Transcript: Dr. Scott Gottlieb on 'Face the Nation,' January 9, 2022

1/9/2022 10:20:00 PM

The following is a transcript of an interview with former FDA Commissioner Dr. Scott Gottlieb that aired Sunday, January 9, 2022, on 'Face the Nation.'

Face The Nation, Transcript

Former FDA Commissioner ScottGottliebMD tells FaceTheNation's margbrennan where the Omicron COVID-19 variant will likely be hitting next as it comes to an end on the East Coast.

The following is a transcript of an interview with former FDA Commissioner Dr. Scott Gottlieb that aired Sunday, January 9, 2022, on 'Face the Nation.'

The following is a transcript of an interview with former FDA Commissioner Dr. Scott Gottlieb that aired Sunday, January 9, 2022, on"Face the Nation."MARGARET BRENNAN: We go now to former FDA commissioner Dr. Scott Gottlieb, who sits on the board of Pfizer. Good morning to you, doctor.

DOCTOR SCOTT GOTTLIEB: Good morning.MARGARET BRENNAN: You said we'll be running past the Omicron wave by Feb. Do you stand by that trajectory? And do we get to breathe a sigh of relief at that point?DR. GOTTLIEB: Hopefully we do, I mean, many people, including myself, have predicted that Delta would be the last major wave of infection then Omicron and came along, which was- represented sort of divergent evolution, I think surprised us that the virus was able to mutate so heavily and evade the immunity that we have acquired. But if you look what's happening across the East Coast right now in New York City, Washington, D.C., Maryland, probably Florida as well have already peaked, maybe Delaware and Rhode Island. You're going to start to see that in the statistics this week. You're going to start to see those curves as epidemic curves bend down. You already seeing that in New York City and Washington, D.C. The risk right now is to the Midwest, where you have rising infection, where they aren't in the thick of their Omicron wave yet. And you have states that had high hospitalization rates going into this. They had a lot of Delta infection. They had been coming out of their Delta wave, so their hospital census was already high. And now they're seeing Omicron infections pick up. On the good side, hospitalizations are down relative to cases, but cases are up substantially, so it's pressing hospitals. Many of the hospitals on the East Coast are going to reach or surpass their previous hospitalization totals. New York City is probably the city that's best equipped to handle it, they're about 55% of the hospitalizations that they saw during that devastating first wave. But in other states, they're more pressed. They're close to 100% of the hospitalizations they saw in previous waves. Finally, on the good side, length of stay is down substantially, so length of stay has gone from 4 days to 1.6 days in the survey by Kaiser, for example. So that's allowing hospitals to turn over beds, but the sheer velocity of the spread right now and the number of hospitalizations is pressing them.

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ScottGottliebMD FaceTheNation margbrennan They give this whack a platform so people believe him. ScottGottliebMD FaceTheNation margbrennan News for you. It's been spiking in 43 states for over a week now. Hitting next? Please. ScottGottliebMD FaceTheNation margbrennan Where you get your info? Cases are going straight up in 43 states right now. For example, CA reported over 100,000 new cases on Friday, the highest one day total of any state. TN reported over 19,000 on Saturday, which based on population, would be like CA reporting 120,000.

ScottGottliebMD FaceTheNation margbrennan Uh, it's the whole country right now. Shawna ScottGottliebMD FaceTheNation margbrennan It will not end. It will always seek a host. ScottGottliebMD FaceTheNation margbrennan The hospitalization concern seems inconsistant with what the CEO of Northwell had to say...he feels NY hospitals have things under control.

ScottGottliebMD FaceTheNation margbrennan Megatron is NEXT to hit us !!! ScottGottliebMD FaceTheNation margbrennan covaxin com on man..just tell people about it. ScottGottliebMD FaceTheNation margbrennan Will we have to wait until the number of unvaccinated people diminishes to some degree before the transmissiblity of the virus is reduced to a level that effectively ends the pandemic? While hoping that a worse case scenario of a more transmissible/virulent virus doesn't appear.

ScottGottliebMD FaceTheNation margbrennan Don't be that clueless doubter who decides to turn around to look back at what most everyone is running away from, the tsunami just over the horizon rushing toward us. Get vaccinated, boosted, wear a mask and go about your business safely and be kind to each other, too!

ScottGottliebMD FaceTheNation margbrennan Get vaccinated/boosted, wear a mask, social distance & go about your business safely. Why? B/c THERE'S just NO GETTING AROUND IT. It's up to all of us to choose to come together to stop the spread to end the pandemic. Sometimes you just gotta do what you gotta do. Just do right.

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ScottGottliebMD FaceTheNation margbrennan Just stop. I work for a hospital in WI and our wave broke last week. We handled it just fine ScottGottliebMD FaceTheNation margbrennan “Former FDA Commissioner” Why not use his current title, “Pfizer Board Member”?

