Tag Archives: gamma variant

WHO holds emergency meeting as multiple nations implement Africa travel restrictions over new COVID variant concerns

[KIRKLAND, Wash.] – (MTN) World health officials are alarmed due to a new fast-spreading Covid-19 variant in South Africa causing the World Health Organization to hold an emergency meeting as Asian stock markets plunged and the Dow Jones futures dropped 735 points.

The new variant, so far identified as B.1.1.529 has not been named, but the WHO is expected to assign it a name today, likely the Nu variant.

The variant was first detected in Botswana but has quickly spread in South Africa and two travel-related cases have been confirmed in Hong Kong. Botswana officials stated the four detected cases are among fully vaccinated individuals. in South Africa, cases are increasing rapidly in Gauteng Province, home to Johannesburg and one of the largest air travel hubs on the continent. In the span of a week, new cases went from a cluster to growing so fast scientists believe it has achieved community spread.

Officials in the U.K. are taking no chances. Health Secretary Sajid Javid announced that six African nations – South Africa, Namibia, Zimbabwe, Botswana, Lesotho, and Eswatini – have been placed on the red list, placing strict rules on air travel.

Starting on Friday, any non-UK and Irish residents will be banned from entering England if they have been in the red list countries in the last ten days. Beginning Sunday, British nationals who have been in those countries will be required to quarantine upon entry. Additionally, health officials in the UK are asking anyone who has traveled to the impacted regions to get a PCR test as soon as possible.

South Africa’s Foreign Minister Naledi Pandor said the travel restrictions “seems to have been rushed,” in a statement where he expressed concern over the impact on tourism and business.

Israel and Singapore joined the U.K. early on Friday and added Mozambique to their travel restriction lists.

New case rate growth is much faster than Delta, which indicates the potential for a very high R0, or “r-naught,” which is the measure of how transmissible a communicable disease is. In little more than two weeks, B.1.1.529 has grown to almost 90% of all detected cases in South Africa.

According to Johns Hopkins University, only 24.11% of South Africans are fully vaccinated which would aid a new variant to spread unchecked. Health officials in South Africa and with the WHO are concerned that the new variant is circulating more widely than current data suggests.

The B.1.1.529 has more than 50 mutations, which is significantly higher than any other viable variant previously seen. More than 30 of those alternations are changes to the spike protein, which is the mechanism that enables the SARS-CoV-2 virus to identify hosts cell and is the primary target of the body’s immune response.

B.1.1.529 has more than twice the number of mutations as the Delta variant

In a report published by the Journal Nature, Penny Moore, a virologist at the University of Witwatersrand in Johannesburg, indicated that computer models suggest not only does B.1.1.529 have mutations that are already known to aid in evading an immune response from B cells but could fool the body’s T cells.

B cells do the yeoman’s work of fighting virus infections, but have a shorter memory and can be tricked by a smaller set of mutations. T cells are the second line of immune defense with better memory and capabilities to spot mutations. When T cells identify a threat that was initially missed, they summon B cells to aid in the response. This is how disease acquired and vaccine immune response works. If the new variant is capable of evading T cells then the benefits of vaccine immunity would be reduced and disease acquired immunity could be rendered ineffective.

Disease acquired and vaccine immunity works the same. Antibodies bind to the spike proteins preventing the virus from entering cells so it can replicate. If the antibodies can’t bind to spike mutations and the mutations still enable the SARS-CoV-2 virus to identify host cells, the virus can spread inside the body unchecked causing a Covid-19 infection.

Another challenge is if these findings are accurate – the new variant may be capable of outmaneuvering monoclonal antibodies – blunting a critical early treatment.

One mutation is helping scientists track the spread of the new variant. A specific mutation to the spike protein enables researchers to identify the variant through a standard PCR test instead of waiting for genomic sequencing.

Currently, there are more questions than answers. Researchers know the new variant is spreading rapidly in South Africa and causing a new surge. What is not known is if the rapid spread is being driven by a mostly unvaccinated population or because it is more transmissible. It also is not known if the new variant causes equal, more severe, or mild illness. There is no data about the capability the new antivirals Molnupiravir and Paxlovid could have in fighting B.1.1.529.

It is important to note that Beta, Gamma, and Mu were previous variants found to have high resistance to vaccine and disease acquired immunity but weren’t very transmissible. All three variants faded out because Delta was more contagious. In the simplest terms, Delta outbred the other variants. A key requirement for a new variant to spread rapidly would be the capability to outrun Delta.

Most important of all, there is no concrete scientific evidence that B1.1.529 is evading viral vector or mRNA-based vaccines. Previous variants have taken months to identify while this one was found, sequenced, and placed under investigation in a matter of days.

No cases have been detected in North America or any United States territories.

