1 00:00:01,240 --> 00:00:03,610 Good afternoon everyone . Happy 2 00:00:03,610 --> 00:00:07,190 Wednesday today we're gonna focus on 3 00:00:07,310 --> 00:00:09,920 the coronavirus covid 19 and the 4 00:00:09,920 --> 00:00:12,087 department's efforts to distribute and 5 00:00:12,087 --> 00:00:14,087 vaccinate our troops into all other 6 00:00:14,087 --> 00:00:16,253 support issues that were participating 7 00:00:16,253 --> 00:00:18,142 in . And so with that we have two 8 00:00:18,142 --> 00:00:20,253 special briefers today to join us . I 9 00:00:20,253 --> 00:00:22,253 think many of you are familiar with 10 00:00:22,253 --> 00:00:24,364 them . The acting Assistant secretary 11 00:00:24,364 --> 00:00:26,531 for health affairs dr terry Durham and 12 00:00:26,531 --> 00:00:28,364 Lieutenant General Ron place the 13 00:00:28,364 --> 00:00:30,587 director of the defense Health agency . 14 00:00:30,587 --> 00:00:32,560 He's gonna uh kick off with a few 15 00:00:32,560 --> 00:00:34,616 opening remarks and they're going to 16 00:00:34,616 --> 00:00:36,782 take questions room phone , room phone 17 00:00:36,782 --> 00:00:38,949 and then closing remarks . If you have 18 00:00:38,949 --> 00:00:40,949 any questions outside of Covid 19 , 19 00:00:40,949 --> 00:00:43,171 feel free to reach out to us at O . S . 20 00:00:43,171 --> 00:00:45,393 D . P . A . But for this briefing today 21 00:00:45,393 --> 00:00:44,600 we're gonna focus primarily on the 22 00:00:44,600 --> 00:00:46,720 department's Covid 19 efforts . What 23 00:00:46,720 --> 00:00:49,040 that I will kick it off to terry Elise . 24 00:00:49,640 --> 00:00:53,160 Thank you . Thank you . 25 00:00:59,440 --> 00:01:02,400 Good afternoon . Thank you for joining 26 00:01:02,400 --> 00:01:04,400 us here today and for the important 27 00:01:04,400 --> 00:01:06,622 work that you do communicating with our 28 00:01:06,622 --> 00:01:08,622 troops and their families . General 29 00:01:08,622 --> 00:01:10,956 place and I are going to brief you on D . 30 00:01:10,956 --> 00:01:13,233 O . D . S . Efforts to defeat Covid 19 . 31 00:01:13,233 --> 00:01:14,956 The department is committed to 32 00:01:14,956 --> 00:01:17,067 transparency about our activities and 33 00:01:17,067 --> 00:01:19,233 we intend to provide you with reliable 34 00:01:19,233 --> 00:01:21,610 and consistent data . Since the start 35 00:01:21,620 --> 00:01:23,970 of the covid 19 pandemic . D . O . D . 36 00:01:23,970 --> 00:01:27,060 Has had 200 to 282,000 , 37 00:01:27,060 --> 00:01:30,250 166 cases , 3000 , 38 00:01:30,250 --> 00:01:33,570 942 hospitalizations and unfortunately 39 00:01:33,570 --> 00:01:37,460 344 deaths . These numbers are total 40 00:01:37,480 --> 00:01:39,369 that include our military service 41 00:01:39,369 --> 00:01:41,091 members and their dependants , 42 00:01:41,091 --> 00:01:43,650 civilians and contractors . D . O . D . 43 00:01:43,660 --> 00:01:45,493 Is continuing to play a key role 44 00:01:45,493 --> 00:01:47,438 supporting the whole of government 45 00:01:47,438 --> 00:01:49,382 approach to defeat Covid including 46 00:01:49,382 --> 00:01:51,493 supporting vaccinations of our fellow 47 00:01:51,493 --> 00:01:53,327 americans while ensuring our own 48 00:01:53,327 --> 00:01:56,720 population is vaccinated this week . In 49 00:01:56,720 --> 00:01:58,831 line with the president's direction , 50 00:01:58,831 --> 00:02:00,998 all eligible D . O . D . Beneficiaries 51 00:02:00,998 --> 00:02:02,942 can now make an appointment to get 52 00:02:02,942 --> 00:02:04,720 vaccinated . We are encouraging 53 00:02:04,720 --> 00:02:06,664 everyone to get vaccinated because 54 00:02:06,664 --> 00:02:08,920 these vaccines are very effective and 55 00:02:08,920 --> 00:02:11,130 safe and are a critical part of us 56 00:02:11,130 --> 00:02:14,100 getting back to normal with regards to 57 00:02:14,100 --> 00:02:16,800 the J and J vaccine . Last week when 58 00:02:16,800 --> 00:02:18,800 the CDC and FDA announced they were 59 00:02:18,800 --> 00:02:21,410 recommending a pause in their use . D . 60 00:02:21,410 --> 00:02:23,730 O . D . Rapidly stopped administration 61 00:02:23,740 --> 00:02:25,940 and separated R . J . And jay doses 62 00:02:25,940 --> 00:02:28,480 from our active vaccine supply . We 63 00:02:28,480 --> 00:02:30,500 also communicated with those who 64 00:02:30,500 --> 00:02:32,660 recently received the J and J vaccine 65 00:02:32,660 --> 00:02:34,882 to advise that if they developed severe 66 00:02:34,882 --> 00:02:36,993 headaches , abdominal pain , leg pain 67 00:02:36,993 --> 00:02:39,216 or shortness of breath that they should 68 00:02:39,216 --> 00:02:41,271 contact their health care provider . 69 00:02:41,640 --> 00:02:44,000 This pause demonstrates the safety and 70 00:02:44,000 --> 00:02:45,556 transparency of our vaccine 71 00:02:45,556 --> 00:02:47,940 administration system . It's a success . 72 00:02:47,950 --> 00:02:49,980 The vaccine adverse event reporting 73 00:02:49,980 --> 00:02:52,580 system or bears sent up a concerning 74 00:02:52,580 --> 00:02:54,780 signal about a vaccine and the CDC and 75 00:02:54,780 --> 00:02:57,360 FDA quickly responded to it . As we did 76 00:02:58,140 --> 00:02:59,850 this pause was to help ensure 77 00:02:59,850 --> 00:03:02,017 healthcare providers are treating this 78 00:03:02,017 --> 00:03:04,290 issue correctly and importantly , to 79 00:03:04,290 --> 00:03:06,512 determine if there were more cases that 80 00:03:06,512 --> 00:03:09,050 required investigation . We know that 81 00:03:09,050 --> 00:03:11,420 these clots are incredibly rare , but 82 00:03:11,420 --> 00:03:13,198 it's important that health care 83 00:03:13,198 --> 00:03:15,364 providers know how to treat them . D . 84 00:03:15,364 --> 00:03:17,587 O . D . Will follow C . D . C . And F . 85 00:03:17,587 --> 00:03:19,698 D . A . S guidance after the advisory 86 00:03:19,698 --> 00:03:21,864 committee on immunization practices or 87 00:03:21,864 --> 00:03:23,976 a sip . The independent vaccine panel 88 00:03:23,976 --> 00:03:25,642 meets on friday and makes its 89 00:03:25,642 --> 00:03:27,864 recommendations to the vaccine juice on 90 00:03:27,864 --> 00:03:30,340 the vaccine juice . Because of the 91 00:03:30,340 --> 00:03:32,180 small number of J and J vaccine 92 00:03:32,180 --> 00:03:34,402 allocated to D . O . D . This pause has 93 00:03:34,402 --> 00:03:36,640 had just a small impact on DVDS vaccine 94 00:03:36,640 --> 00:03:39,650 administration rate . We have great 95 00:03:39,660 --> 00:03:41,660 empathy for our service members and 96 00:03:41,660 --> 00:03:43,882 families deployed overseas because they 97 00:03:43,882 --> 00:03:46,104 do not have the same options as here in 98 00:03:46,104 --> 00:03:48,216 the United States to receive vaccines 99 00:03:48,216 --> 00:03:50,382 and their local communities . So we're 100 00:03:50,382 --> 00:03:52,382 committed and working diligently to 101 00:03:52,382 --> 00:03:54,604 ensure that they can get the vaccine if 102 00:03:54,604 --> 00:03:56,604 they choose it . General place will 103 00:03:56,604 --> 00:03:58,716 speak more specifically on what we're 104 00:03:58,716 --> 00:04:00,716 doing to address any shortfalls for 105 00:04:00,716 --> 00:04:00,630 overseas locations . So I turned it 106 00:04:00,630 --> 00:04:03,900 over to General place . Thanks Doctor 107 00:04:03,900 --> 00:04:06,067 Durham and for all