Raj Rajnarayanan Profile picture
Apr 17 17 tweets 17 min read Twitter logo Read on Twitter
#COVID19 #VariantDashboard - #UnitedStates

TOP lineages (#15DAYTRENDS):

65.8% XBB.1.5
6.5% XBB.1.16
3.3% XBB.1.5.15
3.3% XBB.1.9.1
2.0% XBB.2.3
1.3% XBB.1
1.3% XBB.1.5.1

#SARSCoV2 Tracker: tinyurl.com/mryj4uu7 Updated: 04/16/23

1/n Image
Use "Airport Surveillance" (AS) pull-down menu to easily track variant proportions Nationally or by State with or without AS sequences

Top lineages (#15DayTrends w/o AS seqs):

XBB.1.5 (71.4%),
XBB.1.16 (3.1%)
XBB.1.5.15 (3.1%),
XBB.1.9.1 (2.9%),
XBB.1.5.20 (1.6%)

2/n Image
Sequence count by US States

#NewYork and #California have submitted a big share of sequences with specimen collection dates on or after 04/01/2023

XBB.1.5 is still at the top spot; followed by XBB.1.16, XBB.1.5.15 & XBB.1.9.1

3/n Image
Granular details -#VariantDashboard #USA #15DayTrends

XBB.1.5* (VOI -@WHO) is still ahead of the other lineages!

4/n Image
.@CDCgov updated variant proportions estimates on 04/14/2023 (updated every Friday)

XBB.1.16, XBB.1.9.2 and FD.2 make an entry!

Prudent to start tracking XBB.1.5.13 (parent of EK.1* and EK.2*) and XBB.2.3 as well


4/n
XBB.1.16 has the potential to outcompete all other circulating lineages.

Everyone is closely watching XBB.1.16 hotspots for clues

Tracker: public.tableau.com/app/profile/ra…

5/n
XBB.1.16 is one of the fittest variant in circulation right now.. and is picking up additional mutations... "its the one to watch"

H/T @ErinMPrater @WellatFortune
@FortuneMagazine
fortune.com/well/2023/03/3…

6/n
What to know about the XBB.1.16 COVID variant causing concern in India

H/T @ingridhein @medpagetoday
abcnews.go.com/Health/xbb116-…

7/n
Predicted Immune Escape and ACE2 binding of top lineages in USA (relative to BA.2)

Bivalent boosters (OG/Omicron.BA.5) will potentially protect the boosted from getting severe disease/ hospitalizations.

Get updated if you haven't already!
public.tableau.com/app/profile/ra…

8/n
#Hospital #Capacity - (by State/Division)

All hospitalizations not just COVID-19

public.tableau.com/app/profile/ra…

9/n
#COVID19 #Hospitalizations in the #UnitedStates

>60 yr old & immunocompromised Have a good look at @CDCgov info on #Boosters!

#Ventilate Indoor spaces

Sick? --> Wear a good quality #Mask!

Hospital Tracker (by States, by age group): public.tableau.com/app/profile/ra…

10/n
Circulating recombinant lineages - USA #15DayTrends

XBB.1.5* is still the top recombinant in circulation!

11/n ImageImage
Status of the latest #COVID19 Wave in #Washington

Top circulating lineages in WA (#15DayTrends)

XBB.1.5 (55.6%)
XBB.2.3* (8.3%)
XBB.1.5.5 (6.9%)
XBB.1.16* (5.6%)
XBB.1.5.13 (4.2%)

12/n ImageImage
Status of the latest #COVID19 Wave in #NewYork

Top circulating lineages in NY (#15DayTrends)

XBB.1.5 (65.7%)
XBB.1.16 (5.1%)
XBB.1.9.1 (4.6%)
XBB.1.5.1 (4.0%)
XBB.1 (3.4%)
XBB.1.5.15 (2.9%)
XBB.1.5.17 (1.7%)

13/n ImageImage
Status of the latest #COVID19 Wave in #California

Top circulating lineages in CA (#15DayTrends)

XBB.1.5 (56.8%)
XBB.1.16 (15.2%)
XBB.1.5.15 (5.6%)
XBB.1.9.1 (4.8%)
XBB.1.5.16 (2.4%)

14/n ImageImage
USA Airport surveillance update #15DayTrends

133 sequences from 6 US States (#California, #NewYork, #Washington, #NewJersey, #Georgia and #Virginia) from @CDCgov's Traveler-Based Genomic Surveillance Program.

*Includes pooled swabs & Many bad QC seqs

15/n ImageImageImage
As COVID Tracking Wanes, Are We Letting Our Guard Down Too Soon?

