if you are not vaccinated, please protect yourself and get vaccinated. masks protect you and your family. please wear a mask in public indoor settings goa severe vaccination status. we need -- regardless of your vaccination status. if everyone -- get everyone over the age of 12 in your house vaccinated. we stand here with you, providing science and updated guidance in real-time to keep you and your families safe. thank you. dr. fauci: thank you. i would like to take up on the theme she started with. i going to be spending a couple of minutes addressing two issues that are the attention of the country and the world. the real world effectiveness of vaccines in the context of the delta variant. the second, break through, what they mean. let us discuss them a bit. look at the real world effectiveness against the delta variant. if you look at the three components of pcr confirmed infection, it is 79% in the new case study. symptomatic infection is 88%. the vaccines are doing exactly what we are asking them to do when it comes to keeping you out of the hospita

in africa have been vaccinated who are eligible to be vaccinated.t really shows this failure that there is, where we reach a point injuly, 2021, where we could have prevented almost all of the deaths going forward. and, yet, those deaths still accumulate every day. today, 9,000 people globally will die. it seems to me that is a fundamentally important point, and i want to come back to the reasons why in the course of this interview. but, right now, ijust want to focus on one thing which is very relevant to your oxford astrazeneca vaccine, and that is that, despite the requirement to get vaccines to people across the world as quickly as possible, we know that there are places in the world — i'm thinking of germany, australia — which have essentially decided they're not going to use your particular vaccine. does that bring you great sadness and regret? well, i think, as things stand at this moment, actually, the vaccine is being deployed amongst those who are at greatest risk of severe disease. so, you know, over the last seven months, in europe, the

, if you're fully vaccinated versus not vaccinated -- so if you're fully vaccinated versus not vaccinatedence between getting a case of the sniffles versus suffocation and having to go into the hospital with covid-19. i say it's the difference between spending a few days in your bed at home and weeks in the i.c.u. at a hospital. this is not to be taken lightly. these vaccines are life saving and can keep you out of the hospital, and, of course, prevent death. here, an over eight-fold difference, eight times more likely to be hospitalized if you are not fully vaccinated for covid-19. look at this difference between these two bars. incredible difference showing the effectiveness of these vaccines at the local level. next slide. so i also wanted to touch base on the indoor masking order that our san francisco public [inaudible] issued on august 3, requiring masks indoors regardless of vaccination status. this is an effort that aligns with c.d.c. guidance to reduce transmission of covid-19 and everyone due to the widespread covid-19 delta variant. so, you know, this delta variant is really co

vaccine mandates is to get people vaccinated. caroline: i am curious about developing nations, we saw very little data, are there same issues there, or is it a question of not being able to get it from a supply side issue? is there push back from the population? >> it is not as big of a problem like we have seen in the united states. it is more of an issue of having the supply and having the delivery mechanism to get those vaccines to the people who need them. there still is misinformation and disinformation around vaccines that have created some hesitancy. as in the united states some people still view these vaccines as extreme mental and have concerns -- as experimental and have concerns. in the low income countries, it is a problem with access. this is something that covax, led by the world health organization are really working to address. they have run into some challenges. particularly with the student of india which was supposed to be a major supplier for covax, and needing to deal with the situation in india. not able to

, if you're fully vaccinated versus not vaccinated -- so if you're fully vaccinated versus not vaccinated, it could be the difference between getting a case of the sniffles versus suffocation and having to go into the hospital with covid-19. i say it's the difference between spending a few days in your bed at home and weeks in the i.c.u. at a hospital. this is not to be taken lightly. these vaccines are life saving and can keep you out of the hospital, and, of course, prevent death. here, an over eight-fold difference, eight times more likely to be hospitalized if you are not fully vaccinated for covid-19. look at this difference between these two bars. incredible difference showing the effectiveness of these vaccines at the local level. next slide. so i also wanted to touch base on the indoor masking order that our san francisco public [inaudible] issued on august 3, requiring masks indoors regardless of vaccination status. this is an effort that aligns with c.d.c. guidance to reduce transmission of covid-19 and everyone due to the widespread covid-19 delta variant. so, you know, this de

