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Anthony Fauci

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— CH. 1 · INTRODUCTION —

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Anthony Fauci

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  • Anthony Fauci, pronounced FOW-chee, once summed up his working life in a single sentence. In a 2020 interview with The Guardian, he said, "My career and my identity has really been defined by HIV." That is a striking claim from a man whose public life, in that very year, was dominated by a different virus. From 1984 to 2022 he directed the National Institute of Allergy and Infectious Diseases, known as NIAID. He has advised every American president since Ronald Reagan, and he has served the public health sector for more than fifty years.

    How does a government scientist end up at the center of so many crises? Why did he become a target of fury from activists in one era and from crowds at political rallies in another? And what does a career spent between the laboratory and the White House actually involve?

  • Anthony Stephen Fauci was born on the 24th of December 1940 in Brooklyn, New York City, the younger of two children. His father, Stephen, was a pharmacist who had attended Columbia University and owned a drug store in the Dyker Heights section of the borough. The pharmacy sat directly beneath the family apartment. Young Anthony worked the register beside his mother, Eugenia, and his sister, and he also delivered prescriptions. As a boy he was fascinated by World War II and played basketball and baseball.

    His family tree ran back to Italy. His paternal grandparents, Antonino Fauci and Calogera Guardino, came from Sciacca in Sicily, and his maternal grandparents came from Naples. His maternal grandfather, Giovanni Abys, was a Swiss-born artist known for landscapes and portraits, for magazine illustrations in Italy, and for graphic design on commercial labels. His maternal grandmother, Raffaella Trematerra, worked as a seamstress.

    At Regis High School, a competitive Jesuit school on Manhattan's Upper East Side, Fauci captained the basketball team despite his small stature. Halfway through high school he decided to become a physician. After graduating in 1958 he enrolled at the College of the Holy Cross in Worcester, Massachusetts. There he studied classical Greek and spent his summers working in a construction gang.

    Holy Cross awarded him a Bachelor of Arts in classics in 1962, on a pre-med track. He then went to Cornell Medical College and graduated first in his class in 1966 with a Doctor of Medicine. His focus there was adult internal medicine, mainly infectious diseases and the immune system. An internship and residency at New York Hospital-Cornell Medical Center, now Weill Cornell Medical Center, followed and ended in 1968.

  • In 1968 Fauci joined the National Institutes of Health as a clinical associate in the Laboratory of Clinical Investigation at NIAID. By 1974 he headed that laboratory's Clinical Physiology Section. In 1980 he was appointed chief of the NIAID Laboratory of Immunoregulation. The NIH offered him the post of its overall director several times, and he declined every time.

    Polyarteritis nodosa, granulomatosis with polyangiitis, and lymphomatoid granulomatosis were once fatal diseases. Fauci developed therapies for all three. A 1985 Stanford University Arthritis Center Survey asked members of the American Rheumatism Association to rank advances in their field. They placed his treatment of the first two diseases among the most important advances in patient management in rheumatology over the previous 20 years.

    One statistic captures the scale of that work. By re-dosing cancer drugs in a new way, Fauci helped turn the disorder vasculitis from a condition with a 98 percent mortality rate into one with a 93 percent remission rate. He also made observations that deepened understanding of how the human immune response is regulated, and he is recognized for describing how immunosuppressive agents adapt to that response.

    In 2003 the Institute for Scientific Information reported that, from 1983 to 2002, Fauci was the 13th most-cited scientist among 2.5 to 3.0 million authors who published in scientific journals worldwide. One commentator later described this government scientist, who served under seven presidents, as "a consistent spokesperson for science, a person who more than any other figure has brokered a generational peace" between science and politics. That peace would be tested repeatedly in the decades ahead.

  • In 1981 Fauci and his team began searching for a vaccine or treatment for a novel virus, and they met a number of obstacles. He became one of the leading researchers of the early AIDS epidemic. His work helped explain how HIV destroys the body's natural defense system on its way to AIDS. He also outlined how cytokines made by the body induce HIV expression, and he pursued therapies, immune reconstitution, and a vaccine.

