WEBVTT

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calling into Today's From the Army

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Medical Research and Development Man on

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effort to Protect the Text and Treat

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Cove in 19 and Progress with vaccines

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and therapeutic development . My Name .

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Glory Salvator on the public affairs

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officer for the Army Medical research

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and development commands on On a

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moderate exceptions , the following

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senior leader are on state panel

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Brigadier general by Kelly Commanding

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general of the Army Medical Research

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and Development Commands and four .

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Teacher We have Colonel Wendy Salmon ,

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Jeff in , the director of the military

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Infectious Disease Research Program .

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Colonel Deering , commander of the Army

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Medical Research Institute of

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Infectious Diseases , or USAMRIID . Dr

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John Die Chief , a viral immunology at

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camera . Dr Nelson Michael , director

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of the Center for Infectious Disease

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Research . Walter Reed , Army Institute

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of Research for Rare and Dr Cable on

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majority director of emerging

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infectious disease . Rare today

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Discussion is on the record after

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general tallies of Mark , I will call

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on you by outlet . Please state your

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name before asking your question .

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Please limit yourself to one question

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until we've got around the line and

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then we'll come back and feel questions

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until we're out of time . We have about

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one hour today . Remember to meet your

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phone when not speaking . And with that ,

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I'll turn it over to you . Don't tell .

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Okay ? Thank you , Miss Salvador . I

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appreciate it , thanks to all the media

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outlets represented today . Good

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afternoon and thank you for being part

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of the day's Media roundtable for

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joining us remotely from United States

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Army Medical Research and Development

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Command in Fort Dietrich , Maryland .

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As with the two months since we last

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breathe , you are team has continued to

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work in support of the whole of

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government response to Cove in 19 . Our

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researchers and scientists are using

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all of our assets to develop

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countermeasures to prevent the tech and

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treat the virus . U . S Army Medical

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Research Institute of Infectious

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Diseases , or USAMRIID , as we call it ,

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is the only laboratory in the d . O . D .

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Quipped that safely study highly

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hazardous infectious ages requiring

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maximum containment and a biosafety

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level four level . For example ,

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USAMRIID scientist at best , the

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effectiveness of a new smallpox vaccine

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they're testing played a pivotal role

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in last year's FDA decision to approve

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the vaccine . In addition , the

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scientists were key players in

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redemptive your testing for the

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treatment of a whole a few years ago ,

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so this pandemic began . We've heard

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the same followed with science that

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over and over again , and our staff at

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the Walter Reed Army Institute of

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Research for Rare have been following

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the science for really 100 27 years .

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They've investigated some of the most

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pressing threats to the health rating

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of the military , especially in the

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realm of infectious diseases . Their

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efforts have led to significant

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advancements in science in the

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development of medical counter measures

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to protect it treated in infectious

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diseases . Today , as we move

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at top speed in the fight against Kobe

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90 the work being done by our

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scientists at both laboratories are

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yielding promising results . And your

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family , they've been safely

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replicating the virus to support

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countermeasure development . Meanwhile ,

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the team is rare has designed a unique

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19 vaccine candidate . In addition to

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this many of our other subordinate

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commands or using their unique assets ,

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Do you support the whole government

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response in the virus or two dryers ?

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For example , our lab in Natick ,

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Massachusetts . This is the last that

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focuses on environmental medicine , and

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it's evaluating the use of wearable

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technologies to the key . Early

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symptoms of coded 19 before Rucker ,

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Alabama . Our aeromedical lad is

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expediting the testing and approvals

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needed to obtain airworthiness

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certification to transport Kobe . 19

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patients who require isolation on board

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U S . Army Rotary Wing aircraft in the

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U . S . Army Medical material

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development activity Right here . D

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Tree established a working group to

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support DVD and manufacturers to

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produce there and a pain the necessary

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FDA regulatory approvals for

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PT another medical devices .

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These are just a few of the many ways

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we're working to support for self

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protection and other things against

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Kobe . 19 M R D

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c . Had teams of incredibly competent ,

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intelligent and dedicated men and women

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supporting this effort . I'd like to

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introduce . Those will be answering

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your questions today , Carl Windy

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saying . Jackson is the director of M r

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D C . Military Infectious Disease

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Research program . She's also the chair

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of the Joint Program Committee Kourtney

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Infectious Disease Research across the

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of D . For the last two years , Colonel

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Sam Jackson has managed this portfolio ,

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which is achieved significant

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accomplishments with murders , Zitka

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and Ebola . And I had

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a bittersweet because Wendy is fast

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approaching her last day in uniform .

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Uh , he's gonna be retiring this month

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after 26 years of service . I want to

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thank her publicly for her right Great

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service . DEMAR d c The Army Inundation

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Girl Darren Cox is the commander of the

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U S . Army Medical Research Institute

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of Infectious Diseases . He's been

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instrumental and limiting the

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institute's researchers and scientists

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as they helped defend our nation

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against Kobe . 19 . His team has been

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working with enough , I guess . Kind of

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a lesson . Plans in the also be testy

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vaccine candidates developed by outside

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laboratories after John died

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is the chief of viral immunology at U S .

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Army Medical Research Institute of

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Infectious Diseases . He spent much of

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his career leading the research and

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development of medical countermeasures .

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I get that five of viruses and other

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viral biological bridge . Dr .

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Nelson Michael is the director of Rare

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Center for Infectious Disease Research ,

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and Dr Michael brings more than 37

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years of research experience to the

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table , including direct involvement

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with vaccine development for HIV Zika

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Ebola , IT members , you may have seen

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that Dr Michael another national media

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broadcast . And when you look at the

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lights of Dr Andy , you back your

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burger , uh , that Michael effectively

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is a protege of those two top

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scientists that grew up in the M R D C

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organization . Dr . Came on the jar .

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It is the director of Rare Emerging

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Infectious Diseases Branch . And it

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went in the efforts for Kobe 19 back

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development from our d . C . Dr .

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Machar previously worked at the

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forefront of our efforts against

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murders . And Zeke he is a scientist

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behind a pad the edge event that's

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designed for the same family of

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diseases . His expertise is always

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important to these conversations . So

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we're all very proud to be part of this

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effort . And we look forward to your

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questions . So I opened it up . Now a

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Wall Street Journal . Your birth .

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Thank you . Uh , Gordon Wall Street

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Journal article . Has there been any

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progress in the last a month or so that

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would suggest to you you're gonna have

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a vaccine by the end of the year And

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what progress has been made ? I really

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appreciate the question and very

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optimistic , and rather than me talk

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about what's going on , you know ,

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certainly at the ground level . I'm

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gonna turn it over first . Teoh , Dr .

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Nelson . Michael is a cave on the jury

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who are leaking certainly our efforts

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and m r d c . But I think you're gonna

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find that they convey what we're doing .

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It's all heard that whole of government

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at . So , Dr Michael , uh , let you

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take that ? You talk about the

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specifics , they're going on in rear

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over a very good thing . Thank you ,

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General . Yes , this is Miss Nelson .

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Michael from the Walter Reed Army

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Institute of Research . Let me first

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say that , um , the teams that the

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General just mentioned are fully

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engaged in the new governmental

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structure called Operation Warp Speed ,

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which really covers the waterfront from

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Therapeutics Diagnostics vaccine for

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our specific work in vaccine . We're

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very heavily engaged to ensure that

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across all of the agencies that the

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Army and the Defense Department

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capabilities and confidences and

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vaccine development can be brought to

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bear . What do I mean by that ? I don't

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necessarily test only those vaccines

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that are invented are intramural

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program . We have the ability to do pre

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clinical and phase one through face 3

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30 and I've done this consistently for

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almost 127 years . So the first you've

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acting that are being cued up for

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operation warp speed , which wouldn't

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include the vaccines made by the

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company's most daring out , Um , and

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AstraZeneca and Sanofi Pasteur and

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Johnson , part of Johnson and Johnson ,

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were heavily engaged in discussions for

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how at every level of testing that we

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could be involved in those efforts . I

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think that's important because I really

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want Dr Majority . Then Teoh pick up

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the thread on the particular vaccine

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that his group has developed and why ,

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we think , even though it will not be

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one of those first for vaccines that

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initially go into large scale testing .

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We believe that in the long fight

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against Corona viruses in general , not

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just this particular when I think I

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think we may be onto something very

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good , Let me stop there .

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I'll take it from there Then , uh ,

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this is Dr K . Obamacare from Rare as

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well . And , um , I'll just

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that in addition to what Dr Michael

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said , our particular vaccine takes

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intimated a long term approach , uh ,

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toward potential new strains

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of Kobe , 19 on other Corona

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viruses in the future . There's no

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evidence currently that there are new

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strain . We actually have done a lot of

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work that you'll hear about in the near

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future on um , showing that all

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the virus virus is currently

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circulating in the world can be covered

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by a single vaccine . But in the event

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that there for the virus mutates ,

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our vaccine is position to be able to

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cover any new strains or species of the

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virus . Since we last spoke with ,

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um , with the press court .

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Actually , over the past few months ,

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several times now we have been

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vaccinating hundreds and hundreds with

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different versions of our vaccine , and

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we will be making a decision as to

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which one is the best one that we will

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be taking forward for manufacturing

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next week and then ultimately

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to a first in human clinical trial in

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the late summer , as Dr Michael

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mentioned then pending on the human

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data that we have obtained that will

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then inform the advancement of our

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vaccine candidates for a much larger

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trucks towards the end of the year in

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the context of operation warp speed and

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the other thing that all adds about our

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competencies and capabilities that

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advanced other vaccine candidates you

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only need to look don't need to look

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very far from the current news cycle of

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what just was announced yesterday that

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there's another Ebola outbreak in the

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Democratic Republic of Congo . Vaccine

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is being deployed for that new outbreak ,

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Um , was developed by many different

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partners . But that vaccine for Ebola

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was first tested on selected those

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selected by the Walter Reed Army to the

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research in collaboration with industry

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partners . So we have that parallel

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model of inventing and advancing our

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own products with their own scientists .

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But then at the same time , um ,

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collaborating with outside partners to

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advance and accelerate their vaccines

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as well .

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The question And certainly that was

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vaccine development efforts go across

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on . All of them are D C , which

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includes out of laboratories that rid ,

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um , we'll continue on with questions .

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We get through as many as we can . Go

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ahead .

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Okay . This time

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I was wondering , with those four

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civilian companies that you mentioned

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in the vaccines they're developing ,

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Can you go into greater detail about

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what you're doing to help them through

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trial ?

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Absolutely . I'm gonna let Nelson pick

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that . He mentioned that were part of

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the whole of governments . Operation

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works be efforts . Nelson is also

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serving as a member of the White House

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task force . So certainly speaking ,

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you know , from that perspective , I'm

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gonna let let it go ahead and talk

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about those things . Thank you ,

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General . Um , no way we can get more

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granular . I think the wonderful thing

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about the formation of

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operation warps me is that no , we are .

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We are , we're told quite clearly that

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will you leave our uniforms , which

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means your affiliations and hopefully

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your egos at the door when we sit down

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to table together . So this is truly on

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all in effort , something that affects ,

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you know , the entire United States as

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well of the world . I mean , I asked my

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89 year old mother when the last time

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that every state in the United States

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was under a state of emergency and she

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said , World War Two , she lived

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through . So , you know , this is all

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What specifically are we doing with

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Madonna ? But the area is very , very

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likely to be the first major

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vaccine to be tested in a large scale .

15:45.210 --> 15:47.400
Phase three , almost . Certainly it

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looks like this stuff changes by the

15:49.456 --> 15:51.456
day , but almost certain , it looks

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like this vaccine is going to be in

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largely , if not exclusively tested

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within the United States . How about

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going to happen ? There are very large

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existing armies , if you will , of

16:03.100 --> 16:05.500
vaccine testers that are available to

16:05.500 --> 16:07.611
do this kind of testing their largely

16:07.611 --> 16:09.611
funded by the National Institute of

16:09.611 --> 16:11.833
Allergy and Infectious Diseases that Dr

16:11.833 --> 16:13.889
Fauci's institute at the N . I . H .

