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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David Crowley @davidcrowley4wi.bsky.social · 27/09/2026

Wisconsinites know Tom Tiffany will choose Trump over them every time – and they can’t afford that. Thank you, Patt, for sharing your story.

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Senator Tammy Baldwin @baldwin.senate.gov · 27/09/2026

If Republicans were serious about bringing an end to Trump’s war in Iran, they would have joined me this week in voting to end it. Instead, they chose to let this war continue and jack up your costs.

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NBC News @nbcnews.com · 23/09/2026

The CDC raised its benchmark for levels of the Covid virus in wastewater, adjusting a key metric for assessing the disease’s transmission. As a result, officials may now classify a level that once counted as high transmission as moderate instead.

nbcnews.to

Why the CDC edited a key Covid metric, and what it says about the state of the virus

Covid infection counts are increasing in more than half the country.

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Dr. Vin Gupta @vinguptamd.bsky.social · 25/09/2026

Behind the rhetoric around measles are real patients, families and clinicians carrying the consequences. This week, I traveled to rural Pennsylvania to hear directly from doctors at the center of an unprecedented outbreak Their stories deserve to cut through the noise—and remind us what’s at stake

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Khashoggi's Ghost @urocklive1.bsky.social · 19/09/2026

Trump gutting our national parks for his vanity projects. Officials pulled at least $67 million from park visitor fees and put it toward projects Trump favors in Washington. Hundreds of needed repairs in national parks could stall this year without funding. www.rawstory.com/trump-nation...

rawstory.com

'Catastrophic' cost of Trump's gluttonous gilding exposed in bombshell NYT report

President Donald Trump's gluttonous hunger to gild Washington, D.C has left America's national parks in dire turmoil, according to experts sounding the alarm.Trump has cut national park staff across t...

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Crowley for Wisconsin @davidccrowley.bsky.social · 19/09/2026

Gas prices are soaring in Wisconsin, and Tom Tiffany voted for it.

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atlasmind @atlasmind.bsky.social · 17/09/2026

Grand Teton National Park 🏔️

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Ryan McGinnis @ryan-steele-mcg.bsky.social · 17/09/2026

A photo I've been dreaming of for years. Spent the night here to capture this amazing sunrise in the North Cascades the other week. Hope you enjoy.

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Elizabeth Warren @warren.senate.gov · 11/09/2026

NEW: Wholesale inflation is up thanks to Trump’s war with Iran. This means higher prices at the grocery store for you.

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Morgan J Freeman @mjfree.bsky.social · 05/09/2026

These 18 American Patriots paid the ultimate price for Donald Trump’s War-of-Choice. He called their death “small potatoes.”

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Saeed Jones @theferocity.bsky.social · 04/09/2026

Lindsey Clancy sought out so much help with her postpartum depression. If a white woman within driving distance of Boston’s “medical Wall Street” can’t get the treatment she needs, consider what that means for all kinds of mothers all over the country.

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Elizabeth Warren @warren.senate.gov · 04/09/2026

What a horrific thing for our commander in chief to say about people who sacrificed their lives for our country.

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Elizabeth Jacobs, PhD @elizabethjacobs.bsky.social · 03/09/2026

Just in time for the 2026-2027 vaccines, a new review shows that COVID19 vaccination significantly reduces the risk of severe illness and hospitalization across all age groups, including kids. Pregnant women were also protected, as were their babies. Don’t forget to schedule your vaccination!

jamanetwork.com

COVID-19 Vaccine Effectiveness and Safety for the 2026-2027 Respiratory Season

This Special Communication aims to identify and summarize the most recently published evidence evaluating the effectiveness and safety of US-licensed COVID-19 vaccines and report on the epidemiology o...

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CIDRAP @cidrap.bsky.social · 03/09/2026

Here’s what the evidence found on the flu, COVID-19 and RSV immunizations. ⬇️ There were no new safety concerns in comparative studies when examining currently recommended immunizations. Review the full reports, published in @jama.com: bit.ly/4x0nIhW

Graphic titled "VIP released an independent evidence review of respiratory virus immunizations." Includes logos of the Vaccine Integrity Project and CIDRAP. Text states, "Here's what the evidence found on the flu, COVID-19 and RSV immunizations." A rightward arrow is shown against a blue background with virus illustrations. CIDRAP and VIP logos are on the bottom of the graphic. A link to the VIP website is on the bottom right corner of the image.

A graphic with an teal and blue ombre background. Microbe icons are in the background of the right hand side of the image.

Text reads, "The influenza review found:
Among adults over 65, the flu vaccine increased protection against hospitalization by 31%.*
Vaccine effectiveness was 80% against laboratory-confirmed influenza-associated deaths among infants and children aged 6 months to 17 years.**
*according to an analysis of VISION Network data
** in a case-cohort analysis of national surveillance data over eight seasons (2016-2020, 2021-2025)"
CIDRAP and VIP logos are on the bottom of the graphic. A link to the VIP website is on the bottom right corner of the image.

