Tony's Diary Package — page 392

ol cl 6 October 2020 Continued spread inthe Upper Mid West, the Heartland and nowearly warning signsin WE : cooler weather will accelerate The primary drivers of current community spread is from social gatherings and within households, The cages that are rising trigger household spread and resultin admissions fram households>>facilities including LICE New hospitalization admissions continue to rise I have focused on heapitalizations by region inthis report. Again showing that increase test positiaty, increased asymploarnatic cases result incarnmunity spread where social gathering result in thage with co-mearbidities infected and hospitalized and on going fatalities: this spread starts with asymptomatic household members usually under 30 bringing the virus inte the household and family and friend social Secasions. Testing in communities with angeing spread and alerting those with asymptomatic infections te their status and alerting then te protect athers in their househeld is critical. Expanding surveillance testing te tind those early alerts will be key to prevent broad community spread Data driven laser focused interventions will be essential as we nove inte the tall: there needs to be a-clear recognition of in household, small gatherings among neighbors and tamily events are active spreading events when there is even one asymptomatic COVID positive individual ~ although outdoors are sater both the level of the viral load and claseness of contact can lead to increasing spread Will be key to increas: testing in the cammunities and states where test positivity is rising fo prewent further community spread to preverit increases im hespitalizations and fatalities This first several tranches of BINAX to states should be priaritized to states with high community spread Much discussion centered around the upcoming 2nd POTUS debate. Issue is whether Trump (recently infected) can safely do it in person. The Commission wants to do it virtually; however, Trump says he will not debate except in person. Mark meadows has called me twice for advice about the CDC guidelines of when a person post-infection can safely go out. The guidelines say 10 days from onset of sxs and 2 PCR tests (24 hours apart) that are negative. His last PCR had a CT of 28.9. It needs to be 35 or greater to be considered negative. More to come. Great podcast with Bill Gates and Rashida Jones Now total 34 people infected in the White House super-spreader event in the Rose Garden. Also, Kellyanne and Chris Christie helped him prepare for the debate PRESS: Print interview with Italy's La Repubblica newspaper; Italy TV Sky TG24; MSNBC with Andrea Mitchell; Podcast with Rashida Jones and Bill Gates; Radio ONE NYC; PBS NewsHour with Judy Woodruff; Memphis Commercial Appeal: Dr. Anthony Fauci: a trusted and dependable voice during COVID-19 I Opinion