César Franck’s revolutionary organ music, in a marathon performance by Scott DettraDivided between afternoon and evening sessions, the 12 pieces were played with great flair and generous expression.

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‘Scott Pilgrim’ Anime Series in Development at NetflixNetflix is developing a “Scott Pilgrim” anime series, Variety has confirmed with sources. The show would be produced by UCP. Bryan Lee O’Malley, who created the “Scott Pilgrim&82… Original contents don't exist anymore. Awesome gagecon13 does this news make you moist? 😂😂😂

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07:22 The following is a transcript of an interview with former FDA Commissioner Dr.The bandmembers from the 2010 movie are also on hand for the anime.Organist Scott Dettra pictured before a recital at the Church of the Incarnation in Dallas, on Saturday, Jan., which debuts in theaters and on demand on Feb.

Scott Gottlieb that aired Sunday, January 9, 2022, on"Face the Nation." MARGARET BRENNAN: We go now to former FDA commissioner Dr. Part action fantasy, part romantic comedy, Pilgrim centered on the titular slacker living in Toronto and in a garage band named Sex Bob-Omb with his friends. Scott Gottlieb, who sits on the board of Pfizer. And a pianist wouldn’t have to play lots of notes with feet as well as fingers, plus manage hundreds of registration changes. Good morning to you, doctor. But before their love can blossom, Pilgrim finds himself challenged by his love’s seven previous relationships, and must defeat them in over-the-top fashion. DOCTOR SCOTT GOTTLIEB: Good morning. “It’s much easier to name the musicians that haven’t played here, rather than the ones that have,” the late trailblazer says in the film.

MARGARET BRENNAN: You said we'll be running past the Omicron wave by Feb. Wright adapted the works — he wrote the script with Bacall and directed — into one movie titled. With the organ console hidden in a chancel niche, the audience could watch on a large projection screen. Do you stand by that trajectory? And do we get to breathe a sigh of relief at that point? DR. GOTTLIEB: Hopefully we do, I mean, many people, including myself, have predicted that Delta would be the last major wave of infection then Omicron and came along, which was- represented sort of divergent evolution, I think surprised us that the virus was able to mutate so heavily and evade the immunity that we have acquired. But if you look what's happening across the East Coast right now in New York City, Washington, D. Breaking away from a French tradition of short organ movements to alternate with sections of the Roman Catholic mass and vespers services, Franck created larger-scale works for concert performances.C.” Murray adds that the film “offers a look at the truest, most honest version of Ronnie,” which includes his private battle with depression.

, Maryland, probably Florida as well have already peaked, maybe Delaware and Rhode Island. You're going to start to see that in the statistics this week. Franck’s romantic style calls for generous rubato, pushing and pulling tempos for expressive effect. You're going to start to see those curves as epidemic curves bend down. You already seeing that in New York City and Washington, D.C. No composer of organ music inspires more personalized interpretations. After many musical endeavors, including joining an orchestra, Scott opened his famous jazz club.

The risk right now is to the Midwest, where you have rising infection, where they aren't in the thick of their Omicron wave yet. And you have states that had high hospitalization rates going into this. They had a lot of Delta infection. Dettra sometime stretched rests too long for an acoustic well shy of a grand French church, and sometimes held final chords past their sell-by dates. They had been coming out of their Delta wave, so their hospital census was already high. And now they're seeing Omicron infections pick up. Watch the official trailer for  Ronnie’s.

On the good side, hospitalizations are down relative to cases, but cases are up substantially, so it's pressing hospitals. Technical assurance was never in doubt. Many of the hospitals on the East Coast are going to reach or surpass their previous hospitalization totals. New York City is probably the city that's best equipped to handle it, they're about 55% of the hospitalizations that they saw during that devastating first wave. But in other states, they're more pressed. (Scott Cantrell/Special Contributor) There was plenty of flair in the Pièce héroïque. They're close to 100% of the hospitalizations they saw in previous waves.

Finally, on the good side, length of stay is down substantially, so length of stay has gone from 4 days to 1.6 days in the survey by Kaiser, for example. So that's allowing hospitals to turn over beds, but the sheer velocity of the spread right now and the number of hospitalizations is pressing them. MARGARET BRENNAN: Yeah, the speed of this is just incredible. What should parents do over the next two to three weeks because the unprotected are those ages four and under? We know it's just not realistic for parents to not drop their kids off at daycare tomorrow or not send their kids to preschool.

