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UPDATEDSEP 9 AT 22:00
September 9, 2020
Dear Colleagues,
As infectiousdiseasesphysiciansand researchers,microbiologistand immunologists,
epidemiologistsandhealthpolicyleaders,we standunitedineffortsto developandpromotescience-basedsolutionsthat advancehumanhealthand preventsufferingfrom the coronavirus
pandemic. Inthispursuit,we share a commitmentto a basicprinciplederivedfromthe
HippocraticOath: PrimumNonNocere(First,DoNo Harm).
To prevent harm to the public’s health, we also have both a moral and an ethical responsibility tocall attention to the falsehoods and misrepresentations of science recently fostered by Dr. Scott
Atlas, a former Stanford Medical School colleague and current senior fellow at the Hoover
Institute at Stanford University. Many of his opinions and statements run counter to established
science and, by doing so, undermine public-health authorities and the credible science that
guides effective public health policy. The preponderance of data, accrued from around the
world, currently supports each of the following statements:
� The use of face masks,socialdistancing,handwashingand hygienehave been shownto
substantiallyreducethe spreadof Covid-19.Crowdedindoorspaces are settingsthat
significantlyincrease the risk of communityspreadof SARS-CoV-2.
� Transmission of SARS-CoV-2 frequently occurs from asymptomatic people, including
children and young adults, to family members and others. Therefore, testing
asymptomatic individuals, especially those with probable Covid-19 exposure is important
to break the chain of ongoing transmission.
� Childrenof all ages can be infectedwith SARS-CoV-2.While infectionislesscommon
inchildrenthan in adults,seriousshort-termand long-termconsequencesof Covid-19are
increasinglydescribedin childrenand youngpeople.
� The pandemic will be controlledwhen a large proportionof a populationhas developedimmunity(referredto as herd immunity)and that the safest path to herd immunityis
throughdeploymentof rigorouslyevaluated,effective vaccines that have been approved
by regulatoryagencies.
� In contrast, encouraging herd immunity through unchecked community transmission is
not a safe public health strategy. In fact, this approach would do the opposite, causing a
significant increase in preventable cases, suffering and deaths, especially among
vulnerable populations, such as older individuals and essential workers.
Commitment to science-based decision-making is a fundamental obligation of public
health policy. The rates of SARS-CoV-2 infection in the US, with consequent morbidity
and mortality, are among the highest in the world. The policy response to this pandemic
must reinforce the science, including that evidence-based prevention and the safedevelopment, testing and delivery of efficacious therapies and preventive measures,
including vaccines, represent the safest path forward. Failure to follow the science -- or
deliberately misrepresenting the science – will lead to immense avoidable harm.
We believe that social and economic activity can reopensafely,if we followpoliciesthat
are consistentwith science. Infact, the countriesthat have reopenedbusinessesandschoolssafely are those that have implementedthe science-basedstrategiesoutlined
above.
As Stanfordfaculty with expertisein infectiousdiseases,epidemiologyand healthpolicy,our signaturessupport thisstatementwith the hope that our voicesaffirmscientific,
medicaland public healthapproachesthat promotethe safety of our communitiesand
nation.
PhilipA. Pizzo,MD
Professor of Pediatrics(Infectious Diseases) and ofMicrobiology andImmunology and FormerDean, Stanford School ofMedicine and FoundingDirector, StanfordDistinguished CareersInstitute
Lucy Shapiro,PhD
Professor of DevelopmentalBiology and Director,Beckman Center forMolecular and GeneticMedicine
Upi Singh, MD
Professor of Medicine(Infectious Disease andGeographic Medicine) and ofMicrobiology andImmunology and Chief,Division of InfectiousDiseases
Melissa Bondy,PhD
Professor and Chair ofEpidemiology and PopulationHealth and Co-Director of theStanford Center forPopulationHealth Sciences
Bonnie Maldonado,MD
