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Summer Plans + Outbreak Outlook COVID HOSPITALIZATION REPORTING ENDNortheast editionbY Dr. Caitlin Rivers (Reprinted with permission)
Welcome to the Northeast edition of Outbreak Outlook! It is only available to paid subscribers. If you wish to become a paid subscriber and access region-specific information, please click the Subscribe now button below. Thanks for reading! -Caitlin Summer PlansImportant note: As summer approaches, the availability of data on respiratory diseases has dwindled. Influenza-like illness reporting is paused in most states, and Covid-19 hospitalization reporting has ended. This means there is less for me to cover in Outbreak Outlook. While I plan to continue to provide weekly updates for paid subscribers, I’m going to put them into a single report rather than the usual four regional reports for the summer months. Expect these updates to be less detailed until the fall when regular data collection and reporting resume. Respiratory DiseasesILIInfluenza and influenza-like illness is taking its summer break. Very few people are ending up at the doctor’s office or other outpatient clinical settings for influenza-like illness. New Jersey has been reporting rates noticeably higher than its neighbors for the past several weeks (3.09% compared to <1.75% in every other state in the region), but I expect it to catch up in the next several weeks. Spotlight on New York: Influenza-like illness at the state level is very low at 1.1%. There was a slight increase in the Western part of the state, but still below 2%. ILI in the city is quite a bit higher at 4%, but it is declining (slowly). Similarly, very few people are being hospitalized for influenza in the Northeast. Two Northeastern states contribute to the CDC’s sentinel surveillance: Connecticut and New York. Connecticut reported 0.4 influenza-related admissions per 100,000 population, and New York reported 0.7. COVID-19Hospitalization data looks a bit different this week because, as of May 1, hospitals are no longer required to report Covid-19 or influenza hospital admissions. While they can report voluntarily, this past week ~1% of hospitals in most states did so. As such, the data presented here are from the CDC’s sentinel surveillance network (RESP-NET) that pulls from a subset of hospitals in a sample of states and covers ~10% of the U.S. population. The quiet spell continues with Covid-19, with low levels in the wastewater, and few people ending up in the emergency department or hospitalized. Wastewater data show very low concentrations of Covid-19 in the Northeast. Covid-19 is sending very few people to the emergency department – Covid-19 accounts for <0.5% of ED visits across the Northeast (the CDC categorizes anything <1.5% as “minimal”). Hospitalizations for Covid-19 similarly remain quite low in the Northeast, with the two states that contribute to the CDC’s sentinel surveillance network (Connecticut and New York) reporting that they admitted between 1 and 2 cases to the hospital per 100,000 population
Wastewater concentration by region. Source: CDC Stomach BugsSome good news! There was a nice drop-off this past week in test positivity for norovirus in the Northeast, down to roughly 8% from around 10% the week before. Food recallsThe following foods are being recalled because they are contaminated. Please check your cupboards and throw out any of these items: New
Previously reported:
In other news
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(This is for all you Moms out there. We know what you go through!)
“HEY MOM!”
Hey Mom– Bring me two waters so I’m set?
Where’s my underarmor? And my visor?
Are my tights washed? My skates are dull.
Hey Mom, can you call the advisor?
Hey Mom, I wasn’t yelling at you.
I didn’t mean to! You were yelling at me!
You never let me do anything my friends do
Hey Mom, would you chill, lighten up, just do!
Hey Mom, I don’t like the way this looks for the prom –
I don’t like the color, how could you think this was me?
I just can’t wear this, it’s this, it’s that it’s…Oh, Mom!?!
Hey Mom, I’ve been studying all morning getting knowledge.
Can’t I go out, I’ll be back by ten?
But, I know the material, gone over it again and again.
Oh, Mom – I hate my life! I can hardly wait until college.
Hey Mom – But I did call and let you know
Don’t you understand, I couldn’t call at that time.
No, you can’t not let me go – it’s a great band
Oh, Mom – I hate you! You never understand!
Hey, Mom, please don’t embarrass me at the game
By screaming so loud, it’s just so tacky
But, hey mom, I like that you’re over there in the stand
Watching me play, you know that don’t you Mom, you understand?
Hey Mom, can you get me to the rink
At 5 – I know you have to take off from work early?
Thanks, Mom, I’m so sorry but the team has a special thing
I have to be there, thanks Mom – I love you—really.
Hey, Mom, please when you pick me up at the dorm
Don’t come inside. Just wait outside, call me on the cell
I’ll be right down — it’s the norm.
Don’t ring the bell!
Hey, Mom, I’ve read the classifieds
There are no jobs, I can’t make all those calls.
Well, OK, I guess I can send that resume you made for me (sigh).
OK, I’m lost, where’s the post office, down Lexington to what?
Hey Mom, well I’m bringing my friends by,
Don’t let Dad embarrass me with his jokes, OK?
I’ll just die if he’s silly again — you won’t let him do that?
You’ll talk to him about that?
All right, Mom I’ll take that extra course.
But I’ve just been going to school for months it never ends!
Can’t I have a little vacation, I don’t know what’s worse
Can’t I spend a little time with my friends?
You do like him, Mom?
Oh, I hoped you would.
Yes, I really do
I am so glad you do too!
Hey Mom, can you take care of the kids this weekend?
We’re going to Vermont with a friend.
And Mom, the cats get kibble in morning and meat at night,
We love you mom, sorry for the short notice, talk to you tonight.
Hey Mom, I’m sorry I can’t see you Mother’s Day.
Are you all right, what will you be doing today?
Going to a play – great – you know we love you in every way?
Though we may not show it you’re always with us
even when you’re away. 









