iiinova — where your digital self keeps evolving

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Mike Hoerger, PhD, MSCR, MBA @michael-hoerger.bsky.social · 28/09/2026

PMC COVlD Update, Sep 28, 2026 (US): 🔸We're in a 13th COVlD wave. 🔸40 states & territories continue to have COVlD outbreaks, stable from last week. 🔸Levels likely peaked between Sep 7-13 at a PMC-estimated 580,000 new daily infections. pmc19.com/map

The US has at least 40 states and territories with COVlD outbreaks, the same number reported last week. These include Alabama, Alaska, Arizona, Arkansas, California, Colorado, Connecticut, Florida, Georgia, Guam, Hawaii, Indiana, Iowa, Kansas, Kentucky, Massachusetts, Minnesota, Mississippi, Missouri, Montana, Nebraska, Nevada, New Hampshire, New Jersey, New Mexico, New York, North Carolina, Ohio, Oregon, Pennsylvania, Puerto Rico, Rhode Island, South Carolina, Texas, the U.S. Virgin Islands, Utah, Virginia, Washington, West Virginia, and Wyoming.
There are likely outbreaks in additional states. The summary statistic of 40 only includes counties with observed data, rather than estimated data. For example, Idaho, Louisiana, Maryland, and Tennessee likely have outbreaks, but monitoring is poor.

Nuance:
Note that while PMC uses forecasting to estimate national statistics through Sep 28 and beyond, the state-level data do not, meaning they are now 9 days old. If the national forecast is correct, levels peaked between Sept 7-13, closely aligned with our prior forecasts. This would mean that levels are declining more so than depicted in the map. Levels often decline slowly, suggesting the need for ongoing precautions. Additionally, Biobot and 200 CDC sites are offline this week, and both have experienced major retroactive corrections of late, so the national forecast has more uncertainty than usual. For example, we could see the peak adjusted upward or a double peak. It is unclear how quickly reporting will resume at the offline sites.

Note that while PMC national statistical estimates include forecasting, the state-level data do not, meaning they are now 9 days old. If the forecast is correct, levels peaked between Sept 7-13. This would mean that levels are declining more so than depicted in the map. However, Biobot and 200 CDC sites are offline this week and both have experienced major retroactive corrections of late, so high uncertainty.

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Mike Hoerger, PhD, MSCR, MBA @michael-hoerger.bsky.social · 08/09/2026

PMC COVlD Update, Week of Sep 7, 2026 ◾️33 states/territories with outbreaks (see Alt) ◾️Highest levels nationally since March 5th ◾️1 in 86 Americans estimated actively infectious ◾️Peak expected soon, but some caveats THREAD (1/5) 🧵 pmc19.com

The US has at least 33 states/territories with COVlD outbreaks. These include Alaska, Hawai’i, Guam, Puerto Rico, the US Virgin Islands, Washington, Oregon, California, Nevada, Arizona, New Mexico, Montana, Colorado, Texas, Louisiana, Mississippi, Alabama, Georgia, Florida, Arkansas, Missouri, Illinois, Indiana, Kentucky, Tennessee, Michigan, Ohio, North Carolina, Virginia, West Virginia, Pennsylvania, Connecticut, and Rhode Island.

There are likely outbreaks in additional states. The summary statistic of 33 only includes counties with observed data, rather than estimated data. For example, South Carolina and Oklahoma likely have outbreaks, but monitoring is poor.

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Mike Hoerger, PhD, MSCR, MBA @michael-hoerger.bsky.social · 24/08/2026

PMC COVlD Update, Aug 24, 2026 The US is experiencing COVlD outbreaks in 23 states/territories (see Alt text). ▪️Largest outbreaks: TX, CA, HI, AK ▪️1 in 136 Americans estimated actively infectious ▪️Highest levels since March 20th Website: pmc19.com Interactive map: pmc19.com/interactive.php

The US has at least 23 states/territories with COVlD outbreaks. These include much of California, Texas, Alaska, and Hawai’i, as well as the territories of Guam, Puerto Rico, and the U.S. Virgin Islands. Outbreaks are also present in Washington state, Nevada, Arizona, Colorado, Missouri, Illinois, Michigan, Kentucky, Mississippi, Alabama, Georgia, Florida, Virginia, New York, New Jersey, and New Hampshire.
There are likely outbreaks in additional states. The summary statistic of 23 only includes counties with observed data, rather than estimated data. Levels in some Texas counties are so high – on par with the national peak of BA.1 Omicron – that it drives up estimates for counties in neighboring states that lack CDC wastewater monitoring systems. Looking closely at the map, notice other instances of Very High counties in one state driving up estimates of an adjacent county in a neighboring state that lacks data. This shows a clear value of the county-level map over the CDC state map.