Professor of Pediatrics(Infectious Diseases) and ofEpidemiology andPopulation Health Chief,Division of PediatricInfectious Diseases andSenior Associate Dean forFaculty Development andDiversity
Michele Barry,MD
Professor of Medicine andSenior Associate Dean forGlobal Health and Director,Center for Innovation inGlobal Health and SeniorFellow, Woods Institute andthe Freeman Spogli Institutefor International Studies
Charles Prober,MD
Professor of Pediatricsand ofMicrobiology andImmunology and SeniorAssociate Vice Provost forHealth Education
DavidRelman,MD
Professor of Medicine(Infectious Diseases) and ofMicrobiology andImmunology and SeniorFellow, Freeman SpogliInstitute for InternationalStudies
Harry Greenberg,MD
Professor of Medicine and ofMicrobiologyandImmunologyand AssociateDean for Research
JohnBoothroyd,PhD
Professorof Microbiologyand Immunology
Jason Andrews, MD,SM,DTM&H
Associate Professor ofMedicine (InfectiousDiseases) and ofEpidemiology and HealthPolicy
Julie Parsonnet,MD
Professor of Medicine(Infectious Diseases andGeographic Medicine) and ofEpidemiology and PopulationHealth
Lee M.Sanders,MD,MPH
Associate Professor ofPediatrics and of HealthResearch and Policy(Epidemiology)and Chief,
Divisionof General Pediatrics
Ann Arvin, MD
Professor of Pediatrics(Infectious Diseases) and ofMicrobiology andImmunologyand Former ViceProvost and Dean of Research
John Carette,PhD
AssociateProfessorofMicrobiologyand
Immunology
DavidStuddert,LLB,MPH,ScD
Professor of LawandMedicine,Stanford HealthPolicy,Stanford Law School
Steve Goodman, MD,MHS, PhD
Professor of Epidemiologyand Population Health andAssociate Dean of Clinicaland Translational Research
Steve Luby,MD
Professor of Medicine(Infectious Diseases)and of Epidemiologyand Population Healthand Senior Fellow,Freeman SpogliInstitute
EdwardS Mocarski,Jr, PhD
Professor ofMicrobiology andImmunology,Emeritus
DylanDodd,MD,PhD
Assistant Professor ofPathology and ofMicrobiology andImmunology
Michelle Mello,JD,PhD
Professor of Medicine(Health Policy)andProfessor of Law
Joshua Salomon, PhD
Professor of Medicine(Primary Care and OutcomesResearch) and Senior Fellow,Freeman Spogli Institute forInternational Studies
Abraham Verghese MD,MACP,FRCP(Edin)
Professor,Vice Chair for theTheory and Practice ofMedicine
Stephen J Galli,MD
Professor of Pathology andof Microbiology andImmunologyand FormerChair, Department ofPathology
Ann Hsing,PhD,MPH
Professor of Medicine(Stanford PreventionResearch Center/CancerInstitute)and Epidemiologyand PopulationHealth
Manuel Ricardo Amieva,MD,PhD
Professor of Pediatrics(Infectious Diseases) and ofMicrobiology andImmunology
Aruna Subramanian,MD
Clinical Professor ofMedicine,Chief,ImmunocompromisedHostInfectious Diseases Divisionof Infectious Diseases andGeographic Medicine
Helen M Blau,PhD
Professor of MicrobiologyandImmunologyand Director,Baxter Laboratory for StemCell Biology
Steve Asch, MD,MPH
Professor of Medicine,Primary Care and PopulationHealth
Lorene Nelson, PhD,MA
Associate Professor ofEpidemiology and PublicHealth and FacultyDirector of the StanfordCenter for PopulationHealth Sciences
DeanL.Winslow,MD,FACP,FIDSA,FPIDS
Professorof Medicine–
InfectiousDiseases
Jason Wang, MD,PhD
Associate Professor ofPediatrics and Medicine andof Health Research and Policyand Director,Center forPolicy,Outcomes andPrevention
Esther John, PhD,MSPH
Professor,Department ofEpidemiology and PopulationHealth and Co-leader,PopulationSciences Program,Stanford Cancer Institute
Thomas C Merigan,MD
Professor of Medicine,Emeritus Former DivisionChief Director,Center forAids Research,Emeritus
Jack Remington,MD
Professor of Medicine(Infectious Diseases)andChief, Palo Alto MedicalResearchFoundation
Stan Deresinski,MD,FIDSA
Clinical Professor ofMedicine InfectiousDiseasesand Geographic Medicine
HoldenTerry Maecker,PhD
Professor of Microbiologyand Immunology
Cybele A. Renault,MD,DTM&H
Clinical Associate Professor(Infectious Diseases)Program Lead for GlobalHealth (Stanford InternalMedicine ResidencyProgram)
DavidA. Stevens, M.D.,F.A.C.P.,F.A.A.M.,F.I.D.S.A.
Professor of Medicine -Infectious Diseases, Emeritusand President, CaliforniaInstitute for MedicalResearch, Infectious DiseasesResearch Laboratory, Calif.Inst. for Med. Res.