    In October 1988 protesters came to the doors of NIAID. Fauci, director since 1984, bore the brunt of anger from the LGBTQ+ community, who felt largely ignored by the government. Leading AIDS activist Larry Kramer attacked him relentlessly in the media. Kramer called him an "incompetent idiot" and a "pill-pushing" tool of the medical establishment.

    Fauci did not control drug approval, though many people felt he was not doing enough. In the late 1980s he reached out to LGBTQ+ communities in New York and San Francisco to look for solutions. He was praised for engaging with AIDS advocates, and he helped make experimental AIDS treatments more accessible. Kramer, after years of hating him, eventually called Fauci "the only true and great hero" among government officials during the AIDS crisis.

    Criticism has not disappeared. In 2014 Sean Strub of HuffPost accused Fauci of "delaying promotion of an AIDS treatment that would have prevented tens of thousands of deaths in the first years of the epidemic." Strub also accused him of "rewriting history." In 2021 the political commentator Helen Andrews defended him. She argued that his most notorious error was a 1983 paper suggesting that "routine close contact, as within a family household," might spread the disease. In her view it was an understandable mistake, corrected within a year.

    Kramer's complicated relationship with Fauci even reached the stage. In his play The Destiny of Me, Kramer based the character Dr. Anthony Della Vida on Fauci.

  • In the early 2000s Fauci played a significant role in creating the President's Emergency Plan for AIDS Relief, known as PEPFAR. He is described as its main architect. The program is credited with saving over 20 million lives in the developing world, primarily in Sub-Saharan Africa. In 2008 President George W. Bush awarded him the Presidential Medal of Freedom for this work.

    Fauci has recalled Bush's reasoning in the president's own words: "We have a moral responsibility as a rich nation to not have people suffer and die merely because of where they live and the circumstances in which they were born." Fauci considers Bush a close friend. He acknowledged "appropriate controversy" over Bush's decisions on Iraq, but said Bush's "moral compass about health equity is very strong."

    The attacks of 9/11 opened another front. Afterward, Fauci drove the development of biodefense drugs and vaccines. His career has put him at the forefront of the American response to SARS, swine flu, MERS, Ebola, and COVID-19 as well as HIV.

    On the 17th of September 2009, Fauci told reporters that the H1N1 virus behind the swine flu pandemic could infect as many as one in three Americans. That was more than the number usually infected by seasonal flu.

    On the 16th of October 2014, Fauci testified before a congressional hearing on the Ebola crisis. He said NIAID was still some distance from producing enough cures or vaccines for widespread trials. In his words, "we are still in the early stages of understanding how infection with the Ebola virus can be treated and prevented." He stressed that known public health measures, including fluid and electrolyte replacement, were essential to protect healthcare providers and end the epidemic.

  • Before the COVID-19 pandemic, The Washington Post wrote, Fauci was "mostly unknown outside the medical community." He did not meet Donald Trump until three years after Trump's inauguration. In late January 2020 the White House Coronavirus Task Force was established, and Fauci became a member. He turned into a de facto public health spokesperson for the president's office and a strong advocate for continued social distancing.

    In interviews on the 21st of January, the 26th of January, and the 17th of February 2020, Fauci said the risk to the American public was "low" and that it was "an evolving situation." In the last interview he warned that COVID-19 could become a "global pandemic which would then have significant implications for" the United States. In March he predicted an infection fatality rate close to 1%, ten times the 0.1% reported rate for seasonal flu.

    On the 8th of March 2020, Fauci said that uninfected people should not be walking around with masks, though "if you want to do it, that's fine." He warned that buying masks could cause a shortage for people who really needed them, such as healthcare providers. At that moment America's top surgical mask maker was struggling to meet demand. On the 3rd of April the CDC reversed course, citing studies of asymptomatic transmission, and urged the public to wear non-surgical masks. Fauci advocated facial coverings too. When his shifting advice drew criticism, he replied that policy had to change as scientists learned more.

