i am a public health data geek. because like senator can luper, i was a mayor, i was a, senator like the, chair who was also a mayor. we have the experience of seeing the local health systems and state health systems and federal health systems that don't share that with each other. then you have all the providers. to that created a huge challenge for us early in covid, and we just kind of ran back at the beginning of covid. it was hard even to get racial information about those who are getting covid and dying of it. it took us a while to realize, and a lot of jerry wrecking to realize okay, this was affecting african american and latinos more than others. but we didn't know that right away. with the federal health data system, we would have. often minorities are lower income, and so they have had less health care access. which has given them more morbidity, which makes them more susceptible to serious cases of covid. often racial minorities were working in professions like home health care aides, or grocery store cle

and then -- mark: that needs to be a public health effort together. janet: that's right. you have to get those samples from health care so you can create that. and then the diagnostic companies can really -- they're the ones who can do this at scale. let's get over it, ok? and so they can do the easy test or the strip test, they can do all this stuff. but they need the tools, they need to have substraights given to them. brian: they need multiple platforms which parties can develop a standard. then on top that for rollout, they need to be title of the bill have the logistics to get the tests out but then also get the data in a standardized form. there needs to be standards so it's more portable. on top of that you need to, sort of like starbucks, can measure the number of cups of coffee sold at probably each of their stores across the world, to be able to at the local, state or federal level, get those data and identify and secure. mark: it sounds complicated but we do some things like this now. we have electronic reporting for, like, today, covid cases from hospitals and

public health science is an interdisciplinary field. we need diverse experts to avoid blind spots and print -- that particular scientific disciplines might suffer from. as well as to come up with an understanding of complex health problems. the pandemic is a prime example of a complex health problem. but of course this leads to scientific communities are used to handling certain kinds of evidence that could end up butting heads or having different understandings of what kinds of studies we need and what kinds are appropriate. partly to deal with this challenge of the need for interdisciplinary, the fact different disciplines have different ways of thinking through evidence and decision-making, i actually want to second mark's call for a scientific advisory group for emergencies in the u.s. a group similar to what they have in the united kingdom and what advises the world health organization as a standing group during the inter-pandemic period that a wrong -- that involves epidemiology and other public health scientists and public health

is called public health three . zero recognizing that public health is certainly not just about hygiene making sure the water is clean and thes foods are safe and so forth an important collaborations with the fda there and i do but also about all of these opportunities with technology in medical technology and all of the opportunities and have behavioral choices and constraints of people face and influence of the public health outcomes, and so broad and i think about budgets and about 13000 per person, in healthcare in the united states and about 3500 or $4000 on social services and all those things and about $300 per capita think 15 maybe in between the cdc funding and other federal state and local public health funding, and you know this is gotta be a partnership. >> absolutely although i would say the question would be what is the return on the investment of the population an investment in the disease in the cdc is the right leverage to do that and should another agency be taking on some of this maybe had more lo

a public health measure. vaccines do work, vaccines are safe, i do not wish anybody, regardless of whether a natural infection can cause a more robust immune response to go and get infected, or to want to be infected, or to disregard the importance of a vaccine. i do not wish for a republican, or democrat, or anybody to get these symptoms, to a more higher risk person, or to risk themselves being hospitalized, or even dead. those who have been vaccinated, if you fall under the category of high risk, are not immune or competent, that i would still recommend it to be taking all of the precautions, because you can still get sick, and can still be hospitalized. and you could still die. it is nuanced. we have to work within that nuance, and i do believe that in future pandemics, we shouldn't be with these unknown viruses, that can are rapidly transmissible, that we should work on disregarding safety precautions by saying that getting infected it will be the protection. let's just be careful in the way we present t