A graphic with an teal and blue ombre background. Microbe icons are in the background of the right hand side of the image.

Text reads, "The COVID-19 review found:
For adults over 65, vaccination cut the risk of COVID-related hospitalization by 53% in the 2025-26 respiratory virus season.

Maternal vaccination lowered the risk of emergency department and urgent care visits for pregnant women by 58% and to infants aged 0-2 months too with a vaccine effectiveness range of 50-54%.

Vaccinated young children (9 months-4 years) saw a 76% reduction in COVID-related pediatric emergency department visits."

CIDRAP and VIP logos are on the bottom of the graphic. A link to the VIP website is on the bottom right corner of the image.

A graphic with an teal and blue ombre background. Microbe icons are in the background of the right hand side of the image.

Text reads, "The RSV review found:
For adults over 60, studies showed significant protection against hospitalization, with vaccine effectiveness ranging from 69%-83% within the same season as vaccination.

Vaccination during pregnancy reduced the risk of RSV among vaccinees by 82% and also reduced the risk of RSV-associated hospitalization among infants born subsequently.

The infant monoclonal antibody immunization nirsevimab reduced the risk of RSV-related hospitalization by 64%-93% within 6-12 months."

CIDRAP and VIP logos are on the bottom of the graphic. A link to the VIP website is on the bottom right corner of the image.

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Robert Reich @rbreich.bsky.social · 02/09/2026

Reminder that any political party trying to make it harder to vote is sending a clear message: they can't win on their ideas alone. www.propublica.org/article/mail-vot…

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Chris Murphy @chrismurphyct.bsky.social · 02/09/2026

As I walk across the state this week, gas prices everywhere are over $4.25. That’s totally unaffordable for any family living paycheck to paycheck. And the only reason prices are this high is Trump’s insane, incompetent war.

A CITGO gas station sign showing regular unleaded gasoline at $4.29 per gallon and diesel at $5.69 per gallon, with a food mart and deli below.

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Governor Tim Walz @governorwalz.mn.gov · 23/08/2026

Tariffs are set to cost the average American family over $2,500 this year.

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David Crowley @davidcrowley4wi.bsky.social · 28/08/2026

WI families are paying an extra $2,100 more since 2025 because of Trump tariffs. And Congressman Tom Tiffany hasn’t done a damn thing about it.

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TizzyWoman @tizzywoman.bsky.social · 28/08/2026

Jelly Roll, I just watched your monologue from last night’s Jimmy Kimmel show. My goodness. You brought me to tears. For anyone who has seen it, please take some time to watch it now. “It’s never too late to do the right thing.” youtu.be/dQ7RRSJXgi8?...

youtu.be

Jelly Roll Speaks His Truth

YouTube video by Jimmy Kimmel Live

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Charles F Brummitt @cb2mke.bsky.social · 18/08/2026

www.cdc.gov/schoolvaxvie... WI is next to last (that's you Idaho) in MMR vaccine rate by kindergarten age at 85%. Maybe that's why we are having an outbreak in the southwestern part of the state. C'mon WI parents - vaccinate your kids. It's the best way to prevent a serious disease.

cdc.gov

Vaccination Coverage and Exemptions among Kindergartners

View national and state-level school vaccination coverage and exemption estimates.

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Carolyn Barber, MD @cbarbermd.bsky.social · 19/08/2026

BOOM 💥 A UNIVERSAL COVID VACCINE JUST ENTERED HUMAN TRIALS. GBP511 is designed to protect against COVID-19 AND related coronaviruses — even potential future threats. 🛡️ In animal studies, it protected against viruses NOT included in the vaccine. One shot. Multiple coronaviruses. 1/2

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Arbaz Kakkar5 @arbazkakkar5.bsky.social · 18/08/2026

Erin Brockovich: "If Data Centers are so great, why are they being built in secret?"

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Brant Reeves @bireeves95.bsky.social · 19/08/2026

It’s murder, No other word fits…. “An ectopic pregnancy will never become a baby. It will kill the mom though. Red states still want to ban abortion for ectopic pregnancies. Let's call it what it really is.”

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Mike Hoerger, PhD, MSCR, MBA @michael-hoerger.bsky.social · 18/08/2026

The TODAY Show warns of increased COVlD levels: 🔸XFG variant family still dominant 🔸15 states/territories with outbreaks 🔸Peak expected 1-week into September 🔸Boosters expected mid-September or later www.today.com/health/coron...

Is There a Summer COVID Surge? With Cases Rising in Every State, Watch for These Symptoms

As summer winds down, COVID-19 activity is increasing nationwide. Here’s where cases are the highest and how to protect yourself.
Aug. 17, 2026, 3:30 PM CDT / Source: TODAY

Caroline Kee
Health reporter

-XFG variant family still dominant
-15 states/territories with outbreaks (PMC)
-Peak expected 1-week into September
-Boosters expected early September or later

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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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Dr. Lucky Tran @luckytran.com · 12/08/2026

Kids who get lots of vaccines miss out on a lot of things in life like measles, mumps, rubella, whooping cough, and polio.

