Phil Kerpen Profile picture
26 Feb, 18 tweets, 9 min read
Influenza update thread, MMWR Week 7
United States Influenza testing, MMWR week 7.

CDC flu view. cdc.gov/flu/weekly/ind…

Five-year average: 10,930 cases; 25.60% positive

Last year: 15,638; 30.58%

This year: 30; 0.10%

docs.google.com/spreadsheets/d…
United States Influenza testing, season to date (21 weeks, MMWR 40 to 7)

Five-year average: 124,156 cases; 16.45% positive

Last year: 205,675; 21.74%

This year: 1,701; 0.17%
Season-to-date U. S. flu hospitalizations down 98.7% from last year, which was a typical year.

Flu hospitalizations total (21 weeks) in FluSurv-NET catchment is 183. Through week 7 last year (20 weeks) it was 13,775.

Rate last year: 47.4 per 100K
This year: 0.6 per 100K
Influenza-Like Illness (ILI) continues to track well lower than the mild 2015-16 and 2011-12 seasons, and is now declining when it was rising in those years.
Still just one U.S. pediatric flu death this season. (There are 87 pediatric deaths with COVID this season.)
Influenza-Like Illness (ILI) Map

Week 7: 2021, 2020, 2019, 2018
Latest U.S. non-SARS-CoV2 syndromic data from BioFire. Lots of rhinoviruses. Some adenoviruses, and now HCoV-OC43 and HCoV-NL63 are coming back. Nothing else.
syndromictrends.com/metric/panel/r…
Florida. Schools open all year. No lockdowns since September. Rhinoviruses and some adenoviruses but nearly no flu or RSV.
floridahealth.gov/diseases-and-c…
Sweden week 7. No masks, no lockdowns, no school closures -- and still no Flu A, Flu B, or RSV. HCoVs coming back.
karolinska.se/globalassets/g…
The global flu chart from WHO.
apps.who.int/flumart/Defaul…
I don't think it's masks, which have been shown ineffective for stopping influenza in many, many studies.
Japan masked hard in 2019 and failed to stop a major flu outbreak. But in 2020 flu disappeared with low stringency COVID intervention.

The "SARS-CoV2 can still rampage with mitigation that stops lower R viruses" theory is too facile. Rhinoviruses bounced right back despite lower R0 and RSV is gone with comparable R0 to SARS-CoV2. HCoVs were gone until recently.
I tend toward the viral interference theory, explained here well by @m_soond:
medium.com/illumination-c…
Osterholm agrees.

"There is this viral interference... Now, you can't say it's just because of mitigation, because, frankly, we haven't done all that well with mitigation, with COVID-19; look at all the cases we've had."
Another key part:

"You go look at our hospitalization rates right now for kids, it is dramatically below what we've seen in recent years."

As I've been saying, with COVID replacing flu and RSV, this is literally the safest respiratory season for children ever recorded.

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More from @kerpen

21 Feb
Cuomo keeps saying he only lied about WHERE people died. But he also still refuses to include probable deaths in the count -- and New York has a lot of them, because testing was scarce early.
This is the difference between the state dashboard that CTP uses and the count compiled from county sites used by Worldmeters. It's a huge difference.

As of today:

New York state dashboard: 37,851
County totals: 47,019
The CDC is closer to the county number because it has all the probables from NYC included. That's because the city reports separately, and De Blasio followed CDC directives to include probables.
Read 4 tweets
19 Feb
TWINDEMIC UPDATE THREAD MMWR WEEK 6

(Remember who said we'd skip flu season and who didn't!)
United States Influenza testing, MMWR week 6.

CDC flu view. cdc.gov/flu/weekly/ind…

Five-year average: 12,066 cases; 25.38% positive
Last year: 18,193; 31.96%
This year: 17; 0.04%

docs.google.com/spreadsheets/d…
United States Influenza testing, season to date (20 weeks, MMWR 40 to 6)

Five-year average: 109,042 cases; 15.57% positive
Last year: 183,066; 20.91%
This year: 1,585; 0.17%
Read 14 tweets
15 Feb
DC reports 1 death with COVID. Now 64 in February.

Positives / Tests %
1-Day: 83 / 3,084 2.69%
7-Day: 865 / 34,243 2.53%
14-Day: 1993 / 66,698 2.99%
28-Day: 4968 / 158,816 3.13%

Testing by week:
7-day total positives 865 - lowest since November 11.
Total COVID-19 Patients in DC Hospitals: 196
Total COVID-19 Patients in ICU: 46
Total Patients in DC Hospitals (COVID and non-COVID): 1,898
Read 7 tweets
14 Feb
Updated Burbio tracker!

% US K-12 students attending "virtual-only" schools = 33.6% (from 35.2% last week)
% US K-12 students attending "traditional" in-person/every day schools = 40.8%
% US K-12 students attending "hybrid" schools = 25.6%
Map of where schools are open vs. map of where Biden/CDC plan (everywhere red) recommends closed middle/high, force elementary hybrid and make all sports "virtual only." ImageImage
Burbio estimates that 93% of students currently attending full-time in-person schools are in Biden's red tier.
Read 5 tweets
12 Feb
Biden's school closure plan recommends canceling school sports in about 2900 of 3000 U.S. counties. It's completely unhinged.
If you're red or pink on this map, Biden's school closure plan wants all sports to be "virtual only."
Only 2599 counties apparently. Mea culpa. Red is where Biden wants sports to be "virtual only."
Read 4 tweets
12 Feb
Science shows us schools are low-risk settings everywhere in the world, with or without mitigation and regardless of community transmission. But you're not doing science, are you?
There is zero science behind 6 feet. An arbitrary doubling of WWO's 1 meter, and overwhelmingly counterindicated in the school context, where its principal effect is sitting kids home.

Your own Wisconsin study has zero distancing within classes.

Why waste vaccines on low-risk teachers when you're endorsing closures regardless?
Read 12 tweets

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