Mike Hoerger, PhD, MSCR, MBA's Avatar

Mike Hoerger, PhD, MSCR, MBA

@michael-hoerger.bsky.social

Expert in weighing medical evidence, cancer, COVID forecasting & mitigation, health disparities, financial analytics. 120 publications. PhD program director. Cancer center program leader. pmc19.com/data psychmike.com

9,184 Followers  |  4,212 Following  |  293 Posts  |  Joined: 14.11.2024
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Posts by Mike Hoerger, PhD, MSCR, MBA (@michael-hoerger.bsky.social)

PMC

PMC

Announcement #5:

SAVE THE DATE (Wed, Mar 11, 3PM ET)
We plan to host a town hall style meeting to discuss findings from the 2026 PMC Dashboard Survey.

We are waiting on confirmation from IT. Details forthcoming.
pmc19.com/data
8/8 🧡

02.03.2026 06:42 β€” πŸ‘ 8    πŸ” 3    πŸ’¬ 0    πŸ“Œ 0
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Michael Hoerger, PhD, MSCR, MBA on Instagram: "March 2, 2026 - PMC COVlD Update (U.S.) We estimate β‰ˆ650,000 new daily infections nationwide. This week marks the 3rd consecutive month of this 12th wav... 24 likes, 0 comments - michael_hoerger on March 1, 2026: "March 2, 2026 - PMC COVlD Update (U.S.) We estimate β‰ˆ650,000 new daily infections nationwide. This week marks the 3rd consecutive month of th...

Announcement #4:

Phytocene, a musician who performs masked, released a single that is the backdrop of our PMC Instagram post this week.
😷🎢🎢🎢
www.instagram.com/p/DVX0Ojkjv1R/

7/8 🧡

02.03.2026 06:42 β€” πŸ‘ 8    πŸ” 3    πŸ’¬ 1    πŸ“Œ 0
Preview
Vote for Bailey to be featured on the cover of Muscle & Fitness HERS! True fitness is inclusive. By training in a respirator mask, I hope to demonstrate that access, health & dignity belong to everyone.

Announcement #3:

Dr. Bailey (@drbaileydevine-phd.bsky.social) is approaching the end of a multi-stage battle to pose masked on the cover of a fitness magazine.

Vote daily.
mshealthandfit.com/2026/bailey
6/8 🧡

02.03.2026 06:42 β€” πŸ‘ 6    πŸ” 3    πŸ’¬ 2    πŸ“Œ 0
Preview
Welcome! You are invited to join a meeting: Long COVID Defense Series III. After registering, you will receive a confirmation email about joining the meeting. Welcome! You are invited to join a meeting: Long COVID Defense Series III. After registering, you will receive a confirmation email about joining the meeting.

Announcement #2:

MaskTogetherAmerica (@togetherwemask.bsky.social) is hosting a talk on Long COVID on Wednesday, March 4, from 4:30-9:30 PM Eastern.

Register in advance. I will give the opening remarks.
us06web.zoom.us/meeting/regi...
5/8 🧡

02.03.2026 06:42 β€” πŸ‘ 6    πŸ” 5    πŸ’¬ 1    πŸ“Œ 1

Announcement #1:

We recently published an article in JAMA-NO on the importance of multilayered COVlD mitigation in cancer.
4/8 🧡
bsky.app/profile/mich...

02.03.2026 06:42 β€” πŸ‘ 6    πŸ” 4    πŸ’¬ 1    πŸ“Œ 0
12 waves

12 waves

Barometer, described in post

Barometer, described in post

Year over year graph, described in post

Year over year graph, described in post

Forecast, described in post

Forecast, described in post

In the year-over-year graph, notice that transmission has subsided from mid-Feb to early Mar each of the past 5 years. This tracks with our forecast.

