WEBVTT 00:00.340 --> 00:02.730 and thank you for joining this week's 00:02.740 --> 00:05.950 Operation Warp Speed briefing . I want 00:05.950 --> 00:08.470 to begin by providing some context on 00:08.470 --> 00:11.640 how far we've come and how that informs 00:11.640 --> 00:13.610 the next stage of the vaccination 00:13.610 --> 00:17.010 program we're announcing today through 00:17.010 --> 00:19.360 Operation Warp Speed , we've supported 00:19.360 --> 00:21.193 the development of six candidate 00:21.193 --> 00:24.060 vaccines to have been shown to be safe 00:24.070 --> 00:26.680 and incredibly effective within record 00:26.680 --> 00:28.430 time , leading to the their 00:28.430 --> 00:30.860 authorization by FDA . Just last month , 00:31.740 --> 00:34.110 we've seen substantial rises in 00:34.110 --> 00:35.960 Americans , confidence in these 00:35.960 --> 00:38.127 vaccines and interest in taking them . 00:39.140 --> 00:42.390 We're now at an important juncture in 00:42.390 --> 00:45.150 the vaccine program where we're ready 00:45.640 --> 00:48.360 for a transition that we outlined last 00:48.360 --> 00:51.100 September in the vaccine playbook we 00:51.100 --> 00:55.000 sent to states . That shift occurs as 00:55.000 --> 00:57.160 supply expands to meet demand , 00:57.540 --> 00:59.690 allowing us to expand the scope of 00:59.690 --> 01:01.579 people recommended to receive the 01:01.579 --> 01:04.250 vaccine and expand the delivery sites 01:04.260 --> 01:07.860 used . We have achieved several 01:07.870 --> 01:10.490 milestones , several triggers that 01:10.490 --> 01:14.030 brought us to this point . Nearly 38 01:14.040 --> 01:16.890 million total doses of vaccine to date , 01:17.050 --> 01:20.670 including about 25 million first doses , 01:21.040 --> 01:23.210 have been made available for states to 01:23.210 --> 01:25.550 order against , with mawr becoming 01:25.550 --> 01:28.750 available this week . The doses 01:28.750 --> 01:30.830 allocated exceeds the priority 01:30.830 --> 01:34.430 populations in Group One A , including 01:34.430 --> 01:36.960 frontline health workers and seniors 01:36.970 --> 01:39.180 living in long term care facilities , 01:39.190 --> 01:42.060 which means that supply now exceeds 01:42.060 --> 01:45.670 demand from those groups . Onley Four 01:45.670 --> 01:48.380 weeks into our launch , we have gained 01:48.380 --> 01:50.324 confidence in the integrity of our 01:50.324 --> 01:52.360 distribution system , which is now 01:52.360 --> 01:55.620 successfully delivered to over 14,000 01:55.630 --> 01:58.960 locations , essentially without a hitch . 01:59.940 --> 02:02.020 Over the last several days , we've 02:02.020 --> 02:05.080 averaged around 700,000 reported 02:05.080 --> 02:08.370 vaccinations each day , and we are on 02:08.370 --> 02:11.990 track to hit one million per day in a 02:11.990 --> 02:15.620 week to 10 days time . In total , we 02:15.620 --> 02:17.509 have more than nine million first 02:17.509 --> 02:20.220 vaccinations already given farm or than 02:20.230 --> 02:22.940 any Western country . By the end of 02:22.940 --> 02:25.840 next week , 95% of long term care 02:25.840 --> 02:28.150 facilities will have had their first 02:28.160 --> 02:32.000 visit with vaccine doses . All of 02:32.000 --> 02:34.220 this means it's time to move on to the 02:34.220 --> 02:37.260 next phase of the vaccination campaign , 02:38.540 --> 02:40.880 as we had planned to dio when the data 02:40.880 --> 02:44.670 showed we could . This next phase 02:44.780 --> 02:47.020 reflects the urgency of the situation 02:47.030 --> 02:50.360 we face . Every vaccine dose that is 02:50.360 --> 02:52.304 sitting in a warehouse rather than 02:52.304 --> 02:54.700 going into an armed could mean one mawr 02:54.700 --> 02:57.440 life lost or won Mawr hospital bed 02:57.450 --> 03:00.680 occupied The next phase has several 03:00.680 --> 03:04.190 components . First we're expanding . 03:04.190 --> 03:06.540 The group's getting vaccinated because 03:06.540 --> 03:09.100 state restrictions on eligibility have 03:09.110 --> 03:11.740 obstructed speed and accessibility of 03:11.740 --> 03:15.390 administration . Second , we're telling 03:15.390 --> 03:17.510 states to expand the channels and 03:17.520 --> 03:19.298 access points for administering 03:19.298 --> 03:21.520 vaccines , and we're helping them to do 03:21.520 --> 03:25.310 so . Third , we are releasing the 03:25.310 --> 03:27.930 entire supply we have for order by 03:27.930 --> 03:31.090 states rather than holding second doses 03:31.100 --> 03:34.370 in physical reserve . Fourth , 03:34.840 --> 03:37.070 we're announcing a forthcoming change 03:37.070 --> 03:39.180 to how we allocate doses in order to 03:39.180 --> 03:41.100 encourage states to support rapid 03:41.100 --> 03:43.760 vaccination and to focus on the most 03:43.760 --> 03:46.630 vulnerable . So the first point about 03:46.630 --> 03:49.520 expanded eligibility ? We're telling 03:49.520 --> 03:51.590 states today that they should open 03:51.590 --> 03:53.550 vaccinations to all of their most 03:53.560 --> 03:56.870 vulnerable people . That is the most 03:56.870 --> 03:59.800 effective way to save lives now . And 03:59.800 --> 04:01.530 some states heavy handed 04:01.530 --> 04:03.610 micromanagement of this process has 04:03.610 --> 04:05.832 stood in the way of vaccines , reaching 04:05.832 --> 04:07.721 a broader swath of the vulnerable 04:07.721 --> 04:11.090 population more quickly . Specifically , 04:11.450 --> 04:14.310 as Dr Redfield will discuss , we're 04:14.310 --> 04:16.530 telling states they should open 04:16.530 --> 04:19.990 vaccinations to all people over age 60 04:19.990 --> 04:23.780 65 over , and all people under age 04:23.780 --> 04:27.440 65 with a co morbidity with some form 04:27.440 --> 04:30.140 of medical documentation as defined by 04:30.140 --> 04:33.300 governors , leaders in some states have 04:33.300 --> 04:35.356 forged ahead with steps like this in 04:35.356 --> 04:37.650 very diverse settings and demonstrated 04:37.650 --> 04:40.280 riel success . I'll just mention a 04:40.280 --> 04:42.380 couple like Governor Lamont in 04:42.380 --> 04:44.410 Connecticut and Governor Justice in 04:44.410 --> 04:47.550 West Virginia . Expanding eligibility 04:47.550 --> 04:49.772 to all of the vulnerable is the fastest 04:49.772 --> 04:52.180 way to protect the vulnerable . It's 04:52.180 --> 04:54.402 simply much easier to manage allocating 04:54.402 --> 04:56.513 vaccines and appointments to everyone 04:56.513 --> 04:58.740 65 over , rather than narrower , more 04:58.740 --> 05:00.740 complex categories , and it enables 05:00.740 --> 05:02.990 states to use much more diverse 05:02.990 --> 05:06.260 administration channels . There was 05:06.260 --> 05:08.316 never a reason that states needed to 05:08.316 --> 05:10.371 complete vaccinating all health care 05:10.371 --> 05:12.482 providers before opening vaccinations 05:12.482 --> 05:14.930 to older Americans and other vulnerable 05:14.930 --> 05:17.740 populations . States should not be 05:17.740 --> 05:20.420 waiting to complete one a priorities 05:20.420 --> 05:22.087 before proceeding the broader 05:22.087 --> 05:24.410 categories of eligibility Think of it 05:24.410 --> 05:26.570 like boarding an airplane . You might 05:26.570 --> 05:28.626 have a sequential order in which you 05:28.626 --> 05:30.990 bored people , but you don't wait until 05:30.990 --> 05:33.212 literally every person from a group has 05:33.212 --> 05:35.379 boarded before moving on to the next . 05:35.379 --> 05:37.490 You have to keep the process moving . 05:37.490 --> 05:39.601 Imagine if you find a gate agents for 05:39.601 --> 05:41.823 boarding people out of order . You'd be 05:41.823 --> 05:44.010 standing at the gate for hours . Of 05:44.010 --> 05:46.121 course , moving on from initial phase 05:46.121 --> 05:48.177 of , say , healthcare workers before 05:48.177 --> 05:50.399 everyone is vaccinated is not declaring 05:50.399 --> 05:52.600 victory for that category . State 05:52.600 --> 05:54.544 should continue working to support 05:54.544 --> 05:56.767 vaccinations of those populations , but 05:56.767 --> 05:58.878 moving on to broader populations when 05:58.878 --> 06:00.989 supply meets . Demand was always part 06:00.989 --> 06:03.211 of the recommendations 100 had provided 06:03.211 --> 06:05.860 to states . Second , we're telling 06:05.860 --> 06:08.027 states toe , open up more channels for 06:08.027 --> 06:10.138 administration and we're helping them 06:10.138 --> 06:13.540 do so . Hospital hospitals made sense 06:13.540 --> 06:15.710 as the early distribution sites when 06:15.950 --> 06:18.117 the focus was on health care workers . 