16:13.940 --> 16:15.718
They have formed clinical trial

16:15.718 --> 16:18.280
networks , the army's part of them and

16:18.290 --> 16:20.660
they the bulk of those clinical trial

16:20.660 --> 16:22.771
efforts have been oriented toward the

16:22.771 --> 16:26.070
testing of acting's for for HIV . Why

16:26.080 --> 16:28.247
we have been involved in those studies

16:28.247 --> 16:30.650
for almost 30 years . So I say this

16:30.660 --> 16:32.604
because I imagine this is like the

16:32.604 --> 16:34.827
beginning of the Second World War . You

16:34.827 --> 16:36.938
have small standing army , but you do

16:36.938 --> 16:38.993
have a standing army . You can build

16:38.993 --> 16:41.049
bigger forces around them to the HIV

16:41.049 --> 16:43.271
Vaccine Trials network , HIV Prevention

16:43.271 --> 16:46.820
Trial Network and the another much

16:46.820 --> 16:48.876
smaller network that basically other

16:48.876 --> 16:50.931
infectious diseases have now won all

16:50.931 --> 16:53.970
married together to perform to to form

16:53.970 --> 16:56.026
something called the Code Prevention

16:56.026 --> 16:58.192
Network . This is largely a collection

16:58.192 --> 17:00.137
of academic scientists , but again

17:00.137 --> 17:02.580
military is involved in and always had

17:02.590 --> 17:05.130
been insight that we have especially

17:05.130 --> 17:07.590
overseas , so we can bring our clinical

17:07.590 --> 17:09.990
trial expertise are just our

17:09.990 --> 17:12.360
statistical expertise , understanding

17:12.360 --> 17:14.249
community engagement . I mean the

17:14.249 --> 17:16.416
entire life cycle of how one has to do

17:16.416 --> 17:18.471
vaccine development . You can all be

17:18.471 --> 17:20.416
brought to their . I think again .

17:20.416 --> 17:22.471
That's important , because Operation

17:22.471 --> 17:24.638
Warp speed isn't starting from scratch

17:24.638 --> 17:26.804
in turn to these existing competencies

17:26.804 --> 17:28.804
and capabilities and then repurpose

17:28.804 --> 17:30.860
them for a single purpose , which is

17:30.860 --> 17:33.470
the test vaccines and also monoclonal

17:33.470 --> 17:36.420
antibodies and eventually , drugs for

17:36.740 --> 17:39.690
the response against code in 19 . So ,

17:39.940 --> 17:42.380
um , the second study that's coming up ?

17:42.380 --> 17:45.570
Not that far behind . Some people have

17:45.570 --> 17:48.190
called the Oxford Vaccine vaccine .

17:48.190 --> 17:50.710
It's based on chip at Champ . Add No

17:51.490 --> 17:54.620
Virus , Oxford one . And that vaccine

17:54.620 --> 17:56.676
has been used before for Lady Corona

17:56.676 --> 17:59.050
virus only in phase one testing , and

17:59.540 --> 18:02.820
that has already begun . Teoh go into

18:02.820 --> 18:05.098
clinical studies in the United Kingdom .

18:05.440 --> 18:07.551
Um , and it's looking like the United

18:07.551 --> 18:09.773
States will add a significant number of

18:09.773 --> 18:11.884
clinical sites to that . When you get

18:11.884 --> 18:14.250
further out , um , Teoh talking about

18:14.260 --> 18:17.280
Johnson's adenovirus type 26 that's

18:17.280 --> 18:19.169
actually vacuum . Many of us have

18:19.169 --> 18:21.391
already had some experience with its in

18:21.391 --> 18:23.530
large scale testing for HIV , so that

18:23.540 --> 18:27.020
platform purpose for HIV you can

18:27.020 --> 18:30.080
basically plot out a portion of that

18:30.080 --> 18:32.910
vaccine . Put in something for code 19

18:32.910 --> 18:35.640
that's being done . That has , um ,

18:35.840 --> 18:38.360
might my death . That vaccine is going

18:38.360 --> 18:40.249
to be tested more internationally

18:40.420 --> 18:42.531
because they have a bit more time and

18:42.531 --> 18:44.587
their networks more oriented in that

18:44.587 --> 18:46.698
direction and so forth . So I think ,

18:46.698 --> 18:48.642
you know , is that the long winded

18:48.642 --> 18:50.587
answer ? So I want to stop , but I

18:50.587 --> 18:52.698
think it gives you the idea of how we

18:52.698 --> 18:54.920
can help . We don't necessarily have to

18:54.920 --> 18:57.520
help , um , with with the provisional

18:57.520 --> 18:59.687
brand new trial sites that the D O . D

18:59.687 --> 19:01.853
will bring to barrel . Those are being

19:01.853 --> 19:03.576
spun up . But we can also help

19:03.576 --> 19:05.970
immediately because we have sites

19:05.970 --> 19:08.400
available . We have expertise . Runs

19:08.410 --> 19:10.577
the gamut from 40 clinical work that's

19:10.577 --> 19:12.466
being don't you , Sam Bird Teoh .

19:12.466 --> 19:14.410
Clinical trials that could be done

19:14.410 --> 19:16.860
through rare with other networks way

19:16.860 --> 19:18.670
are becoming part of a larger

19:18.670 --> 19:20.837
conversation in a larger collection of

19:21.140 --> 19:23.418
of efforts to test these vaccines over .

19:25.540 --> 19:27.540
Hey , Thank you about defense one .

19:30.440 --> 19:32.718
All right . Thanks for doing this . Uh ,

19:32.718 --> 19:34.884
so it puts Question , you've mentioned

19:34.884 --> 19:37.107
a vaccine possibly available by the end

19:37.107 --> 19:38.884
of the year , and I'm trying to

19:38.884 --> 19:40.940
understand you know , based on other

19:40.940 --> 19:42.996
vaccine candidates that have already

19:42.996 --> 19:42.800
been touted . I know that one was in

19:42.800 --> 19:45.600
human tests , like in early February .

19:45.840 --> 19:48.007
When you say , available by the end of

19:48.007 --> 19:49.840
the year , Are you talking about

19:49.840 --> 19:51.896
available to first responders by the

19:51.896 --> 19:54.007
end of the year they're talking about

19:54.007 --> 19:55.896
available ? If that When would it

19:55.896 --> 19:57.896
actually be available to , uh , not

19:57.896 --> 20:00.118
just people in the clinical trials with

20:00.118 --> 20:02.396
but first responders . And beyond that ,

20:02.510 --> 20:04.399
when would it be available to the

20:04.399 --> 20:08.110
broader public ? In your estimation , a

20:08.120 --> 20:10.009
second question about the testing

20:10.009 --> 20:11.009
capability .

20:14.140 --> 20:17.610
Go ahead and else in place . All right ,

20:17.830 --> 20:20.052
so now you're asking a far more complex

20:20.052 --> 20:22.274
question , and I think that , um , it's

20:22.274 --> 20:25.660
important to recognize that at the end

20:25.660 --> 20:28.110
of the day , the lead federal agency

20:28.110 --> 20:30.690
that is responsible for actually doing

20:30.690 --> 20:32.468
of what we would call a vaccine

20:32.468 --> 20:34.468
campaign and then the nowhere . Now

20:34.468 --> 20:36.634
we're past the time when we tested the

20:36.634 --> 20:38.857
vaccine for vaccine . You have one , or

20:38.857 --> 20:41.134
more than look like that they are safe ,

20:41.134 --> 20:42.968
effective , and we can make them

20:42.968 --> 20:44.968
accessible to the American people .

20:44.968 --> 20:46.912
Then the question of who gets that

20:46.912 --> 20:49.170
vaccine is a complex number one . Some

20:49.170 --> 20:51.226
of these vaccines are probably gonna

20:51.226 --> 20:53.448
work better in certain populations than

20:53.448 --> 20:56.490
in others . Um , for example , some of

20:56.490 --> 20:58.712
the vacuums are being put into clinical

20:58.712 --> 21:01.770
testing . Um , or one that probably

21:01.780 --> 21:03.860
aren't gonna be a safe . And people

21:03.860 --> 21:06.027
that are very young , very own or have

21:06.027 --> 21:08.620
other disease of the immune system .

21:08.700 --> 21:10.644
Let me , for example , someone who

21:10.644 --> 21:12.700
might have new this or someone might

21:12.700 --> 21:14.811
have HIV in collection . So decisions

21:14.811 --> 21:17.680
about how the vaccine used is really a

21:17.680 --> 21:20.680
complex question that involved safety .

21:20.680 --> 21:22.902
This is where the U . S . FDA will have

21:22.902 --> 21:25.013
very strong hand in the Saudi who get

21:25.013 --> 21:27.236
those vaccines . And then , of course ,

21:27.270 --> 21:29.326
the CDC is responsible at the end of

21:29.326 --> 21:32.350
the day for the deployment of vaccine .

21:32.910 --> 21:35.021
I mean , I remember the child getting

21:35.021 --> 21:37.077
oral polio vaccine on a sugar cube ,

21:37.077 --> 21:39.530
but I was , I think , third grade , um

21:39.540 --> 21:41.790
and that was that campaign is being

21:41.800 --> 21:44.620
waas and would be again will be

21:44.620 --> 21:46.620
overseen by the Centers for Disease

21:46.620 --> 21:48.509
Control because they make federal

21:48.680 --> 21:51.013
policy for how vaccines are implemented .

21:51.340 --> 21:54.910
And I think the critical point that we

21:54.910 --> 21:58.070
need to keep a guide post are we are

21:58.070 --> 21:59.959
moving quickly , and the American

21:59.959 --> 22:01.903
people need to understand that the

22:01.903 --> 22:04.070
vaccine has really hit three different

22:04.070 --> 22:06.070
died , one that has to be first and

22:06.070 --> 22:08.181
foremost to would have to be shown to

22:08.181 --> 22:10.610
be effective and three that need to be

22:10.620 --> 22:12.676
acceptable . I would say that from a

22:12.676 --> 22:15.030
bioethical Sandpoint if these studies

22:15.030 --> 22:18.120
will be done against a placebo . Um ,

22:18.640 --> 22:21.030
I think in general , in clinical trials ,

22:21.040 --> 22:22.984
the people that were involved in a

22:22.984 --> 22:25.151
placebo arm usually are offered to get

22:25.151 --> 22:27.970
vaccine earlier that another's . But

22:27.970 --> 22:29.748
the end of the day is a complex

22:29.748 --> 22:31.859
question about who gets the vaccine ,

22:31.859 --> 22:33.970
that it's gonna be based on who needs

22:33.970 --> 22:37.030
the most in terms of safety . Um , and

22:37.100 --> 22:38.156
what risk taking ?

22:41.310 --> 22:45.270
Uh uh , it sort of looks

22:45.270 --> 22:47.381
called . Did he mention the testing ?

22:47.381 --> 22:49.437
So basically same question about the

22:49.437 --> 22:51.437
testing Mark Dental really has said

22:51.437 --> 22:53.940
that the Army were kind of self test to

22:53.950 --> 22:55.900
be distributed to troops . So the

22:55.910 --> 22:58.021
testing capability that you mentioned

22:58.021 --> 22:59.743
When do you think that will be

22:59.743 --> 23:02.990
available to say either first

23:02.990 --> 23:05.980
responders or frontline U . S troops ?

23:06.250 --> 23:08.361
And when do you think that capability

23:08.361 --> 23:10.694
will be available to the broader public ?

23:14.230 --> 23:16.290
Yes , Why didn't take that one ? And

23:16.680 --> 23:19.660
certainly when you look at the testing

23:19.660 --> 23:23.520
that's in place now using a

23:23.560 --> 23:25.690
different death . Different platforms

23:25.690 --> 23:29.160
at available that are available were

23:29.160 --> 23:32.610
using a number of types of systems .

23:33.010 --> 23:36.150
Right now , certainly the military , um

23:36.160 --> 23:38.870
so the availability of first responders

23:39.250 --> 23:42.550
it is ongoing . Certainly , as we speak ,

23:43.430 --> 23:46.960
our team at M R D C , along with the

23:46.960 --> 23:48.910
whole of government , is certainly

23:49.660 --> 23:53.180
taking nation efforts . Teoh

23:53.190 --> 23:55.900
perfect the testing , if you will not

23:55.910 --> 23:58.960
100% effective . You heard that reports

23:58.960 --> 24:02.550
about not false read potentially , and

24:02.560 --> 24:06.320
our teams are actually now heavily gays

24:06.890 --> 24:09.770
with the best type of test confirmatory

24:09.770 --> 24:13.720
testing test will detect bodies .

24:13.730 --> 24:15.960
Right , way to confirm or deny , if you

24:15.960 --> 24:19.620
have to test it . Certainly those

24:19.630 --> 24:21.686
tests that will determine whether or

24:21.686 --> 24:25.280
not you had these and if whether or not

24:25.290 --> 24:28.380
the end of I themselves are being

24:28.380 --> 24:30.602
produced in the body and that there's a

24:30.602 --> 24:34.550
long term effect , so certainly

24:34.850 --> 24:38.400
that's ongoing in the availability is

24:38.410 --> 24:40.540
ongoing right now throughout the

24:40.540 --> 24:43.330
country for first responders and then

24:43.330 --> 24:46.550
certainly in the military for over .

