A new COVID vaccine is due out next month, but health experts and analysts say it is likely to be coolly received even as hospitalizations from "Eris", a variant of the Omicron form of the coronavirus, rise around the country. https://t.co/YCgj6imLYC
— Reuters Health (@Reuters_Health) August 14, 2023
… As of Friday, another new player is more officially in the mix: “Fornax,” or FL.1.5.1, an Eris relative named after a constellation in the southern hemisphere. That’s according to Ryan Gregory, a biology professor at the University of Guelph in Ontario, who has been assigning “street names” like Kraken to high-flying variants.
FL.1.5.1 is the top variant currently reported in New York, considered a bellwether state by variant trackers. There, wastewater levels and hospitalizations are rising, notes Raj Rajnarayanan—assistant dean of research and associate professor at the New York Institute of Technology campus in Jonesboro, Ark.—and a top COVID-variant tracker…
Regardless, cases will likely peak in late November, shortly after the Thanksgiving holiday, Rajnarayanan says.
A post-Thanksgiving peak is typical for the virus, owing to holiday gatherings. Gregory agrees with the forecast. But in many ways, the landscape of the pandemic has changed from earlier days, he says.
From COVID’s introduction to humans in late 2019 through the initial Omicron wave in January 2022, “you kind of have big, distinct, sharp waves, a big peak that went up fast and came down fast, driven by an individual variant—Alpha, Delta, Omicron,” he tells Fortune.
But since last summer, there “just hasn’t been that pattern anymore.”
Instead, a new cadence developed—and it’s likely to continue this fall and winter. It’s one of a high wall of cases sustained by mini-waves of multiple new variants overlapping each other—one slicker, faster, sleeker Omicron spawn after the next.
It’s all about the “high sea level rather than tsunamis,” says Gregory….
Updated XBB.1.5 vaccines—matched to the dominant strain of this past winter—will reportedly be available by the end of September. And they should be a fairly good match, experts say, effective at preventing severe outcomes like hospitalization and death—and could help squash the predicted late-November peak…
Very good summary by @cmyeaton on the U.S. Covid situationhttps://t.co/SBnl6S9iLg pic.twitter.com/K6STGlFt90
— Eric Topol (@EricTopol) August 12, 2023
What % of people will pay for the boosters if their insurance plan doesn't cover it?
Far less than who got the bivalent booster free of charge (data below)
This will clearly worsen inequities with high risk people, who can't afford it, but would derive the most benefit. pic.twitter.com/NVofLbqjMd— Eric Topol (@EricTopol) August 14, 2023
Currently spreading COVID-19 variants such as EG.5, or Eris, do not represent a major shift and updated vaccines in September will offer protection, the director of the U.S. Centers for Disease Control and Prevention said on Wednesday. https://t.co/YRUCQEFY4P
— Reuters Health (@Reuters_Health) August 10, 2023

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COVID infections and hospitalizations are on the rise in the US, Europe and Asia.
Health officials are pointing at the EG.5 'Eris' coronavirus, a subvariant of the Omicron lineage that originally emerged November of 2021 https://t.co/SUQABoiF6k 1/4 pic.twitter.com/u4vOazWAdt
— Reuters (@Reuters) August 14, 2023
#COVID19 is still circulating in every country.
Dr @mvankerkhove updates on the latest variant of interest EG.5 ⬇️ pic.twitter.com/YAoDQ2m4co
— World Health Organization (WHO) Western Pacific (@WHOWPRO) August 13, 2023
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Here's the latest variant picture for the EG.5.* "Eris" variant, recently upgraded by the WHO from a "Variant Under Monitoring" to a "Variants Of Interest" .
The leading countries across Asia reporting EG.5.* are China (61%), Hong Kong (46%) and Taiwan (32%).
🧵 pic.twitter.com/1gZyV6Zx2b— Mike Honey (@Mike_Honey_) August 11, 2023
Was South Africa punished for discovering Omicron? A new paper in Cell and highlighted in Nature as a major output showed that SA was probably the country to detect but not responsible >95% of spread of Omicron! Nothing as priceless as hindsight, to show that countries that… pic.twitter.com/n1dcauZZlb
— Tulio de Oliveira (@Tuliodna) August 13, 2023
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Latest English Covid hospital data:
Increases on all measures over recent week – admissions up 26%. Increases in people in hosp primarily for covid & people in critical care too (note critical care available since June 2023).
