Nationally, we appear to have passed the peak of our late-summer wave, and it's not pretty.
At peak:
🔹>1.3 million daily infections
🔹2.8% (1 in 36) actively infectious
🔹Transmission higher than 90.5% of the pandemic
We are showing a peak around Aug 10, but as you look closely at the graph and in later Tweets, you'll see it was bimodal, with near-identical transmission on Aug 10 and Aug 24.
The CDC consistently corrects historical data, so in hindsight, we might expect the official peak date to flip to the 24th, or for the stats on the 10th to jump higher.
We had expected that Friday's data release might show this was the largest summer peak all-time (by the slimmest of margins), but the prior week's data were retroactively corrected downward by about 5%.
This is a common occurrence, which is why it's important to focus on the big-picture forecast (very bad transmission the remainder of 2024) as opposed to minute details.
Let's walk through the details in this Thread....
PMC COVID-19 Forecasting Model, Sept 9, 2024
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The current year-over-year graph on Covid transmission is troubling. We just had the worst August of Covid transmission in the U.S.
We are likely to have our worst September, worst October, and potentially worst November of transmission.
We expect to bottom out around 850,000 daily infections in early November, before the winter surge picks up.
These new monthly records for Covid transmission are the consequence of #LaissezFairePublicHealth, especially the 1-day isolation policy, but more generally that public health officials are not describing transmission frankly and the need for multi-layered mitigation.
PMC COVID-19 Forecasting Model, Sept 9, 2024
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Zooming in, see the forest for the trees: About 74 days in a row with 1 million daily infections.
The peak date is somewhat arbitrary, and either Aug 10 or 24 may be estimated the peak in hindsight.
PMC COVID-19 Forecasting Model, Sept 9, 2024
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Statistics to reinforce the significance of the ongoing pandemic:
🔹1.1 million daily infections on average the next month
🔹2.2% (1 in 45) actively infectious any given day of the next month
🔹High-risk in classroom-sized settings
🔹>1.5 million resulting Long COVID cases from infections derived during the next month
PMC COVID-19 Forecasting Model, Sept 9, 2024
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This is the current heat map for Covid transmission. We released this Friday, given the ongoing debate about the CDC coloring their map in cool blue using the same data.
Here are regional estimates of transmission. Note that you can estimate the percent of your state actively infectious by looking up the CDC Level on their website and multiplying it by 0.330.
These are approximate estimates and higher quality in states with more and longer-standing wastewater sites.
Go here, select a state from the drop-down:
For example, in Louisiana the most recently-reported CDC Level is 8.31.
8.31 * 0.330 = 2.74, signifying that 2.74% of the state is estimated to be actively infectious with Covid.
Take 100 divided by that number to get the "1 in ____" statistic. For example, 100/2.74 = 36.45, signifying that 1 in 36 people in Louisiana are estimated to be actively infectious.
Watch your decimals, and remember these formulas can't just be thrown at any random wastewater tracker.cdc.gov/nwss/rv/COVID1…
PMC COVID-19 Forecasting Model, Sept 9, 2024
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Here's the complete dashboard. Use, crop, improve, and share as desired across other platforms and the web. Tag me if helpful.
Read the full report and technical appendix online: pmc19.com/data
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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.