Coronavirus (2021) thread

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England have also announced that there will be no daily hospital death data published on weekends starting today.

As with hospital patient data all three days - Sat/Sun/Mon will be published on Mondays.

Seems an odd time to announce this with the need to watch the data more than ever given the variant.

Not sure what it means about the Gov UK data later. Presume it will be pretty meaningless for 48 hours other than cases.

The least important thing right now (cases) IS published daily and deaths and hospital data (more important now) are not.
Bizarre. Scare some folks senseless last night with talk of rampaging variants and delaying freedoms, then suggest numbers now so low there's no point reporting over weekend?

Mixed messages.
 
This is the issue we are facing. Some people have been made that paranoid that they may not ever return to a life they can enjoy. It’s not their fault that it’s been drilled into them relentlessly for the past 15 months. The next few years I feel we will see some serious social issues with large groups of people.
I agree. At my age when each year passes faster than the last and you know but try not to think that is one year less to go this kind of lockdown screws with your mind.

I can hardly believe I have been beyond my garden only 3 times in 14 months - for three vaccinations.

And am already thinking this is not going to be easy to return to normality. It is scary when it should be exciting.

I think that is why I agreed to take on that book writing job and do that TV show - after I have purposefully avoided the media for many years after it being something I did every other day until my early 50s. Not just in the UK. All over the world. To lecture at US universities and casinos in Australia and on the stage of the Windmill Theatre for a TV show.

I felt I had to push myself just a bit with these toe in the water challenges because regaining normality will likely be easy for some and much harder for others. I do think there will be a boom in analysis and on line gurus telling you how to embrace normality again.
 
Bizarre. Scare some folks senseless last night with talk of rampaging variants and delaying freedoms, then suggest numbers now so low there's no point reporting over weekend?

Mixed messages.
More likely they want the low deaths to go under the radar and just see the rising cases as that might inform caution not abandon. Not in of itself entirely stupid. But not sure it will work. Though three days numbers in one go will sound worse than any one would.

They appear (understandably) spooked by this variant until we know more about where it takes us. So I can see why they might want high numbers out there and less of a focus on lower ones. Most people likely will not easily make the connection as to which matters most or why and so be more cautious. As I assume they prefer.

Or just as likely this was planned before Bolton emerged and everyone thought numbers would all but vanish for a few months. So let the statisticians have a break.
 
Anyone of the 6 could have been carrying it, given it to you and you are now spreading around your community unawares.

Still you enjoyed the game so that is ok.
He said they’d all had both jabs so your post is bollocks. Unless you know more than the CDC. Do you know more than the CDC? Will you only believe it when Boris says it?

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Is anyone up with the latest on re-infection ?
- are non-vaccinated people being re-infected with regularity or is it still an unusual event?
- does the Indian variant increase/decrease the chances of re-infection?
From nature.com. News briefing. References some studies towards the end

Coronavirus variants are spreading in India — what scientists know so far​

Variants including B.1.617 have been linked to India’s surge in infections. Researchers are hurrying to determine how much of a threat they pose.


Masked people wait to refill oxygen cylinders.

People queue to refill oxygen cylinders for people with COVID-19 at overwhelmed medical facilities in New Delhi.Credit: Ishant Chauhan/AP/Shutterstock
Scientists are working to understand several coronavirus variants now circulating in India, where a ferocious second wave of COVID-19 has devastated the nation and caught authorities unawares. The country recorded nearly 400,000 new infections on 9 May, taking its total to more than 22 million (see ‘Surging cases of COVID-19’).
Evidence is growing that one variant first detected in India might be more transmissible and slightly better at evading immunity than existing variants. Animal models also hint that it might be able to cause more severe disease. Researchers want to know if this variant and others might be driving the second wave and what kind of danger they pose globally.
In just a few weeks, the B.1.617 variant has become the dominant strain across India and has spread to about 40 nations, including the United Kingdom, Fiji and Singapore.

A growing problem​

Two weeks ago, it looked as if multiple variants were behind a series of surges in India. Genomic data indicated that B.1.1.7, first identified in the United Kingdom, was dominant in Delhi and the state of Punjab, and a new variant dubbed B.1.618 was present in West Bengal. B.1.617 was dominant in Maharashtra.
But since then, B.1.617 has overtaken B.1.618 in West Bengal, has become the leading variant in many states, and is increasing rapidly in Delhi. “In some states, the surge can be tied to 617,” Sujeet Singh, director of the National Centre for Disease Control, based in New Delhi, told journalists on 5 May.
SURGING CASES OF COVID-19. Graphic showing the increase in daily COVID-19 cases in India up to 9 May 2021.

Source: Our World in Data
Some say this could indicate that the variant is highly transmissible. “Its prevalence has increased over other variants in much of India, suggesting that it has better ‘fitness’ over those variants,” says Shahid Jameel, a virologist at Ashoka University in Sonipat who chairs the scientific advisory group of the Indian SARS-CoV-2 Genome Sequencing Consortia (INSACOG).
Ravindra Gupta, a virologist at the University of Cambridge, UK, agrees that it is “highly likely to be more transmissible”.


