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# ![@michael_hoerger Avatar](https://lunarcrush.com/gi/w:26/cr:twitter::701844034755633157.png) @michael_hoerger Mike Hoerger, PhD MSCR MBA

There are reports of rising COVID-19 transmission globally, with Denmark, Latvia, and parts of the US experiencing high or very high transmission levels. The US has seen a significant increase in transmission, with the CDC's wastewater data update showing the steepest week-over-week increase since the delta wave in 2021. However, concerns have been raised about the accuracy and transparency of the CDC's reporting, with some data appearing to be re-categorized or no longer available.

### Engagements: XXXXX [#](/creator/twitter::701844034755633157/interactions)
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### Mentions: XX [#](/creator/twitter::701844034755633157/posts_active)
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### Followers: XXXXXX [#](/creator/twitter::701844034755633157/followers)
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### CreatorRank: XXXXXXX [#](/creator/twitter::701844034755633157/influencer_rank)
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### Social Influence [#](/creator/twitter::701844034755633157/influence)
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**Social category influence**
[countries](/list/countries)  XXXX% [stocks](/list/stocks)  XXXX% [finance](/list/finance)  XXXX% [social networks](/list/social-networks)  XXXX% [technology brands](/list/technology-brands)  XXXX%

**Social topic influence**
[cvs](/topic/cvs) 0.98%, [6 months](/topic/6-months) 0.98%, [confirms](/topic/confirms) 0.49%, [booster](/topic/booster) 0.49%, [money](/topic/money) 0.49%, [all the](/topic/all-the) 0.49%, [indiana](/topic/indiana) 0.49%, [could you](/topic/could-you) 0.49%, [let me](/topic/let-me) 0.49%, [poland](/topic/poland) XXXX%

**Top accounts mentioned or mentioned by**
[@envidreamz](/creator/undefined) [@ariccio](/creator/undefined) [@amethystarlight](/creator/undefined) [@comm_in_care](/creator/undefined) [@leeanne009](/creator/undefined) [@ellen_lee3](/creator/undefined) [@r9_fury](/creator/undefined) [@lazaruslong13](/creator/undefined) [@mamalovesjbiebs](/creator/undefined) [@togetherwemask](/creator/undefined) [@jesseintl](/creator/undefined) [@bcarfree](/creator/undefined) [@petrasola72](/creator/undefined) [@janiesaysyay](/creator/undefined) [@nukittobesure](/creator/undefined) [@sbw25phi2](/creator/undefined) [@ghhughes](/creator/undefined) [@socialobgyne](/creator/undefined) [@mryoung151](/creator/undefined) [@t_ruthr](/creator/undefined)

**Top assets mentioned**
[CVS Health Corp (CVS)](/topic/cvs)
### Top Social Posts [#](/creator/twitter::701844034755633157/posts)
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Top posts by engagements in the last XX hours

"Novavax & Flu Boosters ✅ Booked online. No script. Pharmacist masked. In and out XX minutes. $X. Received a $XX in-store coupon and bag of popcorn. Louisiana CVS 1801 Jefferson Hwy. "The pandemic isn't over just because you're over it.""  
[X Link](https://x.com/michael_hoerger/status/1975594432759308340) [@michael_hoerger](/creator/x/michael_hoerger) 2025-10-07T16:09Z 39.1K followers, 35.9K engagements


"BREAKING: CDC signs off anyone X months and older can get an updated booster without a prescription. Georgia Louisiana & Missouri pharmacy boards had blocked access and nationwide many have faced coverage barriers. CVS Louisiana confirms scripts no longer needed tomorrow"  
[X Link](https://x.com/michael_hoerger/status/1975284098001486009) [@michael_hoerger](/creator/x/michael_hoerger) 2025-10-06T19:36Z 39.1K followers, 39.1K engagements


"For the past XX months I've had the promise that if you see me unmasked indoors you can have all the money in my wallet. #SaltingTheVibes #YallMasking"  
[X Link](https://x.com/michael_hoerger/status/1978495289653653649) [@michael_hoerger](/creator/x/michael_hoerger) 2025-10-15T16:16Z 39.1K followers, 7790 engagements


"My understanding is that Utah Missouri Indiana Georgia and Louisiana were the last states requiring a prescription for COVlD boosters. Utah stopped the Rx req yesterday. If in the U.S. could you indicate your state and whether you've gotten a booster w/o a prescription"  
[X Link](https://x.com/michael_hoerger/status/1973850250302664784) [@michael_hoerger](/creator/x/michael_hoerger) 2025-10-02T20:39Z 39.1K followers, 15.7K engagements


"The CDC signed off on boosters without prescriptions today. If you are in Georgia Louisiana or Missouri let me know if you succeed or fail without a prescription going forward"  
[X Link](https://x.com/michael_hoerger/status/1975277536482636107) [@michael_hoerger](/creator/x/michael_hoerger) 2025-10-06T19:10Z 39.1K followers, 10.3K engagements