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David Crowley @davidcrowley4wi.bsky.social · 12/08/2026

Wisconsin Democrats are united. We will defeat Tom Tiffany in November and build the future that working families in Wisconsin deserve. Let's get to work ➡️ crowleyforwi.com/

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Dr. Lucky Tran @luckytran.com · 12/08/2026

Diphtheria, Tetanus, and Pertussis have been administered in a combined shot since the 1940s. Combo vaccines are one of the most proven medical technologies ever.

Vial of Diphtheria, Tetanus, and Pertussis combined shot from the 1940s.

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Senator Tammy Baldwin @baldwin.senate.gov · 12/08/2026

Measles cases have reached a 35-year high under this administration, and THIS is what they’re focusing on instead of tackling this deadly breakout…

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Pete Buttigieg @petebuttigieg.bsky.social · 12/08/2026

I first met @rebeccaforwi.bsky.social at a town hall in La Crosse back in January, where people were incredibly discouraged by Derrick Van Orden’s refusal to face his own constituents. Rebecca will never turn her back on the people she serves - and I’m proud to support her in this critical race.

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JJ @jjfroggy.bsky.social · 12/08/2026

She’s a great person. And an excellent choice for the 3rd district in Wisconsin.

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Ed @notdred.bsky.social · 10/08/2026

Trump is a buffoon but RFK got exactly what he wanted here. The data are pretty clear that if you spread the vaccine appointments out then parents don’t come back for them. They don’t want kids to get the vaccines.

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AMA @ama-assn.org · 11/08/2026

Vaccines are among the most thoroughly studied,effective tools we have to protect children from serious vaccine-preventable diseases ... Altering a proven vaccination schedule without credible evidence risks weakening public confidence & putting kid’s health at risk. spr.ly/63320B1KUUq

Vaccines are among the most thoroughly studied, effective tools we have to protect children from serious vaccine-preventable diseases. Decisions about how and when vaccines are used should be driven by rigorous scientific evidence, patient safety, and independent medical and public health expertise. Altering a proven vaccination schedule without credible evidence risks weakening public confidence and putting children’s health at risk.

If you have questions about vaccines, talk to your child’s physician. Putting our children’s health at risk is not an option

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Elizabeth Jacobs, PhD @elizabethjacobs.bsky.social · 11/08/2026

I bet plague doctor Bill Cassidy (R, Medieval Times) is feeling especially proud today with RFK Jr. leading the country right off a herd immunity cliff. Congratulations, Bill! Your legacy is secure.

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Scott MacFarlane @macfarlanenews.bsky.social · 10/08/2026

EXCLUSIVE: Trump turns National Parks into "piggy bank" Funding shifts from parks to White House vanity projects macfarlanenews.substack.com/p/trump-turn...

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Christopher Webb @cwebbonline.com · 11/08/2026

I can’t believe this needs to be said, but please don’t take vaccine recommendations from Donald Trump or RFK Jr. Work with your pediatrician. This is so dangerous and will not result in reduced cases of autism.

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John Collins @logicallyjc.bsky.social · 11/08/2026

Todd Blanche: “I am not sure of the uproar of having a Border Patrol or ICE agent at a polling location. What's the risk?” Uhm, maybe because it’s illegal? Federal statute 18 U.S.C. § 592 prohibits deploying “troops or armed men” to locations where elections are held. An AG should know this.

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Gavril Ducu 🇷🇴 🇩🇪 🇺🇸 🇳🇱 🇪🇺 🇺🇦 @ducugavril.nafoforum.org · 09/08/2026

I went looking for old anti-vaccine propaganda and expected an interesting historical curiosity. Instead I found arguments from 1802, 1885 and 1920 that would barely need rewriting to circulate online today. That raises a rather disconcerting question.

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TaznJynx @taznjynx.bsky.social · 10/08/2026

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Senator Tammy Baldwin @baldwin.senate.gov · 10/08/2026

Wisconsin families aren’t asking for a luxury ballroom or a slush fund for criminals who beat up cops. They’re asking for lower grocery and gas prices.

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Governor Tim Walz @governorwalz.mn.gov · 05/08/2026

Donald Trump dodged the draft but is happy to post photos of himself in uniform while he sends our kids to die in his war.

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notamagatte.bsky.social @notamagatte.bsky.social · 05/08/2026

Monday morning quarterback ‘Dr.’ Aaron Rogers calls a real Dr., Dr. Fauci a a coward and a criminal. Aaron’s still salty about Fauci not using any of his facebook research when making medical recommendations during the pandemic.

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karlpfrantz.bsky.social @karlpfrantz.bsky.social · 04/08/2026

Brett Favre, Aaron Rogers - embarrassments to WI. along with Ronald Johnson, Tommy Tiffany, Sean Duffy, Scott Walker. not to mention the John Birch Society and Joe McCarthy. Dousing those flames of fascism is taking awhile.

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