How do we know a pandemic's over?

No recuerdo una positividad tan alta en toda la pandemia
Luis R. Manzorro (X, June 7, 2024)

43.20%. Madrid, España.
Arturo Portnoy (X, June 7, 2024)

Positivitätsrate in Madrid 43,2%. Die höchste in der gesamten Pandemie gemessene. Positivitätsrate in Mexiko über 50%. Die höchste jemals weltweit gemessene. Da kommt was auf uns zu. Mexiko hatte in den letzten 3 Wochen übrigens über 40 Grad. Also die Welle rollt unaufhaltsam.
Guenter GR (X, June 8, 2024)

COVID Positivity rate in Madrid 43.2%. The highest recorded in the entire Pandemic. Positivity rate in Mexico over 50%. The highest ever recorded Worldwide.
But we were told it’s over.
Jammer (X, June 8, 2024)

Gentle reminder:
A pandemic is out of control if positivity rate is more than 5% for 2 weeks in a row.
Mexico :MEXICO: 50%
Madrid :SPAIN: 43.2%
Antonio Caramia (X, June 8, 2024)


Also too few tests being done.
 
In the years before and after 1920, people all over the world, apparently for no reason at all, enter into a deep 'Sleeping-Beauty' sleep. They sleep for days and weeks. It happens in Denmark, too. A great number of patients die, and others get life-long neurological diseases. Asger Juhl and professor of epidemiology, Lone Simonsen, are trying to find the answer to what kind of disease it was. They investigate if it could be connected to the Spanish Flu, which was a scourge all over the world at the same time. Because if it is, can we then expect something similar after COVID-19?
The mysteries of Denmark's killer diseases: The uncanny sleeping sickness

Looking at diagnoses and health statistics in Denmark at the time, they conclude that it is very likely that the two diseases, the 1918 flu and sleeping disease are connected, but there is no smoking gun.

Encephalitis Lethargica: Aftermath (Wikipedia)

That was because Dream was imprisoned.
 
My employer probably has more people out today with "quiet quitting" than with covid. By several orders of magnitude.


Probably? And by several orders of magnitude?

SYMPTOMS: INSIDIOUS — AND DIFFICULT TO TREAT
More than 200 symptoms have been associated with long COVID to date.9 Long COVID can attack the body in a range of ways, causing damage to the lungs, heart, nervous system, kidneys, liver, and other organs — all of which impact patients over the long term and are potentially costly conditions to treat.
There is also a tendency among some to discount employee complaints about the condition. It’s understandable in today’s era of “quiet quitting” to look at employees who claim to have fatigue as using the condition as a way to shirk duties or as a pathway to a disability claim. Data shows us this isn’t the case. Maintaining this attitude hinders the ability to fully address legitimate issues and concerns, as well as acceptance of the condition and its impact on individuals with legitimate issues.
Long COVID: Assessing and Managing Workforce Impact (Disability Management Employer Coalition)


Burnout, quiet quitting, and labor shortages have all been repeated in news headlines in the past few years. But underneath these clickbait perspectives on the labor market is something that should be much more concerning: Americans are in the thick of a mass disabling event—one of the largest since the AIDS and polio epidemics—due to post-COVID-19 symptoms creating a condition known as long COVID. In the face of an increasing casualty count and so-called labor shortages, it is essential that employers reevaluate their workplaces to create more accommodative workplaces. By centering accommodations and worker benefits that are perceived as only helping disabled workers, workplaces become better for all workers.
Revolutionizing the Workplace: Why Long COVID and the Increase of Disabled Workers Require a New Approach (American Progress, Dec 21, 2022)
 
Some people will argue the pandemic isn't over in 3...2...1...

Salon has more about the Swifties (see post 910):
One specific X account, known for being a hub for Spanish Swifties, took a poll of their followers, asking if they had become sick with COVID-19 after one of Swift's concerts in Madrid. Of the 10,796 people who answered the poll online, 35%, or 3,780 of the concertgoers said they had.
One concertgoer described their symptoms as, "Cough, sore throat, body discomfort and I can hardly speak." Another said that a few days after both concerts, "On Saturday my neck hurt, and I spent the night from Sunday to Monday with a fever of 39C, one of the worst nights of my life." Another person said, "During the weekend, I noticed that I felt different because I was feeling very uncomfortable, and felt dizzy. Yesterday I was coughing non-stop. I took the test today and it came back positive."
It's not just some of the largest European cities facing superspreader events in the coming summer. In the United States, scientists are warning of what they have been calling a "summer wave" of COVID-19 cases. The potential rise in COVID-19 cases stems from new Omicron subvariants like the KP.3 variant, JN.1 virus, or other strains known as the Flirt strains. The Centers for Disease Control said that these new strains of COVID now account for more than 50% of the cases in the U.S. According to the CDC, infection rates and hospitalization have been lower or "minimal" levels of "respiratory illness activity." However, the government agency's data suggests that infections are projected to increase in several states across the country like California, Washington D.C., Florida, New Jersey and Texas.
Thousands of Taylor Swift concertgoers in Madrid have come down with COVID-19 after Eras Tour (Salon, June 10, 2024)


