testing Sierra for 996 00:42:02,080 --> 00:42:04,247 identification , off immune correlates 997 00:42:04,247 --> 00:42:06,280 of protection . That's really super 998 00:42:06,280 --> 00:42:09,040 important because if and when we have 999 00:42:09,040 --> 00:42:11,290 the data somewhere in the middle of 1000 00:42:11,290 --> 00:42:13,346 February is the projection currently 1001 00:42:13,600 --> 00:42:15,670 that identifying immune cards of 1002 00:42:15,670 --> 00:42:17,990 protection that will dramatically 1003 00:42:17,990 --> 00:42:20,290 accelerate potential approval of other 1004 00:42:20,290 --> 00:42:22,123 vaccines , including the protein 1005 00:42:22,123 --> 00:42:24,680 vaccines , particularly that from 1006 00:42:24,970 --> 00:42:27,450 Sanofi and vaccines from others and , 1007 00:42:27,450 --> 00:42:29,740 of course , across the world , provided 1008 00:42:29,750 --> 00:42:32,520 people use uh , read outs that are 1009 00:42:32,520 --> 00:42:34,631 validated or cross validated with the 1010 00:42:34,631 --> 00:42:37,010 read outs that have being used . I 1011 00:42:37,010 --> 00:42:39,121 don't want to say a final final point 1012 00:42:39,121 --> 00:42:41,177 is we are running a clinical trial . 1013 00:42:41,177 --> 00:42:43,960 Face retrial in adolescents 12 to 18 1014 00:42:43,960 --> 00:42:46,600 years of all of age with the modern A 1015 00:42:46,600 --> 00:42:49,930 vaccine . Uh , it's a real 1016 00:42:49,930 --> 00:42:52,250 challenge . It's been four weeks 1017 00:42:52,250 --> 00:42:54,780 ongoing . We only recruited about 800 1018 00:42:54,780 --> 00:42:57,140 subjects in the trial . Remember , I 1019 00:42:57,140 --> 00:42:59,307 just said earlier , the Astros and the 1020 00:42:59,307 --> 00:43:01,529 sorry Novavax vaccine is recruiting 800 1021 00:43:01,529 --> 00:43:03,800 subjects per day here . We're talking 1022 00:43:03,800 --> 00:43:06,590 about 800 subjects in a month . It's 1023 00:43:06,590 --> 00:43:09,690 really very important for all of us , 1024 00:43:10,040 --> 00:43:12,510 for all the population in America , too . 1025 00:43:12,900 --> 00:43:14,910 Realize that we can't have that 1026 00:43:14,920 --> 00:43:18,310 indication unless adolescents aged 12 1027 00:43:18,310 --> 00:43:21,300 to 18 decided to participate . Of 1028 00:43:21,300 --> 00:43:23,960 course , as a voluntary decision into 1029 00:43:23,960 --> 00:43:25,793 the clinical trials , we need to 1030 00:43:25,793 --> 00:43:27,849 recruit about 3000 subjects into the 1031 00:43:27,849 --> 00:43:29,904 trial to complete them . Thank you . 1032 00:43:31,900 --> 00:43:35,650 So this is very likely the 1033 00:43:35,660 --> 00:43:38,260 last Operation warp speed briefing with 1034 00:43:38,260 --> 00:43:41,480 this team for you all . I just wanted 1035 00:43:41,480 --> 00:43:43,560 to express three notes of thanks . 1036 00:43:43,560 --> 00:43:45,727 First , I want to thank the members of 1037 00:43:45,727 --> 00:43:47,727 the media who participated in these 1038 00:43:47,727 --> 00:43:49,838 operation warp speed calls . You have 1039 00:43:49,838 --> 00:43:51,980 been unfailingly professional and 1040 00:43:51,980 --> 00:43:54,730 allowed a on educational and technical 1041 00:43:54,730 --> 00:43:57,480 level briefing that I hope your readers 1042 00:43:57,480 --> 00:43:59,980 and listeners and viewers have 1043 00:43:59,980 --> 00:44:02,036 appreciated . We have tried it every 1044 00:44:02,036 --> 00:44:03,924 step of the way to be factual and 1045 00:44:03,924 --> 00:44:06,036 transparent with you and bring you on 1046 00:44:06,036 --> 00:44:07,758 the journey with us of vaccine 1047 00:44:07,758 --> 00:44:10,400 approvals and distribution and now 1048 00:44:10,400 --> 00:44:12,289 administration . So thank you for 1049 00:44:12,440 --> 00:44:15,190 making that possible . Second , I want 1050 00:44:15,190 --> 00:44:17,412 to express my appreciation to Secretary 1051 00:44:17,412 --> 00:44:19,190 former Secretary Esper , acting 1052 00:44:19,190 --> 00:44:21,301 Secretary Miller and Deputy Secretary 1053 00:44:21,301 --> 00:44:23,357 Norquist of the Defense Department . 