Nine counties recommend masks again as COVID surges

[SEATTLE, Wash] – (MTN) Skagit County joined eight Western Washington counties today in recommending indoor use of masks for all people, even if they are vaccinated. Eight counties, including Grays Harbor, Callam, Pierce, King, San Juan, Jefferson, Kitsap, and Snohomish released a joint statement on Monday with the recommendation.

The CDC is widely expected to recommend wearing masks in regions with high infection rates today as COVID cases fueled by the Delta and Gamma variants, surges in all 50 states. In a report from Dr. Katelyn Jetelina, MD, and epidemiologist, COVID cases have grown 170% in the last 14 days across the United States as tracked by Johns Hopkins University.

The COVID-19 Scenario Modeling Hub, a consortium of researchers and medical professionals projects that the so-called Fourth Wave will peak in October, with daily deaths growing to 850 in the United States as the best case, and as high as 4,000 a day in the worst case. The IHME out of the Univesity of Washington projects a peak in September and the United States entering a new normal for fatalities.

On July 14, Washington state achieved its goal of 70% of eligible residents over 16 years old vaccinated. King County is over 80% vaccinated, but there remains significant gaps in South King County in communities such as Federal Way. The number of new cases per 100K has grown to 107 in Washington state, well above the target of 25.

Acute care and ICU beds remain in short supply throughout Washington due to a number of contributing factors, including COVID. KING 5 reported that emergency rooms across Western Washington are overwhelmed including Harborview Medical Center, the state’s only Level 1 trauma center, where patients are waiting as long as 90 minutes to be unloaded from ambulances.

24 days later, King County is asking you to mask up – again

[SEATTLE, Wash] – (MTN) With COVID cases climbing in King County and 90% of detected COVID cases are “variants of concern,” King County health officer Dr. Jeff Duchin is recommending to mask up once again.

“I know this is frustrating and disappointing to many,” said Duchin. “It certainly is to me. I didn’t want to be in this position. And I acknowledge that the changing communication on masking has been a real problem nationally.”

King County is one of the most vaccinated counties in the country, where 80.3% of residents 12 and over have at least one dose of a COVID vaccine. Despite those numbers, 700,000 residents of King County remain unvaccinated including the young and the immunocompromised.

On June 28, the county was logging 56 new COVID cases a day. The count has climbed to 171, a 294% increase. Test positivity had dropped to as low as 1.2% but is now up to 4.1%. That is still within an acceptable range and indicates adequate testing, but the sharp increase in just 3 weeks is concerning to health officials.

Statewide, 9.4% of all ICU patients have COVID, moving closer to the 10% red light metric.

Hospitals in King County are near capacity – but not due to COVID

The Washington State Department of Health is reporting that 90.8% of all acute care beds and 88.7% of ICU beds are occupied in King County. Normally during this time of the year utilization would be 60% to 80%. As of July 22, only 2.6% of acute care beds and 5.4% of ICU beds have COVID patients. The problem? Area hospitals are overflowing with accident and trauma patients and patients that had elective surgeries delayed last year are moving through the system.

To the south in Thurston County, there are so many traumas and accidents 911 and ambulances are overwhelmed creating service delays.

Growing concern over Delta, Lambda, and Gamma variants

The Delta variant, B1671.2 from India, now makes up 83% of all cases in the United States. Two different studies found that Delta produces 1000% to 1200% more virus load than the original COVID strain. Neither study has been peer reviewed, however, both independent reports reached similar conclusions. The variant is 200% to 225% more transmissible than the original variant and has an R0 estimated to be 3.5 to 4.0 among unvaccinated populations according to Yale University.

Lambda has been identified in approximately 700 patients in the United States in the last 14 days. The South American variant appears to be less transmissible than Delta, so it likely won’t get established within the population. In South America, Lambda is over 9% fatal, but researchers believe this may be to lower quality healthcare, and only the sickest patients getting tested.

In Illinois, Gamma is the dominant variant with cases detected in Texas and Washington. According to a CDC study released this week, Gamma is showing a “strikingly high attack rate among persons vaccinated.” The report added, “Such a low vaccine efficiency against infection by the Gamma variant was not expected.”

Skeptic Republican leaders appeal to get vaccinated

In the last week, Steve Scalise (LA-R), House Minority Leader Mitch McConnell (KY-R), and Alabama Governor Kay Ivey (AL-R) have appealed for constituents to get vaccinated. Alabama has the lowest vaccination rate in the county while in Louisiana, hospitals are becoming overwhelmed.

Delta, Lambda, and Gamma all appear to break through the currently available vaccinations to varying degrees. However, data indicates that almost all breakthrough cases is asymptomatic or mild. In June, the National Institute of Health reported over 99% of all COVID-related deaths were among unvaccinated patients.

According to the White House, vaccination rates are starting to increase in some of the states hardest hit by the fourth wave.