Levels are getting lower relative to recent months but "average" relative to the past year & pandemic.
3/8 🧡

02.03.2026 06:42 β€” πŸ‘ 5    πŸ” 2    πŸ’¬ 1    πŸ“Œ 0
Alabama	High	1 in 37 (2.7%)
Alaska	Low	1 in 67 (1.5%)
Arizona	Very Low*	1 in 163 (0.6%)
Arkansas	Very Low*	1 in 118 (0.8%)
California	Very Low	1 in 208 (0.5%)
Colorado	Very Low	1 in 197 (0.5%)
Connecticut	High	1 in 38 (2.6%)
Delaware	High	1 in 36 (2.8%)
District of Columbia	Very Low	1 in 303 (0.3%)
Florida	Very Low	1 in 119 (0.8%)
Georgia	Low	1 in 75 (1.3%)
Guam	Very Low	1 in 213 (0.5%)
Hawaii	Very Low	1 in 148 (0.7%)
Idaho	Low	1 in 81 (1.2%)
Illinois	Very High	1 in 28 (3.5%)
Indiana	High*	1 in 35 (2.9%)
Iowa	Moderate	1 in 44 (2.3%)
Kansas	Low	1 in 66 (1.5%)
Kentucky	Low	1 in 70 (1.4%)
Louisiana	Low	1 in 95 (1.0%)
Maine	High	1 in 32 (3.2%)
Maryland	High	1 in 39 (2.6%)
Massachusetts	Moderate	1 in 57 (1.8%)
Michigan	Moderate	1 in 53 (1.9%)
Minnesota	High	1 in 39 (2.6%)
Mississippi	Very High*	1 in 26 (3.8%)

Alabama High 1 in 37 (2.7%) Alaska Low 1 in 67 (1.5%) Arizona Very Low* 1 in 163 (0.6%) Arkansas Very Low* 1 in 118 (0.8%) California Very Low 1 in 208 (0.5%) Colorado Very Low 1 in 197 (0.5%) Connecticut High 1 in 38 (2.6%) Delaware High 1 in 36 (2.8%) District of Columbia Very Low 1 in 303 (0.3%) Florida Very Low 1 in 119 (0.8%) Georgia Low 1 in 75 (1.3%) Guam Very Low 1 in 213 (0.5%) Hawaii Very Low 1 in 148 (0.7%) Idaho Low 1 in 81 (1.2%) Illinois Very High 1 in 28 (3.5%) Indiana High* 1 in 35 (2.9%) Iowa Moderate 1 in 44 (2.3%) Kansas Low 1 in 66 (1.5%) Kentucky Low 1 in 70 (1.4%) Louisiana Low 1 in 95 (1.0%) Maine High 1 in 32 (3.2%) Maryland High 1 in 39 (2.6%) Massachusetts Moderate 1 in 57 (1.8%) Michigan Moderate 1 in 53 (1.9%) Minnesota High 1 in 39 (2.6%) Mississippi Very High* 1 in 26 (3.8%)

Infections										
Proportion Actively Infectious										1 in 76 (1.3%)
New Daily Infections										 645,000 
Infections the Past Week										 4,720,000 
Infections in 2026										 51,000,000 
Cumulative Infections per Person										 5.09 
										
Long COVlD										
Long COVlD Cases Resulting from New Daily Infections										32,000 to 129,000
Long COVlD Cases Resulting   from New Weekly Infections										236,000 to 940,000
										
Excess Deaths										
Excess Deaths Resulting from New Daily Infections										180 to 310
Excess Deaths Resulting from New Weekly Infections										1,300 to 2,200

Infections Proportion Actively Infectious 1 in 76 (1.3%) New Daily Infections 645,000 Infections the Past Week 4,720,000 Infections in 2026 51,000,000 Cumulative Infections per Person 5.09 Long COVlD Long COVlD Cases Resulting from New Daily Infections 32,000 to 129,000 Long COVlD Cases Resulting from New Weekly Infections 236,000 to 940,000 Excess Deaths Excess Deaths Resulting from New Daily Infections 180 to 310 Excess Deaths Resulting from New Weekly Infections 1,300 to 2,200