More from Salon:
"Not the flu": CDC's change in COVID guidance could misrepresent risks of virus, experts warn (Salon, March 6, 2024)
Mounting research shows that COVID-19 leaves its mark on the brain (Salon, March 12, 2024)
Why COVID patients who could most benefit from Paxlovid still aren’t getting it (Salon, March 13, 2024)
 
Spain

Continued from post 922:
Las hospitalizaciones por COVID-19 en Madrid no solo han superado los niveles navideños, sino que ya han rebasado los máximos alcanzados en la temporada pasada.
Nocimiento (X, June 10, 2024)
See graph of Incidencia de casos sospechosos de infección por SARS-CoV-2 por semana y ámbito de asistencia. Temporadas 2022-2023 y 2023-2024 on page 7 or in the tweet.
Holy Cow.
The flat levels of hospitalisations in Spain *right now*.
"COVID-19 hospitalizations in Madrid have not only exceeded Christmas levels, but have already surpassed the maximums reached last season."
tern (X, June 10, 2024)

Hospitalization rate. This graph shows the number of hospital admissions per 100,000 people. In theory, it should only include people over 60 years old.
Nocimiento (X, June 12, 2024)
Of the gene-sequenced cases, more than 50% are of the KP.3 subvariant.

I don't know about the should-only-include-people-over-60-years-old idea. There are currently very few C19 hospitalizations in Denmark, and the positivity rate is only 3.5%. The percentages of new C19 hospitalizations are:
Age
12-15: 4%
20-39: 7%
40-64: 7%
65-79: 48%
80+: 33%
Covid-19 - Danmark (region) - opdateres her onsdage kl. 14
 
San Diego revisited

Dec 10, 2023:
In San Diego County (pop 3.3M), Covid-19 is roughly as bad as the flu in a high flu season with deaths running about 300/y since Aug 1, 2023. The main difference from flu is that Covid-19 is spread out more without the sharp, seasonal peaks of flu. These tend to max out hospitals. For instance, in the 2017-18 season there were 342 flu deaths and the large majority were in a 4 week period. Since Covid-19, flu has been markedly lower than normal. That may change this season.

Here's a link to the weekly Respiratory Virus Surveillance Report:

https://www.sandiegocounty.gov/cont...SDC_Respiratory_Virus_Surveillance_Report.pdf

And the high flu 2017-18 report.
https://www.sandiegocounty.gov/cont...rams/phs/documents/Season_Summary_2017-18.pdf

Because Covid-19 is so spread out compared to flu that even though its impact is similar to a bad flu season overall, it's not stressing health care and most people are just going about their business normally. Few masks. Crowds everywhere. Latest vax uptake just over 10%. No evidence of a big surge after the Thanksgiving holiday (a big deal in the States). Flu is starting to ramp strongly and likely catch up with Covid in the next few weeks.


COVID-19 Cases 44,319, Deaths 321, Outbreaks 438.
Influenza Cases 17,903, Deaths 55, Outbreaks 30
RSV Cases 5,836, Deaths 22, Outbreaks 10
San Diego County Respiratory Virus Surveillance Report, May 9, 2024

On the same webpage, there is also this:
COVID-19 deaths 18-49: 8 (2.5%); 50-64: 26 (8.1%); 65+: 287 (89.4%)
Influenza deaths 18-49: 7 (12.7%); 50-64: 6 (10.9%); 65+: 41 (74.6%) - also 1 flu death (age 0-4, the only death from one of the three respiratory diseases in the age groups 0-4 and 5-17)
RSV: 18-49: 0 (0.0%); 50-64: 4 (18.2%); 65+: 18 (81.8%)
Table 2. Summary of Deaths, Fiscal Year-to-Date


I hope that this makes it clear that COVID-19 killed more people in all age groups except for one baby/toddler killed by the flu.
Besides, COVID-19 kills all year round, not just in the flu season. However, this doesn't mean that hospitals were more 'maxed out' by flu than by C19. See figures 3 and 4, COVID-19 and Influenza-Positive Hospitalized Patients and COVID-19 and Influenza-Positive ICU Patients.
In fact, the peaks of C19 and the flu coincided in late-December - early-January.
And in addition to that, there was a minor C19 wave in late-September, which was higher than the peak of flu in December-January.
 
