Monday, July 19, 2021

PANDEMIC PROJECTIONS: OLD AND NEW

At the end of my May 18th post

Will the Current USA Pandemic Incidence Continue to Decline?

I presented the table below of various projections for the future based up 2%, 1.5%,1%, 0,5% and 0% declines, 

The ACTUAL CASES are given at the right. Essentially the decline was going at a rate better than 2% up until June 15th when it dramatically slowed into at first a plateau before July 4th and now an upswing. 

The upswing in yellow has already placed us where we would have been if the rate had been 0.5%. Since we are already getting up into the 30000s this week, on August 1st we will likely be at the worst case scenario, namely no decline from May 15th.  

In other words relying on the vaccine alone has not been sufficient to bring virus cases down in face of the Delta variant

 

FUTURE PANDEMIC DECLINE PROJECTIONS

 

Pandemic Incidence Decline Projection at Rate of

ACTUAL

Date

April 10 2%

15-May

15-May

15-May

15-May

CASES

1.50%

1%

0.50%

0%

 

15-May

36090

35788

35788

35788

35788

35788

1-Jun

25599

27679

30167

32865

35788

16040

15-Jun

19293

22401

26208

30637

35788

12482

4-Jul

13143

16809

21652

27854

35788

11593

15-Jul

10524

14235

19386

26360

35788

26780

1-Aug

7465

11009

16341

24207

35788

 

15-Aug

5626

8910

14196

22566

35788

 

5-Sep

3607

6891

11380

20723

35788

 

15-Sep

3007

5577

10396

19319

35788

 

1-Oct

2221

4379

8852

17830

35788

 

15-Oct

1640

3544

7690

16621

35788

 

1-Nov

1164

2741

6482

15264

35788

 

15-Nov

877

2218

5631

14229

35788

 



 ARE WE BEGINNING A NEW SURGE?

For the last week there has been a steady rise in cases such as we see when we get a surge.  Usually I wait until two or three weeks of steady data to announce projections.  However given the magnitude of the increase this past week I thought I would let everyone in on my process.


FUTURE PANDEMIC CASE INCREASE PROJECTIONS

ACTUAL

Date

Pandemic Case Increase Rate per Day

CASES

 

2%

3%

4%

5%

6%

 

9-Jul

20531

20531

20531

20531

20531

20531

10-Jul

20942

21147

21352

21558

21763

21382

11-Jul

21360

21781

22206

22635

23069

21305

12-Jul

21788

22435

23095

23767

24453

22731

13-Jul

22223

23108

24018

24956

25920

24202

14-Jul

22668

23801

24979

26203

27475

26720

15-Jul

23121

24515

25978

27514

29124

26780

16-Jul

23584

25251

27017

28889

30871

33994

17-Jul

24055

26008

28098

30334

32723

35275

18-Jul

24536

26788

29222

31850

34687

31512

 

 

 

 

 

 

 

1-Aug

32375

40520

50603

63061

78423

 

15-Aug

42719

61290

87628

124857

177308

 

Labor Day

66042

117437

207672

365240

638934

 


As can be seen from the above table, right now a rate of 5% per day best approximates the data so far. If that were to hold true we will be at 365,240 cases by Labor Day, far above the 250,000 cases per day at the height of the pandemic in January.

Of course the rate might stabilize at a lower rate, e.g. 4% in another week or two.

And as the rate goes up people and governments will take responses which may mitigate the rate of increase.

What seems clear from this first week of data is the Delta rate of increase will likely be greater than the original virus which always increased at the rate of 2%.

What also seems clear is that we could be overwhelmed very quickly with enormous public confusion and increased skepticism of the experts and government.  

Of course the epidemiologists have long told us that they would not have abolished mask requirements and would not be going to church, concerts and other public gatherings of vaccinated and unvaccinated people.  Essentially government has put all its eggs into the vaccine basket.  It looks like that was unwise in the case of this fast spreading Delta variant.   


6 comments:

  1. Dr. Walensky, the CDC Director, has referred to our current situation as a "pandemic of the unvaccinated".

    From one point of view, we're quickly becoming (or already have become) two nations: Vaccinated USA and Unvaccinated USA. This applies, not only from individual to individual, but to different local geographies, as in certain communities (like the suburban area where I live), teens and adults are sufficiently vaccinated that we're apparently on the on-ramp to reaching herd immunity, and public interaction is relatively safe.

    For the vaccinated, even when there are breakthrough infections of the vaccinated, the symptoms are so minor that no hospitalization is required; one can ride it out like a minor case of the flu.

    But it's more complicated than this. Many families have children who are too young to be vaccinated. Thus even within a single family, even with responsible parents, there are those who are vaccinated and those who aren't.