Missouri	Low*	1 in 104 (1.0%)
Montana	Very Low	1 in 133 (0.8%)
Nebraska	High	1 in 34 (3.0%)
Nevada	Very Low	1 in 143 (0.7%)
New Hampshire	Low	1 in 81 (1.2%)
New Jersey	Moderate	1 in 45 (2.2%)
New Mexico	Very Low	1 in 179 (0.6%)
New York	High*	1 in 29 (3.4%)
North Carolina	Low	1 in 92 (1.1%)
North Dakota	High*	1 in 39 (2.6%)
Ohio	Moderate	1 in 62 (1.6%)
Oklahoma	Moderate*	1 in 51 (1.9%)
Oregon	Very Low	1 in 176 (0.6%)
Pennsylvania	Low*	1 in 72 (1.4%)
Rhode Island	High	1 in 41 (2.5%)
South Carolina	Low	1 in 93 (1.1%)
South Dakota	Very High	1 in 23 (4.4%)
Tennessee	Low	1 in 70 (1.4%)
Texas	Low	1 in 95 (1.1%)
Utah	Low	1 in 69 (1.4%)
Vermont	Moderate	1 in 53 (1.9%)
Virginia	Low	1 in 98 (1.0%)
Washington	Low	1 in 89 (1.1%)
West Virginia	Very High	1 in 15 (6.5%)
Wisconsin	High	1 in 40 (2.5%)
Wyoming	Very Low	1 in 150 (0.7%)

Missouri Low* 1 in 104 (1.0%) Montana Very Low 1 in 133 (0.8%) Nebraska High 1 in 34 (3.0%) Nevada Very Low 1 in 143 (0.7%) New Hampshire Low 1 in 81 (1.2%) New Jersey Moderate 1 in 45 (2.2%) New Mexico Very Low 1 in 179 (0.6%) New York High* 1 in 29 (3.4%) North Carolina Low 1 in 92 (1.1%) North Dakota High* 1 in 39 (2.6%) Ohio Moderate 1 in 62 (1.6%) Oklahoma Moderate* 1 in 51 (1.9%) Oregon Very Low 1 in 176 (0.6%) Pennsylvania Low* 1 in 72 (1.4%) Rhode Island High 1 in 41 (2.5%) South Carolina Low 1 in 93 (1.1%) South Dakota Very High 1 in 23 (4.4%) Tennessee Low 1 in 70 (1.4%) Texas Low 1 in 95 (1.1%) Utah Low 1 in 69 (1.4%) Vermont Moderate 1 in 53 (1.9%) Virginia Low 1 in 98 (1.0%) Washington Low 1 in 89 (1.1%) West Virginia Very High 1 in 15 (6.5%) Wisconsin High 1 in 40 (2.5%) Wyoming Very Low 1 in 150 (0.7%)

National risk table:

Number of People		Chances Anyone is Infectious				
1				1.3%		
2				2.6%		
3				3.9%		
4				5.2%		
5				6.4%		
10				12.4%		
15				18.0%		
20				23.3%		
25				28.2%		
30				32.8%		
50				48.5%		
75				63.0%		
100				73.5%		
200				93.0%		
300				98.1%

National risk table: Number of People Chances Anyone is Infectious 1 1.3% 2 2.6% 3 3.9% 4 5.2% 5 6.4% 10 12.4% 15 18.0% 20 23.3% 25 28.2% 30 32.8% 50 48.5% 75 63.0% 100 73.5% 200 93.0% 300 98.1%

πŸ”₯COVlD Hot Spots:
πŸ”ΉMD: 1 in 39 actively infectious
πŸ”ΉMN: 1 in 39
πŸ”ΉNY: 1 in 39*
πŸ”ΉND: 1 in 39*
πŸ”ΉCT: 1 in 38
πŸ”ΉAL: 1 in 37
πŸ”ΉDE: 1 in 36
πŸ”ΉIN: 1 in 35*
πŸ”ΉNE: 1 in 34
πŸ”ΉME: 1 in 32
πŸ”ΉIL: 1 in 28
πŸ”ΉMS: 1 in 26*
πŸ”ΉSD: 1 in 23
πŸ”ΉWV: 1 in 15*
*low data quality

2/8 🧡

02.03.2026 06:42 β€” πŸ‘ 5    πŸ” 0    πŸ’¬ 1    πŸ“Œ 0
Heat map using CDC data, showing 16 states in High (ND, NE, MN, WI, IN, AL, NY, MD, DE, CT, RI, ME) or Very High (SD, IL, MS, WV) transmission.

PMC estimates 1 in 76 people (1.3%) actively infectious nationwide, and approximately 650,000 new daily infections. March 4 will mark 3 months in wave territory of >500,000 estimated new daily infections.

Heat map using CDC data, showing 16 states in High (ND, NE, MN, WI, IN, AL, NY, MD, DE, CT, RI, ME) or Very High (SD, IL, MS, WV) transmission. PMC estimates 1 in 76 people (1.3%) actively infectious nationwide, and approximately 650,000 new daily infections. March 4 will mark 3 months in wave territory of >500,000 estimated new daily infections.

