Entering the Summer Slowdown (It’s A Good Thing!)

The Summer Slowdown

If this year is like last year, we have now begun a few months with low levels of the covid-19 virus circulating in our communities. The data come from sampling sewage, and I’ve translated that into how many people are contagious with covid-19 out of every 100 people. I’ll show you the math below.

If 1 of every 100 people (or fewer) is currently contagious with covid-19, I’m going to call that a “low” level in the community. For the Northeast region (one of Biobot’s four regions), we got into the low range on March 30th. The rest of the country is even lower. 

Last year, as a national average, we were at this low level from March 11th to August 5th, as shown below in the graphs from Biobot. 

Biobot Graph of March 11th and August 5th

After that, the levels went back up as people closed up buildings to run air conditioning, and then went back to school. I expect the same thing will happen this year.

And for now, it’s encouraging that we have low levels and can gather safely in the ways in which I’ve described in earlier blogs.

Here Is the Math Summary

Several covid-19 modelers made translations from sewage sampling to case rates. I’m using the work of modeler JP Weiland, who had national new cases about 1,100 times the average copies/mL. I calculated this from the three points shown with arrows in the chart below, and correlated them with the Biobot data.

9/22/23, Biobot—640 copies, Weiland—718,367 new infections. (x 1122)
6/17/23, Biobot—168 copies, Weiland—185,204 new infections. (x 1102)
12/13/22, Biobot—1,160 copies, Weiland—1,302,041 new infections. (x 1122)

Graph of Estimated Covid Infections/Day US

These are new infections, and we need to multiply these by the average number of days a person is contagious. There’s no easy answer, but I’m using 7 days, based in part on the chart below. 

Abbott BinaxNOW Covid-19 symptom graph

Now we can find the sewage sampling rate that leads to the figure of 1 in 100 people being contagious. It turns out to be 432 copies.

432 x 1100 = about 475,000 new infections 

divided by 333 million people in the U.S. =

about 1 in every 700 people infected today and

divided by 7 days = 1 in 100 contagious today.

Note that individual sampling sites will vary and cannot be directly compared. That is, the absolute numbers may be different, so the 1100 factor will not apply, but overall shapes of the curves will probably be similar, with perhaps even lower points to come in the next few months by a factor of two three.


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How To Find the Good Air

Readers of this blog know how important it is to spend your indoor time in places with good fresh air ventilation, which equals less virus and air contaminants of all kinds. At your indoor workplace and at your home, you have some control of the amount of fresh air, but what about all the other places you go? You can choose to frequent places with good fresh air! Here are some tips:

Fresh Air Meters

Of course, the most accurate way to tell is with a Safetulator Fresh Air Meter (see Apr. 29, 2022 blog post). These devices measure carbon dioxide (CO2) in the air. This odorless gas exists in the atmosphere in a concentration of about 0.04%, but it is in our exhaled breath at levels 100 times higher! The CO2 levels in a room come to a balance point between the high CO2 levels exhaled from people and the very low CO2 level coming in with the fresh air ventilation. The balance point - the measured concentration - can tell us the amount of fresh air per person. This is exactly what we want to know, since the more fresh air coming in (and exhaust air going out), the more this air dilutes the amount of viruses and other contaminants in the air. The Safetulator meters give simple color-coded results, and if it’s “in the green” then the air is meeting the fresh air safety standards.

The Nose Knows

If you don’t have a meter, most people can detect high air contaminant levels just by the smell. Poorly-ventilated spaces include a hardware store with a smell of pesticides, and an airplane cabin with an artificial chemical smell. Strong good smells also indicate poor ventilation, as in a restaurant with strong cooking smells, and a leather store with a strong and wonderful smell of leather.

Photo of leather store

Restaurants

Restaurants can have very good or very bad fresh air, or anywhere in between. Here is how restaurant ventilation works: Every restaurant that cooks food has a large exhaust hood over the cooking equipment. The fans in this hood system exhaust a large amount of air from the kitchen, as required by the building codes. If air goes out, air must come in, and this outdoor make-up air sometimes comes in directly to the kitchen. If this is the case, it tells us nothing about the amount of fresh air in the dining area full of people. In other restaurants, most or all of the make-up air comes directly into the dining area, and then some of the dining room air goes into the kitchen to make up for the exhaust air. In this case, the dining area can have excellent fresh air. The bigger the hood, and the smaller the dining area, the better will be the fresh air.