    FWIW, I did baptisms at church yesterday. Following archdiocesan guidelines, our parish had loosened (but not completely abolished) pandemic-related restrictions a few weeks ago. A group who gathers for an infant's baptism is a somewhat complex group from an immunity standpoint: it consists of a nuclear family; some extended family members and friends who are "within the pod", i.e. have regular contact with the nuclear family; and other extended family members and friends who are not in the bubble. But the some of the former precautions(social distancing, mask-wearing, hand sanitizing) now are voluntary.

    Yesterday, I baptized three infants, so had three such baptism groups to deal with. I took care to keep the groups separated from one another - tried to seat them in different sections of the church.
    But within a group, I really couldn't police it. I urged the attendees to bear in mind that the infants and other young children are not vaccinated, and therefore to use good judgment and seek to follow the parents' wishes. I also don't make any physical contact with the children themselves, as when the children's foreheads are to be crossed, the anointings, the pouring of water, etc.

    But overall, we're looking to strike a balance between public health concerns and the sacramental life. Are we striking the right balance? I don't know. We haven't had any COVID outbreaks at our parish - so far. But people are tired of the restrictions, they're somewhat confused (and/or misinformed) about what they can and cannot do, and some are simply resisting good public health advice.

    ReplyDelete
  2. I think vaccination is poorly understood. It does not create a barrier to the virus. Rather when the virus begins to incubate, the immune system which is itself complex begins to work because it has been sensitized by the vaccine. About 95% of the time the immune system works so quickly that no symptoms occur. However we know that asymptomatic people can spread the virus; indeed the few days before symptoms appear is when the virus is most likely to spread to others. So there may be some silent spread among vaccinated people.

    So an unvaccinated person is not really safe around a vaccinated person who has been exposed to a person with Covid. The vaccinated person could be in the asymptomatic transmittable stage of the disease. They are much less likely to transmit the disease than an unvaccinated person who has become infected but there is still the possibility of infection.

    The notion that one is safe because one is in a better vaccinated state or town is also poorly understood. If a member of a parish travels to the South and picks up the virus but is not yet symptomatic, they could still spread it to the parish if they worship with a group that is 40% unvaccinated.

    ReplyDelete
  3. I believe that even when infected, a vaccinated person emits much lower levels of the virus than the unvaccinated. The goal has always been to reduce R-sub-zero to less than one. Can't be done without enough vaccinated people. Around half of PA is vaccinated. But the number of infected seems to be rising. Ro < 1? Not yet. This baby is coming back. If the state reinstates social distancing and masks, I'll do it.

    ReplyDelete
  4. Our local suburban newspaper reports this morning that, statewide, cases of COVID-19 are up 185% in the last two weeks. Hospitalizations are up 41% during that time period.

    A local newscast from a few days ago noted that the spike isn't happening uniformly statewide. The urban/suburban part of the state where I live is doing quite well. Most of the increase is coming from three health regions in the Downstate Illinois area, all in the western and southern parts of the state. These regions are, to put it bluntly, "Trump country".

    How to induce folks in such regions to get vaccinated is our country's great healthcare challenge at present. In a NY Times enewsletter which hits my inbox every morning, David Leonhardt wrote yesterday about three factors which have induced some initially skeptical people to get vaccinated:

    1. Observing that the many people who have been vaccinated aren't experiencing health issues. In other words, they're figuring out for themselves that the vaccines are safe. This implies that distrust of the vaccines has been one of the major reasons that people haven't been vaccinated yet. I've heard a few people around my parish remark that they're going to wait and see before getting vaccinated. It seems that some people now have seen and aren't waiting any longer.

    2. Hearing pro-vaccine messaging from people they trust. The idea here is that many people are distrustful of our society's major institutions such as government and the media, so exhortations from public figures such as President Biden or Dr. Fauci aren't likely to move these folks to get vaccinated. But some of them are more likely to trust their siblings, their parents, their adult children, their friends and their own doctors. We can do some good in our own social circles by finding positive and supportive ways to encourage people who respect us to get vaccinated.

    3. Beginning to understand that not being vaccinated may mean incurring social costs. Certain activities, such as attending concerts or traveling to foreign countries, will be off-limits to people who are not vaccinated. Even more importantly, some employers, school districts and colleges will be requiring vaccinations as a condition of employment or attendance. A federal judge ruled yesterday that Indiana University's vaccination requirement passes legal and constitutional muster.

    described

    ReplyDelete
  5. Jack, would you mind putting breaks in some of your lengthier posts so that more posts can be visible on the blog's landing page? Or perhaps you are putting in breaks, but my browser isn't recognizing them for some reason?

    ReplyDelete
    Replies
    1. Thanks Jim for the reminder. I usually always come in the back door so I don't see the landing page. Often I remember Margaret's admonition but not always.

      Delete