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Silent Invasion: The Untold Story of the Trump Administration, Covid-19, and Preventing the Next Pandemic Before It's Too Late Kindle Edition

4.2 4.2 out of 5 stars 507 ratings

"The most revealing pandemic book yet."—The Atlantic

The definitive, inside account of the Trump Administration’s response to the Covid-19 pandemic from White House Coronavirus Response Coordinator and Coronavirus Task Force member, Dr. Deborah Birx.

In late February 2020, Dr. Deborah Birx—a lifelong federal health official who had worked at the CDC, the State Department, and the US Army across multiple presidential administrations—was asked to join the Trump White House Coronavirus Task Force and assist the already faltering federal response to the Covid-19 pandemic. For weeks, she’d been raising the alarm behind the scenes about what she saw happening in public—from the apparent lack of urgency at the White House to the routine downplaying of the risks to Americans. Once in the White House, she was tasked with helping fix the broken federal approach and making President Trump see the danger this virus posed to all of us.

Silent Invasion is the story of what she witnessed and lived for the next year—an eye-opening, inside account, detailed here for the first time, of the Trump Administration’s response to the greatest public health crisis in modern times. Regarded with suspicion in the West Wing from day one, Dr. Birx goes beyond the media speculation and political maneuvering to show what she was really up against in the Trump White House. Digging into the hard-fought victories, the costly mistakes, and the human drama surrounding the administration’s efforts, she examines the forces that crippled efforts to control the virus and explores why these blunders continue to haunt us today.

And yet amid the agonizing missteps were bright spots that point the way forward—the fastest vaccine creation in history, governors that put their citizens’ health first, and Tribal Nations that demonstrated the powerful role of community in curbing spread, despite their criminally underfunded healthcare systems. Collectively these successes reveal the valiant work of many who were committed to saving lives, as well as highlighting the dire need to reform our public health institutions, so they are nimble and resilient enough to confront the next pandemic.

With the pandemic now moving into its third year confounding two presidential administrations, Dr. Birx presents a story at once urgent and frustratingly unfinished, as Covid-19 continues to put thousands of American lives at risk. The end result is the most comprehensive and extensive accounting to date of the Trump Administration’s struggle to control the biggest health crisis in generations—a revelatory look at how we can learn from our mistakes and prevent this from happening again. 


From the Publisher

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Editorial Reviews

Review

Earnest and exhaustive.New York Times Book Review

The best account we have so far of how Trump’s team botched the pandemic response so badly. . . . Significant . . . the book that should be an indispensable resource for future historians. . . . Deborah Birx offers more detail and nuance than anyone else. — The Atlantic

There’s an underappreciated quiet heroism in the steadfast bureaucrat who day after day, for months on end, insists on seeking and spreading the truth. With Silent Invasion, Birx shows us she is a person of extraordinary tenacity who, armed with sound data and a deep sense of duty, fought corrupt forces to save lives as best she knew how. — Washington Post

In-depth...In Silent Invasion, Birx reveals just how untenable her position was and, more importantly, what changes need to happen in order to win against the COVID-19 pandemic." — People

About the Author

Dr. Deborah Birx served in public health in the U.S. government for more than forty years, working for multiple presidential administrations in that time. A former colonel in the U.S. Army, Dr. Birx spent much of her career researching HIV and working around the globe combatting the pandemics of HIV, TB, and malaria. She has held leadership positions at Walter Reed Army Medical Center and Institute of Research, the Centers for Disease Control and Prevention, and the State Department as Ambassador-atLarge and U.S. Global AIDS Coordinator as part of the President's Emergency Plan for AIDS Relief (PEPFAR). She is currently a senior fellow at the Bush Institute. She lives in Washington, DC.

