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| Boilerpipe Text | When U.S. sprinter Noah Lyles was upset in a race this month at the Paris Olympics, weakened by COVID-19 and earning only a bronze medal, the coronavirus that once stopped the world made headlines again. But the coverage also underscored that SARS-CoV-2 has become yesterdayâs newsâbarely more interesting than the flu or the common cold unless it affects sports, a politician, or a celebrity.
Still, the big summer surge of COVID-19 that hit Lyles is also a reminder that the disease has not yet lost its ability to cause major outbreaksâand kill thousandsâdespite increased populationwide immunity from repeated vaccinations and infections. âOver and over again this virus has proven that itâs very clever at evolving to infect large numbers of people,â says Shane Crotty, a virologist at the La Jolla Institute for Immunology.
Gauging the scope of this summerâs outbreak is difficult because most countries have stopped routine reporting of cases. But wastewater testing for SARS-CoV-2 genes still offers an indicator. Data collected by the U.S. Centers for Disease Control and Prevention show that in the United States,
virus levels
on 10 August were at their highest point since 13 January and still climbing.
Other countries
reported similar summer spikes in waste-water. In the
United Kingdom
, the percentage of polymerase chain reaction tests that came back positive for SARS-CoV-2 peaked on 14 July at a level last seen in October 2023.
Whatâs causing this summer wave, and what does it portend?
Science
asked COVID-19 researchers these and other pressing questions.
Why is COVID-19 surging now?
The two main factors in the ebb and flow of SARS-CoV-2 are the emergence of new viral variants that escape immune responses, and waning immunity from previous exposure to the virus and vaccines. Itâs âreally hardâ to disentangle the two, says Sam Scarpino, a computational biologist at Northeastern University who specializes in analyzing complex systems. But studies suggest waning immunity is less of a problem than the virusâ shapeshifting abilities.
The SARS-CoV-2 variants circulating today are all members of a strain called Omicron, first identified by South African researchers in November 2021. The virus has evolved a great deal since then, most notably with the emergence in
August 2023
of BA.2.86 and its descendant
JN.1
. Those lineages differ from previously circulating Omicron strains by more than 30 mutations in the viral surface protein known as spike, allowing the variants to âescapeâ existing immunity. âIt clearly no longer makes sense to call them Omicron because theyâre so different,â says Kristian Andersen, an evolutionary biologist at Scripps Research.
Research shows most people in the U.S. still have strong antibody and T cell responses against SARS-CoV-2, though they many not be strong enough to prevent illness or slow spread.
For example, a study in the 11 July issue of
Nature Communications
showed that among some 55,000 people in New York City whose blood has been tested since the start of the pandemic, more than 90% by 2022 had antibodies to the virus, which persisted at moderate to high levels through the last sampling of participants in October 2023. But JN.1 and subsequent variants have broken through that immunity, says Viviana Simon, a virologist at the Icahn School of Medicine at Mount Sinai and lead author of the paper.
Is human behavior driving this surge?
We donât really know. Some scientists have speculated brutal heat waves and humidity in Europe and the U.S. make people spend more time indoorsâwith the air conditioning onâwhere the virus spreads far better than outside. That memories of the pandemic have receded clearly plays a role as well, says University of Oxford epidemiologist Christopher Dye. The public has âno appetiteâ for any restrictions that would slow transmission, he says, and few people still wear masks. âMany people are not particularly bothered about getting it, and theyâre not bothering to test,â Dye says.
Are severe disease and deaths from COVID-19 declining?
Yesâthey have been for several years. In the U.S.,
COVID-19 deaths
 peaked at nearly 26,000 a week in January 2021, the month a wide rollout of COVID-19 vaccines began. U.S.
hospitalizations
reached a peak 1 year later at 35.4 per 100,000 people, after the highly transmissible Omicron had burst onto the scene, causing record numbers of infections. During the current surge, the U.S. is seeing about 600 deaths a week, and only four people per 100,000 are hospitalized each week. Similar trends have occurred
globally
.
âWeâre
much better off
now than a few years ago. But obviously, where we all want to be is to not get sick anymore, and so this summer has definitely been disappointing,â Crotty says. COVID-19 âcan be quite a nasty disease still,â Dye adds. âAnd then thereâs the question of Long Covid, which people are still not thinking hard enough about.â
Do COVID-19 booster shots still make sense?