06:18.540 --> 06:20.762 But they're not where most Americans go 06:20.762 --> 06:23.660 To get vaccines , states should move on 06:23.920 --> 06:26.270 to pharmacies , community health 06:26.270 --> 06:30.110 centers and mass vaccination sites as 06:30.110 --> 06:33.200 desired or needed to support that work . 06:33.200 --> 06:35.256 Last week , we announced that states 06:35.256 --> 06:37.367 could start using pharmacies enrolled 06:37.367 --> 06:39.589 through our federal partnership with 19 06:39.589 --> 06:41.533 pharmacy chains and associations . 06:41.533 --> 06:43.422 General Purna Dr Redfield in some 06:43.422 --> 06:45.478 pharmacy leaders held a briefing for 06:45.478 --> 06:47.700 governors on this topic last Thursday . 06:48.040 --> 06:50.400 This federal partnership allows states 06:50.400 --> 06:52.600 to allocate vaccines directly to these 06:52.600 --> 06:54.711 partners , and these partners connect 06:54.711 --> 06:56.600 administer vaccines to particular 06:56.600 --> 06:58.656 groups and eventually to the general 06:58.656 --> 07:00.878 public . These pharmacy partners handle 07:00.878 --> 07:02.711 the administrative tasks such as 07:02.711 --> 07:04.822 scheduling appointments and reporting 07:04.822 --> 07:06.878 vaccinations . States can and should 07:06.878 --> 07:08.933 choose the most strategically placed 07:08.933 --> 07:11.044 pharmacy partners to send vaccines to 07:11.044 --> 07:13.760 now We're also activating are federally 07:13.760 --> 07:15.960 qualified community health centers for 07:15.960 --> 07:18.470 vaccination . Some of these community 07:18.470 --> 07:20.303 health centers are already being 07:20.303 --> 07:22.303 utilized by state plans , but every 07:22.303 --> 07:24.470 state should be using them . Community 07:24.470 --> 07:27.020 health centers have mawr than 13,000 07:27.020 --> 07:29.660 delivery sites across America , and 07:29.660 --> 07:31.327 they have both , particularly 07:31.327 --> 07:33.530 convenient locations and strong 07:33.530 --> 07:35.697 connections in low income and minority 07:35.697 --> 07:39.010 communities . Further , if states wish 07:39.010 --> 07:41.550 to set up mass vaccination sites , we 07:41.550 --> 07:43.606 stand ready to help both through 500 07:43.606 --> 07:46.040 guidance and other support , including 07:46.040 --> 07:47.984 deploying personnel to assist with 07:47.984 --> 07:50.420 technical expertise and set up . We're 07:50.420 --> 07:52.476 here to work with them . States have 07:52.476 --> 07:55.010 ample funding , including $3 billion 07:55.010 --> 07:56.899 MAWR , on the way to support such 07:56.899 --> 08:00.270 efforts . Third , we're now making the 08:00.270 --> 08:02.660 full reserve of doses we have available 08:02.660 --> 08:06.390 for order . We are 100% committed to 08:06.390 --> 08:09.000 ensuring a second dose is available for 08:09.000 --> 08:11.111 every American who receives the first 08:11.111 --> 08:14.370 dose . Let me repeat that our approach 08:14.380 --> 08:17.130 continues to ensure that there will be 08:17.130 --> 08:19.352 a second dose available for someone who 08:19.352 --> 08:22.910 gets a first dose of vaccine based on 08:22.910 --> 08:25.021 the science and evidence we have . It 08:25.021 --> 08:27.243 is imperative that people receive their 08:27.243 --> 08:29.720 second doses on time . That's what the 08:29.720 --> 08:31.887 science says , and ignoring that would 08:31.887 --> 08:34.900 be reckless , but we had always planned 08:34.900 --> 08:37.010 to move to um , or advanced phase of 08:37.010 --> 08:38.843 how we manage this . Once we had 08:38.843 --> 08:41.550 confidence in our supply chains . That 08:41.780 --> 08:44.150 is the key trigger we needed to see . 08:45.140 --> 08:47.730 Because we now have a consistent pace 08:47.730 --> 08:50.840 of production , we can now ship all of 08:50.840 --> 08:52.830 the doses that had been held in 08:52.830 --> 08:55.700 physical reserve , with second doses 08:55.810 --> 08:58.560 being supplied by doses coming off of 08:58.560 --> 09:01.320 manufacturing lines , with quality 09:01.330 --> 09:05.060 control going forward each week . 09:05.440 --> 09:07.840 Doses available would be released to 09:07.840 --> 09:10.400 first cover the needed second doses and 09:10.400 --> 09:12.370 then cover additional first 09:12.380 --> 09:15.150 vaccinations . Finally 09:16.040 --> 09:18.360 effective two weeks from now , we're 09:18.360 --> 09:20.960 changing how we allocate first doses 09:20.970 --> 09:23.310 among the states in order to ensure 09:23.310 --> 09:25.880 doses were being put to use and put to 09:25.880 --> 09:28.600 use for the most vulnerable . We will 09:28.600 --> 09:30.960 be allocating them based on the pace of 09:30.960 --> 09:33.660 administration , as reported by states 09:34.340 --> 09:37.760 and by the size of the 65 over 09:37.760 --> 09:41.570 population in each state . We're giving 09:41.570 --> 09:43.681 states two weeks notice of this shift 09:43.681 --> 09:45.903 to give them the time necessary to plan 09:46.250 --> 09:48.417 and to improve their reporting if they 09:48.417 --> 09:51.760 think their data is faulty . This new 09:51.760 --> 09:53.927 system gives states a strong incentive 09:53.927 --> 09:55.927 to ensure that all vaccinations are 09:55.927 --> 09:58.038 being promptly reported which they're 09:58.038 --> 10:00.149 currently not , and it gives states a 10:00.149 --> 10:02.260 strong instead of to ensure doses air 10:02.260 --> 10:04.427 going toe work , thio going toe work , 10:04.427 --> 10:06.538 protecting people rather than sitting 10:06.538 --> 10:08.780 on shelves and freezers . With the case 10:08.780 --> 10:10.447 counts we face now , there is 10:10.447 --> 10:12.670 absolutely no time to waste . We need 10:12.670 --> 10:14.503 doses going toe where they'll be 10:14.503 --> 10:16.670 administered quickly and where they'll 10:16.670 --> 10:20.470 protect the most vulnerable . Finally , 10:21.140 --> 10:23.130 as we face rising case counts in a 10:23.130 --> 10:25.290 number of parts of the country . We 10:25.290 --> 10:27.457 need all Americans to keep up the same 10:27.457 --> 10:29.346 public health measures we've been 10:29.346 --> 10:31.457 recommending throughout this crisis . 10:31.457 --> 10:33.623 Hope is here in the form of vaccines . 10:33.623 --> 10:35.846 We just have to keep up our guard for a 10:35.846 --> 10:38.340 bit longer . I want to add one more key 10:38.340 --> 10:40.229 message to our recommendations of 10:40.229 --> 10:42.118 washing our hands , watching your 10:42.118 --> 10:43.840 distance and wearing your face 10:43.840 --> 10:45.840 coverings when you can't watch your 10:45.840 --> 10:48.410 distance . If you test positive and are 10:48.410 --> 10:50.950 at risk for severe disease , meaning 10:50.950 --> 10:53.950 you are over 65 or have a co morbidity , 10:54.910 --> 10:56.910 you should be asking your doctor or 10:56.910 --> 10:59.640 health care provider why you are not 10:59.790 --> 11:02.670 being given one of the FDA authorized 11:02.680 --> 11:05.120 antibody therapies that are in ready 11:05.130 --> 11:07.610 supply . We have products sitting on 11:07.610 --> 11:10.050 the shelves that can help keep people 11:10.060 --> 11:13.210 out of the hospital . That is just a 11:13.210 --> 11:15.790 zoo . Unacceptable Is vaccines sitting 11:15.790 --> 11:18.910 on shelves ? Unused people in the 11:18.910 --> 11:21.240 appropriate categories should be asking 11:21.240 --> 11:23.351 their doctors or healthcare providers 11:23.351 --> 11:25.760 why they aren't being offered these 11:25.770 --> 11:29.670 antibody therapies . With that , I'll 11:29.670 --> 11:32.450 hand things over toe . Dr . Redfield 11:32.460 --> 11:34.450 are 100 Director Dr Redfield . 