It’s a New, Milder Covid this Fall — But It’s Still Covid

Jane Jewell • October 10, 2023


There’s a new pattern to covid this fall. It’s milder, following a course similar to the common cold or other upper-respiratory tract illnesses.

 

The Mayo Clinic says that the most common symptoms for the current variants are fatigue, headache, runny nose, sneezing, and sore throat.

 

In a common scenario, the illness starts with a headache and just feeling a little tired, less energetic. It then progresses to sneezing and a runny nose, followed by a sore throat and raspy voice. The fatigue increases. Occasionally, laryngitis develops with a complete loss of the voice.

 

It can look like allergies, a cold, RSV, flu. Many people who thought they were suffering with their usual fall allergies have been surprised to discover they had contracted covid, resulting in a delay in treatment and unknowingly exposing friends and family. This similarity to other common diseases is why it’s becoming harder to accurately diagnose, doctors are saying.

 

For some people, it can be more like the stomach flu with nausea, vomiting, and diarrhea.

 

Coughing, especially a persistent dry cough, is no longer a primary diagnostic symptom. Loss of the sense of taste or smell is now a rare, though still diagnostic, symptom.

 

It takes roughly two to three weeks now for covid to run its course. The sore throat that develops within the first week or so often lessens. With this there may come a few days of fever and chills. The fatigue and muscle aches tend to lift after a few days, but the congestion may linger for several weeks.

 

This is the new pattern. But along with this, many people are experiencing a wide range of secondary effects not usually seen in a cold or flu. These may include rashes, cramps, and fast shooting pains that can affect any area of the body.

 

But while milder, the new covid is still a serious illness with around 85 deaths per day, 600 deaths per week nationwide. As disturbing as that number is, it pales beside the 25,000 deaths per week in the U.S. at the peak of the pandemic.

 

The national and Maryland death rates are both down over the past two weeks, but hospitalizations are on the rise.

 

Hospitalizations from covid are at a daily average of 12,550 for the week ending September 29. That’s a 3.7% increase over the previous two weeks. Of those hospitalizations, 1,693 were admitted to the Intensive Care Unit (ICU), representing an increase of 3.6%.

 

These covid-related deaths and hospitalizations are not spread evenly across the country. There are hot spots that spike first in one community then spread to another city or state. Currently, Maryland with 12.6 hospitalizations per 100,000 population has the second highest hospitalization rate in America. A few weeks ago, Maryland was number one, now North Carolina is with a rate of 13.6.

 

The rate starts to drop significantly from there with South Carolina at third highest and an 8.4 rate. Nearby, Pennsylvania is fifth highest with a rate of 7.6 while Delaware is sixth with a rate of 6.1. It continues to drop with most states having rates between two and four hospitalizations per 100,000 population.

 

These are fast-changing statistics and may change significantly in the coming weeks as hot spots flare and fade.

 

In Maryland, the number of cases declined steadily from a high in January of over 1,000 new cases per week to under 200 in mid-June. Then new covid cases and the resulting hospitalizations and deaths began to rise again. During August and into September, deaths per day in Maryland usually ranged from zero to four or five, occasionally higher.

 

The table below shows the five states with the highest rates of hospitalization for covid plus four other nearby states and the District of Columbia. The second table has covid death and new case rates for the nine counties on the Eastern Shore. Both tables show seven-day averages, and are as of October 2, 2023.




On the Eastern Shore, Wicomico and Dorchester counties have the highest rates of covid cases. Wicomico reported 0.8 per 10,000 population while Dorchester has 0.7. Kent and Queen Anne’s have the lowest rates on the Shore at 0.3 and 0.28, respectively. Queen Anne’s case rate is the lowest in the state.

 

Statewide, Allegheny County has the highest case rate at 1.06 per 10,000 population. Garrett is second at 0.95 while Wicomico on the Shore has the third highest in the state.

 


Current variants

 

The two most prevalent strains circulating now are officially named EG.5 and FL.1.5.1, nicknamed Eris and Fornax. Both are subvariants of the Omicron variant which became widespread in late fall of 2021. Together they account for 30% of tested cases nationwide.

 

A new sub-variant, BA.2.86, known as Pirola, has come to the attention of researchers who are watching it closely because it’s such a highly mutated strain of Omicron. Not enough cases have been detected yet for it to be included in the CDC’s official statistics, but it has been reported in Maryland as well as several other states including Virginia, Pennsylvania, and New York. It has also been found in the Midwest in Ohio and Michigan, and further west in Colorado and Texas. So far it doesn’t seem to cause more serious illness, but scientists are watching it and other new variants for new symptoms and any capacity to evade current tests, vaccines, or treatments.

 

Monoclonal antibodies, which used to help in recovery from covid, are no longer recommended as they are not very effective with the new variants. Paxlovid is still effective at reducing the incidence of severe cases.

