Scientific article
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Projected resurgence of COVID-19 in the United States in July-December 2021 resulting from the increased transmissibility of the Delta variant and faltering vaccination

Published ineLife, vol. 11, e73584
Publication date2022-06-21
First online date2022-06-21
Abstract

In Spring 2021, the highly transmissible SARS-CoV-2 Delta variant began to cause increases in cases, hospitalizations, and deaths in parts of the United States. At the time, with slowed vaccination uptake, this novel variant was expected to increase the risk of pandemic resurgence in the US in summer and fall 2021. As part of the COVID-19 Scenario Modeling Hub, an ensemble of nine mechanistic models produced 6-month scenario projections for July-December 2021 for the United States. These projections estimated substantial resurgences of COVID-19 across the US resulting from the more transmissible Delta variant, projected to occur across most of the US, coinciding with school and business reopening. The scenarios revealed that reaching higher vaccine coverage in July-December 2021 reduced the size and duration of the projected resurgence substantially, with the expected impacts was largely concentrated in a subset of states with lower vaccination coverage. Despite accurate projection of COVID-19 surges occurring and timing, the magnitude was substantially underestimated 2021 by the models compared with the of the reported cases, hospitalizations, and deaths occurring during July-December, highlighting the continued challenges to predict the evolving COVID-19 pandemic. Vaccination uptake remains critical to limiting transmission and disease, particularly in states with lower vaccination coverage. Higher vaccination goals at the onset of the surge of the new variant were estimated to avert over 1.5 million cases and 21,000 deaths, although may have had even greater impacts, considering the underestimated resurgence magnitude from the model.

Keywords
  • COVID-19
  • Delta variant
  • SARS-CoV-2
  • Disease modeling
  • Epidemiology
  • Global health
  • Human
  • Pandemic
  • Scenario projection
  • COVID-19 / epidemiology
  • COVID-19 / prevention & control
  • Humans
  • Pandemics / prevention & control
  • SARS-CoV-2 / genetics
  • United States / epidemiology
  • Vaccination
Affiliation entities Not a UNIGE publication
Funding
  • NIGMS NIH HHS [U24 GM132013]
  • NIGMS NIH HHS [R01 GM140564]
  • NCIRD CDC HHS [U01 IP001137]
  • NIGMS NIH HHS [R01 GM109718]
  • NIAID NIH HHS [R01 AI163023]
  • United States Department of Health and Human Services [6U01IP001137]
  • Council of State and Territorial Epidemiologists [NU38OT000297]
  • National Science Foundation [OAC-2027541]
  • Defense Threat Reduction Agency [S-D00189-15-TO-01-UVA]
  • Models of Infectious Disease Agent Study [MIDASUP-05]
  • National Institutes of Health [R01GM109718]
  • Centers for Disease Control and Prevention [75D30119C05935]
  • National Institute of General Medical Sciences [5U24GM132013-02]
  • Virginia Department of Health [VDH-21-501-0135]
  • Swiss National Science Foundation - Optimal control of intervention strategies for waterborne disease epidemics [172578]
Citation (ISO format)
TRUELOVE, Shaun et al. Projected resurgence of COVID-19 in the United States in July-December 2021 resulting from the increased transmissibility of the Delta variant and faltering vaccination. In: eLife, 2022, vol. 11, p. e73584. doi: 10.7554/eLife.73584
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Article (Published version)
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Identifiers
Additional URL for this publicationhttps://elifesciences.org/articles/73584
Journal ISSN2050-084X
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