Tony's Diary Package — page 479

17 November 2020 Task Force All states and major metros now are deteriorating except Hl -- there are 27 states in the red sone ane 7 states in orange zone Nev daily admissions reaching 10,000/day and inpatient COVID patients reaching historic highs Its not just the number of coses but the rate ofrise - what we are documenting today as mew cases are reflective of spread 10-14 days ago - the rate of rapid rise in cases will translate to a proportional rapid rise in hospitalizations and deaths The length of time to reach peak is significantly honger -- wee are seeing improving im El) Pasa following extensive mitigation since 220ctoher Metriod hit hard during the summer surge are mow passing Their summer peal We need to change the rate of rise of cases to change the taped rise in hospitalizations to preserve hogpital capacity -- this Gono longer about preventing a criss --the i a omnis -- Chit abou trying lo dave ad mieny lives as posible within the onnis Europe has shown us that the Fadl sunge can be contained and hospital capacity sustained and if we act mow we can do the same This will require a comprehensive Federal response with aggressive support to States to include: ' Aggressive communication at tha WH lavad masking requirements ot all times outside ofimmsdiate heuscheld, physically distancing, hand hygiene AND orttically limiting of social interactions to the Immvediata household for tha ment 60 days while we bridge to the ragid vaccination of the vulnerable populations decreasing hospitalizations and fatalities : this isa short term sacrifice: to protect the vulnerable. We need to document precisehy the number ofvaccine doses available over the next 2 work for pilot roll outta LTC. . Aggressive re-alignment of ig testing bowaerds finding and preventing unrelenting silent spread that continues bo bragger conmimunity spread in waves ADM Girdir and COC working with States and Tribal nations * Expanding frequency of LTCF testing and aligning, earty vaccination into LTCF * Ensuring rapad tering of those most vulnerable te rapid vaccine immunization access immediately wpom ELA (CoC) * Short term interventions ;in States with demonstrated hospital staffing under threat - restricting indoor dining and limiting areas of congeegation without mask bars, gyms and restricting Indoor dining) will be needed as was successful im the US4 in the sunimer and im Europe Without an immediate change we will hit 200,000 casesfday avd 15M cases/week, and over TODD inpatients -- this i unsustainable The surge continues. ICU beds in Montana are running out.. Recent (Nov. 13) NPR interview of ICU nurse in Billings MT: RIHA: We are currently at a critical level of patients in our ICU. So as you mentioned, we're the largest hospital operating system in Montana. And under normal operating circumstances, we have a 24-bed ICU in our hospital. When I left last night at the end of my shift, we currently had 44 ICU patients that were under the care of our service with a very, very full emergency room and likely more ICU patients coming in. In Task Force meeting today, Deb, I (by virtual), Bob sounded the alarm. Mark Meadows blurted out and objected to our call for a consistent message about masks and testing asymptomatics. He feels that no matter how much you test, you still will have outbreak. He got tested every day and he claims to have been infected while wearing a mask - NONSENSE. He was not wearing a mask before he got infected. He has bought into Scott Atlas. This is disgraceful. Deb suggested that we have a doctor White House press conference once per week. I pointed out that we must have a consistent message from the White House. I was not so subtly referring to Scott Atlas saying that masks do not work.