public health from harvard school public health or from the harvard medical school. so perhaps one of the suggestions would be to entertain the career options for public health and physicians and medical scientists to join the intelligence communities in doing the research ezell. >> i think that would be a good day. also know recruit when i i goy degree from harvard history department. we have to rethink how we recruit so going to medical schools, public health policy schools would be a very good idea. >> thank you. i yield back. >> i now recognize the chairman of the full committee mr. comer from kentucky for five and is a question. >> thank you, mr. chairman. what you think each of the witnesses for being here today. as i said from the beginning discovering the origins of covid-19 is vital to both the public health and national security of the united states. former cdc director redfield testified last month this is not simply a scientific question but also one of intelligence and i agree with that. we need to ensure the intelligence is accurate and truthful. on mar

in public health interdisciplinary field. we need to avoid blind spot the particular might suffer from. as well as the reason together to come up with that an understg of complex health problems and pandemic is a prime example of a complex health problem. this of course means different scientific communities that are used to handling different kinds of evidence, experimental evidence could come up butting heads or clashing or having different understandings of what kind of studies we need and what kind of studies are appropriate. i think partly to deal with this challenge of the need for interdisciplinary defect different disciplines have different ways of thinking through evidence and decision-making i want the second marked call from a scientific advisory group. the standing group doesn't injure pandemic that involves aerobic kind of scientific experts gets to meet lg other health sciences as well social sciences including sciences. between public health emergencies to think through evidence or processes we might need to wha

i'm a public health data geek. like senator hickman, the mayor, governor -- the chair, who is the mayor. we had the experience of seeing the silos, local health systems and state health systems, federal health systems that don't really share that well with each other. then you have the providers. it created a huge challenge for us early in covid. just to kind of run back to tape at the beginning of covid. it is hard to even get racial information about those that were getting covid and dying of it. it took us a while to realize. it took a lot of jerry rigging to realize that this was affecting african american and latino more than others. we didn't know that right away. and with the federal health data system, we would've. often minority are lower income. they have had lets health hair care access, which has given them more more bitter these. which makes them more susceptible to serious cases of covid. often racial minorities were working in professions like home care health care aides or grocery store clerks where

for the sake of public health. for the sake of our neighbors regardless of the political affiliation, i am poor everyone here today to remain focused on the facts and come together to identify real solutions to put people over politics, to prevent future harm, to save lives and ensure america is stronger and bader -- better prepared in the future. thank you. >> thank you dr. release. our witnesses today are dr. marty mcgarry. he served in leadership in the world health organization safety program, elected to the national academy of medicine and published more than 250 peer-reviewed scientific articles. dr. marjorie's mogensen. express these and infectious disease -- expertise and infectious disease. completed her postdoctoral fellowship at the university of california san diego. dr. tina tan. she is a board-certified certified pediatrician as well as current professor pediatric and infectious diseases in chicago. pursuant to committee on oversight, the witnesses will please stand and raise their right hand. do you

there needs to be development around public health on health data so that is more affordable. on top of that you need to sort of like starbucks, can measure the cups of coffee sold at probably each of the stores across the world, to be able to at the local, state, or federal level get those data and identify and secure. >> it sounds complicated that we somethings like this now. we do have electronic reporting for, like today, covid cases from hospitals and emergency rooms. we did have some states and localities adopting electronic standards for sharing lab report data, positive and negative and be identified and protected. we just have done it national yet and the t seems like a great combination of what we can support nationally through cdc, fda and at cms. and informing and supporting a very well done local responses that are faster, more informed and, therefore, more effective. >> thank you. thank you all for joining us. we will end on that note. and hopefully i think that we have a series of ideas and policy principles for a bipartisan way forward, , and hopefully the next

you see that it hurts the recruitment of public health service in a time when we have a public healthservant shortage. and it hurts trust, it hurts trust in basic basic measures. it reduces airborne commission. and vaccines that save lives. congress has an important role in supporting the export community's efforts to get to the bottom of the coronavirus's origins. we also have an important role to be forward-looking in developing the policy solutions necessary to mitigate the threat of new viruses, no matter where they came from. i saw each of the witnesses not in agreement in my discussion with dr. or water regarding construction policy solutions like raising the international standards for pathogen research. there's still an opportunity for us to correct course and this is a message on both sides of the aisle for this select subcommittee to be constructive and focus on forward-looking solutions, ones that save lives and that matter the individuals who are at risk of dying today from this virus. so let's gain function resources. let's discuss what we can do to improve safety guideli

