U.S. #wastewater levels are higher than during 70% of the pandemic:
🔹1.95% (1 in 51) are infectious
🔹Nearly 1 million C0VID cases per day
🔹Causing >40,000 #LongCovid cases per day
Let's look at these wildly divergent forecasts for the next 4 weeks.
Real-time Model: If you assume Biobot is reporting accurate real-time wastewater data each week, follow the red line. This says we have peaked on our late summer wave. That would be great news in terms of less morbidity and mortality. The problem is that real-time reports have been prone to error lately, more often than not underestimating wastewater levels, and then corrected later.
Alt Model 1 (Turtle): The turtle model moves slow, like a turtle. It assumes the most recent week's data from Biobot are useless and ignores them. By ignoring the most recent data, it will be slow to detect a quick change in transmission, like a peak. It basically expects "more of the same" for a little longer. See green line.
Alt Model 2 (Cheetah): The cheetah model moves fast, like a cheetah. It assumes that if last week's Biobot wastewater data underreported levels by X% that this week's current real-time data are also underreporting by that same percent. Last week's real-time data were corrected upward by 15%, which makes a huge difference in forecasting whether we're leveling off or on a steep incline. The cheetah model has us getting up to 1.4 million cases/day, so this is a good model for a worst-case scenario. See yellow line.
Composite Model: This is the average of the three models. It's what we use in the red box for estimating cases 4 weeks from now. It's a good estimate if trying to cite a point estimate to coworkers (e.g., "The U.S. will see about 1 million new cases/day the next several weeks). However, from a forecasting perspective, it's less useful because the underlying models are so divergent. See black line.
Big-Picture Framing
The current state of the pandemic is extremely bad. Expect approximately 1 million new U.S. cases per day the next several weeks. Less if we're lucky, and more if we're not. As a psychologist, I would characterize denial about the current C0VID wave to peak in the next couple weeks. Most people believe "the pandemic is over" and we're "after C0VID." Expect further gaslighting for now.
Let's zoom out from the 6-month view to the full pandemic.
Given current levels and forecasts, we're in a wave of transmission similar to the winter of 2020-21 or Delta. 🔥🔥
178 million infections & >8 million #LongCovid cases in 2023 thus far.
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With about 2% of the U.S. population actively infectious with C0VID, school and in-person work remain extremely risky.
Offer remote activities. #MaskUp. #VaxUp again when allowed. Read up on and improve indoor air quality. Avoid indoor dining. #RapidTest frequently.
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Here's the full PMC C0VID-19 Dashboard for Sep 6, 2023.
Please share here and across other platforms if you found any of the above Tweets helpful. I'd love to hear how you're using the data and if it's helped you with any "wins" on #pandemic safety.
Thank you 🙏
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🌍Want to track COVID transmission accurately worldwide?
This PMC thread walks you through leading dashboards with information more up to date than WHO & EU directories.
🧵 1/
The Pandemic Mitigation Collaborative (PMC) Dashboard provides weekly COVID updates for the U.S., using wastewater surveillance derived case estimation models and analytic forecasting.
Our international directory includes official government dashboards & those developed by citizen scientists.
We exclude countries that have stopped reporting in the past 2-12 months even if on EU or WHO lists. We also exclude low-quality data from opt-in testing programs.
🧵 3/
🔥Biggest uptick since Jan
🔥1 in 167 actively infectious
🔥>2 million weekly infections
🔥700-1,200 resulting excess deaths from weekly infections
Track transmission closer to home w/our new state & international resources 👇
🧵1/6
PMC COVlD Dashboard, Jun 23, 2025 (U.S.)
🔹With >90% probability, we have entered the 11th COVlD wave.
🔹In a room of 50 people, there is already a 1 in 4 chance of an exposure.
🔹We expect nearly 15 million infections in the next month, and rising.
🧵2/6
PMC COVlD Dashboard, Jun 23, 2025 (U.S.)
We continue to expect transmission to break 500,000 daily infections in the U.S. around July 9th.
This is the same prediction as last week, as the forecast was dead on. Yet, there is considerably uncertainty around this timing.
Current transmission (red line) closely tracks that of summer 2023 (yellow line).
We expect to break 500k daily infections between July 9 and the end of July. Our current forecast...
2) PMC COVlD Dashboard, June 16, 2025 (U.S.)
Our current forecast is a bit more aggressive, predicting breaking 500k daily infections by July 9. The 2023 trend suggests end of July.
The 95% confidence interval shows large variation. Note that...
3) PMC COVlD Dashboard, June 16, 2025 (U.S.)
Note that CDC and Biobot both had retroactive corrections to last week's data, meaning the relative "lull" will last a little longer than the uncorrected data suggested. No big news on NB.1.8.1.
1) Here's a quick example of how the federal government is censoring the best scientific research. It's not just cuts to ongoing research.
It's new grant submissions too...
2) In January, I re-submitted a promising Covid/cancer grant to a non-federal funder. Hundreds of pages. Hundreds of hours of work. The best proposal I've submitted as a scientist.
Out of curiosity, I used Sean Mullen's Scan Assist tool to see how many banned words it had...
3) The proposal had 1,750 banned words. No big deal -- they're non-federal.
BUT I had planned to submit a smaller version to NIH this month as a "back up." Impossible!
It's not a matter of using a thesaurus or the find/replace command. The grant is on *Covid*...
CDC wastewater surveillance data show transmission rising. This is our forecast if transmission growth follows typical patterns.
The high & low estimates could be thought of as optimistic & pessimistic scenarios for NB.1.8.1.
2) PMC COVlD Dashboard, June 9, 2025
Notice that current transmission (red line, lower left) tracks closely with two years ago (yellow), slightly below the median (gray), and not far below last year (orange).
Consider each of these trajectories realistic scenarios.
3) PMC COVlD Dashboard, June 9, 2025
All indications are that we are headed into the start of an 11th national wave in the U.S.
We could percolate near the lull point another couple weeks (fingers crossed), but that scenario is becoming less likely.
National COVlD transmission recently fell to its lowest levels since the pre-Delta era.
It's go-time for many who have delayed medical appointments. The situation will likely get much worse in Jul/Aug.
2/ PMC COVlD Dashboard, June 2, 2025 (U.S.)
An estimated 1 in 211 are actively infectious. Most states are "low" or "very low" per CDC.
The situation remains serious even in a relative "lull." >1.5 million weekly estimated infections to result in 600-900 excess deaths.
3/ PMC COVlD Dashboard, June 2, 2025 (U.S.)
By the end of the month, we forecast an increase to 450k daily infections. If NB.1.8.1 takes off, closer to 600k. If overhyped, percolating only slightly higher.