"I am worried his disinformation is going to get people killed or disabled. He and a couple others are spreading these myths about novavax as some kind of super vax. Its effectiveness data are on par with Pfizer/Moderna but lower side effects. A lot of people are becoming convinced they will have much more enduring protection than what they are likely to see in reality. By about X months or so that has a good chance of causing negative effectiveness (people dropping their guard more and being more likely to get infected). His followers could be a "class." The claims about it (or anything)"  
[X Link](https://x.com/michael_hoerger/status/1975993874754514988) [@michael_hoerger](/creator/x/michael_hoerger) 2025-10-08T18:37Z 39.1K followers, XXX engagements


"In #Poland the data coming in from Warsaw are noisy. COVlD levels have been elevated for weeks and there is no clear signal when transmission will let up. 13/"  
[X Link](https://x.com/michael_hoerger/status/1977121943376871699) [@michael_hoerger](/creator/x/michael_hoerger) 2025-10-11T21:19Z 39.1K followers, 2249 engagements


"#Slovenia has my favorite wastewater dashboard. It is the only national government in the world to provide wastewater-derived case estimates. Red = reported infections Blue = estimated infections 14/ Unfortunately they last reported data a month ago and only through late August. They estimate X in XXX were infectious in Ljubljana at that point but recent estimates are unknown"  
[X Link](https://x.com/michael_hoerger/status/1977125378322804775) [@michael_hoerger](/creator/x/michael_hoerger) 2025-10-11T21:33Z 39.1K followers, 2258 engagements


"This is my qualitative gist-level interpretation of wastewater SARS-CoV-2 levels in the Europe. The key message is that transmission is high across Europe. There are no international standards for wastewater analysis so these are very rough comparisons. I translated my comments in the thread below into a map to examine whether there were clear north-south or east-west differences in transmission. There were not. These are my key takeaways: 1) Transmission is high across Europe All nations are in my elevated (2) to peaking (5) range. No European nation with wastewater data is in anything"  
[X Link](https://x.com/michael_hoerger/status/1977459794639257936) [@michael_hoerger](/creator/x/michael_hoerger) 2025-10-12T19:42Z 39.1K followers, 32.7K engagements


"Do you remember #DuringThePandemic when the virus was raging across Europe and hardly anyone could get a vaccine I do. Because it is today"  
[X Link](https://x.com/michael_hoerger/status/1977584865903341866) [@michael_hoerger](/creator/x/michael_hoerger) 2025-10-13T03:59Z 39.1K followers, 18.3K engagements


"I don't eat outdoors either but whenever I hear stories like this I think there's usually a bigger probability they got it indoors like they took their mask off in the bathroom or were inside a while and have poor mask fit. There are a ton of "CC" people on TikTok who seem clueless how terrible their mask fits"  
[X Link](https://x.com/michael_hoerger/status/1978276925358694551) [@michael_hoerger](/creator/x/michael_hoerger) 2025-10-15T01:49Z 39.1K followers, 2334 engagements


"@SocialObGyne @LazarusLong13 What n95 do you wear"  
[X Link](https://x.com/michael_hoerger/status/1978479934780665951) [@michael_hoerger](/creator/x/michael_hoerger) 2025-10-15T15:15Z 39.1K followers, XXX engagements


"#Latvia is just starting to come down from a COVlD wave. The big wave you see in the middle was actually the largest wave since BA.1 Omicron so the current wave is in no way small more "typical." 9/"  
[X Link](https://x.com/michael_hoerger/status/1977117760334488035) [@michael_hoerger](/creator/x/michael_hoerger) 2025-10-11T21:03Z 39.1K followers, 2359 engagements


"#Lithuania is coming down from a huge COVlD surge. 10/"  
[X Link](https://x.com/michael_hoerger/status/1977118488688050385) [@michael_hoerger](/creator/x/michael_hoerger) 2025-10-11T21:05Z 39.1K followers, 2285 engagements


"5 people are getting COVlD per second in the U.S. The chances of getting infected today are similar to late July when the wave was rising. But people are bad with numbers so they rely on the "affect heuristic." A downward trend "feels good" so risk is interpreted as low"  
[X Link](https://x.com/michael_hoerger/status/1978682691055755602) [@michael_hoerger](/creator/x/michael_hoerger) 2025-10-16T04:41Z 39.1K followers, 28.6K engagements


"@TaylorLorenz @emiru @HeadlinerClip caption"  
[X Link](https://x.com/michael_hoerger/status/1979713165161382071) [@michael_hoerger](/creator/x/michael_hoerger) 2025-10-19T00:56Z 39.1K followers, 7758 engagements