11:39.740 --> 11:42.890 Thank you , Mr Secretary . I want to 11:42.900 --> 11:44.900 echo some of the important comments 11:44.900 --> 11:48.470 that the Secretary made clearly as we 11:48.470 --> 11:52.320 began vaccination with our frontline 11:52.320 --> 11:54.487 healthcare workers and individuals and 11:54.487 --> 11:57.400 long term nursing care and assisted 11:57.400 --> 11:59.620 living . That was the initial phase to 11:59.620 --> 12:02.000 begin to roll out this vaccine 12:02.000 --> 12:05.130 distribution . As the Secretary said 12:05.130 --> 12:07.740 that as we sit here in the fourth week 12:07.750 --> 12:11.320 of this vaccination program , we now at 12:11.320 --> 12:13.800 a time where actually there's more 12:13.800 --> 12:16.050 vaccine available than is being 12:16.050 --> 12:18.990 requested for vaccination within the 12:18.990 --> 12:22.510 one a group . Thea , The pipe and 100 12:22.520 --> 12:25.060 guidelines that came out on vaccination 12:25.060 --> 12:27.860 to the States were never meant to be 12:27.860 --> 12:30.200 somehow finished the first phase . Then 12:30.200 --> 12:32.422 you move to the second phase . Then you 12:32.422 --> 12:34.478 move to the third . So I'm here . Is 12:34.478 --> 12:36.680 the CDC Director Thio , Ask our 12:36.680 --> 12:38.780 governors , uh , echo what the 12:38.780 --> 12:42.140 secretary said and strongly recommend 12:42.530 --> 12:44.586 the vaccination now be expanded that 12:44.586 --> 12:48.280 those individuals 65 or over and those 12:48.280 --> 12:50.750 individuals between 16 or 18 , 12:50.760 --> 12:54.200 depending on the vaccine being used to 12:54.200 --> 12:56.870 64 that have a co morbidity . With the 12:56.870 --> 12:59.970 medical documentation off such we 12:59.970 --> 13:01.970 clearly have enough vaccine at this 13:01.970 --> 13:04.640 point to begin to expand and get Maura 13:04.640 --> 13:07.020 Maura of the vulnerable individuals in 13:07.020 --> 13:09.550 our country vaccinated . This is 13:09.550 --> 13:12.340 particularly important right now as 13:12.340 --> 13:15.970 we're seeing the post holiday 13:15.970 --> 13:18.850 surge surge . We have many 13:18.850 --> 13:22.730 jurisdictions now that are on the verge 13:22.740 --> 13:25.370 of going from a linear growth thio 13:25.380 --> 13:27.950 basically exponential growth . And we 13:27.950 --> 13:30.006 believe it's critically important at 13:30.006 --> 13:32.172 this time to get those most vulnerable 13:32.172 --> 13:34.520 people as quickly as we can into 13:34.520 --> 13:38.020 vaccination programs as a key strategy 13:38.640 --> 13:41.300 to maintain hospital resilience . I 13:41.300 --> 13:43.356 also want to echo what the secretary 13:43.356 --> 13:46.060 said about the importance of using the 13:46.060 --> 13:48.470 approved E Way approved monoclonal 13:48.470 --> 13:50.820 antibodies for individuals at highest 13:50.820 --> 13:53.070 risk that developed symptoms part of 13:53.070 --> 13:54.959 hospitalization . That's a second 13:54.959 --> 13:58.070 really important , um uh , intervention 13:58.070 --> 14:00.310 that we have at this moment to maintain 14:00.310 --> 14:03.090 hospital resilience . And finally , I 14:03.090 --> 14:05.650 just have to echo also the closing 14:05.650 --> 14:07.870 comments of the secretary . This is a 14:07.870 --> 14:10.940 time that we call on all Americans to 14:10.940 --> 14:13.700 be vigilant in the mitigation steps 14:13.700 --> 14:15.940 that we've asked , particularly in 14:15.940 --> 14:18.330 their own health households . Most of 14:18.330 --> 14:20.441 transmission that is occurring in our 14:20.441 --> 14:22.497 nation right now is not occurring in 14:22.497 --> 14:24.663 the public square . It's occurring one 14:24.663 --> 14:26.886 household , the one household , the one 14:26.886 --> 14:29.052 household . So again , where mask they 14:29.052 --> 14:32.470 work social distance , it works 14:32.940 --> 14:35.051 of staying away and being smart about 14:35.051 --> 14:38.070 crowds washing your hands . They work . 14:38.540 --> 14:40.760 We need to work altogether . Now it's 14:40.760 --> 14:42.760 going to be a difficult , difficult 14:42.760 --> 14:45.180 January and probably February . But 14:45.180 --> 14:46.791 with the vaccine and the new 14:46.791 --> 14:49.400 Therapeutics we have , there's really 14:49.400 --> 14:51.622 strong light at that end of that tunnel 14:51.622 --> 14:53.678 as we enter March . But we need Thio 14:53.678 --> 14:55.910 really commit right now and get us many 14:55.910 --> 14:58.021 Americans vaccinated as we can . That 14:58.021 --> 15:00.077 air particularly the most vulnerable 15:00.077 --> 15:02.299 and at risk for hospitalization . Thank 15:02.299 --> 15:04.466 you . We'll have the general permanent 15:04.466 --> 15:06.688 next . Oh , what stuff is good ? Yeah . 15:06.688 --> 15:08.521 General partner will talk next . 15:18.940 --> 15:22.840 Good morning , everybody . So we are 15:22.850 --> 15:26.330 in the beginning of our continuing our 15:26.330 --> 15:28.552 new for our execution , right ? And I'm 15:28.552 --> 15:30.830 very excited . I'm very proud about it . 15:30.830 --> 15:32.900 Ah , month ago is when we started 15:32.900 --> 15:36.050 delivering vaccines around the world 15:36.060 --> 15:38.227 around the country on they went to the 15:38.227 --> 15:41.280 hospitals . Aziz , we focused on the 15:41.280 --> 15:43.410 categories for first line medical 15:43.410 --> 15:46.020 responders . Four weeks later , we've 15:46.020 --> 15:47.964 made significant progress . As the 15:47.964 --> 15:50.880 secretary has highlighted on , there is 15:50.880 --> 15:54.040 nobody working harder right to ensure 15:54.040 --> 15:56.160 that vaccines are being distributed 15:56.170 --> 15:59.280 than the O . W s team , uh , in 15:59.280 --> 16:01.660 execution to get it to where it needs 16:01.660 --> 16:04.450 to be . So distribution of the vaccines 16:04.450 --> 16:07.370 is getting them to the States so that 16:07.370 --> 16:10.430 they can , uh , ensure that it gets to 16:10.430 --> 16:12.650 the arms . And we are enabling that 16:12.650 --> 16:16.060 every day . We , as a secretary said , 16:16.070 --> 16:18.530 have sent over 25 million doses of 16:18.530 --> 16:22.350 vaccines over to 16,000 16:22.350 --> 16:25.260 different locations . Really , really 16:25.260 --> 16:27.650 great effort . The cadence of 16:27.650 --> 16:30.970 allocations , the cadence of orders , 16:30.980 --> 16:33.780 the cadence of picking and packing the 16:33.780 --> 16:36.340 cadence of what's being shipped is 16:36.340 --> 16:39.530 really become a remarkable feat for all 16:39.530 --> 16:41.752 of us , right ? The whole of America to 16:41.752 --> 16:44.370 be proud off . We are executing this 16:44.540 --> 16:47.610 every day , every week , and the months 16:47.610 --> 16:50.810 will go by on the result . The effects 16:50.810 --> 16:53.010 will be safe and effective vaccine to 16:53.010 --> 16:55.910 the American people . I do want to , as 16:55.910 --> 16:58.670 I always do thank the men and women of 16:58.670 --> 17:02.010 Pfizer , Madonna , McKesson , FedEx and 17:02.010 --> 17:05.460 UPS who are working , uh , 24 hours a 17:05.460 --> 17:08.130 day , seven days a week to deliver the 17:08.130 --> 17:11.660 vaccine in a timely manner . Uh , a za 17:11.660 --> 17:13.810 secretary talked about our 17:13.810 --> 17:16.050 responsibility is to make sure all 17:16.050 --> 17:19.360 vaccine that is releasable 17:19.370 --> 17:21.840 available for distribution gets out to 17:21.840 --> 17:24.007 the American people . And that is what 17:24.007 --> 17:27.140 we're doing as early as 24 November . 17:27.140 --> 17:29.420 Standing right here talking to you . I 17:29.420 --> 17:32.450 talked about our ability to plan our 17:32.450 --> 17:35.070 ability to collaborate our ability to 17:35.070 --> 17:38.480 see ourselves and then to make sure we 17:38.480 --> 17:41.610 continue to execute to the maximum 17:41.610 --> 17:44.260 extent possible , delivering the most 17:44.260 --> 17:46.440 vaccines to the American people . That 17:46.450 --> 17:48.970 is what we're doing now . That is what 17:48.970 --> 17:52.320 the secretary laid out in execution of 17:52.320 --> 17:55.240 how we're managing The second dose is 17:55.240 --> 17:57.900 to ensure first and foremost foremost . 