of you . Thanks for 108 00:04:06,067 --> 00:04:08,122 being here first . I'll reiterate my 109 00:04:08,122 --> 00:04:10,233 appreciation for the men and women in 110 00:04:10,233 --> 00:04:12,456 military medicine who continue to serve 111 00:04:12,456 --> 00:04:14,456 their fellow members , their fellow 112 00:04:14,456 --> 00:04:16,678 citizens and in delivering this vaccine 113 00:04:16,678 --> 00:04:18,900 safely and effectively , We continue to 114 00:04:18,900 --> 00:04:20,733 administer vaccine as fast as we 115 00:04:20,733 --> 00:04:23,011 receive it . As of yesterday afternoon , 116 00:04:23,011 --> 00:04:25,178 we have administered over 2.62 million 117 00:04:25,178 --> 00:04:27,122 doses to those eligible within the 118 00:04:27,122 --> 00:04:28,956 Department of Defense . At least 119 00:04:28,956 --> 00:04:30,733 another 440,000 doses have been 120 00:04:30,733 --> 00:04:32,789 administered to our beneficiaries in 121 00:04:32,789 --> 00:04:34,678 our tricare pharmacy and provider 122 00:04:34,678 --> 00:04:37,270 networks . Beginning today , the 123 00:04:37,270 --> 00:04:39,437 department will be sharing our vaccine 124 00:04:39,437 --> 00:04:41,603 administration numbers with all of you 125 00:04:41,603 --> 00:04:43,826 on a regular basis , monday , Wednesday 126 00:04:43,826 --> 00:04:45,714 and friday to include total doses 127 00:04:45,714 --> 00:04:47,770 received and administer diode wide . 128 00:04:47,940 --> 00:04:50,250 This data is the same data that we're 129 00:04:50,250 --> 00:04:52,830 currently reporting to the CDC . In 130 00:04:52,830 --> 00:04:55,052 addition will share with you the number 131 00:04:55,052 --> 00:04:56,997 of individual soldiers , sailors , 132 00:04:56,997 --> 00:04:58,719 airmen , marines and guardians 133 00:04:58,719 --> 00:05:02,230 vaccinated . The U R . L . Is h t t p S 134 00:05:02,240 --> 00:05:05,950 colon forward slash forward slash www 135 00:05:05,960 --> 00:05:08,680 dot defense dot gov forward slash 136 00:05:08,690 --> 00:05:12,180 explorer ford slash spotlight 137 00:05:12,190 --> 00:05:14,800 forward slash coronavirus . And we can 138 00:05:14,800 --> 00:05:17,022 make that available to all of you uh as 139 00:05:17,022 --> 00:05:19,870 you like it . A few points regarding 140 00:05:19,870 --> 00:05:22,092 the national pause in administering the 141 00:05:22,092 --> 00:05:24,259 J and J vaccine . First , as dr Durham 142 00:05:24,259 --> 00:05:26,370 noted , we understood and agreed with 143 00:05:26,370 --> 00:05:28,203 the rationale for the pause , we 144 00:05:28,203 --> 00:05:30,314 expeditiously implemented the FDA and 145 00:05:30,314 --> 00:05:32,426 CDC recommendations with specifically 146 00:05:32,426 --> 00:05:34,850 tailored guidance given to every single 147 00:05:34,850 --> 00:05:38,170 vaccination location , on specific 148 00:05:38,170 --> 00:05:40,226 adverse event reporting requirements 149 00:05:40,640 --> 00:05:43,530 when we received it last week . Second , 150 00:05:43,640 --> 00:05:45,862 while the J and J vaccine was initially 151 00:05:45,862 --> 00:05:47,807 allocated to our overseas military 152 00:05:47,807 --> 00:05:49,640 communities , it is not the only 153 00:05:49,640 --> 00:05:51,807 vaccine that's been directed to them . 154 00:05:51,807 --> 00:05:53,473 In fact , the Moderna version 155 00:05:53,473 --> 00:05:55,362 represents a huge majority of the 156 00:05:55,362 --> 00:05:57,140 vaccine that has been delivered 157 00:05:57,140 --> 00:05:59,650 overseas and that will continue Third . 158 00:06:00,040 --> 00:06:01,873 We're sensitive to the fact that 159 00:06:01,873 --> 00:06:03,596 military hospitals and clinics 160 00:06:03,596 --> 00:06:05,429 represent the only source of FDA 161 00:06:05,429 --> 00:06:07,650 approved vaccine among our population 162 00:06:07,660 --> 00:06:10,220 outside of the United States . As Mr , 163 00:06:10,220 --> 00:06:12,109 Kirby mentioned on monday , we're 164 00:06:12,109 --> 00:06:14,280 reallocating additional diode Moderna 165 00:06:14,290 --> 00:06:16,320 doses from the United States to 166 00:06:16,320 --> 00:06:18,542 overseas locations for the next several 167 00:06:18,542 --> 00:06:21,270 weeks . This reallocation means that 80 168 00:06:21,470 --> 00:06:23,870 of our overseas population should be 169 00:06:23,870 --> 00:06:26,480 able to receive their first dose no 170 00:06:26,480 --> 00:06:29,240 later than one June . Finally , the 171 00:06:29,240 --> 00:06:31,296 department is closely monitoring the 172 00:06:31,296 --> 00:06:33,920 FADA review of the Pfizer vaccine to 173 00:06:33,920 --> 00:06:36,870 adolescents 12 to 15 years old . We're 174 00:06:36,870 --> 00:06:38,870 already developing plans to deliver 175 00:06:38,870 --> 00:06:40,759 this vaccine to our family member 176 00:06:40,759 --> 00:06:42,870 population , both overseas and in the 177 00:06:42,870 --> 00:06:44,981 United States . Should it be approved 178 00:06:44,981 --> 00:06:47,203 for use in this age group , We continue 179 00:06:47,203 --> 00:06:49,259 to see vaccine update rates increase 180 00:06:49,259 --> 00:06:51,481 with each passing week . We're thankful 181 00:06:51,481 --> 00:06:53,426 for those who have taken this step 182 00:06:53,426 --> 00:06:55,759 protecting themselves , their teammates , 183 00:06:55,759 --> 00:06:55,170 their families and those most 184 00:06:55,170 --> 00:06:57,540 vulnerable Dr Darren mentioned with the 185 00:06:57,540 --> 00:06:59,707 opening of vaccine appointments to all 186 00:06:59,707 --> 00:07:01,818 eligible persons in the D . O . D . I 187 00:07:01,818 --> 00:07:03,818 truly expect this trend to continue 188 00:07:03,818 --> 00:07:05,707 again . Thanks for allowing us to 189 00:07:05,707 --> 00:07:07,929 update you on the department's progress 190 00:07:07,929 --> 00:07:07,210 and I look forward to answering your 191 00:07:07,210 --> 00:07:09,154 questions along with Doctor Doom . 192 00:07:09,640 --> 00:07:11,973 Thank you . General Place and Dr Durham . 193 00:07:11,973 --> 00:07:13,973 We're gonna start with the phones , 194 00:07:13,973 --> 00:07:17,030 Jeff single tasking purpose . Hi 195 00:07:17,040 --> 00:07:20,240 question for both Dr dirham and General 196 00:07:20,240 --> 00:07:23,450 Place . Uh we've heard anecdotally that 197 00:07:23,460 --> 00:07:25,470 the Defense Department or that 198 00:07:25,470 --> 00:07:27,692 individual commands have been unable to 199 00:07:27,692 --> 00:07:30,360 offer incentives for service members to 200 00:07:30,360 --> 00:07:33,130 get vaccinated because that essentially 201 00:07:33,130 --> 00:07:35,630 because the judge advocate , the staff 202 00:07:35,630 --> 00:07:37,686 judge advocate folks are saying that 203 00:07:37,686 --> 00:07:39,574 would actually be tantamount to a 204 00:07:39,574 --> 00:07:41,741 punishment to those who aren't getting 205 00:07:41,741 --> 00:07:43,963 vaccinated . Can you talk about that at 206 00:07:43,963 --> 00:07:46,790 all ? Sure . Absolutely . Um The 207 00:07:46,790 --> 00:07:50,190 vaccine is voluntary . That's part of 208 00:07:50,190 --> 00:07:52,468 the eu a that the vaccine is voluntary . 