Discussion of the current status of the COVID-19 pandemic, with a focus on the JN.1 variant. It highlights the second largest wave of infections indicated by wastewater levels, the global dominance of JN.1, and the less than proportional increase in hospital admissions despite the surge in cases. The piece also touches on long COVID risks, the effectiveness of vaccinations against it, and the challenges in developing an effective pandemic exit strategy, emphasizing the importance of mucosal immunity through nasal or oral vaccines.
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