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*** OFFICIAL *** COVID-19 CoronaVirus Thread. Fresh epidemic fears as child pneumonia cases surge in Europe after China outbreak. NOW in USA (14 Viewers)

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This wave will be very hard to track because testing and reporting systems have really broken down. Some states have even significantly changed how their hospitalizations are reported. Wastewater seems to be the last untainted metric out there and it’s showing significant increases in most areas. But I’m not seeing the significant retail changes I normal see in the other waves yet - high demand for cough and cold meds, desperate needs for testing, etc.

I’d say that celebrities and pro athletes are leading indicators of an upcoming wave. People with means or jobs that require frequent testing are more likely to identify cases. They bring attention back to the virus and then people are more likely to get tested if they have symptoms.

One indicator I’d watch is school attendance. Not reported cases but how empty the classes look. That’s what will show when community spread is significant.

Yesterday I did a booster shot clinic at the retirement community near me. The conversations often steer towards if they’ve had COVID and when which also happens in the pharmacy. I’m usually pretty open with people that my family likely all get it in February with Omicron. Many people usually respond with ‘us too’ around the same time frame. But yesterday it hit me that most of the retirees say that they got it around the holidays before Omicron. Obviously just an anecdotal observation but I think kids are responsible for a significant amount of the transmission, especially with Omicron. It’s not a huge leap since it’s always been that way with the flu and common cold too.

 
This wave will be very hard to track because testing and reporting systems have really broken down. Some states have even significantly changed how their hospitalizations are reported. Wastewater seems to be the last untainted metric out there and it’s showing significant increases in most areas. But I’m not seeing the significant retail changes I normal see in the other waves yet - high demand for cough and cold meds, desperate needs for testing, etc.

I’d say that celebrities and pro athletes are leading indicators of an upcoming wave. People with means or jobs that require frequent testing are more likely to identify cases. They bring attention back to the virus and then people are more likely to get tested if they have symptoms.
Are we at (or very near) the point where number of cases -- whether officially tabulated or "off the grid" -- no longer matters?

 
Are we at (or very near) the point where number of cases -- whether officially tabulated or "off the grid" -- no longer matters?
WAY PAST THAT!!!! Who cares if ya have the sniffles. Those of us with zero jabs already know this has muted into absolutely nothin now. Virology 101.

Philly loses their minds again and reinstates the face diaper. The result, 1000 miles away, I see a huge uptick of brainwashed people breaking out their face diapers again. Probably about 30% instead of the previous weeks 1-2%. No doubt they are CNN & MSDNC viewers. They really did a number on a % of the population.

 
Are we at (or very near) the point where number of cases -- whether officially tabulated or "off the grid" -- no longer matters?
I don’t think the actual numbers matter but trends do. If there’s no consistency in reporting or testing, it’s tough to see how cases are trending. Hospitalizations is a more important stat but it’s delayed and likely too late to make any public health decisions to change the course of the wave.

 
I always thought that percent positivity rate was a way better indicator of how bad things were (outside of hospitalizations), even dating to the start of the pandemic. 

 
Obviously just an anecdotal observation but I think kids are responsible for a significant amount of the transmission, especially with Omicron. It’s not a huge leap since it’s always been that way with the flu and common cold too.
I remember hearing somewhere that winter break at schools and universities probably saves thousands of lives each year by stopping the chain of transmission when it's at its most dangerous.

 
I don’t think the actual numbers matter but trends do. If there’s no consistency in reporting or testing, it’s tough to see how cases are trending.
I actually think we can still see the up-and-down movement of the trends, even if we only officially log a small fraction of cases as Dr. Jetelina's source posits here (scroll to 'But, can we trust case counts?' section). See the British numbers in the first graph in her article (red and blue lines).

I'm coming from a position, however, that considers a large number of sub-clinical "off the grid" cases to be a good thing -- so long as people aren't making a habit mingling closely around others with noticeable symptoms.