>> the two mrna vaccines, the pfizer vaccine and the moderna vaccine, are essentially identical in my mind, and they're probably the best vaccines we have right now in terms of efficacy against the delta variant. the data on johnson & johnson is just much less clear. there is enough data out there in my mind to suggest that the j&j vaccine is still going to do a very, very good job of protecting against severe illness and death. the question is, how good a job is it going to do against preventing breakthrough infection, symptomatic infections? and the short answer is we just don't know, and we'll know more in the upcoming weeks. the thing that i worry about are the chinese vaccines, which have been used maybe about 1/3 to 1/2 of all the vaccines in the world so far have been the vaccines made in china. again, we don't have a lot of data on them, but the data we have suggests that they're far, far less effective against the delta variant. that worries me, because it means a lot of the world that's been vaccinated is actually potentially quite still vulnerable to the delta variant. >>ou

vaccine way vaccine is recommended. at this point, we need to fully evaluate the current situations, why are americans not getting vaccinated? we need to get a meaningful solution to these problems. cost may be part of the problem but there are likely other issues. we will consider hr 979, the vaccine fairness act, which will require -- this is currently already being done by hhs and each community receives vaccine information weekly. we are examining the covid-19 transportation act. this will provide grants for trans porting -- transportation to receive vaccines. transportation should not be a limiting factor for an individual, that there are already several resources available for these services, including uber and lyft. lastly, many areas offer a phone number where an individual can get an appointment and they can help you coordinate a ride. we do have gaps in the vaccine system and i look forward to discussing hr 3742, the vaccine information for nursing facility operators act, which would require nursing homes to p

no vaccine is 100% effective. in the breakthrough infections they are mostly mild and without symptoms whereas the unvaccinated who have a much greater chance of getting infected in the first place are the ones that are vulnerable to getting severe illness that might lead to hospitalization and in some cases death. we are looking not to lockdowns but to some pain and suffering in the future because we are seeing cases go up which is the reason we keep saying the solution to this is get vaccinated and this would not be happening. host: if that's the case, the various companies involved whether producing vaccines or tests or the like, how prepared are they for this long haul dr. fauci talks about? andrew: they are prepared, they are doing proactive studies against different variants. the ramp-up in manufacturing has been extraordinary as far as pfizer beyond tech and maternal have produced billions of doses in the next years and will continue to ramp up production for the world. the significance and the severity of

, who are seeking vaccination, and a third line for those that won't get vaccinated. dr. goodman, why do you think children now are getting the delta variant, showing more of a reaction to this delta variant than before? guest: well, one thing is that more adults have either been protected by vaccine or, you know, for people who weren't vaccinated, got infected and have some immunity. so the virus is moving on to other populations, young adults and children. it may also reflect something about the delta variant. certainly the delta variant, very high amounts of virus in your nose, so if you think about it, that's a real setup for children transmitting the virus among each other like we frequently see infectious diseases transmitted. then we don't know whether there is something different about this variant that just is beyond being more infectious makes it worse for kids, but there is no doubt we are seeing lots of kids infected. my colleagues at children's hospital are -- children's hospitals are seeing many infected children, even some who were previously healthy an

i said have you been vaccined? vaccinated? and he just threw his hands up and all i saw was his back. it took them three days to find me. he was in kaiser in oakland. he was dying. he had acute pneumonia and he had all of these bacterias in his body that was eating up every organ he had. and my message that i would like to get out today to the masses, if you're anywhere from 38 to sixty and i have a group of about twelve doctors that took their time with me and they said within the last six to eight months, the group 38 to 60, they come in, they don't make it out. they don't make it out because they have not been vaccinated. they die. my son is dead. my son. i have only one child. i beg you. i beg you. i can't take no more. my son i'm going to bury. you don't know what it feels like. my son is dead. i've got to go. >> reverend brown. say something. >> thank you very much, madam mayor and to dr. colfax. reverend shaw of bethel african american first friendship and other clergy persons who are here. i stand to say, we should app

