Tony's Diary Package — page 475

15 November 2020 All states are deteriorating (-HI)-- slide 5, 26 states are in the red zone and Bim the orange pone = 34 states with significant deterioration ld All major metros are instability -- many in full log community spread. Only El) Paso is beginning to peak --5 weeks in totheir log phase. 3.0 To be orgstal chear -- its not just the number of cases but the note of mise of cases - what we ore documenting today as mew cases are reflective of spread 10-14 days ago - the rate of ragid ise in cases will tranelate toa proportional rapid rise im hospetalizations and deaths We need to change the rate of rise of cases to change the rapid rise in hosgitalizations to preserve hospital capacity -- this is mo longer about prewenting crisis --this is a orisis -- this is about trying to sace as many lives os possible within the orsis We cannot sustain ths sate of ise of cages that is leading to these raped increased in hospitalization --we are mow at 2x the summer in cases 6. Europe has shown us that the Fall sume can be contained and heapital capacity sustained and if we actnow we can de the same * This will require a comprehensive Federal response with aggressive support to States to include: Aggressive communication at tha WH laval masking requirements ot all times outside of immediate household, physically distancing, hand hygiene AND critically limiting of social interactions to the immediate household forthe next G0 days while we bridge tothe rapid weocination of the vulnerahle poqulations decreasing hospitalizations and fatalities : this is ashert tenm sacrifice to protect the wulmerahle. We need to doeoument peccisely the number of vaccine doses available over the next 2 week for pilot roll out te LDCR. Aggressive re-alignment of 4g testing towards finding and preventing unrelenting silent spread that continues to trigger community spread im woes > ADM Girdir and COC working with States and Tribal nations Expanding frequency OF LTCF testing ane aligning earhy vaccination inte LTCE il mmmuncgenkity Gclear in elderly Ensuring rapid tering of Dose most vulnerable lo raped vaccine immunization access mnmediately upon EWA (CDC) Short term interventions : in States with demonstrated hospital staffing under threat - restricting indoor dining and briefly limiting areas of congergation without mask bars, gem and restricting indoor dining) will be nmedod as wens successful in the LSA lin the suninier 8, Without an immediate change we will hit 200,000 cagesfday and 15M casesfwerk, and over 100000 inpatients = this is unsustainable Date: HeLazoe I New Gases per 100K I National Picture MEA CAS@ 5 PER 100,000 1M THE WEEK: teed veritn All states are now showing significant increase in cases, this is the time sequence over the last 6 manths. We have not seen a surge in testing in the last 30 days but are seeing deterioration across the country. sha ihe ao (0 He 1h of aa BE tee (I 200 co oe