 
The at-home tests still work if they expired a month ago, right? Have a slight cold and my sister in laws wedding this weekend. Got the cold from my son (who was negative on a non-expired test) and tested myself just now for piece of mind... Negative. 

 
(NOTE: The late March & early April figures in the graphs have been updated some more in recent days. Accordingly, I've waited a few days to let the most recent Monday numbers settle in. Like before, the adjustments are generally upwards.)

Updating numbers to see where things stand today from a top-of-the-mountain view. All figures below are 7-day averages from Worldometers U.S. graphs here. In the United States: 

CASES
Thu 02/17/2022 - 116,737
Mon 02/21/2022 - 88,636
Mon 02/28/2022 - 62,386
Mon 03/07/2022 - 42,020
Mon 03/14/2022 - 32,925
Mon 03/21/2022 - 28,973
Mon 03/28/2022 - 29,031
Tue 04/05/2022 - 29,495
Mon 04/11/2022 - 32,206

DEATHS
Thu 02/17/2022 - 2,176
Tue 02/22/2022 - 1,924
Mon 02/28/2022 - 1,734
Mon 03/07/2022 - 1,295
Mon 03/14/2022 - 1,130
Mon 03/21/2022 - 856
Mon 03/28/2022 - 662
Mon 04/04/2022 - 583
Mon 04/11/2022 - 458

...

CASES: 7-day average of confirmed COVID cases in the U.S. peaked at 823,840 on 1/13/2022, and was 32,206 on 4/11/2022. After adjustments, the 7-day average of cases has apparently been rising gradually since April 2 (28,230).

DEATHS: The 7-day average has dropped for 71 consecutive days from 2,741 on 1/29/2022 to 458 on 4/11/2022 -- the lowest since 7/30/2021.

...

For comparison: Low-water marks in the U.S. from summer 2021, 7-day averages after the main thrust of vaccinations and before Delta.

CASES: 12,198 on 6/21/2021
DEATHS: 245 on 7/8/2022

 
The at-home tests still work if they expired a month ago, right? Have a slight cold and my sister in laws wedding this weekend. Got the cold from my son (who was negative on a non-expired test) and tested myself just now for piece of mind... Negative. 
Should be OK, per a recent ruling by the FDA (e.g. the iHealth extension letter) after some manufacturers demonstrated that antigen tests could give reliable results 3 months past their original expiration dates. (Ruling summarized: NYT link. Non-paywalled link.)

EDIT: Jacked up the original link in the first paragraph, so replaced it with a link to one of the FDA's expiration extension letters (to iHealth, the manufacturer of the federally-distributed "orange box" antigen tests). The summarization links at the end are still good.

 
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(NOTE: The late March & early April figures in the graphs have been updated some more in recent days. Accordingly, I've waited a few days to let the most recent Monday numbers settle in. Like before, the adjustments are generally upwards.)

Updating numbers to see where things stand today from a top-of-the-mountain view. All figures below are 7-day averages from Worldometers U.S. graphs here. In the United States: 

CASES
Thu 02/17/2022 - 116,737
Mon 02/21/2022 - 88,636
Mon 02/28/2022 - 62,386
Mon 03/07/2022 - 42,020
Mon 03/14/2022 - 32,925
Mon 03/21/2022 - 28,973
Mon 03/28/2022 - 29,031
Tue 04/05/2022 - 29,495
Mon 04/11/2022 - 32,206

DEATHS
Thu 02/17/2022 - 2,176
Tue 02/22/2022 - 1,924
Mon 02/28/2022 - 1,734
Mon 03/07/2022 - 1,295
Mon 03/14/2022 - 1,130
Mon 03/21/2022 - 856
Mon 03/28/2022 - 662
Mon 04/04/2022 - 583
Mon 04/11/2022 - 458

...

CASES: 7-day average of confirmed COVID cases in the U.S. peaked at 823,840 on 1/13/2022, and was 32,206 on 4/11/2022. After adjustments, the 7-day average of cases has apparently been rising gradually since April 2 (28,230).

DEATHS: The 7-day average has dropped for 71 consecutive days from 2,741 on 1/29/2022 to 458 on 4/11/2022 -- the lowest since 7/30/2021.

...

For comparison: Low-water marks in the U.S. from summer 2021, 7-day averages after the main thrust of vaccinations and before Delta.

CASES: 12,198 on 6/21/2021
DEATHS: 245 on 7/8/2022
Thanks for these, GB.

I notice in our local (and statewide) numbers this week a slight wiggle upward after a steady decline for weeks. Still small numbers, but hopefully not the beginnings of a trend reversal. 

 
On Tuesday I was in a 90 minute conference room meeting 10 feet from a guy who spiked a fever last night and tested positive this AM.  When am I most likely to begin to get symptoms, assuming I do at all?  Tomorrow?

 
On Tuesday I was in a 90 minute conference room meeting 10 feet from a guy who spiked a fever last night and tested positive this AM.  When am I most likely to begin to get symptoms, assuming I do at all?  Tomorrow?
Hard to pinpoint ... I'd say any time between tomorrow and next Tuesday the 19th as the "most likely" period for you to come down with symptoms.

 
I notice in our local (and statewide) numbers this week a slight wiggle upward after a steady decline for weeks. Still small numbers, but hopefully not the beginnings of a trend reversal. 
Louisiana has gone from a 7-day-average of 95 cases on Friday 4/1/2022 to 131 today. Those figures could both drift up a bit as they get adjusted over the next week or two (though that 95 has held firm for a while).

Mild rises from low-number starting points have happened before without turning into runaway cases. We just don't want to have that exponential case growth again as we did with Omicron. With almost all restrictions in the state gone by the wayside, some level of rise was expected.

 
Pretty sure there's already a full-blown spike here in NJ.  It's not necessarily showing up in the overall numbers, because people are doing self-tests and not bothering to report, but you can see it a bit more in the numbers for specific schools, where a slightly higher proportion of positive tests are reported than among the overall population.

 
Pretty sure there's already a full-blown spike here in NJ.  It's not necessarily showing up in the overall numbers, because people are doing self-tests and not bothering to report, but you can see it a bit more in the numbers for specific schools, where a slightly higher proportion of positive tests are reported than among the overall population.
There is .... if you even go by the reported numbers on nj.com daily briefing we're up "bigly"

 
Rhetorically: Why do vaccinations need to stand still? The vaccinations of 2024, 2030, 2040, etc. should be different (and eventually very different) than the original formulas that came out in 2020. See also the seemingly delayed development of nasal vaccines (which the author rightly push for).

Waning immunity happens with flu vaccinations, as well. No reason why COVID vaccination can't be periodically administered in the same way.

The authors are probably right that the world shouldn't necessarily take weakening COVID for granted into perpetuity. But at the same time, they seem to display a lack of imagination regarding how the disease can be kept at bay (if not actually controlled).
Yeah, I think their estimates are off. I’d be really surprised if covid equilibrates as the number 1 or 2 cause of death, killing 1000+ people a day in perpetuity. But I guess their point is we shouldn’t assume petering out after omicron is the only possibility.

 
YLE's take (posted today) on case counts and why that is perhaps not a trustworthy indicator any more:

State of Affairs: Can we trust case numbers?

Tl;dr: Case numbers mostly inaccurate. More home testing, less testing overall, more asymptomatic cases/transmission due to immunity. Basically we are flying blind. (my note: she didn't mention it but I read this week that one state is now only updating case counts weekly now, can't recall which state, KY maybe? anyway, that's another factor to support what she's saying). And CDC is still basing their guidelines on this data. :wall:  
Hawaii updates weekly.

Everything is trending in the direction of flu standards, except we’re not relying on “influenza-like illness” (based solely on symptoms, not confirmed with diagnostic testing) as a standard for covid cases…yet. Makes you wonder how off-base the flu data is.

 
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I don’t think the actual numbers matter but trends do. If there’s no consistency in reporting or testing, it’s tough to see how cases are trending. Hospitalizations is a more important stat but it’s delayed and likely too late to make any public health decisions to change the course of the wave.
Hospitalizations are still quite low in HI, but we tend to trail the continental US.