24:48.160 --> 24:51.360
I stopped there , but certainly our

24:51.370 --> 24:54.580
team and rid way engaged in that . I

24:54.580 --> 24:56.691
would advice that certainly follow up

24:56.691 --> 24:58.802
from the other reporters with some of

24:58.802 --> 25:01.180
the things we're doing with with our

25:01.180 --> 25:03.920
infected military population .

25:06.240 --> 25:08.380
Great . Great . Thank you .

25:11.040 --> 25:14.490
Hi . Um , so you're talking a lot about

25:14.490 --> 25:16.712
vaccines . What work might you be doing

25:16.712 --> 25:19.820
on therapeutics for treating coverted

25:19.950 --> 25:23.700
until we get a vaccine ? They

25:23.710 --> 25:27.130
think Bill and I was hoping you that

25:27.140 --> 25:30.710
I want to turn it . Teoh , Colonel

25:30.710 --> 25:33.780
Cox and John die over it . Written a

25:33.790 --> 25:36.760
lot going on exciting work . And

25:36.760 --> 25:38.871
they're moving with the lafferty that

25:38.871 --> 25:40.593
develop some of those of those

25:40.593 --> 25:42.770
countermeasures . So , Colonel Cox and

25:42.770 --> 25:44.900
John guy , I'm gonna flip it over to

25:44.910 --> 25:46.743
you . And I think that's a great

25:46.743 --> 25:49.710
question from Ellen . Thank you ,

25:49.710 --> 25:52.660
General . This is John by . And so we

25:52.660 --> 25:55.130
have multiple lines of effort moving in

25:55.130 --> 25:58.050
parallel for the development of medical

25:58.050 --> 25:59.994
countermeasures in the therapeutic

25:59.994 --> 26:01.994
rooms . So something that you could

26:01.994 --> 26:04.217
give to someone who is either suspected

26:04.217 --> 26:06.328
to be infected or potentially already

26:06.328 --> 26:08.161
infected . And they're different

26:08.161 --> 26:10.272
buckets . When it comes to that , you

26:10.272 --> 26:10.180
have to think about different types of

26:10.190 --> 26:13.710
therapeutics when a person is , uh ,

26:13.720 --> 26:15.831
showing signs of disease , but not in

26:15.831 --> 26:17.942
the hospital yet . And those when you

26:17.942 --> 26:20.109
move into the hospital and potentially

26:20.109 --> 26:22.164
on a ventilator . So the major lines

26:22.164 --> 26:24.387
that we've been focusing on . Our we've

26:24.387 --> 26:26.570
been supporting efforts . M . R D C .

26:26.570 --> 26:28.350
Has been supporting efforts on

26:28.350 --> 26:30.128
convalescent plasma studies and

26:30.128 --> 26:32.461
multiple sites across the United States .

26:32.461 --> 26:34.461
What we've been looking at is we've

26:34.461 --> 26:36.628
been trying to assess the convalescent

26:36.628 --> 26:38.739
plasma itself for its ability to stop

26:38.739 --> 26:41.630
or hope the viral growth . If we take

26:41.630 --> 26:43.630
that convalescent plasma and put it

26:43.630 --> 26:46.340
into a dish and put virus in that dish ,

26:46.740 --> 26:48.670
so the idea would be that we can

26:48.670 --> 26:51.770
actually determine from donors whether

26:51.770 --> 26:53.937
they're convalescent plasma would have

26:53.937 --> 26:56.159
a really good effect if we were to take

26:56.159 --> 26:58.159
that convalescent plasma and put it

26:58.159 --> 27:00.880
into a infected person . So that's one

27:00.880 --> 27:03.158
line that we've been moving forward on .

27:03.158 --> 27:05.380
Ah , second line is moving forward with

27:05.380 --> 27:07.491
high throughput screening of existing

27:07.491 --> 27:10.590
drugs or novel small molecules . So we

27:10.590 --> 27:12.423
have the ability here you Sammer

27:12.423 --> 27:14.479
through high throughput screening to

27:14.479 --> 27:17.180
screen tens of thousands of drugs or

27:17.180 --> 27:20.300
small molecules on a weekly basis . So

27:20.300 --> 27:23.880
we're constantly looking for novel and

27:23.880 --> 27:25.880
repurposed drugs that are currently

27:25.880 --> 27:28.047
available . These would include things

27:28.047 --> 27:29.936
like hydrochloric when room death

27:29.936 --> 27:32.158
severe . This was actually the way room

27:32.158 --> 27:34.102
disappear . Waas discovered on and

27:34.102 --> 27:36.158
utilized for Ebola virus infection .

27:36.740 --> 27:38.796
The last line of effort that I would

27:38.796 --> 27:40.560
focus on is the development of

27:40.560 --> 27:42.760
monoclonal antibodies . So you

27:42.760 --> 27:45.230
stammered . And M R D C and rare are in

27:45.230 --> 27:47.480
collaboration with multiple companies

27:47.800 --> 27:50.022
across the United States and across the

27:50.022 --> 27:52.230
world for the development of novel

27:52.230 --> 27:54.286
monoclonal antibodies . Whether that

27:54.286 --> 27:56.550
would be a human monoclonal from a

27:56.560 --> 27:58.740
human convalescent survivor or an

27:58.740 --> 28:01.370
artificially generated monoclonal . And

28:01.370 --> 28:03.314
those monoclonal antibodies can be

28:03.314 --> 28:05.259
given in cocktails of two or three

28:05.259 --> 28:07.481
monoclonal that act in different ways .

28:07.481 --> 28:09.648
And that would also help the spread of

28:09.648 --> 28:12.570
virus . So these are the three lines

28:12.580 --> 28:14.636
that USAMRIID has been focusing on ,

28:14.700 --> 28:17.970
and we've been not only using are in

28:18.050 --> 28:20.670
the dish approach with virus , but also

28:20.670 --> 28:22.950
we've been developing animal models to

28:22.950 --> 28:25.170
allow the testing of the product in

28:25.170 --> 28:27.740
animals . As we move forward , those

28:28.070 --> 28:31.530
emergency use therapeutics in humans

28:31.530 --> 28:33.641
into phase one and phase two clinical

28:33.641 --> 28:37.500
trials . Okay ,

28:37.500 --> 28:39.190
Thank you are mean . I mean ,

28:44.600 --> 28:46.544
if they're not on this is tar from

28:46.544 --> 28:48.767
McClatchy . Oh , loved after question .

28:48.820 --> 28:52.460
I I was on mute . I'm sorry . I was I

28:52.600 --> 28:54.933
take it off . You have a quick question .

28:54.933 --> 28:56.930
Gina from Army magazine .

28:59.740 --> 29:02.800
Okay . How maney Army Labs are there ?

29:02.970 --> 29:06.620
How many of those labs are working on

29:06.630 --> 29:10.350
this vaccine ? Uh ,

29:11.140 --> 29:13.850
and what is their level of effort

29:13.920 --> 29:17.740
around the clock on ships ? Could you

29:17.740 --> 29:19.820
describe kind of happy the level of

29:19.820 --> 29:23.170
activity at the Army left ? I certainly

29:23.180 --> 29:25.870
can . So as it pertains , the vaccine

29:25.880 --> 29:29.180
specifically , um , the two last

29:29.190 --> 29:31.412
represented today are doing the bulk of

29:31.412 --> 29:34.300
the work . Uh , it's Army Medical

29:34.300 --> 29:38.230
Institute of Infectious Diseases and

29:38.240 --> 29:41.120
certainly our Walter Reed Army

29:41.130 --> 29:44.260
Institute of Research . It's 24 7

29:44.880 --> 29:47.460
Um , there are various aspects of the

29:47.460 --> 29:49.790
lab work . We've mentioned up some of

29:49.800 --> 29:53.530
the animal research that's ongoing , um ,

29:53.540 --> 29:56.130
the different types of vaccine

29:56.130 --> 29:59.150
development , Uh , rear , certainly

29:59.150 --> 30:03.090
using the patented edge of in that

30:03.100 --> 30:06.710
cave on majority is working on . So the

30:06.710 --> 30:10.670
work is continuous . Thea other effort

30:10.680 --> 30:13.100
is certainly are advanced development

30:13.100 --> 30:15.790
efforts with convalescent plasma not

30:15.800 --> 30:18.640
vaccine related , necessarily in the

30:18.650 --> 30:21.700
therapeutics and that involved are U .

30:21.700 --> 30:25.140
S Army medical material development

30:25.140 --> 30:28.530
activity . It certainly the supporting

30:28.530 --> 30:32.050
agencies that conduct the contracting ,

30:32.050 --> 30:34.490
the program attics their hard work is ,

30:34.500 --> 30:36.760
well , probably not the same 24 hour

30:36.770 --> 30:40.210
cycle . But certainly Theo efforts

30:41.290 --> 30:44.350
here with your family and rare , uh ,

30:44.360 --> 30:47.560
we talk about works feed and making

30:47.560 --> 30:50.090
that our number one priority That's

30:50.100 --> 30:53.050
been ongoing for quite a few weeks now .

30:53.440 --> 30:56.700
Thanks for the question . How long does

30:56.700 --> 30:58.811
it normally take to develop a vaccine

30:58.811 --> 31:02.650
like this ? That better question

31:02.830 --> 31:06.690
we get that that when I'm gonna

31:06.700 --> 31:09.240
turn that back over to our team and

31:09.250 --> 31:13.210
rare . And I appreciate

31:13.210 --> 31:15.710
the question because it's going to show

31:15.710 --> 31:19.400
the comparison of what I'm out normal

31:19.400 --> 31:23.160
is perhaps what ? The fact that

31:23.790 --> 31:26.770
effort that we've done today is is that

31:26.780 --> 31:28.891
when you talk about the goals of warp

31:28.891 --> 31:32.090
speed , it truly is . So I turned it

31:32.090 --> 31:35.070
over to team rare and either Cavon or

31:35.070 --> 31:38.970
Nelson . If you get into this one as

31:38.970 --> 31:41.000
a great question and we're pretty

31:41.010 --> 31:43.260
pretty pretty season answering , this

31:43.270 --> 31:47.100
would go here . Okay , I'll

31:47.100 --> 31:50.280
do . I'll get 35,000 answering them

31:50.280 --> 31:52.690
like Cavon coming on the treetops . But ,

31:52.750 --> 31:55.930
um , so let me start by saying that

31:55.930 --> 31:58.041
I've been trying to make an effective

31:58.041 --> 31:59.986
vaccine against HIV for 30 years .

32:00.400 --> 32:04.370
We've had some success , you know ,

32:04.380 --> 32:06.750
in getting some glimmers of hope . But

32:06.760 --> 32:08.982
we're still putting significant amounts

32:08.982 --> 32:11.350
of efforts against that disease . Um ,

32:12.010 --> 32:14.310
that ah , an incredibly difficult

32:14.320 --> 32:16.730
problem . Historically , you know ,

32:16.730 --> 32:19.200
those timelines have gone 60 70 years

32:19.360 --> 32:22.280
in some cases . But I think that , um ,

32:22.290 --> 32:24.290
you might hear the numbers quoted .

32:24.290 --> 32:26.234
Sometimes we're getting better and

32:26.234 --> 32:28.179
better and veteran making vaccines

32:28.179 --> 32:30.290
quickly for lots of reasons . Some of

32:30.290 --> 32:32.512
its technology , some of it the ability

32:32.512 --> 32:34.734
to mobilize communities and to bring to

32:34.734 --> 32:36.568
bear these , um , the scientific

32:36.568 --> 32:38.679
advances , working better with public

32:38.679 --> 32:40.901
private partnerships . In other words ,

32:40.901 --> 32:42.957
it isn't just all the government are

32:42.957 --> 32:45.068
all pharmaceutical companies . It's a

32:45.068 --> 32:47.234
mixture of both . So there are lots of

32:47.234 --> 32:49.457
reading why we're getting faster . Um ,

32:49.580 --> 32:52.260
but typically getting from concept into

32:52.260 --> 32:54.940
a phase one study is usually 2 to 4

32:54.940 --> 32:56.940
years and then getting to the time

32:56.940 --> 32:59.162
during which were beginning to look . A

32:59.162 --> 33:01.800
phase three studies can be up to 10

33:01.800 --> 33:04.140
years , even the modern Arabic cave on .

