Tony's Diary Package — page 444

i i ii. 13. Election day!! 3 November 2020 We continue im the most comm|«4vunity soread, the most ragid acceleration of hospitalizations both overwhelming of community urban and rural hospitals, adequate human capacity, inability to load balance and ofals care of all patients inchudingmon-DOVID patients leading to increasing mortality, the most deadly phase of this pandemic : concerning is the lack of improwement in the Northern Plains --now many weeks into thelr surge and signals the need for increased mitimation interventions both ND and SD have reached rates of 6% of the total population with teat positive cases -- this 6 308 higher than we have seen with any state's prior surges suggesting the cold temperatures driving individuals indoors is resulting in much higher rate of com«vunity spread then seen in March aed April, We need much mone aggressive action from mesdaging, to testing, to surging personnel around the country prior to the crisis point Test positivity rates continue to rise across the country 39 states have rising test positivity Cages are rapedly rising in 20% of all US4 counties the highest number of county hotspots we have seen with this pandenmsc Nearky have of the United States isin the ned or orange ome for coses despite flat ardeclining testing -- 15 states arered and § orange with declining green Fatality rates in people over 70 remains at 11%. Intreaged access to novel lhenapeulics id critical, 'Cases will surpass LOOK this week because the core mitigation elorts and taqgeted testing lor aaymplomatic inflection ane nol occurring resulling.in continued and escalating communitys pread lading ta increasing hospitalizations and fatalities. Expanded strategic use ol the Ag teats will be critical to controlling the current sunge : these testa must be used lor alll individuals in all states with Lest positive nates oer 5% indegendent of symtoms requiring ust in symatomiatic climntsis preventing adequate testing and contral of the pandemic. Detection of pre-synmiplomalc, kd and asymnalonialc tases wall requere both sentinel survedlance of coninmunily popular (conimiunilty colle pe sludents, major industrins, K-12 teachers etch as well os surge community focused testing of under 40) yo to find and isolate those contagious indivichiads. Aggressive Lesting of Lhe contagious but asymiplomatic poguilation with isolation effectively contained anid mitipated spread pri to infection of the more 'eulne rable community menbers. Routine testing will he essential inimaltigenerational households especially in our Tribal Nations. One Federal unified consistent messaging about undlonm use of masks, ohysical distancing and hand washing with protound Gmitation on indoor gatherings especially with Family and friends is essential at this tine point - this is aboutompowennnnt Americans with ther lniowindge and data for decision making to Prevent come«unity soresd and save lives. University through aggressive testing and isolation had 97% less inhections and nolated 95% less students From Uniwersities we laws learned how to test strategically bo prevent spread, from our dislogue in states we have learned how to craft messages for impact = what is meeded mow is translation of this knowledge inte action for limgact. Public health officers iin the fled are exhausted and will need supportand a clear road mag, Theis 5 meat act lockdown -- Its about an agaressive data drives balance approach that ls not being implemented. Nice talk with Marc Short today. He is totally supportive as is (as he says) the VP. I continue to get dozens of e-mails and texts of support from all over the world. The press is all over this. Rosa DeLauro just called me and said: "We all love you. Fuck him. There is no way in the world we are going to let him fire you." PRESS: Multiple stories running now about the threat to fire me. November 3, 2020 - Election day!! Red hot discussions in press of POTUS firing me. Dominating the news. Also, someone leaked one of Deb's daily briefing (see right above) making it look like she is bucking the POTUS similar to what I did in the Post on Friday. Lincoln Project (Republicans against Trump) says: You have a choice on election day. Either fire Fauci or Trump. Who do you want to fire? Unfortunately, I am right in the middle of the fight for a Presidential election. YIKES!!!