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People are not getting as sick as before. This is due to vaccinations and immunity from previous infection. This is good, but "not as sick" does not mean "won't affect you." Getting any respiratory illness is still something that will set you back a week or more. It's not fun
Hospitalizations are also up. Though at least for now, not two weeks in a row of sharp increases. This could be in part because of better immunity relative to last year. Or, because wastewater is an early indicator, we just haven't seen the hospital wave yet