March 2, 2026 - PMC COVlD Update (U.S.)

We estimate β‰ˆ650,000 new daily infections nationwide. This week marks the 3rd consecutive month of this 12th wave.

Transmission is falling nationally but remains High/Very High in 16 states.

1/8 🧡

02.03.2026 06:42 β€” πŸ‘ 42    πŸ” 17    πŸ’¬ 1    πŸ“Œ 1

In the 2026 PMC Dashboard survey (n>1,000), the *MAJORITY* of respondents indicated both masking indoors in public unless medically necessary to remove it and using in-home air purifiers daily.

You may feel lonely from the ostracism, but you are not alone. #IYKYK

01.03.2026 05:34 β€” πŸ‘ 98    πŸ” 11    πŸ’¬ 0    πŸ“Œ 0

Fingers crossed Chicago will be in a much better place in two weeks. We shall see.

01.03.2026 04:41 β€” πŸ‘ 1    πŸ” 0    πŸ’¬ 1    πŸ“Œ 0

πŸ˜‚ That got a belly laugh out of me. Thanks for the humor

27.02.2026 21:55 β€” πŸ‘ 2    πŸ” 0    πŸ’¬ 0    πŸ“Œ 0

California had a gigantic summer wave. There is nothing special about a particular state when there is very little variation in universal precautions, unfortunately.

27.02.2026 19:34 β€” πŸ‘ 1    πŸ” 0    πŸ’¬ 1    πŸ“Œ 0
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Indiana has had a pretty brutal past 6 months on the COVlD front. Presently or soon, you may notice an uptick in Long COVID issues among students or more students out for family bereavement.

I posted this video a few months on other platforms. There are some shutdown gaps, but overall very bad.

27.02.2026 06:24 β€” πŸ‘ 40    πŸ” 9    πŸ’¬ 1    πŸ“Œ 2

Indiana peeps: there’s something really bad going around. I’ve had conscientious students miss three classes from high fever and bad cough. One fainted while standing (not in class!). At least two students have tested positive for flu and another for COVID. Take care!

27.02.2026 05:20 β€” πŸ‘ 31    πŸ” 4    πŸ’¬ 3    πŸ“Œ 0
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Indiana has had a pretty brutal past 6 months on the COVlD front. Presently or soon, you may notice an uptick in Long COVID issues among students or more students out for family bereavement.

I posted this video a few months on other platforms. There are some shutdown gaps, but overall very bad.

27.02.2026 06:24 β€” πŸ‘ 40    πŸ” 9    πŸ’¬ 1    πŸ“Œ 2
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If that was true, I'm pretty sure I wouldn't be hearing about it from some random mustachioed man on the internet..

25.02.2026 21:05 β€” πŸ‘ 74    πŸ” 29    πŸ’¬ 2    πŸ“Œ 1

It's just the new daily infections x 7. The average infection duration is approximately 7 days.

27.02.2026 03:15 β€” πŸ‘ 1    πŸ” 0    πŸ’¬ 1    πŸ“Œ 0

Sorry, misread your question. It's about 6.1 million.

27.02.2026 01:42 β€” πŸ‘ 0    πŸ” 0    πŸ’¬ 1    πŸ“Œ 0
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Very few people are willing to have a real conversation about why everything feels off.

24.02.2026 21:10 β€” πŸ‘ 196    πŸ” 81    πŸ’¬ 10    πŸ“Œ 9

The first post in the thread is not visible to me, deleted, blocked, or someone I have blocked. Early estimates of transmission are based on Biobot (CDC contractor) and IHME true case estimates. It is a time period of more uncertainty, but there is still good agreement between the sources.

26.02.2026 22:23 β€” πŸ‘ 3    πŸ” 0    πŸ’¬ 0    πŸ“Œ 0

Your rhetoric is actually anti-vaxx. One of the reasons many people no longer get vaccinated against COVID is because too many people have overstated vaccine efficacy (to deride masking). A lot of people get the vax, think they are fully protected, develop LC, blame it on the vax, & stop boosting.