17:57.900 --> 18:00.900 It's always available , but second , we 18:00.900 --> 18:03.340 ensure that the max available doses of 18:03.340 --> 18:05.670 vaccine are available to the American 18:05.670 --> 18:09.320 people every day . Are my personal 18:09.320 --> 18:12.660 confidence in both the distribution 18:13.340 --> 18:15.340 capability as demonstrated over the 18:15.340 --> 18:18.720 last four weeks , Azaz and the addition 18:18.730 --> 18:21.470 of manufacturing confidence has 18:21.470 --> 18:23.900 increased significantly . Uh , which 18:23.900 --> 18:26.540 allows me to approach and execute 18:26.540 --> 18:28.484 distribution and allocation of the 18:28.484 --> 18:31.850 vaccines differently . It ensures 18:31.940 --> 18:35.490 maximum execution and allows us to pass 18:35.500 --> 18:37.680 maximum doses of vaccine to the 18:37.680 --> 18:39.760 American people in a timely manner . 18:40.940 --> 18:42.884 Today , I want to give you a quick 18:42.884 --> 18:44.662 update of where we are with the 18:44.662 --> 18:46.551 facilities , UH , that we've made 18:46.551 --> 18:48.770 significant progress in working to get 18:48.770 --> 18:51.540 long term health care facilities up and 18:51.540 --> 18:53.850 running in collaboration with CVS and 18:53.850 --> 18:56.600 Walgreens . We know we have 70,000 18:56.600 --> 18:58.656 facilities that are enrolled , which 18:58.656 --> 19:01.260 includes skilled nursing facilities and 19:01.260 --> 19:04.240 assisted living facilities . We started 19:04.240 --> 19:06.860 in Week one , right three weeks ago , 19:06.860 --> 19:09.730 with 900 facilities in three weeks . 19:09.730 --> 19:12.740 Since we've completed over 11,000 19:12.740 --> 19:16.220 facilities , just under a million first 19:16.220 --> 19:19.480 doses have been given . 12,000 MAWR 19:19.480 --> 19:21.950 clinics are scheduled this week and 19:21.960 --> 19:24.680 every week following . As we go forward 19:25.040 --> 19:28.090 today , we know that we are making a 19:28.090 --> 19:30.600 difference in these facilities , and it 19:30.600 --> 19:32.822 is because of the great work by the C , 19:32.822 --> 19:35.980 D . C , CVS and Walgreens that are 19:35.980 --> 19:38.410 making a difference , as the secretary 19:38.410 --> 19:41.650 said were quickly coming on to 19:41.660 --> 19:43.570 administering first dose toe . 19:43.580 --> 19:47.260 Everybody in these in this category we 19:47.260 --> 19:49.660 are expanding our distribution to the 19:49.660 --> 19:52.050 retail pharmacies as a secretary talked 19:52.050 --> 19:54.990 about . We have opened it up for states 19:54.990 --> 19:58.910 to utilize the over 40,000 provider 19:58.910 --> 20:01.077 pharmacy providers that are enrolled , 20:01.080 --> 20:04.610 and we want to expand it up to 70,000 20:04.620 --> 20:07.860 providers that are enrolled . We think 20:07.940 --> 20:10.690 that we can open up the aperture and 20:10.690 --> 20:13.320 give access greater access to the 20:13.320 --> 20:16.650 American people through the pharmacies . 20:16.660 --> 20:20.100 What does it do ? It allows us to have 20:20.100 --> 20:22.510 confidence in the execute er's . It 20:22.510 --> 20:24.630 allows us to distribute it throughout 20:24.630 --> 20:28.450 the country . It allows us to give a 20:28.450 --> 20:30.720 place where the American people are 20:30.720 --> 20:33.080 comfortable of going and receiving the 20:33.080 --> 20:36.240 shot . I want to give you four , uh , 20:36.250 --> 20:38.440 slides that I asked the team to put 20:38.440 --> 20:40.490 together . The first slide is the 20:40.490 --> 20:43.830 vaccinations that we executed on day 20:43.830 --> 20:45.886 one of distribution of the fights or 20:45.886 --> 20:49.020 product , right ? We went to over 20:49.020 --> 20:52.170 636 sites on day one 20:52.170 --> 20:55.880 across the country of our country . Why 20:55.880 --> 20:58.102 do we do this specifically , it was the 20:58.102 --> 21:00.324 Pfizer vaccine . We knew there was cold 21:00.324 --> 21:02.213 chain requirements . We wanted to 21:02.213 --> 21:06.200 ensure capability and capacity match 21:06.200 --> 21:08.160 the distribution . We worked with 21:08.160 --> 21:10.390 states , we collaborated with them and 21:10.390 --> 21:12.590 we put it exactly where they wanted it 21:12.600 --> 21:15.960 when they wanted it on the second week 21:15.960 --> 21:18.293 when we brought the modern a vaccine in , 21:18.293 --> 21:21.110 we were able to expand distribution 21:21.120 --> 21:23.490 primarily because of the availability 21:23.490 --> 21:26.680 of doses at lower amounts where the 21:26.690 --> 21:29.880 Madonna vaccine is at 100 minimum , 21:29.890 --> 21:32.730 ordering at 100 doses . So what could 21:32.730 --> 21:35.020 we do ? We could expand out through the 21:35.020 --> 21:38.320 country because of the dose requirement , 21:38.330 --> 21:40.750 minimum dose requirement and also less 21:40.750 --> 21:42.830 refrigeration requirement . We were 21:42.830 --> 21:45.330 able to send doses to long term health 21:45.330 --> 21:47.219 care facilities . We were able to 21:47.219 --> 21:50.030 extend it into doctor's offices and 21:50.030 --> 21:52.810 into pharmacies , as the state's asked 21:52.810 --> 21:55.370 us to do so . The expansion was quick 21:55.380 --> 21:58.780 and rapid in just a week . Now today , 21:58.790 --> 22:01.540 as of yesterday , we have gone toe over 22:01.540 --> 22:05.070 16,000 locations across the country , 22:05.360 --> 22:07.990 right as depicted on this slide , we go 22:07.990 --> 22:10.290 there on a routine basis , delivering 22:10.290 --> 22:13.650 vaccines as directed by the 22:13.650 --> 22:15.670 states in distribution to the 22:15.670 --> 22:18.550 quantities and locations that they want , 22:18.740 --> 22:22.160 really covering the mass population of 22:22.160 --> 22:24.450 the country . Now what is in the realm 22:24.450 --> 22:27.710 of possible this last slide as we open 22:27.710 --> 22:31.480 up the 70,000 pharmacy chain and 22:31.490 --> 22:35.110 individual capabilities we are covering 22:35.120 --> 22:38.400 the entire United States and vaccine 22:38.400 --> 22:41.340 can be distributed as of this week to 22:41.340 --> 22:43.510 where the states would like it to go 22:43.520 --> 22:47.440 across the country . We know that these 22:47.440 --> 22:49.662 pharmacies , because we've been working 22:49.662 --> 22:51.829 with them at the C . D . C level , are 22:51.829 --> 22:54.450 ready to execute this mission . And as 22:54.450 --> 22:57.910 the states allocate vaccine to them and 22:57.910 --> 23:00.600 direct it , we are ready to deliver toe 23:00.600 --> 23:03.890 all these locations every day , every 23:03.890 --> 23:07.500 week , every month . Aziz required 23:07.510 --> 23:10.810 this alone will open up the capability 23:10.810 --> 23:12.900 and capacity to ensure that the 23:12.900 --> 23:15.530 American people have direct access to 23:15.530 --> 23:18.900 the vaccine . Aziz , we go forward . So 23:18.900 --> 23:22.110 in closing challenging times , as I've 23:22.110 --> 23:25.030 told you many times on , the secretary 23:25.030 --> 23:28.460 said we were not fighting the plan , 23:28.550 --> 23:31.260 right ? We're fighting the situation 23:31.370 --> 23:34.330 and we're making adjustments on moving 23:34.330 --> 23:36.460 forward in that light , just like we 23:36.460 --> 23:39.850 had always planned to do . We're just a 23:39.850 --> 23:43.720 able thio change in , um , or rapid and 23:43.720 --> 23:46.760 steady pace . I want to say thank you 23:46.760 --> 23:50.640 for all the support from the States . 23:50.650 --> 23:53.530 I want to say thank you for again to 23:53.540 --> 23:56.260 the industry partners that air helping 23:56.260 --> 23:59.760 us execute this flawless distribution 24:00.040 --> 24:02.340 because every day they do their job , 24:02.350 --> 24:04.461 more vaccine gets out to the American 24:04.461 --> 24:07.190 people on then , enclosing a Zai like 24:07.190 --> 24:09.610 to remind us all . There is a group of 24:09.610 --> 24:11.554 people that are on the front lines 24:11.554 --> 24:14.060 every single day , helping us take care 24:14.070 --> 24:17.810 of those who who have reached a 24:17.810 --> 24:20.270 certain point of their illness on these 24:20.270 --> 24:22.380 medical professionals on their 24:22.380 --> 24:24.602 supported staff are really just doing a 24:24.602 --> 24:26.760 tremendous job on . I just wanted to 24:26.760 --> 24:28.910 say thanks to all of you . So that 24:28.910 --> 24:31.077 concludes my comments , Mr Secretary . 