🧬4/1 Connecticut #SARSCoV2 variant surveillance report @CovidCT | @jacksonlab | @CTDPH | @YaleSPH

- B.1.1.7 *may* be leveling off
- B.1.526 continues to 📈
- More B.1.351, P.1, & E484K cases

Short 🧵 | Report 👇
covidtrackerct.com/variant-survei…
2/8 We didn't see an increase in the % of B.1.1.7 from the sequencing data last week, and the TaqPAth SGTF data also suggests that the expansion of B.1.1.7 *might* be slowing down in CT.

While this is good news, I think that it points to something else...
3/8 That something else is B.1.526.

It made up 32% of the sequenced cases analyzed this week, a 9% increase from the week before.

Its proportion is higher in Fairfield county, which is close to NY - where B.1.526 is currently dominating.

Data 👇 since 2/1
4/8 What does the rise in B.1.526 mean?

Not quite sure yet. This lineage is complex. Some have the Spike E484K mutation (left), while others have the S477N mutation (right). We don't quite have a handle on their impact on vaccines and/or disease in the context of this lineage
5/8 There are now at least 8 lineages in CT with the E484K mutation, which was found on ~20% of the samples sequenced last week.

Top to bottom order on tree 👇:
- B.1.526
- B.1.314
- B.1.351
- B.1.525
- B.1.1.7
- P.1
- R.1
- R.2
6/8 Even though the cases are low, we are starting to see evidence for local transmission of both B.1.351 (left) and P.1 (right) in CT.

Not sure how much room is for these variants to take hold with the growing dominance of B.1.1.7 and B.1.526. Will be very important to watch.
7/8 This week I'd like to highlight the work by @IsabelOtt and @mallerybreban - our amazing sequencing duo! They sequence 188 samples per week, and generating fantastic data. I mean, it doesn't get a whole lot better than this 😍

COVIDseq + NovaSeq = win
8/8 I'd also like to highlight the work by our partners @jacksonlab - led by Mark Adams 👏

They've been increasing their random sequencing and are also detecting the rapid expansion of B.1.526 (purple).

You can learn more about their work here 👇: jax.org/coronavirus-in…

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More from @NathanGrubaugh

25 Mar
3/25 Connecticut #SARSCoV2 variant surveillance report
@CovidCT | @jacksonlab | @CTDPH | @YaleSPH

- B.1.1.7 continues to 📈
- B.1.526 continues to 📈
- First detection of B.1.1.7 + E484K ⚡️ in CT.

Short 🧵 | Report 👇
covidtrackerct.com/variant-survei…
2/5 TaqPath SGTF data from YNHH (mostly New Haven County) and JAX (New Haven, Hartford, and some other counties) shows that the frequency of B.1.1.7 keeps 📈. Thankfully, the B.1.1.7 cases and total cases are still way down. Lets work to keep it that way.
3/5 We detected a B.1.1.7 sequence with the E484K mutation from a sample collected from New Haven County (CT). The genome is very closely related to others sequenced in CT so its likely acquired this mutation independently. This is potentially concerning for vaccines.
Read 5 tweets
18 Mar
New (3/18) Connecticut #SARSCoV2 variant surveillance report @CovidCT | @jacksonlab | @CTDPH | @YaleSPH

- First case of P.1 (first detected in Brazil) in CT
- B.1.1.7 continues to 📈
- B.1.526 📈
- B.1.427/9 added to the VOC list

Short 🧵 | Report 👇
covidtrackerct.com/variant-survei…
2/3 TaqPath SGTF data from YNHH (mostly New Haven County) and JAX (New Haven, Hartford, and some other counties) shows that probable B.1.1.7 cases keep 📈 as non-B.1.1.7 cases slowly 📉.

B.1.1.7 is now ~35% of the total cases (~40% from YNHH and ~26% from JAX).
3/3 (YNHH TaqPath data only)

Our earlier projections of B.1.1.7 frequency growth are still pretty close. We expect the YNHH B.1.1.7 numbers to cross 50% this week, and the combined (YNHH and JAX) to cross 50% next week.
Read 4 tweets
4 Mar
1/3 New Connecticut #SARSCoV2 variant surveillance report - @CovidCT

B.1.1.7 is rising rapidly, now close to 25% of positives in the New Haven area (based on SGTF results, purple). I'm worried that a rebound in cases will follow.

report here 👇
covidtrackerct.com/connecticut-sa…
2/3 Most of the *confirmed* B.1.1.7 cases have been found in New Haven County because that is were we do most of our sequencing (primary catchment area of Yale diagnostic labs). We are working to increase sequencing from across the state.
3/3 In addition to the variants of concern - B.1.1.7 and B.1.351 - we've detected several *variants of interest*.

B.1.429, first reported in CA, may be increasing in frequency.

B.1.525 and B.1.526 (first reported from NY) are of interest because they have the E484K mutation.
Read 4 tweets
25 Feb
1/n Weekly #SARSCoV2 variant report from Connecticut - data from @YaleSPH, @jacksonlab, and @CTDPH.

- B.1.1.7 = 63 cases
- B.1.351 = 1 case
- P.1 = 0 cases

B.1.1.7 cases by county 👇. Most in New Haven due to surveillance biases.

Report:
covidtrackerct.com/variant-survei…
2/n
Temporal distribution of B.1.1.7 cases doesn't accurately reflect the growth of B.1.1.7 in CT as the sequence reporting is still lagging. Next week we'll have temporal est of frequency based on SGTF. B.1.1.7 is currently associated with 5-10% of the COVID-19 cases in CT.
3/n Phylogenetics of B.1.1.7 cases show many different clusters, some associated with NY.
Read 7 tweets
17 Feb
New SARS-CoV-2 variant update for Connecticut.
- 42 cases of B.1.1.7
- 1 case of B.1.351
- 5 cases of B.1.525 (not of concern yet, but we are monitoring)

Partnership with @jacksonlab, @CTDPH, and diagnostic labs

Follow the 🧵(1/10)

Or read the report 👇
covidtrackerct.com/variant-survei…
2/10
B.1.1.7 cases in Connecticut by county.
- New Haven County: 33
- Fairfield County: 3
- Litchfield County: 3
- Hartford County: 2
- Windham County: 1

We do most of our surveillance from New Haven County, hence the higher numbers. We'll have a map next week.
3/10
B.1.1.7 cases in Connecticut are on the rise, but we don't yet know its frequency in the community. Its likely still <3% based on the PCR data.
Read 11 tweets
27 Jan
🧬Latest #SARSCoV2 B.1.1.7 update from Connecticut.
- 9 B.1.1.7 cases detected in CT
- Most travel related
- We sequenced 28 SGTF samples from CT, 5 (18%) are B.1.1.7.

1/4, short 🧵

covidtrackerct.com/variant-survei…
2/4
We sequenced 5 B117 cases in CT all (all in New Haven County, where we do most of our surveillance). The other four have been reported by The Jackson Labs (3, sequences not yet available) and Quest Diagnostics (1). They represent at least 4 seperate introductions.
3/4
We also sequenced 39 SGTF samples from out of state: FL, TX, TN, AZ, NJ, MA, NY, and IL. Combined with 28 form CT:
- 20 (30%) are B.1.1.7
- 40 (60%) are B.1.375
- 7 (10%) are other lineages

We'll break these down by date/location as we collect more data.
Read 4 tweets

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