COVID surges in dozens of states

FLiRT

Source: U.S. Census Bureau 2021 boundaries, summitpost.org, National Wastewater Surveillance System (NWSS). CARSON ELM-PICARD FOR THE BOSTON GLOBE

A headline in the Boston Globe (firewall) for July 16: COVID surges to ‘very high’ or ‘high’ levels in dozens of states, including multiple in New England, CDC says.

The Globe posts illnesses and deaths in its service area each week. While it’s nowhere near what it was at the height of the pandemic, it’s not zero. Check out the death statistics.

Also, “wastewater surveillance data compiled by the Centers for Disease Control and Prevention show the prevalence of COVID has hit ‘very high’ levels in seven states, including California, Texas, and Florida.”

So it is not a shock that Joe Biden contracted the disease again. I’m told that at least 15 people attending the 1973/1974/1975 Binghamton Central High School reunion got it. 

From the Los Angeles Times this month

July 1 -COVID-19 cases are continuing to climb in Los Angeles County, as are the number of people hospitalized with infections, as the typical summer surge in the illness creeps up.

Doctors have noted an earlier-than-normal rise for this time of year, which in L.A. County began in May. Among those recently testing positive for the coronavirus was Mayor Karen Bass… The mayor tested positive for the first time last June…

The new FLiRT subvariants, officially known as KP.3, KP.2 and KP.1.1, are believed to be roughly 20% more transmissible than their parent, JN.1, the winter’s dominant subvariant, Dr. Peter Chin-Hong, an infectious-disease expert at UC San Francisco, has said.

For the two-week period that ended June 22, the most recent information available, 62.9% of estimated COVID specimens in the U.S. were of the FLiRT variants — up from 45.3% a month earlier.

The rise is due to the FLiRT variant.

July 8: COVID cases and hospitalizations rise in L.A. County — and some of those recently reinfected with the FLiRT variants are finding the latest bout the worst yet.

The following week

July 15: For the first time since the winter, California has “very high” coronavirus levels in its wastewater, according to data from the U.S. Centers for Disease Control and Prevention. The state levels are now estimated to be significantly higher than last summer.

The increase comes as national virus measurements in sewage also have jumped significantly, an indication that the summer bump is continuing to grow.

July 16: COVID is continuing to rise this summer, and its spread is being aided by people who are still going to work or traveling while sick.

“Certainly, people are trying to get back to whatever life was like before the pandemic,” said Dr. Elizabeth Hudson, regional chief of infectious disease at Kaiser Permanente Southern California. “We’re in a different place than we were before. … However, good common sense shouldn’t go out the window.”

FLiRT

Johns Hopkins describes FLiRT:

When it comes to symptoms, we’re not seeing anything new or different with these variants. We continue to see more mild disease, but that’s likely not because the virus is milder, but because our immunity is so much stronger now. After years of vaccinations and infections, most of the population is better able to fight off an infection without as much concern for severe disease…

As with previous variants, some people may have detectable live virus for up to a week after their symptoms begin, and some may experience rebound symptoms.

At-home testing remains a really important tool for knowing whether you could potentially infect others.

The good news is that Paxlovid is still recommended for high-risk individuals. It still works against variants up to JN.1, and based on the sequencing of the FLiRT variants, they should still be susceptible to Paxlovid, as well as to antiviral drugs like molnupiravir and remdesivir. 

It’s always a good idea to keep a few COVID tests around the house in case you start to feel sick. Testing—whether at home or in a health care setting—will make sure you know what you’re infected with, which can inform the best treatment plan if you are in a high-risk group or your symptoms progress to more severe illness.

If you do feel sick, follow the CDC’s simplified guidance for respiratory illnesses. This is especially important if you plan to spend time with friends or family who are at higher risk of severe illness.

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