I've seen many news articles cite that "the UK variant could be the dominant strain by March". This is emphasized by @CDCDirector.

While
this will likely to be the case, this should not be an automatic cause for concern. Cases could still remain contained.

Here's how: 🧵

One of @CDCgov's own models has tracked the true decline in cases quite accurately thus far.

Their projection shows that the B.1.1.7 variant will become the dominant variant in March. But interestingly... there's no fourth wave. Cases simply level out:

https://t.co/tDce0MwO61
Just because a variant becomes the dominant strain does not automatically mean we will see a repeat of Fall 2020.

Let's look at UK and South Africa, where cases have been falling for the past month, in unison with the US (albeit with tougher restrictions):
Furthermore, the claim that the "variant is doubling every 10 days" is false. It's the *proportion of the variant* that is doubling every 10 days.

If overall prevalence drops during the studied time period, the true doubling time of the variant is actually much longer 10 days.
Simple example:

Day 0: 10 variant / 100 cases -> 10% variant
Day 10: 15 variant / 75 cases -> 20% variant
Day 20: 20 variant / 50 cases -> 40% variant

1) Proportion of variant doubles every 10 days
2) Doubling time of variant is actually 20 days
3) Total cases still drop by 50%
Given these facts, I think headlines along the lines of "CDC warns UK variant could be dominant strain by March" can be misleading.

It has the consequence of instilling fear in the public, who are much more likely to misinterpret it as "there will be another bad wave".
The amount of pessimism still present and being proliferated does not match a reality where:

1) Cases and hospitalizations have fallen by more than half in the past month (and still falling)
2) We have administered the vaccine to 40M+ people, with 1M new vaccinations per day
Of course, there's a very possible scenario that we'll see a fourth wave beginning in mid/late March and peaking in April/May. I'm not trying to downplay that.

But I'm baffled to see such a high level of confidence from the public health community that a fourth wave will happen.
I was told last year that the purpose of restrictions/interventions is to "flatten the curve". That the main goal is to make sure we do not overwhelm our healthcare system.

That messaging seems to have been shifted to "eliminate the curve". Why?
It's possible that selection bias may be at play (i.e. experts that are more confident about a fourth surge will have their voices amplified).

In any case, the future trajectory of the variant is still unclear, at least from the data. It's good to tread with cautious optimism.

More from Society

Two things can be true at once:
1. There is an issue with hostility some academics have faced on some issues
2. Another academic who himself uses threats of legal action to bully colleagues into silence is not a good faith champion of the free speech cause


I have kept quiet about Matthew's recent outpourings on here but as my estwhile co-author has now seen fit to portray me as an enabler of oppression I think I have a right to reply. So I will.

I consider Matthew to be a colleague and a friend, and we had a longstanding agreement not to engage in disputes on twitter. I disagree with much in the article @UOzkirimli wrote on his research in @openDemocracy but I strongly support his right to express such critical views

I therefore find it outrageous that Matthew saw fit to bully @openDemocracy with legal threats, seeking it seems to stifle criticism of his own work. Such behaviour is simply wrong, and completely inconsistent with an academic commitment to free speech.

I am not embroiling myself in the various other cases Matt lists because, unlike him, I think attention to the detail matters and I don't have time to research each of these cases in detail.

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