Tony's Diary Package — page 489

TRENDS IN CASE INCIDENCE DURING THE LAST 8 WEEKS Adore Aare Horthare Markers: inberch Seren Sas Seragehie = AA ing aed Mortara orth Dekote Pipteicte heat Whconie Rihigee Peer Terk "Fahad inland MalGiitrsiat Horm Oneger inane erporeing em Decom rt bebe ie Feenaps na Her be lta 'Coon Catorea tanga ine Pieieaiok Phirigeti Seeley Wieit Weginda 'wiweria Mir patd Deinmar period of 825-1118. 1a? capes por 100.000 oar ae eS ee iit lene Mew Mee Karriak kerio merrier Moa Carin = fut Carehee Bit. ! WI ul Iv yo Talavera bea ware Miiuwihian Maura 'Seetmlie Wiepien Hite e e Vi Vil Vill Ix x < = I ---- 7 -- ie A -- 2,000,000/255,100 22 November 2020 Ls There are 30 states inthe red zone and 9 states In orange zone -- the duration of rising cases and the rate of rise greater than the coring or summer which wall pralong the high fatalities for the neat 4-6 weeks rapidly reaching aver 300,000. BLT OL is alneedy inorowing with mitigation but IN continues to deteriorate without mitigation 2.0 There are suggestions of eaeby stabilization imtest positivity and cases in the Marthenn Plains and Heartlandwith the break in the weathers couple of weelcs aga but bs has coobed again and with callege students retunning and the potential of multiple friends and family gatherings we could experience another rapid rise Concerning Is the rapid mise in cases in the next cet of states which are much more pogudaus (NY, A, PACA, TX) and wall diriwe even higher hospitalizations and fatalities By inet detecting the silent spread in young peaple continues ta drive ever expanding cases, hasoitalizatians and deaths Buroge is imarceing ranicly with mitigation amd we are seeing early imarowerment in states with sbrong mitigation: New daily OOV10 confirmed admissions are aver 10,0000) dary and inpatient OOVI0 patients reaching historic hgghs - there are not significant new bmoroewements im treatment ta further imarcve CAR which wlll remain mea 10 fer thease over 70nd mea 1% for thee) 40-69 - axe wall reach historic highs iin daily fatalities A isnot just the numberof cases but the rate of rise - tocey's cases ane reflective of spread 20-14 days ago - the nate oftragi¢ rise in cases wall tranalate toa prapartional ragid rise in hospitalizations ard deaths 8&0 There are state examoles of changing the rate of rise of cases tachange the rapéd rise in hospitalizations to preserve hos pital capacity this Is mo banger about preventing a crisis this is acrisis ~ this is shout trying ta save as many lives as possible within the crisisand we have examples of states that ane: Improving a TAls will require a comprehensive Rederal resipanse with aggressie sunpeart to States te include statesments that Fraps: ard States with strong mitkgation arc ir resin g: Continued aggressive comm«anicatlon at thee WH laval masking ne-quiremennts at all times outside of Immediate household, physically distancing. hand hygiene: AND critically limiting of social Interactions to the Inmediata household for the neat BO days whole we bridge to the rani vaccination of the wulmerahle populations decreasing hospitalizations and fatalities : this isa short term saoine to protect the vulnerable. * Continued critical guidance on Thanksgiving amd throughout the Holidayseason to linatt indoor wimasking across hou seh olds * Aggradsive re-alignment of Ag testing towants finding and prewentingunnclenting silent sprcad that continues to trigger coomenunity spread in wanwes * Expanding frequency of LTCF testing and aligning early waccination inte LICE * Enduring rapid tering of those most wulmerahke: to rapid warckie inemunitation access Inionediabelly upc PLA One) * Short term mitigation Interventions : restricting Indoor diningand limiting andor closing areas of congregation without mask (bars, gyms and restricting indoor ining) wall be needed as-was suscnes stil ir the L6, inthe sunimer and im Europe Pe» November 22, 2020 - Global - 57,900,000/1,400,000; USA - 2,000,000/255,100 200,000 cases yesterday See UK below. Mitigation (closing bars, gyms; restricting indoor dining; confine dinners and activities to immediate households) works as shown in UK and even USA during the summer rise and decline: