JWeiland Profile picture
Oct 3, 2022 11 tweets 7 min read Read on X
We are seeing multiple variants with convergent evolution that will drive the next wave.

All variants with 5+ key RBD mutations can be grouped together, I am referring to this group as "Pentagon" for sharing the 5 mutations.

Thank you @CorneliusRoemer for covspectrum collection Image
@CorneliusRoemer Evaluating the rate of increase of spectra worldwide with these mutations shows very clear, steady log growth, currently estimated at +105% week/week over BA.5 Image
This phase of the pandemic is different than we've seen in the past, with the same advantageous mutations popping up all over instead of saltation (leaping) evolution. @shay_fleishon has a great, detailed thread

Instead of keeping track of a half dozen or more different variants with different names seems cumbersome for communications and evaluation. Logical grouping of similar evolutions makes sense at this point. Since it is a group, a different naming system seemed appropriate
Many thanks to the hard work of survalence team @PeacockFlu @TWenseleers @LongDesertTrain @trvrb @RajlabN @EricTopol @Mike_Honey_ @jbloom_lab @florian_krammer @EllingUlrich and others, as well as the boots-on-the-ground scientists around the world feverishly sequencing samples!!
How big will the peak of this covid wave be?

It's hard to say at this point. I'm confident it won't be near the size of the January Omicron wave, but it could reach or surpass BA.5 wave peak. Difficult to estimate the amount of herd resistance to Pentagon in the population.
So which lineages are included in Pentagon?

BQ.1.1
BN.1
XBB
BA.2.75.2*
And a number of others with small sequence counts.

Variant soup
This particular model does not consider effects of background forces (shift to fall weather, behavioral changes, vaccine uptake etc).

Influx of cold weather pushing more people indoors could shift the upswing a bit earlier, mainly in northern states
Regardless, the arrival of #Pentagon variants will be the main driver of case increases from their significant transmission advantages
@CorneliusRoemer Meet the #PentagonVariants

All the highlighted variants below are Pentagon, with 5 or more key escape mutations. The immune evasion even from BA.5 infection is impressive on all of them. Small numbers=more Immune evasion
Image
An additional escape mutation is now being included in all of the Pentagon Variants. #Pentagon or #Hexagon, either name, they are the same set of variants

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More from @JPWeiland

Jul 19
July 19th update:

Another substantial increase this week (+26%). Wastewater signal now higher than last summer's peak, and over a month earlier.

🔸780,000 new infections/day
🔸1 in every 43 people currently infected
🔸45% higher than 12 month avg. Image
Ratio of people currently infected by region:

Midwest: 1 in 59 ⬆️
South: 1 in 34 ⬆️
Northest: 1 in 73 ⬆️
West: 1 in 25 ⬆️ Image
I expect a peak in the next couple of weeks nationally. Regionally, I think the West at South are closer to peak than the Northeast and Midwest.
Read 4 tweets
Jul 5
Largest spike AA evolutionary jumps from 2020-2024, plotted:

BA.1 Omiron's top spot was followed closely by JN.1 Pirola, and both stand well above the rest over the past 4 years. Image
Viewed from a different lens of total AA spike divergence from the current lineages, JN.1 takes the top spot. This is branch to branch distance. Also note BA.2 divergence from BA.1. Image
Divergence is not necessarily a direct predictor of impact to caseloads. A lot depends on the diversity of population antibody protection when the evolution occurs. BA.1 easily holds that title because of the lack of antibody diversity at arrival.
Read 4 tweets
May 16
The cost of preventing a pandemic is far lower than the cost of dealing with a pandemic. The current response to H5N1 in bovine needs to be dramatically increased.
1) Federal funds for compensation of lost profits on H5N1 farms (increases cooperation)
2) Abundant sequencing of.. Image
H5N1 positive cows and mammals on or near outbreak farms
3) Ramp up testing of farms and farm animals
4) Detailed sequencing metadata: date, location, etc.
5) Guarantee privacy on any humans with symptoms, test, trace, isolate, seq any positives
6) Guarantee immunity for...
...migrant workers on milk farms to encourage cooporation
7) If no temporary ban, require testing on all raw milk lots
8) Improved safe cattle transfer. Require testing of mixed milk lot from farm and cow before transfer
9) Survalence testing of other cattle
Read 4 tweets
May 8
What is "FLiRT"?

FLiRT is the clever nickname for two mutations on the spike protein of the highly mutated variant "Pirola", that accounts for >99% of all Covid right now.
F->L at position 456 and R->T at 346.
Both escape mutations were present last year, but never on Pirola. Image
The two mutations are like makeup and lipstick to disguise the virus a bit more to sneak past some of your antibodies from prior infection and vaccination. And she wears it well.
And what is "Pirola"? That's the name I coined for this highly mutated variant. This level of sudden mutation has only happened twice; Omicron, and Pirola. Pirola had even more new mutations than Omicron did when it evolved. A big jump like that definitely deserves a name. Image
Read 4 tweets
Feb 1
A set of 8 highly mutated variant designated BA.2.87.1 were released from South Africa today from Sept-Nov 2023.

While this deserves close watch, at this point, I don't think it's as concerning as the arrival of Pirola. I'll explain my reasoning:

1/
Image
It's apparently been 4 months since the first sample collection date, and it still hasnt been detected in any other country that does sequencing.

When Pirola first appeared, there were sequences spotted all over the world within a week or two of first detection.

2/
BA.2.86 already was as fast as the fastest variants out there, and the L455S mutation supercharged it to JN.1. This JN.1 background is going to be a very big hill to climb for a variant that hasn't managed a foothold outside of SA yet in a number of months. Pirola in SA:

3/ Image
Read 7 tweets
Jan 24
Biobot update 1/23/2024:

Wastewater receding quickly off of the peak, though still near 1 million new infections a day in America. Decline will continue.

🔸990,000 new infections/day
🔸1 in every 330 became infected today
🔸1 in every 33 people currently infected Image
My latest model run forecasts a steady decline of infections, with no variants competing for dominance against JN.1.

The forecast and result of my previous model (Nov 30) can be found here:

Peak numbers were missed by 0.5%.
Image
Image
Read 4 tweets

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