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Mike Hoerger, PhD, MSCR, MBA @michael-hoerger.bsky.social · 23h

PMC COVlD Update, Oct 5, 2026 ◾️Levels peaked at ≈610,000 estimated new daily infections in mid Sep ◾️36 states still with known outbreaks (see Alt text) ◾️13th COVlD wave Website: pmc19.com Interactive county-level map: pmc19.com/map

The US has at least 36 states and territories with COVlD outbreaks. The apparent wave peak has passed, but transmission remains high across much of the country. States with observed outbreaks include Alabama, Alaska, Arizona, California, Colorado, Connecticut, Florida, Georgia, Guam, Hawai'i, Illinois, Indiana, Kansas, Kentucky, Massachusetts, Michigan, Mississippi, Missouri, Montana, New Hampshire, New Jersey, New Mexico, New York, North Carolina, Oregon, Pennsylvania, Puerto Rico, South Carolina, South Dakota, Texas, the U.S. Virgin Islands, Utah, Virginia, Washington, West Virginia, and Wyoming. There are likely outbreaks in additional states. The summary statistic only includes counties with observed data, rather than estimated data. For example, Arkansas, DC, Idaho, Louisiana, Maryland, Nevada, Ohio, Oklahoma, Tennessee, and Wisconsin likely have outbreaks, but monitoring is poor.

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The Vertlartnic @thev.bsky.social · 05/10/2026

Is It Time To Stop Avoiding The Plague Like The Plague

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Join the Mass Infection Resistance @spiritsofland.bsky.social · 30/09/2026

Taking a break from social media for a few days. This #RapeCulture is too much at times. #MeToo #BelieveWomen

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World Health Network @thewhn.bsky.social · 29/09/2026

Each COVID infection carries risk, and repeated infections can add to that risk over time. Reducing how often we get infected matters. Layered precautions like cleaner indoor air, well-fitting masks, vaccination, testing, and staying home when sick can all help reduce exposure (...)

World Health Network graphic on a dark background with green accents. Large text reads: “Immune systems are damaged by repeat COVID infections, not strengthened.” The word “damaged” is highlighted in green. Below, smaller text reads: “Repeated COVID infections can disrupt immune function, increase inflammation, and raise the risk of Long COVID.” WHN branding appears at the top: “whn.global” and “World Health Network — Science for a safer, healthier world.”

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Kristin Meekes @kmeekes.bsky.social · 29/09/2026

The pandemic should have led to clean indoor air, treatments for long covid and related illnesses, next gen vaccines, normalization of masking, mandatory respiratory protection in healthcare, sick leave, and a paradigm shift around what infections do to people

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Join the Mass Infection Resistance @spiritsofland.bsky.social · 29/09/2026

I watched it recently. I didn't like the ending. But it was enjoyable until the very end. As a survivor, I will gleefully watch any rape revenge fantasy. ANY DAY.

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Join the Mass Infection Resistance @spiritsofland.bsky.social · 29/09/2026

Fellow patients filling in for the failures of healthcare staff.

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Join the Mass Infection Resistance @spiritsofland.bsky.social · 29/09/2026

Absolutely. If anything, it would be even worse.

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Join the Mass Infection Resistance @spiritsofland.bsky.social · 29/09/2026

We are being forced to sacrifice our health for the economy. #CovidIsntOver

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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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The Vertlartnic @thev.bsky.social · 28/09/2026

For Decades Doctors Thought Post-Infection Syndromes Were Hysteria, Then Stress, Then Trauma, Before Finally Discovering They Were All In The Mind

A doctor reassuring their patient that they're just crazy
Headline:
For Decades Doctors Thought Post-Infection Syndromes Were Hysteria, Then Stress, Then Trauma, Before Finally Discovering They Were All In The Mind
Story by Sorin Malvolio and Frunk Wurlitzer

Photo from Adobe

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Lee Cicuta @butchanarchy.bsky.social · 28/09/2026

The poltical pressure to capitulate on PPE is immense: on every individual who wears masks, on every event that requires it, on every social group that maintains it as a norm. The goal is to wipe every trace of what we remind them of from awareness. To mask is a regular practice in resistance.

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Join the Mass Infection Resistance @spiritsofland.bsky.social · 28/09/2026

This is awesome. I mean, really, can any of us "afford to get covid"?