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Mike Hoerger, PhD, MSCR, MBA @michael-hoerger.bsky.social · 20/08/2026

People: COVlD levels are rising across the US, particularly high in the Gulf South and Pacific states #MaskUp

People

Cases of COVID Growing, with a ‘Pretty Steady Increase’ Nationwide. Here’s When the Surge Is Expected to Peak

*Levels are up 106% since July
*15 states/territories with outbreaks, especially the Gulf South and Pacific states
*Peak expected a week into September, shortlybefore updated boosters arrive
*XFG remains the dominant variant family

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Mike Hoerger, PhD, MSCR, MBA @michael-hoerger.bsky.social · 15/08/2026

Early Edition: PMC COVlD Update, Week of Aug 17, 2026 (US) 🔥15 states/territories with COVlD outbreaks 🔥Worst in CA, AK, HI, TX, GU 🔥Reporting irregularities in TX 🔥2.2 million estimated infections/week 🔥1 in 144 people estimated infectious Details: See Alt text. 🧵(1/4)

We have posted this report 48 hours early in light of increased transmission.

The US has 15 states/territories with COVlD outbreaks, characterized by one or multiple counties at high to very high levels. The largest waves are in California, Texas, Alaska, Hawai’i, and Guam. Washington, Nevada, Mississippi, Alabama, Kentucky, and Florida are experiencing regional outbreaks. Finally, there are isolated hot spots in north central Utah (Summit/Wasatch), north central Illinois (Boone/DeKalb), central North Carolina (Cabarrus), and northwest Connecticut (Litchfield).

There are major reporting irregularities in Texas. Of the 19 sites online this week, 3 (16%) reported with high/very high levels. Of the 20 Texas sites offline this week that have reported data for last week, 18 (90%) report high/very high levels, with 16 (80%) reporting very high levels. The reason why high and very high sites are disproportionately offline this week is unknown. This creates a major discrepancy between the PMC and CDC maps. If carrying forward last week’s data for the offline sites, the CDC would place Texas in their “high” category, with 21 of 39 sites at high/very high levels (54%), and just below the threshhold for “very high” (17/39, 44%). Houston was previously a leader in wastewater monitoring with 8 sites but has not reported any data the past two updates.

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Mike Hoerger, PhD, MSCR, MBA @michael-hoerger.bsky.social · 09/08/2026

PMC COVlD Update, Week of Aug 10, 2026 (US) 🔹National levels rise to their highest in 130 days 🔹5 major regional outbreaks, 4 isolated hot spots 🔹1 in 156 people estimated actively infectious 🔹2 million estimated new weekly infections See Alt text for details. THREAD🧵1/10

The US has 5 regional COVlD outbreaks and 4 isolated outbreaks. The regional outbreaks include much of Alaska, California and western Nevada, much of Texas (central Texas sites have been shut off), the region from Kentucky through southern Illinois, and much of southern Florida. Isolated outbreaks include Franklin County in Washington, Bannock County in Idaho, Floyd County in Georgia, and Jasper County in South Carolina. Levels are rising across much of the US but later and slower than typical.

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James Andrew Smith @drsmith.bsky.social · 27/06/2026

The good news is that air cleaners, which could be widely used in indoor spaces, are effective at trapping many pathogens. The not-so-good news is that people aren’t using them enough. Clean water and clean air make for healthy people.

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Gregg Gonsalves @gregggonsalves.bsky.social · 17/06/2026

Your daily reminder. Like a Soviet commissar, Russell Vought wants to take over ALL federal grant-making from Meals on Wheels to cancer research. We can stop him. But it means everyone taking action. Write to your members of Congress today. actionnetwork.org/letters/oppo...

actionnetwork.org

Oppose OMB Proposal to Put ALL Federal Government Funding Decisions in the Hands of Political Appointees

On May 29, 2026, the Office of Management and Budget issued a Notice of Proposed Rulemaking (NPRM), OMB-2026-0034, Regulation for Federal Financial Assistance. The scope of this proposed regulation is...

