Tony's Diary Package — page 394

9 October 2020 . [have included France and UK = European cases continue toincrease - they are in their "post Memorial Day" vacation driven cases which will begin in the younger age groups but move rapidly to the older groups. . Broad community spread continues unabated in the Upper Mid West, 10, UT, ND, $0 and the Heartland and now early warning signs in NE: cooler weather will accelerate : States are mot adequately mitigating community spread nor aggressively targeting the primary sources of this community spread : social gatherings and within household spread both driven by asymptomatic individuals. Messaging must focus on decreasing friend and family gathering and presenting far testing if you have been in.an unmasked gathering. . Cases will continue to rise week over week which is driving the increase in hospitalizations and will drive increasing fatalities aver the next 4 weeks. . The supply and personnel teams need to work aggressively with these states to ensure supplies of Remdesivir, PPE and additional human capacity . The spread often starts with asymptomatic household members usually under 30 bringing the virus into the household and family and friend social occasions, Testing In cammunities with ongoing spread and alerting those with asymptomatic infections te their status and alerting them ta protect others in their household ts critical ta stem hospitalizations and fatalities. . Expanding surveillance testing (staff of LTCF, teachers, community college commuters, university commuters) which will reflect the viral transmission in the community will be key to prevent further broad community spread . Data driven laser focused interventions will be essential as we move into the fall : there needs to be a clear recognition of in household, small gatherings among neighbors and family events are active spreading events when there is even one asymptomatic COVID positive Individual -- although outdoors are safer both the level of the viral load and closeness of contact can lead to increasing spread . Will be key to increase testing in the communities and states where test positivity is rising to prevent further community spread to prevent increases in hospitalizations and fatalities : we need to align BINAX tests for these community surveillance sites in states with rising cas@$ Percent Increase in Total Cases over 7 days oR =O * 1% =o >1O% 25% = S05 =100% <20 Weekly Cases eeeen. told the crew that I was the best persuader in the world. He used to think that he was, but he now feels that he is 2nd. Weird conversation; friendly, but weird.