Our new article is out documenting the burden of the #pandemic on food service workers.
What it boils down to is fighting an #AIRBORNE virus with droplet dogma.
I will walk you through some of the more shocking highlights. 1/ 🧵
During the BA.1 Omicron wave, for example, food service workers could often get free #HandSanitizer.
Yet, free high-quality masks (e.g., #N95) were hard to come by.
N95s prevent people from inhaling airborne virus into their lungs. Hand sanitizer does not.
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With a lack of #PublicHealth guidance, many in the food service industry have faced decision fatigue in handling C0VID-related issues.
Participants said co-workers struggle with what to do if sick (87%), when to return to work (83%), or whether to get a booster (61%). 3/
Food service workers have expressed that C0VID has had a big impact on co-workers' #MentalHealth.
Anxiety, depression, and substance use lead the way. However, many respondents also noted a co-worker dealing with #bereavement, suicidal ideation, or violence (17-36%). 4/
Shortly after the BA.1 Omicron surge, many in the food service industry were aware of a co-worker dealing with #LongCOVID.
"Fatigue" (often EXHAUSTION) led the way. Many knew a co-worker with prolonged loss of taste or smell, which are huge to that occupation. 5/
In the more recent days of the pandemic, food service workers emphasized that a key priority was reducing in-home spread of C0VID.
Experts you know from Twitter provided their guidance on reducing in-home spread. Here's a link to another resource.
In the latest CDC data, 15 states have moderate to very high transmission.
🔹1 in 63 estimated actively infectious nationally, rising fastest in the Midwest & Northeast
🔹Very High: Indiana
🔹High: Nebraska, Vermont, Connecticut
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PMC estimates 1 in 26 people in Indiana are infectious and 1 in 39 in Connecticut.
MI, MS, and AR may have higher levels than shown due to poor reporting.
States AL to MS shown.
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PMC estimates 1 in 39 are infectious in both Nebraska and Vermont (coincidence, not typo).
Very few NY sites are reporting to the CDC, so use the NYS website there instead.
PMC COVlD Update, Week of Nov 24, 2025 (U.S.)
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With CDC data operational again, the transmission map is back. The data are always a week old, so transmission is likely worse than depicted.
We estimate 1 in 116 people actively infectious and 422,000 new daily infections.
PMC COVlD Update, Week of Nov 24, 2025 (U.S.)
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State level estimates are back. Note, the CDC changed their data processing approach in August, which tends to downplay transmission.
Does 1 in 45 in Indiana seem "moderate"?
Levels in MI may be mod/high (poor reporting).
PMC COVlD Update, Week of Nov 24, 2025 (U.S.)
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State-level estimates (continued).
Current levels may be much higher than noted here. Note that CDC data are always at least a week old. The 2nd half of November is a time period historically of accelerating transmission.
PMC COVID Update, Week of Nov 10, 2025 (U.S.)
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🔹301,000 new daily infections based on wastewater-derived models
🔹1 in 162 people (0.6%) actively infectious
🔹Levels the past 2 months corrected upward by Biobot
🔹"Lull point" estimated between Nov 5-21. Rising soon.
PMC COVID Update, Week of Nov 10, 2025 (U.S.)
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The central estimate of the forecast suggests we will surpass 500,000 new daily infections on Nov 22.
There's a 25% chance of a prolonged lull like last year. More likely, we are in wave territory by the end of the month.
PMC COVID Update, Week of Nov 10, 2025 (U.S.)
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We are presently in a lull between the 11th and 12th wave. Now is the time to get boosted and stock up on N95 masks, tests, and air purifier filters.
The relative "lull" in SARS-CoV-2 transmission is unlikely to go much lower.
✨1 in 209 people are estimated actively infectious, likely the lowest levels of 2025 nationwide.
Get boosted. Stock up on masks, tests, & filters.
PMC COVlD Update, Nov 3, 2025 (U.S.)
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No data presently suggest the rise of a winter wave any earlier than "usual."
If following historical trends, transmission will pick up Nov 15-29. Last year's rise was atypically late.
PMC COVlD Update, Nov 3, 2025 (U.S.)
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Expect rising misinformation/disinformation as transmission heats up:
🔹Abuse of community notes, particularly surrounding wastewater methodology
🔹Paid bot army attacks, especially about boosters & masks
Transmission typically accelerates in mid-November.
We are currently in a relative 'lull.' We estimate about a quarter-million new daily infections with 1 in 185 people actively infectious. Still bad, likely to get worse.
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PMC COVlD Update, Oct 27, 2025 (US)
Our forecast through November 8 calls for flat transmission.
Nothing yet indicates the onset of a winter wave, but it would also be atypical for the lull to last much longer than another 2-3 weeks.
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PMC COVlD Update, Oct 27, 2025 (US)
We estimate 264,000 new daily infections during this 'lull' period.
Biobot data have returned. Our substitute data from WWS last week correlated r=.97 (near perfect) with that, but Biobot did retroactively increase recent estimates.