 
Looks like Europe is back on a downtrend according to worldometers.  Is that a good indicator that this current uptick here will just be a blip compared to OG Omicron?

 
Scoresman said:
Looks like Europe is back on a downtrend according to worldometers.  Is that a good indicator that this current uptick here will just be a blip compared to OG Omicron?
I'm prepared to say that it's a hammerlock that the current uptick U.S.-wide won't even approach Omicron's heights. Almost certainly not Delta's either.

 
... Biden's mandate covering planes, trains, taxis, ride-share vehicles and transit hubs
Planes and trains, I understand being covered by a federal mandate. But there was no federal mandate for taxis and ride-share, was there?

 
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@Reuters: The TSA will stop enforcing a requirement to wear masks on airplanes after a federal judge in Florida ruled that Biden's mandate covering planes, trains, taxis, ride-share vehicles and transit hubs was unlawful https://reut.rs/3ErTFWV https://twitter.com/Reuters/status/1516185870386274306/photo/1
Whether you think the mandate should still be in place or not, the judge’s basis for the ruling seems pretty terrible, but maybe that’s more an argument for the PSF.

 
I don't know that I agree that this was an issue for a judge to decide, but this mandate had long outlived its useful life and was on a trajectory to become another one of those dumb things that we do forever out of institutional inertia, like taking our shoes off every time we board a flight.  Glad it's gone.  

 
I don't know that I agree that this was an issue for a judge to decide, but this mandate had long outlived its useful life and was on a trajectory to become another one of those dumb things that we do forever out of institutional inertia, like taking our shoes off every time we board a flight.  Glad it's gone.  
The way she ruled may eventually be a boon to the way your hated FDA does things, though. 

Seems like the main reason for her ruling was that the CDC didn’t follow its own bureaucratic procedures and wasn’t justified in not doing so despite declaring an emergency. You know who continues to follow its own bureaucratic procedures despite emergencies? The FDA.

 
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As usual, a great read. IMHO, the money quote:

United States

In the past two weeks, cases in the U.S. have increased +39%, which is driven by increasing trends in 32 states. Given the holiday weekend, testing and case numbers will be off (more than usual) for a few days. Nonetheless, the BA.2 rise is more gradual than the explosion of Omicron we saw in January, which is of course welcome news. This is likely attributed to a relatively solid wall of Omicron immunity, given that 50% of Americans were infected during the first Omicron wave. The virus is having a more difficult time finding pathways to burn through.

 
Well, hopefully my immunocompromised wife doesn't get COVID on our flight to Puerto Rico now.

Complaining about masks is so dumb, especially when inside enclosed metal tubes like planes and trains.  It isn't difficult at all.

 
Well, hopefully my immunocompromised wife doesn't get COVID on our flight to Puerto Rico now.

Complaining about masks is so dumb, especially when inside enclosed metal tubes like planes and trains.  It isn't difficult at all.
People like me have been intentionally hanging onto the loosest, most light-weight, most comfortable cloth masks we can find specifically for the purpose of complying with the letter of FAA policies when we fly.  Those masks checked a regulatory box, but they were accomplishing nothing in terms of actual covid prevention.  Your wife is no less safe today in her N95 than she was 48 hours ago.

 
People like me have been intentionally hanging onto the loosest, most light-weight, most comfortable cloth masks we can find specifically for the purpose of complying with the letter of FAA policies when we fly.  Those masks checked a regulatory box, but they were accomplishing nothing in terms of actual covid prevention.  Your wife is no less safe today in her N95 than she was 48 hours ago.
I personally found the synthetic (I’m guessing) tighter fitting masks to be most comfortable- the loose fitting one’s annoyed the #### out of me.  I haven’t worn a mask for Covid in a while but now finally to remember to wear them when doing yard work and painting, etc.  Definitely helps a lot with pollen and allergies. 

 
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