Product details

  • ASIN ‏ : ‎ B09HCDSLDP
  • Publisher ‏ : ‎ Harper (April 26, 2022)
  • Publication date ‏ : ‎ April 26, 2022
  • Language ‏ : ‎ English
  • File size ‏ : ‎ 2205 KB
  • Text-to-Speech ‏ : ‎ Enabled
  • Screen Reader ‏ : ‎ Supported
  • Enhanced typesetting ‏ : ‎ Enabled
  • X-Ray ‏ : ‎ Enabled
  • Word Wise ‏ : ‎ Enabled
  • Print length ‏ : ‎ 521 pages
  • Customer Reviews:
    4.2 4.2 out of 5 stars 507 ratings

About the author

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Deborah Birx
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Deborah L. Birx, M.D.

Deborah L. Birx, M.D., has spent her first career serving the United States, as an Army Colonel and later, running some of the most high-profile and influential programs at the U.S. Centers for Disease Control and Prevention and U.S. Department of State. Dr. Birx served as the White House Coronavirus Response Coordinator, where she made recommendations to the Vice President using complex data integration to drive decision-making, as well as worked closely with state officials across the country to provide state-specific advice and guidance. In 2014, Dr. Birx became an Ambassador-at-Large, when she assumed the role of the Coordinator of the United States Government Activities to Combat HIV/AIDS and U.S. Special Representative for Global Health Diplomacy. Dr. Birx is a world renowned medical expert and leader whose long career has focused on clinical and basic immunology, infectious disease, pandemic preparedness, vaccine research, and global health. As the U.S. Global AIDS Coordinator, she oversaw the spending of the $6 billion annual budget of the U.S. President’s Emergency Plan for AIDS Relief (PEPFAR), the largest commitment by any nation to combat a single disease in history, as well as all U.S. Government engagement with the Global Fund to Fight AIDS, Tuberculosis and Malaria.

Dr. Birx recently completed her first book entitled Silent Invasion published by HarperCollins; is a Bush Institute Senior Fellow; an Independent Board Director at Innoviva, and consultant for BGR, Real Time Medical, and Active Pure Technology.

She is dedicated to program improvement and change management to increase the health impact of every dollar spent; she has spent a lifetime mentoring young women in the Federal Government and translating science into effective implementation.

In 1985, Dr. Birx began her career with the Department of Defense (DoD) as a military trained clinician in immunology, focusing on HIV/AIDS vaccine research. Through her professionalism and leadership in the field, she progressed to serve as the Director of the U.S. Military HIV Research Program (USMHRP) at the Walter Reed Army Institute of Research from 1996-2005. Dr. Birx lead one of the most influential HIV vaccine trials in history (known as RV 144 or the Thai trial), which provided the first supporting evidence of any vaccine’s potential effectiveness in preventing HIV infection. During this time, she also rose to the rank of Colonel, bringing together the Navy, Army, and Air Force in a new model of cooperation - increasing the efficiency and effectiveness of the U.S. Military’s HIV/AIDS efforts through inter- and intra-agency collaboration. Then known as Colonel Birx, she was awarded two prestigious U.S. Meritorious Service Medals and the Legion of Merit Award for her groundbreaking research, leadership and management skills during her tenure at the DoD.

From 2005-2014, Dr. Birx served successfully as the Director of CDC's Division of Global HIV/AIDS (DGHA) in the CDC Center for Global Health, where she utilized her leadership qualities, superior technical skills, and infectious passion to achieve tremendous public health impact. As DGHA Director, she led the implementation of CDC’s PEPFAR programs around the world and managed an annual budget of more than $1.5 billion. Dr. Birx was responsible for all of the agency's global HIV/AIDS activities, including providing oversight to more than 1900 staff, and more than 50 country and regional offices in Africa, Asia, Caribbean, and Latin America. Recognized for her distinguished and dedicated commitment to building local capacity and strengthening quality laboratory health services and systems in Africa, in 2011, Dr. Birx received a Lifetime Achievement Award from the African Society for Laboratory Medicine. In 2014, CDC honored her leadership in advancing the agency’s HIV/AIDS response with the highly prestigious William C. Watson, Jr. Medal of Excellence.

