Collective health is at stake as we work furiously for a pandemic taken more than a 500,000 lives. And there are deep fissures in the health industry. Covid attacked us and now its our responsibility to fix the gaps and make sure that it has affordability. Todays summit. We have a fantastic lineup for the events which will make part in three parts. Well kick off with an interview with dr. Anthony fauci and examine prescriptions from the pandemic. If immunity passports are our future are we spending time and money to fend off future attacks. How can we support physicians and nurses . The First Responders on the covid era, locust on healing and build capacity with the infrastructure. The second band 1 00, 1 30. Reimagine health care, alex azar the health and Human Services will join us, then you get a break and i get a break. At 2 30 eastern will shine a live on race, affordability and access, issues that have laterally become matters of life and death. My main guest c. D. C. Director redford the coronavirus on the him. Before we get underway, housekeeping notes, tweet us at thehi thehillhelp. If your question is short and great ive asked my colleague katie to walk up and give them to me. Well be monitoring those. Were broadcasting live and well take your questions. With any livestream you could experience trouble, if most cases they say refresh the page, and good luck with that. My first guest, dr. Anthony fauci probably has not had a good nights rest since the beginning of the year. The country and world continue to look for him in counsel, exercise and hope in the fight against coronavirus. Were happy to have you in the midst of the deaths in the world and United States. What the most candid terms for the United States right now . Well, steve, thank you for having me, were still in a significant problem. As you know, weve been hit harder than any country in the world and what has happened is that we peaked and then came down to a level, instead of going all the way down to baseline, the way that many of the European Countries did. For a number of complicated reasons which we can discuss. We stayed at a level until recently. Southern states which had not been previously impact today a great degree, california, texas, florida, arizona are now experiencing surges of infections that have gone up to 30,000, 40, 50, most recently a total of 60,000 new cases per day. Ebola, secret, h1n1, so many other epidemics out there, and you worked with the communities that a been impacted in those communities that might be vulnerable. What is not clicking in this case . First of all, the nature of the microbe itself, the pathogen. This is something ive often described, it really is the perfect storm. It spectacularly transmissible virus. The efficiency with which this transmit is really striking. In addition, the spike of wide degree of variability from a certain proportion of the 40 of people who get no symptoms up through and including people who get sick enough to require intensive care and die, that is a very complex situation to really get control of your in addition, given the efficiency of the spread, we have to have in place the capability of going from containment and keeping it contained and if, in fact, we cant continue, to go to mitigation. In some respects we have been successful. If you look at the curb, for example, in new york city which was hit harder than any place in the world really has been able to successfully bring down the number of new infections, hospitalizations and deaths to an extremely low level. Now what we need to do in this country is to successfully make that transition from baseline control to safely reopening the country. And following the guidelines are going to be critical, steve, editing what weve seen, unfortunately, is that in some of the Southern States the state have not really followed those guidelines in some respects, and jumped over the benchmarks. And the points that need to be checkpoints, we got to do better than that. We really do. Tony, you have said that the states that of the most severe outbreaks now really ought to consider shutting down again, that the stakes for Public Health are so high right now that we might not have reverse that. I want to more about that and do you have a receptive audience out there . Well, steve, i would hope we dont have to resort to shut down. I think that would be something that is obviously an extreme. I think he would not be viewed very favorably, even by the states and the citys involved. So rather than think in terms of reverting back down to a complete shutdown i would think we need to get the states pausing into opening process come looking at what did not work well, and tried to mitigate that. I dont think we need to go back to an extreme of shutting down. So we do look at the states that are most heavily involved, and for a while even up to the present time, when you look at california, arizona, texas and florida, they are accounting for 50 of the new infections. So we know what the target is right now. Weve got to get them to do very fundamental things, closing bars, avoiding congregations of large numbers of people, getting the citizenry in those in the o wear masks, maintain sixfoot distance, washing hands. The font of metals that weve been talking about all along. Thats what weve got to start. If we can get consistently, i will tell you almost certainly you are going to see a down curve of those infections. But weve got to go to that. We cant just say all or none, which is what happened. We went from shutting down to opening up in a way that essentially skipped over all the guideposts. Thats not the way to go. Youve got to rethink that intuitively. Your job is, in part, offering this Public Health guidance like dr. Birx, dr. Redfield, alec cesar and others some of who will be on today show, but your other job or part of your job is besides, is actually looking indeed he was the vaccine and Vaccine Development. At you