I hope that this makes it clear that COVID-19 killed more people in all age groups except for one baby/toddler killed by the flu.
While technically true, it suggests C19 is killing almost everyone, except perhaps babies, more than the flu by ignoring the fact that in the age group 18 to 49 the number of C19 deaths were only one greater than flu deaths. It also ignores the fact that the flu season was well below average with 55 deaths and only a few months to go in the Flu season which will yield only one or two more deaths. For example the 2019/2020 Flu season resulted in 108 deaths. The fact that we had as many Flu deaths as C19 deaths in those under 50 strongly suggests, for a normal Flu season, C19 mortality would be less than that for the Flu for those under 50. Completely different story for those over 50. They would be comparatively hard hit even in an above average Flu season.
 
It is not just technically true. It is actually true, and I don't ignore anything. On the contrary, instead of allegedly "ignoring the fact that in the age group 18 to 49 the number of C19 deaths were only one greater than flu deaths," I highlighted that fact and many others!

You ignore the fact that your prediction was as far off the mark as The Atheist's predictions usually are. It is conspicuous that the flu still is nothing like COVID-19.
You should consider that the flu has bad years. 2023-24 was a rather 'good' C19 year in comparison to previous years, and yet the death toll surpassed that of the flu.
Did you notice the death toll in the age group 50-64-year-olds? Or did you just ignore it?

You need to acknowledge that COVID-19 is still several times worse than the flu, which didn't "catch up with Covid in the next few weeks" as it was supposed to do according to your predictions.
Do I have to make it even clearer than this?!
There is a pandemic. An actual pandemic. Covid isn't over, no matter how much you wish it were.
 
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KP.3 in Portugal - and in the USA

The surge in Span (see post 928) seems to have spread to Portugal:
8) Not just Spain, but also Portugal. COVID deaths now surged so much that it has now matched last winter’s peak — with more deaths coming given that cases continue to grow too.
Eric Feigl-Ding (X, June 12, 2024)


One more week, and the number of new SARS²/COVID-19 cases and deaths in Portugal keeps increasing. The official number of cases has now far surpassed last Winter's peak, with deaths now equaling it. The limitations of the data are many, but these are the official numbers.

KP.3 driving the recent large wave of COVID-19 in Portugal. If you know anything about Portugal, you know that we are about to start the Santos Populares and large music festivals season... KP.3 is going to love it.
Pedro Lérias https://t.me/COVIDzeroPortugal (X, June 12, 204)


Portugal has experienced a large increase in Covid cases and hospitalizations recently, and the latest figures indicate that KP.3 (with S:Q493E) makes up about 67% of the most recent sequences, higher than in any other country. 1/2

The rise of Q493E was quite surprising given its complete absence from previous Omicron lineages. Great thread by @tylernstarr about what's enabled KP.3 to ride the Q493E mutation to such striking success. 2/2
Ryan Hismer (X, June 12, 2024)
Relatório de situação sobre a diversidade genética do SARS-CoV-2 em Portugal. Linhagem recombinante XBB com apenas uma sequência nas semanas 19/2024 a 22/2024. Sublinhagem BA.2.86 com frequência relativa de 98,3%.
Saiba mais ➡️ https://insa.min-saude.pt/relatorio...oronavirus-sars-cov-2-em-portugal-11-06-2024/
Instituto Ricardo Jorge (X, June 11, 2024)


Puzzled by Q493E's rise in the KP.3 variant of SARS-CoV-2? Epistasis to the rescue! We performed human ACE2 binding assays on all combinations of L455S, F456L, and Q493E in the BA.2.86 background. The deleterious effect of Q493E is reversed on the background of L455S+F456L

We have performed mutational surveys of many SARS-CoV-2 variants up until BA.2.86 (not yet published... #newPI life 🤪), and Q493E has always been deleterious to human ACE2 binding, incurring up a ~ten-fold loss of binding affinity: https://tstarrlab.github.io/SARS-CoV-2-RBD_DMS_Omicron-XBB-BQ/RBD-heatmaps/

However, this mutation is rising in frequency within the BA.2.86-derived KP.3 subvariant, which might appear puzzling

By measuring Q493E in combination with co-occurring L455S and F456L mutations, we can see that its affinity decreasing effect is reversed in the full KP.3 constellation -- this can be seen in the reversal of the direction of the slope of the orange lines in the plot below
Tyler Starr (X, June 11, 2024)


USA
2) New York City’s COVID cases are also increasing, as noted by @emmagf. June is not normal cold and flu season at all. This shows that this KP3 surging despite non-flu season means it’s a troublemaker.

