Let's say you're a dairy farmer. You have 100 cows. Each year, about 5 cows die, and another 5 cows are born. Then, along comes a virus. Let's call it "cowvid"...
1/
Let's say "cowvid" wipes out about half the cows over the course of a couple years. Now, you're down to 50 cows....
2/
The local mayor declares "cowvid" to be over. This surprises you as a farmer because 5 of your cows keep dying annually. 5 of 50 instead of 5 out of 100. Seems like more, but you're not a city slicker...
3/
The local newspaper puts out dozens of articles about how "cowvid" is over, nobody remembering the international milk and beef industries own the paper.
They present very serious graphs showing that local cow deaths have stabilized to pre-cowvid levels...
4/
Simultaneously, the newspaper puts out articles quoting the town veterinarian stating that while they don't test for "cowvid" anymore, a lot of cows are just dropping dead. Cow heart attacks. Cow cancer. Cow strokes. Sometimes, they just fall over....
5/
In fact, every health problem seems up, except for "cowvid"...
6/
Talking to other dairy farmers, you learn most lost about half their cows to "cowvid" and they're now seeing about as many total deaths as pre-cowvid but among a smaller herd. Weird...
7/
And you begin to wonder, if you all lost half your cows, why would you keep seeing the same number of deaths post-cowvid as pre-cowvid?
8/
In fact, those that made it through the "cowvid" times tended to be your cows that were strongest and healthiest to begin with...
9/
So if you're down from 100 cows to 50, and it's the "strongest" cows that made it, why on earth do you still have 5 cows dying per year just like pre-cowvid? Shouldn't it be 2 or 3?
10/
The main difference between "cowvid" and covid is that we are the cows. Additionally, the mortality was not 50% but below 1%, so rather than being able to see "mortality displacement" with our eyes, it requires excess mortality calculations.
11/
So, remember that when headlines state mortality has returned to pre-pandemic levels. Instead, listen to the multi-billion dollar actuaries whose livelihoods rely on precise estimates and suggest substantial excess mortality will persist a long time.
12/end
• • •
Missing some Tweet in this thread? You can try to
force a refresh
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/