 

The best preventative of both infection and severe disease is still the vaccine booster. The newest booster, which became available in mid-September, should be covered by insurance including Medicare and Medicaid, though there may be co-pays. The payment issue seems to be unclear at this point. Those who have had covid recently should check with their doctors and CDC guidelines before getting the booster. They may be counseled to wait two to three months from recovery before getting a vaccine booster. For everyone else over six months, a booster is recommended.

 

 

Sources and More Information:

Covid-19 in Maryland: Track death, hospitalization and case data from the state and CDC, Baltimore Sun, Update dated Sep 26, 2023

 

Covid-19, Center for Disease Control (CDC).

https://www.cdc.gov/coronavirus/2019-nCoV/index.html

 

“Covid Map Shows 9 States Where Cases Are Rising This Month,” Nick Mordowanec, Newsweek.

https://www.msn.com/en-us/news/other/covid-map-shows-9-states-where-cases-are-rising-this-month/ar-AA1hzsfX

 

“Covid hospitalizations: See the latest trend and current count,” Joe Murphy, September 1, 2023, NBC News.

https://www.nbcnews.com/data-graphics/covid-hospitalizations-see-latest-trend-current-count-rcna61053

 

New York Times Interactive Covid Tracker.

https://www.nytimes.com/interactive/2023/us/covid-cases.html

 

 

Jane Jewell is a writer, editor, photographer, and teacher. She has worked in news, publishing, and as the director of a national writer's group. She lives in Chestertown with her husband Peter Heck, a ginger cat named Riley, and a lot of books.

 

