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Michigan's Covid-19 crisis could be a sign of what's to come for the US, expert says

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(CNN) As the US races to vaccinate more Americans, Covid-19 cases and hospitalizations are rising, predominantly among younger people who haven't yet gotten a shot.

Some experts worry this might only be the start of what's to come in the next weeks. Michigan is already in the middle of a violent surge, and one epidemiologist says other states should be paying close attention.
"Michigan is really the bellwether for what it looks like when the B.1.1.7 variant ... spreads in the United States," Dr. Celine Gounder told CNN on Sunday. "It's causing a surge in cases and it's causing more severe disease, which means that even younger people, people in their 30s, 40s and 50s are getting very sick and being hospitalized from this."
    The B.1.1.7 variant, first spotted in the UK, is now the dominant strain of the virus in the US. Experts say it's more contagious, may cause more severe disease and may potentially be more deadly. And it's rapidly spreading across the country.
      Florida has the highest number of cases of the variant, followed by Michigan, Minnesota and Massachusetts, according to data from the US Centers for Disease Control and Prevention.
       
      Michigan's surge is a combination of two factors, Gounder says: the spread of the B.1.1.7 variant combined with people relaxing on mitigation measures before enough residents are vaccinated.
        And while some officials -- including Michigan Gov. Gretchen Whitmer -- are trying to make a case for the federal government to ramp up vaccines to the state, Gounder says that won't help in this case.
         
        Here's why: It takes about two weeks after the Pfizer and Moderna second doses and about two weeks after the Johnson & Johnson vaccine before people are immune, she said. Meanwhile, Gounder added, "the incubation period, which is the time from when you are exposed to when you are infected with coronavirus, is four to five days."
         
        "So there is no way that a surge in vaccination is going to help curb this when transmission is happening right now," she said. "The hard truth is that the only thing that will curb transmission right now are measures that take effect immediately." For example, masking up, not dining indoors, and socializing outdoors, she added. ...
         
         
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