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Danielle Beckman @daniellebeckman.bsky.social · 28/09/2026

Recent photo at the NHS. Over 6 years into #COVID, and we still have “wash your hands” under “AIRBORNE PRECAUTIONS.” We are failing hard to communicate one of the most basic lessons of this pandemic: Airborne means spread through the AIR. Clean air is infection control. #Airborne #PublicHealth #NHS

Photo shows a sign at NHS that says: Airborne precaution
Please wash your hands before entering the training room. Thank you

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Join the Mass Infection Resistance @spiritsofland.bsky.social · 27/09/2026

There are a lot more enjoyable things on which I could have spent all of that time. #CovidIsntOver

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David Kronig @davekronig.bsky.social · 27/09/2026

I never wanted to learn about N95s and the limits of one-way masking and airborne transmission and how to read wastewater data or any of this shit! Public health was never my passion—I’d be thrilled to never have to think about it tbh if we had a functional system. It’s all just self-preservation

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jaydo @jaydocovid.bsky.social · 25/09/2026

People say “2020” or “During Covid” about 2020-2021, but did you know that the years with the most Covid infections were 2024-25 and 2022-23? Deaths were the worst 2020-2021, but this era of Covid infections every 1-2 years is an experiment society was pushed into (and most happily jumped).

PMC19.com Estimated Within-Year Cumulative SARS-CoV-2 Infections (U.S.)

Chart shows cumulative lines of estimated annual Covid infections each year 2020-now, and a median line.

2020-21: 100 million
2021-22: 305 million
2022-23: 380 million
2023-24: 350 million
2024-25: 400 million
2025-26: 250 million

6-year median: 325 million

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Cat Fraser @catsocialintel.bsky.social · 25/09/2026

Cool, can we do the current one first?

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Join the Mass Infection Resistance @spiritsofland.bsky.social · 25/09/2026

Covid is actually the third leading cause of death (and has been for years) when you ignore the "officially reported" numbers since no one is testing for covid anymore, and use model-estimated deaths.

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Erin Biba @erinbiba.bsky.social · 25/09/2026

chronic fatigue (now ME/CFS), fibromyalgia, restless leg syndrome,, now long covid many of these predominant in women so many illnesses that could have been treated, studied, and offered people relief earlier if propaganda hadn't convinced everyone they were fake.

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Join the Mass Infection Resistance @spiritsofland.bsky.social · 25/09/2026

"Not supported by the science at all" Sounds like someone who "did their own research."

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World Health Network @thewhn.bsky.social · 24/09/2026

Prior infection doesn’t guarantee protection from getting COVID again. Reinfections can happen, and every new infection is another opportunity to develop Long COVID. Reducing the number of times we’re infected still matters. #COVID #COVID19 #LongCOVID #CovidIsNotOver #CleanAir

World Health Network graphic on a black background with white and bright pink text. Large headline reads: “More exposure doesn’t equal better protection.” Supporting text reads: “Getting COVID doesn’t protect you from getting it again. Repeated COVID infections create repeated opportunities for developing Long COVID.” The top includes “whn.global” and the World Health Network tagline, “Science for a safer, healthier world.”

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George Monbiot @georgemonbiot.bsky.social · 24/09/2026

Here's today's column on the astonishing, ongoing mistreatment of people with #ME/CFS. Please spread it far and wide: the only thing which can break the media's wall of indifference is seeing an article about the issue go viral. Thank you. 1/2 www.theguardian.com/commentisfre...

theguardian.com

Abandoned, dismissed and gaslighted: there is no excuse for the way ME sufferers have been betrayed | George Monbiot

Changes in guidance and science seem to have little impact on millions of devastated lives. It’s a social crisis playing out behind closed doors, says Guardian columnist George Monbiot

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Ian Weissman, DO @drianweissman.bsky.social · 20/09/2026

"Sending your child to school when they are sick can spread illnesses to classmates and school staff, and these infections can have serious consequences for people who have underlying health conditions that raise their risk of complications." theconversation.com/does-my-kid-...

theconversation.com

Does my kid have COVID-19 or just a cold? A pediatric nurse explains how to tell – and why it matters

Keeping children home from school if they have COVID-19 protects family and school community members at high risk of serious illness.

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MaskTogetherAmerica @togetherwemask.bsky.social · 18/09/2026

At LC Defense Series IV, family physician @drdavidkeegan.bsky.social shared his approach to assess patients w/ possible Long COVID, emphasizing that “Long-SARS” isn’t a novel condition and that a dedicated medical course could be created for this topic. Watch masktogetheramerica.org/blog/lc-defe...

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Join the Mass Infection Resistance @spiritsofland.bsky.social · 20/09/2026

Not specifically for flowflex, no. But PCR sensitivity for asymptomatic infections pre-omicron was only 75%, so it wouldn't be any higher than that. This was discussed by @moriartylab.bsky.social in a recent @covid19resources.bsky.social webinar.