we know how to keep our schools safe, to vaccinate everyone who can be vaccinated, vaccinate family members, because children cannot yet be vaccinated, and to follow the mitigation strategy in our school guidance, including masking. >> one thing i would add is due to the passage of the american rescue plan several months ago, all schools have the resources to implement the mitigation strategies. next question. >> josh. bloomberg. >> can you give us an update on the plans to start shipping those 500 million pfizer doses meant to come in this month? has that started, and what kind of pace we will see in the coming weeks? thank you. >> the 500 million pfizer does -- doses that were announced in june to be donated to the world, those shipments began this -- do begin this month, and we will ship a total of 200 million by the end of this year, this calendar year, with the remaining 300 million shipped no later than the first half of 2022. so everything is on schedule. shipments are beginning in the next several days. >> next question. >> next question. cbs. >> thanks, kevin. thanks for taking my

information about vaccines and access to vaccinations. we will continue to expand our efforts to increase the supply of vaccines for other countries, building on the over 600 million doses we have already committed to donate globally. we understand well that global pandemics require global responses and strong leadership and we will not stop until america and the world are back -- are vaccinated against covid-19. i'm speaking as your surgeon general but most importantly as a fellow american u.s. felt the pain of losing family members to this disease. we hear each day the stories of people whose lives have been upended by covid-19, the brave doctors and nurses in our hospitals, the teachers working to get our kids back to school, and the front-line workers who have put themselves on the line to make sure we can get supplies. we all want this pandemic to be over. our quickest path to getting covid-19 under control once and for all is getting vaccines to those who needs them as quickly as possible. here's what you need to know. if you are fu

if you or your vaccine eligible child is not yet vaccinated, it is never too late to begin your vaccine series. next, universal masking is critically urgent for students, teachers, staff and visitors regardless of vaccination status. the cdc also recommends schools employ conditional strategies to keep kids safe including improved ventilation, physical distancing, and establishing screening programs for students and teachers. federal resources have been made available to help schools implement these recommendations. parents should educate themselves on the cdc's recommendations for operations. parents can ask questions of administrators and learn how these steps can be implemented. parents should encourage children to wear masks when in public or indoor settings. finally, parents can protect their children by getting vaccinated themselves. this will create a protective bubble around their children who are not yet eligible for their own vaccine. as we approach the labor day holiday weekend, i want to share ways americans can keep their families and themselves safe. first, gathering with

by that measure, these vaccines have worked remarkably well, the pfizer vaccine, the moderna vaccine, and the j&j vaccine. if you have any of those vaccines, you should feel good that your chances of dying from covid are much lower than they would have been had he not been vaccinated. what we do see with vaccines from time to time is people can get mild or moderate infections, those are called breakthrough infections. there is a difference between moderate breakthrough infections and the severe breakthrough infections or hospitalizations that we worry most about. that is an important to station to make. we also know with vaccines in general, over time, they start to lose some of their efficacy and protection and that is one of the reasons why we had many vaccines that required more than one does, like the hepatitis b vaccine, which is a three dose series. there are vaccines like tennis which require boosters. so we know that periodically, sometimes you need an extra dose of the vaccine to ensure that it continues to be protective we feel good about the protection against severe hospit

the vaccine works. adding a cloth mask on top of being vaccinated? does that take it from being 99, maybe it does, but the reality is i believe if you are vaccinated and you have taken that decision -- and let's be honest. i know some of you will say this is an easy black or white decision that you either believe in the vaccine and get vaccinated or don't. the reality is there are risks associated with taking the vaccine and with not taking the vaccine. there are risks associated with taking the vaccine. i would it to you, the risk associated with being vaccinated is far less than the risk of being on vaccinated. but there are potential side effects and there are -- and we need to be honest with people. you say we don't need to preach at people about what you ought to do or not do, we ought to be honest about the pluses and minuses and people in mississippi can make the good and right decision. reporter: [indiscernible] would you consider safety measures at the state level for those who cannot get vaccinated? gov. reeves: i don't have any intention o

