What’s all this talk about a “second wave” of U.S. coronavirus cases?
About 120,000 Americans have died from the new virus and daily counts of new cases in the U.S. are the highest they’ve been in more than a month, driven by alarming recent increases in the South and West.
But many public health experts say “second wave” is probably the wrong term to describe what’s happening.
“When you have 20,000-plus infections per day, how can you talk about a second wave?” said Dr. Anthony Fauci of the National Institutes of Health. “We’re in the first wave. Let’s get out of the first wave before you have a second wave.”
Clearly there was an initial infection peak in April. After schools and businesses were closed across the country, the rate of new cases dropped somewhat.
But “it’s more of a plateau, or a mesa,” not the trough after a wave, said Caitlin Rivers, a disease researcher at Johns Hopkins University’s Center for Health Security.
Scientists generally agree the nation is still in its first wave of coronavirus infections, albeit one that’s dipping in some parts of the country while rising in others.
“This virus is spreading around the United States and hitting different places with different intensity at different times,” said Dr. Richard Besser, chief executive of the Robert Wood Johnson Foundation who was acting director of the Centers for Disease Control and Prevention when a pandemic flu hit the U.S. in 2009.
Flu seasons sometimes feature a second wave of infections. But in those cases, the second wave is a distinct new surge in cases from a strain of flu that is different than the strain that caused earlier illnesses.
That’s not the case in the coronavirus epidemic.
Besser said wording matters because saying a first wave has passed may give people a false sense that the worst is over.
Some worry a large wave of coronavirus might occur this fall or winter – after schools reopen, the weather turns colder and less humid, and people huddle inside more. That would follow seasonal patterns seen with flu and other respiratory viruses.
“It’s very difficult to make a prediction,” Rivers said. “We don’t know the degree to which this virus is seasonal, if at all.”