India’s massive COVID surge puzzles scientists

On Monday, the World Health Organization (WHO) designated B.1.617 a ‘variant of concern’. Variants are classified in this way when there is evidence that they spread more rapidly, cause more severe disease or evade previously acquired immunity better than do circulating versions of the virus. On 7 May, the UK government declared the B.1.617.2 subtype a variant of concern in the United Kingdom. It revealed that recorded B.1.617.2 infections in the country had risen from 202 to 520 in a single week.
Several other variants of concern have had a significant impact globally. These include B.1.351, which was identified in South Africa in late 2020; studies suggesting that the University of Oxford–AstraZeneca jab is less effective against that variant led to the nation suspending its roll-out. Similarly, the P.1 variant, which is able to evade some immunity, contributed to a major second wave in Brazil early this year. And the highly transmissible B.1.1.7 strain emerged in the United Kingdom in late 2020 and led to a surge of cases there and elsewhere.

Emerging mosaic​

Data on B.1.617 are only just trickling out, but a mosaic of findings hints that it has an edge over variants already circulating in India.
Indian scientists first detected B.1.617 in a few samples in October. INSACOG ramped up surveillance in late January in response to a rising number of variants, and scientists noticed that B.1.617 was on the rise in Maharashtra. By mid-February, it accounted for 60% of cases there, says Priya Abraham, director of the National Institute of Virology (NIV) in Pune. Since then, multiple sub-lineages have emerged.
In a detailed genomic and structural analysis of B.1.617 published as a preprint1 on 3 May, NIV scientists identified eight mutations in the virus’s spike protein, through which it gains entry to cells. Two of them look similar to mutations that have allowed other variants of concern to become more transmissible, and a third resembles a mutation that might have allowed P.1 to partially evade immunity.
A masked health worker walks between hospital beds.

People with COVID-19 recuperate at a care centre in Delhi.Credit: Raj K. Raj/Hindustan Times/Shutterstock
The genomics work was backed up days later by a preprint2 from a team in Germany, which shows that B.1.617 is moderately better than an earlier variant at entering human intestine and lung cells in the lab.
It is unclear whether this “minor” advantage could lead to more spread in the real world, says lead author Markus Hoffman, an infection biologist at the Leibniz Institute for Primate Research in Göttingen.
Small studies in animals suggest that the variant could cause more severe disease. In a 5 May preprint3, a team led by virologist Pragya Yadav at the NIV found that hamsters infected with B.1.617 had more inflammation in their lungs than did animals infected with other variants.

Disease-causing potential​

Gupta says this research shows that B.1.617 has enhanced potential to cause disease. But he cautions that “it’s difficult to extrapolate from hamsters to humans”, and says that data on disease severity in people are needed.
Research4 from Gupta’s own lab suggests that antibodies are slightly less effective against the variant than against others. The team collected blood serum from nine people who had received one dose of the Pfizer vaccine and tested it against a harmless carrier virus modified to contain the SARS-CoV-2 spike protein, with the mutations from B.1.617. Serum from vaccinated individuals typically contains antibodies that can block, or ‘neutralize’, the virus and prevent cells from getting infected.


India’s COVID-vaccine woes — by the numbers

Gupta’s team discovered that neutralizing antibodies generated by the vaccinated individuals were about 80% less potent against some of the mutations in B.1.617, although this would not render vaccination ineffective, he says. The researchers also found that some health-care workers in Delhi who had been vaccinated with Covishield, an Indian version of the Oxford–AstraZeneca vaccine, had become reinfected, with most cases tied to B.1.617.
Similarly, the German team tested2 serum from 15 people who had previously been infected with SARS-CoV-2, and found that their antibodies neutralized B.1.617 about 50% less effectively than previously circulating strains. When they tested serum from participants who’d had two shots of the Pfizer vaccine, they found that the antibodies were about 67% less potent against B.1.617.
Two other small studies, one from Yadav’s team5 testing the Covaxin vaccine made by Indian firm Bharat Biotech in Hyderabad, and an as-yet-unpublished study on Covishield, showed that the vaccines continue to work. But Yadav observed small drops in the effectiveness of neutralizing antibodies generated by the Covaxin vaccine.
The B.1.617 variant does seem to have an advantage over previously circulating versions of the virus, especially in individuals whose immunity is waning a while after previous infection or vaccination, says Hoffman.

Caveats and caution​

But Gupta cautions that these lab studies all involve small groups and show smaller drops in antibody effectiveness, compared with what has been seen with other variants of concern.


India will supply coronavirus vaccines to the world — will its people benefit?

Scientists also warn that experiments in serum are not always a good guide to whether a variant can evade immunity from a vaccine in the real world. Vaccines can cause the production of vast quantities of antibodies, so a dip in potency might not be significant. Furthermore, other parts of the immune system, such as T cells, might not be affected.
For example, the B.1.351 variant has been linked to much steeper drops in the potency of neutralizing antibodies, but studies in humans suggest that many vaccines remain highly effective against that variant, particularly at preventing severe disease.
For these reasons, the vaccines are likely to remain effective against B.1.617 and to limit severe disease. “The vaccine is still working,” says Yadav. “If you get vaccinated, you “will be protected, and the severity will be less”.
Nevertheless, “the surge in cases in India and scenes witnessed there is of grave concern internationally”, Nick Loman, a microbial genomicist and bioinformatician at the University of Birmingham, UK, told the Science Media Centre in London after the United Kingdom declared B.1.617.2 a variant of concern. “This variant will now be one to watch carefully."
 
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