209 00:07:52,468 --> 00:07:54,523 So that is department policy . And I 210 00:07:54,523 --> 00:07:56,850 think I'd like to quote Secretary 211 00:07:56,850 --> 00:07:58,850 Austin , who said that the greatest 212 00:07:58,850 --> 00:08:01,072 incentive to getting vaccinated is that 213 00:08:01,072 --> 00:08:03,072 it saves your life and it saves the 214 00:08:03,072 --> 00:08:05,239 lives of the folks that are mean a lot 215 00:08:05,239 --> 00:08:07,350 to you . So getting the vaccine in of 216 00:08:07,350 --> 00:08:09,820 itself should be an incentive . Um And 217 00:08:09,830 --> 00:08:13,820 that's our standing department . Well , 218 00:08:13,820 --> 00:08:16,042 if I could follow up what I'm trying to 219 00:08:16,042 --> 00:08:18,264 get at , is are there legal reasons why 220 00:08:18,264 --> 00:08:20,431 the Defense Department can offer other 221 00:08:20,431 --> 00:08:22,598 incentives to get vaccinated ? Such as 222 00:08:22,598 --> 00:08:25,510 extra time off ? Right now the policy 223 00:08:25,510 --> 00:08:29,150 is uh no additional incentives beyond 224 00:08:29,150 --> 00:08:31,340 getting vaccinated . Now there are 225 00:08:31,350 --> 00:08:33,520 other benefits to being vaccinated . 226 00:08:33,520 --> 00:08:36,260 The C . D . C . Has updated their 227 00:08:36,260 --> 00:08:38,760 guidance with regard to travel so that 228 00:08:38,760 --> 00:08:42,450 those people who um who get vaccinated 229 00:08:42,450 --> 00:08:44,400 don't have to quarantine . We've 230 00:08:44,410 --> 00:08:46,550 amended our force health protection 231 00:08:46,550 --> 00:08:48,840 guidance for travel in line with the C . 232 00:08:48,840 --> 00:08:51,062 D . C . That those people who have been 233 00:08:51,062 --> 00:08:53,284 vaccinated do not need to do pre travel 234 00:08:53,284 --> 00:08:55,451 quarantining . So that's an example of 235 00:08:55,451 --> 00:08:58,870 a benefit of getting vaccinated . If I 236 00:08:58,870 --> 00:09:01,203 could if I could add on just little bit . 237 00:09:01,203 --> 00:09:03,426 You spoke specifically to the Office of 238 00:09:03,426 --> 00:09:05,481 General Counsel specifically talking 239 00:09:05,481 --> 00:09:07,481 about negative effects . Uh I'm not 240 00:09:07,481 --> 00:09:09,537 sure where that part of the question 241 00:09:09,537 --> 00:09:11,592 came from . This is what I will tell 242 00:09:11,592 --> 00:09:13,900 you that this is a voluntary vaccine . 243 00:09:14,020 --> 00:09:16,187 Which means that commanders have to be 244 00:09:16,187 --> 00:09:18,353 very careful not to exert what we call 245 00:09:18,353 --> 00:09:20,760 undue command influence . And so the 246 00:09:20,770 --> 00:09:22,659 right and left limits for them is 247 00:09:22,659 --> 00:09:24,548 informing their service members , 248 00:09:24,548 --> 00:09:26,659 informing their community information 249 00:09:26,659 --> 00:09:28,659 for for people to make decisions on 250 00:09:28,659 --> 00:09:30,970 their own . But we're very careful as 251 00:09:30,970 --> 00:09:33,360 leaders in uniform as commanders to not 252 00:09:33,360 --> 00:09:35,416 exert undue command influence on the 253 00:09:35,416 --> 00:09:37,740 thing that is voluntary . And that's I 254 00:09:37,740 --> 00:09:39,629 think where the Office of General 255 00:09:39,629 --> 00:09:41,629 Counsel , our staff should advocate 256 00:09:41,629 --> 00:09:43,629 advice that you're hearing about is 257 00:09:43,629 --> 00:09:46,850 coming from . Thanks mega . 258 00:09:47,540 --> 00:09:49,762 The numbers on the screen are these all 259 00:09:49,762 --> 00:09:51,762 three components , Are these active 260 00:09:51,762 --> 00:09:51,760 duty , 261 00:09:56,240 --> 00:09:58,351 the numbers that you're seeing on the 262 00:09:58,351 --> 00:10:01,090 screen ? Are they active duty or just 263 00:10:01,090 --> 00:10:04,790 service members concluding reserves ? 264 00:10:04,790 --> 00:10:06,957 And that's your questioning reservists 265 00:10:06,957 --> 00:10:08,123 and National Guard . 266 00:10:12,340 --> 00:10:14,260 Mhm . Well , these are all three 267 00:10:14,260 --> 00:10:16,060 components . Um 268 00:10:20,440 --> 00:10:22,107 The numbers will be all three 269 00:10:22,107 --> 00:10:24,218 components for the foreseeable future 270 00:10:24,218 --> 00:10:26,830 and for now , what's the what's the 271 00:10:26,830 --> 00:10:29,052 difference between the vaccination rate 272 00:10:29,052 --> 00:10:31,052 overseas versus at home ? It's been 273 00:10:31,052 --> 00:10:33,052 more in the past few weeks , I just 274 00:10:33,052 --> 00:10:35,274 want to get an update . It continues to 275 00:10:35,274 --> 00:10:37,330 be significantly more overseas . The 276 00:10:37,330 --> 00:10:40,500 only geographical combatant command so 277 00:10:40,500 --> 00:10:42,667 that they are that we're talking about 278 00:10:42,667 --> 00:10:44,389 here , not the service members 279 00:10:44,389 --> 00:10:46,556 necessarily assigned to them , But the 280 00:10:46,556 --> 00:10:48,556 only geographical combatant command 281 00:10:48,556 --> 00:10:50,778 that doesn't have more than 50 of their 282 00:10:50,778 --> 00:10:53,090 assigned or or family members , 283 00:10:53,090 --> 00:10:55,300 contractors etc , less than 50% . Is 284 00:10:55,300 --> 00:10:58,680 you come ? Is there any particular 285 00:10:58,680 --> 00:11:00,291 reason for that ? Is that an 286 00:11:00,291 --> 00:11:02,930 availability thing or a personal choice 287 00:11:02,930 --> 00:11:06,870 thing ? I don't want to speculate what 288 00:11:06,870 --> 00:11:09,810 may be the reason why ? Well you have 289 00:11:09,810 --> 00:11:12,350 to understand that with regard to prior 290 00:11:12,350 --> 00:11:15,570 to this week um the uh 291 00:11:15,580 --> 00:11:18,310 most of the service members who are 292 00:11:18,310 --> 00:11:20,366 young and healthy and dependents who 293 00:11:20,366 --> 00:11:22,643 are young and healthy were in Tier two . 294 00:11:22,643 --> 00:11:24,866 So we weren't opening it up to tier two 295 00:11:24,866 --> 00:11:27,090 until this week . So that may have some 296 00:11:27,090 --> 00:11:30,370 impact . Back bones . 297 00:11:30,380 --> 00:11:32,860 Ellen Millhauser synopsis , 298 00:11:35,540 --> 00:11:37,707 I thank you all so much for doing this 299 00:11:37,707 --> 00:11:40,010 very much appreciate it . Um I'm gonna 300 00:11:40,010 --> 00:11:42,066 ask about the mass vaccination sites 301 00:11:42,066 --> 00:11:44,770 with fema . Could you tell me with the 302 00:11:44,770 --> 00:11:48,530 country reaching the point of meeting 303 00:11:48,530 --> 00:11:51,460 all demand or y'all in discussion with 304 00:11:51,460 --> 00:11:53,550 fema for closing down the military 305 00:11:53,550 --> 00:11:57,460 participation in those sites ? We 306 00:11:57,460 --> 00:12:01,190 are currently um have uh 307 00:12:01,200 --> 00:12:04,490 how can I answer this ? Um As long as 308 00:12:04,490 --> 00:12:06,930 fema has determined that keeping these 309 00:12:06,930 --> 00:12:08,986 vaccination sites open and that they 310 00:12:08,986 --> 00:12:11,760 need our support , we will continue to 311 00:12:11,770 --> 00:12:13,990 um staff them . There's always 312 00:12:13,990 --> 00:12:16,650 discussions between North com which has 313 00:12:16,650 --> 00:12:19,660 the lead on this and fema about where 314 00:12:19,660 --> 00:12:21,716 the needs are . So , um if there are 315 00:12:21,716 --> 00:12:23,980 any changes , um you know , those are 316 00:12:23,980 --> 00:12:26,202 things that are North com commander can 317 00:12:26,202 --> 00:12:29,800 um you know , announce . So I mean , if 318 00:12:29,800 --> 00:12:32,580 I could ask a follow up , do y'all have 319 00:12:32,580 --> 00:12:35,860 any um TF still working in civilian 320 00:12:35,860 --> 00:12:39,740 hospitals ? Yeah , that's a great 321 00:12:39,740 --> 00:12:41,962 question . We can take that one for the 322 00:12:41,962 --> 00:12:44,018 record . I'm not personally aware of 323 00:12:44,018 --> 00:12:46,296 any , but we can take it to the record , 324 00:12:46,296 --> 00:12:49,020 gets you the exact answer . Uh Thanks 325 00:12:49,020 --> 00:12:51,840 alan or in About a month , month and a 326 00:12:51,840 --> 00:12:54,140 half ago , the utilization rate was 88 327 00:12:54,140 --> 00:12:56,196 89% . On Monday . John Kirby said it 328 00:12:56,196 --> 00:12:59,150 was 83 and now it's below 81 to what do 329 00:12:59,160 --> 00:13:01,104 you attribute what appears to be a 330 00:13:01,104 --> 00:13:03,216 declining trend ? And have you had to 331 00:13:03,216 --> 00:13:05,438 discard any any doses of any vaccines ? 