Tony's Diary Package — page 353

20 September 2020 1.This week's low in deaths is nearly 200 more than the last 2 week lows 350-440 range to now 650 2.As we learned in May and June emergency room visits are a lagging indicator -- often more than a week behind increases in test positivity 3.Cases and deaths both increasing this week -- the considerable progress is stalling or reversing in the large states -- slides 4-5 4. Historically first test positivity increases, followed by increased cases, increased IL! and CLI, new hospitalizations and deaths 5. There is increased community spread occurring at the same time as increased cases in Universities and working to separate these two different issues 6.New serology surveillance data shows 90% of Americans have not been infected (do not have any COVID Ab --a small % Of those infected can only have T cell immunity (5-10% of those infected so it could be 88-89% rather than 90%) in many areas 95% uninfected - the one except is NY especially the NYC metro area where nearly 22-25% were infected Actions: * Working with Brad and Brett to prioritize BINAX to communities surrounding colleges with >15K students on campus and greater than 1500 recorded cases in students. * Working with Universities to ensure students remain on campus and are not sent home if the university goes online once students have returned to campus + Will work with governors to ensure that understand the importance of asymptomatic testing and contact tracing for containment and preventing spread to vulnerable citizens in their communities NATIONWIDE COVID-19 METRICS. 7-DAY AVERAGE LINES 7-Day Avg: 836,565 1,000,000 800,000 600,000 400,000 200,000 Daily Tests Daily Cases Sep 19: 1,061,411 Sep 19: 44,283 80,000 70,000 60,000 50,000 40,000 30,000 20,000 10,000 Apri Juni Aug Apri Junt Source: The COVID Tracking Project 7-Day Avg: 39,873 Aug i Currently Hospitalized 60,000 50,000 40,000 30,000 20,000 10,000 Sep 19: 29,025 7-Day Avg: 29,815 2,500 2,000 1,500 1,000 Apri Jun 7 Aug? Apr 1 - Sep 19 Daily Deaths Sep 19: 737 7-Day Avg: 789 Apri Juni Aug? co) Scott Atlas deliberately trying to undermine Deb Birx interpretation of the data