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Free DC @freedcproject.bsky.social · 12/06/2026

Threats like this are meant to get people to obey in advance and give up in advance so the regime's work of oppression and control is as easy as possible. DC, we are so much stronger than this historically unpopular, incompetent fraud. He is weaker than he wants any of us to realize.

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Michael Olesen @molesen.bsky.social · 11/06/2026

I'm glad to see professional association throwing out the garbage from RFK Jr. and protecting their patients. arstechnica.com/health/2026/...

arstechnica.com

OB-GYNs release their own vaccine schedule, rejecting RFK Jr.'s meddling

Thirteen other medical groups have already endorsed the independent schedule.

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Grace Lindsay @neurograce.bsky.social · 13/06/2026

I've seen a lot of info for specialized audiences (e.g. scientists, non-profits) on how to comment on the proposed OMB rule change for grants, but less for the general public. So I made this one-pager that can be shared more widely. docs.google.com/document/d/e...

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GaloresCircus 😷💅 @galorescircus.bsky.social · 29/03/2026

Most people are *terrible* at even simple internet searching and figuring out what's bullshit from what's not (this was true even before AI, which is making it worse)

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Walker Bragman @walkerbragman.bsky.social · 27/03/2026

NEW: The NIH has been policing language in research proposals to weed out “DEI”—a term seemingly loosely defined to mean anything relating specifically to minority groups. I spoke with an early-career researcher who says his work is being censored. www.importantcontext.news/p/rewrite-al...

importantcontext.news

“Rewrite All of Your Woke Science”: Early-Career Researcher Says NIH’s Anti-DEI Agenda is Hurting Science

Dr. Michael D. Green says his work is being censored to fit an “amorphous political agenda.”

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Mike Hoerger, PhD, MSCR, MBA @michael-hoerger.bsky.social · 14/03/2026

I cannot reiterate enough with the frequency and gravity it deserves that every reinfection increases the cumulative risk of Long COVlD. Our PMC survey data (n>2,000) suggest it is rare to avoid LC after 5+ known infections. I'll talk more about that again Sunday night in Becky's Space.

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Denis - The COVID Info Guy @thecovidinfoguy.bsky.social · 25/02/2026

Even mild COVID-19 or flu can have lasting effects, but Tulane University research in Louisiana shows only COVID-19 is linked to ongoing brain inflammation and small vessel damage—even after the virus is no longer detectable. Source: medicalxpress.com/news/2026-02...

Screenshot of a Medical Xpress article dated February 25, 2026, titled “Long-term brain effects of COVID-19 vs. flu: Study reveals key differences,” credited to Tulane University. Below, a person wearing glasses covers their mouth with a hand, appearing unwell.

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Joanna "Ms. Crow" Blackhart [They/Them] @joannablackhart.com · 11/03/2026

COVID NEVER ENDED. And its not too late for you to start masking again. (Those of you that, like me, have been masking the whole time, nice job 👏🏼👏🏼👏🏼)

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ACLU @aclu.org · 03/03/2026

The SAVE Act and its more extreme version, the SAVE America Act, could shut millions of eligible citizens out of our democracy. Tell Congress to reject these attacks on our freedom to vote at aclu.org/stop_anti_voter_

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Mar Hicks @histoftech.bsky.social · 05/03/2026

It’s unreal people are ok with it.

Covid Is Not Just A Cold Covid Is Still Killing People At High Rates
The COVID death toll in the US ranges from 49,932-
101,300 people each year.
Even at low estimates, COVID is killing more people annually in the US than:
• Fire Arm Homicides (17,927 deaths per year)
• Car Accidents (43,273 deaths per year)
• Breast Cancer (42,213 deaths per year)
• Prostate Cancer (36,320 deaths per year)
• Infant Mortality (20,145 deaths per year)
• Suicide Deaths (49,000 deaths per year)
Covid deaths are largely preventable
Wearing a respirator mask is the most effective way to stop the spread of Covid.
You can also increase ventilation and use air filter.
Important reminder: Covid is spread pre-symptomatically and asymptotically, which means many people are spreading Covid without knowing.
*The above Covid mortality rates are based on new/active infections and do not include fatalities associated with long COVID.
@maskcurious

