Q: Why do all the models tell us something different about what to expect from the #PandemicCovid19?
A: It is complicated, but can be summed up well in this article by 538.
TL; DR there are three primary factors:
1) Exponential growth makes models have great variation (think the estimates of 200,000 deaths vs. 2 million deaths);
2) There are many unknown factors (such as regarding the true rates of infected persons); and
3) Societies are adaptive (so we are constantly measuring in a society that is changing based on the trajectory of the pandemic).
In sum, it is difficult to make a model and all models have uncertainty. We just want the least uncertain model we can get...
”Think of it like making a pie. If you have a normal recipe, you can do it pretty easily and expect a predictable result that makes sense. But if the recipe contains instructions like “add three to 15 chopped apples, or steaks, or brussels sprouts, depending
on what you have on hand” … well, that’s going to affect how tasty this pie is, isn’t it? You can make assumptions about the correct ingredients and their quantity. But those are assumptions — not absolute facts.
And if you make too many assumptions in your pie-baking process, you might very well end up with something entirely different than what you were meant to be making. And you wouldn’t necessarily know you got it wrong.”
1/ Q: Has almost everyone been infected with COVID by now?
A: Recent estimates suggest around 58% of the population in the US and over 70% in England have been previously infected, with BIG increases during the Omicron wave.
3/ ➡️ During the Omicron wave from December 2021-February 2022, this estimate increased from 33% to 58%.
➡️ Rates vary a lot by age, ranging from 33.2% for those over age 65 to 75% for those under age 18.
2/ Not likely. If your kids are suddenly getting sick a lot, this is likely due to “catching up” on exposures rather than a weakened immune system.
3/ Many families w/ young kids have been hunkered down for the better part of 2 years– a good % of a young child’s entire life. While isolation had *many* downsides, we can agree that not having to suction snot out of infant noses or clean up norovirus puke was a happy upside.
1/ Q: Are cases peaking? That means it’s all downhill from here, right?
A: Sort of…. Remember that even if cases come down as quickly as they rise, there will be as many cases *after* the peak as before (think area under the curve).
2/ ➡️ And if the downward slope is *slower* than the rise, we will see *more* cases during the decline from a surge.
3/ Burning fast could be a silver lining of super transmissible #Omicron. Cases rose & fell quickly in S. Africa (w/ hospitalizations & deaths still lagging). The UK appears to have turned the Omicron corner. Many US states appear past their peak in cases, w/ regional variation:
Unfortunately, this includes New Year’s Eve plans. The perfect storm of a new variant & holiday get-togethers is hitting communities & health care w/ FORCE! Testing is in short supply.
3/ Health care is under extreme pressure with surging cases. If you can avoid even one additional contact, you are helping. This is a temporary and urgent request (from a health care provider).