Tony's Diary Package — page 322

27 August 2020 Continued improvement in most of the original red states but increases up into AR, KS, 1A, IL, ND, SD More than 50% of deaths coming from 4 states: GA, CA, TX, FL Continued week overimprovementin cases, hospitalizations and deaths (slides 4-5) Continued improvement in mortality rates in all age groups including those over 70 (slide 6} Test positivity continues a Nationwide decline and across most of the country but increasing new positives in the upper midwest MI, IL, MN (slide 9,10) and rising test positivity in MD, SD, lA, MT, WY Included specific sections on points to consider: AZ: continued improvement but yesterday there were 100 + reported deaths illustrating the substantial lagging indicator (slide 22); AL showing improvements except rising cases in Tuscaloosa (UnivAL) (slide 23,24) Section on children (slide 29) showing most children were infected at the height of the vacation season and now improving; (slides 30-33) showing childcare outbreaks started with staff and then spread ta children and families masks for staff had a significant impact. Section on hospital reporting of COVID cases and PPE (slide34-36) significant improvement in reporting including PPE Will need strong Labor Day messaging to prevent another Memorial Day spreading event that has taken 2 months to begin to control -- approx 40% of the deaths have occurred post the Memorial Day triggered super spreading week that seeded the South. Most of the Heartland most likely seeded from residents vacationing inthe beach areas with high community spread COVID-19 Daily Rapart Reported on August 27,2000 Case counts Test positivity cate Forces! Lewteng pdiee [files aeerage) See Me sR || 7 yea Fs Deaths gate DOS) cadens (Death counts a a hint ie Si ler i kt Sewer Aawreyar cara reer ra aris em. Le Keer, Sarees: areroeed in oeak es wine community spread is important enough to test for it. We can argue within the confines of the Situation Room that the intent of the guidelines are clear and crisp and helpful. However, the overwhelming proportion of the public health community are baffled by these changes. This is an unforced error. I am happy to discuss with you. Again, sorry for the misunderstanding. Best, Tony Powder Attack!!! - Today, I received a letter at home from Jacksonville, FL looking like the very many letters that I get each day, usually asking me to sign a baseball card or an index card. The letter had typewritten address as opposed to WORD processor. It was very thin. I brought it o work and around 10:30 AM started opening the "fan mail". I opened this one and took out a