Has Delta Peaked?

https://www.nytimes.com/2021/09/01/briefing/delta-peak-covid-caseload.html

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Has the Delta-fueled Covid-19 surge in the U.S. finally peaked?

The number of new daily U.S. cases has risen less over the past week than at any point since June, as you can see in this chart:

There is obviously no guarantee that the trend will continue. But there is one big reason to think that it may and that caseloads may even soon decline.

Since the pandemic began, Covid has often followed a regular — if mysterious — cycle. In one country after another, the number of new cases has often surged for roughly two months before starting to fall. The Delta variant, despite its intense contagiousness, has followed this pattern.

After Delta took hold last winter in India, caseloads there rose sharply for slightly more than two months before plummeting at a nearly identical rate. In Britain, caseloads rose for almost exactly two months before peaking in July. In Indonesia, Thailand, France, Spain and several other countries, the Delta surge also lasted somewhere between 1.5 and 2.5 months.

And in the U.S. states where Delta first caused caseloads to rise, the cycle already appears to be on its downside. Case numbers in Arkansas, Florida, Louisiana, Mississippi and Missouri peaked in early or mid-August and have since been falling:

We have asked experts about these two-month cycles, and they acknowledged that they could not explain it. “We still are really in the cave ages in terms of understanding how viruses emerge, how they spread, how they start and stop, why they do what they do,” Michael Osterholm, an epidemiologist at the University of Minnesota, said.

But two broad categories of explanation seem plausible, the experts say.

One involves the virus itself. Rather than spreading until it has reached every last person, perhaps it spreads in waves that happen to follow a similar timeline. How so? Some people may be especially susceptible to a variant like Delta, and once many of them have been exposed to it, the virus starts to recede — until a new variant causes the cycle to begin again (or until a population approaches herd immunity).

The second plausible explanation involves human behavior. People don’t circulate randomly through the world. They live in social clusters, Jennifer Nuzzo, a Johns Hopkins epidemiologist, points out. Perhaps the virus needs about two months to circulate through a typically sized cluster, infecting the most susceptible — and a new wave starts when people break out of their clusters, such as during a holiday. Alternately, people may follow cycles of taking more and then fewer Covid precautions, depending on their level of concern.

Whatever the reasons, the two-month cycle predated Delta. It has repeated itself several times in the U.S., including both last year and early this year, with the Alpha variant, which was centered in the upper Midwest:

We want to emphasize that cases are not guaranteed to decline in coming weeks. There have been plenty of exceptions to the two-month cycle around the world. In Brazil, caseloads have followed no evident pattern. In Britain, cases did decline about two months after the Delta peak — but only for a couple of weeks. Since early August, cases there have been rising again, with the end of behavior restrictions likely playing a role. (If you haven’t yet read this Times dispatch about Britain’s willingness to accept rising caseloads, we recommend it.)

In the U.S., the start of the school year could similarly spark outbreaks this month. The country will need to wait a few more weeks to know. In the meantime, one strategy continues to be more effective than any other in beating back the pandemic: “Vaccine, vaccine, vaccine,” as Osterholm says. Or as Nuzzo puts it, “Our top goal has to be first shots in arms.”

The vaccine is so powerful because it keeps deaths and hospitalizations rare even during surges in caseloads. In Britain, the recent death count has been less than one-tenth what it was in January.

In a few countries, vaccination rates have apparently risen high enough to break Covid’s usual two-month cycle: The virus evidently cannot find enough new people to infect. In both Malta and Singapore, this summer’s surge lasted only about two weeks before receding.

More on the virus:

Two top F.D.A. vaccine regulators — upset by President Biden’s announcement that adults should get coronavirus vaccine boosters — will leave the agency.

A New Jersey woman who used the Instagram handle @AntiVaxMomma was charged with selling fake vaccine cards.

Tom Wolf, Pennsylvania’s Democratic governor, will require mask-wearing in schools.

Biden, in a forceful speech, said “the real choice” in Afghanistan was “between leaving or escalating” and called the evacuation a success. (Read the transcript.)

The U.S. will help vulnerable Afghans escape, Biden said. The Taliban said it would let Afghans with passports and visas leave.

