Mike Hoerger, PhD MSCR MBA Profile picture
Aug 27, 2024 8 tweets 5 min read Read on X
PMC COVID-19 Forecasting Model, August 26, 2024
🧵1/8

We're in uncharted territory during the back-to-school period.

1.2 million people in the U.S. are getting infected per day.

1 in 41 people (2.5%) are actively infectious.Figure shows the 9 waves of the pandemic and the figures cited in-Tweet.
PMC COVID-19 Forecasting Model, August 26, 2024
🧵2/8
The year-over-year graphs shows that we are experiencing much high transmission than during previous back-to-school periods.

This is a much higher and wider wave than Y1, Y2, and Y4 of the pandemic. Year 3's summer wave was very bad, but much earlier.

The 1-day isolation period, decline in most other mitigation, and a culture of denialism ("post pandemic," "Covid is over,") will fuel many infections among young people, teachers, school staff, and parents.

Expect absences at schools. Expect substantial workforce problems related to sick parents.Graph shows year-over-year transmission, emphasizes the current wave is much higher and wider than in prior Augusts.
PMC COVID-19 Forecasting Model, August 26, 2024
🧵3/8
Here's a zoomed in version of current transmission and the forecast.

Notice that transmission will likely remain >1 million infections per day for the next month and counting.

Note that the national peak appears just behind us. The CDC graphs may suggest that we're currently peaking, but note their data are >1 week old. The forecast provides an updated best estimate for today. The peak and shape of the observed wave could change as CDC and Biobot retroactively correct numbers (perhaps a bigger, earlier spike). Alternatively, Biobot has been slow to update their data, and their data were suggesting a later peak. However, I suspect the current picture won't change terrible much in hindsight.

We're seeking a less spiky, more plateau-like peak because there is substantial regional variation. The West and South regions have extremely high transmission and have likely peaked. The Midwest and Northeast are lower but rising.

Keep an eye on regional or local data, and overall remember that local peaks could occur weeks before or after the national peak. Also, 50-60% of transmission commonly occurs on the back end of waves.Graphs shows the most recent year of transmission and 1-month forecast. Daily infections surpassed 1 million around July 1 and are expected to continue beyond the next month.
PMC COVID-19 Forecasting Model, August 26, 2024
🧵4/8

These statistics document the public health burden of the ongoing pandemic. Examples:

🔹Higher transmission than 86% of the pandemic
🔹34 million infections the next month
🔹>50% chance of a Covid exposure in a class of 30Current Levels for Aug 26, 2024 % of the Population Infectious 2.5% (1 in 41) New Daily Infections 1,173,000  New Weekly Infections 8,211,000  Resulting Weekly Long COVID Cases 411,000 to 1,642,000  Monthly Forecast Average % of the Population Infectious 2.4% (1 in 42) Average New Daily Infections 1,148,067 New Infections During the Next Month 34,442,000 Resulting Monthly Long COVID Cases 1,722,000 to 6,888,000  Running Totals Infections Nationwide in 2024 180,090,000 Average Number of Infections Per Person All-Time, U.S. 3.32  How does risk increase with more social contacts? Number of peo...
PMC COVID-19 Forecasting Model, August 26, 2024
🧵5/8

This is the current heat map for the U.S. The data are from the most recent CDC update.

ALT text includes estimates of the percentage actively infectious in each of the deep red states.Color-coded U.S. map of current Covid transmission. Here are the estimates of the percentage infectious in the "worst" states.  State	Percent Infectious Oregon	7.8% (1 in 13) Minnesota	5.2% (1 in 19) Washington, D.C.	5.2% (1 in 19) Arkansas	5.2% (1 in 19) Idaho	4.9% (1 in 21) New Hampshire	4.8% (1 in 21) North Carolina	4.5% (1 in 22) Washington (state)	4.4% (1 in 23) Alabama	4.2% (1 in 24) Colorado	4.1% (1 in 24) California	4.1% (1 in 24) Maryland	4.0% (1 in 25) Wyoming	4.0% (1 in 25) Louisiana	4.0% (1 in 25) Utah	3.9% (1 in 26) Kansas	3.6% (1 in 27)
PMC COVID-19 Forecasting Model, August 26, 2024
🧵6/8

These are estimates of the percentage of each region of the U.S. that is actively infectious with Covid.