26.02.2026 21:48 β€” πŸ‘ 4    πŸ” 0    πŸ’¬ 0    πŸ“Œ 0

People who mask consistently have among the highest vaccination rates. At the population level, utilization is low, and they wane in protecting against infection considerably by 3-6 months. Multi-layered mitigation reduces risk.

26.02.2026 21:48 β€” πŸ‘ 5    πŸ” 0    πŸ’¬ 1    πŸ“Œ 0
Two screenshots against a background of a blue sky with thin, scattered clouds. The first is a map of the US showing COVID transmission, with states colored pale yellow to maroon depending on severity. Oregon is pale yellow, which means β€œVery Low”. Text warns that this data is based off February 14th. The second screenshot is text that reads, β€œ77% of Oregon community wastewater treatment centers were positive for SARS-CoV-2 on the most recent sample.”

Two screenshots against a background of a blue sky with thin, scattered clouds. The first is a map of the US showing COVID transmission, with states colored pale yellow to maroon depending on severity. Oregon is pale yellow, which means β€œVery Low”. Text warns that this data is based off February 14th. The second screenshot is text that reads, β€œ77% of Oregon community wastewater treatment centers were positive for SARS-CoV-2 on the most recent sample.”

It’s Wastewater Wednesday! How are COVID levels? We’re using two sources to help us keep track of the country and our state of Oregon.

Thank you to @michael-hoerger.bsky.social for the map and graph, and OHA for continuing to track data coming from our wastewater treatment centers!

26.02.2026 00:12 β€” πŸ‘ 20    πŸ” 8    πŸ’¬ 1    πŸ“Œ 0

That's very kind. The project is down until we can find additional grant funding. Unfortunately, COVID is a dirty word to reviewers.

I do not accept personal donations but appreciate the offer.

25.02.2026 03:20 β€” πŸ‘ 5    πŸ” 0    πŸ’¬ 1    πŸ“Œ 0

πŸ’―

24.02.2026 22:47 β€” πŸ‘ 1    πŸ” 0    πŸ’¬ 0    πŸ“Œ 0

Agreed 100%. It does not make sense. I hope this work is one step in the process of getting healthcare systems to improve patient safety.

If health systems provide these kits or services, they will have to reckon with their own behavior inside hospitals.

24.02.2026 22:29 β€” πŸ‘ 9    πŸ” 0    πŸ’¬ 0    πŸ“Œ 0

thank you!

24.02.2026 22:28 β€” πŸ‘ 1    πŸ” 0    πŸ’¬ 0    πŸ“Œ 0
Stacks of air purifiers

Stacks of air purifiers

Kits getting boxed up to be mailed

Kits getting boxed up to be mailed

Kits getting boxed up to be mailed

Kits getting boxed up to be mailed

Taking a wagon of kits to the post office

Taking a wagon of kits to the post office

Healthcare should provide COVlD Defense Kits to all patients and families in need, in addition to modeling safety themselves.

Giving these supplies is an act of dignity and love that all people deserve. Nobody deserves COVlD, especially on top of dealing with cancer.

🧡4 of 4

24.02.2026 22:20 β€” πŸ‘ 56    πŸ” 4    πŸ’¬ 1    πŸ“Œ 0
Cutting shrouds to increase air purifier efficiency

Cutting shrouds to increase air purifier efficiency

Cut shrouds and an air purifier running

Cut shrouds and an air purifier running

Students building air purifiers

Students building air purifiers

Students and community members posing with air purifiers

Students and community members posing with air purifiers

Air purifier builds are an excellent way to bring people together to fight COVlD & fight cancer.

It's gratifying work to build something with your hands that you know will help another family.

🧡3 of 4

24.02.2026 22:20 β€” πŸ‘ 61    πŸ” 11    πŸ’¬ 2    πŸ“Œ 2
Picture of me in a Flo Mask standing in front of box fans and MERV-13 filters

Picture of me in a Flo Mask standing in front of box fans and MERV-13 filters

These were the components of the COVlD Defense Kits.

πŸ”ΈEducational booklet (will have online in May)
πŸ”Έ5 Flowflex tests
πŸ”Έ50 N95/KN95 masks tailored to the family
πŸ”Έ2 MERV-13 box fan air purifiers
πŸ”ΈMailed for free

🧡2 of 4

24.02.2026 22:20 β€” πŸ‘ 38    πŸ” 3    πŸ’¬ 1    πŸ“Œ 0