Tony's Diary Package — page 533

Global USA - 16 14December 2020 Today I am featuring beth the the improvernents and deteriorations we are seeing -- we are seeing improvements in the in the Northern Plains, Rocky Mauntain States and Heartland States -- currently they are currently holding and the declines are more rapid in the States mitigating -- slide ¥ and 13 shows the significantly stabilization in the middle of the country The progress in the middle of the country is being offset by the surging cases and hospitalization on the West Coast, Sunbelt, Mid-Atlantic and North-East -- these more populous states will drive cases and hospitalizations over the next 2 weeks stressing their hospital systems and general inpatient care : if the rate of rise canbe blunted compared to the Fall surge this could preserve the hospital systems and staffing The Improvements in the noted states are home to approx 60M Americans and those currently deteriorating approx 270M Americans and the next 2 weeks will be critical to slow the spread im these highly populous states There are now 33 States in the red (23) with CA, NJ, PA, CT, MD, GA joining the red alert category and orange (10) zone for hospitalizations of COVID cases -- feneral medical care deteriorates when states enter the red zane decision by COC on whe is immunized first will determine the future stability of the hospital system and hospitalization rates - current plan will not change the pandemic impact on hospitals. Fatality daily rates are now twice the Summer surge have passed the Spring surge It will be essential that monoclonal 4b and Remdesivir are used earlier and more consistently among vulnerable Americans -- we have added a treatment alert to the GOV report to cover this critical element There ts insufficient vaccine or prioritization for vulnerable Americans to change hospitalization and fatalities trends in Dec-Feb especially with the state prioritizations -- GOVs will need to understand that to change hospitalizations and fatalities they will need to immunized thase most at risk for severe disease -- It needs to be clear te the American people vaccines will have an impact in the Spring, BUT thelr behavior change, State level proactive testing, and Improved use of therapeutics can change the course of this current surge -- we each have a roll to change the current course of the surge The movement of the surge inte populous states especially without adequate policies or without individual Americans mitigating will drive fatalities, most states do not have adequate mitigation policies and fatalities will continue averaging over 2500/day 17K/week, TOK/month at a minimum reaching over 330K by New Years and 450K by the end of February without calls for action at the Federal, State, and Local level and using PSAs to combat the COVID myths throughout the country and reenforcing messaging of the behaviors needed to blunt the pandemic December 14, 2020 - Global USA - 16 Vaccine doses are being shipped as I write this. Vaccinations will start today. Discussions ongoing whether to vaccinate the White House staff. Also Jeff Zientz wants to speak with me about when the President-elect and VP-elect should be vaccinated. • Bitter-Sweet day - vaccinations start but we reach landmark of 300,000 Americans have died of COVID-19