33:04.140 --> 33:07.890
I think some important anecdotes from

33:07.900 --> 33:10.400
Ebola and from Zika in our own

33:10.400 --> 33:12.456
experience within the M R G C family

33:12.456 --> 33:14.344
that I think are relevant to this

33:14.344 --> 33:17.550
situation . Cavon . Thank you . Uh ,

33:17.940 --> 33:21.580
so one of the slides that I

33:21.720 --> 33:23.664
typically present when I'm talking

33:23.664 --> 33:25.960
about vaccine development is one which

33:25.960 --> 33:29.940
I show timelines for , um

33:30.300 --> 33:32.870
from the time that ah , new virus our

33:32.870 --> 33:35.110
new pathogen is discovered until a

33:35.110 --> 33:37.750
vaccine is developed over the past 100

33:37.750 --> 33:40.100
150 years . That timeline

33:41.640 --> 33:45.350
hasn't changed all that much . But

33:46.020 --> 33:49.260
what has changed is when there is

33:49.680 --> 33:53.550
a concerted and an intentional

33:53.560 --> 33:55.782
effort to develop a vaccine . When that

33:55.782 --> 33:59.140
vaccine program began to when we get

33:59.140 --> 34:01.000
the vaccine , that timeline has

34:01.010 --> 34:04.570
compressed considerably from years to

34:05.030 --> 34:07.197
meet , meaning decades , two years and

34:07.197 --> 34:10.140
now potentially two months examples

34:10.150 --> 34:12.680
that Dr Michael just alluded to with

34:12.680 --> 34:15.860
regard to Zika , our group A rare

34:16.040 --> 34:18.750
others of the N I . H and industry went

34:18.760 --> 34:22.250
from the initial

34:22.940 --> 34:25.110
sequences of the new strain of Vika

34:25.110 --> 34:27.110
that was circulating in the Western

34:27.110 --> 34:30.790
Hemisphere to a vaccine in humans in

34:30.790 --> 34:33.460
clinical trials in about eight and nine

34:33.460 --> 34:37.070
months . For eb ola going from

34:37.720 --> 34:40.800
the first in human clinical trials to

34:40.810 --> 34:42.754
getting the vaccine . My sense was

34:42.754 --> 34:44.866
about five years , but I was before I

34:44.866 --> 34:48.190
ve cup , it can go even faster , and

34:48.200 --> 34:51.220
they're really two . There are two

34:51.220 --> 34:53.930
things that limits how fast something

34:53.930 --> 34:55.986
can go , and I've said this before ,

34:55.986 --> 34:58.150
and I'm sure my colleagues tired of ,

34:58.780 --> 35:01.050
uh this phrase that I say , but their

35:01.060 --> 35:03.810
their laws of man loss of human laws of

35:03.810 --> 35:06.430
nature . Laws of man . We can we can

35:06.430 --> 35:08.840
compress quite a bit . Um , but the

35:08.840 --> 35:11.180
laws of nature we don't have much

35:11.180 --> 35:13.513
control over And what I mean by that is ,

35:13.740 --> 35:17.620
uh , sometimes a science dictates how

35:17.620 --> 35:19.787
fast you can go . In the case of HIV ,

35:19.810 --> 35:22.580
been very much that way . Much

35:22.790 --> 35:25.820
political will funding their husband

35:26.120 --> 35:28.231
towards developing an HIV vaccine has

35:28.231 --> 35:31.520
been a very difficult enterprise . Get

35:31.520 --> 35:35.440
one that's effective . Um , but most

35:35.440 --> 35:37.650
viruses aren't like HIV . They don't

35:37.650 --> 35:40.210
mutate like HIV , and so we can

35:40.210 --> 35:43.540
actually develop . The sign is not so

35:43.540 --> 35:45.596
much of a hindrance . So what you're

35:45.596 --> 35:47.940
seeing now , some of us being able to

35:47.940 --> 35:50.350
compress the timeline . It is ,

35:51.340 --> 35:54.960
um , overcoming some of the

35:55.440 --> 35:57.630
fire issues that we've had with other

35:57.630 --> 36:00.570
vaccine development with funding and

36:00.570 --> 36:03.340
coordination , Um , and

36:04.130 --> 36:06.352
making sure everything is streamlined .

36:06.352 --> 36:08.408
So all the only thing that stands in

36:08.408 --> 36:10.352
our way is the science . And we're

36:10.352 --> 36:12.519
learning about the science of this new

36:12.519 --> 36:14.519
virus faster than we have about any

36:14.519 --> 36:17.840
other virus before . Uh , so going

36:19.700 --> 36:21.740
to a vaccine in a matter of months

36:23.330 --> 36:25.552
from concept all the way to phase three

36:25.552 --> 36:27.719
clinical trials and potentially lights

36:27.719 --> 36:29.830
and sure he is unprecedented , but in

36:29.830 --> 36:31.663
this case , I think very much is

36:31.663 --> 36:35.360
possible . Over . Okay .

36:35.360 --> 36:37.193
Thank you . Go ahead , Tara from

36:37.193 --> 36:40.430
McCloskey . Hey , thanks to all for

36:40.430 --> 36:43.520
doing this . So just follow on Teoh

36:43.630 --> 36:47.050
last remarks , given the speed that all

36:47.050 --> 36:50.000
of this is moving forward , Um , And

36:50.000 --> 36:51.833
based on where the tests are now

36:51.833 --> 36:53.722
choosing the mice , would you say

36:53.730 --> 36:56.000
access to a reliable vaccine is more

36:56.000 --> 36:58.970
likely in 2021 or by the end of

36:58.980 --> 37:00.650
calendar 2020

37:03.280 --> 37:05.680
a windy . I'm gonna let you take that

37:05.690 --> 37:08.730
one . Because certainly as we continue

37:08.730 --> 37:10.786
to work with whole of government and

37:10.786 --> 37:13.690
within D o . D . Uh , we have

37:13.690 --> 37:15.801
projections , you know ? Absolutely .

37:16.030 --> 37:18.670
But I think it's important , Teoh .

37:19.080 --> 37:21.460
We've in some of the aspects that have

37:21.470 --> 37:24.240
been named already with respect , risk

37:24.690 --> 37:27.910
and certainly cavon analogy with man

37:27.910 --> 37:30.790
human in nature , competing with all

37:30.790 --> 37:32.940
those things . So , Wendy , I'm gonna

37:32.940 --> 37:34.884
let you give perspective on that ,

37:34.884 --> 37:37.420
please . Okay . Thank you , sir .

37:37.420 --> 37:39.253
Appreciate it . Kind of windy in

37:39.253 --> 37:41.650
Jackson . So Dr Michaels already

37:41.650 --> 37:44.510
alluded Teoh sort of the complexity

37:44.510 --> 37:47.680
behind the term access . And what do we

37:47.690 --> 37:49.634
really mean by that ? Because that

37:49.634 --> 37:51.820
could mean a number of things on . And

37:51.830 --> 37:55.730
so I think what we can

37:57.000 --> 38:00.640
confidently say is that

38:01.020 --> 38:03.990
we have goals and place from a whole of

38:03.990 --> 38:07.020
government approach , um , to make a

38:07.020 --> 38:10.240
vaccine available . And we can talk a

38:10.240 --> 38:12.296
little bit more about what available

38:12.296 --> 38:16.030
means , um , in some some

38:16.620 --> 38:19.280
scale by the end of the year and

38:19.290 --> 38:22.680
certainly increasing the scale of that

38:22.680 --> 38:24.791
which would increase the availability

38:24.930 --> 38:27.470
by the first of the year . And so ,

38:27.470 --> 38:29.414
while those goals are in place , I

38:29.414 --> 38:32.660
think we are confident that there can

38:32.660 --> 38:36.530
be progress towards the goals and

38:36.530 --> 38:39.370
exactly taking into account exactly

38:39.370 --> 38:41.703
what that means in terms . Availability .

38:41.820 --> 38:43.653
Um , Inspector Michael's already

38:43.653 --> 38:45.600
mentioned that has to be under

38:45.600 --> 38:47.960
consideration in coordination with the

38:47.970 --> 38:51.270
CBC from a policy perspective from the

38:51.270 --> 38:55.010
FDA from a safety perspective on and so

38:55.010 --> 38:57.177
and certainly that would be the goal .

38:57.177 --> 39:00.160
I think it is reasonable to expect that

39:00.170 --> 39:03.720
there will be some form of a

39:03.720 --> 39:07.430
vaccine that could be available ATT's

39:07.470 --> 39:10.620
some level to a certain population

39:11.240 --> 39:13.410
by the end of the year , the first of

39:13.410 --> 39:15.630
the year , and that that is based on

39:15.630 --> 39:19.580
the goals that are presented from the

39:20.360 --> 39:23.130
the efforts that were engaged in an

39:23.140 --> 39:25.630
operation works being one of them , and

39:25.640 --> 39:27.807
certainly that would be the that would

39:27.807 --> 39:30.550
be the intent to do that . And I know

39:30.550 --> 39:32.717
it's kind of a convoluted answer , but

39:32.717 --> 39:35.110
it's a very complicated question to

39:35.110 --> 39:37.330
answer because there's so many factors

39:37.340 --> 39:40.360
that come into play . But I can tell

39:40.360 --> 39:42.471
you from that that is a goal . That's

39:42.471 --> 39:45.320
the target that we're shooting for . On

39:45.320 --> 39:49.030
course , back to Dr Machar is common .

39:49.520 --> 39:51.700
Science is kind of controlling this at

39:51.700 --> 39:54.300
this point . And so Aziz . Long as

39:54.310 --> 39:57.750
we're able to continue to progress and

39:57.750 --> 39:59.694
learn and understand and adapt , I

39:59.694 --> 40:01.639
think we have all of the resources

40:01.639 --> 40:03.861
available pointed in the same direction

40:03.861 --> 40:05.820
that could make that possible

40:08.500 --> 40:12.350
famine jacks and just want to reiterate

40:12.360 --> 40:16.200
with those goals everyone who was

40:16.210 --> 40:18.432
part of this effort within the whole of

40:18.432 --> 40:21.430
government works . The various efforts ,

40:21.810 --> 40:24.930
uh , safety will not be compromised .

40:25.770 --> 40:27.590
So certainly getting the votes

40:27.590 --> 40:31.060
efficacious vaccine candidate

40:31.070 --> 40:33.237
Teoh in front of the line or cross the

40:33.237 --> 40:35.870
line incredibly important . But what we

40:35.870 --> 40:38.840
don't want to do is jeopardize safety

40:39.060 --> 40:41.227
for the sake of Steve . Now everyone's

40:41.227 --> 40:44.420
committed to that . Thanks . They go on

40:44.420 --> 40:46.950
bloomer away . I have one follow up .

40:46.960 --> 40:49.930
If that's right . Um , Okay , so just

40:49.940 --> 40:52.107
that more science based , not timeline

40:52.107 --> 40:54.220
based , But based on what you have

40:54.220 --> 40:56.850
learned so far , where are the blind

40:56.860 --> 40:59.027
spots ? What do we not know about this

40:59.027 --> 41:00.940
virus at this point , that might

41:00.950 --> 41:03.350
concern you . And given that there may

41:03.360 --> 41:05.650
still be unknown at this point , do you

41:05.650 --> 41:07.020
recommend anybody test

41:09.660 --> 41:13.340
John die ? Uh , do you think that went

41:13.340 --> 41:16.650
on ? And then no way need

41:17.560 --> 41:19.727
to expand . We can go from there . But

41:19.727 --> 41:22.900
that's a great question . Yes , sir .

41:23.000 --> 41:25.167
That that is we were sitting here with

41:25.167 --> 41:27.222
the phone muted , saying , that is a

41:27.222 --> 41:30.710
fantastic question . Um , so let's take

41:30.710 --> 41:33.500
the first part first . The what do we

41:33.500 --> 41:36.610
or do we not know about this virus ? Um ,

41:36.620 --> 41:40.310
so and I can also have our friends at

41:40.320 --> 41:43.130
rare comments as well . At this point

41:43.130 --> 41:45.241
in time , we're still in the learning

41:45.241 --> 41:47.463
phases of the fires every time we think

41:47.463 --> 41:49.352
we have it cornered . And we know

41:49.352 --> 41:51.297
exactly what the clinical signs of

41:51.297 --> 41:53.408
disease are . How it replicates , how

41:53.408 --> 41:55.574
it moves through populations . It does

41:55.574 --> 41:57.630
something different . And we learned

41:57.630 --> 41:57.050
something new , and that's that's what

41:57.050 --> 41:59.980
viruses do . Uh , they're able to

41:59.990 --> 42:02.400
modify and adapt , and change and we

42:02.400 --> 42:04.400
have to modify and adapt and change

42:04.400 --> 42:06.840
with those viruses . So , uh , we're

42:06.840 --> 42:09.890
still in a learning phase in every in

42:09.900 --> 42:12.122
every aspect of this , whether it's the

42:12.122 --> 42:13.900
development of treatments , the

42:13.900 --> 42:16.330
development of vaccines , and it's

42:16.330 --> 42:18.590
going to be a constant learn . So

42:18.600 --> 42:20.822
scientists around the world , including

42:20.822 --> 42:23.090
at Army and other Armed Forces

42:23.090 --> 42:25.257
laboratories , are doing their best to

42:25.257 --> 42:27.940
keep up . Um , regarding the antibody

42:27.940 --> 42:29.884
test , there are multiple antibody

42:29.884 --> 42:32.051
tests that are currently available out

42:32.051 --> 42:34.290
there . Uh , right now they're called

42:34.300 --> 42:36.633
multiple tests that have been validated .

