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
🧵8/8

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

Apr 6
PMC COVlD Update, April 6, 2026

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)! Heat map with PMC estimates
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 Alabama	Low Alaska	Very Low Arizona	Very Low* Arkansas	Low California	Very Low Colorado	Very Low Connecticut	Low Delaware	Low District of Columbia	Very Low Florida	Very Low Georgia	Low Guam	Low Hawaii	Very Low Idaho	Very Low Illinois	Very Low Indiana	Very Low Iowa	Very Low Kansas	Low Kentucky	Moderate Louisiana	Moderate Maine	Very Low Maryland	Low Massachusetts	Very Low Michigan	Low Minnesota	Very Low Mississippi	Very High*
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.

🧵3 of 10 Missouri	Moderate* Montana	Very Low Nebraska	Very Low Nevada	Very Low New Hampshire	Very Low New Jersey	Low New Mexico	Very Low New York	Very Low North Carolina	Low North Dakota	Very Low* Ohio	Very Low Oklahoma	Low* Oregon	Very Low Pennsylvania	Low Rhode Island	Very Low South Carolina	Very Low South Dakota	Low Tennessee	Very High Texas	Low Utah	Very Low Vermont	Moderate Virginia	Moderate Washington	Very Low West Virginia	Low Wisconsin	Very Low Wyoming	Very Low
Read 10 tweets
Apr 3
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.

Read 4 tweets
Mar 23
PMC #COVID Update, March 23, 2026 (U.S.)

Transmission levels have plummeted nationally as we shift from the 12th wave toward a relative "lull."

Over half the states have "Very Low" relative transmission, per the CDC.

🧵THREAD 1 of 8 Heat map using CDC levels and PMC estimate of prevalence (1 in 147 actively infectious nationwide).
Transmission varies considerably by state.

Highest
🔥Mississippi: 1 in 31 estimated actively infectious
🔥Michigan: 1 in 41
*Both states w/limited data though

Rates are quite low in relative terms in California, AZ, FL, HI, ID, MA, NV, NY, OR, RI, UT, WI

🧵THREAD 2 of 8 Alabama	Very Low Alaska	Very Low Arizona	Very Low Arkansas	Low* California	Very Low Colorado	Very Low Connecticut	Low Delaware	Moderate District of Columbia	Low Florida	Very Low Georgia	Very Low Guam	Very Low Hawaii	Very Low Idaho	Very Low Illinois	Very Low Indiana	Low Iowa	Moderate Kansas	Low Kentucky	Moderate Louisiana	Low Maine	Very Low Maryland	Moderate Massachusetts	Very Low Michigan	High* Minnesota	Moderate Mississippi	High* Missouri	Low Montana	Very Low Nebraska	Low Nevada	Very Low New Hampshire	Low* New Jersey	Low New Mexico	Very Low New York	Very Low North Carolina	Low North Dakota...
The 6th anniversary of the WHO's pandemic declaration was March 11.

Bots, minimizers, & individuals' psychological defense mechanisms will downplay that.

Yet, the U.S. just had a 12th wave. We estimate >5 cumulative infections/person & ongoing health harms.

🧵THREAD 3 of 8 Graph of the 12 waves of the pandemic (U.S.)
Read 8 tweets
Mar 14
As of today, the COVID-19 pandemic is now longer than WWII.
If you have been living in denial the past 6 years, know that the U.S. is winding down from a 12th wave of infections presently.
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.

Read 7 tweets
Jan 25
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/ Heat map using CDC data. National PMC prevalence estimate noted; estimated incidence of 732,000 new daily infections.
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/ Column 1: Table of state-level prevalence estimates. Highest estimates noted in the thread text.  Column 2:  Proportion Actively Infectious										1 in 67 (1.5%) New Daily Infections										 732,000  Infections the Past Week										 5,220,000  Infections in 2026										 24,000,000  Cumulative Infections per Person										 5.04  										 Long COVID										 Long COVID Cases Resulting								37,000 to 146,000		   from New Daily Infections										 Long COVID Cases Resulting								261,000 to 1,040,000		   from New Weekly Infections										 										 Excess Deaths										 Ex...
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/ Fig 1: Graph of 12 waves  Fig 2: "Barometer" showing above average transmission  Fig 3: Year-over-year graph, which informs the analytic forecast  Fig 4: Forecast described in post
Read 4 tweets
Jan 17
Based on today's CDC & Biobot data, we estimate the following for the week of Jan 19:

🔸1 in 52 people in the U.S. actively infectious
🔸25% chance of exposure in a room of 15 ppl
🔸Nearly 1 million new daily infections
🔸5 cumulative infections per person all-time (avg)
🧵1/5 Heat map from CDC data with PMC estimates. Description of "Very High" states in next post
Transmission estimates have been marginally corrected upward.

11 states have Very High COVlD levels:

🔸PA: 1 in 25 estimated actively infectious
🔸MI: 1 in 23
🔸OH & KY: 1 in 22
🔸SD: 1 in 20
🔸NE & IA: 1 in 18
🔸IL & ME: 1 in 17
🔸IN: 1 in 16
🔸WV: 1 in 11
🧵2/5 Proportion Actively Infectious										1 in 52 (1.9%) New Daily Infections										 941,000  Infections the Past Week										 6,020,000  Infections in 2026										 18,000,000  Cumulative Infections per Person										 5.01  										 Long COVID										 Long COVID Cases Resulting								47,000 to 188,000		   from New Daily Infections										 Long COVID Cases Resulting								301,000 to 1,200,000		   from New Weekly Infections										 										 Excess Deaths										 Excess Deaths Resulting 									270 to 450	   from New Daily Infections										 Excess Deaths Resulting 				...
We're in the middle of a 12th COVlD wave.

The peak has likely passed, but with students headed back to school, transmission is expected to remain high for at least the next several weeks.

🧵3/5 1) Graph of 12 waves 2) Barometer showing above-average transmission 3) Year over year graph 4) Forecast for transmission to decline and then percolate at high levels
Read 5 tweets

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