The Weather: While transmission levels dropped slightly from last week, 86.54% of the population is living in areas with substantial or higher transmission.
Wins: The Illinois legislature is considering a bill that will adjust school policies to require ventilation assessments in all K-12 school settings with the addition of filters and carbon dioxide monitoring. This is one step towards adding layers of protection.
On Variants: This week, Kraken (XBB.1.5) makes up 89.6% of cases, surpassing the 85% of cases reported in last week’s Weather Report.
![A stacked bar chart with weeks on the x-axis shows weeks from Dec 3, 2022 to Mar 4, 2023 and y-axis as percentage of viral lineages among infections. Title of bar chart reads “Weighted and Nowcast Estimates in United States for Weeks of 11/27/2022 - 3/4/2023” and title of table reads “Nowcast Estimates in United States for 2/26/2023 0 3/4/2023.” The recent 3 weeks are labeled as Nowcast projections. XBB.1.5 (dark purple) continues to increase, making up about 89.6 percent of current week infections. BQ.1.1 (teal) continues to decrease in recent weeks but remains the second most prevalent lineage currently around 6.7 percent. BQ.1 (dark teal) is now much less prevalent than BQ.1.1 but remains visibly labeled at 1.6 percent. BA.5 (light teal), which in October was the dominant lineage, has recently gone down to nearly zero visibility - joined by XBB (periwinkle purple) and a handful of other colors. This remains the case in the week ending Mar 4, 2023. A stacked bar chart with weeks on the x-axis shows weeks from Dec 3, 2022 to Mar 4, 2023 and y-axis as percentage of viral lineages among infections. Title of bar chart reads “Weighted and Nowcast Estimates in United States for Weeks of 11/27/2022 - 3/4/2023” and title of table reads “Nowcast Estimates in United States for 2/26/2023 0 3/4/2023.” The recent 3 weeks are labeled as Nowcast projections. XBB.1.5 (dark purple) continues to increase, making up about 89.6 percent of current week infections. BQ.1.1 (teal) continues to decrease in recent weeks but remains the second most prevalent lineage currently around 6.7 percent. BQ.1 (dark teal) is now much less prevalent than BQ.1.1 but remains visibly labeled at 1.6 percent. BA.5 (light teal), which in October was the dominant lineage, has recently gone down to nearly zero visibility - joined by XBB (periwinkle purple) and a handful of other colors. This remains the case in the week ending Mar 4, 2023.](https://substackcdn.com/image/fetch/w_1456,c_limit,f_auto,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2F44ce9388-7ff5-4fa2-85da-5698c2d4c274_1024x622.png)
XBB.1.5 now represents more than 75 percent of all cases in each HHS region, and nearly 100% of all cases in the northeast.
![Regional difference map of the US with 10 regions each depicted as shades of gray. In general, the numbers start in the Northeast and increase as they move south and then westward. Title reads “Nowcast Estimates for 2/26/2023 to 3/04/2023 by HHS Region.” Each region has a colored pie chart showing variant proportions. Legend at bottom right reads “Regional proportions from specimens collected the week ending 3/4/2023.” XBB1.5 (dark purple) makes up about 98 percent of the pie in regions 1 and 2, and 96 percent in 3 (Northeast & Mid-Atlantic). The proportion of XBB1.5 is lower moving westward, with ranges from about 77 to 91 percent across the remainder of the country. Bottom text reads: “Updated March 3, 2023” and “Lineages called using pangolin v4.2, pangolin-data v1.18.1.1.” Regional difference map of the US with 10 regions each depicted as shades of gray. In general, the numbers start in the Northeast and increase as they move south and then westward. Title reads “Nowcast Estimates for 2/26/2023 to 3/04/2023 by HHS Region.” Each region has a colored pie chart showing variant proportions. Legend at bottom right reads “Regional proportions from specimens collected the week ending 3/4/2023.” XBB1.5 (dark purple) makes up about 98 percent of the pie in regions 1 and 2, and 96 percent in 3 (Northeast & Mid-Atlantic). The proportion of XBB1.5 is lower moving westward, with ranges from about 77 to 91 percent across the remainder of the country. Bottom text reads: “Updated March 3, 2023” and “Lineages called using pangolin v4.2, pangolin-data v1.18.1.1.”](https://substackcdn.com/image/fetch/w_1456,c_limit,f_auto,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2F96945a8f-c573-49e6-9dc9-76c01db1fcc5_1024x538.png)
Wastewater Monitoring: Wastewater levels appear to continue to slowly decrease or plateau across the country levels of COVID viral load still remain high indicating community spread.