The Chipotle chain of restaurants is an example of the second, good fresh air design. They typically have these funky big round “nozzles” blowing fresh air into the dining area, and the CO2 levels are in the green.

Photo of Chipotle restaurant

Urgent Care Centers

Given any type of building, some will be good, some not so good for fresh air. Urgent care centers are examples. You might think that any health care operation would have good air, but that is not the case! One of our local urgent care centers has a crowded waiting room with CO2 levels that I have never measured in the green. Another one, Convenient MD, has a discrete CO2 sensor on the waiting room wall which probably means they are continuously regulating the amount of fresh air to give more fresh air when there are more people waiting, and vice versa. I have been there a couple of times, and the CO2 was in the green or right on the edge. In addition, they have an air purifier in each room, so the overall air quality that I have measured has always been well into the green. Now that’s more like it!

Photo of air purifier

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Getting Close to the Edge of the Woods

March 11th marked four years since the World Health Organization declared the “novel coronavirus” to be a world-wide pandemic. We’ll have future stories on this history and the lessons learned, or not learned, from the past four years, but for now, here is a current status report.

People walking in the woods

It’s been four years, and yet, still more than a thousand people a week in the U.S. are dying of the disease (2% of all deaths), (https://covid.cdc.gov/covid-data-tracker/#datatracker-home). The vast majority of these deaths are from the 65 million people who are either 65 and older, or those whose immune system is compromised. And among those surviving their experiences with covid-19 and vaccinations, there are at least 17 million Americans who suffer from “Long Covid”. https://www.theguardian.com/world/2024/mar/15/long-covid-symptoms-cdc

There now is a predictable pattern of increased disease during the typical winter, when people spend more time indoors (and we STILL don’t have enough improved fresh air ventilation to make a noticeable dent in the spread of airborne pathogens). People who choose to reduce their risk of another covid-19 infection continue to have good tools available (see Jan. 25, 2024 blog post).

And on the positive side, we can look forward to reduced levels of the virus in circulation, and reduced protective measures needed, starting as soon as the next few weeks.

We still have ongoing good sampling of wastewater for monitoring the levels of covid-19 and other viruses.  In New Hampshire, the graphs for Keene (brown) and Manchester (blue) show that we were at a low level last spring and summer from April through July (below the red line). So maybe only a few more weeks till we get similar conditions in both the locations shown!

NH wastewater graph

And on the national level, the graphs for the Northeast (gold), Midwest (purple), South (red), and West (green) show a similar pattern of medium levels currently, and will probably continue to head downward. 

US wastewater graph

In the meantime, at whatever the levels are, keep the fresh air flowing for reduced airborne illnesses of all kinds!


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A Covid-Free Solar Eclipse

Covid-19 Risk When You Are Outside

The covid topic is just an intro for the real news—the upcoming total solar eclipse on Monday, April 8th.

Since people will be gathering outside in fairly small groups, the risk of spreading covid-19 and other airborne diseases is infinitesimal. Something like one in a million. (Email me for the calculation if you’re interested.) Still, exercise your usual level of care if you are inside buildings before or afterwards, otherwise, just enjoy the eclipse!

The Path of the Eclipse

More than 30 million people live in the eclipse’s path from Texas to Maine, and another four million are expected to travel to be able to see it. I traveled and saw the 2017 eclipse, a memory I will always cherish.

There is an hour-plus of build-up, during which the moon takes an ever-larger bite out of the sun’s disk, then up to four minutes where the entire sun is blocked—that time goes by fast!—and then an hour-plus on the tail end.

Below is a link to the eclipse map—on their website, you can click on a location to get the details, and scroll down further for more in-depth info. The map shows the path of totality between the blue and red lines, with the center (best) locations along the green line.

https://nso.edu/for-public/eclipse-map-2024/

Map with path of the eclipse

The closer you are to the center of the path, the longer is the total eclipse, and the more pure is the image. When you are closer to the edge of the path, a little light leaks around the edge on one side.

Experiencing the Eclipse

Don’t ignore early and late stages. Stand under some trees where the light is glimmering through the leaves and making bright spots on the sidewalk below. Then observe the shape of these bright spots! (Hint—you, and the tree, have created a “camera obscura” with dozens of projected images of the sun on the sidewalk.)

It is only during the few minutes of totality when the earth darkens—but not black like midnight, only like a strange dusk or dawn. The sun’s corona streams out around the edges, and the temperature on earth drops noticeably. Be especially aware of the sounds of nature around you, just before, during, and after totality—you may hear unusual sounds and silences of the birds and insects.

