Southern Africa: detected cases continue to rise in this region but the rate of growth appears to be slowing. If current trends hold, cases will peak in South Africa some time in the next week.
Thus far, reported deaths remain extremely low in southern Africa, with the spike in Omicron cases not leading to any detectable increase in deaths.
This may be due to lag but so far trends indicate that Omicron will not likely driven significant mortality (in southern Africa).
This thread from South Africa shows that Omicron is not stressing the hospital system despite high case counts and low levels of restrictions (no lockdown, social distancing etc).
None of the nations in this region have high levels of vaccination but all have high levels of natural immunity, so if deaths remain low it would indicate 1 of 2 options:
a.) Omicron is intrinsically mild or b.) prior infection provides robust immunity against Omicron.
The return of flu to southern Africa indicates that covid had receded into endemicity prior to Omicron.
It will be interesting to observe if Omicron is able to outcompete the flu in the coming weeks. If not, it will mean that this is southern Africa's first endemic variant.
For places with high natural immunity and returning flu (India, tropical Africa, Sweden) these trends show that Omicron may not pose much a threat.
It remains to be seen if areas with lower infections but high vaccination have a different experience.
It is also unclear if Omicron is intrinsically more infectious than Delta.
Omicron may have taken off in South Africa because almost everyone is already immune to Delta. The same can not be said of Europe, so we have no idea (yet) if Omicron will displace Delta everywhere.
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During the past 4 weeks, 78% of reported Covid deaths in England were vaccinated.
Unvaccinated people under 50 account for less than 3% of covid deaths in England. In fact, people under 50 account for less than 5% of covid deaths, vaccinated or not.
Through mid-November, in 2021 Sweden has recorded their 2nd fewest deaths from all causes of any year in this century (only 2019 had fewer deaths).
2019 had extraordinarily few deaths in Sweden, followed by a period of excess in 2020 then a short period of few deaths. Since W15, mortality has returned to normal.
Sweden covid deaths were displaced but inevitable (dry tinder).
This is what a pandemic looks like without panic
In a nation of 10.3 million people, the net impact of covid was ~2000 excess deaths between 2019 and 2021.
Imagine how many more people would be alive today if all the world had followed Sweden's sane, measured, response.
Potentially great news from the SE USA - the flu has apparently returned to college campuses, with outbreaks reported at FSU, Florida, Georgia, and FAMU.
During prior pandemics, the return of endemic flu signaled the end of the pandemic.
Throughout the SE, covid cases have plummeted off the late summer wave. At this point last year, cases were beginning to rise for Winter.
If cases remain low and the return of the flu is confirmed, the SE USA may indeed have joined Africa and much of Asia in endemicity.
The latest estimates (to be taken with a grain of salt) from Yale, Harvard, and Stanford are that >68% of the population in the SE has already been infected and recovered from covid, which may be enough to signal the transition to endemicity.
What is going on in Europe? Covid mortality during weeks 1-40 has more than doubled compared to last year, while excess mortality is actually lower this year.
Moreover, reported covid deaths are 2X higher than excess deaths:
One answer is that there have actually been FEWER deaths than expected in those 85+ this year, even though this age group accounts for over 1/4 of all covid deaths.
This is a perfect display of the "dry tinder" effect:
Conversely, though there are few covid deaths in this age bracket, excess mortality for those aged 15-44 has nearly tripled this year compared to last year.
Excess mortality for this group is not correlated with covid waves; it is a slow, steady drip of despair.
The flu is back (multiple strains) - the Indian subcontinent from Pakistan through Bangladesh has seen the return of influenza alongside the rapid disappearance of covid-19.
Nearly 1/4 of the Earth's population reside within these four nations, each reporting high seroprevelance from natural infection and low rates of vaccination.
The evidence appears to indicate that natural infection can end a pandemic - but not vaccination (see Singapore).
None of these nations have fully vaccinated even 25% of their population and yet Covid is disappearing and the flu has returned.
It seems that the only way past a pandemic is through it - by natural infection.