DR. GOTTLIEB: Look, there's a lot of risk right now, I think you have to look in on what the precautions are in the settings in which you're putting your children and try to encourage those who are taking care of your children in those settings to put in place measures to try to protect them. The risk is to young children right now. If you look at New York City, for example, fully 55% of the hospitalizations of pediatric hospitalizations are children ages zero to four, and they only represent 26% of the population. So, we're seeing a lot of hospitalizations in those younger age groups where the children are largely unvaccinated- five to 11 as well, where vaccination rates are very low; only 16% of five to 11 year olds have been fully vaccinated.

I think the old rules apply. Try to encourage social pods in those settings. Hand hygiene, I think masks can be helpful where they can be worn, It's hard with the very young kids; trying to keep kids distanced. The best thing that schools could be doing right now is serial testing. Again, hard to do with the very young kids, although you can do pooled samples like saliva tests and also keeping them in social pods.

So, if you have a class of 10 trying to break it down, so all the kids aren't intermingling. So, if you have a single introduction, it's not going to take down a whole class. MARGARET BRENNAN: So, the CDC guidelines, we've talked about this for years now. They continue to be changing. They continue to be murky.

Can you help- if I tick through some of these basics, can you help give us some clarity here? The UK says 10 to 13% of people will still be infectious from COVID on day six. On day six in the United States, the CDC says you can go back to work, you can go back to school, but they tell you don't go to a restaurant and don't travel. What do you do on day six doctor? DR. GOTTLIEB: Right. And look, the CDC has guidance recommended that you wear a mask for five days after your isolation period, recognizing that a certain cohort of people are still going to be showing the virus.

I think what underlies the CDC recommendation there is a recognition that this is an epidemic that's not being instigated, spread if you will, by people who get diagnosed, isolate for five days and go back into public circulation on day six, while a certain percentage of them will still be infectious. They're not driving the pandemic. What's driving the pandemic right now is the fact that we're probably only diagnosing somewhere between one and five and one in 10 actual infections. And as a lot of people walking around with mild illness or asymptomatic infection who don't know it, who are spreading it. So, if you start from that premise and if CDC was sort of upfront about that premise, what it really tells you is that if you're- if you're someone who's isolated for five days and on day six, you're going to go back to work.

You need to be mindful of what the setting is that you're reintroducing yourself into. Are you taking care of people who are vulnerable at home? Are you going into a health care setting or another setting where there's vulnerable people? And if you are, you need to be more vigilant, maybe use a diagnostic test to make sure you're no longer shedding virus. You certainly wear a mask in that circumstance. But I think if CDC was more granular, more descriptive in what they were actually doing and why. And the fact that they recognize that there's going to be a certain number of people who are infectious people could take more actions on their own.

MARGARET BRENNAN: If people can find a test, the Biden administration will begin distributing them to households. The reporting is by Jan. 15 they will start shipping out 500 million of them. That's not really going to help people on the east coast right now who are trying to find in the midst of this surge a way to test like you're describing. DR.

GOTTLIEB: Yeah, look, it's unfortunate we started this late, we should have done this earlier. You're right, these tests are going to be distributed as this epidemic is declining in many parts of the country, not all parts of the country. So, for certain parts of the country, the tests are going to get there in time or in time for the peak infection. I think they would have been better served by directly subsidising the tests and having them delivered through normal retail channels like pharmacies, rather than shipping these through the mail. We need to start to normalize the supply chain for the tools that people need to protect themselves from this pandemic.

It's not just the diagnostic test, but also the vaccines and therapeutics. We need to start thinking about how we distribute these through normal retail channels where people are used to accessing health care services and not these government directed channels, which are going to make it more challenging for people to get these in a timely fashion. MARGARET BRENNAN: You were very clear last Sunday that you will not be protected if you're wearing a cloth mask because this is an airborne virus. Given how transmissible this is, what counts as an exposure these days. Does the 15 minutes at six feet of distance mean anything, or is- does you walking down the street and passing someone by going to expose you just the same? DR.

GOTTLIEB: You know, look, I certainly don't think an outdoor setting represents the same level of risk, and that's been consistent all the way through, but the reality is that your risk is binary. You can have a casual encounter and contract the illness. You can have a prolonged encounter and not. CDC with those kinds of recommendations, about 15 minutes of cumulative exposure or things like that, six feet of distance they're trying to gauge on average where the highest risk of exposure occurs, and it occurs with prolonged exposures in confined settings with people who are infected. We know that.

But the reality is, with an airborne illness like this, if you're in a setting, a confined saying that poor air circulation doesn't matter if you're six feet or 10 feet, you're going to be at risk of contracting it. And this isn't like radiation where you have a cumulative risk. MARGARET BRENNAN: Right. Which is why the math matters so much. Dr.

Gottlieb, thank you for your time today. We'll be right back with more. FACE THE NATION. Stay with us. Thanks a lot.

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