All regions⬆️except SW where its highest but flat. pic.twitter.com/48lJE0mFII
— Prof. Christina Pagel (@chrischirp) August 14, 2023
Canadian COVID Forecast: Aug 12-25, 2023
SEVERE: AB, BC
VERY HIGH: CAN,MB, NB, NL, ON, SK
HIGH: North, NS, PEI, QC
ELEVATED: none
MODERATE: none
LOW: noneAbout 1 in 46 people in Canada are CURRENTLY infected.
A new surge/wave has started in most provinces.
— Tara Moriarty (@MoriartyLab) August 14, 2023
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#LongCovid symptoms may emerge months after infection. The conclusion is from the large, prospective INSPIRE study. At 3, 6, 9 & 12 months after initially testing positive some people still had symptoms. Others had emerging symptoms not previously reported https://t.co/rusrUy114f pic.twitter.com/cE0tmiMRu2
— delthia ricks 🔬 (@DelthiaRicks) August 11, 2023
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The gut #microbiome is a powerful predictor of #Covid-linked severity & mortality among hospitalized patients. The oral microbiome, however, is not a predictor of hospitalized Covid patients' fate, new research has found 👇 https://t.co/W3StLyzF70
— delthia ricks 🔬 (@DelthiaRicks) August 15, 2023
Keep an eye on this #SARSCoV2 variant that has popped up in Israel and Denmark with >30 mutations in the spike protein https://t.co/9r128ACoWQ
— Eric Topol (@EricTopol) August 14, 2023
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A surprising jump in the Midwest's wastewater this week (https://t.co/llZyeAnNq2)
Estimates on current active infections in the population:
Midwest: 1 in 44 people ⬆️⬆️
Northeast: 1 in 70 people
South: 1 in 72 people
West: 1 in 75 people pic.twitter.com/5Uaoqoxr9Y— JWeiland (@JPWeiland) August 12, 2023
Further evidence for my claim about how kids are taking a big hit with COVID right now. Don't listen to liars.
"In some parts of the country…the share of COVID-19 ER visits involving children ages 0 to 11 have already far surpassed older adults."https://t.co/2WrfgNhFUN
— Michael Olesen 💉😷🇺🇸🇺🇦 (@maolesen) August 15, 2023
People with positive #COVID19 results from home tests were 29% less likely to isolate
Those with positive home test results had significantly lower odds of isolating for any length of time than those with provider resultshttps://t.co/MuHreNV0k9 pic.twitter.com/yJbOkh9ArC
— CIDRAP (@CIDRAP) August 15, 2023
On the 52 American doctors who propagated Covid misinformation throughout the pandemic regarding vaccines, masks, promoting treatments without evidence, and conspiracy theorieshttps://t.co/txhx5HTsWS @JAMANetworkOpen by @Sahanasule and colleagues pic.twitter.com/5aFmLPNqoO
— Eric Topol (@EricTopol) August 15, 2023
I saw a post today saying myocarditis deaths were blowing up in the US.
Myocarditis is a very rare cause of death in the US. 2019, it accounted for 0.02% of all deaths in US.
In 2020 myocarditis death rate jumped 9.9%
DROPPED 10.3% in 2021
Dropped 8% in 2022 pic.twitter.com/wd4okIVi13— Truth In Numbers (Daniel) (@Truth_in_Number) August 10, 2023
Whatever works!
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Matt McIrvin
The current wave seems very clumpy, made of spotty local outbreaks that clear rapidly. There was one in my town near the end of July, visible in wastewater counts after the fact, that coincided with my spouse and I having a few days of sniffles and congestion–I didn’t think much of it at the time. Who knows.
At any rate, I’m still masking in crowded public situations and will get re-vaccinated as soon as they let me. Not particularly going out of my way to isolate though.
NeenerNeener
Monroe County, NY:
22 new cases on 08/09/23.
24 new cases on 08/10/23.
35 new cases on 08/11/23.
17 new cases on 08/12/23.
33 new cases on 08/13/23.
24 new cases on 08/14/23.
19 new cases on 08/15/23.
Deaths now at 2301, up 4 from last week.
I’ve gone back to masking in the grocery store and/or doing curbside pickup. I haven’t been masking around people who come to my house, but I probably should.
Thor Heyerdahl
I got bivalent last November. This fall it looks like I’ll get a flu + covid in middle of Q4, depending how it’s rolling out in Ontario.
NotMax
FYI.
Lapassionara
Thanks so much, AL, for these updates. I’m still wearing a mask in public spaces, and we still don’t dine indoors at restaurants.