332 00:13:05,740 --> 00:13:08,330 Yeah , sure . So one of the interesting 333 00:13:08,340 --> 00:13:10,960 uh situations is as you go from a 334 00:13:10,960 --> 00:13:13,016 supply constrained environment to in 335 00:13:13,016 --> 00:13:14,904 some locations , perhaps a supply 336 00:13:14,904 --> 00:13:17,071 unconstrained environment more ends up 337 00:13:17,071 --> 00:13:19,182 sitting on the shelf as people aren't 338 00:13:19,182 --> 00:13:21,127 coming in . Remember that we still 339 00:13:21,127 --> 00:13:22,904 think this is a pretty valuable 340 00:13:22,904 --> 00:13:25,071 commodity , so we don't open , then we 341 00:13:25,071 --> 00:13:24,690 don't freeze them until they're going 342 00:13:24,690 --> 00:13:26,940 to be used . And so if it turns out 343 00:13:26,940 --> 00:13:29,051 that we're not having the same number 344 00:13:29,051 --> 00:13:31,218 of people come in , then we don't take 345 00:13:31,218 --> 00:13:30,720 it out of the freezer , which means 346 00:13:30,720 --> 00:13:32,942 that your refrigerator , in the case of 347 00:13:32,942 --> 00:13:35,276 johnson and johnson when we're using it , 348 00:13:35,276 --> 00:13:37,442 but it's in there . So that's what the 349 00:13:37,442 --> 00:13:39,553 the numbers uh perhaps are going up . 350 00:13:39,553 --> 00:13:41,776 Um Forget the second part question this 351 00:13:41,776 --> 00:13:44,380 card does . The answer is yes . I mean 352 00:13:44,380 --> 00:13:46,547 that we call that the slop of business 353 00:13:46,547 --> 00:13:48,102 though . If you look at any 354 00:13:48,102 --> 00:13:50,102 immunization program that we have , 355 00:13:50,102 --> 00:13:52,158 you're trying to stick the needle in 356 00:13:52,158 --> 00:13:54,269 the needle goes in wrong and and some 357 00:13:54,269 --> 00:13:54,160 come squirting out . So okay , you've 358 00:13:54,160 --> 00:13:56,210 lost it , or your your , your human 359 00:13:56,210 --> 00:13:58,154 being , you're dealing with it and 360 00:13:58,154 --> 00:14:00,266 you're distracted and it falls to the 361 00:14:00,266 --> 00:14:02,432 floor . If you look at the o the waste 362 00:14:02,432 --> 00:14:04,432 that we've had with this particular 363 00:14:04,432 --> 00:14:06,599 vaccine , it is by far and away , less 364 00:14:06,599 --> 00:14:08,766 waste than we've had in any other mass 365 00:14:08,766 --> 00:14:10,988 vaccination program in our history . So 366 00:14:10,988 --> 00:14:12,710 we're talking at the ranges of 367 00:14:12,710 --> 00:14:16,590 .042.06 wastage . So yes , 368 00:14:16,590 --> 00:14:18,620 we have it . But it's minimal . And 369 00:14:18,620 --> 00:14:20,787 that's across three different vaccines 370 00:14:20,787 --> 00:14:22,842 Madonna across everything across the 371 00:14:22,842 --> 00:14:25,064 military health system . Of the numbers 372 00:14:25,064 --> 00:14:27,287 that you see up there , that we've been 373 00:14:27,287 --> 00:14:29,509 been shipped to us . I think the number 374 00:14:29,509 --> 00:14:32,610 today was .06 or .07 that we've had of 375 00:14:32,620 --> 00:14:36,360 loss . Stay in the rooms here 376 00:14:37,540 --> 00:14:39,373 Caitlyn . Thank you for starting 377 00:14:39,373 --> 00:14:41,770 straight . Um , Yes . So now that 378 00:14:41,780 --> 00:14:44,170 everyone is eligible overseas , um , 379 00:14:44,180 --> 00:14:46,347 are there still any special indicators 380 00:14:46,347 --> 00:14:48,458 or anything that can allow someone to 381 00:14:48,458 --> 00:14:50,569 be prioritized above another person ? 382 00:14:50,569 --> 00:14:53,250 Say , for example , if their pcs ng mm 383 00:14:54,840 --> 00:14:58,610 Yeah . So the services as they handle 384 00:14:58,610 --> 00:15:01,380 their PCS rules , uh , as you recall or 385 00:15:01,380 --> 00:15:03,380 maybe you didn't if you didn't hear 386 00:15:03,380 --> 00:15:05,436 what we talked about two weeks ago . 387 00:15:05,436 --> 00:15:07,602 But each of the services have a little 388 00:15:07,602 --> 00:15:07,300 bit different way of approaching that . 389 00:15:07,310 --> 00:15:09,560 And in particular one of the services ? 390 00:15:09,940 --> 00:15:13,230 Yeah . Yeah . Okay . One of the 391 00:15:13,230 --> 00:15:15,540 services at least specifically 392 00:15:15,550 --> 00:15:17,439 vaccinating their service members 393 00:15:17,439 --> 00:15:20,440 before they , before they pcs kokonas 394 00:15:20,440 --> 00:15:22,162 as an example , but there's no 395 00:15:22,162 --> 00:15:24,218 departmental requirement for that to 396 00:15:24,218 --> 00:15:26,218 happen . So they're each evaluating 397 00:15:26,218 --> 00:15:28,329 their situation . And quite frankly , 398 00:15:28,329 --> 00:15:30,107 as we get more and more vaccine 399 00:15:30,107 --> 00:15:32,162 overseas , it will be more prevalent 400 00:15:32,162 --> 00:15:34,384 overseas . So then we will be having to 401 00:15:34,384 --> 00:15:36,440 vaccinate people here before they go 402 00:15:36,440 --> 00:15:38,440 just to try to achieve some sort of 403 00:15:38,440 --> 00:15:40,496 equity . But there's no departmental 404 00:15:40,496 --> 00:15:40,290 policy and if the services are 405 00:15:40,290 --> 00:15:43,470 addressing it individually . Well , 406 00:15:43,480 --> 00:15:47,400 thank you jenny . I just wondering 407 00:15:47,400 --> 00:15:51,320 about safe of a vaccinations . Uh is 408 00:15:51,320 --> 00:15:54,810 he safe with just two vaccinations ? 409 00:15:54,810 --> 00:15:58,710 Or do you think uh total vaccination 410 00:15:58,710 --> 00:16:00,960 is necessarily or what are you talking 411 00:16:00,960 --> 00:16:03,850 about ? A booster ? Um Well , the 412 00:16:03,850 --> 00:16:06,072 science isn't settled yet about whether 413 00:16:06,072 --> 00:16:08,239 or not we're gonna need a booster . We 414 00:16:08,239 --> 00:16:10,461 anticipate that we likely will , but we 415 00:16:10,461 --> 00:16:13,780 look to um uh to the F . D . A . Um to 416 00:16:13,780 --> 00:16:15,613 me and C . D . C . To make those 417 00:16:15,613 --> 00:16:17,780 determinations about whether or not we 418 00:16:17,780 --> 00:16:19,613 need a booster . Um but we'll be 419 00:16:19,613 --> 00:16:22,870 prepared to administer that to our 420 00:16:22,870 --> 00:16:24,981 beneficiaries and our service members 421 00:16:24,981 --> 00:16:27,830 if that comes to pass the poverty . 