- Cancer is one of the leading causes of mortality in the Western world.
- Tumours develop over a long time before becoming detectable.
- Early detection improves survival rates, but current screening is limited to few cancer types.
An update on BQ.1.1 and other SARS-CoV-2 variants in Germany with fresh variant classification in @rki_de’s latest variant release.
There have been n=69 BQ.1.1 cases detected in Germany. Together with BQ.1 (n=124) it is estimated to contribute ~5% of cases on Oct 10.
BQ.1.1 remains the fastest spreading variant in agreement with last week’s estimates.
BQ.1 and BN.1 (n=36) — a derivative of BA.2.75.5 — are spreading at somewhat lower rate (likely because BQ.1.1 has an additional immune escape mutation).
The rapid spread of BQ.1 and BQ.1.1 indicates that they will reach 50% of cases in November (range Oct 30 to Nov 25).
(While I’m fairly confident about the next 1-2 months, the situation at Christmas could already be a different one as there are a number of contenders.)
What’s behind the recent rise of covid cases are in Germany?
It’s not the new variants — yet.
A number of variants possessing immune evasion mutations have been observed — BA.4.6, BF.*, BA.2.75.*, BQ.1.*
These variants make up around 20% of cases in Germany by Oct 1 — BF.7 (15%), BA.4.6 (3%), as well as other BF.*, BA.2.75.* variants and BQ.1.* (each <1%).
Here’s an overview of the zoo of variants, which all independently acquired the same mutations associated with immune evasion.
(Only some are found in Germany and part of our model.)
Der Omicron-Tsunami hat England erreicht und die Fallzahlen sind sprunghaft gestiegen.
Ist Deutschland im Vergleich gut gerüstet?
Kurz: Deutschland muss bei den Erstimpfungen und Boostern für Ältere nachlegen und eine Überlastung der Krankenhäuser verhindern.
Hintergrund: Omicron ist nicht nur hochansteckend, sondern kann auch Geimpfte und Genesene infizieren.
Diese erkranken zwar eher leicht, tragen allerdings zur Verbreitung mit bei.
Die Fallzahlen drohen in bisher unbekannte Höhen zu steigen.
Selbst wenn nur wenige Fälle schwer verlaufen, muss man angesichts der enormen Fallzahlen mit einer erheblichen Belastung für das Gesundheitssystem rechnen.
Schwere Verläufe sind insbesondere bei Ungeimpften und Älteren zu erwarten.
Some thoughts about the punctuated evolution of variants of concern including B.1.1.529 in Southern Africa. 🧵
A shared characteristic of all known VOCs is that they appeared suddenly with a large number of mutations, many more than the incremental changes we see normally.
These mutations recurrently cluster in certain functional sites of the virus’ genome.
This is the signature of selection — while mutations occur more or less randomly, we preferentially see the subset that makes the virus fitter.
While we will never know the exact circumstance of each VOC emergence, we do know that a similar pattern occurs in immunocompromised patients who have chronic infections.
This includes patients with leukaemia, but also AIDS