42:36.700 --> 42:39.950
Andi , I would say that moving forward ,

42:40.100 --> 42:42.790
they will continue to be advances that

42:42.790 --> 42:45.660
are made in those antibody tests . The

42:45.660 --> 42:48.040
big question is we don't really know

42:48.040 --> 42:50.860
what those antibody levels mean . We

42:50.860 --> 42:53.470
don't . We cannot relate back those

42:53.470 --> 42:55.303
antibody levels to some level of

42:55.303 --> 42:57.710
protection . Everybody wants to know if

42:57.720 --> 42:59.840
I have an antibody tighter , an

42:59.840 --> 43:02.490
antibody level of X . If I come into

43:02.490 --> 43:04.434
contact with the virus , will I be

43:04.434 --> 43:06.601
infected ? And right now we don't have

43:06.601 --> 43:09.630
those answers . So I think epidemiology

43:09.630 --> 43:12.080
and looking at serology over large

43:12.080 --> 43:14.080
courts of people both in the United

43:14.080 --> 43:16.024
States and worldwide will start to

43:16.024 --> 43:18.580
understand what those antibody levels

43:18.590 --> 43:20.590
mean ? And when we get a vaccine on

43:20.590 --> 43:22.590
board , we can look at the antibody

43:22.590 --> 43:24.368
levels there generated in those

43:24.368 --> 43:26.534
vaccines . But right now , we're still

43:26.534 --> 43:28.368
in a learning phase , and that's

43:28.368 --> 43:30.257
probably not a great answer , but

43:30.257 --> 43:33.940
that's where we are . Okay . Don't

43:34.090 --> 43:34.720
remember .

43:40.150 --> 43:44.140
Alright , what about CNN ? Hi

43:44.140 --> 43:46.430
there . This is Michael from CNN . I

43:46.430 --> 43:48.652
was hoping I think it was Dr . Majority

43:48.652 --> 43:51.420
mentioned that the candidate that

43:51.500 --> 43:53.580
they're working on is that sort of

43:53.590 --> 43:55.590
hoping to have some sort of lasting

43:55.590 --> 43:57.812
protection against coronaviruses . Um ,

43:57.812 --> 43:59.923
and I'm curious media to get into the

43:59.923 --> 44:02.220
read a little bit . About what ?

44:02.270 --> 44:04.090
Specifically about that vaccine

44:04.090 --> 44:07.590
candidate . Um is hoping to confer that

44:07.590 --> 44:09.534
lasting protection . I believe the

44:09.534 --> 44:11.701
target is the site protein versus some

44:11.701 --> 44:13.701
of the other backing candidates and

44:13.701 --> 44:15.423
platform that are being used .

44:18.950 --> 44:21.910
All right . Thank you . Steve . On go ,

44:21.910 --> 44:24.420
go , Ray . Okay . Thanks . Thanks for

44:24.420 --> 44:27.970
that question . A great question . So

44:28.350 --> 44:32.100
let me just , uh , convoluted at a

44:32.100 --> 44:35.810
little bit that what is

44:35.820 --> 44:37.960
unique about our candidate is not

44:37.960 --> 44:41.170
necessarily the durability . So , um ,

44:41.530 --> 44:44.470
their ability is how long does the

44:44.480 --> 44:47.860
immunity last from ? From the time that

44:47.860 --> 44:49.749
you're vaccinated and that gets a

44:49.749 --> 44:52.220
little bit about the question that Dr

44:52.220 --> 44:54.387
Di was addressing . We don't even know

44:54.387 --> 44:56.710
how long the durability is from just

44:56.790 --> 44:59.470
getting naturally interacted with our

44:59.470 --> 45:01.400
vaccine candidates . There's not

45:01.400 --> 45:04.900
necessarily a new expectation that it

45:04.900 --> 45:07.910
will provide longer term immunity .

45:08.290 --> 45:10.850
What is unique about it is that it's a

45:10.960 --> 45:14.640
It's a platform base that can be

45:14.640 --> 45:18.000
used for , um ,

45:18.690 --> 45:21.900
targeting multiple strains and multiple

45:21.900 --> 45:25.880
species of a Corona virus in

45:25.880 --> 45:29.070
one vaccine . So most of the vaccines

45:29.070 --> 45:31.530
out there you have to keep changing the

45:31.540 --> 45:34.870
insert . So most of what you do you see

45:34.870 --> 45:37.037
out there in the landscape . But there

45:37.037 --> 45:39.148
would be the top four , the operation

45:39.148 --> 45:41.290
warp speed , right advertising or the

45:41.300 --> 45:43.356
second tier candidates . They're all

45:43.356 --> 45:47.250
have , um , in certain that almost all

45:47.250 --> 45:50.240
of the spike differences the vehicle in

45:50.240 --> 45:52.400
which they're delivering that that

45:52.410 --> 45:56.350
Spike and , um , and for those , you

45:56.350 --> 45:59.060
have to keep changing it in and out for

45:59.060 --> 46:02.510
ours . Right now , a particle is just

46:02.610 --> 46:04.990
presenting the spike protein , but it's

46:04.990 --> 46:08.210
presenting it multiple times about 24

46:08.210 --> 46:11.670
times around the particles , like a

46:11.970 --> 46:14.480
like a soccer ball . In terms of

46:14.840 --> 46:17.120
symmetry , I got all these different

46:17.130 --> 46:20.700
faces , and each face is spike

46:20.700 --> 46:23.890
protein . That's pointing out what we

46:23.890 --> 46:27.640
can do if there is new

46:27.640 --> 46:30.640
strains of the virus that emerged . Or

46:30.900 --> 46:33.067
if we want to try and cover all Corona

46:33.067 --> 46:35.720
viruses in one particle , we can mix

46:35.720 --> 46:38.020
and match spike protein from the

46:38.020 --> 46:40.131
different Corona viruses and put them

46:40.131 --> 46:42.242
on the same particle so that you have

46:42.680 --> 46:44.920
one vaccine that is universally

46:44.920 --> 46:47.700
effective against all Corona viruses .

46:52.280 --> 46:53.280
Okay , go ahead .

47:02.080 --> 47:02.570
Rating

47:09.290 --> 47:12.790
hurt . Television . Hi there . Mark .

47:12.790 --> 47:14.734
Albert here . Thanks very much for

47:14.734 --> 47:16.957
doing this call . If we could just stay

47:16.957 --> 47:18.846
on that That sort of universal or

47:18.846 --> 47:21.012
global vaccine candidate that you were

47:21.012 --> 47:24.720
just mentioning two questions . Uhm ,

47:24.890 --> 47:27.057
one question to comment as you look to

47:27.057 --> 47:29.400
begin the first human trials on that

47:29.400 --> 47:31.860
late summer . Just an observation would

47:31.890 --> 47:33.834
love for you folks to consider the

47:33.834 --> 47:36.057
visuals on that and how we can visually

47:36.057 --> 47:38.223
tell that story . So if you decide how

47:38.223 --> 47:40.279
you're gonna ramp that up , if there

47:40.279 --> 47:42.501
were some sort of cool option for still

47:42.501 --> 47:44.612
images video , that would really help

47:44.612 --> 47:47.780
us to tell that story . And I'm curious

47:48.330 --> 47:50.610
on that development . What does that

47:50.710 --> 47:53.400
that human trial this in late summer or

47:53.400 --> 47:57.020
so look like that using a zoo sort of

47:57.020 --> 47:59.010
referred to the standing army of

47:59.480 --> 48:03.130
vaccine testers that NH has . Or are

48:03.130 --> 48:05.352
you gonna be assembling a new sort of ,

48:05.352 --> 48:06.850
uh , army for that ?

48:11.770 --> 48:14.110
Yes . A lot of a lot of efforts going

48:14.110 --> 48:17.000
on , certainly as we begin planning for

48:17.010 --> 48:20.680
first human trials . And certainly

48:20.690 --> 48:24.080
some are beginning now and essentially

48:24.470 --> 48:26.526
when you're looking at the different

48:26.810 --> 48:28.920
types of trials . So faith one ,

48:29.050 --> 48:31.640
certainly representing a smaller

48:31.640 --> 48:35.270
population . And when you jump all way

48:35.290 --> 48:38.420
face to which potentially could be 1000

48:38.490 --> 48:42.010
and then up to admit he is 30,000 for a

48:42.010 --> 48:44.760
phase three . Certainly the planning

48:44.760 --> 48:48.010
efforts they're going into that are

48:48.020 --> 48:50.280
gonna take you Certainly a whole of

48:50.280 --> 48:52.890
government approach . And the

48:52.900 --> 48:56.530
solicitation for volunteers curls Sam

48:56.570 --> 49:00.200
Jackson . If you can comment a little

49:00.200 --> 49:03.870
bit more about what that will look like

49:03.870 --> 49:06.092
as we go forward , I think that will be

49:06.092 --> 49:09.850
open . Um , can

49:09.850 --> 49:12.350
you Could you elaborate a little bit

49:12.350 --> 49:14.128
more on the second part of your

49:14.128 --> 49:17.860
question ? Sure . I was just curious

49:17.940 --> 49:20.340
If you could provide more detail on

49:20.350 --> 49:22.294
what steps will be taken here late

49:22.294 --> 49:24.461
summer . You mentioned the first human

49:24.461 --> 49:26.683
trials , and I'm just curious . Are you

49:26.683 --> 49:28.739
gonna have to assemble a new army of

49:28.739 --> 49:31.090
the , you know , vaccine testers of ,

49:31.180 --> 49:33.390
you know , humans . We're gonna be

49:33.390 --> 49:35.334
taking this or using that existing

49:35.570 --> 49:37.626
obvious folks you were talking about

49:37.626 --> 49:39.737
earlier the clinical trial networks .

49:39.737 --> 49:41.626
I'm just kind of curious and more

49:41.626 --> 49:43.792
specifics on what you're standing up .

49:43.792 --> 49:46.014
This human trial this late summer would

49:46.014 --> 49:48.014
look like , please . Okay , great .

49:48.014 --> 49:49.681
Thank you . I appreciate that

49:49.681 --> 49:51.903
clarification so I can just tee it up .

49:51.903 --> 49:54.126
But that's really ah question . I think

49:54.126 --> 49:56.240
Dr Michael can answer , but certainly

49:56.450 --> 49:59.080
he's already mentioned the network that

49:59.080 --> 50:01.420
we have in place that can be leveraged .

50:01.510 --> 50:03.732
And certainly that would be part of the

50:03.732 --> 50:07.230
strategy for executing the trials . And

50:07.240 --> 50:10.800
certainly the capacity depends

50:10.800 --> 50:13.510
on the stage of the capacity

50:13.510 --> 50:16.560
requirements . Depends on the stage at

50:16.560 --> 50:19.510
which we're testing . So you're

50:19.510 --> 50:21.343
answering different questions at

50:21.343 --> 50:24.850
different phases of the development of

50:24.850 --> 50:27.270
the vaccine . And so certainly the

50:27.280 --> 50:29.710
earlier stage is gonna be a limited ,

50:30.410 --> 50:33.400
limited capacity requirement for

50:33.400 --> 50:35.490
testing initial safety and then

50:35.490 --> 50:38.830
expanding upon that So it's more of a

50:38.840 --> 50:42.790
cut of ah sequential process in terms

50:42.790 --> 50:45.070
of ramping up for that . But we do have

50:45.070 --> 50:47.500
existing platforms in place that will

50:47.500 --> 50:49.833
be leveraged . They were also exploring .