have in the past. We see this mad rush from Companies Like moderna and pfizer and others comments i guess my question to you is, how heartened are you or how confident are you that vaccines are going to ride to the rescue . I think the durable solution to what were in right now clearly has to be a vaccine. Theres no doubt the Public Health measures are critically important. What i think you to combine the Public Health measures with a vaccine and just to comment about that, since you brought it up, we are really cautiously optimistic that things are moving along quite well with more than one candidate. Our number of candidates that are in various stages of development. The one that you mentioned, steve, the moderna one that would help develop here at nih will very likely be going into advanced phase three Clinical Trials by the end of this month of july. There were other candidates, aqueous promising in many respects that would become in later. We do hope given that favorable data that weve seen out of the phase one trials and in the animal data that we be able to induce a response that you would predict would be protected obviously as you well know, steve, with any Vaccine Development program you never can guarantee success of safety and efficacy of the early signs approving favorable. Are proving we hope by this, the beginning of 2021 that will have a vaccine that will be able to begin to deploy to people who need it. Obviously, the entire population but with priorities to those who are most vulnerable. Tony, at last years future Health Reform that the hill organized i had the pleasure of interviewing you, and you shared what you believe your Worst Nightmare was. You discovered almost to achieve this pandemic coming. And you said we needed to stop being reactive, that we need to be proactive and begin thinking about platform responses that anticipate the kind of zoonotic transfers of animals to humans and begin thinking more proactively. Is this the time while were fighting this pandemic to also make the case that we should be putting money and resources behind more proactive concerns about the next wave, if you will, the next wave, the next virus . Im so sorry i was so prescient when we had our last interview, steve. I really am very sorry about that, but youre absolutely right. In fact, we did do some with a proactive Platform Development which actually allowed us to essentially enter into the development of a vaccine and into phase one, face two and and now coming up phase three trials, and an absolute record speed. It was the things that we did last year, you before, the year before that allowed us to move very quickly. And to your specific question, steve, we still need to get better at that and do even more even as were getting through this and it will be many, many lessons learned, weve got to you for the future make sure we dont lose of this corporate memory of what were going through. Because we need obviously to be better prepared. We clearly were much better prepared now for this onslaught than we were ten years ago, but weve got to take it a step even further to be better prepared for the next onslaught which inevitably will occur just the way when we had our conversation last year, i said this is what i would be most worried about. Im so sorry that it has occurred and occurred so quickly after that interview. Dr. Fauci, i been any doing republican and democratic ive been interviewing governors, mayors and other stakeholders in this fight against the coronavirus everyday and asked him what do you most need . What does Rodney Davids in illinois, a member had house need or donna shalala, with this is very consistent. We need, when you look to the federal government we need consistent messaging. We have been seeing consistent messaging of yours, like yours that you can often consistently. What do we need to get back . What do you believe needs to happen in washington to get consistent messaging . Yeah, steve, it needs to be a realization of the importance of what you pointed out. We are all in this together. One of the problems were facing is that in the middle of trying to fight an unprecedented historic pandemic, there are still divisiveness. Theres divisiveness politically. We can see that when we look at the different viewpoints that people take towards this. We are all in this together and we can get through this. We can be part of the solution and not part of the problem. Thats something i hope now that we are so deeply involved in this, that as the country we realize that. One of the things thats so disturbing is that this issue, particularly now with the resurgence of young people who feel that because statistically it is less likely that they would get in significant difficulty from a health standpoint, namely negative consequences are getting severely ill, that theyre getting infected doesnt make it that much different. It really does, steve, because i dont do they owe it to themselves for their individual responsibility, because they can get severely ill from this, young people can get severely ill. But by getting infected, steve, they are propagating the pandemic. They are part of the evolution of the pandemic because even though innocently and inadvertently they may infect someone else who then will infect someone else, and then you get a Vulnerable Person who has a very dire consequence. So you cant assume that you are in a vacuum and its only about you. For that reason we call for and encourage people to really take the personal responsibility, which actually comes a societal responsibility. If we do that, steve, we will get out of this and well get out of this well. Final question. Are you going to see this pandemic through . Yes, we are. I mean im going to see it through in the country is going to see it through and hopefully well have scientific advances in the form of therapies and vaccines to complement successful Public Health. Dr. Anthony fauci, there have beur