Name: アンソニー・ファウシ博士の説明 (Dr. Anthony Fauci, explained)
Uploaded: 2021-01-14T11:21:15.000Z
Duration: 9 min 41 s
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基礎受動態

At the October 13, 1988 Presidential Debate, Michael Dukakis and George HW Bush were asked

“Who are the heroes who are there in American life today, who are the ones that you would

point out to young Americans as figures who should inspire this country?”

“Valladares” “Those people that took us back into space

Vice President Bush eventually responded with: “I think of Dr. Fauci, probably never heard

He's a very fine researcher, top doctor at National Institute of Health, working hard

doing something about research on this disease of AIDS.”

Today, Dr. Anthony S. Fauci is best known because of his position in the Coronavirus

task force and for his many media appearances.

In the U.S., he's one of the most recognizable faces in the current crisis.

How did this doctor go from his research lab in Bethesda, Maryland to becoming one of the

most visible medical experts on the pandemic today?

“Dr. Fauci thanks so much for taking the time.”

The June 5, 1981 weekly report by the Centers for Disease Control was a notable one.

It recorded 5 unusual cases of pneumonia.

These cases would become known as some of the earliest reports of AIDS.

The next year, Dr. Anthony Fauci wrote an early paper about the disease, which had increased

to “290 recognized cases” and had become “a public health problem of essentially

Fauci worked at the National Institute of Allergy and Infectious Diseases, NIAID, heading

up a lab that studied immune system response.

NIAID conducts research on diseases to help understand, treat and prevent them.

It falls under the National Institutes of Health or NIH -- the medical research agency

part of the Department of Health and Human Services.

In the early '80s, the NIH had 15 institutes - with NIAID and National Cancer Institute

leading investigation of the new virus and disease that would become known as HIV/AIDS.

Fauci made that investigation the focus of his career.

“Today we're going to be listening to Dr. Anthony Fauci, he's going to be talking

“I'm working directly on AIDS, both clinically and on a basic science standpoint.

It really is one of the few, or actually one of the only subjects...where you really have

Fauci was named director of NIAID in 1984, and the then Director of Health and Human

Services highlighted Fauci's background in “immunology and infectious diseases”

“A major effort was directed at determining if a variant of this virus could actually

cause depletion of lymphocytes, or Acquired Immunodeficiency Syndrome.

And as it turned out, a variant of that virus in fact caused the syndrome.”

Fauci's leading early research helped define NIAID as the central NIH institute for AIDS.

And he made it a point to be the person communicating key findings to the public and media.

“The scientific data is overwhelming that in fact AIDS cannot be transmitted by casual

But it was a later political test that shows how Fauci navigated the AIDS crisis and secured

In the summer of 1988, playwright Larry Kramer wrote an open letter to Anthony Fauci, calling

him an “incompetent idiot”, and a “murderer.”

His opinion was broadly reflective of activists, most notably the organization Kramer inspired,

the AIDS Coalition to Unleash Power, or ACT UP.

In 1986, Fauci had reinforced his position as the leading scientist for the Federal AIDS

He created a new division to focus on the disease and earned other significant NIH posts.

But progress was slow, especially for a disease as deadly as AIDS, where patients died, on

Fauci and NIAID were responsible for starting trials for new drugs, which the

In June 1986, NIAID created a network of clinical trial centers around the country, though they

Activists argued that the NIH, the FDA, and leadership up to President Reagan had failed

This photo from an October 1988 protest shows the key complaints.

At the time, the FDA's lengthy drug approvals required strict scientific clinical trials.

It was textbook science, but the disease killed at a faster pace than the FDA's process.

If you entered a trial, a certain percentage of patients got the drug, and a certain percentage

This helped test if the drugs were safe and if they really worked — that was important,

But with AIDS, getting a placebo was a death sentence.

And that meant fewer volunteers for clinical trials.

But experimental approaches like aerosolized pentamidine weren't being approved.

The drug helped treat one of the most common infections caused by AIDS.

Yet, trials had been delayed by NIAID, which Fauci blamed on insufficient staff.

Under pressure, he acknowledged the approval problem in 1988, testifying in Congress that

he would “go for what is available on the street” if he were a patient — a blunt

rebuke to FDA policy keeping these new approaches out of reach.

Fauci also went on to admit that it took them a “long time” to start trials of Dextran

Sulfate, a drug that had early enthusiasm among AIDS patients.

For the few approved options, like the then-promising drug AZT, activists criticized the high prices

All these issues had spawned large networks of Buyers Clubs — AIDS patients who pooled

their resources to import non-FDA approved drugs.

In 1990, activists staged another major protest - this time at the NIH in Bethesda, Maryland,

In two key ways, Fauci incorporated the sharp activist criticisms and ideas into the government

In 1990, NIAID invited activist representatives into the administrative committees for every

This allowed for the government response to include on-the-ground knowledge.

Starting in 1989, Fauci had also voiced support for a new program called parallel track, forcing

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アンソニー・ファウシ博士の説明 (Dr. Anthony Fauci, explained)

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