I've run preliminary @nextstrain focal builds on 20B/S:796H (B.1.1.318) (pictured) & 20A/S:210T (B.1.619).
These aren't part of CoVariants (yet?) but they've caught a couple eyes and I thought it was worth taking a closer look.
1/8
20B/S:796H (B.1.1.318) is behind most of the recent increase in 'other' variants circulating in Greece (shown in grey on the CoVariants plot, below - disregard last point, low sequence #'s).
It's very prominent in Greece, but also found worldwide.
Taking a closer look at Europe only, we can see there's a large cluster in Greece, but also distinct clusters in Switzerland & Ireland, & many sequences from other countries scattered between.
The fact that the significant recent cluster in Greece (or the others) doesn't have additional spike mutations suggests (but doesn't rule out) that this expansion may *not* be due to viral changes.
A reminder that it's not just the virus that determines transmission!! 🧑🏽🤝🧑🏻
5/8
20A/S:210T (B.1.619) was initially mostly seen in Africa & Europe & seemed to be decreasing in frequency, but has recently grown again, particularly in South Korea.
The underlying problem isn't that the UK COVID-19 app is 'too sensitive.'
With a quarter-million cases & few restrictions, even if only correct contacts were pinged, that would be a huge number of alerts & isolations!
And yes - that's going to cause a lot of disruption 🤷🏻♀️
1/5
We're papering over the consequences of huge case numbers with debates around sensitivity.
Yes, we can turn sensitivity down - but # of alerts will continue to grow with cases - still potentially annoying people (who uninstall) & certainly continuing to cause disruption.
2/5
This isn't to say we shouldn't try to make pings more accurate, rather, that this isn't an actual solution to high number of pings right now.
Even if 30% pings were bad & we could get perfection now, UK cases rose 33% this week - so we are still at crazy high notifications.
3/5
Also - we have awesome new flags on the Per Country page! 🏁🚩
Let's take a closer look...👀
1/10
21G (Lambda) was recently classified a VoI by @WHO & included in @nextstrain builds. It seems to originate in South America - we can see its prevalence in countries like Chile, Argentina, Ecuador, & Peru (purple-pink):
2/10
Looking at the focal build, we can see that 21G (Lambda) has also been found in North America, Europe, the Middle East, and Australia.
Lambda has a unique 7 AA deletion in Spike, & a mutation at S:L452Q.
S:417N has actually popped up multiple times in the Delta variant - it's of interest because it's thought to be related to immune escape & is also found in Beta.
But looking below, there are 2 main clusters - @PangoNetwork lineages AY.2 & AY.1
Last Sept, while looking for #SARSCoV2 sequences that could help us understand transmission across #Switzerland, I noticed a cluster that was present not just across Switzerland, but also the UK & Spain. This is the cluster that eventually came to be known as 20E (EU1).
2/24
EU1 had a mutation at position 222 in spike - this caught my eye.
From mid-summer 2020, EU1 (orange) expanded across Europe - becoming the most prevalent variant in most of Western Europe, & accounting for >30% of sequences in Europe by the end of 2020.