422 00:16:27,830 --> 00:16:30,180 Yesterday he ever been in the White 423 00:16:30,180 --> 00:16:34,060 House . He mentioned about um may be 424 00:16:35,370 --> 00:16:38,180 necessary to autumn maybe coming . I 425 00:16:38,190 --> 00:16:40,301 think we can expect that you're going 426 00:16:40,301 --> 00:16:42,590 to need a booster . But again , uh for 427 00:16:42,600 --> 00:16:44,840 us we look to the C . D . C . And the 428 00:16:44,840 --> 00:16:46,951 FDA to make those recommendations and 429 00:16:46,951 --> 00:16:50,430 we implement it . So whatever Dr Fauci 430 00:16:50,430 --> 00:16:54,070 says . All right . Mhm . 431 00:16:54,540 --> 00:16:57,360 Prepare the trip Abraham 432 00:16:57,840 --> 00:17:01,180 Spectrum . So two questions . 1 . 433 00:17:02,040 --> 00:17:04,262 How did you circle back now that you've 434 00:17:04,262 --> 00:17:06,207 opened it to everybody who's to be 435 00:17:06,207 --> 00:17:08,262 eligible ? How do you circle back to 436 00:17:08,262 --> 00:17:10,151 Tier one and Tier one B . Um Like 437 00:17:10,151 --> 00:17:12,207 what's the process for going back to 438 00:17:12,207 --> 00:17:14,373 folks who have turned it down before ? 439 00:17:14,373 --> 00:17:16,484 Are you doing a different approach to 440 00:17:16,484 --> 00:17:18,762 that to kind of pick up the loose ends ? 441 00:17:18,762 --> 00:17:20,540 And also you mentioned the word 442 00:17:20,540 --> 00:17:22,484 normalcy , What is normal ? So you 443 00:17:22,484 --> 00:17:24,651 gonna look like in D . O . D . When is 444 00:17:24,651 --> 00:17:24,470 that going to happen ? Alright , I'll 445 00:17:24,480 --> 00:17:27,910 start with the first one . Um We that's 446 00:17:27,910 --> 00:17:30,250 a really good question and we do 447 00:17:30,260 --> 00:17:34,090 continue to um notify our service 448 00:17:34,090 --> 00:17:36,410 members and others who are in the 449 00:17:36,410 --> 00:17:38,240 different tiers giving them 450 00:17:38,240 --> 00:17:40,350 opportunities to come in to get 451 00:17:40,350 --> 00:17:42,950 vaccinated . We use all communication 452 00:17:42,950 --> 00:17:46,360 channels at our disposal um To not only 453 00:17:46,360 --> 00:17:48,582 communicate with our D . O . D . Family 454 00:17:48,582 --> 00:17:50,527 but also to educate them about the 455 00:17:50,527 --> 00:17:52,749 vaccine . So we use social media we use 456 00:17:52,749 --> 00:17:56,210 our websites we've sent out um emails 457 00:17:56,220 --> 00:17:58,880 all across the board to make sure that 458 00:17:58,880 --> 00:18:01,102 everybody has the information that they 459 00:18:01,102 --> 00:18:03,110 could come in and get vaccinated if 460 00:18:03,110 --> 00:18:05,200 they so choose what was the second 461 00:18:05,200 --> 00:18:08,730 question ? Normalcy Normalcy . Yeah . 462 00:18:08,740 --> 00:18:10,830 You know I wish we could predict 463 00:18:10,830 --> 00:18:13,120 exactly what that would be . Certainly 464 00:18:13,120 --> 00:18:16,150 if more people get vaccinated um And 465 00:18:16,150 --> 00:18:19,040 the lower the transmission um within 466 00:18:19,040 --> 00:18:21,151 the United States it wouldn't be just 467 00:18:21,151 --> 00:18:23,207 within D . O . D . Because we're all 468 00:18:23,207 --> 00:18:25,318 part of the same community . So if at 469 00:18:25,318 --> 00:18:27,830 some point in time the virus is not 470 00:18:27,830 --> 00:18:30,780 transmittable then we could get much 471 00:18:30,780 --> 00:18:32,613 closer to normal . I know you've 472 00:18:32,613 --> 00:18:34,669 probably seen the news reports about 473 00:18:34,669 --> 00:18:36,724 Israel . Um it's pretty amazing that 474 00:18:36,724 --> 00:18:39,550 their vaccination rates and um their 475 00:18:39,550 --> 00:18:41,930 ability to get out to get out more , 476 00:18:41,940 --> 00:18:44,162 but we're not there yet , we still need 477 00:18:44,162 --> 00:18:46,273 to remain vigilant . We still need to 478 00:18:46,273 --> 00:18:50,030 um to use public health interventions . 479 00:18:50,030 --> 00:18:51,863 We still need to mass socially , 480 00:18:51,863 --> 00:18:54,086 distance and um do our best to stay out 481 00:18:54,086 --> 00:18:57,220 of crowded indoor venues . You 482 00:18:57,300 --> 00:18:59,830 know , something specific , no specific 483 00:18:59,840 --> 00:19:01,840 tactic for going back to those high 484 00:19:01,840 --> 00:19:04,240 priority Tier 1 81 B folks , it's just 485 00:19:04,240 --> 00:19:06,073 they get the same messaging that 486 00:19:06,073 --> 00:19:08,407 everybody else gets . Just get it again . 487 00:19:08,407 --> 00:19:10,351 Let me let me readjust that just a 488 00:19:10,351 --> 00:19:12,184 little bit . There's no specific 489 00:19:12,184 --> 00:19:14,407 guidance from the department Indicating 490 00:19:14,407 --> 00:19:16,518 that each of the individual 350 sites 491 00:19:16,518 --> 00:19:18,351 exactly how to do it . That's an 492 00:19:18,351 --> 00:19:20,407 accurate statement . But each of the 493 00:19:20,407 --> 00:19:22,629 locations have their own techniques and 494 00:19:22,629 --> 00:19:24,851 tactics on how they're approaching it . 495 00:19:24,851 --> 00:19:24,690 So Tier one Alpha , as you'll likely 496 00:19:24,690 --> 00:19:26,857 recall , at least in the department is 497 00:19:26,857 --> 00:19:28,968 our emergency department staff . It's 498 00:19:28,968 --> 00:19:31,023 our first responders , it's the fire 499 00:19:31,023 --> 00:19:33,190 departments , it's the police forces , 500 00:19:33,190 --> 00:19:35,357 security forces , emergency medicine , 501 00:19:35,357 --> 00:19:37,468 cruz , ambulance crews , that sort of 502 00:19:37,468 --> 00:19:39,690 thing . We know who's vaccinated and we 503 00:19:39,690 --> 00:19:41,857 know who's not . And so the individual 504 00:19:41,857 --> 00:19:44,023 leaders of those locations can go back 505 00:19:44,023 --> 00:19:45,968 and say , hey look , you know , we 506 00:19:45,968 --> 00:19:47,912 still have some opportunities over 507 00:19:47,912 --> 00:19:47,740 there . Are you interested yet or not ? 508 00:19:47,750 --> 00:19:51,510 Or if a particular large percentage 509 00:19:51,520 --> 00:19:53,742 again , feedback that's come back to me 510 00:19:53,742 --> 00:19:55,464 is when large groups have said 511 00:19:55,464 --> 00:19:57,631 collectively we didn't want to do it , 512 00:19:57,631 --> 00:19:59,687 then they'll bring even large groups 513 00:19:59,687 --> 00:20:01,853 together and said , okay , now that we 514 00:20:01,853 --> 00:20:03,742 have 2.5 million doses across the 515 00:20:03,742 --> 00:20:05,798 department and you see just how safe 516 00:20:05,798 --> 00:20:05,750 and effective it is . Has that changed 517 00:20:05,750 --> 00:20:07,528 your mind at all ? Is there any 518 00:20:07,528 --> 00:20:09,583 information I can help you with as a 519 00:20:09,583 --> 00:20:11,639 group that perhaps might change your 520 00:20:11,639 --> 00:20:13,639 mind ? And in some cases we've seen 521 00:20:13,639 --> 00:20:15,750 entire organizations say yes , you're 522 00:20:15,750 --> 00:20:17,861 right . I was worried about it before 523 00:20:17,861 --> 00:20:17,440 now . I'm not so worried about it and 524 00:20:17,450 --> 00:20:20,290 in mosques . So an ambulance crew or or 525 00:20:20,290 --> 00:20:22,830 a , you know , a shift in the emergency 526 00:20:22,830 --> 00:20:24,830 department that perhaps was worried 527 00:20:24,830 --> 00:20:26,997 about it before now . They're not . So 528 00:20:26,997 --> 00:20:26,990 yes , the answer is there is no 529 00:20:26,990 --> 00:20:29,046 departmental position about it , but 530 00:20:29,046 --> 00:20:31,157 that doesn't mean that leaders aren't 531 00:20:31,157 --> 00:20:31,010 engaged locally with those that 532 00:20:31,010 --> 00:20:32,780 responsible for to have that 533 00:20:32,780 --> 00:20:34,724 interaction and it's happening and 534 00:20:34,724 --> 00:20:36,669 we're seeing it happen as the data 535 00:20:36,669 --> 00:20:40,640 continue to come in . Absolutely . And 536 00:20:40,640 --> 00:20:42,760 I continue to have telephone calls 537 00:20:42,840 --> 00:20:45,062 every single week with the directors of 538 00:20:45,062 --> 00:20:47,229 each one of these vaccination sites on 539 00:20:47,229 --> 00:20:49,396 the best practices that we're seeing . 