she will (indiscernible) at the dph and greater san francisco public health communities. resolved, the san francisco health commission honoring drr bennett for outstanding service and leadership i wishes well in the new position as the washington dc director of health. [applause] >> do we have a motion to approve? >> so moved. >> second. >> okay. do we have any public comment within the chamber or on the phone line? >> any in the chamber? folks son the line if you like to comment, press star 3. we are on item 3. after the vote you will be called up dr. bennett. there are no raised hands for public comment. >> alright. commissioners, any comments or questions? commissioner christian. >> thank you president bernal. dr. bennett i'm so sorry to see you go. i didn't have a chance to really benefit from you know, all of your leadership and knowledge in the way that i would have if i had been here a little longer, but i thank you so much for what you have done for all of us on the commission, but also for what you've done for those who live in the city as well as people who come

system and the analogy between the way that we deliver public health and the state militias under the articles of confederation. so they keep you a taste of kind of level at which it's written. and nonetheless it's easily readable. i think i will leave it there. we'll come back to l some of the topics that aref in the book during the course of the discussion. i think i will now sort of shift to a few perspectives of my own that iw think are consistent wih but probably not all in the book. deep, seriously consistent with what the book triesy to lay ou. so the topic of her panel is the of science in pandemic decision-making. the perspectives i want to bring our to start i think about the kind of time evolution of that question. so the pandemic at all of its stasis phases was an exercise in decision making under uncertainty, and the uncertainty in many ways with greatest at the beginning and narrowed as it went on and as we learned more dirt but it persisted. i think it's helpful to think about how you should act in relation to the signs scie science is minimal, when it's somewhat mo

and that's something don't think about much in public health unfortunately. so the evidence is huge. namely, the conditions that you faced in early life really matter for your health throughout the lifespan. and so there's a life cycle. you know, you start in diapers you go to disneynd, rock and roll masturbation and sex marriage, career, and then you're on the downslope calling ask to be retirement seafood buffet or my back drill i now confuse and i'm going to be back in diapers it's this period before you go to dney where roughly half of your health as an adult is program so a healthier society is condition that time in some very important ways so this is another way of looking at as you go from the -- to the resurrection the first thousand days after conception are in half of your health as an is programed and a student of mine gave. an intimate talk at town hall in seattle on this subject. and this is the graphic she displayed. for the first thousand days by the you're blowing out two candles on your birthday. that's about a thousand days. you know, half o

officials to thoroughly investigate and study future disease outbreaks, public health crises and be able to meaningfully connect that and convey that to the public. dr. garry and dr. anderson, do you think political weaponization of the origins of covid-19 will have a childing effect on our scientific research, international collaborations going forward and quite frankly result in lives lost or the inability to respond to public health crises when it arises? >> i'm a scientist. you know, i try not to let all the din of the politics around me influence my, you know, my analyses, my experiments, the choices that i make when i work together with other scientists to write a publication. so i understand what you're saying about the politics being influenced but i can tell you that we did not let those factors influence our writing of the proximal origins paper or any of the papers and science and n.a.s. and the other journals we have written in influence our thinking about the origins of sars-cov-2 in any way. >> dr. anderson? >> i think the whole reason i'm here today is because it's

d in -- publicly funded vaccine, influenza, these covid-19 vaccine prices following the public health emergency period will likely be the floor for continued price hikes in the future. what must congress include as part of phpa to protect the american public and their investment? congress should empower the federal government to exercise necessary leverage when allocating funds for medical countermeasures and negotiating procurement contracts. threw -- substantial price increases, through negotiated lower prices as they did during covid 19 pandemic. to prevent further prices from rising here after year, as they have with other vaccines. the government should call for stealing prices to be upheld. additionally, similarly to what they have been able to negotiate in a few contracts, the government could also ensure that manufacturers give them the best price compared to that of other high income countries. besides securing reasonable pricing provisions, the federal government must not ask facts -- safeguards under these contracts of flexibility and speed. use of contracting resin isms su

