Tony's Diary Package — page 493

24 November 2020 There are 29 statesin the red zone and 11 statesin orange zone--40 statesin fall resurgence -however casesare increasing across all states inclading the more populoms states which will significantly increase boespitalizations and fatalities All major metres lave or are excecling the spring aod summer surge cases except for NYC, MIA, HOW bat their nate of rise couhl drive them over their prior bighs in days Yesterday CA, OH. TX. IL. ES, BA, MN. FL NY. MI. WA, IN, CT were all at litstoric case high or were over 5000 cases'day with rising leepitalizations The deration of rising cases ad the rate of rive is greater than the spring or summer which willproleng the lugh fatalities for the wext 4-4 weeks rapidly reaching aver S00 (8M) American Eatalities -- testing (Mov testing wall be the eame at Get) and is not increasing at the rate of ibcreaking cases, hoepitalizations and Fatalities We need to make it clearthat choices (state and metro policy choices amd personal choices) will drive a post Thankspiving surae because of the underlying high viral load that will be an overwhelming threat to thee health care system. Many states are inadequately mitigating including prior suubelt states that mitigated wellin the summer. Aggressive mitigation needs te happen mow to prevent a catachyemic Holiday season for the boxpital systems. We found the fiends amd family small gatlerings driving hospitalizations during the state visits but we also know that these drivers appeared in the sunbelt atter the states fully mitigated in the public spaces - including signiticant reducing capacity or closing spaces where masks cannot be wer Current improvements are seen in 1-2 stvles aggressively mitigating and it wall be very evident over the next 60 clays that mitigwion saved lives and ihe lack of mitigation resulted in mnecessary high fatalities - States tht did net mitigate in the Pall surge willend wp with population CFR equal te the Spring surge when treatment was suboptimal - ND, SD, MT = states must be encoumged to advance polictes that mitigation against this Fall viral surge Europe countries with clear policies are improving rapidly with aggressive containment with mitigating policies and clear conmuaication and are carefully renpeniing There are now 27 States in the red and orange for hospitalizations of COVID cases -- care deterioretes across all patients with and withent COVID when states enter the red cone -- there are more states in this category everyday Confirmed Cases (Thousands) 2a) New Daily Confirmed COVID-19 Cases in the U.S. 2m 57.5 iim Hf I I _ EAA TA TT I I I I I I I PE PES SL PSs FF TSF Pe LSAT PE HE Oe Fe F FPR FE FF Ce ee? Dery Mu ig Avarape Biden tweeted today that he has not spoken to me but his staff has and I have been "very, very helpful". I had told he press that I had not heard from the Biden team since my conversations with Ron Klain were supposed to be confidential since over the past several days Ron has contacted me about my advice for CDC Director and FDA Commissioner. I recommended Rochelle Walensky for CDC. Ron called he and liked her. Also, Ron told me that there was push back by some against Josh Sharfstein whom I recommended for FDA. In order not to have a contradiction with Biden, I have told CNN (Kaitlan Collins, Jim Acosta, etc.) GMA PRESS: NBC Radio The Takeaway; Healthline Live Stream; MTV Interview; FOX News Local DC; Yahoo News TV;