In June, the U.S. Food and Drug Administration
advised
vaccinemakers to manufacture boosters based on JN.1 and, âif feasible,â its descendant KP.2, which is now circulating widely. The shots should be available next month. But newer strains will likely circulate this fall, and Ira Longini, a biostatisican at the Univeristy of Florida, says people should not expect the boosters to protect them from infectionâthough he believes they will reduce the risk of severe disease for people who havenât had COVID-19 or been boosted recently. âIf youâre frail or worried you have an underlying condition, or youâre old, the booster makes sense,â Longini says. Roskilde University epidemiologist Lone Simonsen agrees, but is circumspect about boosting in younger, healthy people. âThereâs so little severe disease that I donât see the point in going and getting this vaccine every year,â she says.
Andersen, however, advocates a booster for anyone who hasnât had a vaccine or an infection in 6 months. âI do think that people are looking at this a little too casually,â he says. âThis is not a benign virus. Even if you donât end up dying, itâs not great being sick and infecting others, and the potential effects of Long Covid are real.â
Are vaccines that provide better protection on the horizon?
Thereâs wide agreement that we need them. âWeâre making vaccines against the variants that are going to be gone in 3 months by the time the vaccines are out, without much of a clue of where the virus is headed,â Scarpino says. âAnd so weâre going to be in this loop basically forever.â
A new generation of vaccines might offer a better way out. A company named Codagenix is just completing a phase 3 study of a novel vaccine that contains a live, weakened version of SARS-CoV-2. Squirted into the nose, the hope is the vaccine will create mucosal immunity at the portal of entry. âThatâs the only potential game changer I see on the horizon,â Longini says.
Other researchers are hoping to develop COVID-19 vaccines that protect even against variants that have yet to emerge by combining pieces of related but widely divergent coronaviruses, including SARS-CoV-1 and viruses found in bats and pangolins. âThis is the kind of research we really need to quickly invest heavily in,â says Michael Osterholm, an epidemiologist at the University of Minnesota School of Public Health, whose group published a road map to develop COVID-19 vaccines that trigger broader immune responses. âIf we had different vaccines, we could do a lot more.â
Will COVID-19 become a seasonal disease, like flu?
Several infectious diseases
wax and wane
with the seasons, and many scientists expect that COVID-19 will eventually fall into a winter pattern, like influenza and some other viral respiratory diseases. So far, that hasnât happened. âPeople keep asking about whether this is a seasonal virus, and my answer is: Yes, the seasonal virus that occurs in every season,â Osterholm jokes.
Still, Andersen sees a biseasonal pattern emerging in the U.S. and Europe. COVID-19 cases are now concentrated in winter and summer waves, and the latter seems to have started later this year than in 2023. The start of the next winter season âis probably going to be pushing into November, early December,â Andersen says. âMaybe next year there will be 7 months between waves, and then it will be 8 months and so on.â If that pattern continues, the summer wave would eventually disappear.
But disease seasonality is a poorly understood phenomenon, and Micaela Martinez, an infectious disease ecologist at WE ACT for Environmental Justice, says the interplay between human immunity and SARS-CoV-2 evolution is still very dynamic. âYou have new variants popping up over a certain time frame, which then could lock into a seasonality,â she says. But she has no idea whether that will occur in 10 years or 100 years from now. âThat remains to be seen.â |
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# Why is COVID-19 surging againâand do shots still make sense?
## New variants keep eluding human immunity but hospitalizations and deaths are far below earlier peaks
- 21 Aug 2024
- 12:05 PM ET
- By[Jon Cohen](https://www.science.org/content/author/jon-cohen "Jon Cohen")

Noah Lyles won bronze in the menâs 200 meters during the Paris Olympic Games, despite having COVID-19.KAI PFAFFENBACH/REUTERS
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[Table of contents](https://www.science.org/toc/science/385/6711)
A version of this story appeared in Science, Vol 385, Issue 6711.[Download PDF](https://www.science.org/doi/epdf/10.1126/science.ads6028)
When U.S. sprinter Noah Lyles was upset in a race this month at the Paris Olympics, weakened by COVID-19 and earning only a bronze medal, the coronavirus that once stopped the world made headlines again. But the coverage also underscored that SARS-CoV-2 has become yesterdayâs newsâbarely more interesting than the flu or the common cold unless it affects sports, a politician, or a celebrity.
Still, the big summer surge of COVID-19 that hit Lyles is also a reminder that the disease has not yet lost its ability to cause major outbreaksâand kill thousandsâdespite increased populationwide immunity from repeated vaccinations and infections. âOver and over again this virus has proven that itâs very clever at evolving to infect large numbers of people,â says Shane Crotty, a virologist at the La Jolla Institute for Immunology.
