Although the current COVID-19 wave of infections with the JN.1 subvariant of Omicron peaked on the eve of the new year, the latest data on SARS-CoV-2 wastewater concentration reported by Biobot Analytics indicates rates have plateaued at around 821 copies per milliliter, which is considered a very high level. A second peak is anticipated in mid-February before infection rates begin to decline for the winter.

Modeling by clinical psychologist Dr. Mike Hoerger of Tulane University, who also teaches statistics and research methodology to medical professionals, through his Pandemic Mitigation Collaborative, estimated that this corresponds to more than 1.2 million daily infections, 8.5 million infections for the preceding week with anticipated Long COVID cases among these numbering from 426,000 to 1.7 million. 

Figure 1. Pandemic Mitigation Collaborative COVID-19 Forecasting Model. January 29, 2024, Report. [Photo: Pandemic Mitigation Collaborative and Dr. Michael Hoerger of Tulane University.]

The total cumulative number of infections in 2024 is projected at approximately 41 million people. Given almost 100 million were infected by the end of December in the winter wave, it is reasonable to assume that by the end of the winter wave at least half of the country will have been infected at least once. It would also be reasonable to assume that a majority of these are reinfections. Hoerger’s estimates place the average number of infections in the US at around 3.2 times per person.

Despite these horrific figures, hardly any news media, let alone the Centers for Disease Control and Prevention (CDC) or White House, is offering any semblance of a warning to the population let alone the scale of the public health crisis that is sweeping over the population.

The infected have to go it their own relying on family or friends and neighbors, if at all, to care for themselves. All the while they will be negotiating with their employers for time off that will be deducted from their paid time off, if they have any. But even these limited measures to protect oneself and others are being curtailed by the demands of industry and not on any objectively scientific or clinical recommendations. 

For example, California’s Department of Public Health, aligning their practice with “other respiratory viruses,” issued new rules in January that eliminated isolation requirements for asymptomatic COVID-positive students and most workers and limited isolation periods to 24 hours for those with mild symptoms. These regulations make a mockery of any basic idea of infection control with a virus that has a propensity to infect every organ in hosts whose immunity is limited to a brief few weeks after previous vaccination or infection and then against severe disease. 

Lisa Wilson, a mother of a disabled student at Berkeley Unified High School, upon hearing of the state’s January 9 recommendations which many public-school districts across the state have readily adopted, told the local press, “The department’s recommendations have no basis in public health epidemiology … infected but asymptomatic students are still contagious. Their politically driven policies will only lead to more disability and death.”

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