Tony's Diary Package — page 311

23 August 2020 Slides of the main original red states with different degrees of improvement : lead by Arizona : but CA, TX, MS, AL, GA must accelerate mitigation efforts to accelerate declines like AZ, LA, FL * Will spend this week working with those states to ensure they continue to decline Test positivity dropping from 9 to under 6 over the past 4 weeks and gain needs to accelerate Hospitalizations declining and this week mortality should decline Continued improvement in mortality rates in all age groups including those over 70--- slide 6 * Will be important te ensure all Governors are aware of the importance of immediate treatment with Remdesivirand plasma Aggressive mitigation efforts decreasing community spread across the Sunbelt and will need to continue to ensure cases, hospitalizations and fatalities decline -- slides 7-11 Continued widespread community spread in CA driven in all size metro and Central Valley -- we need to decide between a WA, OR, CA, NV trip primarily focused in agricultural and hispanic communities up through the central valley to WA (continued spread) vs. a MN, MI, WI, IL, $D (rising cases) trip as both with continued or rising cases Test positivity and cases rising in MO, KS, OK, IL (slides 13, 14) movement of increasingly high test + in Heartland : will need continued worked with the Heartland with rising cases, test + and large land grant universities returning without adequate testing to define depth of outbreaks and prevention of spread into the local communities with vulnerable residents Will need strong Labor Day messaging to prevent another Memorial Day spreading event -5,700,000/177,000 Very bad and disgraceful day for FDA and Steve Hahn and Alex Azar - They caved to pressure from Trump to issue EUA for Convalescent Plasma (CP). Francis Cliff and I among others a few days ago looked at the data and since there was no control and the analysis was post hoc with end points that were NOT predetermined, we could not say that there was any effect. When they tortured the data, they came up with a 35% decrease in deaths among people 3 days from dx, .80 years old and not on ventilator. Very narrow group. We had agreed to wait for further data from the same Mayo Clinic study to do a predetermined end point analysis to see if it strengthened the original data. The new data was collected, but before we could see it, Mark Meadows decided to "break the log jam" and got Steve Hahn and Alex to cave in and issue the EUA tonight, the night before the beginning of the GOP convention tomorrow night. I am afraid that this will happen with the upcoming vaccine trials. PRESS: New York Times and Washington Post coverage of old statements by me and Francis and Cliff about our skepticism of the EUA data August 24, 2020 - Global - 23,300,000/806,000; USA - 5,700,000/177,000