24:33.140 --> 24:35.362 Thank you very much . And I did want to 24:35.362 --> 24:37.750 note , as you saw , Dr Slough is with 24:37.750 --> 24:39.861 us on stage and will be available for 24:39.861 --> 24:41.861 questions . He just didn't feel the 24:41.861 --> 24:43.639 need to have an opening opening 24:43.639 --> 24:45.806 statement . But Michael Prep thank you 24:45.806 --> 24:48.139 all . We will now open up for questions , 24:48.139 --> 24:50.139 Operator . A friendly reminder that 24:50.139 --> 24:49.780 when asking a question , please state 24:49.780 --> 24:51.836 your name and publication and please 24:51.836 --> 24:53.947 keep your questions short as possible 24:53.947 --> 24:56.002 so we can get to a many as we can in 24:56.002 --> 24:58.169 the time that we have and I'll turn it 24:58.169 --> 25:00.290 over to the operator . Thank you so 25:00.290 --> 25:02.457 very much . If you would like to ask a 25:02.457 --> 25:04.679 question , please Press star , then one 25:04.679 --> 25:06.870 on your phone . And be sure to provide 25:06.870 --> 25:09.350 your name and media outlets Our first 25:09.350 --> 25:11.830 now is from Drew Armstrong with 25:11.840 --> 25:14.470 Bloomberg News . So your line is open . 25:15.140 --> 25:18.230 Hi , It's true I run our vaccine 25:18.240 --> 25:20.462 tracker here and had a question for you 25:20.462 --> 25:23.660 all about what has actually been the 25:23.660 --> 25:26.350 problem in administering shots in some 25:26.350 --> 25:29.670 of these states that are showing low 25:29.670 --> 25:31.281 numbers of percentage of the 25:31.281 --> 25:33.970 distributions to them used because 25:33.970 --> 25:35.914 clearly there's a number of states 25:35.914 --> 25:38.081 they're working through between 70 and 25:38.081 --> 25:40.350 80% of their distributions on a rolling 25:40.350 --> 25:42.880 basis . But others in Mississippi , 25:42.880 --> 25:45.800 Alabama , Georgia , North Carolina , 25:45.830 --> 25:49.690 perpetually kind of stuck in a 25:49.700 --> 25:51.670 very low percentage of what's been 25:51.670 --> 25:53.503 shipped to them is that they get 25:53.503 --> 25:55.614 distributed to the wrong places . Are 25:55.614 --> 25:58.030 they having problems with our their 25:58.030 --> 26:00.140 holdups in shipping what is actually 26:00.140 --> 26:02.251 going on here ? Because I don't think 26:02.251 --> 26:04.418 we've really gotten a good answer from 26:04.418 --> 26:06.529 anybody about where these bottlenecks 26:06.529 --> 26:08.751 are there , preventing some states from 26:08.751 --> 26:10.862 reaching some of the numbers that you 26:10.862 --> 26:10.430 all excited as being successes 26:10.430 --> 26:13.290 elsewhere , Drew and our last general 26:13.290 --> 26:16.310 permit , or Dr Redfield to add , add to 26:16.310 --> 26:19.950 what I've got to say . But , uh , first , 26:20.340 --> 26:23.060 we need to recognize that we're now 26:23.060 --> 26:25.380 four weeks into this program , and this 26:25.380 --> 26:28.350 is a major operational logistics issue . 26:28.360 --> 26:30.230 It's a scale up . As with any 26:30.230 --> 26:32.230 enterprise , you're going to have a 26:32.230 --> 26:34.397 scale up that is predictable and known 26:34.397 --> 26:36.452 that that would happen . But we have 26:36.452 --> 26:38.452 seen variable performance among the 26:38.452 --> 26:40.452 states and among providers . What's 26:40.452 --> 26:42.563 going on there now ? Each state maybe 26:42.563 --> 26:44.674 slightly different . But for the most 26:44.674 --> 26:46.841 part , what we have seen is the states 26:46.841 --> 26:49.730 that are lagging . It certainly could 26:49.730 --> 26:52.060 be a data issue . The health 26:52.060 --> 26:54.116 commissioner here in the District of 26:54.116 --> 26:56.338 Columbia , for instance , revealed that 26:56.338 --> 26:58.560 40% of pharmacies aren't reporting . We 26:58.560 --> 27:00.504 had data reporting issues with one 27:00.504 --> 27:02.616 chain pharmacy in terms , its ability 27:02.616 --> 27:04.282 to connect into the system on 27:04.282 --> 27:06.338 vaccinations . We had one state that 27:06.338 --> 27:08.560 has had some significant challenge with 27:08.560 --> 27:08.430 interconnectivity of data reporting 27:08.430 --> 27:11.420 systems . And a Dr Redfield can let you 27:11.420 --> 27:13.364 know what we're asking for is very 27:13.364 --> 27:15.364 novel In the history of vaccination 27:15.364 --> 27:17.587 programs in the United States , usually 27:17.587 --> 27:19.587 with public health vaccinations are 27:19.587 --> 27:21.920 providers have to report within 30 days , 27:21.920 --> 27:23.753 right , Bob within 30 days . Now 27:23.753 --> 27:25.809 they've they signed as part of their 27:25.809 --> 27:27.920 agreement to be providers in Tiberius 27:27.920 --> 27:30.142 with Operation Warp speed agreements to 27:30.142 --> 27:32.198 provide their data within 72 hours . 27:32.198 --> 27:32.110 But that's a major workflow change for 27:32.110 --> 27:34.221 them and they're going to be kinks in 27:34.221 --> 27:36.030 the system on that data , uh , 27:36.040 --> 27:38.310 improving consistently over time . And 27:38.310 --> 27:40.366 I think with the new incentives that 27:40.366 --> 27:42.421 we're announcing today , that states 27:42.421 --> 27:44.643 will received their allocations in part 27:44.643 --> 27:47.360 based on the data that we have on what 27:47.440 --> 27:49.720 percent of vaccines they've received 27:49.720 --> 27:51.998 have they actually gotten administered ? 27:51.998 --> 27:54.370 We'll see that data improve . The other 27:54.370 --> 27:56.481 major barrier and I talked about this 27:56.481 --> 27:58.700 last week has been states that are 27:58.700 --> 28:01.090 being overly prescriptive and trying to 28:01.090 --> 28:03.360 micromanage every single dose of 28:03.360 --> 28:05.770 vaccine down toe . Who gets it to 28:05.770 --> 28:09.440 ensure that Onley Group 18 people get 28:09.440 --> 28:11.496 vaccinated before they're willing to 28:11.496 --> 28:13.773 open up and look a Group one be people , 28:13.773 --> 28:13.680 even if that's the approach that 28:13.680 --> 28:16.620 they're taking . So that might be 28:16.620 --> 28:18.870 states that are insisting that all 28:18.870 --> 28:20.537 health care providers have to 28:20.537 --> 28:22.759 vaccinated before you start vaccine the 28:22.759 --> 28:24.981 most vulnerable . That's why , from the 28:24.981 --> 28:27.314 get go , I've talked about the need toe , 28:27.314 --> 28:29.310 not be cab and in by the different 28:29.310 --> 28:31.650 groups from the A , C . I P or from the 28:31.650 --> 28:33.650 C . D . C . They're not meant to be 28:33.650 --> 28:35.940 prescriptive . Some governors have 28:35.950 --> 28:38.172 overreacted , have taken them in overly 28:38.172 --> 28:40.172 prescriptive manner , and this is a 28:40.172 --> 28:42.339 logistical issue . This is operational 28:42.339 --> 28:44.283 issue . If you try to be too micro 28:44.283 --> 28:47.300 managed to tailored to focused , you 28:47.300 --> 28:49.300 let the perfect be the enemy of the 28:49.300 --> 28:51.300 good . In the mass vaccine campaign 28:51.300 --> 28:53.522 like this , I said last week , we would 28:53.522 --> 28:55.880 rather have some low , lower priority 28:55.880 --> 28:57.991 individuals get vaccinated along with 28:57.991 --> 29:00.630 the high priority individuals if it 29:00.630 --> 29:02.970 makes us go fast and if it avoids 29:02.970 --> 29:05.320 vaccine sitting on the shelves . And 29:05.330 --> 29:07.190 for the love of God , not having 29:07.200 --> 29:09.890 vaccine actually wasted or thrown away 29:09.890 --> 29:12.600 because of a failure to administer . Um , 29:12.610 --> 29:14.721 so those have been the major issues , 29:14.721 --> 29:16.666 really , At the state level , it's 29:16.666 --> 29:18.888 first reporting , overly prescriptive , 29:18.888 --> 29:21.110 approaches the vaccination and unwell . 