something out the public health department will work with the nonprofit local color to determine a fitting public space to display them in san jose fleet to gold kron. 4 news. >> coming up, police are still on the search for a driver wanted in connection with a deadly hit and run. >> plus, a bay area lego builder competes for the top spot. more in the 8 year-old many master next. babackck i in n ththe e , snsneaeakeker r drdropopst getting online to wait in line. now with xfinity mobile... ...we get the fastest mobile service and can get the freshest kicks asap. i got this. get the best price for 2 lines of unlimited when you switch to xfinity mobile for $30 a line per month. nice job, little sis! they grow up so fast... i'm a fan. from xfinity. >> in san francisco, 12 people have had to be rescued from the waters around the city because of strong wind gusts. several children were actually among the victims today. the most recent rescue. >> happening around 5 this afternoon at point lobos near cliff house. fire crews rescuing 2 kite surfers. both victims will be ok and about an h

she will (indiscernible) at the dph and greater san francisco public health communities. ed, the san francisco health commission honoring drr bennett for outstanding service and leadership i wishes well in the new position as the washington dc director of health. [applause] >> do we have a motion to approve? >> so moved. >> second. >> okay. do we have any public comment within the chamber or on the phone line? >> any in the chamber? folks son the line if you like to comment, press star 3. we are on item 3. after the vote you will be called up dr. bennett. there are no raised hands for public comment. >> alright. commissioners, any comments or questions? commissioner christian. >> thank you president bernal. dr. bennett i'm so sorry to see you go. i didn't have a chance to really benefit from you know, all of your leadership and knowledge in the way that i would have if i had been here a little longer, but i thank you so much for what you have done for all of us on the commission, but also for what you've done for those who live in the city as well as people who come in day

collins covered up the origins of the covid-19 pandemic, trust insights in her nations public health institution to suffer. the pew research center found that fewer than three in ten americans have a great deal of confidence in site is to act in the public's interest. so while manufacturing of distrust is largely happening along party lines, it will hurt us all in our public health in the long run whether you are republican, democrat, or independent. and we are already seeing the consequences. for example, threats against scientists and public health officials have surged in the wake of these accusations, which could have long-term impacts on our ability to cultivate a strong and growing workforce to protect our public health, to work during the next pandemic. dr. andersen, you have been the subject of these threats. could you please describe the threats and harassment you have experienced since the publication of the proximal origin paper? >> i'll say the paper itself has not resulted in the threats. however, the misinformation and disinformation and conspiracy theories around the pa

collins covered up the origins of the covid-19 pandemic, trusting the science and art nations public health institute has suffered. the pew research center found fewer than three in 10 americans have a great deal of confidence and scientist to act in the public interest. so, while manufacturing of distrust is largely happening along party lines it will hurt us all and or public health in the long run whether you are republican, democrat or independent. and we are already seeing the consequences. for example, threats against scientists and public health officials have surged in the wake of thesese accusations. which could have long-term impacts on our ability to cultivate a strong and growing workforce to protect our public health. to work during the next pandemic. dr. anderson, you have been the subject of these threats could you please describe the threats and harassment you have experience in the publication of the proximal origin paper? >> the paper itself has not resulted in threats. however the misinformation the disinformation of conspiracy theories around the paper have resulted in s

public health lyndon says that health _ not listening. health lyndon says that health pollution - not listening. public health lyndon says that health pollution is - not listening. public health lyndon says that health pollution is the i says that health pollution is the largest risk to public health not just in london but in the uk. is it not right to be tackling this with every tool available?— not right to be tackling this with every tool available? well, when tfl's own impact _ every tool available? well, when tfl's own impact assessment - every tool available? well, when | tfl's own impact assessment said every tool available? well, when i tfl's own impact assessment said it would make virtually no difference whatsoever, then you have to ask yourself why is he doing it? could it possibly be the £200 million that he expects to make from it? find it possibly be the £200 million that he expects to make from it?- he expects to make from it? and it is that a big _ he expects to make from it? and it is that a big factor, _ he expects to mak