    In mid-April 2020, Fauci said that if the administration had "started mitigation earlier" more lives could have been saved, and "no one is going to deny that." Former Republican congressional candidate DeAnna Lorraine responded with hostility, and Trump retweeted her message, which included the call to "#FireFauci." Anti-lockdown protesters chanted "Fire Fauci" in places such as Florida and Texas. The White House denied that Trump was firing him and blamed the media for overreacting.

    Right-wing pundits criticized Fauci, and he received death threats that required a security detail. In a 2020 interview with 60 Minutes, he said his wife and daughters had been repeatedly harassed since the pandemic began.

    On the 6th of July 2020, Fauci spoke on a Facebook livestream and called the country's COVID-19 situation "really not good." He pointed to more than 55,000 new cases on the 4th of July and said the country was "still knee-deep in the first wave." The next day he called it a "false narrative to take comfort in a lower rate of death." Trump and the White House had cited the falling death rate as proof of success. The White House then cancelled three media appearances scheduled for Fauci later that week. Trump said, "I think we are in a good place. I disagree with Fauci." Two days later Trump called Fauci "a nice man, but he's made a lot of mistakes."

    By the 12th of July, a White House official had passed reporters a list of Fauci's purported mistakes. It cited his the 29th of February statement that there was no need to change anything day by day. It left out that he said in the same interview that risk could change "when you start to see community spread."

    On the 23rd of September 2020, as American coronavirus deaths passed 200,000, Fauci appeared before the Senate's Health, Education, Labor, and Pensions Committee. Kentucky's Senator Rand Paul asked whether he had "second thoughts" about his recommendations and compared American death rates unfavorably with Sweden's. Fauci stood by the guidelines. He said Sweden's fatality rate exceeded those of other Scandinavian countries and that the comparison was not legitimate. He told the senator, "You've misconstrued that, Senator, and you've done that repetitively in the past."

    In October 2020, Fauci objected when the Trump campaign used his words "I can't imagine that anybody could be doing more" in an advertisement. He said he had not consented, that he was referring to how hard the task force worked, and that he had never made a political endorsement in his career. That month he also called the Great Barrington Declaration's "focused protection" strategy "total nonsense." He noted that 30 percent of the population had underlying health conditions that made them vulnerable.

    On the 18th of October 2020, Fauci said he "wasn't surprised" that Trump contracted COVID-19. The next day Trump called him "a disaster" in a call and, at a rally in Phoenix, said that Biden "wants to listen to Dr. Fauci." Biden answered on Twitter with a single word, "Yes." On the 31st of October, The Washington Post published an interview in which Fauci candidly criticized the administration's policies and the influence of presidential advisor Scott Atlas.

    Shortly after midnight on the 2nd of November 2020, at a rally in Opa-locka, Florida, the crowd chanted "Fire Fauci!" Trump replied, "Don't tell anybody, but let me wait until after the election... I appreciate the advice." Fauci was not fired.

    On the 2nd of December 2020, the United Kingdom became the first western country to license a vaccine against the coronavirus, from Pfizer-BioNTech. Fauci said Britain had "really rushed through that approval." The next day he apologized to the BBC, saying he had not meant to imply any sloppiness "even though it came out that way."

    On the 3rd of January 2021, Trump tweeted that American case and death numbers were far exaggerated. Fauci answered on Meet the Press: "The numbers are real." He said America had well over 300,000 deaths, and he described them as "real numbers, real people, and real deaths." Weeks later, on the 23rd of January 2021, he said that letting the science speak had gotten him "into a little bit of trouble." He added that the Trump administration had blocked him from appearing on The Rachel Maddow Show for some time.

