Anthony Fauci: 'As I think of that 27-year-old who arrived on the NIH campus in 1968, I am humbled by the enormous privilege and honor I have had serving the American and global public.'
Dr. Anthony Fauci as he does TV interviews on the North Lawn of the White House, in March 2020.Although I hesitate to use the hackneyed expression “It seems like just yesterday,” it does feel that way as I prepare to leave the National Institutes of Health after over five decades.
It was during my residency training that I became fascinated with the interface between infectious diseases and the relatively nascent but burgeoning field of human immunology. As I cared for many patients with commonplace as well as esoteric infections, it became clear that physicians and other health care providers needed more tools to diagnose, prevent and treat diseases.
There is so much discovery that can happen inside a laboratory and in the clinic — even when you least expect it. Early in my career, I was able to develop highly effective therapies for a group of fatal diseases of blood vessels called vasculitis syndromes. Patients who otherwise would have died instead experienced long-term remissions because of the treatment protocols I developed.
I never aspired to a major administrative position and relished my identity as a hands-on physician and clinical researcher. But I was frustrated with the relative lack of attention and resources directed to the study of HIV/AIDS in the early 1980s. And once again an unexpected opportunity arose when I was asked to lead NIAID, and I accepted, on the condition that I could continue to care for patients as well as lead my research laboratory.
Driven by his deep-seated compassion and desire for global health equity, President George W. Bush directed me, together with members of his staff, to develop a program that could deliver these drugs and other care to people in resource-poor countries with high levels of HIV. It was the privilege and honor of my lifetime to be an architect of what would become the President’s Emergency Plan for AIDS Relief program, which has saved 20 million lives globally.
It is our collective responsibility to ensure that public health policy decisions are driven by the best available data. Scientists and health workers can do their part by speaking up, including to new and old media sources, to share and explain in plain language the latest scientific findings as well as what remains to be learned.
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