29:21.110 --> 29:23.221 And then , finally , an unwillingness 29:23.221 --> 29:25.443 toe move . Thio alternative channels of 29:25.443 --> 29:27.610 distribution over alliance . I call it 29:27.610 --> 29:27.460 the hospitalization of vaccine 29:27.460 --> 29:29.571 distribution , and that was natural , 29:29.571 --> 29:31.793 as I said at the outset , but it's time 29:31.793 --> 29:33.960 to move beyond that . We have too much 29:33.960 --> 29:35.682 vaccine sitting in freezers at 29:35.682 --> 29:37.904 hospitals , with hospitals not using it 29:37.904 --> 29:40.071 now . Sometimes hospital systems could 29:40.071 --> 29:42.071 be very effective partners in these 29:42.071 --> 29:44.349 vaccine programs as they have networks . 29:44.349 --> 29:46.516 They have primary care practices there 29:46.516 --> 29:48.571 themselves , health systems not just 29:48.571 --> 29:50.682 hospitals . And so if they can get to 29:50.682 --> 29:52.904 their patients , get to their customers 29:52.904 --> 29:55.016 and clients that air vulnerable those 29:55.016 --> 29:57.700 65 above and those under age 60 64 29:57.790 --> 30:00.660 below who have co morbidity ease . Well , 30:00.670 --> 30:02.559 that's ideal also . But use every 30:02.559 --> 30:04.781 channel , get the vaccine out there . I 30:04.781 --> 30:06.837 would rather have people , um , have 30:06.837 --> 30:10.270 people , uh , working to get 30:10.270 --> 30:13.240 appointments to get vaccinated , then 30:13.360 --> 30:15.750 having vaccine going toe waste , 30:15.760 --> 30:18.090 sitting in freezers , general partner 30:18.090 --> 30:20.312 or Dr Redfield . Anything you'd like to 30:20.312 --> 30:24.200 add , right . Thank you , 30:24.200 --> 30:26.256 Mr Secretary . And I agree with your 30:26.256 --> 30:28.422 answers . Uh , the other thing I would 30:28.422 --> 30:30.478 just say is right now , C d . C . Is 30:30.478 --> 30:32.589 doing a I'll call it Deep dive on the 30:32.589 --> 30:34.700 64 jurisdictions to try to understand 30:34.700 --> 30:37.530 exactly what that issue is . I do think 30:37.530 --> 30:39.419 a lot of it is reporting . As the 30:39.419 --> 30:41.586 Secretary said , the standard that CDC 30:41.586 --> 30:43.780 has had in the past for reporting 30:43.780 --> 30:46.280 vaccination was to providers to report 30:46.280 --> 30:48.840 within 30 days . We're now asking them 30:48.840 --> 30:50.951 to report within three days . So I do 30:50.951 --> 30:52.840 think some of that is part of the 30:52.840 --> 30:55.090 hiccup , but we're doing a deep dive in 30:55.100 --> 30:57.378 all the jurisdictions as was mentioned . 30:57.378 --> 30:59.500 Some of them are less than 15% . Then 30:59.500 --> 31:01.556 we have other jurisdictions that are 31:01.556 --> 31:03.667 over 80% . To understand exactly what 31:03.667 --> 31:05.833 those factors are . Pretty confident , 31:05.833 --> 31:08.056 we'll have an understanding that by the 31:08.056 --> 31:10.167 end of the week Fennel . Did you have 31:10.167 --> 31:12.389 anything you want ? Secretary ? I agree 31:12.389 --> 31:14.667 with all that was just said completely . 31:14.667 --> 31:16.611 I would just add the separation of 31:16.611 --> 31:19.450 distribution from actual administration . 31:19.460 --> 31:22.210 We are tracking distribution at a 31:22.210 --> 31:23.450 success rate of 31:23.450 --> 31:27.410 99.999% eso . In 31:27.410 --> 31:29.550 other words , if the state tells us 31:29.550 --> 31:32.070 where they want it in one of the 70,000 31:32.240 --> 31:34.600 enroll providers we are able to 31:34.600 --> 31:37.140 distribute there in accordance with the 31:37.140 --> 31:40.680 order on we , we Pfizer , 31:40.680 --> 31:44.450 Madonna , McKesson , UPS and FedEx are 31:44.450 --> 31:48.220 literally going through snowstorms on 31:48.220 --> 31:51.260 distributing vaccine every day , uh , 31:51.270 --> 31:54.500 to the to the location as desired at a 31:54.510 --> 31:56.160 very high success rate . 31:58.440 --> 32:01.940 Next question , that is , from Dan 32:01.940 --> 32:04.420 Varga . No , with buzzfeed news , your 32:04.420 --> 32:07.080 line is open . Thank you , Dan for 32:07.080 --> 32:09.630 Ghana Buzzfeed news . I'm wondering if 32:09.630 --> 32:11.530 this change will necessitate any 32:11.530 --> 32:13.890 widening of the time window for the 21 32:13.890 --> 32:16.450 day and 28 day second dose . What ? 32:16.450 --> 32:18.672 What is the widening how close to 21 or 32:18.672 --> 32:21.250 28 days you have to get now . Uh , wh 32:21.250 --> 32:23.250 Ose advisory committee has said you 32:23.250 --> 32:25.370 might go to six weeks . Um , what do 32:25.370 --> 32:27.540 you see as the window for that ? Or 32:27.540 --> 32:29.651 what do you recommend eso Dan , Thank 32:29.651 --> 32:31.762 you for asking about that . I want to 32:31.762 --> 32:33.929 be very clear . The labeled indication 32:33.929 --> 32:35.984 from the FDA on the vaccines for the 32:35.984 --> 32:38.207 Pfizer vaccine is 21 days between first 32:38.207 --> 32:40.040 dose and second dose and 28 days 32:40.040 --> 32:42.207 between first dose and second dose for 32:42.207 --> 32:44.373 the moderate vaccine . That's what the 32:44.373 --> 32:46.596 clinical trials were based on . That is 32:46.596 --> 32:48.596 the data submitted to the FDA , and 32:48.596 --> 32:50.762 that is what we're executing towards . 32:50.762 --> 32:52.873 So that is the goal . Now , if people 32:52.873 --> 32:52.830 end up coming in a day or so on each 32:52.830 --> 32:56.830 side , the goal is still 21 or 28 32:56.830 --> 32:58.941 days . But we're not comfortable with 32:58.941 --> 33:00.774 approaches that are not based in 33:00.774 --> 33:02.774 evidence that has been generated to 33:02.774 --> 33:04.663 support these incredibly safe and 33:04.663 --> 33:06.886 effective vaccines . And I think that's 33:06.886 --> 33:08.886 part of why the American public has 33:08.886 --> 33:10.886 seen has shown such surging vaccine 33:10.886 --> 33:12.941 confidence that every aspect of this 33:12.941 --> 33:14.997 has been data and science driven and 33:14.997 --> 33:17.219 the FDA will make the determinations of 33:17.219 --> 33:19.386 what a purpose administrations are the 33:19.386 --> 33:21.441 general laid out and this was always 33:21.441 --> 33:23.663 part of the plan . You could go back to 33:23.663 --> 33:23.450 my statements . I think it was in 33:23.450 --> 33:25.450 December at these press conferences 33:25.450 --> 33:27.561 where I said , What we're going to do 33:27.561 --> 33:30.740 is manage the flow of vaccines . We 33:30.740 --> 33:32.740 must ensure that if you get a first 33:32.740 --> 33:34.650 vaccine , there will be a second 33:34.650 --> 33:37.430 vaccine at the 21 day or the 28 day 33:37.430 --> 33:39.486 market . The provider for you to get 33:39.486 --> 33:42.350 that . We have two sources for vaccine . 33:42.360 --> 33:44.471 One would be holding back some of the 33:44.471 --> 33:46.471 initial stocks of vaccine that were 33:46.471 --> 33:48.582 that were , releasable in December to 33:48.582 --> 33:50.916 guarantee that we have that second does . 33:50.916 --> 33:52.880 But I said over time , as we gain 33:52.880 --> 33:55.102 confidence in the manufacturing quality 33:55.102 --> 33:57.269 and processes of modern and Pfizer and 33:57.269 --> 33:59.820 with our deep , deep , deep operation , 33:59.820 --> 34:01.931 warp speed engagement Madonna and are 34:01.931 --> 34:04.042 increasing engagement now with Pfizer 34:04.042 --> 34:06.098 in their manufacturing processes and 34:06.098 --> 34:08.264 use of the Defense Production Act , we 34:08.264 --> 34:10.264 have greater visibility and greater 34:10.264 --> 34:09.700 confidence in their production 34:09.700 --> 34:12.230 capabilities . We now have been able to 34:12.230 --> 34:14.286 move to where we do not need to hold 34:14.286 --> 34:16.410 back reserve doses because we can 34:16.410 --> 34:19.290 predict with better certainty the doses 34:19.290 --> 34:21.290 that will arrive off the production 34:21.290 --> 34:23.512 lines and quality control at the 21 day 34:23.512 --> 34:25.623 and 28 day mark to fulfill our second 34:25.623 --> 34:27.846 dose obligations to patients . And that 34:27.846 --> 34:30.840 will be our primary . And so , if 34:30.850 --> 34:33.840 they're heaven forbid or any type of 34:33.840 --> 34:36.007 glitches and production , the way this 34:36.007 --> 34:38.290 would work is new production . Off the 34:38.290 --> 34:40.512 production lines would be going towards 34:40.512 --> 34:42.401 first and foremost fulfilling the 34:42.401 --> 34:44.568 second dose obligation , and any first 34:44.568 --> 34:46.679 doses would be delayed to ensure that 34:46.679 --> 34:48.901 patients get at the 21 or 28 day mark . 