vaccinated. what is the science behind that change? asst. sec. levine: we know and have been discussing for months that the delta variant is different. the delta variant has been shown to be more transmissible. it is at least twice as contagious as previous forms of covid-19 we have seen. approximately two months ago, the delta variant was 1% or 2% of the percentage of covid-19 cases we were seeing in the united states. now it is more than 80% of the cases we are seeing. so, because of this more contagious variant, cdc has changed its guidance, in terms of masking. it is recommending if you live in an area with moderate to high spread, community spread of covid-19, that when you're in public, you wear a mask. frances: so that is the broad picture but scientists this week were wanting to see the data and so were the public. i believe that we may see more of the data later today. why the delay? why change the guidance without giving scientists a really good sense of what lay behind it? asst. sec. l

the vaccines' full licensure may pave the way for further vaccine mandates. is the administration prepared to go to bat legally for businesses or schools that mandate vaccines? >> yeah, thanks, jeff. let me take the first part of that question. you know, you really have to be careful when you ask for projected timelines, because the fact is, the most prevailing issue involved here is that if we can get as many people vaccinated as we possibly can, as quickly and as efficiently we can particularly in the context of the bla now that has come out from pfizer and the availability of other vaccines on eua. we can end this as a pandemic even sooner than that. so rather than focus on the situation of getting a specific timeline, i would like to appeal to this country to the people in the country who are not vaccinated to realize that we have the capability among ourselves to essentially cut down the timeframe to getting the end of this pandemic very, very clearly by just listening to everything you've heard on this press conference. get vaccinated and the timeframe

not vaccinated. if you're fully vaccinated, both shots plus two weeks, your risk of severe illness from covid-19 is very, very, very low. i know that parents are concerned about the covid-19 cases among their children. i'll be addressing this soon with secretary cordona to discuss how we get our kids back to school safely. cases among childrenses among c rare. and severe cases among children are very, very rare. but i know that parents are thinking about their own kids. it's not as reassuring as anyone would like it to be. so let me say this to the parents. as you have, you have the tools. you have the tools to keep your child safer and two of those tools above all are available to you. one, make sure that everyone around your child who can be vaccinated. parents, adults, teens. two, make sure your child is masked when they leave home. that's how we can best keep our kids safe. as i've said before, the pandemic of the unvaccinated is a tragedy that is preventable. people are dying and will die who do

information about vaccines and access to vaccinations. we will also continue to expand our efforts to increase the supply of vaccines for other countries, building on the over 600 million doses we've already committed to donate globally. we understand well that global pandemics require a global response and strong leadership. and we will not stop until america and the world are vaccinated against covid-19. i'm speaking to you today as your surgeon general, but most importantly as a fellow american who has felt the pain of losing a family member to this disease, and hearing stories of people whose lives have been upended, the brave doctors and nurses in our hospitals, the teachers working to get our kids back to school and the frontline workers who have put themselves on the line to make sure we can get groceries and supplies. we all want this pandemic to be over. right now our quickest path to getting covid-19 under control once and for all, is getting vaccines to those who need them as quickly as possible. so here is what you need to kno

at all to get vaccinated. one of the things that gives me some hope is that in some of the states that haven't hit the hardest recently during the pandemic, we are seeing an increase uptake for vaccines for first-timers. people are saying i have friends and family members who are getting very sick from this virus, i want to do everything i can to get this under control to protect me, my family and my community. host: for those people who might still be on the fence, i wonder what you think this booster announcement will do to that. the data here showing waning protection rates over time, are you concerned that will keep people from getting their first shot, when we are now talking about a three shot dose? guest: i hope not. i encourage people to talk to health providers, their own doctors and nurses, people they trust, about this. i am a general pediatrician. the idea over time that people need additional doses of vaccine is not something new to me. we vaccinate every baby, every young child at age 1 against m

now is the time to get vaccinated, we know vaccines are working, and we know they save lives. i will turn things over to dr. fauci. dr. fauci: think you very much, dr. wilensky. i'd like to spend a minute or two addressing a concern i continue to hear regarding the speed with which the vaccines were developed. this is usually among people who have a degree of a vaccine hesitancy or reluctance to get vaccinated. it really relates to two things that have gone on that people need to appreciate. one is the logistics and the investment in resources that was me. -- that was made. others is the clinical research that anti-data the developing of the vaccine. what about the logistics of the resources? generally, when you develop a vaccine, the thing that usually takes years to do, you do it in a sequtial fashion, you do something preclinical, phase one, phase two, phase three, then you start manufacturing the product. you do that sequentially because if the first one does not succeed, you don't want to go to the second, third, and fourth step. because of the wise investment in operatio