  • On the 3rd of December 2020, President-elect Joe Biden asked Fauci to keep directing NIAID and also serve as chief medical advisor to the president. Fauci accepted. After Biden's inauguration in January 2021, Fauci described a "liberating feeling" at being able to speak about science without interference. He pictured the new administration as committed to being "completely transparent, open and honest," and he helped develop its plan for a nationwide vaccine rollout.

    In early April 2021, Fauci described the situation as "almost a race between getting people vaccinated and this surge that seems to want to increase." In early May he called the CDC's summer camp guidance "conservative" and said it "looks a bit strict." In mid-May he said fully vaccinated Americans no longer needed masks outdoors except in "completely crowded situations." In July that guidance was updated to recommend masks for everyone, which Fauci attributed to the much more contagious Delta variant. On the 22nd of June he had called Delta the "greatest threat" to eliminating COVID-19 in the United States.

    In early May 2021, Fauci said he was "not convinced" that COVID-19 originated naturally and that investigators should continue to look into what happened in China. That same month he denied that the National Institutes of Health supported gain-of-function research at the Wuhan Institute of Virology. In early June 2021, media outlets obtained over 3,000 of his internal government emails from January to June 2020 through Freedom of Information Act requests.

    In December 2021, Fauci joined virologist Jeffery K. Taubenberger and David M. Morens in endorsing a universal coronavirus vaccine. They called for an international effort to sample coronaviruses from bats and from wild and farmed animals. In February 2022, he told the Financial Times that pandemic decisions would increasingly be made locally. On the 27th of April 2022, he said the United States was "out of the full-blown explosive pandemic phase."

    On the 15th of May 2022, Fauci said he would resign if Donald Trump won the 2024 presidential election. On the 22nd of August 2022, he announced he would step down in December "to pursue the next chapter" of his career. He resigned on the 31st of December 2022.

    On the 26th of June 2023, Georgetown University announced that Fauci would join its faculty as a distinguished professor, teaching in both the School of Medicine and the McCourt School of Public Policy. On the 20th of January 2025, Inauguration Day for Trump, Biden preemptively pardoned Fauci for any federal offenses he might have committed between the 1st of January 2014 and that day. Some reacted to the pardon as an "unprecedented use" of presidential clemency. On the 7th of February 2025, the Department of Health and Human Services terminated a $168,000 contract for a Fauci museum exhibit at the National Institutes of Health.

  • The Washington Post reported in 2022 that Fauci had lived in the same "comfortable but modest house" in Washington, D.C., since 1977. In 1985 he married Christine Grady, a nurse and bioethicist with the NIH, after the two met while treating a patient. She is now chief of the Department of Bioethics at the NIH Clinical Center. They have three adult daughters. When Fauci retired, his annual salary of $480,654 made him the highest paid federal government employee.

    Fauci calls himself "completely nonpolitical," and his voter registration lists no party. Tom Frieden, a former CDC director, said, "I have no idea what his politics are. Reagan and both Bushes liked him. Clinton and Obama liked him." On faith, Fauci said in December 2023 that he still identifies as a Roman Catholic but no longer practices, because it seems "almost like a pro forma thing that I don't really need to do." In 2021 the American Humanist Association named him Humanist of the Year.

    His scholarly mark is on the page as well. Fauci was a principal editor of Harrison's Principles of Internal Medicine, named on its cover, from the 11th edition in 1986 through the 21st edition in 2022. He served as editor-in-chief of the 14th and 17th editions.

    The honors run long. They include the Albany Medical Center Prize in 2002, the National Medal of Science in 2005, and the Mary Woodard Lasker Public Service Award in 2007. Germany's Robert Koch Foundation gave him its gold medal in 2013, and Thailand's Prince Mahidol Award Foundation honored him the same year. Italy made him a Knight Grand Cross of its Order of Merit in 2020, and in 2023 he became a Foreign Member of the Royal Society. On the 11th of June 2022, Holy Cross renamed its science complex the Anthony S. Fauci Integrated Science Complex.