Gauging the scope of this summerâs outbreak is difficult because most countries have stopped routine reporting of cases. But wastewater testing for SARS-CoV-2 genes still offers an indicator. Data collected by the U.S. Centers for Disease Control and Prevention show that in the United States, [virus levels](https://covid.cdc.gov/covid-data-tracker/#wastewater-surveillance) on 10 August were at their highest point since 13 January and still climbing. [Other countries](https://data.who.int/dashboards/covid19/wastewater) reported similar summer spikes in waste-water. In the [United Kingdom](https://ukhsa-dashboard.data.gov.uk/topics/covid-19#cases), the percentage of polymerase chain reaction tests that came back positive for SARS-CoV-2 peaked on 14 July at a level last seen in October 2023.
Whatâs causing this summer wave, and what does it portend? Science asked COVID-19 researchers these and other pressing questions.
## Why is COVID-19 surging now?
The two main factors in the ebb and flow of SARS-CoV-2 are the emergence of new viral variants that escape immune responses, and waning immunity from previous exposure to the virus and vaccines. Itâs âreally hardâ to disentangle the two, says Sam Scarpino, a computational biologist at Northeastern University who specializes in analyzing complex systems. But studies suggest waning immunity is less of a problem than the virusâ shapeshifting abilities.
The SARS-CoV-2 variants circulating today are all members of a strain called Omicron, first identified by South African researchers in November 2021. The virus has evolved a great deal since then, most notably with the emergence in [August 2023](https://www.cdc.gov/mmwr/volumes/72/wr/mm7243a2.htm) of BA.2.86 and its descendant [JN.1](http://www.who.int/docs/default-source/coronaviruse/09022024_jn.1_ure.pdf?sfvrsn=a153518c_3#:~:text=09%20January%202023-,JN.,2024%2C%20there%20were%2079107%20JN.). Those lineages differ from previously circulating Omicron strains by more than 30 mutations in the viral surface protein known as spike, allowing the variants to âescapeâ existing immunity. âIt clearly no longer makes sense to call them Omicron because theyâre so different,â says Kristian Andersen, an evolutionary biologist at Scripps Research.
#### Advertisement
Research shows most people in the U.S. still have strong antibody and T cell responses against SARS-CoV-2, though they many not be strong enough to prevent illness or slow spread.
For example, a study in the 11 July issue of [Nature Communications](https://www.nature.com/articles/s41467-024-50052-2) showed that among some 55,000 people in New York City whose blood has been tested since the start of the pandemic, more than 90% by 2022 had antibodies to the virus, which persisted at moderate to high levels through the last sampling of participants in October 2023. But JN.1 and subsequent variants have broken through that immunity, says Viviana Simon, a virologist at the Icahn School of Medicine at Mount Sinai and lead author of the paper.
## Is human behavior driving this surge?
We donât really know. Some scientists have speculated brutal heat waves and humidity in Europe and the U.S. make people spend more time indoorsâwith the air conditioning onâwhere the virus spreads far better than outside. That memories of the pandemic have receded clearly plays a role as well, says University of Oxford epidemiologist Christopher Dye. The public has âno appetiteâ for any restrictions that would slow transmission, he says, and few people still wear masks. âMany people are not particularly bothered about getting it, and theyâre not bothering to test,â Dye says.
## Are severe disease and deaths from COVID-19 declining?
Yesâthey have been for several years. In the U.S., [COVID-19 deaths](https://covid.cdc.gov/covid-data-tracker/#deaths-landing) peaked at nearly 26,000 a week in January 2021, the month a wide rollout of COVID-19 vaccines began. U.S. [hospitalizations](https://covid.cdc.gov/covid-data-tracker/#hospitalizations-landing) reached a peak 1 year later at 35.4 per 100,000 people, after the highly transmissible Omicron had burst onto the scene, causing record numbers of infections. During the current surge, the U.S. is seeing about 600 deaths a week, and only four people per 100,000 are hospitalized each week. Similar trends have occurred [globally](https://www.nature.com/articles/s41467-024-50052-2).
