People’s CDC COVID-19 Weather Report

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The Weather

30 US states remain at High to Very High levels of SARS-CoV-2 detected in wastewater since February 9, 2024, with multiple states not reporting. Preventing the spread of COVID by taking precautions like masking and improving your indoor air quality can strongly reduce your chance of infection.

We would also like to note that the CDC, which usually updates their wastewater data on a weekly basis, has not updated their dashboard since Friday, February 9th. It is significant that this data delay arrives during the same week of the announcement that they are considering making cuts to the 5-day isolation guideline. We would like to urge the CDC to make their data release schedule public and to continue to provide wastewater information in a timely and consistent manner.

A map of the United States color coded in shades of red, orange, and gray displaying SARS-CoV-2 Wastewater Viral Activity level as-of February 9th, 2024 , where deeper tones correlate to higher viral activity and gray indicates insufficient data. Most states display deep red “very high” to orange “high” COVID-19 levels with 5 states, the U.S. Virgin Islands, Puerto Rico and Guam reporting insufficient data. Text on map reads “30 out of 50 states and territories have High or Very High Wastewater Levels. Covid-19 Wastewater Map 2/9/2024. People’s CDC. Source: CDC.”
Graphic source: https://www.cdc.gov/nwss/rv/COVID19-currentlevels.html

Despite regional declines in wastewater levels in the Midwest, Northeast, and West, the South is still trending extremely high, almost double the national average. This is especially concerning since 7 of the 10 states to refuse Medicaid expansion are located in the South, a region home to some of, “the largest Black populations in the US.” Our collective fight against the state’s abandonment of pandemic protections is a fight against racial injustice.

As a reminder, the last two weeks are provisional data, indicated by a gray shaded area on the graph, therefore these values may change as additional wastewater sites report data. We want to remind you that multiple layers of precautions can protect against a COVID infection.

A line graph with “Wastewater Viral Activity Level” indicated on the left-hand vertical axis, going from 0-15, and “week ending” across the horizontal axis, with date labels ranging from 2/4/23 to 1/6/24, with the graph extending through 2/3/24. A key at the bottom indicates line colors. National is black, Midwest is orange, South is purple, Northeast is light blue, and West is green. Viral activity levels nationally peaked around 12/30/23 at 12.12. Overall, levels have trended downward since then, though the South appears to have gone back up. Within the gray-shaded provisional data provided for the last 2 weeks, most geographical regions begin to trend downward but  South and the Northeast both had upticks that peaked around 1/27/24 at 12.58 and 6.76 respectively. Text above the graph reads “Nationally, the wastewater viral activity level is high.  COVID-19 Wastewater Trends 2/09/2024. Text below the People’s CDC. Source: CDC.”
Graphic Source: https://www.cdc.gov/nwss/rv/COVID19-nationaltrend.html

Variants

JN.1 remains the dominant variant in the United States, and is projected to make up 96.4% of cases in the next two weeks. HV.1 is projected to drop even further 1%, and all other variants are estimated to make up less than 0.6% or less each. 

Remember to check estimates for your specific HHS Region for more accurate projections of JN.1 prevalence in your own community.

Two stacked bar charts with two-week periods for sample collection dates on the horizontal x-axis and percentage of viral lineages among infections on the vertical y-axis. Title of the first bar chart reads “Weighted Estimates: Variant proportions based on reported genomic sequencing results” with collection dates ranging from 11/11/23 to 1/20/2024. The second chart’s title reads “Nowcast: model-based projected estimates of variant proportions,” dates ranging from 2/3/24 to 2/17/2024. In the Nowcast Estimates for the two weeks ending on 2/3/24, JN.1 (dark purple) is projected to increase to 91.2%, with HV.1 (dark gray) decreasing to 2.5%. In the Nowcast Estimates for the two weeks ending on 2/17/2024, JN.1 (dark purple) is projected to increase to 96.4%, with HV.1 (dark gray) decreasing to 1%. Other variants are at smaller percentages represented by a handful of other colors as small slivers.
Graphic source: CDC Variant Tracker

Take Action

This week is a fast moving train when it comes to demanding equitable pandemic responses and protections from the CDC and public policy. Follow the campaigns below for ways to tap in, sign on, and get involved! And don’t forget to share these with your loved ones as well.

