Tony's Diary Package — page 468

m 11 November 2020 We are 3 daysfrom the normal weekly peak and it is clear we will reach LS0K cases this week, critically see slide 2? showing the rapid increases in cases is mirrored by the rapid increase hospitalizations and now rising of the lagging fatalities, We will surpass the daily fatality highs of the summer next week and those will continue to accelerate, Hoepitalizations have reached historic weekly highs in those over 70 and thoee over 40 -- WH daily report and are straining human capacity I have inclided the UK, Spain, Germany and France-- they all appear to have peaked, plateauing and all chow early improvements showing thisis possible te contain and mitigate this virus and blunt the curve butwe must act this week to ensure hoepitalcapacity This will require a comprehensive Federal response with aggressive support to States teinchude: * Aggressive communication on nat only masking at all tines autside of immediate household, physically distancing and hand hygiene but abselute limiting of secial interactions te the irnmediate household for the next 60 days while we bridge to the rapid vaccination af the vulnerable pepulations drarnatically decreasing heepitalizations and fatalities : thisis a shart tenm sacrifice to protect the vulnerabhe s Aggressive re-alignment of Az testing towards tinding and preventing unrelenting silent spread that continues to trigger community spread inwaves :.ADM Girgirand CDC working with States and Tribal nations * Expanding frequency of LTCF testing and aligning early vaccination inte LECE if irimunagericity is clear in eleerly * Ensuring rapid ticting of thos: rest vulnerable te rapid immunization access imovediabely upearn EWA (COC) * Short term Interventions : with demonstrated hospital staffing under threat restricting indoor dining and brietly limiting areas of congregation withoutmask (bars) will be needed 29 States are inthe red and orange cone and now over 2000 counties are in "high concern! due te cases and spasedof rise To change the future this will require an aggressive data driven balance approach thatis not being implemented at the state and local level and will require Federal support, guidance, and implementation support to change this and it is possible especially with the real promise of avaccine. Moving the vaccine forward with population immunizations that can show impact -- immunizing all LOCF residents and saving their lives will demonstrate the impact of this vaccine and we have sufficient Pfizer doses te do this -- we should be preparing now Fall surge Active Cases in the United States Active Cases (Number of Infected People) N w b = = = Total Coronavirus Currently Infected e = ms a ,* Par Pe $ PASE QE Se ph ee" ow % s eS " PON OS A oy > > a ou = FMF KH PF VF w wm pw? oF oF oF OF YW =® Currently Infected we ON De HSK © PP DH eH SMH YP OG Summer surge Oe "Spring surge that "help is on the way with a vaccine" and so we should all hang in there with public health measures. Very nice call!