how can we assure the net american because apple measures in direct responses public health emergencies in the future. the feedback into the covid nine pandemic, the federal government effectively reviews -- effectively removed vaccines in risks by granting direct public investment as long as severance access and resources across agencies. in return, the american public who underwrote these have received little if they will have equitable sustainable access and the political emergency period ends. manufacturers have announced plans to continue building, a mooring this even at lower pendant prices, they have been able to maintain profit. without interruption. my will locations help, as well as those at higher risk who bear the burden of untethered pricing. current policies offer some measure of protection to ensure americans. they will too likely confront these indirectly in the form of higher premiums. the federal government is securing vaccines and therapeutics and will bear the expected increase costs. texture spending, always have medical countermeasures, that -- there will be less m

something out the public health department will work with the nonprofit local color to determine a fitting public space to display them in san jose fleet two-goal kron. 4 news. >> coming up, a story of resilience in a four-legged friend. we hear from the pup's owner is she finds much needed help to raise money for costly medical bills. >> welcome back. top story this half-hour. it's the fentanyl murder conviction of its kind. >> in the state dealers convicted of murder for the death of a 15 year-old girl. zach boetto tells us what this means in the fight against fentanyl. >> for the first time in california, according to the placer county district attorney's office, a judge friday convicted a fenton on dealer for murder for his role in the death of a 15 year-old. the da also passing along a message for those still out there selling the deadly drug. don't come to placer county to sell fentanyl. you might pay for it with a life sentence inside the placer county superior court. the judge convicted 21 year-old nathaniel cabot come get of second-degree murder for the june 2022. death

i'm sorry, that example because response of the when this public health, when just in the public out there and my jesse was this charles, it seems that the interest or the way that the market books as a decline significantly. and i kind of say that the, the, this thoughts that is required to understand the outbreak is not as much as it should be desired. the i see that the gaps i have most, i always say that's i'm not very happy that we have dictated, but we go to images the end of the month. you said about joseph ended going on. we still did not have that job with dc. most spot to africa, we still did not have access to buses. we still did not know the house of transportation of inbox and i forgot to ask you many unknowns about the inbox in africa. c and the what need, you know, before we go there? well, i guess you were seeing best bet on just on the inbox the disease is approximately showing that returning got the issue on the match on eastern i. so i see that i can last of what energy and i hope that's the best by the fact that the book because one gets the same page, the nationa

i've dealt with this public health when just in the public out there and my jesse was desktops. it seems that the interest regarding market books as a decline significantly. and i can't say that the, the, this cost that is required to understand the outbreak is not as much as it should be desired. they ask you to know gaps i have most, i always say that's i'm not very happy that we have the candidate for me to go to and my jersey on that, but we can't do much. is a bunch of self ended, but we still did not have that job with the most part to africa. we still did not have access to buses. we still did not know the house of transportation of inbox and i forgot to ask you many unknowns about in books in africa, and they are what need you to be put together? well, i guess the, what's the best bet on best on the and box the disease is approximately showing that retaining caught the issue on the match on eastern i. so i see that i can last of what committee and i hope that's the best by the fact that people, because it gives you guys engaged the international committee on what stickle

do public health officials really believe this can change the game?> public health officials say they need new tools. promoting abstinence, it can only go so far. they have been looking for medical interventions. the big hope is getting something like a vaccine. there has not been much progress on that front. so this gives you an option to get it to the highest risk populations. people at the highest risk, if they are not getting it, you stop the transmission chance early and you can prevent broader circulation. >> the number of populations across the board are seeing an increase in sti's. public health officials are targeting the use of this dock cpap among transgender men and women and those who have sex with men. >> those were the populations study in the research that found doxey pepe effective. the reason they are looking at men who have sex with men and trans women is the rate of sti's are higher in that group. one of the reasons is not because of the differences in sexual behavior, but because when you have a smaller pool of people and sexual p