50:49.833 --> 50:51.556
And this is where Nelson could

50:51.556 --> 50:53.778
certainly give you a lot more detail on

50:53.778 --> 50:56.000
this , exploring opportunities where we

50:56.000 --> 50:59.910
can send potentially trained

50:59.910 --> 51:02.100
personnel to fight to facilitate

51:02.700 --> 51:04.867
execution of the child's as well . And

51:04.867 --> 51:06.811
then I'll hand it off to Nelson to

51:06.811 --> 51:10.040
expand on that . Thanks , Wendy . Yeah ,

51:10.050 --> 51:12.500
I used that very , very well . The

51:12.690 --> 51:14.746
Modern A trial which is first out of

51:14.746 --> 51:16.801
the gate , is definitely going to be

51:16.801 --> 51:19.390
handled by this new entity called the

51:19.690 --> 51:23.010
Cove . It , um , Project Prevention

51:23.010 --> 51:26.220
Network for C o VPN .

51:27.600 --> 51:29.950
That's important because we're talking

51:29.950 --> 51:32.420
about a trial of probably 30,000 people

51:33.440 --> 51:35.820
during growing 250 to 500 people per

51:35.820 --> 51:37.987
site . You can do the math . This is a

51:37.987 --> 51:41.250
large exercise . We famously did the

51:41.250 --> 51:43.460
only vaccine trial for HIV that showed

51:43.750 --> 51:46.400
a glimmer of efficacy in Thailand .

51:46.550 --> 51:48.890
That was a heavy lift . It was 16,000

51:48.890 --> 51:51.001
people . We had years to get ready to

51:51.001 --> 51:52.946
do it , so I think you can see the

51:52.946 --> 51:54.890
enormity of the logistical efforts

51:54.890 --> 51:57.057
before . But the good news is that you

51:57.057 --> 51:59.279
know , there are a few organizations in

51:59.279 --> 52:01.112
the world that logistics doesn't

52:01.112 --> 52:03.279
doesn't make nervous , and one of them

52:03.279 --> 52:05.446
is the United States Army . So I think

52:05.446 --> 52:07.501
the good news here is that yes , the

52:07.501 --> 52:09.446
existing field armies that now are

52:09.446 --> 52:11.900
called the the Kobe Prevention Network

52:11.900 --> 52:14.067
are gonna be marshalled to jump on the

52:14.067 --> 52:16.233
Madonna and probably the Chad Ox . But

52:16.233 --> 52:19.660
then , as thes trials begin , Teoh

52:20.100 --> 52:22.267
begin to execute the summer rolls on .

52:22.267 --> 52:24.530
They were getting into the third , a

52:24.540 --> 52:26.318
study that will likely start in

52:26.318 --> 52:28.373
September with Johnson . I think the

52:28.373 --> 52:30.373
critical point is that all of these

52:30.373 --> 52:32.151
networks right now all of these

52:32.151 --> 52:34.318
organizations to include ours are very

52:34.318 --> 52:38.270
busy going from a clinical trial site

52:38.270 --> 52:40.548
that might exist in Washington , D . C .

52:40.548 --> 52:42.492
And seeing how we can leverage and

52:42.492 --> 52:44.326
develop new capacities in Prince

52:44.326 --> 52:46.437
George's County if you want to , um ,

52:46.437 --> 52:48.659
keep it local here in United States and

52:48.659 --> 52:50.714
in the Washington D . C area . So at

52:50.714 --> 52:52.826
the same time , we're staring at real

52:52.826 --> 52:54.937
time analytics , literally looking at

52:54.937 --> 52:57.470
zip code level data about new cases of

52:57.470 --> 52:59.581
where Kobe is popping up because what

52:59.581 --> 53:01.581
you don't want to do , put all your

53:01.581 --> 53:03.637
troops where there is no no virus to

53:03.637 --> 53:05.637
fight . So if you're gonna do these

53:05.637 --> 53:08.830
efficacy studies , it is important ,

53:09.100 --> 53:10.880
Teoh to be able to capture new

53:10.880 --> 53:13.102
infections or otherwise you're gonna be

53:13.290 --> 53:15.520
testing vaccine and thousands and

53:15.530 --> 53:17.752
thousands of people are not getting any

53:17.752 --> 53:20.060
signal . So , um , we need to figure

53:20.060 --> 53:22.560
out we're really to put the the , you

53:22.560 --> 53:25.070
know , these new resource is and , um ,

53:25.080 --> 53:27.191
we're meeting literally every day . I

53:27.191 --> 53:29.302
include Saturday and Sunday . There's

53:29.302 --> 53:31.469
no such thing as the weekend anymore .

53:31.469 --> 53:33.358
And these in these efforts we are

53:33.358 --> 53:35.302
looking at how we can leverage the

53:35.302 --> 53:37.302
existing resource . We have in some

53:37.302 --> 53:39.302
cases , do the not so heavy lift of

53:39.302 --> 53:41.358
saying , Well , the Walter Reed Army

53:41.358 --> 53:43.247
Institute of Research or Rid um ,

53:43.247 --> 53:45.469
clinical trial capability can reach out

53:45.469 --> 53:47.691
within 30 to 50 miles , developed belts

53:47.691 --> 53:49.858
and new ones with academic groups that

53:49.858 --> 53:51.969
are good but maybe haven't been doing

53:51.969 --> 53:54.024
doing this sort of thing before . We

53:54.024 --> 53:53.700
can get them trained up , and those

53:53.700 --> 53:55.867
sorts of discussions are very active .

53:56.150 --> 53:58.240
Um , the networks were doing exactly

53:58.240 --> 54:00.351
the same thing . We're talking within

54:00.351 --> 54:02.462
the entire defense agency structure .

54:02.462 --> 54:04.629
So the service departments as well d o

54:04.629 --> 54:06.796
d for how this couldn't look as we use

54:06.800 --> 54:08.820
our military treatment facilities ,

54:08.830 --> 54:10.950
read hospitals and clinics across the

54:10.950 --> 54:13.540
United States and elsewhere . So um ,

54:13.550 --> 54:15.960
you can think of the method . We are

54:15.960 --> 54:18.071
beginning to operationalize it to the

54:18.071 --> 54:20.182
point where some elements of the army

54:20.182 --> 54:22.349
air coming through our clinical trials

54:22.349 --> 54:24.571
center at Walter Reed Army Institute of

54:24.571 --> 54:26.793
Research on Wednesday . And we're gonna

54:26.793 --> 54:29.016
walk them through what it takes to do .

54:29.016 --> 54:31.238
Um , you know , the actual mechanics of

54:31.238 --> 54:33.349
vaccination , and if a street trial ,

54:33.349 --> 54:35.460
what's required for follow up because

54:35.460 --> 54:37.460
we're also interested in developing

54:37.460 --> 54:39.460
mobile clinics , this has been done

54:39.460 --> 54:41.460
before is not a novel concept , but

54:41.460 --> 54:43.571
again , logistics is not frightened .

54:43.571 --> 54:45.627
The United States arming our general

54:45.627 --> 54:47.460
those on this call is actually a

54:47.460 --> 54:49.460
medical logistician . So , um , you

54:49.460 --> 54:51.571
know , we're comforted in the fact we

54:51.571 --> 54:53.571
have some very , very senior people

54:53.571 --> 54:55.738
that is in their blood . So I can tell

54:55.738 --> 54:58.300
you that as time goes on , we're going

54:58.300 --> 55:00.244
to overwhelm the networks with the

55:00.244 --> 55:02.411
first few trials . But I like the time

55:02.411 --> 55:04.633
we get into the third and fourth . Um ,

55:04.633 --> 55:06.689
the networks and working with us and

55:06.689 --> 55:08.856
other groups are already building that

55:08.856 --> 55:10.856
capacity to be able to absorb these

55:10.856 --> 55:13.510
additional trials , And the good news

55:13.510 --> 55:15.677
about that is that this is going to be

55:15.677 --> 55:18.900
able to work into areas where we

55:18.900 --> 55:21.011
haven't traditionally worked before .

55:21.011 --> 55:23.011
And that's important because if you

55:23.011 --> 55:25.178
look at trial networks , that air used

55:25.178 --> 55:27.289
to working in populations at risk for

55:27.289 --> 55:29.344
HIV , that the different part of our

55:29.344 --> 55:31.930
national dialogue than individual

55:31.930 --> 55:34.240
veteran risk for Covad and so therefore

55:34.240 --> 55:36.540
getting out to these communities and

55:36.540 --> 55:38.873
doing what we call community engagement .

55:38.873 --> 55:41.040
And it's not something that , um , you

55:41.040 --> 55:43.096
know , sciences sometimes talk about

55:43.096 --> 55:45.207
first , but we really should . How do

55:45.207 --> 55:47.373
you How do you convince community that

55:47.373 --> 55:49.540
this is a new important thing for them

55:49.540 --> 55:48.800
to get involved in ? How can you

55:49.160 --> 55:51.382
convince him ? At the same time , we're

55:51.382 --> 55:53.493
talking about speed , that we're also

55:53.493 --> 55:55.493
talking about safety . And so doing

55:55.493 --> 55:57.493
this in a negative fashion gives us

55:57.493 --> 55:59.271
time to develop those important

55:59.271 --> 56:01.327
committee engagements and to get the

56:01.327 --> 56:03.382
right kind of community advocates on

56:03.382 --> 56:05.493
board and to make sure that , um , we

56:05.493 --> 56:05.450
don't say we're doing the right thing .

56:05.450 --> 56:07.506
But the community believe that we're

56:07.506 --> 56:09.810
doing the right thing . So again , it's

56:09.810 --> 56:11.810
a long answer . But I will tell you

56:11.810 --> 56:13.810
that we're going to start just like

56:13.810 --> 56:13.680
World War two . We'll start with that .

56:14.130 --> 56:16.019
A small number of people in their

56:16.019 --> 56:18.130
standing armies and we will grow them

56:18.130 --> 56:21.450
as the mission over . Thank you .

56:23.030 --> 56:26.040
Okay . Uh , were the media activity

56:32.520 --> 56:34.860
okay ? Anyone I missed , I went through

56:34.860 --> 56:36.916
the list , so we might have happened

56:36.916 --> 56:39.820
late . Sorry , Mr Vocal earlier .

56:40.870 --> 56:44.610
CNBC society . I have a

56:44.620 --> 56:48.170
family . Be your turn . I I was just

56:48.170 --> 56:50.281
wondering if you guys could give me a

56:50.281 --> 56:52.392
little bit of what kind of piggy bank

56:52.392 --> 56:54.614
you're sort of working with in terms of

56:54.614 --> 56:56.726
finances . You have all the financial

56:56.726 --> 56:58.837
resources that you need right now for

56:58.837 --> 56:58.730
your research . Do you envision

56:58.940 --> 57:01.051
potentially needing more as your work

57:01.051 --> 57:03.210
continues ? And as a secondary follow

57:03.210 --> 57:05.840
up question , I'm wondering if at all ,

57:06.130 --> 57:08.186
do you feel that your work is in any

57:08.186 --> 57:10.180
way in jeopardy from intellectual

57:10.180 --> 57:13.610
property theft as nations air rushing

57:13.610 --> 57:15.970
to develop a vaccine ? Since this is a

57:15.980 --> 57:19.850
global pandemic , I didn't think

57:19.850 --> 57:23.260
that one now Gemmell tally . So with

57:23.340 --> 57:26.860
respect , the resources we are in good

57:26.860 --> 57:29.460
shape for resource is and certainly we

57:29.460 --> 57:32.720
have been able to benefit from

57:32.720 --> 57:35.780
supplemental funding . Cares act along

57:35.780 --> 57:38.070
with money . Certainly that is

57:38.070 --> 57:40.670
apportioned through the d . O . D . Our

57:40.670 --> 57:42.920
laboratories . And we've been very

57:42.920 --> 57:45.087
careful with spin plans . I could take

57:45.087 --> 57:47.890
Colonel Sanders Jackson going back ,

57:47.890 --> 57:50.390
Teoh January with first

57:51.600 --> 57:53.930
full of if you will or apportionment of

57:53.940 --> 57:56.720
funding , uh , works in pretty long

57:56.720 --> 57:59.330
hours early on to make sure that we be

57:59.330 --> 58:01.386
able to track it , trade it and show

58:01.386 --> 58:04.390
deliverables for each dollar . But were

58:04.390 --> 58:06.446
asked that question . Often we greet

58:06.446 --> 58:08.612
our secretary of the army and chief of

58:08.612 --> 58:10.779
staff of the Army . You that typically

58:10.779 --> 58:13.560
the first question asked . So right now ,

58:14.060 --> 58:16.620
absolutely great change . And with this

58:16.630 --> 58:18.860
whole of government effort , it's not

58:18.860 --> 58:22.300
only shared intellectual capacity and

58:22.300 --> 58:25.360
expertise , but is it is shared

58:25.360 --> 58:27.860
resources . So we're we're in good

58:27.860 --> 58:29.804
shape for this whole of government

58:29.804 --> 58:31.860
effort . We respect the intellectual

58:31.860 --> 58:35.780
property , um , again , not

58:35.790 --> 58:38.350
not concerned about that we haven't

58:38.360 --> 58:42.060
invented certainly Directorate within

58:42.060 --> 58:45.670
him are D . C . That ensures that

58:45.680 --> 58:49.550
intellectual property is protected came

58:49.550 --> 58:51.920
on Jarred mentioned that patented edge

58:52.190 --> 58:55.090
developed a few years back , which is

58:55.100 --> 58:57.156
being applied toward this particular

58:57.156 --> 59:00.760
vaccine . So right now , no concerns

59:00.760 --> 59:03.100
with either one of those as we go

59:03.110 --> 59:05.054
forward certainly will continue to

59:05.054 --> 59:07.180
watch it and keep all updated . Thank

59:07.180 --> 59:09.540
you for the question . And would that

59:09.550 --> 59:11.606
be in the millions or the billions ?

