We've headed from a false summit toward a larger peak in back-to-school transmission. Next week we'll know whether this is the largest or 2nd largest summer wave all-time. Expect 1.4-1.5 million daily infections at the peak.
This secondary peak is larger than anticipated previously, even when accounting for patterns of back-to-school transmission in prior years.
One, the West and South were peaking earlier, and the Northeast and Midwest have transmission picking up much faster than its falling off elsewhere. These are atypical regional differences.
Two, the 1-day isolation policy and general decline in school-based mitigation have unleashed transmission at higher levels than would be anticipated in prior years, even when accounting for the already-high levels of transmission as children went back to school.
Three, our model uses a combination of CDC and Biobot (former CDC contractor) data, using a 60% versus 40% mix for current case estimation. Biobot has not updated their data the prior two weeks without explanation. They were running much cooler than the CDC data, whether reflective of reality, or merely reporting delays. We have downgraded them to 20% in the model, and they will be downgraded further to 0% if they do not update their data this week.
You can take points 1 and 2 to account for the secondary and higher peak (shape of transmission), when models accounting for prior years would have suggested transmission slowing already, and point 3 accounting for a shift toward a slightly higher overall estimate of transmission.
PMC COVID-19 Forecasting Model, Sept 2, 2024
🧵2/8
This graph shows year-over-year transmission. It clarifies the unusual shape of the transmission distribution. A "peak" or false summit, followed by a very slight decline in transmission (negligible), then a 2nd (true) peak.
PMC COVID-19 Forecasting Model, Sept 2, 2024
🧵3/8
Presently, we estimate a peak at 1.4 million daily infections. Next week, we will have a much better sense. It could be in the 1.3-1.5 million range. There's about a 50% chance it will be the largest summer wave.
PMC COVID-19 Forecasting Model, Sept 2, 2024
🧵4/8
Happy Labor Day!
We're seeing higher transmission than during 91.6% of the pandemic, so COVID is very much not "over." In a gathering of 10 people of average risk, there would be a 1 in 4 chance someone has COVID if no special rules (testing, isolating, etc.).
Some schools still have not started yet and will begin tomorrow. Classrooms should presume someone has COVID. Mask, test, isolate until repeatedly negative.
PMC COVID-19 Forecasting Model, Sept 2, 2024
🧵5/8
Here's the heat map of transmission. You'll see a lack of a clear pattern because the South/West are slowing and the Midwest/Northeast are picking up.
Nationally, we see 1 in 35 people are actively infectious. The South is the highest with about 1 in 30 actively infectious.
PMC COVID-19 Forecasting Model, Sept 2, 2024
🧵7/8
Michigan (yellow line) has atypically low transmission. Happy to hear theories on this.
They have typically had unusual patterns of transmission. Perhaps the extended precautions during the 1st two years of the pandemic play some ongoing role.
About 0.9% are actively infectious in MI, about 1/3 the national average.
PMC COVID-19 Forecasting Model, Sept 2, 2024
🧵8/8
View the entire dashboard and weekly report at
Improve and share any images across platforms and the web. Thanks! Enjoy the holiday.pmc19.com/data
• • •
Missing some Tweet in this thread? You can try to
force a refresh
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.
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.
🔥1 in 180 actively infectious
🔥1.9 million weekly infections
🔥>93,000 new #LongCOVID cases from the week's infections
🔥1,100 excess deaths from the week's infections
This is a "lull."
2) PMC Dashboard, May 26, 2025 (U.S.)
The forecast calls for a near-doubling in transmission the next month to 450k daily infections.
The 95% confidence interval includes flat transmission (percolating), or escalating to 650k (if NB.1.8.1 takes off).
3) PMC Dashboard, May 26, 2025 (U.S.)
Looking at year-over-year transmission, 2025 (red) is closely tracking the median (gray).
It transmission accelerates, it could look more like last year (orange). If it slows, more like two years ago (yellow).
1) CDC & Biobot wastewater surveillance both show the West region in an apparent uptick in C19 transmission.
Here's the graph of regional transmission from CDC data with the West in green:
2) This image zooms in on the West (green line) so you can see the apparent departure from the C19 lull more easily.
3) Biobot still provides national & regional C19 updates. They usually post sometime between Thursday morning & Saturday evening. IMO, their most recent data point can be viewed as the Wednesday of the prior week.
Like the CDC, they have an apparent uptick in the West (green).
In this national "lull" in transmission, we are seeing...
🔥A quarter-million daily infections
🔥90-360k Long COVlD cases from the week's infections
🔥600-1,100 deaths from the week's infections
🔥LA, SD, NE, & GU in high transmission
1) Good luck getting any new federal research to support #LongCOVID until "covid" is dropped from the dirty words that get grant applications triaged to the trash bin.
You know which senator to call.
I just did, and got a staffer instead of voicemail.
2) I told the staffer that #LongCOVID is affecting millions and that no research will be funded to address this while "covid" remains on the banned word list.
3) I told them about my family member who was a strong Special Forces veteran, got covid once, & according to their neurologist, it triggered #LongCOVID in the form of Dementia w/Lewy Bodies.
DLB is one of the worst conditions imaginable. After a 2yr battle, they died in 2024.
Mortality displacement or "harvesting" is the idea that so many people died of COVID in the early pandemic that we should actually expect to see *fewer* deaths today if COVID were "over."
In fact, we see similar or slightly higher mortality relative to pre-pandemic levels. Despite the millions of people that have died, the mortality faucet keeps running strong. It should have slowed.