The answers lie in poop. Based on the latest national sample of wastewater taken on January 13, 2024, the concentration of the SARS-Cov-2 virus is 1,132 copies/mL of sewage, an alarming increase compared to 280 copies/mL six months ago. This is one sign that cases of COVID infections have been rising, resulting in more hospitalizations, deaths, and people developing long COVID.

Like millions of other high-risk people who are service workers, older, chronically ill, disabled, or immunocompromised, I have done everything I can to remain as safe as possible. Due to neuromuscular disability and respiratory failure, my chances of surviving an infection are slim to none. With the latest JN.1 variant likely even more contagious – or better practiced at evading immune system defenses – than previous ones, I wonder if this is the surge when I will become infected, which is terrifying.