![Top title reads, “Wastewater: Effective SARS-Cov-2 virus concentration (copies/mL of sewage)” and bottom title reads, “Source: Wastewater data from Biobot Analytics, Inc.” Line graph shows the levels of COVID detected in wastewater by US region, each region with a different color trend line. The y-axis shows copies per mL of sewage and the x-axis shows time between January 18, 2023 to March 1, 2023. A legend map of the US in the center shows the West region as green, South as pink, Midwest as purple, and Northeast as orange. There is a box on the right of the map that indicates the absolute number of copies/mL per region. Northeast (orange) in Jan had the highest amount of copies/mL, decreasing from 1,105 copies on January 4 to 450 on March 1, and appears to be decreasing at a faster rate. As of March 1, Midwest (purple) now has the highest amount of copies/mL, at 575 copies/mL. Also as of this date, there are 422 copies/mL in the West (green) and 392 copies/mL in the South (pink). Top title reads, “Wastewater: Effective SARS-Cov-2 virus concentration (copies/mL of sewage)” and bottom title reads, “Source: Wastewater data from Biobot Analytics, Inc.” Line graph shows the levels of COVID detected in wastewater by US region, each region with a different color trend line. The y-axis shows copies per mL of sewage and the x-axis shows time between January 18, 2023 to March 1, 2023. A legend map of the US in the center shows the West region as green, South as pink, Midwest as purple, and Northeast as orange. There is a box on the right of the map that indicates the absolute number of copies/mL per region. Northeast (orange) in Jan had the highest amount of copies/mL, decreasing from 1,105 copies on January 4 to 450 on March 1, and appears to be decreasing at a faster rate. As of March 1, Midwest (purple) now has the highest amount of copies/mL, at 575 copies/mL. Also as of this date, there are 422 copies/mL in the West (green) and 392 copies/mL in the South (pink).](https://substackcdn.com/image/fetch/w_1456,c_limit,f_auto,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2F7de6b4d3-9ae1-4767-9ecf-a091b7dc1949_1024x963.png)
The CDC’s MMWR published a study analyzing wastewater from international flights that found 81% of flights contained positive samples of COVID.
As airlines lobbied to abandon protections such as pre-flight testing, limiting capacity, and mask mandates as well as cut isolation periods to 5 days for workers, this comes as little surprise.
Hospitalizations: Hospitalizations for confirmed COVID cases remain high, with rates nationally remaining around 1 per 100,000 for all ages and around 5 per 100,000 for ages 70+.
Deaths: The week of March 1, 2023, 2,290 people have died of COVID nationally. At least 1,117,856 people have died from COVID in the US. Death data are to be considered incomplete due to processing delays indicating that the weekly counts may in fact be larger.
Long COVID: An article in Washington Post addressed the rise in postural orthostatic tachycardia syndrome (POTS) diagnosis among survivors of COVID, which has led to dizziness, fatigue, and irregular heartbeat.
A JAMA article published this week found elevated risk of adverse health events such as heart attack and stroke as well as elevated mortality over 12-month follow up among individuals with Long COVID compared to those with no evidence of COVID.
Forecast: NYPD is recommending business owners require patrons to remove their masks. It is clear that the NYPD has no interest in protecting the citizens of NYC. With over 45,000 COVID deaths, the city really needs mask and vaccine mandates, support for robust layers of protection including remote work and ventilation upgrades–NOT more policing.
California Department of Public Health shamefully updated their COVID policies to no longer require masks in health care settings and forcing workers back after 5 days of a positive COVID test, effective April 3.
We believe that workers need paid time to recover from infection of at least 10 days and masks should be mandated in all indoor settings, including health care, to prevent infection.
Take Action: Tell the White House COVID Response Coordinator to tell the truth about Long COVID! Sign the letter here!
March 6th is National COVID Memorial day. Take action here!
Notes: 1) The numbers in this report were current as of 3/4. The CDC updates data frequently as it receives refreshed information. Today’s numbers may be slightly different from the data here. 2) Check out the links throughout & see our website for more! https://peoplescdc.org