Scientists predict Omicron will peak in the US in mid-January but still may overwhelm hospitals

NEW YORK (NYTIMES) – With the news that South Africa has passed the peak of its coronavirus cases caused by the Omicron variant, scientists are projecting that the United States’ sharp increase in cases will crest as soon as the middle of January.

Over the past month, the Omicron variant has spread around the world with astonishing speed, even among people who are vaccinated or who had recovered from previous infections. On Thursday (Dec 30), the US surpassed 580,000 cases, beating the record set only a day before.

That is believed to be a vast undercount, because of testing shortages, the popularity of at-home tests and reporting delays over the holidays. What’s more, a significant number of people may have asymptomatic infections and never know it.

New estimates from researchers at Columbia University suggest that the US could peak by Jan 9 at around 2.5 million cases per week, although that number may go as high as 5.4 million.

In New York City, the first US metropolis to see a major surge, the researchers estimated that cases would peak by the first week of the new year.

“It’s shocking. It’s disturbing,” said Dr Jeffrey Shaman, a public health researcher who led the Columbia modelling work. “We’re seeing unprecedented numbers of Covid-19 cases.”

The variant is significantly milder than Delta and other versions of the virus and is far less likely to lead to hospitalisations, according to data from South Africa and preliminary data from Britain released Friday.

Still, the enormous numbers of people getting simultaneously infected could greatly strain hospitals, experts said, especially in places with lower vaccination rates or in places where hospitals are already overburdened. Just how much of a burden the variant will be, however, depends on how quickly it will burn out in particular communities, especially in large cities.

Those complex transmission dynamics have been maddeningly difficult to predict with precision.

Another model, released by a research group from the University of Washington last week, estimated that the United States would reach a peak in cases by the end of January. But even those researchers are now rethinking their projections based on Omicron’s rapid spread.

“We are realising right now monitoring the data that the peak is going to come much faster,” said Dr Ali Mokdad, a public health researcher at the University of Washington. “My guess is it will happen before mid-January.”

The numbers are increasing so quickly that some public health researchers say modelling isn’t even necessary to see where things are headed. “You don’t even need a model for this,” said Dr William Hanage, a public health researcher at the Harvard T.H. Chan School of Public Health.

There are some reasons to think that the variant’s behaviour in the US might be different than in other countries. In South Africa, for example, the population is much younger, and a large proportion had been infected by earlier waves of the virus. In Britain, the vaccination rate for older people is much higher than in the US.

And although Omicron causes milder illness than previous variants, surging cases could send more people to the hospital.


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