Once again, long COVID is being forgotten in one of these blanket statements.
Saw this last week, and had intended to comment on it. Coming back around to it now.
Counting stats in the U.S. have clearly established that case counts and deaths are now decoupled -- deaths no longer follow the same curve as case counts. Even if all the home-tested cases are added to the counts, that point would just be stronger -- multiply the case counts by 7 (say) while the deaths remain the same and the result is that the two are even further decoupled.
Don't have hard stats on this, but tentatively it also looks like case counts and hospitalizations are generally decoupled (though I saw
belljr's recent post about hospitalizations recently rising in NJ). Most of what I have to by here is anecdotal and impressionistic -- one-off reports (though a lot of them) from various places online that "
our ER has slowed way down", "
we've repurposed out COVID wards", "
we've converted the negative-pressure rooms back to regular rooms", and so forth. At worst, though, I think we can safely say that
as a collective, hospitals are far less stressed by COVID
right now than they were the last time case counts were at the level they were a week or two ago (during the late July 2021 as Delta was ramping up). And again, current "hidden" cases makes the decoupling all the more stark.
So, about long COVID. I am starting to think -- based on the points above -- that there's a general "rule" taking shape that all negative outcomes in general are decoupled from case counts. IOW, back in the pre-vaccine days, you could track the case count curve and watch as the hospitalization curve took on a similar shape, then deaths. If a definition for long COVID had been settled upon and then tracked/counted at the patient level, it's likely that it would also have followed the case count curve back then.
Without stats to back it up: I think that right now, long COVID rates (where "
all COVID infections, detected or not" is the denominator) are also decoupled from case counts. In the same way that deaths are definitely decoupled, and hospitalizations are apparently decoupled. Doubtlessly, we are truly flying blind right now until there's some bigger/better studies into long COVID. However, it makes intuitive sense to me that ALL the negative results -- annoying acute symptoms, long COVID, hospitalizations, and deaths -- move in generally the same way (percentages diminishing) as positive outcomes (asymptomatic infection, "off the grid" low-symptom infections) have taken off in the U.S.'s current environment where something like 80% of Americans (perhaps more) have some kind of immunological COVID protection -- whether from vaccinations, prior infections, or both.