Common Sense for the Eastern Shore

By Friends of Megan Outten July 29, 2025
Megan Outten, a lifelong Wicomico County resident and former Salisbury City Councilwoman, officially announced her candidacy recently for Wicomico County Council, District 7. At 33, Outten brings the energy of a new generation combined with a proven record of public service and results-driven leadership. “I’m running because Wicomico deserves better,” Outten said. “Too often, our communities are expected to do more with less. We’re facing underfunded schools, limited economic opportunities, and years of neglected infrastructure. I believe Wicomico deserves leadership that listens, plans ahead, and delivers real, measurable results.” A Record of Action and A Vision for the Future On Salisbury’s City Council, Outten earned a reputation for her proactive, hands-on approach — working directly with residents to close infrastructure gaps, support first responders, and ensure everyday voices were heard. Now she’s bringing that same focus to the County Council, with priorities centered on affordability, public safety, and stronger, more resilient communities. Key Priorities for District 7: Fully fund public schools so every child has the opportunity to succeed. Fix aging infrastructure and county services through proactive investment. Keep Wicomico affordable with smarter planning and pathways to homeownership. Support first responders and safer neighborhoods through better tools, training, and prevention. Expand resources for seniors, youth, and underserved communities. Outten’s platform is rooted in real data and shaped by direct community engagement. With Wicomico now the fastest-growing school system on Maryland’s Eastern Shore — and 85% of students relying on extra resources — she points to the county’s lagging investment as a key area for action. “Strong schools lead to strong jobs, thriving industries, and healthier communities,” Outten said. “Our schools and infrastructure are at a tipping point. We need leadership that stops reacting after things break — and starts investing before they do.” A Commitment to Home and Service Born and raised in Wicomico, Megan Outten sees this campaign as a continuation of her lifelong service to her community. Her vision reflects what she’s hearing from neighbors across the county: a demand for fairness, opportunity, and accountability in local government. “Wicomico is my home; it’s where I grew up, built my life, and where I want to raise my family,” Outten said. “Our county is full of potential. We just need leaders who will listen, work hard, and get things done. That’s what I’ve always done, and that’s exactly what I’ll continue to do on the County Council.” Outten will be meeting with residents across District 7 in the months ahead and unveiling more details of her platform. For more information or to get involved, contact info@meganoutten.com
By John Christie July 29, 2025
Way back in 1935, the Supreme Court determined that independent agencies like the Consumer Product Safety Commission (CPSC), the National Labor Relations Board (NLRB) and the Merit Systems Protection Board (MSPB) do not violate the Constitution’s separation of powers. Humphrey’s Executor v. United States (1935). Congress provided that the CPSC, like the NLRB and MSPB, would operate as an independent agency — a multi-member, bipartisan commission whose members serve staggered terms and could be removed only “for neglect of duty or malfeasance in office but for no other cause.” Rejecting a claim that the removal restriction interferes with the “executive power,” the Humphrey’s Court held that Congress has the authority to “forbid their [members’] removal except for cause” when creating such “quasi-legislative or quasi-judicial” bodies. As a result, these agencies have operated as independent agencies for many decades under many different presidencies. Shortly after assuming office in his second term, Donald Trump began to fire, without cause, the Democratic members of several of these agencies. The lower courts determined to reinstate the discharged members pending the ultimate outcome of the litigation, relying on Humphrey’s , resulting in yet another emergency appeal to the Supreme Court by the administration. In the first such case, a majority of the Court allowed President Trump to discharge the Democratic members of the NLRB and the MSPB while the litigation over the legality of the discharges continued. Trump v. Wilcox (May 22, 2025). The majority claimed that they do not now decide whether Humphrey’s should be overruled because “that question is better left for resolution after full briefing and argument.” However, hinting that these agency members have “considerable” executive power and suggesting that “the Government” faces greater “risk of harm” from an order allowing a removed officer to continue exercising the executive power than a wrongfully removed officer faces from being unable to perform her statutory duty,” the majority gave the President the green light to proceed. Justice Kagan, joined by Justices Sotomayor and Jackson, dissented, asserting that Humphrey’s remains good law until overturned and forecloses both the President’s firings and the Court’s decision to award emergency relief.” Our emergency docket, while fit for some things, should not be used to “overrule or revise existing law.” Moreover, the dissenters contend that the majority’s effort to explain their decision “hardly rises to the occasion.” Maybe by saying that the Commissioners exercise “considerable” executive power, the majority is suggesting that Humphrey’s is no longer good law but if that is what the majority means, then it has foretold a “massive change” in the law and done so on the emergency docket, “with little time, scant briefing, and no argument.” And, the “greater risk of harm” in fact is that Congress provided for these discharged members to serve their full terms, protected from a President’s desire to substitute his political allies. More recently, in the latest shadow docket ruling in the administration’s favor, the same majority of the Court again permitted President Trump to fire, without cause, the Democratic members of another independent agency, this time the Consumer Product Safety Commission (CPSC). Trump v. Boyle (July 23, 2025). The same three justices dissented, once more objecting to the use of the Court’s emergency docket to destroy the independence of an independent agency as established by Congress. The CPSC, like the NLRB and MSPB, was designed to operate as “a classic independent agency.” In Congress’s view, that structure would better enable the CPSC to achieve its mission — ensuring the safety of consumer products, from toys to appliances — than would a single-party agency under the full control of a single President. “By allowing the President to remove Commissioners for no reason other than their party affiliation, the majority has negated Congress’s choice of agency bipartisanship and independence.” The dissenters also assert that the majority’s sole professed basis for the more recent order in Boyle was its prior order in Wilcox . But in their opinion, Wilcox itself was minimally explained. So, the dissenters claim, the majority rejects the design of Congress for a whole class of agencies by “layering nothing on nothing.” “Next time, though, the majority will have two (if still under-reasoned) orders to cite. Truly, this is ‘turtles all the way down.’” Rapanos v. United States (2006). * ***** *In Rapanos , in a footnote to his plurality opinion, former Supreme Court Justice Scalia explained that this allusion is to a classic story told in different forms and attributed to various authors. His favorite version: An Eastern guru affirms that the earth is supported on the back of a tiger. When asked what supports the tiger, he says it stands upon an elephant; and when asked what supports the elephant, he says it is a giant turtle. When asked, finally, what supports the giant turtle, he is briefly taken aback, but quickly replies "Ah, after that it is turtles all the way down." John Christie was for many years a senior partner in a large Washington, D.C. law firm. He specialized in anti-trust litigation and developed a keen interest in the U.S. Supreme Court about which he lectures and writes.
By Shore Progress, Progessive Maryland, Progressive Harford Co July 15, 2025
Marylanders will not forget this vote.
Protest against Trumpcare, 2017
By Jan Plotczyk July 9, 2025
More than 30,000 of our neighbors in Maryland’s first congressional district will lose their health insurance through the Affordable Care Act and Medicaid because of provisions in the GOP’s heartless tax cut and spending bill passed last week.
Farm in Dorchester Co.
By Michael Chameides, Barn Raiser May 21, 2025
Right now, Congress is working on a fast-track bill that would make historic cuts to basic needs programs in order to finance another round of tax breaks for the wealthy and big corporations.
By Catlin Nchako, Center on Budget and Policy Priorities May 21, 2025
The House Agriculture Committee recently voted, along party lines, to advance legislation that would cut as much as $300 million from the Supplemental Nutrition Assistance Program. SNAP is the nation’s most important anti-hunger program, helping more than 41 million people in the U.S. pay for food. With potential cuts this large, it helps to know who benefits from this program in Maryland, and who would lose this assistance. The Center on Budget and Policy Priorities compiled data on SNAP beneficiaries by congressional district, cited below, and produced the Maryland state datasheet , shown below. In Maryland, in 2023-24, 1 in 9 people lived in a household with SNAP benefits. In Maryland’s First Congressional District, in 2023-24: Almost 34,000 households used SNAP benefits. Of those households, 43% had at least one senior (over age 60). 29% of SNAP recipients were people of color. 15% were Black, non-Hispanic, higher than 11.8% nationally. 6% were Hispanic (19.4% nationally). There were 24,700 total veterans (ages 18-64). Of those, 2,200 lived in households that used SNAP benefits (9%). The CBPP SNAP datasheet for Maryland is below. See data from all the states and download factsheets here.
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