CorneliaL.Dekker,MD
Professorof Pediatrics(InfectiousDiseases),Emerita
Shirit Einav,MD
Associate Professor MedicineInfectiousDiseases andGeographic Medicine and ofMicrobiology andImmunology
WahChiu,PhD
Professor of Bioengineeringand of MicrobiologyandImmunology
Jake Scott,MD
Clinical Assistant Professor ofMedicine InfectiousDiseasesand Geographic Medicine
Gary K.Schoolnik,MD
Professorof Medicine-InfectiousDiseases,Emeritus
Denise Monack,PhD
Professorof Microbiologyand Immunology
Robert Shafer,MD
Professor of MedicineDivisionof InfectiousDiseases and GeographicMedicine
Doug K Owens,MD,MS
Professor of Medicine andSenior Fellow,FreemanSpogli Institute forInternationalStudies
Justin Sonnenburg,PhD
Associate Professor ofMicrobiology andImmunologyand Co-Director,Center for HumanMicrobiomeStudies
Hector Bonilla,MD
Clinical Associate Professorof Medicine InfectiousDiseases and GeographicMedicine
SharonChen,MD,MS
Clinical AssociateProfessorof Pediatrics(Infectious
Diseases)
Jenny R.Aronson,MD
Clinical AssistantProfessor DivisionofInfectiousDiseases andGeographic Medicine
Talal Seddick,MD
Clinical Assistant ofProfessor of Pediatrics(InfectiousDiseases)
Tim Stearns,PhD
Professor of Biology and ofGenetics and SeniorAssociate Vice Provost forResearch
Maya Adam, MD
Clinical Assistant Professorof Pediatricsand Director ofHealthMedia Innovation
Dora Ho,MD,PhD
Clinical Associate Professorof Medicine InfectiousDiseases and GeographicMedicine
Roshni Matthew,MD
Clinical Assistant Professor ofPediatrics (InfectiousDiseases) and AssociateMedicalDirector, InfectionPrevention& Control
Catherine Blish,MD,PhD
Associate Professor ofMedicine InfectiousDiseasesand Geographic Medicine andImmunology
Clea Sarnquist,MD
Clinical Professor ofPediatrics (InfectiousDiseases)
KerwynCasey Huang,PhD
Professor of Bioengineeringand of MicrobiologyandImmunology
Samantha Johnson, MD,MPH
Clinical Associate Professorof Pediatrics (InfectiousDiseases)
Marisa Holubar,MD MS
Clinical Associate Professorof Medicine InfectiousDiseases and GeographicMedicine and AssociateDirector, StanfordAntimicrobial Safety andSustainability Program
ElizabethS. Egan,MD,PhD
Assistant Professor ofPediatrics (InfectiousDiseases)
PaulL.Bollyky,MD,D.Phil
Associate Professor Divisionof InfectiousDiseasesDepartment of Medicine
Sruti Nadimpalli,MD
Clinical ProfessorofPediatrics(Infectious
Disease)
MichaelFischbach,PhD
Associate Professor ofBioengineeringand ofMicrobiologyandImmunology
PhilipM.Grant,MD
Assistant Professor ofMedicine InfectiousDiseasesand Geographic Medicine
Joanna Nelson,MD
Clinical Assistant ProfessorDepartmentof Medicine –InfectiousDiseases
Peter Sarnow,PhD
Professorof Microbiologyand Immunology
Glenn M.Chertow, MD,
MPH
Professorof Medicine,and
by courtesyDepartmentof
EpidemiologyandPopulationHealth
Bonnie Halpern-Felsher,
PhD,FSAHM
Professor of Pediatrics, and
by courtesy Departmentof Epidemiology and
Population Health, Director
of Fellows’ Scholarship,
Department of Pediatrics,Director of Research,
Division of Adolescent
Medicine
A.C. Matin,PhD
Professorof MicrobiologyandImmunology
Hayley Gans
Clinical Professor,Pediatrics-InfectiousDiseases
Paul Graham Fisher,MD
Professor, Neurology and
Pediatrics, and by courtesy,
Neurosurgery, Epidemiology
and Population Health, andHuman Biology, Chief,
Division of Child Neurology,
Vice Chair, Faculty Affairs,
Department of Neurology
Victor Henderson,MD
Professor,Departmentof
Epidemiologyand Population
Health
Taia T. Wang, MD,PhD,MSCI
Assistant Professor ofMedicine and ofMicrobiology andImmunology
MichaelBaiocchi,
PhD
Assistant Professor,Departmentof Epidemiologyand PopulationHealth
Lisa Goldman-Rosas,PhD,
MPH
Assistant Professor,
Department of Epidemiology
and Population Health,Director, Office of
Community Engagement
Tina Hernandez-Boussard,
PhD, MPH,MS
Associate Professor of
Medicine, Biomedical Data
Science, and Surgery, andby courtesy Department
of Epidemiology and Population
Health
Abby King,PhD
Professor, Epidemiology
and Population Health, and
Medicine (StanfordPrevention Research Center)
Director, Healthy Aging
Research & Technology
Solutions (HARTS)
Laboratory
Faculty Director, Our VoiceGlobal Citizen Science
Initiative
Past President, Society of
Behavioral Medicine
MitchellR.Lunn,MD,
MAS,FACP,FASN
Assistant Professor of
Medicine, and by courtesy,
Department of Epidemiology
and Population Health
Mindie H. Nguyen, MD,
MAS, AGAF, FAASLD
Professor,Departmentof
Medicine,and by courtesyDepartmentof Epidemiology
and PopulationHealth
Allison W. Kurian, M.D.,
M.Sc.
