UPDATED SEP 9 AT 22:00 September 9, 2020 Dear Colleagues, As infectious diseases physicians and researchers, microbiologist and immunologists, epidemiologists and health policy leaders, we stand united in efforts to develop and promote science-based solutions that advance human health and prevent suffering from the coronavirus pandemic. In this pursuit, we share a commitment to a basic principle derived from the Hippocratic Oath: Primum Non Nocere (First, Do No Harm). To prevent harm to the public’s health, we also have both a moral and an ethical responsibility to call 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, social distancing, handwashing and hygiene have been shown to substantially reduce the spread of Covid-19. Crowded indoor spaces are settings that significantly increase the risk of community spread of 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. ● Children of all ages can be infected with SARS-CoV-2. While infection is less common in children than in adults, serious short-term and long-term consequences of Covid-19 are increasingly described in children and young people. ● The pandemic will be controlled when a large proportion of a population has developed immunity (referred to as herd immunity) and that the safest path to herd immunity is through deployment of rigorously evaluated, effective vaccines that have been approved by regulatory agencies. ● 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 safe development, 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 reopen safely, if we follow policies that are consistent with science. In fact, the countries that have reopened businesses and schools safely are those that have implemented the science-based strategies outlined above. As Stanford faculty with expertise in infectious diseases, epidemiology and health policy, our signatures support this statement with the hope that our voices affirm scientific, medical and public health approaches that promote the safety of our communities and nation. Philip A. Pizzo, MD Upi Singh, MD Bonnie Maldonado, MD Professor of Pediatrics (Infectious Diseases) and of Microbiology and Immunology and Former Dean, Stanford School of Medicine and Founding Director, Stanford Distinguished Careers Institute Professor of Medicine (Infectious Disease and Geographic Medicine) and of Microbiology and Immunology and Chief, Division of Infectious Diseases Professor of Pediatrics (Infectious Diseases) and of Epidemiology and Population Health Chief, Division of Pediatric Infectious Diseases and Senior Associate Dean for Faculty Development and Diversity Lucy Shapiro, PhD Melissa Bondy, PhD Michele Barry, MD Professor of Developmental Biology and Director, Beckman Center for Molecular and Genetic Medicine Professor and Chair of Epidemiology and Population Health and Co-Director of the Stanford Center for Population Health Sciences Professor of Medicine and Senior Associate Dean for Global Health and Director, Center for Innovation in Global Health and Senior Fellow, Woods Institute and the Freeman Spogli Institute for International Studies Steve Goodman, MD, MHS, PhD Charles Prober, MD Julie Parsonnet, MD Professor of Pediatrics and of Microbiology and Immunology and Senior Associate Vice Provost for Health Education Professor of Medicine (Infectious Diseases and Geographic Medicine) and of Epidemiology and Population Health David Relman, MD Lee M. Sanders, MD, MPH Steve Luby, MD Professor of Medicine (Infectious Diseases) and of Microbiology and Immunology and Senior Fellow, Freeman Spogli Institute for International Studies Associate Professor of Pediatrics and of Health Research and Policy (Epidemiology) and Chief, Division of General Pediatrics Professor of Medicine (Infectious Diseases) and of Epidemiology and Population Health and Senior Fellow, Freeman Spogli Institute Harry Greenberg, MD Ann Arvin, MD Professor of Medicine and of Microbiology and Immunology and Associate Dean for Research Professor of Pediatrics (Infectious Diseases) and of Microbiology and Immunology and Former Vice Provost and Dean of Research Edward S Mocarski, Jr, PhD John Boothroyd, PhD John Carette, PhD Professor of Microbiology and Immunology Associate Professor of Microbiology and Immunology Jason Andrews, MD, SM, DTM&H David Studdert, LLB, MPH, ScD Michelle Mello, JD, PhD Associate Professor of Medicine (Infectious Diseases) and of Epidemiology and Health Policy Professor of Law and Medicine, Stanford Health Policy, Stanford Law School Professor of Medicine (Health Policy) and Professor of Law Professor of Epidemiology and Population Health and Associate Dean of Clinical and Translational Research Professor of Microbiology and Immunology, Emeritus Dylan Dodd, MD, PhD Assistant Professor of Pathology and of Microbiology and Immunology Joshua Salomon, PhD Professor of Medicine (Primary Care and Outcomes Research) and Senior Fellow, Freeman Spogli Institute for International