Okay, I promised a thread on my #sarscov2 evolution story, but it’s really late here, so a few general points on how to think about its evolution to come and then more tomorrow.
Full story is here: sciencemag.org/news/2021/08/n…
1. Evolution is hard to understand.
Yes, the basic idea is so beautiful and simple a child can understand it.
But when you get to the details of what happens in the real world it can get really, really complex. That means you should be wary of anyone telling you it’s “obvious”.
Take virulence: There is this popular idea that viruses tend to become less dangerous over time, because it is not in the interest of the virus to kill its host.
That may sound reasonable at first glance, but things are a lot more complicated.
For one, it’s not about what's in the long-term interest of a viral species. It’s about what particular virus wins out now.
(Destroying Earth is not in humans' interest but the interests of billions of individuals have led us a long way towards it - and we have a brain to think!)
In some instances killing the host can help a virus spread.
Rabbit hemorrhagic disease virus was released in Australia in 1996. It got more deadly over time, probably because the virus is spread by blow flies feeding on rabbit carcasses.
In other instances it simply may not matter. For instance, if disease develops and death comes long after the time when an infected individual has passed the virus on.
Or a virus becomes more dangerous because the trait that makes it cause more disease also makes it better able to compete with other versions of the same virus in the same host.
(The argument has been made that polio virus infecting nervous tissue from which it won’t be transmitted - it’s transmitted by fecal-oral route - is an example of this kind of "short-sighted evolution".
See here: wwwnc.cdc.gov/eid/article/2/…)
So how the virulence of a given virus evolves over time really depends on a lot of factors, some of which are very hard to know.
“The evolution of virulence has proven to be quicksand for evolutionary biologists,” @edwardcholmes told me. “It’s not a simple thing.”
@edwardcholmes 2. Evolution is even harder to predict.
This is in part because there is an element of chance: the random mutations. “It’s very, very tricky to know what’s possible, until it happens”, Andrew Read told me. “It’s not physics. It doesn’t happen on a billiard table."
@edwardcholmes Think of an island to which a new predator is introduced. Other animals need to adapt. Some may learn to camouflage, some may develop sharp teeth or burrow into the ground or learn to fly. But what species ends up taking what path depends in part on chance.
@edwardcholmes Thinks of evolutionary biology as more of a historical science, Read told me. “We're much better at explaining the past, than predicting the future”.
@edwardcholmes 3. Evolution is a numbers game.
Some evolutionary scenarios may be really unlikely, like winning a lottery.
But if you buy enough lottery tickets (like A LOT) your chances of winning become pretty good.
The same goes for the virus.
@edwardcholmes That’s why reducing infections is so important.
Some dangerous variants may only be possible if the virus hits on a very rare, winning combination of mutations, Eugene Koonin told me. “But with all these millions of infected people, it may very well find that combination.”
@edwardcholmes I’ll leave it at this and get into #sarscov2 tomorrow

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More from @kakape

16 Sep
A new preprint by @PeterDaszak, @nycbat and others attempts to show where the next coronavirus pandemic is most likely to begin and argues that there may be 400,000 hidden infections with SARSr-CoVs every year.

Story is here (thread to come):
science.org/content/articl…
@PeterDaszak @nycbat First of all:
Yes, that is a really big number. And yes there is HUGE uncertainty in that.
The confidence interval goes all the way down to a single case and all the way up to more than 35 million!
We’ll get to that.
But let’s take a quick look at what the researchers did. Image
@PeterDaszak @nycbat They created a detailed map of the habitats of 23 bat species known to harbor SARSr-CoVs, then overlaid it with data on where humans live to create a map showing where the risk of spillover is highest: southern China, Vietnam, Cambodia, and on Java and other islands in Indonesia Image
Read 19 tweets
14 Sep
Only 2 African countries have vaccinated more than 40% of their population, says @DrTedros at #Covid19 presser.
“That's not because African countries don't have the capacity or the experience to roll out vaccines. It's because they have been left behind by the rest of the world."
@DrTedros “More than 5.7 billion doses have been administered globally, but only 2% of those have been administered in Africa”, says @drtedros
"This leaves people at high risk of disease and death exposed to a deadly virus against which many other people around the world enjoy protection."
@DrTedros "This does not only hurt the people of Africa. It hurts all of us”, says @drtedros.
"The longer vaccine inequity persists, the more the virus will keep circulating and changing, the longer the social and economic disruption will continue."
Read 27 tweets
12 Sep
Last week I met Jeremy Farrar in Berlin and since then I’ve kept going over some of what he said, since it seems pretty crucial for the next phase of the pandemic in Europe. So a quick thread
(You can also hear him say some of this in our new @pandemiapodcast episode)
@pandemiapodcast At least in Europe, "what you're witnessing, I think at the moment is the shift from epidemic/pandemic state into an endemic state”, Farrar said.
“And none of us are really quite sure what that endemic state is going to look like.”
@pandemiapodcast The argument is simple: #SARSCoV2 is clearly not going away any time soon. As vaccines blunt some of the impact of the virus at the societal level, #covid19 may still be terrible and still cause disease and death but maybe at a level society can or will or has to accept.
Read 15 tweets
11 Sep
Earlier this year I was watching Denmark for signs of how the Alpha variant would behave. That was partly because their amazing sequencing effort gave such a clear view of what was happening.
Now I’m watching Denmark again, but for a different reason.
Yesterday, Denmark abandoned the last corona restrictions. With more than 95% of the over-60s vaccinated, the country hopes to be able to treat #covid19 more like the flu going forward. It’s an experiment and we will see how it plays out.
I will be watching it closely because Denmark will give us some clues to what “living with the virus” might look like. It could also give us important information on the speed at which immunity wanes and the frequency and seriousness of breakthrough infections.
Read 11 tweets
11 Sep
Gestern wurden in Dänemark die letzten Corona-Beschränkungen aufgehoben und das war für uns Anlass eine Folge @pandemiapodcast zum “Ende der Pandemie” aufzunehmen:
Was heißt eigentlich “Ende”? Was passiert in Dänemark jetzt? Und wie steht Deutschland da?
viertausendhertz.de/pan29/
Die Masken wurden in Dänemark schon im vergangenen Monat abgelegt. Nun ist auch kein Impfnachweis mehr nötig für Konzerte und andere Großveranstaltungen. Das Leben ist weitgehend so wie vor Corona. Dänemark markiert damit den Übergang von der Pandemie in die Endemie.
Die Dänen sagen nicht, dass das Virus keine Rolle mehr spielt. Sie sagen, dass es nicht mehr eine so große Gefahr für die Gesellschaft birgt, dass es mit außergewöhnlichen Maßnahmen bekämpft werden muss.
Oder, wie @LoneSimonsen2 sagt: “Wir haben dem Virus die Zähne gezogen.”
Read 9 tweets
8 Sep
"Today, the #DRC declared an outbreak of meningitis in the north-eastern Tshopo Province, with 261 suspected cases and 129 deaths reported”, @DrTedros says at start of @WHO presser.
A reminder that #covid19 "is far from the only health threat to which WHO is responding”, he says
@DrTedros @WHO "Over 50,000 people have died with #COVID19 every week since October last year and for the past month, deaths have remained at almost 70,000 a week”, says @DrTedros.
Solutions to save lives are there, he says, “but those solutions are not being used well nor shared well."
@DrTedros @WHO "Some countries with the highest vaccine coverage are now seeing a decoupling of #COVID19 cases and deaths, which is allowing them to reopen their societies without their health systems being overwhelmed”, says @DrTedros.
Read 12 tweets

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