Tony's Diary Package — page 486

he election. It really 20 November 2020 All states and major metros now are fully deteriorating except Hl-- there are 29 states inthe red zone and 9 states in orange zone -- the duration of rising cases and the rate of rise greater than the spring or summer which will prolong the high fatalities for the next 4-6 weeks rapidly reaching over 300,000 Increase test positivity reflects continued and active community spread, Increased cages leads to inereased hospitalizations and increasing fatalities There is no evidence that any prior infections at the population level is changing the above relathonship or providing any slanificant blunting ta the significant fatalities that will continue to ree rapidly. Finally by not detecting the silent spread in young people continues to drive ever expanding cases, hospitalizations and deaths As predicted we will hit 200,000 cases/day [neost likely Friday night) and 15M cases/week, and over 100,000 inpathents--this is unsustainable states without mitigation will have the highest fatalities rate : states that are ageressively mitigating will flatten their curves more quickly and preserve their hospital systems New daily OOVID confirmed admissions are over 10,000/day and inpatient COVID patients reaching historic highs -- there are rot significant new improvenents in treatmentta further improve CFR which will remain near 10% for those ower 70 and near 1% for those 40-69 - we will reach histaric highs in daily fatalities Last week 130K confirmed and suspected COVID cases were admitted ---these drive PPE use and staff needs-- Its not just the number of cases but the rate of rise - today's 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 : but there is clear evidence that aggressive mitigation works -- Europe is stabilizing We need to change the rate of rise of cases to change the rapid rise in hospitalizations to preserve hospital capacity --this is no longer about preventing a crisis -- this is a erisis -- this is about trying ta save as many lives as possible within the orisis This will require a comprehencive Federal response with aggressive support to States to Include: . Continued aggressive communication at the WH level masking requirements at all times outside of immediate household, physically distancing, hand hygiene AND eritically limiting of social interactions te the immediate household for the newt 60 days while we bridge te the rapid vaccination of the vulnerable populations decreasing hospitalizations and fatalities: this is a short term sacrifice to protect the vulnerable, * Aggressive re-alignment of Ag testing towards finding and preventing unrelenting silent spread that continues to trigger community spread in waves * Expanding frequency of LTCF testing and aligning early vaccination inte LTCF * Ensuring rapid tiering of those most vulnerable to rapid vaccine immunization access immediately uponEUA (CDC * Short term mitigation interventions ; in States with demonstrated hospital staffing under threat - restricting indoor dining and limiting and/orclosing. areas of congregation without mask (bars, gyms and restrictingindoor dining) willbe needed as was successful inthe US4 in the summerand in Europe Still surging out of control. Records being broken daily. 1700 deaths yesterday. 80,000+ people in hospital. 198,500 cases today. Hospitals started to be strained. Record hospitalizations. Media dominated by COVID and Trump clearly trying to overturn the results of the election. Incredibly he is bringing in State legislators to the White House to try and convince them to cast their electoral votes for him even though the populace voted for Biden and Biden won Michigan. The GOP leaders are remaining silent with very few exceptions. They are all afraid that TRUMP will target them either as a private citizen or if he runs in 2024. Shameful cowards!! I am so disappointed in Pence whom I really like. Giuliani is babbling incoherently as the top lawyer trying to overturn the election. It really seems that he is mentally decompensating.