Via Teleconference
11:37 A.M. EDT
MR. ZIENTS: Good morning, and thanks for joining us. Before I turn to Drs. Walensky, Fauci, and Murthy I want to reinforce the importance of the six-part "Path Out of the Pandemic" action plan President Biden announced yesterday.
Stepping back, the more transmissible Delta variant is driving a surge in cases, and this remains a pandemic of the unvaccinated.
We know that vaccinations are the best way to beat this pandemic. That's why, from day one, we've been working tirelessly to get shots in arms and we have made significant lifesaving progress.
Safe, effective, and free vaccines are readily available to everyone. Nearly 75 percent of eligible Americans — those 12 and older — have gotten at least their first shot. And now over 177 million Americans are fully vaccinated — that's up from just 2 million when the President took office.
And the pace of vaccinations has picked up: 14 million people rolled up their sleeves and got their first shot in August — 4 million more than in the month of July.
Thanks to the success of our vaccination program and the resources provided by the American Rescue Plan, we are in a much stronger position than when the country experienced case surges in the past.
But we have more to do. The President's action plan builds on the work we've been doing since day one of his presidency. It's aggressive, it's comprehensive, and it will drive additional progress this fall by getting more people vaccinated, keeping schools open and our economy growing, and decreasing hospitalizations and deaths.
Getting more people vaccinated is the cornerstone of this plan.
After President Biden announced vaccination requirements for federal workers in July, hundreds of small, medium, and large businesses; healthcare systems; colleges and universities; school districts; and state and local governments have stepped up to follow his lead and adopt requirements covering tens of millions of Americans.
Yesterday, the President dramatically expanded the reach of vaccination requirements, requiring — through a rule OSHA is developing — that all businesses with 100 or more employees ensure every worker is either fully vaccinated or gets tested at least one time a week; requiring all workers in most healthcare settings that receive Medicaid or Medicare to be fully vaccinated; requiring all federal executive branch employees and all employees of federal contractors to be fully vaccinated; and requiring all Head Start educators and teachers and staff of all federally run schools to be fully vaccinated.
So, from private sector employees, to healthcare workers, to educators and teachers, to federal employees and contractors, the President is covering over 100 million workers with vaccination requirements. A hundred million workers — that's two thirds of all workers in America.
And the President's vaccination requirements are becoming the standard for American workers across the country. Vaccination requirements have been around for decades for diseases like polio, smallpox, and measles. They're widely supported, and importantly, they're proven to work.
We know that private and public sector institutions that have adopted vaccination requirements have seen significant increases in the vaccination rates in short order.
That's why, since the President addressed the nation last evening, you've seen a chorus of public and private sector institutions all come out in support of the President's plan.
The American Medical Association and the National Nurses Union endorsed what they called the President's "robust" plan.
The Business Roundtable, which represents more than 200 businesses that employ a total of 20 million workers, welcomed the President's announcements.
And the Republican Governor of Vermont, Phil Scott, also applauded the President's plan.
Vaccination requirements will help make employees, workplaces, and communities safer, and help accelerate our path out of the pandemic.
In addition to vaccinations, the President's plan calls for more testing. Testing allows us to quickly detect cases and prevent outbreaks. That's why, as we accelerate the pace of vaccination, the President's plan also ramps up the availability of testing across the country by using the Defense Production Act to accelerate the production of rapid tests; by investing $2 billion to procure 280 million rapid point-of-care and at-home COVID tests; by expanding the reach of the free pharmacy testing program to 10,000 local pharmacies around the country; and by sending 25 million free at-home tests to 1,400 community health centers and hundreds of food banks.
Walmart, Amazon, and Kroger will also sell at-home testing kits at cost for the next three months.
Together, these steps will ensure that every American, no matter their income level, will have easy access to convenient tests.
As we boost vaccinations and increase testing, we're also doing everything we can to keep kids safely in school.
Earlier this morning, the President, the First Lady, and Secretary Cardona visited a middle school here in Washington, D.C., to see firsthand the steps the school is taking to ensure kids are safe and in the classroom. They're doing what works, including vaccinations, masking, and testing.
We have provided all schools throughout the country over $130 billion through the American Rescue Plan to implement these very strategies. There is simply no excuse for failing to do so. This isn't about politics; it's about protecting our kids.
And as the President has made very clear, we stand with the school district leaders, educators, and parents who are doing right by kids. And we'll take on those who are standing in the way.
Last, we continue to support states and improve care for those who get COVID.
Since July, our whole-of-government COVID-19 Surge Teams have worked to support 18 states as they battle Delta, deploying nearly 1,000 personnel including doctors, nurses, paramedics, and hundreds of critical supplies like ventilators and ambulances to support strained health systems, and, importantly, shipping over 1 million doses of lifesaving monoclonal antibody treatments.
Yesterday, the President announced additional actions, including doubling the number of military health teams deploying to hospitals around the country and increasing the average weekly pace of shipments of the lifesaving monoclonal antibody treatments by another 50 percent in September.
I want to close with this: From day one, the President committed to the American people that he would marshal a wartime effort to lead us out of the pandemic. That's exactly what he's done.
The aggressive actions he outlined yesterday build on the progress we've made and will accelerate our path out of the pandemic.
With that, over to Dr. Walensky.
DR. WALENSKY: Thank you, Jeff. And good morning. Let's begin with an overview of the data.
Our seven-day average is about 136,000 cases per day. And our seven-day average of hospital admissions is about 11,750 per day. Our seven-day average of daily deaths continues at over 1,000 per day.
As the President said yesterday, we are working across the federal government and across the Department of Health and Human Services to turn the corner on this pandemic.
