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Covid 19: NZ's 'variant soup' keeps getting messier

Author
Jamie Morton,
Publish Date
Tue, 24 Jan 2023, 12:02pm

Covid 19: NZ's 'variant soup' keeps getting messier

Author
Jamie Morton,
Publish Date
Tue, 24 Jan 2023, 12:02pm

There have been 13,880 new community cases of Covid-19 in the past week, the lowest number in three months, the Ministry of Health reported today.

There were 79 virus-related deaths, 242 people are in hospital as at midnight Sunday and seven in ICU.

The ministry reported two of the dead were from Northland, 24 from Auckland region, six from Waikato, five from Bay of Plenty, two from Lakes, one was from Tairawhiti, two were from Hawke鈥檚 Bay, one from Taranaki, six from MidCentral, three from Wellington region, three from Nelson Marlborough, 12 from Canterbury, two from South Canterbury and 10 from Southern.

One was younger than 10 years old, two were in their 20s, two in their 40s, seven in their 50s, 12 in their 60s, 10 in their 70s, 27 were in their 80s and 18 were aged over 90. Of these people, 50 were women and 29 were men.

The 鈥渧ariant soup鈥 behind New Zealand鈥檚 latest Covid-19 wave has only grown more complex, with tricky hybrid strains like the newly arrived Kraken making up a fast-growing chunk of sequenced cases.

While most coronavirus infections last year were caused by a handful of Omicron types 鈥 namely BA.2 and BA.5 -听听showed a diverse mix of lineages was now driving spread.

Case numbers have been slowly dropping towards the 1000-mark after a Christmas bump.

That鈥檚 in line with drops in hospitalisations, with just over 400 cases as at the start of the week, but also a rise in reported reinfections, now at around 40 per cent, with the true proportion likely much higher.

BA.5, largely responsible for last year鈥檚 winter wave, accounted for only about 9 per cent of cases sequenced over the month to January 13, with CH.1.1 making up roughly a third.

That subtype 鈥 a descendant of BA.2, which likely caused most of the country鈥檚 first Omicron infections 鈥 sported the same genetic mutations as the more recently introduced BQ.1.1, which already accounted for 15 per cent of cases.

Nicknamed Cerberus, BQ.1.1 and fellow BA.5 off-shoot BQ.1 (Typhoon) fuelled a tide of infections in the US and France last year, owing to their ability to better escape immunity from first and booster vaccines.

Also in the mix were BA.2.75, or Centaurus - a second-generation subvariant of BA.2 making up 17 per cent of cases 鈥 and a handful of 鈥渞ecombinant鈥 strains created by two viruses swapping genetic material and typically designated with an X.

These include XBF (19 per cent of cases) XBC (four per cent) and XBB (two per cent) - and at presently-low levels, XBB 1.5,听.

The World Health Organisation (WHO) has labelled Kraken 鈥 now causing large numbers of infections across the US - 鈥渢he most transmissible subvariant that has been detected yet鈥.

It鈥檚 also been detected in Australia, the UK and several European countries including Denmark, France, Germany, and Spain.

According to the US Centers for Disease Control and Prevention (CDC), more than 40 per cent of the country鈥檚 infections have been caused by XBB.1.5.

This month, Otago University epidemiologist听it could also drive many more infections here.

Yet, there were some promising signs its global growth was slowing.

These mutant strains sometimes arise from a person being infected twice at the same time 鈥 as may have happened with the very first major Omicron recombinant that Kiwis learned of.

That was XE, a hybrid of BA.1 and BA.2, that was initially estimated to have been about 10 per cent more transmissible than BA.2 when it was detected here for the first time in late April.

Meanwhile, XBC, which packed a staggering 130 mutations, happened to be one of several so-called 鈥淒eltacron鈥 subvariants now floating about the world.

While any lineage with the potential to combine Omicron鈥檚 faster transmissibility with Delta鈥檚 higher severity might be worrying, none of the mostly Asian countries that have registered XBC cases have seen any notable rise in deaths.

Otago University evolutionary virologist Dr Jemma Geoghegan said it wasn鈥檛 unexpected to see recombinant strains now making up such a big part of the picture, given so many variants have been co-existing.

Scientists have watched many of these strains develop independently 鈥 but all while acquiring similar traits in response to the same selective pressures 鈥 making for one of the world鈥檚 most fascinating cases of 鈥渃onvergent鈥 evolution.

Nevertheless, Geoghegan said the rate at which these strains were emerging continued to surprise here.

鈥淲e鈥檝e got a few examples of this happening in nature, but not too many in virus evolution.鈥

The question facing scientists like Geoghegan now was whether Omicron 鈥 today a family of hundreds of identified lineages 鈥 stayed in the pandemic鈥檚 driver鈥檚 seat.

Otago University virologist Dr Jemma Geoghegan. Photo / SuppliedOtago University virologist Dr Jemma Geoghegan. Photo / Supplied

鈥淚t鈥檒l be interesting to see what happens next, and if it continues on its path, we鈥檙e going to see a lot more convergent evolution and recombination,鈥 she said.

鈥淚t鈥檚 clearly got a long way to go.鈥

Why viruses like Sars-CoV-2 evolved in the first place was more straightforward.

In simple terms, the longer and more easily a virus is able to jump between us, the quicker it learns how to infect us.

This happens through viruses copying their own genomes through replication, a process that inevitably causes mistakes - or what we know better as mutations.

If it finds a certain mutation offers some kind of advantage, like better invading our cells, then that useful 鈥渕istake鈥 sticks.

And in all of the Covid-19 variants we鈥檝e seen so far, a key feature has been clever combinations of specific, structure-changing mutations that help them spread even quicker.

These mostly tended to occur around the virus鈥 鈥渟pike protein鈥, which it used to latch on to a specific receptor that gave it entry to our cells 鈥 and it鈥檚 just what鈥檚 played out within Omicron鈥檚 evolution.

The Government is expected to soon roll out a new 鈥渂ivalent鈥 booster, targeted at BA.5, and shown to perform better against currently circulating variants.

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