Associate Professor of
Medicine (Oncology) and ofEpidemiology and Population
Health
Associate Chief for Academic
Affairs, Division of Oncology
Director, Women’s Clinical
Cancer Genetics Program, Co-leader, Population Sciences
Program, Stanford Cancer
Institute
Kari Nadeau,MD,PhD
Professor of Pediatric FoodAllergy, Immunology and
Asthma, Professor of
Pediatrics and Professor by
Courtesy of Otolaryngology
Head & Neck Surgery at
LPCH and Department ofEpidemiology and Population
Health
Michelle C. Odden, PhD
AssociateProfessor,
Departmentof Epidemiology
and PopulationHealth
Lianne Kurina,PhD
AssociateProfessor,Primary
Care and PopulationHealth,
BingDirectorof the Programin HumanBiology
Lorene Nelson,PhD,MS
Associate Professor,Department of Epidemiology
and Population Health Faculty
Director of Research,
Stanford Center for
Population Health Sciences
Juno Obedin-Maliver, MD,
MPH, MAS
Assistant Professor,
Departmentof ObstetricsandGynecologyand,by courtesy,
Departmentof Epidemiology
and PopulationHealth
Latha Palaniappan, MD,
MS, FAHA, FACC, FACP
Professor of Medicine,
Department of Medicine(Primary Care and
Population Health) and, by
courtesy, Department of
Epidemiology and
Population Health
DavidH Rehkopf,ScD,
MPH
Associate Professor,Departments of
Epidemiology and
Population Health,
Department of Medicine,(Primary Care and
Population Health), Co-
director, Stanford Center for
Population Health Sciences
Gary M.Shaw, DrPH
Professor of Pediatrics,
Associate Chair Dept of
Pediatrics, Department ofPediatrics and, by courtesy,
Department of Epidemiology
and Population Health
Lesley S. Park,PhD,MPH
Instructor,Departmentof
Epidemiologyand Population
Health,AssociateDirector,StanfordCenter for
PopulationHealthSciences
Thomas N.Robinson,MD,
MPH
Professorof Pediatricsand ofMedicineand,by courtesy,
Departmentof Epidemiology
and PopulationHealth
Julia F Simard,ScD
AssociateProfessor,
Departmentof Epidemiology
& PopulationHealth
Rita A. Popat,PhD
Clinical AssociateProfessor,
Departmentof Epidemiology
and PopulationHealth
KristinSainani,PhD
Associate Professor,
Departmentof Epidemiology
and PopulationHealth
Marcia L.Stefanick,PhD
Professor of Medicine
(Stanford Prevention
Research Center), Professorof Obstetrics & Gynecology,
and by courtesy Professor of
Epidemiology and Population
Health, Director, Stanford
Women’s Health and Sex
Differences in Medicine(WHSDM) Center
Holly Tabor, PhD
Associate Professor,
Department of Medicine and
by courtesy, Department ofEpidemiology and
Population Health) and
Associate Director, Stanford
Center for Biomedical Ethics
Robert Siegel
Professor(Teaching)of
Microbiologyand
Immunology
Matthew Bogyo,PhD
Professorof Pathology,and
of Microbiology&
Immunology
Alice S. Whittemore,Ph.D.
Professor (Emerita) of
Epidemiology
and BiostatisticsDepartments of Epidemiology
and Population Health
and of Biomedical Data
Science
Sara Singer, MBA PhD
Professorof Medicine
(PrimaryCare and Population
Health),and by courtesyGraduate Schoolof Business
Lucy S Tompkins,MDPhD
Professor of Medicine
(Infectious Diseases and
Geographic Medicine)
Professor of Microbiology and
Immunology
Hospital Epidemiologist andMedical Director
Dept Infection Prevention and
Control Stanford Hospital and
Clinics
A. Desiree LaBeaud, MD,
MS
Professorof Pediatrics
(InfectiousDiseases)and Epidemiology
and PopulationHealth
DavidSchneider,PhD
Professor of Microbiology
and Immunology
Ami S. Bhatt,MD,PhD
Assistant Professor of
Medicine (Hematology;
Blood & Marrow
Transplantation) and of
Genetics