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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 Hardcover – April 26, 2022
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"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.
- Print length528 pages
- LanguageEnglish
- PublisherHarper
- Publication dateApril 26, 2022
- Dimensions6 x 1.57 x 9 inches
- ISBN-100063204231
- ISBN-13978-0063204232
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From the Publisher
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
- Publisher : Harper (April 26, 2022)
- Language : English
- Hardcover : 528 pages
- ISBN-10 : 0063204231
- ISBN-13 : 978-0063204232
- Item Weight : 2.31 pounds
- Dimensions : 6 x 1.57 x 9 inches
- Best Sellers Rank: #423,568 in Books (See Top 100 in Books)
- #109 in Epidemiology (Books)
- #352 in Health Care Delivery (Books)
- #2,423 in Political Leader Biographies
- Customer Reviews:
About the author

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.
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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
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
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
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
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
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Dr. Birx works tirelessly to save humanity
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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.








