Fauci, citing ‘disturbing surge,’ tells Congress the virus is not under control
By Sheryl Gau Stolberg and Noah Weiland
Dr. Anthony S. Fauci told Congress on Tuesday that he was seeing a “disturbing surge” of infections in some parts of the country, as Americans ig- nore social distancing guidelines and states reopen without adequate plans for testing and tracing the contacts of those who get sick.
Fauci’s assessment, delivered during a lengthy hearing before the House Ener- gy and Commerce Committee, painted a much grimmer picture of the coronavirus threat than the one given by President Do- nald Trump, who claimed last week that the virus that had infected more than 2 million Americans and killed more than 120,000 would just “fade away.”
“The virus is not going to disappear,” said Fauci, the nation’s top infectious disea- se expert, who testified that the virus was not yet under control in the United States.
His testimony came as more than half of the country was seeing an uptick in cases, with officials in some states slowing their return-to-work plans or even imposing new restrictions. Fauci and three other lea- ders of the government’s coronavirus response who testified Tuesday cast a cloud over the sunny accounts offered by the pre- sident as he has portrayed the United States as a nation bouncing back from the brink.
“I am very cautious and I don’t — still don’t sleep well at night,” said Adm. Brett P. Giroir, the assistant secretary for public health, “because we have a long way to go.”
More than three months after Trump declared an emergency because of the vi- rus, Fauci said the picture was a “mixed bag,” with some bright spots, but also some dark ones and many unknowns. Some sta- tes like New York are “doing very well” in controlling the spread of the virus, but the surge in other states is “very troublesome to me,” he said.
“The next couple of weeks are going to be critical in our ability to address tho- se surges that we are seeing in Florida, in Texas, in Arizona and other states,” Fauci added.
Both he and Dr. Robert R. Redfield, the director of the Centers for Disease Con- trol and Prevention, warned of a dangerous situation looming this winter, when the re- gular flu season will intersect with the co- ronavirus, producing what Fauci described as “two respiratory-borne infections simultaneously confounding each other.”
The hearing came as the nation was still facing steep challenges in dealing with the virus. There is not nearly enough tes- ting, and the United States lacks sufficient contact tracers to track down and isolate those who have come into contact with infected people — a critical step in con- trolling the virus’s spread, the experts agre- ed. Giroir conceded that even the 500,000 tests the country was conducting daily were insufficient. And Redfield said that the country had 28,000 contract tracers, a fraction of the 100,000 he had previously said it would need.
A coronavirus vaccine will not be re- ady until at least the end of this year or early 2021, Fauci said, reiterating the timetable he has given in the past. He said he was “cau- tiously optimistic” about meeting it.
He also pledged to lawmakers that he would not allow any vaccine to go to market until it was proved both safe and effective. And even then, there may be different vaccines for different populations, and some may require booster shots.
In the meantime, the witnesses said it was imperative for the nation to stock up on masks and other supplies.
The wide-ranging hearing, which also featured Dr. Stephen Hahn, the commis- sioner of food and drugs, lasted more than five hours. It veered from questions about how universities and public schools should handle reopening — each school or district should make its own assessment based on the severity of its outbreak, Fauci testified — to the mysterious cancellation of a $3 million research grant for a group that was studying the coronavirus in bats in Wuhan, China, where the outbreak originated.
“It was canceled because the NIH was told to cancel it,” Fauci said, referring to the National Institutes of Health, without further elaboration. “I don’t know the rea- son, but we were told to cancel it.”
In somber tones, all four of the doc- tors testifying Tuesday made clear that the United States was hardly out of danger. Despite talk of a so-called second wave of the pandemic, Fauci said the nation was still in the middle of the first wave. Redfield said the crisis had “brought this nation to its knees,” cautioning that when it coinci- des with flu season this year, hospitals and health workers would face a tremendous strain. Getting a flu shot, he said, would be imperative.
“This single act will save lives,” Redfield said.
Much of the talk during the House hearing was about testing. All four doctors contradicted the president’s claim at his ra- lly in Tulsa that he had asked “my people” to “slow the testing down” because increa- sed screening was revealing more infec- tions, making the country look bad. Each said he knew of no such request.
“We are proceeding in just the oppo- site — we want to do more testing and of higher quality,” said Giroir, who has been designated the “testing czar” by the presi- dent. “The only way that we will be able to understand who has the disease, who is infected, and can pass it, and to do appro- priate contact tracing is to test appropriately, smartly — and as many people as we can.” The officials and lawmakers also re- peatedly returned to the question of test positivity rates, an indicator that reveals the severity of outbreaks more than a tally of positive tests.
Trump and Vice President Mike Pence have both promoted an increase in testing as a reason for the rising numbers around the country, but Fauci at one point on Tues- day said it was more complicated than that. Referring to recent increasing in positivity rates in North Carolina and Arizona, he said that they were a clear indication of “additional infections that are responsible for those increases.”
And both Fauci and Redfield expres- sed concern about Trump’s decision late last month to withdraw from the World Health Organization, saying that they had maintained long-standing relationships with the WHO even as the White House moved to punish it over its relationship with China.
Pressed by Congress to develop a plan to address the disproportionate effect of the virus on racial minorities, the administra- tion announced it had created an initiative to do so. Giroir said that the Department of Health and Human Services had started a $40 million initiative at Morehouse School of Medicine, a historically Black college in Atlanta, to educate Americans in under- served communities — including Native American tribes — about the coronavirus threat so that they could have better access to testing and treatment.