Today's Numbers:
🔹 1.27% (1 in 78) are infectious
🔹 >600,000 C0VID cases/day
🔹>30,000 #LongCovid cases/day
We will pass the late-summer wave's peak in just over a month.
1/
The different forecasting models reach a strikingly similar conclusion about where we'll be in a month: very bad.
November 27 by the Numbers:
🔹 1.76% (1 in 57) are infectious
🔹 >800,000 C0VID cases/day
🔹>40,000 #LongCovid cases/day
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Forecasting nuance:
Alt Model #1 (turtle) thinks the current real-time numbers are an underestimate, and it ignores the most recent week's data. Alt Model #2 (cheetah) accounts for recent errors in the real-time numbers; with low error, it maps on very closely to the real-time (red) line. The black line shows the composite used for reporting estimates. Note, everything converges in 4 weeks.
Zooming out to the full pandemic, you can see that we are entering the 8th wave.
Today, there is more transmission than during 50.6% of pandemic days. It's a coin toss as to whether any particular day of the pandemic has had more or less transmission than today. 😷💉 3/
Although we're about to exit the valley between the 7th & 8th waves, transmission is still very high. Large groups amplify transmission.
For example, in a group of 20-25, there's about a 25% chance someone would have infectious C19. In a large lecture hall, it's assumed.
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Here's the danger of a Thanksgiving gathering in the U.S. (Nov 23). Many people are finalizing holiday plans now.
In a large family gathering of 15-20 people, there's about a 25% chance someone would be infectious.
I am quite confident in these numbers.
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Here's the possible danger of a Christmas gathering in the U.S. (Dec 25).
I am exceedingly cautious on posting long-range forecasts. They are speculative and do not account for the highly-valuable near-term fluctuations that can occur, particularly if there's an immune-evasive variant. Take these as my best point estimates nearly two months out, for illustrative purposes just so people get an idea of how bad things may be. Many people are booking trips now, so these rough estimates may be useful.
In a small gathering of 9-10 people, there's about a 25% chance someone is infectious. Once you start looking at large family or multi-family gatherings that span 20-25 people, you basically begin to assume someone has infectious C19.
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Here's the full PMC Dashboard for Oct 30.
You can read the full report at
Please share across other social media platforms. Much appreciated. 🙏
Levels are flat during a relative "lull" in transmission.
▪️1 in 187 estimated actively infectious
▪️260,000 estimated new daily infections
▪️High: OK, MS, WV
▪️Moderate: VT
▪️All other states low/very low in relative transmission
🧵THREAD 1/6
COVID-19 persists in 2026.
We are in a relative "lull" following a 12th wave, but at a baseline of 200-300K estimated new daily infections.
Transmission was lower in the era many refer to as #DuringCOVID, when multi-layered mitigation was used instead of denial.
🧵THREAD 2/6
Transmission during a "lull" is high in an absolute sense. Many people are getting infected.
Simultaneously, its low in a relative sense, or compared to so-called "typical" transmission. In most places, it's a safer time for medical/dental care.
Transmission is stable in a relative "lull" nationally between waves.
We estimate that approximately 313,000 people are still getting infected per day, with outbreaks radiating from TN and MS.
🧵1 of 10 (don't miss #10)!
With limited data reported, Mississippi has an estimated 1 in 27 residents actively infectious.
In a room of 25 people, that's a 61% chance of exposure, if no testing/isolation protocols.
🧵2 of 10
1 in 24 people in Tennessee are estimated to be actively infectious with SARS-CoV-2. That's a 65% chance of exposure in a room of 25 people where nobody is testing/isolating.
This is an unethically misleading study with findings easily explained by residual confounding. Some health systems and patients have thorough record keeping. Others don't. All sorts of variables will correlate (infections, cancers, anything else tracked in medical records).
This is a really obvious issue for an international epi study. It should not have been published.
The above study is using the same processes the anti-vaxxers use -- junk epi that does not account for confounding -- to support whatever pre-conceived notions the authors have, with absurdly large effects.
Denial is but one of several obvious defense mechanisms people use to try to block their awareness of the ongoing toll of COVID-19. There are many others.
Short-term capital also plays a role, but even that requires a large dose of defense mechanisms.
During this 12th COVlD wave, the CDC reports 1-in-3 states have "High" or "Very High" levels.
PMC estimates the proportion of residents actively infectious (prevalence):
◾️USA: 1 in 67
◾️IA: 1 in 27
◾️MI: 1 in 25
◾️IN & CT: 1 in 23
◾️ME: 1 in 21
◾️OK & SD: 1 in 17
🧵1/
On average, Americans have have 5.0 cumulative SARS-CoV-2 infections.
This week's infections are expected to result in 1/4 to 1 million new #LongCOVID conditions and ≈2,000 excess deaths.
🧵2/
The wave peak is now estimated >10% higher than last week at 1.2 million new daily infections, nearly double the Delta wave.
We expect sustained high transmission (≈600,000 to 750,000 new daily infections) the next few weeks as COVlD circulates through schools/families.
🧵3/