For example, while about 2.5% of the U.S. is actively infectious, the figures are higher in the South and West regions, and lower in the Midwest and Northeast (though catching up).

The estimates on the left re-weight the CDC data by combining Biobot and CDC data and carry forward to the current date using modeling, even though the public data always have a reporting lag.

The values on the right are purely derived from the most recent data reported on the CDC website (>1 week old). Anyone can compute these. Find the current CDC level, and multiply it by the PMC Multiplier. Example in next Tweet.

In either case, you'll note the estimates are similar. Feel free to report either or a range.Figure and table showing regional variation in transmission. PMC estimates:  National	2.5% (1 in 41) Northeast	2.0% (1 in 51) Midwest	1.9% (1 in 52) South	2.9% (1 in 35) West	3.5% (1 in 29)
PMC COVID-19 Forecasting Model, August 26, 2024
🧵7/8

>5% of people in Oregon, DC, Minnesota, and Arkansas are estimated to have infectious Covid. 12 other states are close behind.

You can take the CDC levels for a geographic entity and multiple it by the PMC Multiplier to get an estimate of the percentage of the population infectious in that region.

Here are the states with the highest transmission, acknowledging the most recent CDC data are >1 week old.

Just take the CDC level and multiply by 0.329, e.g., 23.82 x 0.329 = 7.8, meaning 7.8% are infectious. Take 100/7.8 to get the 1 in ____ infectious number.

Note, these are point estimates. Assume broader confidence intervals when focusing on smaller geographic units, especially if they have fewer sites reporting. These should serve heuristic value in local conversations, particularly in states that are experiencing very high transmission.PMC Multiplier 0.329  State	CDC Level	Percent Infectious	Sites Reporting Oregon	23.82	7.8% (1 in 13)	28 Minnesota	15.95	5.2% (1 in 19)	33 Washington, D.C.	15.68	5.2% (1 in 19)	1 Arkansas	15.66	5.2% (1 in 19)	8 Idaho	14.76	4.9% (1 in 21)	3 New Hampshire	14.63	4.8% (1 in 21)	11 North Carolina	13.64	4.5% (1 in 22)	33 Washington (state)	13.23	4.4% (1 in 23)	29 Alabama	12.86	4.2% (1 in 24)	7 Colorado	12.52	4.1% (1 in 24)	23 California	12.43	4.1% (1 in 24)	42 Maryland	12.19	4.0% (1 in 25)	10 Wyoming	12.16	4.0% (1 in 25)	2 Louisiana	12.02	4.0% (1 in 25)	50 Utah	11.78	3.9% (1 in 26)	33 Kansas	11.08...
PMC COVID-19 Forecasting Model, August 26, 2024
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The full PMC Dashboard documents the ongoing toll of the COVID-19 pandemic. Please screenshot, improve, and share any of this work across platforms. #MaskUp

Reports/Methods: pmc19.com/data/Full PMC dashboard, six sections, summarized in tweets 1-6 and alt text.

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More from @michael_hoerger

Jul 2
🌍Want to track COVID transmission accurately worldwide?

This PMC thread walks you through leading dashboards with information more up to date than WHO & EU directories.

🧵 1/ World map, countries with high-quality up-to-date surveillance systems shown in blue.
The Pandemic Mitigation Collaborative (PMC) Dashboard provides weekly COVID updates for the U.S., using wastewater surveillance derived case estimation models and analytic forecasting.

