FDA and Florida clash over federal restriction of monoclonal antibody treatments



On Monday, the Food and Drug Administration removed two monoclonal antibody therapies from the list of approved COVID-19 treatments, subsequently forcing treatment sites to close despite these locations being pivotol to Florida's COVID-19 response.

The FDA made this announcement Monday in a press release stating that the bamlanivimab-etesevimab cocktail and the REGEN-COV treatments were to be removed from the list of emergency use authorizations.

It continued by saying that these treatments should only be used “when the patient is likely to have been infected with or exposed to a variant that is susceptible to these treatments” because “data show these treatments are highly unlikely to be active against the omicron variant.” The FDA did not elaborate or provide the data.

The FDA argued against the preventive treatments, stating that “treatments are not a substitute for vaccination in individuals for whom COVID-19 vaccination and a booster dose are recommended.”

The Washington Post reported that Patrizia Cavazzoni, the director of the FDA’s Center for Drug Evaluation and Research and author of Monday’s press release, said that these monoclonal antibody treatments are “highly unlikely to be active against the omicron variant” and that “these treatments are not authorized to be used at this time.”

The FDA press release states that “these [monoclonal antibody] treatments are not authorized for use in any U.S. states, territories, and jurisdictions at this time.”

However, the press release did not mention that the Omicron variant can circumvent COVID immunity gained through vaccination.

In an interview with the French outlet Le Monde, Ugur Sahin, the CEO of BioNTech, the co-developer of the Pfizer vaccine, confirmed this by saying, “We must be aware that even triple-vaccinated are likely to transmit the disease. ... It is obvious we are far from 95% effectiveness that we obtained against the initial virus.”

The FDA’s decision will force monoclonal antibody treatment facilities around the country to close their doors to those seeking treatment for COVID-19 other than the mRNA vaccine.

In Florida, monoclonal antibodies proved to be a vital lifeline in the state’s approach to combatting COVID-19. Officials from the state of Florida condemned the FDA’s decision, claiming it was made without any warning and determined through analyzing clinical data not made available to the public.

After @HHSGov avoided communication with @HealthyFla regarding statewide allocations, without any warning, @US_FDA suspended the use of multiple MABs treatments. Such decisions should be made based on clinical data - which the FDA has not provided.pic.twitter.com/zpWl7ZGODQ
— Joseph A. Ladapo, MD, PhD (@Joseph A. Ladapo, MD, PhD) 1643065270

The Florida Department of Health issued a statement countering the FDA. In it, the state’s Department of Health lamented being forced to shut down state-run monoclonal antibody treatment sites, stating, “Florida disagrees with the decision that blocks access to any available treatments in the absence of clinical data.”

As a result of the @US_FDA's abrupt decision to remove the EUAs for two monoclonal antibodies, monoclonal antibody treatment sites will be closed until further notice. Full press release is below.pic.twitter.com/RGeWTPwxCs
— Florida Dept. of Health (@Florida Dept. of Health) 1643080563

Florida Health Department calls out CDC after agency pushed false claim that state set daily COVID case record: 'Wrong again'



The Florida Department of Health fired back at the Centers for Disease Control and Prevention late Monday after the national public health agency amplified false information about the COVID-19 surge in the Sunshine State.

What did the CDC claim?

As the White House and Democrats continue targeting Gov. Ron DeSantis (R) for his leadership amid the COVID pandemic, the CDC claimed Monday that Florida recorded 28,317 daily COVID cases on Sunday, Aug. 8.

The number, if true, would have set a new record for daily cases in Florida.

But what is the truth?

According to the Florida Department of Health, the CDC circulated not just a misleading number but one that was entirely false. The state health agency said the CDC combined multiple days worth of cases and reported that number as a single-day count.

"Wrong again. The number of cases @CDCgov released for Florida today is incorrect. They combined MULTIPLE days into one," the FDOH said. "We anticipate CDC will correct the record."

In fact, Florida recorded 15,319 COVID cases on Sunday, more than 13,000 fewer than what the CDC claimed. The three-day average over the weekend was 18,795 daily cases, the FDOH said.

The daily case counts for Florida currently posted on the CDC COVID Tracker are incorrect. The current listing stat… https://t.co/GMb0ijsy2m

— Florida Dept. Health (@HealthyFla) 1628561974.0

It's not clear why the CDC published a miscalculation.

According to the Miami Herald, the CDC published the figure after combining, then dividing, the weekend case total.

One lawyer noted that the CDC has been updating Florida's case numbers from the weekend on Tuesdays, making Monday's update uncharacteristic. Still, the lawyer explained the CDC has been adding Florida's weekend total, then dividing it by the number of weekend days to formulate an average number of daily weekend cases.

The FDOH confirmed this is how COVID case reporting works for weekend data.

"Florida follows CDC guidelines reporting cases Monday through Friday, other than holidays. Consequently, each Monday or Tuesday, there will be two or three days of data reported at a time," the agency explained. "When data is published, it is attributed evenly to the previous days."

Why the weekend total was seemingly divided by two, instead of three, is not clear.

A spokeswoman for DeSantis wrote from her personal Twitter account Tuesday that she does not believe the CDC intentionally reported miscalculated figures, but called on the agency to immediately correct its data.

"To be clear: I don't have any evidence that the CDC reported the wrong COVID case number for Florida intentionally," Christina Pushaw said. "It could have been an honest mistake, so I don't want to jump to conclusions. But to clear things up, @CDCgov needs to correct the record & explain to the public."