1-9

Here's my estimate of current COVID cases/day in the US and my rationale. I am using hospital admission data, which is only current until two weeks ago, but this is the most recent that became available today. Image
2- For the week starting 9/10, there were 17,731 reported COVID admissions. You can see that the change in suspected reporting requirements dropped admission numbers by half, so I'll double admissions to 35,462. Divide that by 7 to get 5,066 admissions per day.
3- About 1% of infections require hospitalization, so from that number alone, one can assume that this accounted for 506,600 infections per day.
4- However, vaccination reduces the risk of hospitalization from COVID from anywhere from 3.5 to 17.7 times.

jamanetwork.com/journals/jamai…
5- From this data, about 70% has some protection from vaccination.

usafacts.org/visualizations…
6- From points 4 and 5, it's reasonable to assume that there is much more active infection in the community than is represented by hospital admission data. In addition, many hospitals are not testing on admission unless symptomatic.
7- There does seem to be a slight downward trend, although I would not rely on a single data point to make any assumptions about the current curve. That leads me to think that there are about 700,000 cases/day in the US.
8- The last time we were at that high a level was the time around Jan 2022, which was the first omicron surge. Image
9-9 To me, that is very alarming since schools really are just getting underway. If you aren't wearing a respirator, do so. Avoid indoor public spaces, improve ventilation and filtration, and get the new booster.
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More from @maolesen

Sep 17
1-13

I've finally gotten every CSA designated metro area COVID hospitalization data plotted for the US and PR. This should give you an idea of what counties constitute metro areas. Image
2-A couple of caveats. The data lags by 2 weeks, so pay attention to the shape of the curves recently, not raw numbers. Also, remember that some hospitals are not testing like they had been, so comparisons to the past are not going to be accurate and the values are undercounted.
3-Many of these have data plotted using both the left and right vertical axis in order to show relationships. I also realize I should have titled some as # of reports received, so that explains why the right axis seems like a higher number than the number of hospitals.
Read 14 tweets
Sep 6
1-7

Now that I have some relief from a migraine that lasted most of the weekend, I've been thinking about what is driving the surge in the US. Image
2- Japan seems to be a good place to start since theirs started in April. Image
3- What seems to be different though is the competition among variants 23D XBB.1.9, 23E XBB.2.3,and 23F EG.5.1 instead of one becoming the most dominant, so I filtered to just those for each country. It was pretty apparent that 23D XBB.1.9 played a major role in Japan. Image
Read 7 tweets
Sep 1
1-

I stumbled across a review of this book while searching for some information. I reviewed this book before it went to the publisher and I HIGHLY recommend it. However, I had forgotten some of the content.

@soniashah Image
2- One of the more fascinating sections of it describes how a company that became Chase Bank was responsible for the spread of cholera in NYC.
3- This review of the book though is SO pertinent right now. I am going to quote from one paragraph.

ncbi.nlm.nih.gov/pmc/articles/P…
Read 5 tweets
Aug 28
1-13

After a considerable amount of work and troubleshooting the last couple of weeks I created a new set of visualizations for each state. I made them relatively high resolution to allow for zooming in. There are 10. I will use NY to walk through them.
2- This is COVID ED visits. I realize I should be only using suspected admissions reporting as the metric to see why there is such a massive drop in ED visits, as you can see in the dotted line in the graph following this one. Image
3- COVID Admissions by age. There is a massive drop due to the major drop in reporting of suspected cases. Image
Read 13 tweets
Aug 21
1-4 This is a major agricultural area. It provides about 80% of the winter vegetables consumed in the US.

calag.ucanr.edu/Archive/?artic…
Image
2- There is still a LOT of rain inbound to the area. Image
3- This could easily drive produces prices sky high this winter, but also meat and dairy prices as well due to the area providing alfalfa to dairy farms and feedlots.

ceimperial.ucanr.edu/files/96429.pdf
Image
Read 5 tweets
Aug 15
1-8

I was asked to make a public comment today to the LA County Board of Supervisors and then to post my comment here. One minute is tight, but I did it and talked a little faster than normal.
2- I would like to comment on mask mandates in healthcare as an epidemiologist. The lack of communication from public health agencies has left the public with an impression that the pandemic is over. It is not.
3- COVID hospitalizations in Japan have risen from about 3200 in April to about 22,000 today.

Nosocomial COVID poses a direct threat to the lives of patients.
Read 8 tweets

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