Tony's Diary Package — page 422

1. 2. 3. 4, 6. 7. 10, 11. ll oll tel 10. il. 24 October 2020 Rapid viral spread in both urban and rural counties in most states, Cases are filling hospitals in urban and rural areas significantly straining hospital personal- we willsee escalating fatalities. Cases are again increasing across the Sunbelt with upticks in the North East. Cases will continue to hit all time highs week over week as the core mitigation efforts and targeted testing for asymptomatic infection in those under are not occurring. Current testing and Ag tests have not been aligned to detect the silent spread as universities have done -- Universities with routine required weekly testing has allowed universities to find the asymptomatic cases and isolated those cases quickly and dramatically decrease "community" spread among students -- the same approach can work at the community level. Slide 2 Daily hospital admissions are higher than summer peak (summer surge led to 100K fatalities), We are now well above those daily admissions. There has not been an improvement in CRF since July (when improved by 62%) -- ensuring access to new promising therapeutics is critical Increased cases are not due to increased testing but broad and ever increasing community spread. There are no states, regions, or communities with enough prior COVID infection to provide any substantial protection fram new community spread which will lead to hospitalizations and fatalities. This is very evident by the rising cases again across the Sunbelt and maving into the North East. This sequence of events must stop with the initial silent spread with aggressive sentinel surveillance testing. Aggressive testing in the contagious but asymptomatic population with isolation effectively contained and mitigated prior to infection of the more vulnerable community members. Providing appropriate isolation options for infected individuals from multigeneration households will be key. It is critical te act now finding the continued source of silent spread, ensuring infected individuals know how to limit their infection of others and with messaging on universal masking, physical distancing, and essential limitation of public and private gatherings indoors especially small gatherings with friends and family, Consistent messaging about masks, physical distancing and hand washing with profound limitation on indoor gatherings especially with family and friends is essential at this time point -- this is about empowerment Americans with the knowledge and data for decision making. 8,600,000/224,2200 25 October 2020 Rapid viral spread in both urban and rural counties in most states. 11 States are in the red zone in the orange zone (19 total) : included Alaska so FEMA can check on their capacity -- cases are primarily Anchorage >> Fairbanks Testing has been flat or declining in all but? of these 19 states over the past 1-2 weeks : cases are nat increasing due to increasing tests Cages are filling hospitals in urbarnand rural areas significantly straining hospital personal--we are now seeing escalating fatalities. Cases are againincressing across the Sunbelt with upticks in the Marth East, Cases will continue te hit all tine highs week overweek as the core mitigation efforts and targeted testing for asymptomatic infection in thase under are netoaccurring. (Lastweek we were up nearly 9k high aver high and with current slope it means we could cress LOOK in 2-3 weeks) Current testing and Agtests have not been alianed to detect the silent spread as universities have dane -- Universities with routine required weekly testing has allowed universities to tind the asymptomatic cases and isolated those cases quickly and dramatically decrease "community" spread among students -- the same approach can work at the conmnounity level. Slide 2 Daily hospital admissions are higher than summer peak (summer surge bed ta 100K fatalities). We are new well abowe these daily admissions. There has not been an improvement in CAF since July (when improved by 62%) -- ensuring access to mew promising therapeutics is critical This sequence of events must stop with the initial silent spread with aggressive sentinel surveillance testing. Aparessive testingin the contagious but asymptomatic population with isolation effectively contained and mitigated prior ta infectionaf the more vulnerable community members. Providing appropriate isolation options for infected individuals trom multigeneration house holds will be key. It is critical to act now finding the continued source of silent spread, ensuring infected individuals knay how ta limit their infection af others and with messaging on universal masking, physical distancing, and essentiallimitation of publicand private gatherings indoors especially small gatherings with friends and farnily. Consistent meeaging about masks, physical distancing and hand washing with profeund limitation on indoor gatherings especially with family and friends is eseential at this time point = this is about empowerment Americans with the knowledge and data fer decision making. Adam Silver, Commissioner of NBA, wrote me a nice letter thanking me for helpingto make the NBA season successful and safe October 25, 2020 - Global - 42,500,000/1,100,000; USA - 8,600,000/224,2200