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.
4/ ⚠️Convenience samples have limitations-people having blood tests for medical reasons may be systematically different from the overall population. Its hard to know which way this bias goes for COVID, but it gives us data Nerds serious pause.
5/ 🇬🇧 The UK has been notable during the pandemic for having an AMAZING data resource that overcomes some of these challenges. The @ONS Coronavirus Infection Study has been PCR testing hundreds of thousands of UK citizens every 2 weeks since April 2020.
6/ What makes data Nerds *swoon* is the population representative sampling. People are tested regularly whether or not they seek out medical care. This type of sampling should give much more accurate estimates of the true infection levels.
We can now confidently say that the majority of the population in the US & UK has had a COVID-19 infection, w/ huge increases due to Omicron.
9/ The UK estimates are considered more reliable. The US estimates likely capture the trend (huge increases during Omicron) and a broad “ballpark” idea of the overall infection prevalence, but the precise number should be interpreted more cautiously.
10/ Since re-infections are happening more often w/ Omicron, the presence of antibodies or a previous PCR test does not imply protection from future infection. So we can’t really use these data to say we are getting close to “herd immunity,” (even if we could define such thing!).
11/ ⭐ Vaccinations (including boosters!) remain the best way to minimize the harm of encountering this increasingly hard to avoid virus.
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).