Tony's Diary Package — page 461

& November 2020 continued : actions 1. Ensure the impactful mitigation efforts and targeted testing for asymptomatic infection are implemented now tao stop the escalating community spread, increasing hospitalizations and fatalities. 2. We have a window for aggressive messaging and testing ta change the trajectory but that window is closing and without aggressive action hospitals will be under threat within 3-4 weeks and continue to escalate for 3-4 weeks after that -- this is why timing is critical 3. Expanded strategic use of the Ag tests will be critical to controlling the current surge : these tests must be used for all individuals in all states with test positive rates over 5% independent of symptoms -- requiring use in symptomatic clients is preventing adequate testing and control of the pandemic. 4, Detection of pre-symptomatic, mild and asymptomatic cases will require both sentinel surveillance of community populations [community college students, major industries, K-12 teachers etc) as well as surge community focused testing of under 40 yo to find and isolate these contagious individuals. 5. Implementation support for aggressive testing of the contagious but asymptomatic population with isolation effectively contained and mitigated spread prior to infection of the more vulnerable community members. Routine testing will be essential in multigenerational households especially in our Tribal Nations. 6. One Federal unified consistent messaging about uniform use of 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 to prevent community spread and save lives. University through aggressive testing and isolation had 97% less infections and isolated 95% less students : attached in slides 5-9 7. Tochange the future this will require an aggressive data driven balance approach that is not being implemented at the state and local level and will require Federal support and guidance to change this AREA OF CONCERN CONTINUUM oN Area of Concern Continuum by County Ueda cera Sihaet oat ecanal beams O6NOV2020 are 7 pessisle ACC cassiications Sased on current and recent history of age and (esting data forthe keation (1) LowBurden--conrrunities with minimal activity (2) Moderate Burden--communties with moderate disease activity (merging Hotepot-- communities with ahigh likelihood to become hotspots. in the next 1-7 days (4) Hotspot communities that have reached a thresinoid of disease activity considered asbeing offhigh burden (Sustained Hotepot--communitias that have had alhigh sustained case burden and may be higher nek for expenencing healincare resource limitations (G)/High Burden--Fesohving -- communities that were recently identified as hotspots and are now improving (P)Moderate Burden--Resohving --communitias that have a moderate level of burden, but are demonstrating improvement See Data Sources Vethods sides for more information. AOC Category Low or Moderate Burden ic ag Emerg Hotspot ) Hetsonr I I Sustained peen! % Hetapat C te Righ ar Led| Low or RM Die ty = Moderate rf a seein tere! . Buran - al -- = Fiasab ing MR Hag Ce a BA O° SOR? EID 203008 MIMS AIM BIGOT 2D00 100009 RIMOD Ba2b19 -- 10,000,000/238,000 November 9, 2020 - Global - 50,300,000/1,300,000; USA - 10,000,000/238,000 Has Task Force meeting today. First one since October 20. VP Pence seemed in good spirits and stated that we will either be here for an additional 90 days or for 4 more years. Whichever it is, we will do our job. He did say that we will make