  1. This week the CDC announced they’re considering a change in isolation guidelines for people with COVID, removing the 5 day isolation in order to take the pressure off of American citizens who can’t afford to stay home due pressures from work, lack of paid time off and childcare expenses.
    • Dr. Lara Jiramanus of The People’s CDC who was interviewed expressed that “frankly, there has been no change in the science. Most people continue to be shedding virus for about nine days, with a range of six to 11 days. Younger patients will tend to be infectious for maybe one day less than that. Older patients or people with severe disease can shed the virus for a longer time.” She further elaborates in conjunction with People’s CDC press release from February 14th that “public health policy should put people first, not billionaires. Rather than ending isolation, the US should ensure paid sick leave for all.”
    • The CDC’s isolation guidelines impact what reasonable accommodations we can ask for at work, at school, and in hospitals as well as our legal rights should we become held in interactions with police, in jails and in prisons. It is important for all of us on a human rights level that these guidelines reflect proper research and science.
    • Join us in echoing this call for mandated paid sick leave for all instead of an end to isolation guidelines to Biden and Congress. The CDC’s proposal to eliminate isolation is counter to medical science and the White House must not accept it. Call the White House Comment Line Tuesday – Thursday 11-3 ET at 202-456-1414 and the Congressional Switchboard at 202-224-3121. Making calls is especially important between now and the end of March. For more information and a proposed script, follow this link. Stay tuned to our substack and social media for announcements of more actions in the next two weeks.
  2. Additionally, ACIP, the Advisory Committee on Immunization and Practices will hold their next meeting online on February 28th and 29th.
  1. Last month the CDC kicked the horrible and unsafe new hospital infection control guidelines it was considering back to the advisory committee (HICPAC) that had proposed the draft guidelines.
    • Bad guidelines have been delayed, and the next fight over them will hopefully be on a more level field, and hopefully in a process that is at least in some ways more transparent.
    • Public health advocates have gained another round in this fight, and we’ll need your help! You can start by signing this new petition by National Nurses United that demands that HICPAC ensure the input of frontline healthcare workers, labor unions, patients and community members, and experts in occupational health, industrial hygiene, aerosol dynamics, respiratory protection and infection prevention is central in their next round of revisions.
  1. Additionally, please use our action network letter and call-in toolkit to write to the president, your governor, and state and federal representatives to demand that they bring back masking in healthcare and utilize all measures of infection control that are currently available to us. Don’t forget to customize letters to your own experience! For more information on how COVID spreads in hospitals and the impact of nosocomial, or healthcare-associated, infections check out our article on substack.
  1. MoveOn has started a petition to the Biden Administration, the Department of Health and Human Services and to Congress to bring back free PCR tests for all and to increase the number of free at-home rapid antigen tests. After the end of the Federal Health Emergency for COVID in May 2023, everyday people were stripped of the resources and support they needed to manage community care and health. Even with insurance, insurers are no longer required to cover the costs of testing, pushing the most reliable form of testing for early detection, Polymerase Chain Reaction (PCR) tests, out of reach for many. Sign this petition to return fast, prevalent, and free testing tools to everyone equitably.
  1. On a more regional note, those living in New York State are urged to customize this letter to tell their representatives and NYS Governor Hochul to continue to fund the COVID-19 Sick Leave program instead of disposing of it in the FY 2025 budget as is currently proposed. If the governor’s current budget proposal goes through, New York citizens would be forced to rely on state minimum sick leave policies of 5-7 days, meaning one COVID infection would easily meet or exceed sick leave allotments for the entire year. Additionally those who do not work in settings that meet the conditions of qualification to enforce the state’s sick leave policy would be left without any leave at all.
  1. Finally, we must remember to keep calling our elected officials to demand a ceasefire in Gaza and to continue to wear and require high quality respirators (N95, KN95 or better) at protests and in organizing spaces. Masking in organizing spaces keeps our fight safer, more accessible and more sustainable. The occupation of Palestine is a healthcare issue. There can be no disability justice under settler colonialism.

Notes: 1) The numbers in this report were current as of 2/16/2024. 2) Changes in testing access as well as data reporting have led many federal data sources to become less reliable. 3) Check out the links throughout & see our website for more! https://peoplescdc.org. 4) Subscribe to our newsletter: People’s CDC | Substack.

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