A heavily-mutated Omicron听听is yet to pop up in New Zealand 鈥 but an ESR scientist expects it鈥檚 just a matter of time before it鈥檚 detected here.
Health authorities are still trying to assess what BA.2.86鈥瞫 striking number of mutations 鈥 setting it far apart from its closest relative and roughly in line with Omicron鈥檚 genetic difference to its predecessor 鈥 means for its ability to spread or make people sicker with Covid-19.
Already confirmed in the US, UK, Denmark, Israel, Switzerland and South Africa, 鈥淧irola鈥 has been tagged a 鈥渧ariant under monitoring鈥 by the World Health Organisation, while听听has concluded there鈥檚 鈥渆stablished international transmission鈥 - and potential for rapid growth.
So far, regular sampling and sequencing of Covid-19 hasn鈥檛 turned up Pirola in Aotearoa, ESR鈥檚 pathogen genomics technical lead Dr David Winter said, but that was likely to change soon.
听鈥淣ew Zealand is entirely connected to the world and if something is circulating at an appreciable level, we鈥檒l get it eventually.鈥
Each week, ESR produces results for about 100 to 200 virus genomes sequenced from clinical samples.
Assuming about 150 samples were sequenced weekly, there was a 95 per cent chance of detecting a variant circulating at 2 per cent frequency 鈥 and a 99.9 per cent chance of recording one that made up more than 5 per cent of cases.
But Pirola was likely to be spotted even sooner through听, which currently screened just over half of the population.
听鈥淲e鈥檝e been watching international observations with a great deal of interest and it鈥檚 quite interesting that it seems to be everywhere at the moment, but at a low level,鈥 Winter said.
鈥淪o, it鈥檒l be interesting to know how well it will grow.鈥
For weeks, Covid-19 surveillance through wastewater sampling, together with community and hospital screening, has shown the presence of another new subvariant that鈥檚 been driving surges in the US: EG.5 or 鈥淓ris鈥.
鈥淥ver the last six weeks, it鈥檚 consistently grown as a proportion of all sequenced cases here, and now makes up about 20 per cent of cases,鈥 Winter said.
鈥淲e estimate that it鈥檚 got a six per cent per day growth advantage, which means that it鈥檚 just going to keep contributing to an uptick in case numbers that we saw begin before the end of isolation rules.鈥
By next month, it could account for as many as half of sequenced cases.
Still, in a population now well exposed and highly vaccinated, Winter said it wasn鈥檛 expected to fuel a wave like 2022鈥瞫 mid-year surge.
Globally, New Zealand and Australia continued to stand out for their unusual variant profiles.
For months, the coronavirus circulating in both countries has been dominated by a group of immune-evasive 鈥渞ecombinant鈥 lineages called XBB and XBC, of which EG.5 was an off-shoot.
鈥淲e鈥檝e had a slightly different experience than the rest of the world, which has been interesting, and until recently, we鈥檝e had a period with these XBB variants where case numbers were gradually declining,鈥 he said.
鈥淭hat appears to have changed when we got EG.5, which has been quite common overseas and has a few additional mutations in the spike protein.鈥
Just how much of a splash Pirola would make here remained to be seen.
鈥淏ut when it does get here, it will have to compete with EG.5 and the rest of these very successful XBB variants, which have high transmissibility and have really fine-tuned how to infect people.鈥
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