Omicron: The latest Covid variant 'of concern' with high number of mutations

The World Health Organization announced Friday it has designated the newly identified coronavirus variant, B.1.1.529, as a variant of concern, named Omicron.

The new Omicron variant was first reported to the WHO from South Africa on 24 November, 2021. It has also been identified in Botswana, Belgium, Hong Kong and Israel.

It appears to be spreading rapidly in parts of South Africa and scientists are concerned its unusually high number of mutations could make it more transmissible and result in immune evasion.

The WHO said it would take a few weeks to understand the impact of the new variant, as scientists worked to determine how transmissible it was.

What we know about the new variant

"It is the most heavily mutated version of the virus we have seen to date. This variant carries some changes we've seen previously in other variants but never all together in one virus. It also has novel mutations," Lawrence Young, a virologist and a professor of molecular oncology at Warwick Medical School in the United Kingdom said in a statement.

The variant has a high number of mutations, about 50 overall. Crucially, South African genomic scientists said Thursday more than 30 of the mutations were found in the spike protein.

The epidemiological picture suggests that this variant may be more transmissible, and several mutations are consistent with enhanced transmissibility and an increased risk of reinfection.

Current SARS-CoV-2 PCR diagnostics continue to detect this variant. Several labs have indicated that for one widely used PCR test, one of the three target genes is not detected (called S gene dropout or S gene target failure) and this test can therefore be used as marker for this variant, pending sequencing confirmation.

Vaccine efficacy against the new variant

One big concern is that the new variant might reduce vaccine effectiveness because of its large number of mutations. Scientists said it was too early to tell the full impact of the mutations on vaccine efficacy.

Vaccine maker Moderna said Friday the combination of mutations seen in the new Omicron variant represents a "significant potential risk to accelerate the waning of natural and vaccine-induced immunity."

The company said it was working rapidly to test the ability of its vaccine to neutralize the new variant and data was expected in the coming weeks.

AstraZeneca, another vaccine maker, said it was looking to understand the impact the Omicron variant has on its coronavirus vaccine, and was testing its antibody combination therapy against the new variant.

Number of countries banning travelers from several southern African countries.

 

Source:

https://www.who.int/news/item/26-11-2021-classification-of-omicron-(b.1.1.529)-sars-cov-2-variant-of-concern

https://edition.cnn.com/2021/11/26/africa/new-covid-variant-discovered-south-africa-b11529-intl/index.html

https://www.bbc.com/news/world-59442129

Note: For informational purposes only. Consult your textbook for advising your patients.

This is for informational purposes only. You should consult your clinical textbook for advising your patients.