Dr. Birx is known for driving implementation improvements to increase impact and has spent a career increasing overall effectiveness of programs through change management. Dr. Birx has published over 230 manuscripts in peer-reviewed journals, authored nearly a dozen chapters in scientific publications, as well as developed and patented vaccines. She received her medical degree from the Hershey School of Medicine, Pennsylvania State University, and beginning in 1980 she trained in internal medicine and basic and clinical immunology at the Walter Reed Army Medical Center and the National Institutes of Health. Dr. Birx is board certified in internal medicine, allergy and immunology, and diagnostic and clinical laboratory immunology.

Customer reviews

4.2 out of 5 stars
507 global ratings

Customers say

Customers find the book fascinating, informative, and interesting. They describe the writing quality as clear, easy to read, and follow. However, some readers find the book tedious, prescriptive, and repetitive.

AI-generated from the text of customer reviews

15 customers mention "Information quality"12 positive3 negative

Customers find the information in the book fascinating, informative, and compelling. They say it provides an eye-opening comparison of common sense versus politics. Readers also mention the author is intelligent and has a good narrative and timeline.

"...They don’t mix. This book is interesting read. I remember her common sense in press briefings. She seemed like only one doing it...." Read more

"...She is insightful and critical of not only the administration, but more importantly of the CDC whose response (to this day) has been abysmal...." Read more

"...The book is full of facts in between the stories. Fascinating read. I doubt the politicians have learned much but I can always hope" Read more

"This book is extremely well written. It has a good narrative and timeline. However, it is extremely detail-oriented, almost too much so...." Read more

8 customers mention "Writing quality"8 positive0 negative

Customers find the book clearly written, easy to read, and follow. They say it reads like a diary and is straightforward, precise, and honest.

"...That’s clear from the beginning. The book is writerly and lucid but without voice, certainly not a voice I recognize as womanly...." Read more

"The book reads like a diary and I find it easy to skim through to parts that count...." Read more

"...I just didn’t feel like it was well edited. I think the author is quite respected and very skilled...." Read more

"...This book is not particularly technical, but straightforward, precise and honest in its warnings and analysis particularly for those of us who are..." Read more

4 customers mention "Readability"0 positive4 negative

Customers find the book too technical and tedious to read. They also say it becomes prescriptive in an overly optimistic way.

"...At the end, the book becomes very prescriptive in an overly optimistic way. The last 50 pages are a real slog to finish...." Read more

"...There was a lack of preparedness, insufficient accumulation of data...." Read more

"Excellent book. Very informative but way too technical for me." Read more

"...about her work ethic and the importance of data resulted in a very tedious read." Read more

3 customers mention "Remuneration"0 positive3 negative

Customers find the book redundant and repetitive.

"...About 30% of the entire book is redundantly redundant...." Read more

"I found this book very hard to read. There was a lot of redundancy...." Read more

"...This book drones on forever, repetitively, and redundantly reminding us of how much smarter she is than the rest of the Administration until one ca..." Read more

Dr. Birx works tirelessly to save humanity
5 out of 5 stars
Dr. Birx works tirelessly to save humanity
Dr. Birx is not a politician concerned about their image. She is a trusted researched who has been through the wars with multiple health crises. Her book shows the dedication to go to the "Gemba", where the action is, listening and collaborating with people at all levels to witness frustrations and innovations of governments, reservations and university students. Her dedication in spite of the high-level politics and unfounded theories. I have tracked the spread of the virus daily since the early onset, with graphs and charts at the state and international level. It would enhance the book to show some graphs to compliment her findings.
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Top reviews from the United States