    His image has traveled far beyond medicine. Author Sally Quinn credited Fauci as the inspiration for the love interest in her bestselling 1991 romance novel Happy Endings. In the spring of 2020, bakeries across the United States began selling pastries, particularly donuts, bearing his face. Brad Pitt's portrayal of him on Saturday Night Live in 2020 earned an Emmy nomination and praise from Fauci himself. In September 2021, Magnolia Pictures released Fauci, a documentary produced by National Geographic Documentary Films.

    Criticism has found its own form as well. In November 2021, the publisher Skyhorse released The Real Anthony Fauci: Bill Gates, Big Pharma, and the Global War on Democracy and Public Health by anti-vaccine activist Robert F. Kennedy Jr. Fauci described the author as "a very disturbed individual." In 2025, Fauci received an honorary degree and was invited to speak at the commencement of humanities and sciences graduates at the University of San Francisco.

Updated

Common questions

Who is Anthony Fauci?

Anthony Fauci is an American physician-scientist and immunologist, born on the 24th of December 1940 in Brooklyn, New York City. He directed the National Institute of Allergy and Infectious Diseases from 1984 to 2022 and served as Chief Medical Advisor to the President from 2021 to 2022.

What did Anthony Fauci do during the HIV/AIDS epidemic?

Anthony Fauci and his team began searching for a vaccine or treatment for HIV in 1981 and studied how the virus destroys the immune system. He faced protests from the LGBTQ+ community in October 1988, reached out to AIDS advocates, and helped make experimental treatments more accessible.

What is Anthony Fauci's connection to PEPFAR?

Anthony Fauci played a significant role in creating the President's Emergency Plan for AIDS Relief in the early 2000s and is described as its main architect. The program is credited with saving over 20 million lives, and President George W. Bush awarded Fauci the Presidential Medal of Freedom in 2008 for this work.

What was Anthony Fauci's role in the COVID-19 pandemic?

Anthony Fauci was a member of the White House Coronavirus Task Force established in late January 2020 under President Trump. He later served as chief medical advisor to President Biden, a role he accepted after being asked on the 3rd of December 2020.

Why did Donald Trump and Anthony Fauci clash?

Trump and Fauci disagreed over how serious the COVID-19 situation was. On the 7th of July 2020, Fauci called it a false narrative to take comfort in a lower death rate, and Trump replied that he disagreed. Trump later suggested at a rally on the 2nd of November 2020 that he would wait until after the election to deal with Fauci, but Fauci was not fired.

When did Anthony Fauci step down from his position?

Anthony Fauci announced on the 22nd of August 2022 that he would step down in December to pursue the next chapter of his career. He resigned on the 31st of December 2022 and joined Georgetown University as a distinguished professor effective the 1st of July 2023.

Was Anthony Fauci pardoned by President Biden?

On the 20th of January 2025, Inauguration Day for Donald Trump, President Biden preemptively pardoned Anthony Fauci for any federal offenses between the 1st of January 2014 and the day of the pardon. Some reacted to it as an unprecedented use of the president's clemency powers.

