
More than 150 weeks have passed since Dr. Mike Silverman, the emergency department chair at VHC Health, started his Friday night posts about the Covid pandemic.
The public Facebook posts have helped provide medical context and clarity, but in layman’s terms, to those seeking a better understanding of the disease and the response to it. ARLnow has regularly quoted Silverman’s posts in our coronavirus coverage.
Now, three years after Silverman’s first pandemic post from the ER, he’s wrapping up the weekly series. While not ruling out occasional updates, Silverman says now seems like a good time to conclude his Friday writing routine. By Silverman’s count, he has produced more than 195,000 words of updates on the local prevalence of Covid, as seen at the hospital, and the latest medical research on the virus and its treatments.
“Stopping on the second Friday in March three years later seems like a good run,” he wrote last month when announcing the decision.
When Silverman published his first Facebook update on March 13, 2020, only five Arlington cases had been confirmed, local grocery stores were being picked clean and Arlington Public Schools had just announced the closure of schools through spring break in April. The first confirmed case in the county had been announced just four days earlier.
Today, with vaccines and three years of exposure to the virus, it is still deadly and debilitating for some, but not nearly to the extent of earlier, when it was still a novel outbreak. As of last week, cases in Arlington were down to an average of just 11 per day, the lowest point since mid-2021, according to Virginia Dept. of Health data.

The last confirmed Covid-related death in Arlington was reported during the final week of 2022.
“Coronavirus is not quite done with us yet though we’ve learned to live with it,” Silverman wrote on Friday.
That last weekly post is reprinted below with his permission.
It’s been another good week when it comes to the number of COVID cases we’re diagnosing in the ER. Our symptomatic positives are way down, with only a handful of positive cases and a 3% positivity rate this past week (6 week running average 10.3%). This is the second week in a row that is notably less than the previous weeks. Our general screening population (in theory asymptomatic patients or those we think COVID is unlikely) is also below 4% for the second week in a row (6 week average about 6%). The numbers for all comers this week show a 3.7% positivity rate and the last two weeks each had about half the number of cases we saw in the weeks beforehand. These numbers are consistent with other periods of time after surges. The number of hospitalized patients with COVID also dropped about 20% since last week. Hospitalizations climb in the weeks following a surge and are a lagging indicator of when the surge is over. I suspect we’ll continue to see a drop in the number of patients hospitalized with COVID over the next few weeks as well. However, I do anticipate that taking care of COVID patients in the ER and in the hospital will be part of our world for a long time to come.