Studies Abraham Verghese MD, MACP, FRCP(Edin) Professor, Vice Chair for the Theory and Practice of Medicine Manuel Ricardo Amieva, MD, PhD Lorene Nelson, PhD, MA Professor of Pediatrics (Infectious Diseases) and of Microbiology and Immunology Associate Professor of Epidemiology and Public Health and Faculty Director of the Stanford Center for Population Health Sciences Aruna Subramanian, MD Dean L. Winslow, MD, FACP, FIDSA, FPIDS Clinical Professor of Medicine, Chief, Immunocompromised Host Infectious Diseases Division of Infectious Diseases and Geographic Medicine Professor of Medicine – Infectious Diseases Stephen J Galli, MD Helen M Blau, PhD Jason Wang, MD, PhD Professor of Pathology and of Microbiology and Immunology and Former Chair, Department of Pathology Professor of Microbiology and Immunology and Director, Baxter Laboratory for Stem Cell Biology Associate Professor of Pediatrics and Medicine and of Health Research and Policy and Director, Center for Policy, Outcomes and Prevention Ann Hsing, PhD, MPH Steve Asch, MD, MPH Esther John, PhD, MSPH Professor of Medicine (Stanford Prevention Research Center/Cancer Institute) and Epidemiology and Population Health Professor of Medicine, Primary Care and Population Health Professor, Department of Epidemiology and Population Health and Co-leader, Population Sciences Program, Stanford Cancer Institute Thomas C Merigan, MD Professor of Medicine, Emeritus Former Division Chief Director, Center for Aids Research, Emeritus David A. Stevens, M.D., F.A.C.P., F.A.A.M., F.I.D.S.A. Gary K. Schoolnik, MD Professor of Medicine Infectious Diseases, Emeritus Professor of Medicine Infectious Diseases, Emeritus and President, California Institute for Medical Research, Infectious Diseases Research Laboratory, Calif. Inst. for Med. Res. Jack Remington, MD Cornelia L. Dekker, MD Denise Monack, PhD Professor of Medicine (Infectious Diseases) and Chief, Palo Alto Medical Research Foundation Professor of Pediatrics (Infectious Diseases), Emerita Professor of Microbiology and Immunology Stan Deresinski, MD, FIDSA Shirit Einav, MD Robert Shafer, MD Associate Professor Medicine Clinical Professor of Infectious Diseases and Medicine Infectious Diseases Geographic Medicine and of Microbiology and and Geographic Medicine Immunology Professor of Medicine Division of Infectious Diseases and Geographic Medicine Holden Terry Maecker, PhD Wah Chiu, PhD Doug K Owens, MD, MS Professor of Bioengineering and of Microbiology and Immunology Professor of Medicine and Senior Fellow, Freeman Spogli Institute for International Studies Jake Scott, MD Justin Sonnenburg, PhD Clinical Assistant Professor of Medicine Infectious Diseases and Geographic Medicine Associate Professor of Microbiology and Immunology and CoDirector, Center for Human Microbiome Studies Professor of Microbiology and Immunology Cybele A. Renault, MD, DTM&H Clinical Associate Professor (Infectious Diseases) Program Lead for Global Health (Stanford Internal Medicine Residency Program) Hector Bonilla, MD Dora Ho, MD, PhD Marisa Holubar, MD MS Clinical Associate Professor of Medicine Infectious Diseases and Geographic Medicine Clinical Associate Professor of Medicine Infectious Diseases and Geographic Medicine Clinical Associate Professor of Medicine Infectious Diseases and Geographic Medicine and Associate Director, Stanford Antimicrobial Safety and Sustainability Program Sharon Chen, MD, MS Roshni Matthew, MD Clinical Associate Professor of Pediatrics (Infectious Diseases) Clinical Assistant Professor of Pediatrics (Infectious Diseases) and Associate Medical Director, Infection Prevention & Control Elizabeth S. Egan, MD, PhD Jenny R. Aronson, MD Catherine Blish, MD, PhD Clinical Assistant Professor Division of Infectious Diseases and Geographic Medicine Associate Professor of Medicine Infectious Diseases and Geographic Medicine and Immunology Talal Seddick, MD Clea Sarnquist, MD Clinical Assistant of Professor of Pediatrics (Infectious Diseases) Clinical Professor of Pediatrics (Infectious Diseases) Tim Stearns, PhD Kerwyn Casey Huang, PhD Michael Fischbach, PhD Professor of Biology and of Genetics and Senior Associate Vice Provost for Research Professor of Bioengineering and of Microbiology and Immunology Associate Professor of Bioengineering and of Microbiology and Immunology Maya Adam, MD Samantha Johnson, MD, MPH Philip M. Grant, MD Clinical Assistant Professor of Pediatrics and Director of Health Media Innovation Clinical Associate Professor of Pediatrics (Infectious Diseases) Assistant Professor of Pediatrics (Infectious Diseases) Paul L. Bollyky, MD, D.Phil Associate Professor Division of Infectious Diseases Department of Medicine Sruti Nadimpalli, MD Clinical Professor of Pediatrics (Infectious Disease) Assistant Professor of Medicine Infectious Diseases and Geographic Medicine Joanna Nelson, MD A.C. Matin, PhD Clinical Assistant Professor Department of Medicine – Infectious Diseases