we purchased enough vaccine and vaccine supplies so that when your eight month mark comes up, you wille able to get your booster shot free, we will have it available. it will make you safer for longer. and it will help us end the pandemic faster. there are some world leaders that say america should not get a third shot until other countries got their first shot. i disagree. we can take care of america and help the world at the same time. in june and july, america administered 15 million shots in the united states and donated 100 million shots to other countries. that means america has donated more vaccine to other countries than every other country in the world combined. during the coming months, fall and early winter, we expected about another 100,000 boosters, and the united states will donate more than 200 million additional doses to other countries. this will keep us on our way to meeting our pledge of more than 600 million vaccine donations. we are going to be the arsenal of vaccines to beat this pandemic as we were the arsenal of democracy to win world war ii. the threat of delta

ii people across the world vaccinated?— people across the world vaccinated? . vaccinated? in a position where _ vaccinated? if we were in a position where we - vaccinated? if we were in a position where we were i vaccinated? if we were in a i position where we were seeing significant breakthroughs amongst vaccinated individuals, and of hospitals were filling up and of hospitals were filling up again with vaccinated individuals, then i think that as a very different situation. we are not in that position. all of the effectiveness data around the world shows remarkable protection against severe disease and death by the vaccines. we don't know whether that protection will wane. i think what's on, governments are doing are looking at the question — may be a vaccine protection will wane over this winter and we ought to, as a cautious approach, give a third dose now to make sure that doesn't happen. but, as i say, we have no scientific evidence that it we have no scientific evidence thatitis we have no scientific evidence that it is needed, and it does deny other people and othe

so the answer is vaccination irrespective of what kind of variant exists. vaccination works. we are fortunate that science gives us a cure, a process where you can eliminate the difficulty, if only people could comply. convincing people to comply is the difficult situation. leadership and many other parts of the country are arguing the opposite, which i think is leadership malpractice. caroline: it is free to get vaccinated, but it is not free to get health care in the united states. like perhaps where i come from in the u.k. do you think money will eventually talk if you have to pay out for getting the virus? michael: if you come to the hospital and you have the virus, you will be covered by insurance. if you come and you are not, we will take care of you anyway, irrespective of whether you have insurance or not. you will get full treatment. we don't make distinctions based upon whether you have insurance or not. at least at northwell we don't. at other institutions i am aware of, you don't. some people are giving money to people to get vaccinated. and i think that will be g

the pfizer vaccine and the moderna vaccine and the jj vaccine. they have decreased the chances of you dying or ending up in the hospital. what we do see with vaccines from time to time is that people can get mild or moderate infections, and those are called breakthrough infections. there is a different between a moderate infection and a severe breakthrough infection or hospitalization that we worry most about. there is a really important distinction to make. we also know that with vaccines in general, over time, they start to lose some of their efficacy and protection. that is one of the reasons why we have many vaccines that require more than one dose. many people have gotten that, which is a three dose series which was at zero, then one month and then at two months. some require boosters. periodically, sometimes you need an extra dose of vaccine. we feel good about the protection against severe disease and hospitalization and death area we want -- death. we announced that we would administer booster shots on september 20th. . the cdc's advisory

if you are not vaccinated in san francisco. this is not a good time to be vaccinated. the delta variant is here. it accounts for more than 90% of our cases now. and it is a highly transmissible and there's emerging evidence that it's more likely that you would end up in the hospital compared to the virus we were dealing with just a few months ago. this is covid on steroids. the difference now between being vaccinated and not getting vax if you do get covid-19, it could be -- if you're vaccinated versus not vaccinated, it could be the difference between spending a few days in your bed at home, versus spending a few weeks in an i.c.u. bed. very important that people get vaccinated. we know that the health officers across the region, recently instituted an indoormandate effective today. that is a temporary measure to decrease the spread of the virus. we were at just twelve cases of covid-19 just a few weeks ago in late may and early june. now we're over 200 a day. we need to continue to slow the spread. do our part. we will bring the vaccine it to you. the mayor just anno