âWeâre [much better off](https://www.nature.com/articles/s41586-024-07748-8) now than a few years ago. But obviously, where we all want to be is to not get sick anymore, and so this summer has definitely been disappointing,â Crotty says. COVID-19 âcan be quite a nasty disease still,â Dye adds. âAnd then thereâs the question of Long Covid, which people are still not thinking hard enough about.â
## Do COVID-19 booster shots still make sense?
In June, the U.S. Food and Drug Administration [advised](https://www.fda.gov/emergency-preparedness-and-response/coronavirus-disease-2019-covid-19/covid-19-vaccines-2023-2024) vaccinemakers to manufacture boosters based on JN.1 and, âif feasible,â its descendant KP.2, which is now circulating widely. The shots should be available next month. But newer strains will likely circulate this fall, and Ira Longini, a biostatisican at the Univeristy of Florida, says people should not expect the boosters to protect them from infectionâthough he believes they will reduce the risk of severe disease for people who havenât had COVID-19 or been boosted recently. âIf youâre frail or worried you have an underlying condition, or youâre old, the booster makes sense,â Longini says. Roskilde University epidemiologist Lone Simonsen agrees, but is circumspect about boosting in younger, healthy people. âThereâs so little severe disease that I donât see the point in going and getting this vaccine every year,â she says.
Andersen, however, advocates a booster for anyone who hasnât had a vaccine or an infection in 6 months. âI do think that people are looking at this a little too casually,â he says. âThis is not a benign virus. Even if you donât end up dying, itâs not great being sick and infecting others, and the potential effects of Long Covid are real.â
## Are vaccines that provide better protection on the horizon?
Thereâs wide agreement that we need them. âWeâre making vaccines against the variants that are going to be gone in 3 months by the time the vaccines are out, without much of a clue of where the virus is headed,â Scarpino says. âAnd so weâre going to be in this loop basically forever.â
A new generation of vaccines might offer a better way out. A company named Codagenix is just completing a phase 3 study of a novel vaccine that contains a live, weakened version of SARS-CoV-2. Squirted into the nose, the hope is the vaccine will create mucosal immunity at the portal of entry. âThatâs the only potential game changer I see on the horizon,â Longini says.
Other researchers are hoping to develop COVID-19 vaccines that protect even against variants that have yet to emerge by combining pieces of related but widely divergent coronaviruses, including SARS-CoV-1 and viruses found in bats and pangolins. âThis is the kind of research we really need to quickly invest heavily in,â says Michael Osterholm, an epidemiologist at the University of Minnesota School of Public Health, whose group published a road map to develop COVID-19 vaccines that trigger broader immune responses. âIf we had different vaccines, we could do a lot more.â
## Will COVID-19 become a seasonal disease, like flu?
Several infectious diseases [wax and wane](https://www.science.org/content/article/why-do-dozens-diseases-wax-and-wane-seasons-and-will-covid-19) with the seasons, and many scientists expect that COVID-19 will eventually fall into a winter pattern, like influenza and some other viral respiratory diseases. So far, that hasnât happened. âPeople keep asking about whether this is a seasonal virus, and my answer is: Yes, the seasonal virus that occurs in every season,â Osterholm jokes.
Still, Andersen sees a biseasonal pattern emerging in the U.S. and Europe. COVID-19 cases are now concentrated in winter and summer waves, and the latter seems to have started later this year than in 2023. The start of the next winter season âis probably going to be pushing into November, early December,â Andersen says. âMaybe next year there will be 7 months between waves, and then it will be 8 months and so on.â If that pattern continues, the summer wave would eventually disappear.
But disease seasonality is a poorly understood phenomenon, and Micaela Martinez, an infectious disease ecologist at WE ACT for Environmental Justice, says the interplay between human immunity and SARS-CoV-2 evolution is still very dynamic. âYou have new variants popping up over a certain time frame, which then could lock into a seasonality,â she says. But she has no idea whether that will occur in 10 years or 100 years from now. âThat remains to be seen.â
***
doi: 10.1126/science.zq18n4k
#### Relevant tags:
[Health](https://www.science.org/topic/category/health "Health") [Coronavirus](https://www.science.org/topic/tags/coronavirus "Coronavirus")
## About the author

#### [Jon Cohen](https://www.science.org/content/author/jon-cohen)
[mail](mailto:jcohen@aaas.org "mail")
##### Author
Jon Cohen, senior correspondent with Science, earned his B.A. in science writing from the University of California San Diego. He can be reached on Signal at bval31.65 and on Bluesky at @cohenjon.bsky.social.
