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Mike Hoerger, PhD MSCR MBA

@michael_hoerger · Twitter · 2026-08-24 04:01 UTC

23 US states/territories have COVlD outbreaks. You can use this promo code to get 20% off FlowFlex rapid tests. That's the test my family uses and that I give to patients and staff because it has >98% sensitivity. (link in next Tweet)

Mike Hoerger, PhD MSCR MBA

@michael_hoerger · Twitter · 2026-08-22 06:43 UTC

PMC COVlD Update, Week of Aug 24, 2026 (posted 2 days early) The US is experiencing COVlD outbreaks in 23 states/territories (see Alt text). ▪️Largest outbreaks: TX, CA, HI, AK ▪️1 in 136 Americans estimated actively infectious ▪️Highest levels since March 20th 🧵1/11

The US has at least 23 states/territories with COVlD outbreaks. These include much of California, Texas, Alaska, and Hawai’i, as well as the territories of Guam, Puerto Rico, and the U.S. Virgin Islands. Outbreaks are also present in Washington state, Nevada, Arizona, Colorado, Missouri, Illinois, Michigan, Kentucky, Mississippi, Alabama, Georgia, Florida, Virginia, New York, New Jersey, and New Hampshire.
There are likely outbreaks in additional states. The summary statistic of 23 only includes counties with observed data, rather than estimated data. Levels in some Texas counties are so high – on par with the national peak of BA.1 Omicron – that it drives up estimates for counties in neighboring states that lack CDC wastewater monitoring systems. Looking closely at the map, notice other instances of Very High counties in one state driving up estimates of an adjacent county in a neighboring state that lacks data. This shows a clear value of the county-level map over the CDC state map.