"Closing up shop too early could mean we are blindsided" “You have to maintain a base level of sequencing for new variants"

H/T @DohenyKathleen @WebMD
webmd.com/covid/news/202…

16/n Image

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More from @RajlabN

Apr 16
Tracking #SARSCoV2 lineage XBB.1.16* (#Arcturus) over time - Globally

Total Sequences : 3,576 (circulating in 33 countries)

Tracker: public.tableau.com/app/profile/ra…

Note: Recent Epi weeks are incomplete; Includes seqs from targeted & Airport surveillance

Updated: 04/15/23 Image
Tracking #SARSCOV2 Lineage XBB.1.16.1* (XBB.1.16 + Spike T547I) - Globally

Total Sequences: 749 Image
Tracking #SARSCOV2 Lineage XBB.1.16* in #India

Total Sequences: 2,252

Note: Recent epi-weeks are incomplete Image
Read 4 tweets
Apr 16
#COVID19 #VariantDashboard - #UnitedStates

TOP lineages (#15DAYTRENDS):

67.3% XBB.1.5
5.3% XBB.1.16
3.6% XBB.1.5.15
3.5% XBB.1.9.1
1.8% XBB.2.3
1.3% XBB.1.5.13
1.3% XBB.1.5.1

#SARSCoV2 Tracker: tinyurl.com/mryj4uu7 Updated: 04/15/23

1/n Image
Use "Airport Surveillance" (AS) pull-down menu to easily track variant proportions Nationally or by State with or without AS sequences

Top lineages (#15DayTrends w/o AS seqs):

XBB.1.5 (72.3%),
XBB.1.5.15 (3.6%),
XBB.1.9.1 (2.8%),
XBB.1.16 (2.3%)
XBB.1.5.13 (1.5%)

2/n Image
Sequence count by US States

#California, #Washington and #NewYork have submitted a big share of sequences with specimen collection dates on or after 03/31/2023

XBB.1.5 is still at the top spot; followed by XBB.1.5.15, XBB.1.9.1 & XBB.1.16

3/n Image
Read 17 tweets
Apr 16
Tracking #SARSCoV2 #Lineages - Globally

Top lineages -#20DayTrends (#G20):

XBB.1.5 (46.4%)⬇️
XBB.1.9.1 (10.1%)⬆️
XBB.1.16 (4.9%)⬆️
EG.1 (3.7%)⬆️
CH.1.1 (2.3%)⬇️
XBB.1.9.2 (2.3%)
--
XBB.2.3 (1.3%)⬆️

Tracker: public.tableau.com/app/profile/ra…

Updated 04/15/23 Image
Granular details #Global #20DayTrends

This analysis includes all designated #SARSCoV2 sequences submitted to @GISAID with sample collection dates on or after 03/26/2023 (15,505 sequences) Image
#USA, #Austria, #UnitedKingdom & #Canada have submitted a lion's share of sequences with sample collection dates on or after 03/26/2023 ...followed by #Germany, #France, #India, #Italy, #Australia, #Sweden, #Denmark, #Singapore, #SouthKorea, #Spain, #Netherlands Image
Read 7 tweets
Apr 14
#SARSCoV2 #VariantProportions - #USA |04/14/23

New @CDCgov #Nowcast estimates:

>> XBB.1.16, XBB.1.9.2 and FD.2 make an entry! <<

Top circulating lineages:
XBB.1.5 (78%)
XBB.1.16 (7.2%)
XBB.1.9.1 (6.5%)
XBB.1.9.2 (2.5%)
--
FD.2 (1.7%)

covid.cdc.gov/covid-data-tra…
1/n Image
Over all trends are consistent with #15DayTrends (based on sequences uploaded in the public databases)

XBB.1.5 is still at the top; followed by XBB.1.16 & XBB.1.9.1

As expected XBB.1.16, XBB.1.5.15* (FD.2) featured in the CDC nowcast today!



2/n
XBB.1.16* hotspots per CDC #Nowcast

As expected, hotspots are in regions 2, 3, 4, 9, 10

>> Region 6 estimate looks suspect! <<

3/n Image
Read 6 tweets
Apr 14
Step 1 in getting LongCOVID disability claims processed is to have a proper clinical definition.

Step 2 is to recognize the complexity in diagnosis ( no single test)

Start now, what are we waiting for?

@WhiteHouse @WHCOVIDResponse @US_FDA @CDCgov
This guidance only addresses the definition of disability under these Federal civil rights laws.  It does not cover other definitions of disability or eligibility requirements such as those necessary to qualify for Federal benefit programs under Social Security. ImageImage
Read 5 tweets
Apr 14
#COVID19 #VariantDashboard - #UnitedStates

TOP lineages (#15DAYTRENDS):

67.7% XBB.1.5⬇️
4.5% XBB.1.16👀
4.5% XBB.1.5.15
4.1% XBB.1.9.1👀
1.7% XBB.2.3👀
1.5% XBB.1.5.13
1.0% XBB.1.5.1

#SARSCoV2 Tracker: tinyurl.com/mryj4uu7 Updated: 04/13/23

1/n Image
Use "Airport Surveillance" (AS) pull-down menu to easily track variant proportions Nationally or by State with or without AS sequences

Top lineages (#15DayTrends w/o AS seqs):

XBB.1.5 (71.8%),
XBB.1.5.15 (4.3%),
XBB.1.9.1 (3.2%),
XBB.1.16 (1.9%)
XBB.1.5.13 (1.2%)

2/n Image
Sequence count by US States

#California, #Washington, #NewYork, and #Utah have submitted a big share of sequences with specimen collection dates on or after 03/29/2023

XBB.1.5 is still at the top spot; followed by XBB.1.5.15, XBB.1.9.1 & XBB.1.16

3/n Image
Read 17 tweets

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