But Will It Be Sunny?

Maybe. For most locations, the chances are it won’t be totally sunny. It’s a roll of the dice.

Here are the historical climate odds for many locations:

https://ncsu.maps.arcgis.com

For example, there are 3:1 odds of being sunny in San Antonio, Texas, but only about 50-50 in Montpelier, Vermont—here is the graph for Montpelier:

Climatological Cloud Conditions graph

Eye Protection

I hope you already know enough to never look at the sun with your bare eyes—or sunglasses, or between your fingers, or through your shirtsleeve, etc.! The few minutes of totality are the ONLY time when it’s safe to look with your bare eyes. Otherwise, special eclipse-darkening film is readily available if you order it now. Binoculars are also useful (with removable darkening film).

Here is a low-cost option—small two-power binoculars with darkening film, $7 from telescope-maker Celestron:

https://www.amazon.com

Solar Safe glasses for eclipse

Is It Worth It?

Yes! This is a chance of a lifetime—well, one of two or three chances of a lifetime, depending on how far you want to travel. The next one, that travels from California to Florida, is two decades away, in 2045!


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Whoops - A Double Hump?

Last time, we looked at the national virus sampling trends, and saw we were on the way down from the winter peak. 

Well, levels are on the rise again in some areas. Still usually at a medium level, but we are not at all in a state of "the coast is clear"!

Here are some graphs, all adjusted to show the most recent six months.

Nationally, levels are rising in the Northeast (orange).

Biobot six months Feb 2024

Vermont and New Hampshire have a mixed bag depending on location. In Vermont, levels in Montpelier (orange) are heading back up.

VT six months Feb 2024

And in New Hampshire, for example, Berlin (orange) is back up at this winter's peak, while Keene (brown) is down almost at a summer level.

NH six months Feb 2024

We didn't pick the colors on these graphs, but it looks like to keep your levels low, don't be orange!


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Over the Hump ...

But Still At High Winter Levels

Biobot graph

The amount of covid-19 virus in nationwide wastewater sampling is on the way down (per Biobot). But still at historically high levels, still affecting hundreds a day with hospitalizations, deaths, and Long Covid that can linger for years. As a reader of this blog, you know that you can be in control of your health and safety — here are some reminders and links:

You CAN be in risky places and still be safe

Even in a place like an airplane, where 100% of monitored flights (via sewage) have at least one person infected with covid-19, you can avoid infection with the right protection. See Oct. 19th, 2023 blog post.

You CAN control your own fresh air — even if you have no ventilation equipment or if it is broken

Start with the simple method of opening windows, and wearing coats if needed. But it’s worth it to reduce the number of all airborne infections by 80% (see Apr. 27th, 2023 blog post). You can optimize the window opening with an accurate Fresh Air Meter — see Dec. 15th, 2023 blog post.

You CAN eliminate virus in the air even without enough fresh air

through the use of properly sized and maintained air purifiers. The maintenance is the biggest key. I have seen many air purifiers in buildings with totally clogged filters, or simply not running at all. And note that the HEPA filters do NOT have to be changed as often as the manufacturer may claim. Our recommended brand, BlueAir, will give you a “dirty filter” signal based on a simple hours counter. Just reset the counter a time or two or three, and don’t change the filter. Local conditions vary, and you don’t need to change the filter until you notice the airflow/noise being less. Or until you get a dirty filter similar to the one in the photo below. (For a full description of air purifiers, see Jan. 11th, 2022 blog post.)

Photo of clean filter

Clean filter

Photo of dirt filter

Ready to change

You CAN ensure a gathering will be without the virus

if everyone has a negative antigen test before coming together. Or you can nip a potential outbreak in the bud by testing everyone in the facility as soon as the first case is discovered, and then isolating those who test positive.  (See Feb. 9th, 2023 blog post.) Then ignore the CDC and if you want to not spread it to others, wait until you have a negative test (therefore not contagious) before going back to work or school. See Aug. 5th, 2022 blog post.

And you CAN avoid “Playing Make-Believe [Denying] Covid”

As a very good LA Time’s article said, it's “the illusion that the pandemic is behind us when it’s actually raging.” The key to facing up to Covid and also stopping its spread is to test yourself if you have ANY symptoms of any illness. Covid-19 symptoms can be just about anything these days, including stomach troubles and even earaches. The correct way to test — overlooked by most people — is to take your first antigen test on the third day of symptoms, and follow it up with another test a day later.


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