3) Hawaii’s ERs also have gotten slammed hard by an off-season COVID surge. This isn’t normal at all for June. This is why we need to be on alert.

4) Plus SF too. Hospitals 🏥 not as crazy as Hawaii, but SF has decent vaccination rates. I worry where it will go next.

5) In the U.S., the largest and fastest surging new variant is KP3. It’ll be dominant very soon. KP3 is highly evasive against past immunity. I’m looking at an unpublished report about KP3 and it’s crazy. FDA hasn’t even seen it yet. They need to know.
Eric Feigl-Ding (X, June 12, 2024)


See graphics and other data in the tweets.
 
It is not just technically true. It is actually true, and I don't ignore anything. On the contrary, instead of allegedly "ignoring the fact that in the age group 18 to 49 the number of C19 deaths were only one greater than flu deaths," that fact was highlighted as were many others!

You ignore the fact that your prediction was as far off the mark as The Atheist's predictions usually are. It is conspicuous that the flu still is nothing like COVID-19.
You should consider that the flu has bad years. 2023-24 was a rather 'good' C19 year in comparison to previous years, and yet the death toll surpassed that of the flu.

You need to acknowledge that COVID-19 is still several times worse than the flu, which didn't "catch up with Covid in the next few weeks" as it was supposed to do according to your predictions.
Do I have to make it even clearer than this?!
There's a pandemic. Covid isn't over, no matter how much you'd wish it were.

I don't think anyone is arguing that its over. I certainly don't think its over.

What has been argued is the majority of people globally simply don't care or even think about it any more, and are just not prepared to make any more concessions to it than they are doing now, and certainly no more than for seasonal flu.

They accept that life is a bit more dangerous now than it was before 2020.

You might not like it, you can argue they are wrong and shortsighted, you can show that more people are dying from Covid than are dying from flu, but surely you have to accept the reality that people are in fact ACTING as if it is over, and are unlikely to change now?
 
You haven't been following the thread, have you?
Given the lowest-ever number of hospitalisations right ow, that makes sense.
Health authorities have better things to do.
Some people will argue the pandemic isn't over in 3...2...1...


When I talk with friends and acquaintances, I notice that they actually don't know that the pandemic isn't over. It is not a question of accepting that "life is a bit more dangerous now than it was before 2020." They actually think that life isn't "a bit more dangerous" than before 2020, thanks to the disinformation being spread by authorities, the media and social media.

This was marting's 'argument' for pretending that the pandemic is over:
Crickets...
The CDC's main web site doesn't even have Covid-19 on its main page. The leading articles are about bird flu, heart disease, heat risk, and measles. And a link to a story about E. Coli in organic walnuts.
https://www.cdc.gov/


If you use the CDC link, you'll notice that COVID-19 still isn't mentioned. If you click on OUTBREAKS, you still won't see C19 mentioned, but there's "Measles cases in 2024: "As of June 6, 2024, a total of 151 measles cases were reported by 22 jurisdiction."

Measles cases! As compared with COVID-19 deaths of which there were 321 in the most recent fiscal year in San Diego County alone!

You are right when you say that (some, far from all) "people are in fact ACTING as if it is over," but they are acting as if it's over because they have been led to believe that it actually is over. It's what the spreaders of disinformation in this thread and in the media has made them believe.
 
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You are right when you say that (some, far from all) "people are in fact ACTING as if it is over," but they are acting as if it's over because they have been led to believe that it actually is over. It's what the spreaders of disinformation in this thread and in the media has made them believe.

No, they are acting as if life is a bit more dangerous than before, because it is actually a bit more dangerous than before. But its not the height of the pandemic now, and the fatality levels are nowhere near what they were. I had a work colleague in India who when delta was raging there had 6 friends/relatives die in one day. That kind of thing is just not happening now, is it, or do you have evidence that it is?