Reviewed in the United States on September 19, 2024
I am so glad I took the time to read Dr Birx book. She carefully and factually explains what happened and why things were much worse than they had to be. Her data is verifiable. Anyone still sitting on the fence about whether or not another Trump administration would be advantageous or a detriment to our national safety should read it. I am a health care professional and understand her concerns and data. I am also a woman who understands how a misogynist group of men in high places will ignore you and ostracize you if you get in their way, no matter how right you are. They wanted her to say everything was great, not to worry. She wouldn’t do it because her data said otherwise. When each surge was inevitable and would be worse than the last one, they banned her from attending meetings and talking to the press. Hats off to Dr Birx and others in the Trump WH who fought with her, some incognito, to try to right the ship and get the message out.
4 people found this helpful
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Reviewed in the United States on May 31, 2022
On February 27th, 2020 Dr. Deborah Birx accepted the thankless assignment as White House Coronavirus Task Force Coordinator. There she was, inside the White House where the President was downplaying the seriousness of the deadly pandemic. She consistently emphasized (1) testing, (2) masks and (3) gatherings, while the President proclaimed "We have it under control". A major aspect was her insistence that asymptomatic spread was the silent killer. Younger people with low chance of becoming seriously ill were infected without apparent symptoms (asymptomatic) but were carrying the virus to more vulnerable persons. Even Tony Fauci and Bob Redfield did not support her demands for broad based testing. She avoided open conflicts despite deadly moves by Trump, Mark Meadows, Peter Navarro and so many others. She gives credit where credit is due, notably for President Trump's push with Operation Warp Spreed to get a vaccine developed in record time. The one she directly tackled was Scott Atlas who told Trump, focused on reelection, what he wanted to hear. She was very critical of the CDC for its lack of preparation for any pandemic and stubborn behavior of many CDC specialist. One of the few people whom Dr. Birx could always count on for support was Vice President Mike Pence. She found the Biden administration to be less effective than they should have been but at least the nation had a well informed, serious President. It is clear to the reader of this outstanding study that the behavior of President Trump was responsible for several hundred thousand deaths that could and should have been prevented. America was fortunate to have this diligent, highly motivated expert in the right place in 2000 and 2001. The death toll could have been a lot higher. Read her story.
8 people found this helpful
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Reviewed in the United States on May 17, 2022
Ironically, I finished this long book during a long night in which I couldn’t sleep because of having had a recent close exposure to Covid at the age of eighty-one. I will be tested in a few days. The vaccinated son-in-law who came down with Covid is receiving an antiviral drug and is feeling better, but our situation brings home to us literally that the pandemic is not over, making Deborah Birx’s book even more important and timely than if it were. The last chapter of the book details changes that must be made by relevant institutions to keep us safe in the future. You could skip everything else and read that chapter and your money would be well spent.

In the acknowledgments, some gentleman is thanked for writing alongside her. That’s clear from the beginning. The book is writerly and lucid but without voice, certainly not a voice I recognize as womanly. Don’t expect a memoir. That’s why the four stars instead of five. It’s disappointing in that way.

Anyone who watched as much CNN as I did in 2020 and 2021 will be familiar with the bitter facts of recklessness and neglect that led to so many unnecessary deaths and ruined lives. And heedlessness, particularly of the truth that Birx recognized early: that the disease was being transmitted asymptomatically. It still is. My son-in-law didn’t know he had Covid when he sat beside me at dinner night before last.

Amidst death threats, scorn, dismissal, willful ignorance, crazy notions about herd immunity, and threats to her reputation, Birx continued to strive hours and hours a day for commonsense public health measures. George and Laura Bush encouraged her to hang in there. She did hang in there. Her motivation in what was extreme enough to qualify as self-sacrifice is justified in the book as the continuing wish to save lives. It seems insufficient to this reader. There’s a Jesus-on-the-cross aspect to the story that goes unexplained. Maybe it’s professional pride of some sort I have never encountered. Whatever it was, it deserves the gratitude of a nation.
16 people found this helpful
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Reviewed in the United States on October 27, 2024
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Top reviews from other countries

David Richards
1.0 out of 5 stars Truly awful presentation from someone completely out of her depth
Reviewed in Australia on October 8, 2022
Deborah Birx account of her experience at the White House borders between naivety and plain ignorance. Her account is fueled by emotional lability. It reads like an emotional roller-coaster, yet she sees herself as the scientist dedicated to empirical discovery. In reality it appears she was making her judgments first, then using data to support her preconceived suppositions. She unashamedly admits on several occasions she misrepresented the evidence in order to obtain her objectives, such was the degree of her grandiosity.

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