We have added a list of international dashboards:
🧵 2/
pmc19.com/data/index.php…Australia: NSW Health Australia Department of Health, Western Australia Austria: Federal Government of Austria City of Vienna - Regional Coron-A Consortium Austria Czech Republic: State Health Institute Czech Republic Belgium: Belgian Institute for Health Canada: Government of Canada Andrew Young's Canada Visualization C19 Resources Canada * World Health Network (WHN) Canada **
Denmark: Statens Serum Institut Denmark Europe (multi-national): EU Wastewater Observatory Finland: National Institute for Health and Welfare Finland WHN Finland ** France: French Republic Data Airborne Risk Reduction Association (ARRA) France Zan Armstrong's France Visualization COVID Weather App France (Android, IOS, or Web) Thomas Delattre's France Visualization Germany: Infection Radar Germany Bay-VOC Bavaria Region Berlin Waterworks WHN Germany **
Hong Kong: Centre for Health Protection, Hong Kong Hungary: National Center for Public Health and Pharmacy of Hungary India: Pune Knowledge Cluster of India Gujarat Biotechnology Research Centre of India Ireland: Health Protection Surveillance Centre Ireland Japan: Japan Institute for Health Security Latvia: Institute of Food Safety, Animal Health and Environment Latvia Lithuania: National Public Health Centre of Luthuania Luxembourg: Microbs Luxembourg Netherlands: National Institute for Public Health and the Environment Netherlands WHN Netherlands ** New Zealand: New Zealand Institute for...
Slovenia: National Institute of Public Health Slovenia Spain: Government of Catalonia - Regional South Africa: National Institute for Communicable Diseases of South Africa South Korea: Korea Disease Control and Prevention Agency Sweden: Pathogens Sweden Switzerland: Swiss Confederation Federal Office of Public Health ETH Zurich Switzerland WISE Dashboard U.K.: Public Health Scotland Buckinghamshire Disability Service (BuDS) U.K.  *See the numbers 1-21 along the lower left. Click on 3-6 for national and regional data. ** Click on the dropdown menu. May need to try a different web browser.
Our international directory includes official government dashboards & those developed by citizen scientists.

We exclude countries that have stopped reporting in the past 2-12 months even if on EU or WHO lists. We also exclude low-quality data from opt-in testing programs.
🧵 3/
Read 43 tweets
Jun 24
PMC COVlD Dashboard, Jun 23, 2025 (U.S.)

🔥Biggest uptick since Jan
🔥1 in 167 actively infectious
🔥>2 million weekly infections
🔥700-1,200 resulting excess deaths from weekly infections

Track transmission closer to home w/our new state & international resources 👇

🧵1/6
PMC COVlD Dashboard, Jun 23, 2025 (U.S.)

🔹With >90% probability, we have entered the 11th COVlD wave.
🔹In a room of 50 people, there is already a 1 in 4 chance of an exposure.
🔹We expect nearly 15 million infections in the next month, and rising.

🧵2/6Current Levels for Jun 23, 2025	 % of the Population Infectious	 0.6% (1 in 167)	 New Daily Infections	 287000	 New Weekly Infections	 2009000	 Resulting Weekly Long COVID Cases	 100,000 to 402,000	 Resulting Weekly Excess Deaths	 700 to 1,200	 	 Monthly Forecast	 Average % of the Population Infectious	 1.0% (1 in 97)	 Average New Daily Infections	 493300	 New Infections During the Next Month	 14799000	 Resulting Monthly Long COVID Cases	 740,000 to 2,960,000	 Resulting Monthly Excess Deaths	 5,300 to 8,800	 	 Running Totals	 Infections Nationwide in 2025	 74869000	 Average Number of Infect...
PMC COVlD Dashboard, Jun 23, 2025 (U.S.)

We continue to expect transmission to break 500,000 daily infections in the U.S. around July 9th.

This is the same prediction as last week, as the forecast was dead on. Yet, there is considerably uncertainty around this timing.

🧵3/6Longitudinal transmission, past 12 months and 1-month forecast
Read 6 tweets
Jun 17
1) PMC COVlD Dashboard, June 16, 2025 (U.S.)

Current transmission (red line) closely tracks that of summer 2023 (yellow line).

