⚠️“DOMINANT”… a new variant is worrying epidemiologists—called #B11529–it has just “becoming dominant” in South Africa, displacing even #DeltaVariant (HT @MoshabelaMosa). And our other variant #C12 also growing. B11529 has an “awful spike profile” says @PeacockFlu. 🧵 #COVID19
2) I talked about worried many fellow scientists are about #B11529– many expressed “real concern”, and that they ➡️ haven’t seen as worrisome of a variant since #deltavariant ⬇️ its got a lot of bad mutations in the spike. Way more than Delta.
3) this #B11529 variant is now in Hong Kong— caught while in quarantine.
4) Notably, it’s the first time that a variant has *2* furin cleavage site mutations. “variant contains not one, but two furin cleavage site mutations - P681H & N679K- this is the first time @PeacockFlu seen 2 of these mutations in a single variant.”

📌Furin site spells trouble.
5) A bad furin mutation was also what made #DeltaVariant — a 681 mutation in the furin cleavage site P681H.

Guess which variant also has another nasty mutation at the same 681 amino acid spot?➡️ The new Botswana #B11529 variant. 👀

nature.com/articles/d4158…
6) The variant was first spotted in Botswana, where three cases have now been sequenced. Six more have been confirmed in South Africa, and one in Hong Kong in a traveller returning from South Africa. github.com/cov-lineages/p…
7) The #B11529 dominant graph is from Kwazulu Natal region, where “almost all recent samples” are now #B11529 — the blue dots… 👀 seriously!
8) total #COVID19 positivity surging in the local area with the dominant #B11529 surge. This is another sign it’s bad.
9) seems #B11529 has a shortcut PCR test to use as proxy - our old S-gene dropout test works to rapidly identify it. It was used originally to find the Alpha Variant, but now that Alpha is nearly extinct, the S-gene dropout PCR can be used for B11529–but bad news is it’s surging.
10) there was a spike in S-gene (#B11529) cases yesterday in South Africa… it was across **all provinces** of South Africa!!! That’s a bad bad sign.
11) welp—UK now imposing travel restrictions because of #B11529.
12) Very very bad - #B11529 made its way to Hong Kong 🇭🇰 and then cross infected in hotel quarantine- and was negative on 3 PCR tests before finally showing up on a 4th PCR in 8 days. See thread 🧵—plus both were Pfizer vaccinated.
13) if the South African #B11529 data is true, this would be how bad it is compared to Delta. Let’s stay vigilant and take precautions.
14) Other model by @JPWeiland predicts the #NuVariant #B11529 could have a huge 500% competitive advantage over the original strain. This would be cataclysmically bad if true. Let’s wait to confirm further but let’s be precautions. Precautionary principle is key right now!

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More from @DrEricDing

27 Nov
NEW—“Dozens” likely infected onboard 2 flights ✈️ carrying ~600 people from South Africa that landed in Netherlands—Dutch health service estimates up to ~85 cases —so far 15 positive from 110 tested. Nearly 500 results still pending—& pending if #Omicron. reuters.com/world/europe/p… Image
2) “The Dutch government banned all air travel from southern Africa early on Friday—passengers already en route to the 🇳🇱 would have to undergo testing and quarantine upon arrival.
Passengers from Cape Town & Johannesburg, said they were kept waiting on the tarmac for hours.”
3) Travel restrictions sadly could be too late. The first EU case of #OmicronVariant detected in Belgium — she didn’t even travel to Sub-Saharan Africa! This means the virus has definitely escaped the region un-detected.
Read 4 tweets
26 Nov
⚠️FIRST #OmicronVariant EUROPE CASE DID **NOT** TRAVEL TO SOUTHERN AFRICA—Tracing details of the Belgium #B11529 case reveals only travel to Egypt🇪🇬 & Turkey 🇹🇷—but not Sub-Saharan Africa at all. I’m concerned #Omicron is global 🌍 already—very worried. 🧵
assets.uzleuven.be/files/2021-11/… Image
2) Travel restrictions — many countries implementing them to Southern Africa. But is that enough? This is why international arrival testing + quarantine is likely much better safety net against variant border incursion.
3) The two #B11529 cases in Hong Kong were interesting too. The second HK case acquired it from the first traveler from South Africa in hotel quarantine! Both were vaccinated.
Read 5 tweets
26 Nov
BREAKING—“Omicron Variant”—The World Health Organization designates the new #B11529 strain a "variant of concern" high priority risks rating and gives it the Greek name #Omicron. Image
2) How risky is the new #OmicronVariant? It has potentially 500% competitive advantage compared to the old Wuhan strain. That is staggering. Let’s hope the early data is wrong. But I worry it’s not given WHO concern about it 👇
3) this is the best pandemic strategy. @DrMikeRyan

Be fast. Have no regrets. The greatest error is not to move. Image
Read 8 tweets
26 Nov
📍BREAKING— The European Commission has recommended that EU countries introduce an "emergency brake" on travel from southern Africa due to #B11529… to help "limit the spread", recommending all air travel to affected countries be suspended & "respect strict quarantine rules". 🧵 Image
2) This follows a confirmed case in Belgium, a case in Israel, and 2 cases caught in Hong Kong 🇭🇰 hotel quarantine.
3) here is where a lot of worry is ==> if early data pans out, it’s suggesting 500% virus competitive advantage versus old Wuhan strain. Let’s hope this is wrong. But scientists are worried.
Read 5 tweets
26 Nov
📍BREAKING— Israel 🇮🇱 reports its first confirmed case of new #B11529 coronavirus variant in a traveler who flew ✈️ from Malawi ➡️ this is now the 3rd case outside of Africa (after 2 cases found in Hong Kong 🇭🇰 - see thread 👇). #NuVariant

newsnodes.com/nu_tracker
2) in HK, #B11529 2/: fortunately caught by 🇭🇰’s quarantine system for international arrivals. But that’s where the good news ends— #B11259 was barely caught by a 4th PCR test in cross infection across a hotel hallway. Worse—both were Pfizer vaccinated.👇
?
3) Here is Israel 🇮🇱 Ministry’s statement — two other cases under suspicion of #B11529 — worrisome — all individuals were vaccinated too. Image
Read 7 tweets
26 Nov
⚠️My god—the new #B11259 variant being possibly ~500% more competitively infectious is the most staggering stat yet. Also, #NuVariant has more than >2x the number of bad spike mutations than Delta. Here’s an updated 🧵👇

Model by @JPWeiland matches up with graph by @jburnmurdoch ImageImage
2) That spike in #B11259 displacing Delta has now caused shockwaves worldwide. It is really bad. Not only that but the previous #C12 variant also seems to be slowly growing and displacing Delta too in South Africa.
3) the new #B11259 variant has an “extremely high” 32 worrisome mutations in the spike. That is a “real concern” and much much much more worrisome than any others found to date. 👇
Read 11 tweets

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