⚠️“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.
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. 👀
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.
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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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…
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.
⚠️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/…
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.
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.
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 👇
📍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". 🧵
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.
📍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
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.👇
⚠️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 🧵👇
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. 👇