All sources

196 references cited across the entry

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  6. 14NewsDegrees ConferredCollege of the Holy Cross — June 13, 1962
  7. 18Making PEPFARHarold Varmus — December 1, 2013
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  13. 29Fresh Air For Feb. 4, 2021: Dr. Anthony FauciTerry Gross — NPR — February 4, 2021
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  15. 31Doctor WhoHelen Andrews — April 30, 2021
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  17. 38NewsAnthony Fauci's Plan to Stay HonestPeter Nicholas — March 22, 2020
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  20. 46NewsMarch 2020: Dr. Anthony Fauci talks with Dr Jon LaPook about COVID-19Brit McCandless Farmer — March 8, 2020
  21. 52Fauci dismisses death threats: 'It's my job'Zack Budryk — April 2, 2020
  22. 57NewsJim Jordan presses Fauci on protests, COVID-19Peter Sullivan — July 31, 2020
  23. 65NewsWhite House seeks to discredit Fauci as coronavirus surgesJosh Lederman et al. — July 13, 2020
  24. 74Trump calls Fauci a "disaster" on campaign callMarisa Fernandez — October 19, 2020
  25. 75Trump's new attack: Biden "wants to listen to Fauci"Jerusalem Demsas — October 20, 2020
  26. 77NewsTrump threatens to fire Fauci 'after the election'Lev Facher — November 2, 2020
  27. 79NewsEuropean and US experts question UK's fast-track of Covid vaccineJon Henley et al. — December 3, 2020
  28. 85NewsDr. Fauci relishes a 'hallelujah' momentAvie Schneider — January 23, 2021
  29. 97NewsThe alleged Fauci 'smoking gun' emailsAaron Blake — June 4, 2021
  30. 99JournalUniversal Coronavirus Vaccines — An Urgent NeedDavid M. Morens et al. — December 15, 2021
  31. 101Fauci pushes for universal coronavirus vaccineEvan Bush — December 15, 2021
  32. 104NewsU.S. no longer in 'full-blown' pandemic phase, Fauci saysJoel Achenbach et al. — April 27, 2022
  33. 113NewsFauci Museum Exhibit Funding Canceled: DOGERachel Dobkin — February 7, 2025
  34. 114Released documents2026-06-18
  35. 121NewsAnthony Fauci's Gen Z CredChristian Paz — April 22, 2020
  36. 122NewsCocktails, Sexiest Man Alive, and Shirts: Dr. Anthony Fauci On Becoming a Pop Culture IconDoreen Gentzler — NBC 4 Washington — June 8, 2020
  37. 123NewsDr. Fauci as a romance novel hero? It's happenedAditi Sangal — May 11, 2020
  38. 129BookThe Real Anthony FauciRobert F Kennedy JR — Skyhorse — November 16, 2021
  39. 130Fauci Calls RFK Jr. A 'Very Disturbed Individual' over Career AttacksJolie Lash — The Wrap — December 22, 2021
  40. 131JournalPatient PortablesJennifer Fauci — February 2002
  41. 133NewsFauci Looks Ahead to Life After GovernmentSheryl Gay Stolberg — December 30, 2022
  42. 134The next Anthony FauciMyah Ward — August 22, 2022
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  52. 153AIDS Researcher Fauci Wins PrizeLawrence K. Altman — March 28, 2002
  53. 154Anthony S. Fauci, M.D. Biography and InterviewAmerican Academy of Achievement
  54. 155The President's National Medal of Science: Recipient DetailsNational Science Foundation — July 27, 2007
  55. 157News4 Winners of Lasker Medical PrizeLawrence K. Altman — September 16, 2007
  56. 160Dr. Anthony FauciNovember 21, 2013
  57. 163Apple CEO Tim Cook to Deliver Commencement AddressThe George Washington University
  58. 164Honorary Degree RecipientsThe George Washington University
  59. 165JournalNIAID director wins Canada Gairdner Global Health AwardBrian Owens — March 2016
  60. 166AU Announces 2018 Commencement SpeakersKelly Alexander — American University — April 18, 2018
  61. 168Bertrand Russell Society AwardSeptember 9, 2018
  62. 176Blessed are the PeacemakersCatholic Theological Union — December 6, 2022
  63. 177Anthony Fauci and Christine Grady honored with award at CTU eventNational Catholic Reporter — April 30, 2021
  64. 182Sen. Elizabeth Warren to deliver keynote at October CommencementIsha Trivedi — Hatchet Publications, Inc. — August 12, 2021
  65. 186Dr. Anthony Fauci to receive honorary Hutch Award®Fred Hutch Media Team — August 4, 2022
  66. 190NewsFauci lauds past and future pandemic cooperation with IsraelAbigail Klein Leichman — ISRAEL21c — May 1, 2023

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