Professor of Microbiology and Immunology Peter Sarnow, PhD Hayley Gans Professor of Microbiology and Immunology Clinical Professor, Pediatrics Infectious Diseases Glenn M. Chertow, MD, MPH Paul Graham Fisher, MD Professor of Medicine, and by courtesy Department of Epidemiology and Population Health Bonnie Halpern-Felsher, PhD, FSAHM Professor of Pediatrics, and by courtesy Department of Epidemiology and Population Health, Director of Fellows’ Scholarship, Department of Pediatrics, Director of Research, Division of Adolescent Medicine Professor, Neurology and Pediatrics, and by courtesy, Neurosurgery, Epidemiology and Population Health, and Human Biology, Chief, Division of Child Neurology, Vice Chair, Faculty Affairs, Department of Neurology Victor Henderson, MD Professor, Department of Epidemiology and Population Health Taia T. Wang, MD, PhD, MSCI Assistant Professor of Medicine and of Microbiology and Immunology Michael Baiocchi, PhD Assistant Professor, Department of Epidemiology and Population Health 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, and by courtesy Department of Epidemiology and Population Health Abby King, PhD Professor, Epidemiology and Population Health, and Medicine (Stanford Prevention Research Center) Director, Healthy Aging Research & Technology Solutions (HARTS) Laboratory Faculty Director, Our Voice Global Citizen Science Initiative Past President, Society of Behavioral Medicine Mitchell R. 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, Department of Medicine, and by courtesy Department of Epidemiology and Population Health Allison W. Kurian, M.D., M.Sc. Associate Professor of Medicine (Oncology) and of Epidemiology and Population Health Associate Chief for Academic Affairs, Division of Oncology Director, Women’s Clinical Cancer Genetics Program, Coleader, Population Sciences Program, Stanford Cancer Institute Lianne Kurina, PhD Associate Professor, Primary Care and Population Health, Bing Director of the Program in Human Biology Kari Nadeau, MD, PhD Lorene Nelson, PhD, MS Professor of Pediatric Food Allergy, Immunology and Asthma, Professor of Pediatrics and Professor by Courtesy of Otolaryngology Head & Neck Surgery at LPCH and Department of Epidemiology and Population Health Associate Professor, Department of Epidemiology and Population Health Faculty Director of Research, Stanford Center for Population Health Sciences Michelle C. Odden, PhD Juno Obedin-Maliver, MD, MPH, MAS Associate Professor, Department of Epidemiology and Population Health Assistant Professor, Department of Obstetrics and Gynecology and, by courtesy, Department of Epidemiology and Population Health 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 David H Rehkopf, ScD, MPH Lesley S. Park, PhD, MPH Rita A. Popat, PhD Instructor, Department of Epidemiology and Population Health, Associate Director, Stanford Center for Population Health Sciences Clinical Associate Professor, Department of Epidemiology and Population Health Thomas N. Robinson, MD, MPH Kristin Sainani, PhD Associate Professor, Department of Epidemiology and Population Health Associate Professor, Departments of Epidemiology and Population Health, Department of Medicine, (Primary Care and Population Health), Codirector, Stanford Center for Population Health Sciences Professor of Pediatrics and of Medicine and, by courtesy, Department of Epidemiology and Population Health Gary M. Shaw, DrPH Julia F Simard, ScD Marcia L. Stefanick, PhD Professor of Pediatrics, Associate Chair Dept of Pediatrics, Department of Pediatrics and, by courtesy, Department of Epidemiology and Population Health Associate Professor, Department of Epidemiology & Population Health Professor of Medicine (Stanford Prevention Research Center), Professor of 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 Alice S. Whittemore, Ph.D. A. Desiree LaBeaud, MD, MS Associate Professor, Department of Medicine and by courtesy, Department of Epidemiology and Population Health) and Associate Director, Stanford Center for Biomedical Ethics Professor (Emerita) of Epidemiology and Biostatistics Departments of Epidemiology and Population Health and of Biomedical Data Science Robert Siegel Sara Singer, MBA PhD David Schneider, PhD Professor (Teaching) of Microbiology and Immunology Professor of Medicine (Primary Care and Population Health), and by courtesy Graduate School of Business Professor of Microbiology and Immunology Matthew Bogyo, PhD Lucy S Tompkins, MD PhD Ami S. Bhatt, MD, PhD Professor of Pathology, and of Microbiology & Immunology Professor of Medicine (Infectious Diseases and Geographic Medicine) Professor of Microbiology and Immunology Hospital Epidemiologist and Medical Director Dept Infection Prevention and Control Stanford Hospital and Clinics Assistant Professor of Medicine (Hematology; Blood & Marrow Transplantation) and of Genetics Professor of Pediatrics (Infectious Diseases) and Epidemiology and Population Health