We expect to break 500k daily infections between July 9 and the end of July. Our current forecast...Year over year graph of tranmission
2) PMC COVlD Dashboard, June 16, 2025 (U.S.)

Our current forecast is a bit more aggressive, predicting breaking 500k daily infections by July 9. The 2023 trend suggests end of July.

The 95% confidence interval shows large variation. Note that...Past 12 months of transmission (U.S.) and forecast
3) PMC COVlD Dashboard, June 16, 2025 (U.S.)

Note that CDC and Biobot both had retroactive corrections to last week's data, meaning the relative "lull" will last a little longer than the uncorrected data suggested. No big news on NB.1.8.1.

All good news, but...10 pandemic waves. Soon 11
Read 7 tweets
Jun 16
1) Here's a quick example of how the federal government is censoring the best scientific research. It's not just cuts to ongoing research.

It's new grant submissions too... "No forbidden words found"
2) In January, I re-submitted a promising Covid/cancer grant to a non-federal funder. Hundreds of pages. Hundreds of hours of work. The best proposal I've submitted as a scientist.

Out of curiosity, I used Sean Mullen's Scan Assist tool to see how many banned words it had...
3) The proposal had 1,750 banned words. No big deal -- they're non-federal.

BUT I had planned to submit a smaller version to NIH this month as a "back up." Impossible!

It's not a matter of using a thesaurus or the find/replace command. The grant is on *Covid*... 1,750 banned words found
Read 13 tweets
Jun 9
1) PMC COVlD Dashboard, June 9, 2025

CDC wastewater surveillance data show transmission rising. This is our forecast if transmission growth follows typical patterns.

The high & low estimates could be thought of as optimistic & pessimistic scenarios for NB.1.8.1.Forecast graph: Rising transmission the next month
2) PMC COVlD Dashboard, June 9, 2025

Notice that current transmission (red line, lower left) tracks closely with two years ago (yellow), slightly below the median (gray), and not far below last year (orange).

Consider each of these trajectories realistic scenarios.Image
3) PMC COVlD Dashboard, June 9, 2025

All indications are that we are headed into the start of an 11th national wave in the U.S.

We could percolate near the lull point another couple weeks (fingers crossed), but that scenario is becoming less likely.Graph of 10 C19 waves
Read 7 tweets
Jun 3
1/ PMC COVlD Dashboard, June 2, 2025 (U.S.)

National COVlD transmission recently fell to its lowest levels since the pre-Delta era.

It's go-time for many who have delayed medical appointments. The situation will likely get much worse in Jul/Aug.
2/ PMC COVlD Dashboard, June 2, 2025 (U.S.)

An estimated 1 in 211 are actively infectious. Most states are "low" or "very low" per CDC.

The situation remains serious even in a relative "lull." >1.5 million weekly estimated infections to result in 600-900 excess deaths.C19 heat map
year over year graph, tracking closely with the median and past 2 years
Current Levels for Jun 2, 2025	 % of the Population Infectious	 0.5% (1 in 211)	 New Daily Infections	 227000	 New Weekly Infections	 1589000	 Resulting Weekly Long COVID Cases	 79,000 to 318,000	 Resulting Weekly Excess Deaths	 600 to 900	 	 Monthly Forecast	 Average % of the Population Infectious	 0.7% (1 in 139)	 Average New Daily Infections	 344566.6667	 New Infections During the Next Month	 10337000	 Resulting Monthly Long COVID Cases	 517,000 to 2,067,000	 Resulting Monthly Excess Deaths	 3,700 to 6,200	 	 Running Totals	 Infections Nationwide in 2025	 70132000	 Average Number of Infe...
Graph of the whole pandemic, 11th wave forthcoming
3/ PMC COVlD Dashboard, June 2, 2025 (U.S.)

By the end of the month, we forecast an increase to 450k daily infections. If NB.1.8.1 takes off, closer to 600k. If overhyped, percolating only slightly higher.Past 12 months and forecast
Read 5 tweets

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