59:11.606 --> 59:13.328
Would you say just in terms of

59:13.328 --> 59:15.494
financing that you guys have available

59:15.494 --> 59:19.000
to you . I don't see for the with the

59:19.010 --> 59:21.010
publicized for the whole works feet

59:21.010 --> 59:23.510
effort in a well publicized ,

59:24.610 --> 59:27.310
uh , what , what's been funded ? What

59:27.310 --> 59:29.870
has were sharing ? Certainly with the

59:29.870 --> 59:32.530
entire resource pope for portfolio ,

59:32.890 --> 59:36.100
which is which is certainly well into

59:36.130 --> 59:38.330
into the billions for the entire

59:38.720 --> 59:41.140
operation . Warp speed in whole of

59:41.150 --> 59:43.190
government effort . Thank you .

59:46.630 --> 59:48.519
John Harper with National Defence

59:48.519 --> 59:52.090
magazine . Okay , But I was

59:52.100 --> 59:54.370
wondering , you know , what lessons

59:54.380 --> 59:56.910
have you learned from this current

59:56.910 --> 59:59.790
crisis That you think you might apply ,

59:59.800 --> 01:00:02.620
You know , to future pandemics . Uh ,

01:00:02.630 --> 01:00:04.930
you know , our future outbreaks . And ,

01:00:05.190 --> 01:00:07.301
you know , is there anything that you

01:00:07.301 --> 01:00:09.301
don't have currently that you would

01:00:09.301 --> 01:00:12.710
like toa have to deal with viruses ? Um ,

01:00:12.750 --> 01:00:16.570
in the future gentle tally ,

01:00:16.580 --> 01:00:18.880
I'm gonna start off . It did pass it

01:00:18.880 --> 01:00:21.200
around to these the's great scientists

01:00:21.200 --> 01:00:23.800
on the line . Uh , for then , it's not

01:00:23.810 --> 01:00:25.921
their first rodeo . Part of the fun ,

01:00:26.390 --> 01:00:30.050
but what I what ? I see the way

01:00:30.060 --> 01:00:32.520
the whole of government efforts fun up .

01:00:33.110 --> 01:00:35.770
We've been battling the Corona virus

01:00:36.380 --> 01:00:40.290
since January and really

01:00:40.300 --> 01:00:43.020
were beginning to organize ourselves ,

01:00:43.610 --> 01:00:47.520
um , in a fashion that truly is going ,

01:00:47.520 --> 01:00:50.540
Teoh expedite and leverage all the

01:00:50.550 --> 01:00:52.661
resources that we can bring to bear .

01:00:53.210 --> 01:00:56.780
So I think we have to ask yourself how

01:00:56.790 --> 01:00:59.130
you sustain this . I don't think this

01:00:59.130 --> 01:01:01.130
is gonna be the last pandemic , and

01:01:01.130 --> 01:01:03.990
certainly as you look at the way , uh ,

01:01:04.000 --> 01:01:06.430
this type of pandemic come into play ,

01:01:06.910 --> 01:01:08.860
I think the Doctor jar who made

01:01:08.870 --> 01:01:11.030
reference to the fact that we went

01:01:11.040 --> 01:01:13.860
years without a pandemic this was being

01:01:13.860 --> 01:01:17.050
compared to the Spanish flu of about

01:01:17.060 --> 01:01:20.850
1918 . Yet in the last 20

01:01:20.860 --> 01:01:23.780
years , this is not our first Corona

01:01:23.780 --> 01:01:27.190
virus or type of vaccine or type of I

01:01:27.200 --> 01:01:29.200
have disease outbreak we had a deal

01:01:29.200 --> 01:01:32.650
with . So I think the lesson that we

01:01:32.650 --> 01:01:35.150
have to take on is how we mobilize this

01:01:35.150 --> 01:01:38.340
quickly , how we maintain and sustain

01:01:38.910 --> 01:01:40.950
the type of apparatus that could

01:01:40.950 --> 01:01:44.530
respond this quickly . So I don't think

01:01:44.530 --> 01:01:47.790
this will be the last time , but I do

01:01:47.790 --> 01:01:49.790
believe that we're gonna have to be

01:01:49.860 --> 01:01:53.760
just as effective , inefficient to be

01:01:53.760 --> 01:01:55.927
able to spin up immobilized as quickly

01:01:55.927 --> 01:01:58.093
as we can . That has to be sustained .

01:01:58.310 --> 01:02:01.280
Somebody going t rare and let you hear

01:02:01.290 --> 01:02:03.290
from the folks that have been doing

01:02:03.290 --> 01:02:06.550
this for a long time . All right ? Jim

01:02:06.700 --> 01:02:08.922
Nelson . Michael , I really want to set

01:02:08.922 --> 01:02:10.978
up Cave on for this . I think you'll

01:02:10.978 --> 01:02:13.780
see . Why , When we did our response to

01:02:13.780 --> 01:02:16.130
Zika , we went literally from

01:02:16.140 --> 01:02:18.390
conception of making a vaccine . First

01:02:18.390 --> 01:02:21.190
injection in humans with two papers ,

01:02:21.200 --> 01:02:22.922
one in science , one in nature

01:02:22.922 --> 01:02:24.978
describing out the vaccine worked in

01:02:24.978 --> 01:02:27.330
mice and then , um , nonhuman primates .

01:02:27.690 --> 01:02:29.912
We did that nine months . It was a land

01:02:29.912 --> 01:02:32.370
speed record . Um , my commander , at

01:02:32.370 --> 01:02:34.703
that time I was still wearing a uniform .

01:02:34.703 --> 01:02:36.759
She asked me , How did you do that ?

01:02:36.759 --> 01:02:38.814
Because you're in a chivi researcher

01:02:38.814 --> 01:02:40.981
and most of the of the foot people you

01:02:40.981 --> 01:02:43.203
worked with HIV people . How did you do

01:02:43.203 --> 01:02:45.203
that ? What ? Do you do it based on

01:02:45.203 --> 01:02:47.426
structure ? Or did you do it days on on

01:02:47.426 --> 01:02:49.990
bluster ? Actually , Well , I'll be

01:02:49.990 --> 01:02:52.046
honest with you is I did it a lot of

01:02:52.046 --> 01:02:54.268
bluster and we didn't really We weren't

01:02:54.268 --> 01:02:56.323
set up for that . And she said , you

01:02:56.323 --> 01:02:58.268
know what ? The army way notes and

01:02:58.268 --> 01:03:00.434
you're gonna have to rethink this . So

01:03:00.434 --> 01:03:02.657
under her direction , she's now General

01:03:02.657 --> 01:03:04.934
Tallies Chief of Staff Colonel Whitmer .

01:03:04.934 --> 01:03:07.730
We set up the emerging infections is do

01:03:07.730 --> 01:03:09.786
these brands . We set up a brand new

01:03:09.786 --> 01:03:11.952
unit within the Walter Reed Army is to

01:03:11.952 --> 01:03:13.841
the research that was going to be

01:03:13.841 --> 01:03:16.360
designed to do just this . And I had at

01:03:16.360 --> 01:03:18.416
least a foresight of recruiting of a

01:03:18.420 --> 01:03:21.230
brilliant MD PhD research and then keep

01:03:21.230 --> 01:03:24.340
on the majority from the national Dr

01:03:24.340 --> 01:03:27.430
Vouches to you . And unlike me , Cavon

01:03:27.430 --> 01:03:29.770
is actually a an expert in respiratory

01:03:29.770 --> 01:03:32.020
viruses , especially Corona viruses .

01:03:32.500 --> 01:03:34.611
So we did predicted this was going to

01:03:34.611 --> 01:03:37.720
happen . Cavon let me use a fly that is

01:03:37.720 --> 01:03:39.776
in Korea in September of last year ,

01:03:39.776 --> 01:03:41.887
which basically showed stars and then

01:03:41.887 --> 01:03:43.998
merge and then showed a next question

01:03:43.998 --> 01:03:45.998
market When the next one's going to

01:03:45.998 --> 01:03:48.053
calm . I don't think that we knew is

01:03:48.053 --> 01:03:50.276
gonna be just a few months later . So ,

01:03:50.276 --> 01:03:52.220
um , as a consequence of this , we

01:03:52.220 --> 01:03:54.442
really began to reposition ourselves to

01:03:54.442 --> 01:03:56.553
be able to absorb these new realities

01:03:56.553 --> 01:03:58.840
and living like cave on , describe what

01:03:59.120 --> 01:04:01.231
I think his advantage would be . What

01:04:01.231 --> 01:04:03.000
we do from now on over

01:04:04.790 --> 01:04:08.400
Thanks , Dr Michael , for the kind

01:04:08.400 --> 01:04:12.280
words as well . So those of

01:04:12.280 --> 01:04:14.780
us in this in this space infectious

01:04:14.790 --> 01:04:17.068
diseases , emerging infectious leaders ,

01:04:17.390 --> 01:04:20.210
we're not Oracle's . We just No , that ,

01:04:20.760 --> 01:04:23.040
um what we've seen before , we're

01:04:23.040 --> 01:04:26.500
likely to see again . And that's been

01:04:26.500 --> 01:04:28.778
the case , not just for Corona viruses .

01:04:29.020 --> 01:04:31.290
You know , this is 1/5 Corona virus in

01:04:31.290 --> 01:04:33.310
the past two decades that has been

01:04:33.310 --> 01:04:35.980
identified in human populations ,

01:04:35.980 --> 01:04:38.240
whereas since carnivorous is or human

01:04:38.240 --> 01:04:40.740
cargo glasses were discovered in the

01:04:41.380 --> 01:04:43.410
mid sixties , there only to Corona

01:04:43.410 --> 01:04:46.030
viruses in that period of time , there

01:04:46.030 --> 01:04:48.280
have been several close the half a

01:04:48.290 --> 01:04:50.568
dozen public health emergency declared .

01:04:51.220 --> 01:04:54.090
That mechanism was established after

01:04:54.090 --> 01:04:58.020
stars . And , um , it just

01:04:58.130 --> 01:05:00.850
shows that we are

01:05:02.860 --> 01:05:06.510
accelerating in terms of coming in

01:05:06.510 --> 01:05:09.710
contact with these pathogens . And ,

01:05:10.090 --> 01:05:12.201
uh , there are a lot of hypotheses as

01:05:12.201 --> 01:05:14.220
to why that is for much more hyper

01:05:14.220 --> 01:05:16.442
connected than we were before . We have

01:05:16.442 --> 01:05:18.480
a lot greater interface with animal

01:05:18.480 --> 01:05:21.270
populations , and we had before , So

01:05:21.270 --> 01:05:23.600
there's a lot of spillover from animal

01:05:23.600 --> 01:05:25.510
populations since the humans of

01:05:25.520 --> 01:05:27.242
pathogens that we may not have

01:05:27.242 --> 01:05:30.660
encountered previously . But if you

01:05:30.660 --> 01:05:34.070
look at , um , the example of what Dr

01:05:34.070 --> 01:05:36.820
Michael Days about the Zika virus in a

01:05:36.830 --> 01:05:39.040
zika vaccine , he went on a

01:05:39.050 --> 01:05:42.580
unprecedented timeline . Then , um , as

01:05:42.590 --> 01:05:45.990
did others of the night and some other

01:05:45.990 --> 01:05:48.680
companies in terms of getting from a

01:05:48.680 --> 01:05:50.736
concept to a clinical trial for Zika

01:05:50.736 --> 01:05:52.750
Vaccine , which were beating those

01:05:52.750 --> 01:05:56.400
records now . But even with that

01:05:56.410 --> 01:05:58.610
pace , we all started our vaccine

01:05:58.610 --> 01:06:02.430
programs every 2016 when we looked

01:06:02.470 --> 01:06:06.250
back at the epidemic curve

01:06:06.260 --> 01:06:08.450
of the , uh , a year later , two years

01:06:08.460 --> 01:06:11.840
later , the peak occurred in February

01:06:11.840 --> 01:06:15.410
of 2016 so we were literally behind the

01:06:15.420 --> 01:06:18.600
curve , even when we were going as fast

01:06:18.600 --> 01:06:22.100
as possible . So the only way to really

01:06:22.450 --> 01:06:26.170
respond these outbreaks to be in a

01:06:26.170 --> 01:06:28.660
posture where we don't have to respond .

