Tony's Diary Package — page 521

ATERLGE ASESOM A TOY ROLLING. COMPRM ED 7 December 2020 The improvements in the Northern Plains, Rocky hauntain States and Heartlaned is being directly offset by the sunging cases and hospitalization onthe West Coast, Sunbelt, MidAtlantic and NE - these more populous states willdrive this over the next 2-3 weels and when combined with pending full Thanksgiving surge will represent the greatest threat ta hos pital systems and general impatient care--thisis mat about ventilatarsand PRE this time --this willbe stout the staff capacity ta care for this volume of patients with and without OOWID 39 States are in the GOWID ned none far cases and test positivity and S$ states are in the orange zone far test + and red far cases There are now 34 States im the reed (24) ane orange (210) 2one for hosaltalizationsaf OOVID cases -- general medical cone deteriorates when states enter the red zone -- there are more states inthis category everyday --decsion by COC on who ls immunized first will determine the future stability of the bosaltal system and hice pltalizathon rakes - current plan alll mat change the pandemic dynamics impact on hospitals (have included metro slides from across the USA. First thesseare the most metras withsimultaneous Increases In cases we have experienced thraughout this fandemic. (have included the 3 pathenns : metros fully escalating before Thanksgiving, metros at high plateau before: Thanksgiving and those that were imarceeling, before Thanksghving which willl allows to cee the impact of Holiday gatherings and praject them inta the next set of Holidays. We should begin to see the full bmq@act of Thanksgiving starting this week and 2s warned this Winter surge will be bigger, broader, and more deadly, Bringing together the Spring and Summer singe Into ame cverahiel ning threat Increasing hospitalizations and deaths > even with the Innicwathons this will be catashraphic without foreased mitigation now ~ states without adequate public polices will have the highest fatality rates per populations equal to the Spring rates daspita improvaniants In care due to the lack of mitigation. Wa do mot have anough waccine forwulmerable Anericans to change heapitalization and fatalities trands Im Dee-Fab -- we mecd ta be char tothe American pemple waceines will have an immact inthe: Spring but MT aver the next 3 months. Aehawior change and proactive: testing to find bath the asymptomatic amd symptomatic. 'transmitters anc ourandy Interventions ane states ane still mot testing conectly ta find both The mowement of ther surge inte papulous states especially without agequate palickess or with out Ind iuid wall Qumesricanes mitigating will drive fatalities and most of these states donot haat: adequate mitigation polickss and Fatalitics will contln averaging carer 2o0Ei day Lik Aweek, 70K month at a miindinnun reaching over 330K hy New Years and 450K by the ond of February without calls for action at the: Federal, State, and Local level and using PSAs to combat the myths related te OO¥ID throughout the counibry it wll be very evident ower the nowt 20 days that mitigation policies and behavioral change saves livesand the lack of mitigation results in preventable deaths CONFIRMED CASES DAILY IN NEW YORK-NEWARK-JERSEY CITY, NY¥-NJ-PA 7 DAY ROLLING AVERAGE loo 4 Othern Somerset County, Hi Pdorris County, Pll Monmouth Courtp, All Ackland Courts, Pay Orean County, All Aichereared County, H¥ Union County, Hl Peewus ic County, Hl Paiddlices Cousitp. A Pudeon Courty, Al Bergen Courtlp. a Come County, Bl Aiew York Gaunt, i WeHtchesler Counts, MY Ais cseg Count, HY Sulfolk Gaurnts, Av Grarc Courty, Ay Eings County Att Qucea County, Wr 10000 ai ano a0 See below for dire situation in NYC and Los Angeles