540 00:20:49,396 --> 00:20:50,951 We have internal products , 541 00:20:50,951 --> 00:20:53,229 communication , products , information , 542 00:20:53,229 --> 00:20:55,562 project products , educational products , 543 00:20:55,562 --> 00:20:57,673 etcetera , that are made available to 544 00:20:57,673 --> 00:20:59,896 everyone that that want them . So , you 545 00:20:59,896 --> 00:21:02,007 know , you have to actually go to get 546 00:21:02,007 --> 00:21:04,118 it , but it's on a , on an internal , 547 00:21:04,118 --> 00:21:06,229 you know , SharePoint side is so that 548 00:21:06,229 --> 00:21:08,340 they can go get it . Does that help ? 549 00:21:08,340 --> 00:21:11,700 Thank you . You're welcome . Yeah . So 550 00:21:11,700 --> 00:21:13,922 I'm wondering since the population does 551 00:21:13,922 --> 00:21:15,830 tend to skew young , are you 552 00:21:15,830 --> 00:21:17,700 anticipating a difference in the 553 00:21:17,710 --> 00:21:19,543 hesitancy rate among the younger 554 00:21:19,543 --> 00:21:22,920 population of active duty ? And then I 555 00:21:22,920 --> 00:21:25,520 have a follow up question about the so 556 00:21:25,520 --> 00:21:28,180 called double variance . Yeah , no , 557 00:21:28,190 --> 00:21:31,010 both great topics . Um you're exactly 558 00:21:31,010 --> 00:21:33,110 right . Our population tends to be 559 00:21:33,110 --> 00:21:36,870 younger . Um Their reasons for perhaps 560 00:21:36,880 --> 00:21:39,380 avoiding vaccination or at least 561 00:21:39,380 --> 00:21:41,380 avoiding vaccination at this time , 562 00:21:41,380 --> 00:21:44,580 mirror that in the civilian sector , um 563 00:21:44,580 --> 00:21:47,950 we have heard um anecdotally that um 564 00:21:47,950 --> 00:21:50,420 and also through surveys such as Blue 565 00:21:50,420 --> 00:21:54,380 star family surveys , um that 566 00:21:54,390 --> 00:21:56,446 younger people may feel that they're 567 00:21:56,446 --> 00:21:59,070 not as vulnerable to um covid and that 568 00:21:59,080 --> 00:22:01,302 perhaps the risk of getting vaccination 569 00:22:01,302 --> 00:22:03,550 is higher than getting the disease , 570 00:22:03,550 --> 00:22:05,828 which of course we know not to be true . 571 00:22:05,828 --> 00:22:08,440 Um we've also heard that people want to 572 00:22:08,450 --> 00:22:10,740 allow those who may be more at risk to 573 00:22:10,740 --> 00:22:13,070 get vaccinated . So there's all kinds 574 00:22:13,070 --> 00:22:15,181 of reasons . And it's similar to what 575 00:22:15,181 --> 00:22:18,470 we see in the uh civilian sector . And 576 00:22:18,470 --> 00:22:20,820 this is an area where I think we could 577 00:22:20,820 --> 00:22:22,987 focus and we could do a lot better and 578 00:22:22,987 --> 00:22:24,987 focusing on that population to help 579 00:22:24,987 --> 00:22:27,209 them get educated . Because the message 580 00:22:27,209 --> 00:22:29,431 really is that you're doing it not only 581 00:22:29,431 --> 00:22:31,320 to protect yourself but also your 582 00:22:31,320 --> 00:22:33,487 colleagues and teammates , your family 583 00:22:33,487 --> 00:22:35,431 and your community . So that's the 584 00:22:35,431 --> 00:22:37,653 message that we're trying to get out to 585 00:22:37,653 --> 00:22:41,270 to those individuals and variants , 586 00:22:41,270 --> 00:22:43,326 right ? The double variants that are 587 00:22:43,326 --> 00:22:45,530 emerging in India and that have 588 00:22:45,530 --> 00:22:47,641 recently been reported . Is there any 589 00:22:47,641 --> 00:22:49,980 thinking or worry about that or ? Yeah . 590 00:22:49,990 --> 00:22:52,220 No . Absolute . And we do worry about 591 00:22:52,230 --> 00:22:54,286 about the variants and the impact of 592 00:22:54,286 --> 00:22:56,341 the variants on transmission . Um as 593 00:22:56,341 --> 00:22:59,110 you know , the most common variant 594 00:22:59,110 --> 00:23:01,260 right now in the United States is the 595 00:23:01,260 --> 00:23:04,190 B1 on seven variant which is a highly 596 00:23:04,190 --> 00:23:07,350 transmissible virus . We test for 597 00:23:07,350 --> 00:23:09,017 variants , we do whole genome 598 00:23:09,017 --> 00:23:12,880 sequencing . Um We are you know now 599 00:23:12,880 --> 00:23:15,270 that we're in a phase where a lot more 600 00:23:15,270 --> 00:23:17,437 of our people are getting vaccinated . 601 00:23:17,437 --> 00:23:19,430 We are looking at various testing 602 00:23:19,430 --> 00:23:22,480 strategies for post vaccination . Um 603 00:23:22,480 --> 00:23:24,591 and whole genome sequencing is one of 604 00:23:24,591 --> 00:23:28,550 them one of the strategies I just 605 00:23:28,550 --> 00:23:30,606 want to confirm . There have been no 606 00:23:30,606 --> 00:23:32,850 cases within D . O . D . Of any uh 607 00:23:32,860 --> 00:23:35,027 blood clotting problems related to the 608 00:23:35,027 --> 00:23:37,304 J . And J . Vaccine . You haven't have , 609 00:23:37,304 --> 00:23:39,471 you know , there's only like a handful 610 00:23:39,471 --> 00:23:41,527 anyway . Has there been just want to 611 00:23:41,527 --> 00:23:43,693 confirm it's done with the D . O . D . 612 00:23:43,693 --> 00:23:45,916 That's correct . We're not aware of any 613 00:23:45,916 --> 00:23:47,916 clotting disorders or or challenges 614 00:23:47,920 --> 00:23:49,864 related to the J . And J vaccine , 615 00:23:49,864 --> 00:23:51,920 johnson vaccine currently within our 616 00:23:51,920 --> 00:23:54,142 system that said based on that guidance 617 00:23:54,142 --> 00:23:56,031 that that I published , it's very 618 00:23:56,031 --> 00:23:58,253 specifically tailored guidance . I will 619 00:23:58,253 --> 00:24:00,364 tell you that we're getting all kinds 620 00:24:00,364 --> 00:24:02,587 of people writing into our own internal 621 00:24:02,587 --> 00:24:04,753 vaccine adverse event reporting system 622 00:24:04,753 --> 00:24:06,864 with things that they're seeing . But 623 00:24:06,864 --> 00:24:09,142 at present we have not yet seen a case . 624 00:24:09,142 --> 00:24:11,309 We're not anticipating seeing a case . 625 00:24:11,309 --> 00:24:10,650 That's just the information I have so 626 00:24:10,650 --> 00:24:14,110 far . So since you brought it up , what 627 00:24:14,110 --> 00:24:16,054 are some of the things that you're 628 00:24:16,054 --> 00:24:18,221 receiving from these ? Well , remember 629 00:24:18,221 --> 00:24:20,277 that the guidance that came from J . 