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Mike Hoerger, PhD, MSCR, MBA @michael-hoerger.bsky.social · 21/02/2026

PMC COVlD Report (2/23/26): Transmission has increased in the South, while stable across much of the U.S. Using harmonized wastewater data, we project... ✴️18 states with High/Very High levels ✴️1 in 58 Americans actively infectious ✴️850,000 new daily infections Link: pmc19.com/data THREAD 1 of 3 🧵

PMC report for Feb 23, 2026

Heat map showing CDC levels by state
PMC estimates of 1 in 58 people actively infectious (1.7% of the population) and 850,000 new daily infections.

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Mike Hoerger, PhD, MSCR, MBA @michael-hoerger.bsky.social · 16/02/2026

PMC COVlD Report, Week of Feb 16, 2026 (U.S.) 14 states are still experiencing High/Very High COVlD levels amid a lingering 12th wave. Minnesota may be at an all-time high. THREAD 1 of 4 🧵

Heat map form CDC data with PMC estimates of 1 in 71 actively infectious, nearly 700,000 new daily infections.

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Mike Hoerger, PhD, MSCR, MBA @michael-hoerger.bsky.social · 17/01/2026

Based on today's CDC & Biobot data, we estimate the following for the week of Jan 19: 🔸1 in 52 people in the U.S. actively infectious 🔸25% chance of exposure in a room of 15 ppl 🔸Nearly 1 million new daily infections 🔸5 cumulative infections per person all-time (avg) 🧵1/5

Heat map from CDC data with PMC estimates. Description of "Very High" states in next post

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Dr. Lucky Tran @luckytran.com · 28/12/2025

It was reprehensible when people mocked condom usage at the height of the AIDS pandemic. It is just as depraved to mock those wearing masks to reduce the spread of airborne viruses today. Whenever someone takes any kind of step to protect public health, they should be applauded, not mocked.

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Mark Jacob @markjacob.bsky.social · 22/12/2025

People who care about journalism should read "60 Minutes" correspondent Sharyn Alfonso's full email about CBS News boss Bari Weiss spiking her report. Alfonso makes key points about not letting the government veto your story and not betraying sources. Weiss could use ethics lessons from Alfonso.

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gelbach @gelbach.bsky.social · 11/12/2025

Reminds me of that time I needed emergency appendectomy & I was on morphine & the hospital billing guy came to my room to ask me to pay the copay upfront I was like dude I’m going next door to check the other hospital‘s price also what’s my name again Ps I’m an economist, ok w/markets generally

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ProPublica @propublica.org · 07/10/2025

Heather Honey, a high-profile denier of Donald Trump’s loss in the 2020 election, was appointed to a senior DHS position in which she’ll help oversee election security. “DHS now appears poised to become a primary amplifier of false election conspiracies pushed by our enemies,” one expert said.

propublica.org

She Pushed to Overturn Trump’s Loss in the 2020 Election. Now She’ll Help Oversee U.S. Election Security.

Heather Honey has been appointed to a senior position in the Department of Homeland Security. State election officials and voting experts are concerned.

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In Otter News @in-otter-news.bsky.social · 17/09/2025

I just find everything feels a bit better when I watch this.

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Nicole Bedera @nbedera.bsky.social · 18/09/2025

I just called Disney+ to cancel my account and had the most joyful interaction with an operator who was laughing the entire time about how many people had canceled today. I can only imagine how it feels to spend an entire day witnessing how many people want to stop fascism.

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Dr. Lucky Tran @luckytran.com · 09/09/2025

Several states have issued orders or taken similar actions to protect access to COVID vaccines including: CO, MA, MD, MN, NM, NY, PA, WA Please call your Governor's office and demand that they take action to make sure COVID vaccines are accessible to everyone!

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Delthia Ricks @dricks.bsky.social · 27/08/2025

#SARSCoV2 infection has been linked to early vascular aging, especially in women. In the multicenter study, researchers found anyone who had #Covid—including mild cases—developed stiffer arteries than those who hadn't been infected www.medscape.com/viewarticle/...

medscape.com

SARS-CoV-2 Infection Tied to Early Vascular Aging

A multicenter study shows increased arterial stiffness among patients who have COVID.