Today, I want to share with you the ways that CDC continues to be actively engaged in this work.
As you have heard me say before, we must do all we can to protect our children and to keep them safe, in school, for in-person learning.
We know what we need to do, and CDC has provided clear evidence-based guidance for schools to follow. This includes universal masking of students, teachers, staff, and visitors to schools, regardless of vaccination status; making sure that schools work to improve ventilation; implementing school screening testing programs; and making sure that those who are eligible are vaccinated.
And we have resources and toolkits to implement these measures. CDC stands ready to provide technical assistance for schools and jurisdictions who request our help.
Over the past two weeks, I've shared with you data from CDC and our public health partners that demonstrate the important role of vaccination in protecting children. Communities with higher vaccination rates have lower reported emergency department visits and hospitalizations for children with COVID-19, even children who cannot be vaccinated themselves.
The President's actions to increase vaccinations among teachers and in the community, and to financially support schools in upgrading their protections, will help keep our children safe and our schools open.
CDC is also working hard with so many of you and so many of our partners to make sure that all eligible Americans are vaccinated.
We continue to study and report on vaccine effectiveness and vaccine safety. Today, we will publish a study in the MMWR that looks at COVID-19 cases, hospitalizations, and deaths in 13 states and offers further evidence of the power of vaccination.
In this study, over 600,000 COVID-19 cases from April through mid-July were evaluated and linked to vaccination status. Looking at cases over the past two months, when the Delta variant was the predominant variant circulating in this country, those who were unvaccinated were about four and a half times more likely to get COVID-19, over 10 times more likely to be hospitalized, and 11 times more likely to die from the disease.
As the President reiterated yesterday, and as we have shown study after study: Vaccination works. CDC will continue to do all we can do to increase vaccination rates across the country by working with local communities and trusted messengers, and providing vaccine confidence consults to make sure that people have the information they need to make an informed decision about vaccination
The bottom line is this: We have the scientific tools we need to turn the corner on this pandemic. Vaccination works and will protect us from the severe complications of COVID-19. It will protect our children and allow them to stay in school for safe in-person learning.
Thank you. I'll now turn things over to Dr. Fauci.
DR. FAUCI: Thank you very much, Dr. Walensky. I'd like to spend a couple of minutes talking about variants, which have recently been the subject of some discussion and concern.
This slide shows the selected SARS-CoV-2 variants with the lineage determination on the right — the B and the C — and the new WHO Greek letters on the left. We're going to focus for the next minute or so on the Delta variant.
Next slide.
As you can see from this slide, this variant has become extraordinary in its ability to dominate among the isolates in the United States and worldwide. Note that in June, just a few months ago, it comprised about 13 percent of the isolates, whereas now it is about 99 percent of the isolates. This becomes relevant when one thinks in terms of other variants that are becoming of interest to people.
Next slide.
I refer specifically to the Mu variant, the B.1.621 and the C.1.2, which is yet to get a Greek letter determination.
Very quickly — next slide — let's take a look at the Mu variant first. It was identified in December of 2020. It was detected first in South America, and it accounts for a large proportion of the isolates, for example, in Colombia. The reason it was brought to attention: it had a number of mutations that were of interest. But when you look at the effect of antibodies against these mutations, it is not a matter of alarm in that although it diminishes somewhat the protection, it falls well within the range of Delta and Beta. But importantly, only 0.5 percent of the isolates in the United States are Mu.
And if you look at the lower right, you can see how Delta, in blue, dominates over Alpha, in orange, and completely dominates over Mu, in green.
Next slide.
Again, the C.1.2 variant, first noted in South Africa, is not seen at all yet in the United States. And again, if you look in the lower right, the Delta dominates the Beta, which was the original variant that was in South Africa. And again, the C.1.2 variant is not seen in the United States.
Next slide.
So the bottom line of all of this: The prevalence of the Mu and the C.1.2 variant is extremely low in the United States — 0.5 percent for Mu, and nothing for the C.1.2 — because the Delta variant continues to dominate.
As always, we will continue to closely monitor these and other emerging variants. But the most important thing we can do to protect against any variant, be it Delta, Mu, or C.1.2, is to get vaccinated, which has always been our predominant message.
I'll now hand it over to Dr. Murthy.
SURGEON GENERAL MURTHY: Well, thank you so much, Dr. Fauci. As you've heard from all of us already, the Delta plan that the President announced yesterday is going to be pulling on every lever the federal government has to respond to the virus. And helping more people get vaccinated is one of the key strategies in this plan.
We've always known that in order to do that, we have to help people feel confident that getting vaccinated is the right choice for them and for their families. And when it comes to making important choices, we know that all of us often look to each other, to our family, to our doctors, to our neighbors, and friends, and work colleagues.
And that is why several months ago, we announced that we were building the COVID-19 Community Corps, which was intended to help mobilize trusted voices so people could get information from sources they traditionally rely on. This Community Corps will be more important than ever in the months ahead.
Now, since we started in the spring, the Community Corps has picked up a lot of momentum. Today, there are more than 15,000 members strong, representing over 6,000 organizations in all 50 states and the District of Columbia. They include doctors and nurses, teachers and ministers, friends and neighbors.
But in addition to the grassroots work they do in their communities, they've also come together from time to time on calls to hear the most up-to-date information about the COVID-19 vaccines, to learn about new developments in the vacc- — in the COVID-19 response effort, and to also share best practices for their outreach.
Just this week, President Obama came to speak with the Corps and shared his appreciation for the community-organizing work that they're doing: knocking on doors, making phone calls, texting friends, and reaching out to folks in their community.
I want to share some of the ways that our COVID-19 Community Corps members have been helping people to get vaccinated.