The reality is that the fatality levels that we have now are generally accepted as the price of living in the post-covid world without lockdowns and other restrictions. So, yes people are acting as if it is over, because from their point of view, it is in fact over.
 
Feel free to believe what you want to believe. I know the reaction of people I talk with, and they don't know and don't act "as if life is a bit more dangerous." For the most part, they act as if the pandemic is over because that's what they have been led to believe that it is. They haven't known since the summer of 2022 when we had been told that we had acquired "super immunity".
As for the level of C19 fatalities, people don't know about that either. It was apparent in December when the number of hospitalizations was high but was no longer reported by the media and hidden away on a site that very few people know about.

Those of us in the know are aware when numbers are high or low, most people aren't. And most people wouldn't know where to find the weekly number of new deaths and hospitalizations (both currently low) even when I link to the site: Luftevejsinfektioner: Covid-19 - Danmark (region) - opdateres her onsdage kl. 14
I have to tell them how to use the site.
This is reality in Denmark - and in many other parts of the world according to what I'm told. It is possible that it's different in Hong Kong, but it would surprise med if it is.
 
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Meanwhile - also in the real world: posts 645 and 646.
That is the rational way to behave when you are aware that "life is a bit more dangerous than before" but don't give a **** about everybody else.
That's how the pandemic becomes a question of class and inequality.
 
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Some people will argue the pandemic isn't over in 3...2...1...

California
COVID is coming for Calif., and it's already hitting the Bay Area the hardest (SF Gate June 12, 2024)

Denmark
It my own country, KP.2 and KP.3 have had no impact on C19 hospitalizations and deaths yet.
There has been a rise in the numbers from late May to early June in the national surveillance of SARS-CoV-2 in wastewater, but so far it's from "Very low level" to "Low level."

NZ
There have been 5230 new cases of Covid-19 reported in New Zealand over the week to Sunday, and 20 further deaths attributed to the virus.
Of the new cases, 360 were probable cases and 3429 were reinfections.
There were 354 cases in hospital and none in intensive care, as of midnight on Sunday.
Last week, the ministry reported 6142 new cases of Covid-19 and one further death.
It comes just weeks after Covid cases spiked to their highest level in 18 months, and warnings of a "significant" wave of the virus likely to hit New Zealand this winter.
The seven-day rolling average of new cases was 676.
Covid-19: 5230 new cases, 20 further deaths (RNZ, June 10, 2024)


Only 15 percent of students passed attendance test
Markham said the school was experiencing a wave of winter illness, but it did not have a Friday slump in attendance.
Asked why, Markham said: "Try and keep the curriculum alive. School should be the best party in town."
Winter illness puts dent in school attendance as officials mull social media campaign (RNZ, June 10, 2024)
School should be the best pox party in town.
"We went (!) through Covid and then went through a period of teacher strikes last year, both of those things are quoted by parents as indicating that it's maybe not quite as important to have their kids coming into school.
We have put C19 behind us now, so absence must be an attitude problem.
No mention of ventilation or air purification as a means to combat absence or the need for relief teachers:
Relief teachers in high demand as sicknesses impact schools (RNZ, June 7, 2024)
Are relief teachers cheaper than HEPA filters?
 
Some people will argue the pandemic isn't over in 3...2...1...

It is always the same old tiresome story with The Atheist!
I present data:
NZ
There have been 5230 new cases of Covid-19 reported in New Zealand over the week to Sunday, and 20 further deaths attributed to the virus.
Of the new cases, 360 were probable cases and 3429 were reinfections.
There were 354 cases in hospital and none in intensive care, as of midnight on Sunday.
Last week, the ministry reported 6142 new cases of Covid-19 and one further death.
It comes just weeks after Covid cases spiked to their highest level in 18 months, and warnings of a "significant" wave of the virus likely to hit New Zealand this winter.
The seven-day rolling average of new cases was 676.
Covid-19: 5230 new cases, 20 further deaths (RNZ, June 10, 2024)


The Atheist presents us with nothing but claims:
Cases down, hospitalisations down, deaths down.
What happened to the FLiRT wave that was going to overwhelm us?
Hospitals are struggling with RSV and 'flu, not covid.


Let us see the numbers! How many patients are hospitalized with RSV and influenza in NZ?

In the meantime:
"An expert says New Zealand is experiencing its highest peak in Covid-19 cases since December 2022." (NZ Doctor, June 4, 2024)
Covid: NZ records its highest peak in 18 months — epidemiologist (1News.co.nz, May 27, 2024)
 
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