1054 00:44:23,357 --> 00:44:25,468 The collaboration between D . O . D . 1055 00:44:25,468 --> 00:44:28,210 And HHS has been unprecedented on 1056 00:44:28,210 --> 00:44:30,600 really in my , uh , in my decades 1057 00:44:30,600 --> 00:44:33,120 around government government service . 1058 00:44:33,130 --> 00:44:35,019 I've just never seen this type of 1059 00:44:35,019 --> 00:44:37,074 collaboration and cooperation that's 1060 00:44:37,074 --> 00:44:39,186 really that comes from the top . That 1061 00:44:39,186 --> 00:44:41,241 is a credit to the leadership of the 1062 00:44:41,241 --> 00:44:43,519 Defense Department to make this happen . 1063 00:44:43,519 --> 00:44:45,810 So thank you for that . Finally , 1064 00:44:46,030 --> 00:44:49,490 people is policy and we , 1065 00:44:49,490 --> 00:44:51,657 fortunately at the outset of Operation 1066 00:44:51,657 --> 00:44:53,600 Warp speed were ableto have some 1067 00:44:53,600 --> 00:44:55,780 exceptional people leading this in all 1068 00:44:55,780 --> 00:44:58,002 of my time , leading in business and in 1069 00:44:58,002 --> 00:45:00,520 government . I have never been part of 1070 00:45:00,520 --> 00:45:03,170 a team that has that has , has a 1071 00:45:03,180 --> 00:45:04,660 demonstrated teamwork and 1072 00:45:04,660 --> 00:45:06,327 professionalism and integrity 1073 00:45:06,690 --> 00:45:10,080 discipline , as this team does . And , 1074 00:45:10,090 --> 00:45:12,820 uh , I want to express my personal 1075 00:45:12,820 --> 00:45:14,987 appreciation toe all of the members of 1076 00:45:14,987 --> 00:45:17,970 the team , but especially General Purna , 1077 00:45:17,980 --> 00:45:20,800 who was a hero for America before he 1078 00:45:20,800 --> 00:45:22,860 did this . Now he's a hero for 1079 00:45:22,860 --> 00:45:25,027 America's public health . Two months , 1080 00:45:25,027 --> 00:45:27,470 chefs Lowey , who was a hero of the bio 1081 00:45:27,470 --> 00:45:29,650 pharmaceutical industry before doing 1082 00:45:29,650 --> 00:45:32,470 this and is now a hero of America's 1083 00:45:32,470 --> 00:45:35,190 public health . These selfless 1084 00:45:35,190 --> 00:45:37,920 individuals have dedicated every waking 1085 00:45:37,920 --> 00:45:40,031 minute since they were tapped back in 1086 00:45:40,031 --> 00:45:42,480 May . Toe lead These efforts , the 1087 00:45:42,480 --> 00:45:45,680 results have been remarkable . Andi . I 1088 00:45:45,740 --> 00:45:48,620 hope that the next team with the Biden 1089 00:45:48,620 --> 00:45:50,676 administration will be able to carry 1090 00:45:50,676 --> 00:45:52,620 forward these results . We will do 1091 00:45:52,620 --> 00:45:54,509 everything in our power to ensure 1092 00:45:54,509 --> 00:45:56,231 smooth and effective continued 1093 00:45:56,231 --> 00:45:58,270 transition . The first meeting , I 1094 00:45:58,270 --> 00:46:00,103 believe , of any transition team 1095 00:46:00,490 --> 00:46:02,657 between this administration . The bite 1096 00:46:02,657 --> 00:46:04,934 administration was before Thanksgiving . 1097 00:46:04,934 --> 00:46:07,046 It was for Operation warp speed , and 1098 00:46:07,046 --> 00:46:09,268 we'll continue those efforts up through 1099 00:46:09,268 --> 00:46:11,268 the last day of this administration 1100 00:46:11,268 --> 00:46:11,250 into the body and into the Biden 1101 00:46:11,250 --> 00:46:14,030 administration . So thank you all very 1102 00:46:14,030 --> 00:46:15,720 much . We appreciate everything .