630 00:24:20,277 --> 00:24:22,277 And J . Specifically from the FDA , 631 00:24:22,277 --> 00:24:24,221 specifically looked at pain . It's 632 00:24:24,221 --> 00:24:26,277 headache , rights , dizziness , it's 633 00:24:26,277 --> 00:24:28,443 seizure disorder . It's chest pain and 634 00:24:28,443 --> 00:24:30,499 shortness of breath . It's abdominal 635 00:24:30,499 --> 00:24:32,721 pain , in extremity pain . There's lots 636 00:24:32,721 --> 00:24:32,400 of reason for having pain . I mean , 637 00:24:32,400 --> 00:24:34,567 we're americans , haven't you all have 638 00:24:34,567 --> 00:24:36,733 pain at some point or another . And so 639 00:24:36,733 --> 00:24:38,956 if temporally related you have pain and 640 00:24:38,956 --> 00:24:40,844 you've got a vaccine , then we're 641 00:24:40,844 --> 00:24:43,067 getting all kinds of that . So the very 642 00:24:43,067 --> 00:24:42,500 generic guidance that went out with it 643 00:24:42,500 --> 00:24:44,667 has an incredible amount . Now reports 644 00:24:44,667 --> 00:24:46,980 among other things related to pain for 645 00:24:46,980 --> 00:24:48,813 those who have had the J . And J 646 00:24:48,813 --> 00:24:52,160 vaccine . Sure , right , 647 00:24:52,740 --> 00:24:54,851 Kerry went on to a diplomatic times . 648 00:24:54,851 --> 00:24:57,073 Thank you for doing this . I don't know 649 00:24:57,073 --> 00:24:59,018 if this is an army in your area of 650 00:24:59,018 --> 00:25:01,129 responsibility . Can you speak on the 651 00:25:01,129 --> 00:25:03,184 vaccination effort at the Guantanamo 652 00:25:03,184 --> 00:25:05,260 Bay cuBA prison ? The New York Times 653 00:25:05,260 --> 00:25:07,482 reported that maybe 90 of the prisoners 654 00:25:07,482 --> 00:25:10,500 have been vaccinated today . Um Which 655 00:25:10,500 --> 00:25:12,611 vaccine are they getting and has many 656 00:25:12,611 --> 00:25:14,833 issues with this vaccination program at 657 00:25:14,833 --> 00:25:17,056 the Guantanamo Bay prison ? Thank you . 658 00:25:17,056 --> 00:25:19,111 Sure . Are you speaking specifically 659 00:25:19,111 --> 00:25:21,111 about the detainees ? Because yes , 660 00:25:21,111 --> 00:25:22,944 they did . They were offered the 661 00:25:22,944 --> 00:25:25,990 vaccine this week and I think 32 out of 662 00:25:25,990 --> 00:25:27,860 the 40 accepted vaccination . 663 00:25:30,340 --> 00:25:32,780 Yeah , the specific vaccine is moderna , 664 00:25:32,790 --> 00:25:34,957 just like it is for all of our kokonas 665 00:25:34,957 --> 00:25:38,170 locations . I like that one . Mhm . 666 00:25:38,840 --> 00:25:41,060 Possible . Thank you for joining us . 667 00:25:41,540 --> 00:25:45,230 Last week . General Walters on capitol 668 00:25:45,230 --> 00:25:47,370 hill said that the pause and johnson 669 00:25:47,370 --> 00:25:49,592 and johnson would impact the ability to 670 00:25:49,592 --> 00:25:51,960 ramp up vaccine distribution By about 671 00:25:51,970 --> 00:25:54,870 20% . So it was just wondering what 672 00:25:54,870 --> 00:25:57,090 effect does the paws have on vaccine 673 00:25:57,090 --> 00:25:59,280 distribution and other overseas bases 674 00:25:59,280 --> 00:26:01,730 there even here in the US . Even if 675 00:26:01,730 --> 00:26:05,090 it's just in the short term ? Well , we 676 00:26:05,090 --> 00:26:07,880 we didn't distribute the JJ vaccine 677 00:26:07,890 --> 00:26:09,946 here in the United States . I'll let 678 00:26:09,946 --> 00:26:12,350 general place answer the question about 679 00:26:12,740 --> 00:26:15,640 the impact . So it's already in general 680 00:26:15,640 --> 00:26:17,807 numbers . You can see the numbers that 681 00:26:17,807 --> 00:26:20,029 we've had delivered . 3.2 and a quarter 682 00:26:20,029 --> 00:26:21,973 million of those 3.2 and a quarter 683 00:26:21,973 --> 00:26:24,029 million . It's about 150,000 . R . J 684 00:26:24,029 --> 00:26:25,584 and jay . That's it . We've 685 00:26:25,584 --> 00:26:27,807 administered just north of 60,000 . I'm 686 00:26:27,807 --> 00:26:29,696 not going to say the exact number 687 00:26:29,696 --> 00:26:31,473 because I don't remember it but 688 00:26:31,473 --> 00:26:33,084 63,062,000 somewhere in that 689 00:26:33,084 --> 00:26:35,940 neighborhood in another 99,000 I think 690 00:26:35,940 --> 00:26:38,051 we have under quarantine . So we have 691 00:26:38,051 --> 00:26:40,107 it , it's in our refrigerators . But 692 00:26:40,107 --> 00:26:42,730 but but quarantine off away from the 693 00:26:42,730 --> 00:26:44,730 rest of it . So We're talking about 694 00:26:44,730 --> 00:26:48,240 150,000 total against 3.2 million doses . 695 00:26:48,240 --> 00:26:50,770 So the total percentage in our 696 00:26:50,770 --> 00:26:52,603 inventory that we've received is 697 00:26:52,603 --> 00:26:54,980 relatively minimal . Now , we did 698 00:26:54,980 --> 00:26:57,202 intend , as general Walters mentioned , 699 00:26:57,202 --> 00:26:59,369 we did intend for a significant amount 700 00:26:59,369 --> 00:27:01,313 of that to be used in the european 701 00:27:01,313 --> 00:27:03,369 theater . And now we've had to go to 702 00:27:03,369 --> 00:27:05,258 plan B and that's what I tried to 703 00:27:05,258 --> 00:27:07,480 Trying to get to in my opening comments 704 00:27:07,480 --> 00:27:09,369 that we've substituted additional 705 00:27:09,369 --> 00:27:11,536 moderna vaccine for what we thought we 706 00:27:11,536 --> 00:27:11,100 were going to be able to use Johnson 707 00:27:11,100 --> 00:27:13,130 and Johnson vaccine . And as I 708 00:27:13,130 --> 00:27:15,352 indicated , we still believe that every 709 00:27:15,352 --> 00:27:18,780 single person , even after 80 accept 710 00:27:18,790 --> 00:27:22,780 the call to get a vaccine . By one June , 711 00:27:22,780 --> 00:27:25,002 we'll have enough vaccine there so that 712 00:27:25,002 --> 00:27:27,224 by one June Up to 80 of people who live 713 00:27:27,224 --> 00:27:29,410 in um , his specific area 714 00:27:29,410 --> 00:27:31,632 responsibility or any of the co comes , 715 00:27:31,632 --> 00:27:33,688 we'll have a vaccine by substituting 716 00:27:33,688 --> 00:27:35,688 Madonna for what we thought we were 717 00:27:35,688 --> 00:27:39,350 going to have for J&J . Thank you . Or 718 00:27:39,350 --> 00:27:41,350 in just looking back to the numbers 719 00:27:41,350 --> 00:27:43,461 real quick , there's about 620,000 UN 720 00:27:43,461 --> 00:27:45,628 administered doses . Are you seeing or 721 00:27:45,628 --> 00:27:47,572 anticipating surpluses built up in 722 00:27:47,572 --> 00:27:49,628 places a little bit . Yeah , so as I 723 00:27:49,628 --> 00:27:51,517 already indicated 100,000 , those 724 00:27:51,517 --> 00:27:53,740 99,000 changes J and J . So just take 725 00:27:53,740 --> 00:27:55,907 that into account . But yeah , there's 726 00:27:55,907 --> 00:27:58,073 some locations that we are seeing some 727 00:27:58,073 --> 00:28:00,296 surplus . Some of it is . Um as I think 728 00:28:00,296 --> 00:28:02,462 all of you know the way the Pfizer and 729 00:28:02,462 --> 00:28:04,796 moderna doses work , you get both doses . 730 00:28:04,796 --> 00:28:07,180 So Here's the first dose 21 days from 731 00:28:07,180 --> 00:28:09,180 now for the fight . Or you get your 732 00:28:09,180 --> 00:28:11,402 second dose Madonna . Here's first dose 733 00:28:11,402 --> 00:28:11,350 28 days . You get your second dose . 734 00:28:11,740 --> 00:28:14,130 Well lo and behold some people don't 735 00:28:14,130 --> 00:28:16,130 come in for their second dose . I'm 736 00:28:16,130 --> 00:28:18,920 sure that shocks all of you . But so 737 00:28:18,920 --> 00:28:20,809 then what do you do with it now ? 