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Join the Mass Infection Resistance @spiritsofland.bsky.social · 19/09/2026

You should be clear that the 98% sensitivity is only for symptomatic infections

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The Vertlartnic @thev.bsky.social · 13/06/2026

Researchers Find Long Covid More Common Than Willingness To Say Long Covid

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Join the Mass Infection Resistance @spiritsofland.bsky.social · 18/09/2026

"I wonder why so many girls and women don't report sexual assaults to police?" Such a mystery, when it's the police who are the actual rapists and sexual predators. #ACAB #AbolishThePolice #MeToo #BelieveWomen #JusticeForSurvivors

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Join the Mass Infection Resistance @spiritsofland.bsky.social · 17/09/2026

"Polymerase chain reaction (PCR) testing revealed SARS-CoV-2 in 98.3% of 463 air samples and influenza A in 17.2%." Wear a respirator, FFS. #MaskUp #CleanTheAir #CovidIsAirborne #FluIsAirborne

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The Vertlartnic @thev.bsky.social · 17/09/2026

Six Reasons Heart Disease Is Normal, Good For You, And Nothing To Do With That Covid Infection

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World Health Network @thewhn.bsky.social · 17/09/2026

On World Patient Safety Day, patient safety includes more than treating the condition that brought someone to their provider. COVID-19 can lead to Long COVID, and repeated infections have increasing health impacts. Preventing exposure in health care settings is part of healthcare. (...)

World Health Network graphic for World Patient Safety Day. Large text reads: “Patient safety means preventing the next infection.” Below: “COVID is communicable, and a single COVID infection can lead to Long COVID that lasts for months or years. Reinfections are common.” Blue virus illustrations appear on the right. Top text: “whn.global” and “World Health Network — Science for a safer, healthier world.” Bottom label: “World Patient Safety Day.”

World Health Network graphic for World Patient Safety Day. Large text reads: “Safe care should not create new harm.” Below: “People can be infected with SARS-CoV-2 more than once, and repeated infections carry increasing health risks. For someone already living with Long COVID or another chronic condition, being exposed to another infection can have even more serious consequences. Preventing that exposure is part of patient safety.” Top text: “whn.global” and “World Health Network — Science for a safer, healthier world.” Bottom label: “World Patient Safety Day.”

World Health Network graphic for World Patient Safety Day. Large text reads: “Safe care includes safe air.” Below: “Hospitals and other health care facilities already take measures to prevent avoidable infections. Preventing airborne transmission should be an essential part of those protections. Better ventilation and filtration, well-fitting respiratory protection (N95 or better) for patients, visitors, and health care workers, strong standards for respiratory protection, and broader policies that reduce exposure to airborne pathogens make health care environments safer. Protection should extend beyond the exam room to waiting rooms, hallways, elevators, restrooms, cafeterias, and other shared spaces.” A blue air-themed icon appears at the lower right. Top text: “whn.global” and “World Health Network — Science for a safer, healthier world.” Bottom label: “World Patient Safety Day.”

World Health Network graphic for World Patient Safety Day. Large text reads: “Patients should leave health care healthier than when they entered.” Below: “Communicable and noncommunicable diseases do not exist in separate worlds. An infection can cause chronic disease. Chronic illness can make another infection more consequential. And a person seeking treatment should not acquire a new illness in the process. Safe care includes preventing the next infection.” An orange line icon at the lower right shows a person above an open hand with a heart and medical cross. Top text: “whn.global” and “World Health Network — Science for a safer, healthier world.” Bottom label: “World Patient Safety Day.”

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Wayside Scribbles @waysidescribbles.bsky.social · 17/09/2026

– Surely you can at least meet us halfway? #longcovid #ableism #satire

A black-and-white cartoon of a man trapped under a giant boulder at the bottom of a ravine, while two people on the cliff above say: "SURELY YOU CAN AT LEAST MEET US HALFWAY!"

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Join the Mass Infection Resistance @spiritsofland.bsky.social · 17/09/2026

It costs less money to prevent covid than to treat covid & long covid. It costs less money to prevent covid than to treat covid & long covid. It costs less money to prevent covid than to treat covid & long covid. It costs less money to prevent covid than to treat covid & long covid. #MedSky

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Bean & Sprout's Mom @beansproutsmom.bsky.social · 17/09/2026

"...strong evidence that [avian flu] viral particles can be dispersed through the air beyond the immediate vicinity of infected farms...may play a role in virus transmission between farms. But, sure we can wash our hands out of future H5N1 pandemic. open-research-europe.ec.europa.eu/articles/6-315

open-research-europe.ec.europa.eu

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