[View more](https://www.science.org/content/article/why-covid-19-surging-again-and-do-shots-still-make-sense)
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- Jennie Erin Smith
[Trove of Mexican genomes could help guide prescribing decisions](https://www.science.org/content/article/trove-mexican-genomes-could-help-guide-prescribing-decisions "Trove of Mexican genomes could help guide prescribing decisions")
[](https://www.science.org/content/article/nasa-ends-support-planetary-science-advisory-groups "NASA ends support for planetary science advisory groups")
20 Jan 2026
By
- Paul Voosen
[NASA ends support for planetary science advisory groups](https://www.science.org/content/article/nasa-ends-support-planetary-science-advisory-groups "NASA ends support for planetary science advisory groups")
[](https://www.science.org/content/article/nasa-making-last-ditch-attempt-contact-tumbling-mars-orbiter "NASA is making last-ditch attempt to contact tumbling Mars orbiter")
20 Jan 2026
By
- Hannah Richter
[NASA is making last-ditch attempt to contact tumbling Mars orbiter](https://www.science.org/content/article/nasa-making-last-ditch-attempt-contact-tumbling-mars-orbiter "NASA is making last-ditch attempt to contact tumbling Mars orbiter")
[](https://www.science.org/content/article/final-funding-bill-nih-pushes-back-against-trump-cuts "Final funding bill for NIH pushes back against Trump cuts")
20 Jan 2026
By
- Jocelyn Kaiser
[Final funding bill for NIH pushes back against Trump cuts](https://www.science.org/content/article/final-funding-bill-nih-pushes-back-against-trump-cuts "Final funding bill for NIH pushes back against Trump cuts")
[View more](https://www.science.org/news/scienceinsider)
## Sifter
[](https://www.science.org/content/article/flaw-brain-mapping-technique-may-undercut-neuroscience-findings "Flaw in brain-mapping technique may undercut neuroscience findings")
16 Jan 2026
By
- Catherine Offord
[Flaw in brain-mapping technique may undercut neuroscience findings](https://www.science.org/content/article/flaw-brain-mapping-technique-may-undercut-neuroscience-findings "Flaw in brain-mapping technique may undercut neuroscience findings")
[](https://www.science.org/content/article/plants-cope-stress-touching-each-other "Plants cope with stress by touching each other")
15 Jan 2026
By
- Claudia Steiner
[Plants cope with stress by touching each other](https://www.science.org/content/article/plants-cope-stress-touching-each-other "Plants cope with stress by touching each other")
[](https://www.science.org/content/article/leading-ai-models-miss-dangerous-lab-risks "Leading AI models miss dangerous lab risks")
15 Jan 2026
By
- Celina Zhao
[Leading AI models miss dangerous lab risks](https://www.science.org/content/article/leading-ai-models-miss-dangerous-lab-risks "Leading AI models miss dangerous lab risks")
[](https://www.science.org/content/article/some-nursing-sea-lions-it-s-never-too-old-mom "For some nursing sea lions, itâs never too old for mom")
13 Jan 2026
By
- Alessio Cozzolino
[For some nursing sea lions, itâs never too old for mom](https://www.science.org/content/article/some-nursing-sea-lions-it-s-never-too-old-mom "For some nursing sea lions, itâs never too old for mom")
[View more](https://www.science.org/news/sifter)
## Recommended[Close](https://www.science.org/content/article/why-covid-19-surging-again-and-do-shots-still-make-sense)
In Depth
April 2020
[Vaccine designers take first shots at COVID-19](https://www.science.org/doi/full/10.1126/science.368.6486.14 "Vaccine designers take first shots at COVID-19")
Editorial
May 2020
[COVID-19 amidst Ebola's retreat](https://www.science.org/doi/full/10.1126/science.abc4859 "COVID-19 amidst Ebola's retreat")
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June 2020
[COVID-19 and flu, a perfect storm](https://www.science.org/doi/full/10.1126/science.abd2220 "COVID-19 and flu, a perfect storm")
Editorial
July 2020
[COVID-19 and the next influenza season](https://www.science.org/doi/full/10.1126/sciadv.abd0086 "COVID-19 and the next influenza season")
SPONSORED [webinar](https://www.science.org/custom-publishing/webinars "webinars")
Science and Life 18 Dec 2025
[Building a global community for rare disease: Accelerating treatments, access, and collaboration](https://www.science.org/content/webinar/building-global-community-rare-disease-accelerating-treatments-access-and-collaboration "Building a global community for rare disease: Accelerating treatments, access, and collaboration")

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