738 00:28:20,809 --> 00:28:22,920 According to the , to the phase three 739 00:28:22,920 --> 00:28:25,290 clinical trial , it's actually 21 to 42 740 00:28:25,290 --> 00:28:27,880 days for Pfizer or 28 to 42 days . So 741 00:28:27,880 --> 00:28:29,824 certainly they have to keep it for 742 00:28:29,824 --> 00:28:31,936 several weeks just in case the person 743 00:28:31,936 --> 00:28:33,991 says , well I didn't come in exactly 744 00:28:33,991 --> 00:28:36,158 the day , but I can still come in with 745 00:28:36,158 --> 00:28:35,430 that amount of time and it will still 746 00:28:35,430 --> 00:28:37,720 be effective for me . So in some cases 747 00:28:37,720 --> 00:28:39,887 we're keeping it around because people 748 00:28:39,887 --> 00:28:41,942 still may come in . In other cases , 749 00:28:41,942 --> 00:28:43,887 it's in a location just as someone 750 00:28:43,887 --> 00:28:46,060 mentioned before , perhaps that 751 00:28:46,070 --> 00:28:48,292 particular part of the country isn't as 752 00:28:48,292 --> 00:28:50,348 interested in becoming vaccinated as 753 00:28:50,348 --> 00:28:52,514 another part of the country . And even 754 00:28:52,514 --> 00:28:54,570 though we're trying to distribute it 755 00:28:54,570 --> 00:28:56,403 across all 350 vaccination sites 756 00:28:56,403 --> 00:28:58,514 equally , the acceptance rates at all 757 00:28:58,514 --> 00:29:00,737 locations isn't necessarily equal . And 758 00:29:00,737 --> 00:29:02,959 so all those are variables that we have 759 00:29:02,959 --> 00:29:04,959 to work through as we deal with the 760 00:29:04,959 --> 00:29:07,070 allocations that we get . We are very 761 00:29:07,070 --> 00:29:09,237 close or perhaps where they're already 762 00:29:09,237 --> 00:29:11,292 from a tipping point to this being a 763 00:29:11,292 --> 00:29:13,237 supply limited environment to some 764 00:29:13,237 --> 00:29:15,403 other factor , whether it's acceptance 765 00:29:15,403 --> 00:29:17,626 rates or or we think that we still need 766 00:29:17,626 --> 00:29:19,348 to vaccinate people . But as I 767 00:29:19,348 --> 00:29:19,110 mentioned in my opening comments , 768 00:29:19,120 --> 00:29:21,810 fully 444,000 that we know of D O D . 769 00:29:21,810 --> 00:29:24,032 Beneficiaries have gotten a vaccination 770 00:29:24,032 --> 00:29:26,254 somewhere else . Maybe it's higher than 771 00:29:26,254 --> 00:29:28,199 that and they just haven't told us 772 00:29:28,199 --> 00:29:27,270 because they didn't bring the 773 00:29:27,270 --> 00:29:29,159 information in . So all these are 774 00:29:29,159 --> 00:29:31,159 variables that we're trying to sort 775 00:29:31,159 --> 00:29:33,381 through . So to answer your question is 776 00:29:33,381 --> 00:29:33,340 I don't know . But those are all the 777 00:29:33,340 --> 00:29:35,396 things that I think about as we work 778 00:29:35,396 --> 00:29:37,451 through the program , at least as we 779 00:29:37,451 --> 00:29:39,900 know it today . Thank you . Do you have 780 00:29:39,900 --> 00:29:43,120 any further questions in the room ? All 781 00:29:43,120 --> 00:29:45,231 right . Well with that I will hand it 782 00:29:45,231 --> 00:29:47,120 back over to General place and Dr 783 00:29:47,120 --> 00:29:49,342 dirham for final comments . Sure . Well 784 00:29:49,342 --> 00:29:52,020 I want to thank all of our D . O . D . 785 00:29:52,020 --> 00:29:54,070 Family who have accepted vaccine . 786 00:29:54,070 --> 00:29:56,430 They've really are helping us to reduce 787 00:29:56,430 --> 00:29:58,580 the transmission and helping us get 788 00:29:58,580 --> 00:30:01,560 closer to normal . Um I also want to 789 00:30:01,570 --> 00:30:04,440 thank our hardworking military medical 790 00:30:04,440 --> 00:30:06,870 personnel who are doing the hard work 791 00:30:06,870 --> 00:30:09,020 and getting our people vaccinated as 792 00:30:09,020 --> 00:30:12,270 well as fellow americans . So 793 00:30:13,340 --> 00:30:15,562 yeah , look at that as well . And there 794 00:30:15,562 --> 00:30:17,618 was a comment already about the fema 795 00:30:17,618 --> 00:30:19,784 teams but there wasn't a comment about 796 00:30:19,784 --> 00:30:21,896 the National Guard and I think all of 797 00:30:21,896 --> 00:30:23,951 you know , but in each of the States 798 00:30:23,951 --> 00:30:23,460 and Territories , the National Guard is 799 00:30:23,460 --> 00:30:25,682 working hard to support the citizens of 800 00:30:25,682 --> 00:30:27,627 those States or territories . So , 801 00:30:27,627 --> 00:30:29,793 between the active duty support to the 802 00:30:29,793 --> 00:30:31,682 fema teams and the National Guard 803 00:30:31,682 --> 00:30:33,793 support , Um , I can tell you that in 804 00:30:33,793 --> 00:30:35,960 addition to what we're doing inside of 805 00:30:35,960 --> 00:30:38,071 our vaccination sites , that's led to 806 00:30:38,071 --> 00:30:40,238 more than 11 million more vaccinations 807 00:30:40,238 --> 00:30:42,238 across America . So from a whole of 808 00:30:42,238 --> 00:30:44,238 government , a whole of D . O . D . 809 00:30:44,238 --> 00:30:46,404 Support . If you had all that stuff up 810 00:30:46,404 --> 00:30:48,627 together , it's almost 14 million doses 811 00:30:48,627 --> 00:30:50,738 have gone into americans at the hands 812 00:30:50,738 --> 00:30:50,670 of someone wearing the uniform of the 813 00:30:50,670 --> 00:30:52,892 United States and we're really proud of 814 00:30:52,892 --> 00:30:55,260 that . That said again to the question 815 00:30:55,260 --> 00:30:57,427 about the normalcy , I don't know what 816 00:30:57,427 --> 00:30:59,593 the new normal is going to look like , 817 00:30:59,593 --> 00:30:59,250 but we live in a changing environment 818 00:30:59,250 --> 00:31:01,700 all the time . That's just the world we 819 00:31:01,700 --> 00:31:03,811 live in . It's always changing . So I 820 00:31:03,811 --> 00:31:06,033 don't know what normal is going to look 821 00:31:06,033 --> 00:31:08,200 like , but I do know this that as long 822 00:31:08,200 --> 00:31:09,811 as we're aware of the of the 823 00:31:09,811 --> 00:31:11,978 requirements , the requirements from a 824 00:31:11,978 --> 00:31:14,144 public health perspective of stay home 825 00:31:14,144 --> 00:31:13,890 when you're sick , wash your hands . 826 00:31:14,040 --> 00:31:16,151 All right , be nice to other people . 827 00:31:16,151 --> 00:31:19,010 Get tested when it's appropriate and if 828 00:31:19,010 --> 00:31:21,232 okay for you based on the feedback that 829 00:31:21,232 --> 00:31:23,510 you get from your health care provider , 830 00:31:23,510 --> 00:31:25,454 get vaccinated , whatever that new 831 00:31:25,454 --> 00:31:25,200 normal is going to look like we're 832 00:31:25,200 --> 00:31:27,367 going to get there faster . And that's 833 00:31:27,367 --> 00:31:29,422 if we do it together . So thanks for 834 00:31:29,422 --> 00:31:31,367 the great questions . Actually are 835 00:31:31,367 --> 00:31:33,589 continuing involvement with these these 836 00:31:33,589 --> 00:31:35,922 iterative press gatherings that we have . 837 00:31:35,922 --> 00:31:35,060 And we thank you for the questions . 838 00:31:35,540 --> 00:31:37,762 Thank you . Thank you all and thank you 839 00:31:37,762 --> 00:31:39,929 to our special guest general place and 840 00:31:39,929 --> 00:31:41,460 dr adam . Thank you . Yeah .