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) Good luck getting any new federal research to support #LongCOVID until "covid" is dropped from the dirty words that get grant applications triaged to the trash bin.
You know which senator to call.
I just did, and got a staffer instead of voicemail.
2) I told the staffer that #LongCOVID is affecting millions and that no research will be funded to address this while "covid" remains on the banned word list.
3) I told them about my family member who was a strong Special Forces veteran, got covid once, & according to their neurologist, it triggered #LongCOVID in the form of Dementia w/Lewy Bodies.
DLB is one of the worst conditions imaginable. After a 2yr battle, they died in 2024.
Mortality displacement or "harvesting" is the idea that so many people died of COVID in the early pandemic that we should actually expect to see *fewer* deaths today if COVID were "over."
In fact, we see similar or slightly higher mortality relative to pre-pandemic levels. Despite the millions of people that have died, the mortality faucet keeps running strong. It should have slowed.
🌤️Only 1 in 5 days of the pandemic have seen transmission as low as today
🌤️1 in 196 actively infectious
⚡️BUT still 1.7 million weekly infections, resulting in >85,000 LC cases and up to 1,000 deaths
I'll walk you through it...
🧵2 of 8 | PMC Dashboard, April 21, 2025 (U.S.)
We're in the 6th year. See the small red line, bottom left. Notice how closely it tracks the median (gray), year 4 (yellow), & year 5 (orange).
Acknowledging caveats, those are plausible gist-level scenarios for months ahead.
🧵3 of 8 | PMC Dashboard, April 21, 2025 (U.S.)
Expect steady transmission bouncing up and down around the current national lull-level estimate the next several weeks. 200-350k daily infections nationally.
🔹2.2 million weekly infections
🔹1 in 149 actively infectious
🔹>100,000 LC cases resulting from the week's infections
🔹>800 deaths resulting from the week's infections
🔹"Lull" transmission steady/slightly declining
🧵2/5 | PMC Dashboard, Apr1il 14, 2025 (U.S.)
Year-over-year transmission (red line, lower left) is tracking the median (grey), year 4 (yellow), and year 5 (orange) closely.
If that trend continues, expect steady yet bumpy transmission the next couple months, until June/July.
🧵3/5 | PMC Dashboard, Apr1il 14, 2025 (U.S.)
The heat map shows only 4 states in the CDC 'high' level and none in the 'very' high level.
Check local data. Those timing activities to lulls may see a clear opportunity.
The NIH Clinical Center drops universal masking after 5 months of protecting patients, family, & staff.
Wastewater-derived estimates indicate 2.79 million Americans are getting Covid per week AND top actuaries suggest an American dies of Covid every 3 minutes.
🔹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.