34:48.910 --> 34:51.570 That second dose . Thank you . We have 34:51.570 --> 34:55.220 time for two more questions . Thank you . 34:55.220 --> 34:58.340 Our next from Ricardo Alonso Zaldivar 34:58.350 --> 35:00.520 with Associated Press . Your line is 35:00.520 --> 35:03.950 now open . Thank you for taking my 35:03.950 --> 35:06.520 question . And , Mr Secretary , can you 35:06.520 --> 35:09.010 walk us through the change in 35:09.020 --> 35:11.050 allocation to the States that you 35:11.050 --> 35:14.070 announced today ? Does that mean that 35:14.080 --> 35:16.770 some states may end up getting less 35:17.240 --> 35:21.220 than they otherwise would have ? And is 35:21.220 --> 35:23.560 there a risk of disruption with that ? 35:23.570 --> 35:27.410 And finally , um , do you have buy in 35:27.420 --> 35:30.100 to that approach from the incoming 35:30.100 --> 35:32.490 administration ? So , Ricardo , thank 35:32.490 --> 35:34.920 you for the question on that . So the 35:34.920 --> 35:37.320 two changes that we have outlined our 35:37.330 --> 35:40.740 first that are allocations among the 35:40.740 --> 35:43.360 states will not remain purely on a per 35:43.360 --> 35:46.360 capita basis , but rather be based on 35:46.390 --> 35:48.590 the reported data showing the 35:48.590 --> 35:51.970 percentages vaccine administered versus 35:51.980 --> 35:54.313 their allocations that they've received . 35:54.313 --> 35:56.369 In other words , if you're not using 35:56.369 --> 35:58.369 vaccine that you had the right to , 35:58.740 --> 36:00.684 then we should be re balancing two 36:00.684 --> 36:03.490 states that are using that vaccine . It 36:03.490 --> 36:06.650 is common sense . It seems hard to 36:06.650 --> 36:08.650 actually defy that . But we want to 36:08.650 --> 36:10.650 give notice , especially because of 36:10.650 --> 36:12.650 these data issues . We want to give 36:12.650 --> 36:14.706 notice . Within two weeks . We'll be 36:14.706 --> 36:16.872 doing that . So get your data in order 36:16.872 --> 36:18.928 to work on that data . Ricardo , you 36:18.928 --> 36:21.150 may remember we followed a very similar 36:21.150 --> 36:23.039 approach when we were in shortage 36:23.039 --> 36:25.039 situations with from D severe doing 36:25.039 --> 36:27.261 allocations to the states on needing to 36:27.261 --> 36:29.340 get reported data on Romney , severe 36:29.340 --> 36:32.430 location and utilization on DSO . We 36:32.430 --> 36:34.374 follow that approach and it worked 36:34.374 --> 36:36.430 exceptionally well in the context of 36:36.430 --> 36:38.530 room disappear on then Thea other 36:38.530 --> 36:41.300 changes to really emphasize to make it 36:41.300 --> 36:44.120 very clear how vitally important it is 36:44.220 --> 36:46.750 to prioritize and focus on those who 36:46.750 --> 36:48.583 are most vulnerable for whom the 36:48.583 --> 36:50.806 vaccine will have the biggest effect on 36:50.806 --> 36:53.160 those of those age 65 over , and those 36:53.160 --> 36:56.500 64 below with co morbidity . And so 36:56.510 --> 36:58.677 that will be a change . I believe it's 36:58.677 --> 37:00.843 about 10 states most impacted based on 37:00.843 --> 37:02.954 the data . Uh , there would be fairly 37:02.954 --> 37:05.121 common sense where that would be . But 37:05.121 --> 37:07.343 again , our states aren't using 100% of 37:07.343 --> 37:09.910 their allocated vaccine . Eso This ends 37:09.910 --> 37:12.021 up being , I think , a t least in the 37:12.021 --> 37:15.040 interim of redistribution between and 37:15.040 --> 37:17.510 among the states . That should not 37:17.510 --> 37:20.420 necessarily hurt many states , but will 37:20.430 --> 37:22.541 enhance the benefit to those that are 37:22.541 --> 37:24.486 actually getting vaccines done and 37:24.486 --> 37:26.541 performed . Thanks . Next question , 37:26.541 --> 37:28.652 please . Time for one last question . 37:29.630 --> 37:32.140 Our final question is from Tom Howell 37:32.140 --> 37:34.196 with The Washington Times , and your 37:34.196 --> 37:37.030 line is now open . Hi . Thanks for 37:37.030 --> 37:39.141 doing the call . Um , can you address 37:39.141 --> 37:41.252 the back end of a car ? Does question 37:41.252 --> 37:43.474 about whether the Biden team has bought 37:43.474 --> 37:45.474 into that plan . And also conductor 37:45.474 --> 37:47.586 slowly update us on AstraZeneca and J 37:47.586 --> 37:49.752 and J . When will they seek approval ? 37:49.752 --> 37:51.919 And how many doses have you secured of 37:51.919 --> 37:54.510 either one ? Thanks . So we at the 37:54.510 --> 37:57.250 operation Warp speed board made the 37:57.250 --> 37:59.580 determination on the changes and read 37:59.580 --> 38:01.250 in distribution allocation 38:01.250 --> 38:04.090 methodologies among the states . While 38:04.090 --> 38:07.230 we will certainly brief the Biden team 38:07.240 --> 38:10.510 on those changes , we operate as you 38:10.510 --> 38:12.677 know , with one government at a time . 38:12.677 --> 38:14.980 And we This is the approach that we 38:14.980 --> 38:18.070 believe best fulfills the mission and 38:18.070 --> 38:20.950 the current situation that we're facing . 38:21.920 --> 38:25.910 Thank you ducks like Thank you 38:25.910 --> 38:28.810 for your question . Eso regarding the 38:28.810 --> 38:31.150 young sons vaccine . As you know , the 38:31.150 --> 38:33.372 face retrial is fully recruited . There 38:33.372 --> 38:36.130 are unfortunately fortunately for the 38:36.130 --> 38:38.180 trial , very significant number of 38:38.180 --> 38:42.020 cases accruing We are very clear . 38:42.080 --> 38:44.890 We meaning operation and Johnson's 38:44.890 --> 38:48.200 pharmaceuticals . That analysis will be 38:48.200 --> 38:50.510 completed before the end of the month , 38:50.520 --> 38:52.720 and the U . S submission will take 38:52.720 --> 38:55.350 place at the end of this month . In 38:55.350 --> 38:58.050 terms of vaccine , those availability . 38:58.280 --> 39:00.391 If submission is happening at the end 39:00.391 --> 39:03.700 of January 1 could project that 39:03.710 --> 39:06.090 approval of the emergency use 39:06.090 --> 39:08.201 authorization may happen somewhere in 39:08.201 --> 39:10.312 the middle of the month of February . 39:10.312 --> 39:13.300 We project to have single digit million 39:13.380 --> 39:15.990 number of those is available in the 39:15.990 --> 39:18.157 second half of February . We're trying 39:18.157 --> 39:21.500 to make that number get as close to a 39:21.500 --> 39:23.890 double digit number as possible and 39:23.890 --> 39:26.550 then a larger number in March and a 39:26.550 --> 39:29.910 much larger number in April . Remember , 39:29.910 --> 39:32.310 this is a one shot vaccine , so those 39:32.310 --> 39:34.199 are millions of individuals fully 39:34.199 --> 39:36.620 immunized in terms of the AstraZeneca 39:36.620 --> 39:38.842 vaccine . The assumption we are working 39:38.842 --> 39:41.880 on is that the emergency use 39:41.880 --> 39:44.300 authorization will be submitted on the 39:44.300 --> 39:46.467 basis of the ongoing Phase three trial 39:46.467 --> 39:48.900 in the US The face retrial is 39:48.900 --> 39:51.067 effectively fully enrolled . There are 39:51.067 --> 39:53.370 few individuals Mawr enrolled on a 39:53.400 --> 39:56.460 primarily toe 39:57.220 --> 39:59.310 ensure appropriate representation of 39:59.320 --> 40:01.930 all diverse population in the country . 40:02.810 --> 40:06.200 Cases are accruing the 60 40:06.200 --> 40:09.520 days upon completion off full 40:09.520 --> 40:13.230 immunization scheduled follow up safety 40:13.230 --> 40:15.240 as required by the FDA . Guidance 40:15.450 --> 40:18.050 happens during the first week of the 40:18.050 --> 40:20.030 month of March on . The projection 40:20.030 --> 40:23.020 would be to have a submission of the EU 40:23.020 --> 40:25.560 a around that time assuming , of course , 40:25.860 --> 40:27.680 that cases have accrued again . 