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Michael @fleerultra.bsky.social · 10/09/2025

crazy how the "savvy" position was to cave on funding the govt in march, and part of the reason was "SCOTUS will make Trump honor appropriations, strengthening the Dems' hands in Sept negotiations," and now we're here, that didn't happen, and the savvy position is to cave on funding again.

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Julia Métraux @juliametraux.bsky.social · 10/09/2025

Btw, if you want journalists to cover Covid and Covid vaccines more, you need to read the articles they do write on this topic. Clicks can help factor in what types of stories are covered. Just liking/resharing isn't enough, especially if there isn't a paywall.

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J. Offir, PhD @joffirphd.bsky.social · 10/09/2025

In case you missed it: I actually worked on this thread of vaccination tips for an hour, because it's so important. Even if you don't "like" the thread, please use the new Bluesky bookmark tool to save it, because it might come in handy down the road for getting a covid shot or *other* vaccine.

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Dr. Lucky Tran @luckytran.com · 28/08/2025

In addition to the mess at the CDC, FEMA workers have been suspended in retaliation for speaking up. This makes the US a sitting duck for any kind of disaster as the front line agencies who are meant to protect us from them are completely dysfunctional.

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J. Offir, PhD @joffirphd.bsky.social · 26/08/2025

If we don't protest now, we won't be able to, soon. Trump has directed the Dept of Defense "to take a larger role in domestic law enforcement, including by 'quelling civil disturbances,' as he threatens to broaden deployments of the National Guard in cities... 1/2 www.nytimes.com/2025/08/25/u...

nytimes.com

Trump Orders Major Expansion of National Guard’s Role in Law Enforcement

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Jen the Feisty Librarian @feistywaters.com · 22/08/2025

Covid has been such a massive failure of public heath, among other things. This virus is still disabling and killing people and so many people think it became magically milder in 2022.

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Free DC @freedcproject.bsky.social · 21/08/2025

It is dangerous for the National Guard to be deployed in residential areas — for people here, for Guard members themselves, and for the communities back home which they are supposed to serve. Armored tactical vehicles should not be on city streets.

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jamelle @jamellebouie.net · 22/08/2025

i'll say it again, my loud and vigorous support for any democrat who calls for televised hearings and criminal charges for everyone involved in DOGE. this guy should never be able to live in peace again.

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Gregg Gonsalves @gregggonsalves.bsky.social · 21/08/2025

Great post and project by @chrischirp.bsky.social. The whole world is watching.

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Lauri Donahue @lauridonahue.bsky.social · 21/08/2025

500 people isn't a security detail -- it's a small private army.

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Marisa Kabas @marisakabas.bsky.social · 19/08/2025

SCOOP — Members of DC National Guard are preparing to carry M17 pistols, multiple sources confirm to me. This follows earlier reports that the guard reversed course and would soon be arming members in DC. Now we know they’re making sure they meet requirements if/when the order to arm them comes.

thehandbasket.co

DC National Guard members actively training to carry pistols in capitol mission

Sources confirm to The Handbasket that task force members are preparing to be armed.

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Betty C. Jung @bettycjung.bsky.social · 19/08/2025

COVID reinfection may raise risk of persistent symptoms by 35% www.cidrap.umn.edu/covid-19/cov...

cidrap.umn.edu

COVID reinfection may raise risk of persistent symptoms by 35%

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Kelly @broadwaybabyto.bsky.social · 12/08/2025

This is what we should see in all healthcare and Long Covid spaces. Respirators are highly effective against COVID. They stop chains of transmission. The fact that we haven’t adopted them in healthcare is an epic failure that history will not look kindly on. Mask up. If you can’t afford them:

maskbloc.org

Worldwide Mask Bloc Directory – Find your local Mask Bloc

MaskBloc.org lists active Mask Blocs around the world. Free high-quality masks, COVID-19 tests and other equipment for your community. Mutual Aid & We Keep Us Safe.

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Jessica Ellis @baddestmamajama.bsky.social · 12/08/2025

If you know, you’re masking. Period.

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W.E.D.em Boyz @leftistwonk.bsky.social · 12/08/2025

An absolutely astonishing revelation that would end any previous presidency immediately. Now we just skim past it.

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