01:06:28.670 --> 01:06:31.650
We've already prepared for anticipated

01:06:31.800 --> 01:06:34.080
and develop the countermeasures for

01:06:34.080 --> 01:06:36.610
that pathogen beforehand , and you

01:06:36.610 --> 01:06:39.290
might think that's impossible to dio .

01:06:39.630 --> 01:06:41.650
It's not . We actually have the

01:06:41.660 --> 01:06:44.610
technologies and tools now where we can

01:06:44.620 --> 01:06:46.342
do those sorts of things . The

01:06:46.342 --> 01:06:48.231
universal vaccine approach that I

01:06:48.231 --> 01:06:50.398
described for Art Vaccine Candidate is

01:06:50.398 --> 01:06:54.240
just one example and a whole

01:06:54.580 --> 01:06:57.890
array of technologies that we have in

01:06:57.890 --> 01:07:00.112
terms of diagnostics , therapeutics and

01:07:00.112 --> 01:07:04.110
vaccines . To be able to anticipates

01:07:04.120 --> 01:07:06.820
what is essentially just a handful of

01:07:06.830 --> 01:07:10.010
families of virus Corona viruses play

01:07:10.010 --> 01:07:12.490
the virus is probably that we know

01:07:13.580 --> 01:07:16.200
generally what's coming in terms of the

01:07:16.200 --> 01:07:18.990
family of viruses we have the tools to

01:07:18.990 --> 01:07:20.990
be able to anticipate . It's just a

01:07:20.990 --> 01:07:23.960
matter of changing our posture from one

01:07:23.960 --> 01:07:26.620
of prevent from one of response towards

01:07:26.620 --> 01:07:30.320
prevention over they

01:07:30.330 --> 01:07:33.730
think C'mon , Gemmell tally . And this

01:07:33.740 --> 01:07:36.950
is a great question to conclude with ,

01:07:36.960 --> 01:07:40.290
I'd like to go toe Dr John Die again .

01:07:40.290 --> 01:07:42.190
I think the question was really

01:07:42.200 --> 01:07:44.560
centered on lessons learned . Certainly ,

01:07:44.560 --> 01:07:47.050
as we go forward , it will close .

01:07:47.060 --> 01:07:49.150
Finally , with the Colonel Windy Sam

01:07:49.160 --> 01:07:52.450
Jackson on this will be her , you know ,

01:07:52.450 --> 01:07:56.090
her last time uniform and this thing

01:07:56.120 --> 01:07:59.660
particular form . So Dr Di over you and

01:07:59.660 --> 01:08:02.630
then app will close with Colonel Windy

01:08:02.640 --> 01:08:05.910
salmon . Thank you , sir . Uh , so I'd

01:08:05.910 --> 01:08:08.240
like to follow along with the last few

01:08:08.250 --> 01:08:11.780
items that cavon mentioned , Which

01:08:12.300 --> 01:08:15.990
is that the only way that the

01:08:16.000 --> 01:08:18.840
world is going to be prepared for the

01:08:18.840 --> 01:08:22.050
next coming outbreak eyes going to be

01:08:22.050 --> 01:08:24.520
global communication as well as the

01:08:24.520 --> 01:08:28.090
Global Response Network ? And I think

01:08:28.550 --> 01:08:31.700
if you institute those capabilities

01:08:32.560 --> 01:08:35.390
that allow the rapid response and scale

01:08:35.390 --> 01:08:37.600
up of medical countermeasure , whether

01:08:37.600 --> 01:08:40.260
it's vaccine or therapeutic and cavon

01:08:40.260 --> 01:08:43.380
is 100% correct , there's a handful of

01:08:43.380 --> 01:08:45.602
viruses that were identified by the W .

01:08:45.602 --> 01:08:48.590
H O in 2014 after the Ebola virus

01:08:48.590 --> 01:08:51.360
outbreak . Basically a top 10 list of

01:08:51.360 --> 01:08:54.090
the most likely to develop pandemics ,

01:08:54.570 --> 01:08:56.570
and there's really only five or six

01:08:56.570 --> 01:08:59.170
viral families . And if you do start to

01:08:59.170 --> 01:09:01.410
develop capabilities against those

01:09:01.470 --> 01:09:04.140
viral families that can then be

01:09:04.140 --> 01:09:08.100
juxtaposed against those new variants

01:09:08.110 --> 01:09:10.510
that come out , you then have that

01:09:10.520 --> 01:09:13.780
capability . So it's a matter of global

01:09:14.150 --> 01:09:17.450
communications and global , uh , global

01:09:17.460 --> 01:09:19.900
rapid response . And I think that's

01:09:19.900 --> 01:09:23.200
what I hope we learn as a country and

01:09:23.200 --> 01:09:26.090
as a world that we all need to work

01:09:26.090 --> 01:09:29.850
together to try to come up with a

01:09:29.850 --> 01:09:31.906
plan that will be better prepared in

01:09:31.906 --> 01:09:33.000
the future , over

01:09:38.090 --> 01:09:40.620
okay , things like anal sex . So I

01:09:40.630 --> 01:09:42.741
appreciate it . And this is something

01:09:42.741 --> 01:09:44.686
that certainly we've been thinking

01:09:44.686 --> 01:09:46.950
about for some time , certainly since ,

01:09:46.960 --> 01:09:50.290
uh , that gullible outbreak in a number

01:09:50.290 --> 01:09:52.850
of us on the line were engaged in

01:09:52.850 --> 01:09:54.961
working together during that . And so

01:09:54.961 --> 01:09:57.470
there's lots of lessons learned . Aziz .

01:09:57.480 --> 01:09:59.424
We have progressed through each of

01:09:59.424 --> 01:10:02.830
these different scenarios over time and

01:10:02.910 --> 01:10:06.090
two points . I wanted to make that that

01:10:06.090 --> 01:10:08.257
we have made deliberate attempt to try

01:10:08.257 --> 01:10:11.740
to better prepare , reduce our

01:10:11.740 --> 01:10:15.670
response time . Um and , um in these

01:10:15.680 --> 01:10:17.810
types of situations , and one is what

01:10:17.810 --> 01:10:21.050
we certainly recognized , um is that

01:10:21.060 --> 01:10:24.920
then we desperately needed a structure

01:10:24.920 --> 01:10:27.530
in place to coordinate , communicate

01:10:27.530 --> 01:10:29.197
across you deign across U . S

01:10:29.197 --> 01:10:32.040
government . Um , and that's probably

01:10:32.040 --> 01:10:34.130
easier said than done . And but it's

01:10:34.140 --> 01:10:36.196
critically important to increase the

01:10:36.196 --> 01:10:40.080
efficiency of effort . If we're able

01:10:40.080 --> 01:10:43.850
to share information , develop a common

01:10:43.860 --> 01:10:47.330
strategy , um , and coordinate the

01:10:47.330 --> 01:10:49.710
efforts along the same lines of effort

01:10:50.020 --> 01:10:52.720
along , you know , a strategic plan

01:10:52.720 --> 01:10:54.887
perspective . That would be , uh , the

01:10:54.887 --> 01:10:57.053
really beneficial to the response that

01:10:57.053 --> 01:10:59.053
we've learned each time . From that

01:10:59.053 --> 01:11:01.230
You're seeing that and in action right

01:11:01.230 --> 01:11:03.230
now with Operation Warp Speed , for

01:11:03.230 --> 01:11:05.830
example . The second point is from a

01:11:05.830 --> 01:11:08.130
programmatic perspective , which is the

01:11:08.140 --> 01:11:11.100
space that I operate in . We recognize

01:11:11.110 --> 01:11:13.930
we have some challenges with our

01:11:13.930 --> 01:11:17.700
ability to rapidly respond in terms of

01:11:17.710 --> 01:11:21.070
shifting our investments and resource

01:11:21.070 --> 01:11:24.350
is . And so we did along the same lines

01:11:24.350 --> 01:11:27.100
of what rare did is we created from a

01:11:27.100 --> 01:11:29.190
program perspective and emerging

01:11:29.190 --> 01:11:32.340
infectious diseases program area that

01:11:32.340 --> 01:11:34.980
would enable us to have the ability to

01:11:34.990 --> 01:11:38.090
rapidly shift resources towards that

01:11:38.100 --> 01:11:41.290
priority effort where we've had

01:11:41.300 --> 01:11:43.300
historically , our program has been

01:11:43.300 --> 01:11:47.010
very pathogens specific

01:11:47.020 --> 01:11:49.242
focused , and that does not leave a lot

01:11:49.242 --> 01:11:51.820
of flexibility when you need to pivot

01:11:52.080 --> 01:11:54.191
and change direction quickly . And so

01:11:54.191 --> 01:11:57.310
we've created that which has really

01:11:57.310 --> 01:11:59.780
paid dividends , certainly with this

01:12:00.290 --> 01:12:04.000
outbreak . In addition , we've also

01:12:04.850 --> 01:12:08.590
have taken a deliberate approach to to

01:12:08.590 --> 01:12:12.070
invest in technologies that

01:12:12.540 --> 01:12:15.130
are more broadly applicable either

01:12:15.130 --> 01:12:17.110
across a family of viruses

01:12:18.650 --> 01:12:22.520
broad , for example , broad

01:12:22.860 --> 01:12:26.310
antivirals , Um , and certainly along

01:12:26.320 --> 01:12:30.150
the same lines of Dr Majoras point to a

01:12:30.150 --> 01:12:33.280
Pan Corona virus vaccine . And so our

01:12:33.280 --> 01:12:36.440
portfolio has been increasing in that

01:12:36.490 --> 01:12:38.900
face . And so we're looking at

01:12:38.900 --> 01:12:42.380
technologies that we can invest in , Um ,

01:12:42.390 --> 01:12:46.370
that can be rapidly applied

01:12:46.380 --> 01:12:49.850
to whatever emerging emerging

01:12:49.850 --> 01:12:53.360
pathogen that we need Teoh address on .

01:12:53.380 --> 01:12:55.290
So that is our from a program

01:12:55.290 --> 01:12:58.380
perspective from a coordination

01:12:58.670 --> 01:13:00.726
perspective across the discover me .

01:13:00.726 --> 01:13:03.200
Those are the two areas that I

01:13:03.210 --> 01:13:05.321
definitely we've learned lessons . We

01:13:05.321 --> 01:13:06.988
have shifted , and I think we

01:13:06.988 --> 01:13:09.450
definitely are better prepared and will

01:13:09.450 --> 01:13:11.890
continue to follow along that line to

01:13:11.890 --> 01:13:13.890
ensure that we are prepared for the

01:13:13.890 --> 01:13:16.110
next outbreak that we may be facing .

01:13:17.540 --> 01:13:19.373
Okay . Thank you . Thank you for

01:13:19.373 --> 01:13:21.373
everyone for calling in . We really

01:13:21.373 --> 01:13:23.540
appreciate it . We're out of time . We

01:13:23.540 --> 01:13:25.596
know you have additional questions .

01:13:25.596 --> 01:13:27.540
Feel free to email me . I'm Laurie

01:13:27.540 --> 01:13:27.490
Talbot . Forums on the email that will

01:13:27.500 --> 01:13:30.000
start out . Invite everyone . We also

01:13:30.010 --> 01:13:32.200
have the role and photos available at

01:13:32.210 --> 01:13:35.070
Did it , huh ? Dot Net Last unit left

01:13:35.950 --> 01:13:38.490
D . C . You'll briefly email me and

01:13:38.580 --> 01:13:40.524
Logan ship everything you need for

01:13:40.524 --> 01:13:42.469
today . Thank you so much . Have a

01:13:42.469 --> 01:13:43.300
great day . Thank you .