40:27.680 --> 40:29.736 Unfortunately , I think that will be 40:29.736 --> 40:32.650 the case and hopefully the vaccine 40:32.650 --> 40:35.270 again it's efficacious has been shown 40:35.270 --> 40:38.430 in the trials conducted in Brazil and 40:38.440 --> 40:42.180 in the UK eso maybe an approval 40:42.190 --> 40:44.780 somewhere towards the larger part of 40:44.780 --> 40:46.947 the month of March , and a significant 40:46.947 --> 40:48.947 number of those is available around 40:48.947 --> 40:50.724 that time and since you ask the 40:50.724 --> 40:52.730 question . Maybe also update on the 40:52.730 --> 40:55.570 Novavax vaccine . The Novavax vaccine 40:55.580 --> 40:57.760 is the fifth program out of the six 40:57.760 --> 41:00.400 programs we have that is in face 41:00.400 --> 41:02.750 retrial or completed the face retrial 41:03.210 --> 41:05.520 the face of Israel has now recruited 41:05.520 --> 41:09.480 about 8000 or so subjects is recruiting 41:09.480 --> 41:12.120 very fast at a rate of 800 subjects per 41:12.120 --> 41:14.287 day . Volunteers . Hopefully we can go 41:14.287 --> 41:16.260 to a higher number . It's very 41:16.260 --> 41:18.290 important that people continue to 41:18.350 --> 41:22.220 participate generously Thio 41:22.230 --> 41:25.140 be volunteers in this clinical trial . 41:25.430 --> 41:27.097 The projection is to complete 41:27.097 --> 41:29.490 recruitment of these trials somewhere 41:29.500 --> 41:32.410 very early in the month of February on , 41:32.420 --> 41:34.900 based on timelines of immunization , 41:34.900 --> 41:37.400 etcetera . Maybe there we can have an 41:37.400 --> 41:41.000 outcome somewhere in the month off 41:41.010 --> 41:43.990 very late March or in April , the 41:43.990 --> 41:45.990 Sanofi trial program , which is the 41:45.990 --> 41:48.180 last program in our portfolio , will 41:48.180 --> 41:50.402 start face to be trial in the middle of 41:50.402 --> 41:52.458 February in a comparative trial to a 41:52.458 --> 41:55.970 messenger RNA vaccine . Maybe also on a 41:55.970 --> 41:58.330 progress part of things we are working 41:58.340 --> 42:02.080 now experimentally testing Sierra for 42:02.080 --> 42:04.247 identification , off immune correlates 42:04.247 --> 42:06.280 of protection . That's really super 42:06.280 --> 42:09.040 important because if and when we have 42:09.040 --> 42:11.290 the data somewhere in the middle of 42:11.290 --> 42:13.346 February is the projection currently 42:13.600 --> 42:15.670 that identifying immune cards of 42:15.670 --> 42:17.990 protection that will dramatically 42:17.990 --> 42:20.290 accelerate potential approval of other 42:20.290 --> 42:22.123 vaccines , including the protein 42:22.123 --> 42:24.680 vaccines , particularly that from 42:24.970 --> 42:27.450 Sanofi and vaccines from others and , 42:27.450 --> 42:29.740 of course , across the world , provided 42:29.750 --> 42:32.520 people use uh , read outs that are 42:32.520 --> 42:34.631 validated or cross validated with the 42:34.631 --> 42:37.010 read outs that have being used . I 42:37.010 --> 42:39.121 don't want to say a final final point 42:39.121 --> 42:41.177 is we are running a clinical trial . 42:41.177 --> 42:43.960 Face retrial in adolescents 12 to 18 42:43.960 --> 42:46.600 years of all of age with the modern A 42:46.600 --> 42:49.930 vaccine . Uh , it's a real 42:49.930 --> 42:52.250 challenge . It's been four weeks 42:52.250 --> 42:54.780 ongoing . We only recruited about 800 42:54.780 --> 42:57.140 subjects in the trial . Remember , I 42:57.140 --> 42:59.307 just said earlier , the Astros and the 42:59.307 --> 43:01.529 sorry Novavax vaccine is recruiting 800 43:01.529 --> 43:03.800 subjects per day here . We're talking 43:03.800 --> 43:06.590 about 800 subjects in a month . It's 43:06.590 --> 43:09.690 really very important for all of us , 43:10.040 --> 43:12.510 for all the population in America , too . 43:12.900 --> 43:14.910 Realize that we can't have that 43:14.920 --> 43:18.310 indication unless adolescents aged 12 43:18.310 --> 43:21.300 to 18 decided to participate . Of 43:21.300 --> 43:23.960 course , as a voluntary decision into 43:23.960 --> 43:25.793 the clinical trials , we need to 43:25.793 --> 43:27.849 recruit about 3000 subjects into the 43:27.849 --> 43:29.904 trial to complete them . Thank you . 43:31.900 --> 43:35.650 So this is very likely the 43:35.660 --> 43:38.260 last Operation warp speed briefing with 43:38.260 --> 43:41.480 this team for you all . I just wanted 43:41.480 --> 43:43.560 to express three notes of thanks . 43:43.560 --> 43:45.727 First , I want to thank the members of 43:45.727 --> 43:47.727 the media who participated in these 43:47.727 --> 43:49.838 operation warp speed calls . You have 43:49.838 --> 43:51.980 been unfailingly professional and 43:51.980 --> 43:54.730 allowed a on educational and technical 43:54.730 --> 43:57.480 level briefing that I hope your readers 43:57.480 --> 43:59.980 and listeners and viewers have 43:59.980 --> 44:02.036 appreciated . We have tried it every 44:02.036 --> 44:03.924 step of the way to be factual and 44:03.924 --> 44:06.036 transparent with you and bring you on 44:06.036 --> 44:07.758 the journey with us of vaccine 44:07.758 --> 44:10.400 approvals and distribution and now 44:10.400 --> 44:12.289 administration . So thank you for 44:12.440 --> 44:15.190 making that possible . Second , I want 44:15.190 --> 44:17.412 to express my appreciation to Secretary 44:17.412 --> 44:19.190 former Secretary Esper , acting 44:19.190 --> 44:21.301 Secretary Miller and Deputy Secretary 44:21.301 --> 44:23.357 Norquist of the Defense Department . 44:23.357 --> 44:25.468 The collaboration between D . O . D . 44:25.468 --> 44:28.210 And HHS has been unprecedented on 44:28.210 --> 44:30.600 really in my , uh , in my decades 44:30.600 --> 44:33.120 around government government service . 44:33.130 --> 44:35.019 I've just never seen this type of 44:35.019 --> 44:37.074 collaboration and cooperation that's 44:37.074 --> 44:39.186 really that comes from the top . That 44:39.186 --> 44:41.241 is a credit to the leadership of the 44:41.241 --> 44:43.519 Defense Department to make this happen . 44:43.519 --> 44:45.810 So thank you for that . Finally , 44:46.030 --> 44:49.490 people is policy and we , 44:49.490 --> 44:51.657 fortunately at the outset of Operation 44:51.657 --> 44:53.600 Warp speed were ableto have some 44:53.600 --> 44:55.780 exceptional people leading this in all 44:55.780 --> 44:58.002 of my time , leading in business and in 44:58.002 --> 45:00.520 government . I have never been part of 45:00.520 --> 45:03.170 a team that has that has , has a 45:03.180 --> 45:04.660 demonstrated teamwork and 45:04.660 --> 45:06.327 professionalism and integrity 45:06.690 --> 45:10.080 discipline , as this team does . And , 45:10.090 --> 45:12.820 uh , I want to express my personal 45:12.820 --> 45:14.987 appreciation toe all of the members of 45:14.987 --> 45:17.970 the team , but especially General Purna , 45:17.980 --> 45:20.800 who was a hero for America before he 45:20.800 --> 45:22.860 did this . Now he's a hero for 45:22.860 --> 45:25.027 America's public health . Two months , 45:25.027 --> 45:27.470 chefs Lowey , who was a hero of the bio 45:27.470 --> 45:29.650 pharmaceutical industry before doing 45:29.650 --> 45:32.470 this and is now a hero of America's 45:32.470 --> 45:35.190 public health . These selfless 45:35.190 --> 45:37.920 individuals have dedicated every waking 45:37.920 --> 45:40.031 minute since they were tapped back in 45:40.031 --> 45:42.480 May . Toe lead These efforts , the 45:42.480 --> 45:45.680 results have been remarkable . Andi . I 45:45.740 --> 45:48.620 hope that the next team with the Biden 45:48.620 --> 45:50.676 administration will be able to carry 45:50.676 --> 45:52.620 forward these results . We will do 45:52.620 --> 45:54.509 everything in our power to ensure 45:54.509 --> 45:56.231 smooth and effective continued 45:56.231 --> 45:58.270 transition . The first meeting , I 45:58.270 --> 46:00.103 believe , of any transition team 46:00.490 --> 46:02.657 between this administration . The bite 46:02.657 --> 46:04.934 administration was before Thanksgiving . 46:04.934 --> 46:07.046 It was for Operation warp speed , and 46:07.046 --> 46:09.268 we'll continue those efforts up through 46:09.268 --> 46:11.268 the last day of this administration 46:11.268 --> 46:11.250 into the body and into the Biden 46:11.250 --> 46:14.030 administration . So thank you all very 46:14.030 --> 46:15.720 much . We appreciate everything .