I overheard the following conversation recently: “I told her, if you feel bad, don’t take a COVID test. You don’t want to know if you have it. Just don’t get close to people.”
OzarkHillbilly
I am waiting till 9/15 to get my post 65 booster. Feeling kind of naked till then,
Another Scott
@OzarkHillbilly: +1
My fall allergies are giving indications of starting up. I’m mainly trying to stay away from people until the new boosters are here….
One thing I learned during my bout with Omicron in mid-March was that my resting pulse rate went from around 65 to around 75 and stayed above 70 for a couple of months afterwards. I keep an eye on my pulse with my Fitbit Charge 5 since then…
Cheers,
Scott.
twbrandt
It takes a special kind of stupidity to not wear a mask to prevent viral spread but to affirmatively wear a mask to avoid “vaccine shedding”. I mean, how do these people find there way around the real world?
Soprano2
@Matt McIrvin: That’s interesting, because usually wastewater Covid spikes about a week before cases start being confirmed
The timing of that new vaccine will be good for us – three months after we had Covid.
wjca
Hey, if it gets them to wear masks, who cares how dumb the reasons are? Let’s take the win. More than that, let’s see if we can spread the “vaccine shedding” rumor across MAGAtland. For the sake of the rest of us.
bluefoot
@twbrandt:
I don’t even know what “vaccine shedding” is supposed to mean. Shedding fragments of Spike protein? I mean, there are very few ingredients in the mRNA vaccines, and nothing you could potentially shed, unless it’s the Spike protein produced by the mRNA. Which isn’t pathogenic. Wtf?
I have been missing the free PCR testing that the city used to provide. I don’t even know where I could get a PCR test (paying for it) if I wanted/needed one. I still home test weekly as a surveillance measure but I haven’t seen recent data on positive predictive value of antigen tests against the newer variants.
Matt McIrvin
@wjca: Some of the really extreme COVID hawks have ideas about the virus that are reminiscent of these people’s ideas about the vaccine– one I heard recently is that students’ grades really dropped during the pandemic because nearly all of Gen Z (along with the rest of the human population) has subtle brain damage from undiagnosed long COVID.
Where their fears differ from the antivaxxers’ is that at least they are taking about a real, documented biological mechanism. And I can’t prove they’re wrong. But they share the suspicion of authorities and grandiose fears.
Maxim
My recent bout of Covid was probably Eris, based on the list of its symptoms. I took Paxlovid, recovered, relapsed, and re-recovered. Not happy with my ongoing chest congestion, but otherwise everything seems okay. I will get the booster as soon as possible.
AL, I am so thankful for this weekly roundup. Thank you for all the work you put into it.
narya
@OzarkHillbilly: Yeah, I’m holding out for the new formulation–and I intend to get it the day it’s available.
StringOnAStick
If it wasn’t for these posts, I’d have no idea what was going on with Covid; thank you for your hard work!
Matt McIrvin
@bluefoot: They’re just imagining that the vaccine is a contagious contamination of some sort… like a virus! I think if you asked they’d say it was the spike protein, but, no, that doesn’t make a lot of sense. There have been live-virus vaccines in the past, like some early polio vaccines, that actually did induce some “contact immunity”– but of course the COVID vaccines used here are not of that type at all.
trollhattan
Half of our school districts returned to class last week, the rest will be in session by Labor Day. I expect a big jump in cases as a direct consequence, but the county is no longer monitoring, just passing data to the state, so it will not be a point of focus locally.
trollhattan
@Maxim: Similar, am 3 weeks from exposure, 2.5 weeks from detection, 1.5 weeks from testing negative, and have sinus and upper chest issues even now. IOW sick of being sick, and will get the jab as soon as I can.
Ramalama
Despite news reports attesting to France sitting on a stash of paxlovid when I caught COVID again, the nurse visiting daily to my sister in law had never heard of it. The pharmacist nearby had never heard of it. The doctor who later visited had heard of it but determined it would be of no use to elderly sister in-law. I muddled through with the only known treatment of zinc. Good times. People in France can still get free COVID tests but are apparently still required to go back to work…like a positive test means … Big whoop.
mvr
@OzarkHillbilly: I got mine right after my birthday in June, but I suspect I could have gone in early and the local CVS would have let me have it. I didn’t test the theory, but I would have if I thought getting the older booster then would have delayed my getting the new one coming out in the Fall. But by the time it is around it will have been 3 months since June.