This is how the C.I.A. left its last base in Afghanistan. And The Times’s Tyler Hicks photographed Afghanistan before the fall.

The Taliban must now govern a poor country facing food insecurity, and the U.S. must decide how much to help.

An Afghan interpreter helped then-Senator Biden in Afghanistan 13 years ago. Now he’s asking Biden to save him and his family, The Wall Street Journal reports.

Despite the efforts of thousands of firefighters, the Caldor fire is quickly advancing toward Lake Tahoe.

With stifling heat forecast, Louisiana officials urged those who fled Hurricane Ida to stay away.

Parts of greater New Orleans could see power restored tonight. Hundreds of thousands of people are still without water.

Texas’ near-ban on abortion went into effect after the Supreme Court didn’t take action on a request to block the law.

And Texas Republicans passed a bill to restrict mail voting and empower partisan poll watchers. Gov. Greg Abbott said he would sign it.

A lawyer defending people charged in the Capitol riot has stopped showing up in court. Officials don’t know where he is.

Germany’s election campaign — to replace Chancellor Angela Merkel after 16 years — is in its final month. The two leading candidates are anything but exciting.

A string of fatal overdoses reflects a dangerous trend: cocaine laced with fentanyl.

Mike Richards is out as the executive producer of “Jeopardy!” after several scandals during his brief tenure.

After 20 years, investigators in Florida say they have identified the killer of three women.

The Patriots cut the quarterback Cam Newton. He missed practices last week after a mix-up over health protocols.

“I thought my service alongside the Americans meant I would be saved when they left,” Rasheed, an Afghan, writes in The Times.

This was supposed to be a “Summer of Freedom.” It was not, Jennifer Finney Boylan says.

Migas: Are these Austin’s best breakfast tacos?

Profit and pain: The silent partner cleaning up Facebook for $500 million a year.

Fermi problems: How to solve any problem using common sense.

Advice from Wirecutter: Eyeing an air fryer? Try a convection toaster oven instead.

Lives Lived: Lee (Scratch) Perry was an influential reggae artist and a mentor to Bob Marley. With a four-track tape recorder in his Jamaican home studio, Perry opened sonic vistas and cultivated the image of a mad genius. He died at 85.

What happens to works of art that turn out to be fake? In many cases, they re-enter the market: One art dealer has been offered the same fake Egon Schiele painting 10 times by 10 different collectors.

Since what determines a fake is often nothing more than an expert’s opinion, owners who have paid a lot for a work are not always ready to believe that they have been duped. Many of the works are recycled to unsuspecting buyers, as Milton Esterow reports in The Times. Some universities also have fakes in their collections that they use as study tools.

“We have about 1,000 objects that were donated as fakes by dealers, collectors and auction houses,” Margaret Ellis, a professor emerita at New York University, said, adding, “These help students know what they are looking at and can be extremely educational when you put them side by side with the real work.”

Perhaps the most interesting fate for an art fake is to become set dressing in F.B.I. stings. The agency keeps thousands of fakes in storage — and once used six in a case that involved five bikini-clad undercover agents, a yacht off the coast of Florida and two very real French mobsters. Read more. — Sanam Yar, a Morning writer

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Five minutes that will make you love the trumpet.

In his latest novel, “The Magician,” Colm Toibin imagines the life of Thomas Mann, the Nobel Prize-winning author.

A boxing film from India, a breezy French romantic comedy and a charming Tunisian indie are worth streaming.

The pangram from yesterday’s Spelling Bee was weighty. Here is today’s puzzle — or you can play online.

Here’s today’s Mini Crossword, and a clue: Fit for a king (five letters).

If you’re in the mood to play more, find all our games here.

Thanks for spending part of your morning with The Times. See you tomorrow. — David

P.S. “War began at 5 o’clock this morning,” The Times reported on the front page 82 years ago, after Nazi Germany invaded Poland.

Here’s today’s print front page.

“The Daily” is about education in the pandemic. On “The Argument,” a debate about the death penalty.

Lalena Fisher, Claire Moses, Ian Prasad Philbrick, Tom Wright-Piersanti and Sanam Yar contributed to The Morning. You can reach the team at themorning@nytimes.com.

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