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White House Coronavirus Task Force response coordinator Deborah Birx with President Trump at the White House in August. Photo: Andrew Harnik/POOL/AFP via Getty Images

White House coronavirus task force coordinator Deborah Birx said in a memo Monday first obtained by the Washington Post that the U.S. is "entering the most concerning and most deadly phase of this pandemic."

Why it matters: In the memo on the eve of the election, Birx contradicts President Trump's repeated claims that the U.S. is "rounding the corner" in the virus fight, as she calls for "much more aggressive action" on the COVID-19 response.

  • Her comments come after NIAID director Anthony Fauci told the Washington Post in an interview Friday that the U.S. was "in for a whole lot of hurt" going into the fall and winter, prompting Trump to suggest he may seek to fire the career civil servant.

Driving the news: "This is not about lockdowns — It hasn’t been about lockdowns since March or April," Birx said in the memo, per WashPost and the New York Times.

  • "It's about an aggressive balanced approach that is not being implemented."
  • Another report dated Oct. 17 — when Trump held rallies in Michigan and Wisconsin — notes that an increase in hospitalizations and deaths from COVID-19 is "not due to increased testing but broad and ever increasing community spread."
"There is an absolute necessity of the Administration to use this moment to ask the American people to wear masks, physical distance and avoid gatherings in both public and private spaces."

Worth noting: Unlike Fauci, Birx hasn't publicly clashed with Trump over COVID-19. She's known for taking a more measured approach to gain influence — strategically emphasizing the points Trump wants to hear and playing multiple angles on any given issue, per Axios' Jonathan Swan.

The big picture: Cases have been surging to record highs across the country in the past few weeks.

  • More than 231,500 people have died from COVID-19 and nearly 9.3 million have tested positive for the virus, Johns Hopkins data shows.

What they're saying: The White House did not immediately respond to Axios' request for comment. But White House spokesperson Alyssa Farah defended the Trump administration's response, saying "[w]e are working around-the-clock to safely treat the virus and ultimately defeat it," according to WashPost.

  • She said the White House has "significantly increased" supplies of personal protective equipment, purchased 150 million COVID-19 tests, distributing them to vulnerable populations, "sent special teams to states and nursing homes with the most cases," develop vaccines and "safely rush therapeutics" to the sick, per WashPost.

Go deeper

Updated 5 hours ago - Politics & Policy

Omicron dashboard

Illustration: Shoshana Gordon/Axios

  1. Health: Americans shrug off Omicron, Axios-Ipsos poll finds — CDC director says number of U.S. Omicron cases "likely to rise."
  2. Vaccines: Omicron gives a shot to boosters — U.S. announces $400M for global COVID vaccine distribution — Vaccine mandates lose steam in the U.S. while Europe doubles down.
  3. States: Gov. Hochul will order some NY hospitals to halt elective surgeries — Nevada to impose insurance surcharge on unvaccinated state workers.
  4. World: EU drug regulator backs mixing COVID vaccines — Poor global equity likely in COVID pill access — CDC raises travel advisories for France, Portugal to highest level amid COVID surge.
  5. Variant tracker: Where different strains are spreading.
Jan 30, 2021 - World

Germany to impose travel restrictions to curb spread of coronavirus variants

Border police officers check passports and COVID-19 tests at Frankfurt Airport. Photo: Thomas Lohnes via Getty Images

Germany announced Friday that it was imposing new travel restrictions in an effort to curb the spread of more contagious coronavirus variants.

Details: All non-German residents traveling from countries deemed "areas of variant concern," including the United Kingdom, South Africa, Portugal, Ireland, Brazil, Lesotho and Eswatini, will be banned from entering the country, even if they test negative for the coronavirus.

Jan 29, 2021 - Health

Ex-CDC director Tom Frieden on the next COVID-19 vaccines

Americans fortunate enough to receive COVID vaccines now, outside of clinical trials, are getting shots made by either Pfizer or Moderna. But newly released data from Novavax and Johnson & Johnson suggests that more vaccines could be on the way, with J&J's requiring a single dose.

Axios Re:Cap digs into the news and why it matters with Tom Frieden, former head of the CDC, as COVID-19 variants spread globally.