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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🔹1 in 120 actively infectious
🔹1 in 3 chance of exposure in a room of 50
🔹2.8 million weekly infections
🔹>140,000 resulting LC cases from the week's infections
🔹>1,000 deaths resulting from the week's infections
2) Watch this video to understand how we use excess death data from one of the world's largest reinsurers to estimate how this week's infections will result in >1,000 deaths.
🔹800-1,400 deaths expected to result from this week's infections (new stat, see video next Tweet)
🔹100,000+ Long Covid conditions to result from this week's infections
🔹1 in 142 actively infectious today
🧵2 of 5
PMC Dashboard, March 31, 2025 (U.S.)
This video explains U.S. COVID excess death statistics, which we have incorporated into the dashboard.
🔥109,000-175,000 people in the U.S. are expected to die as a result of COVID in 2025, based on estimates derived from Swiss Re
🔥COVID deaths expected to be on par with lung cancer in the U.S. in 2025
🔥Death data added to the dashboard
2) Full video links to learn more about COVID #ExcessDeaths in the U.S.
🔹3 million new weekly infections in a persistent "lull" of substantial transmission
🔹1 in 107 (0.9%) of the population actively infectious
🔹1 in 3 regions in high/very high transmission (16 states and DC)
PMC Dashboard, Mar 24, 2025 (U.S.)
🧵2/5
We have had a steady state of about a half million infections the past several weeks. That's over 50 million estimated infections so far in 2025.
In a room of 40-50 people, there's a 1-in-3 chance of exposure if no testing/isolation.
PMC Dashboard, Mar 24, 2025 (U.S.)
🧵3/5
There's a good chance of steady transmission the next month. Often, we'd head into a low lull about now. BUT there are no universal precautions, immunity is waning from the fall & winter 2023-24, & viral evolution looks less 'lucky.'
It was before the pandemic declaration, before the federal government recommended masking.
COVlD spread quickly through New Orleans, leading to one of the highest mortality rates per capita in the U.S....
2) New Orleans service workers were disproportionately hit by the early pandemic. Many died. Many developed #LongCOVID at the time or have now through repeat infections. Many have switched to other sectors....
3) The sad fact is that many service workers are continuing to get #LongCOVID through repeat infections today because the pandemic is ongoing and many restaurants have high occupant density and horrendous air quality....