{"id":488315,"date":"2021-05-06T07:24:42","date_gmt":"2021-05-06T05:24:42","guid":{"rendered":"https:\/\/businesstech.co.za\/news\/?p=488315"},"modified":"2021-05-06T07:25:38","modified_gmt":"2021-05-06T05:25:38","slug":"indias-struggle-to-track-new-covid-variants-could-worsen-crisis","status":"publish","type":"post","link":"https:\/\/businesstech.co.za\/news\/trending\/488315\/indias-struggle-to-track-new-covid-variants-could-worsen-crisis\/","title":{"rendered":"India\u2019s struggle to track new Covid variants could worsen crisis"},"content":{"rendered":"<p>The good news is that the vaccines work against a new virus strain circulating in India that\u2019s spread to several other countries.<\/p>\n<p>The bad news is it won\u2019t be only the new version of the pathogen to emerge from an outbreak of this scale, underscoring the urgency of mapping other possible variants that may be currently racing through India\u2019s tightly-packed population of 1.4 billion people.<\/p>\n<p>As infections surge by more than 300,000 cases for 15 straight days, pushing India\u2019s tally past 21 million, the country\u2019s limited ability to track new mutations emerging from its outbreak is a growing concern for scientists. India reported a record 412,262 new infections and 3,980 deaths Thursday.<\/p>\n<p>Second- or even third-generation versions of the variant known as B.1.617 could already be circulating in India and some may be more dangerous, said William Haseltine, a former Harvard Medical School professor who now chairs think tank Access Health International.<\/p>\n<p>\u201cIndia has the necessary genome sequencing capabilities but it needs to have a mass surveillance program,\u201d Haseltine said. \u201cI\u2019ll be on the lookout for more and newer variants, given the opportunity the virus has had with such a massive outbreak.\u201d<\/p>\n<p>Variants are already outracing vaccination progress in many parts of the world, fueling bigger outbreaks that spread faster. While some rich nations that secured effective vaccines early have seen their epidemics wane, the virus is still spreading like wildfire in developing economies, prolonging the pandemic.<\/p>\n<p><strong>Super Mutant Debunked<\/strong><\/p>\n<p>Mutations occur when the virus replicates, and India\u2019s unprecedented surge is driving new cases to global records, even as richer economies like the US and Israel re-open quickly. Fearing an influx of infections and mindful of B.1.617, Singapore, the UK and Tanzania are among countries that have curbed travel to and from India.<\/p>\n<p>Australia has banned its citizens from returning from India and imposed penalties of roughly $50,000 and five years imprisonment for violators.<\/p>\n<p>The India strain has been called a double mutant because of the presence of two changes in the virus\u2019s genome, called E484Q and L452R. Both affect a portion of the spike protein, called the receptor binding domain, that\u2019s key to the virus entering cells.<\/p>\n<p>Some researchers estimate that the B.1.617 variant is as transmissible as the B.1.1.7 variant that emerged in the UK, thought to be as much as 70% more transmissible than earlier versions of the virus.<\/p>\n<p>Yet initial analyses indicate that the India version, now classified a variant of interest by the World Health Organization, poses a limited threat and doesn\u2019t appear to be more dangerous.<\/p>\n<p>Covaxin, the inactivated-virus vaccine being made by India\u2019s Bharat Biotech International Ltd, and AstraZeneca Plc\u2019s vaccine, called Covishield in India, are effective against the strain in preventing serious illness, said Rakesh Mishra, director of the Centre for Cellular and Molecular Biology in Hyderabad, one of the labs analyzing virus samples.<\/p>\n<p>Data is still being gathered about the response to Russia\u2019s Sputnik V vaccine, Mishra said, but it\u2019s likely to be effective.<\/p>\n<p>BioNTech SE chief executive officer Ugur Sahin said he was confident the mRNA shot it\u2019s making with partner Pfizer Inc would work against the India mutant though testing is still ongoing.<br \/>\n\u201cThe Indian variant has the same mutation that we\u2019ve already investigated and against which our vaccine was also effective,\u201d he said last week.<\/p>\n<p>Singapore, which tightened social distancing restrictions this week after findings cases linked to the India variant, has also seen vaccines hold up well to prevent serious illness, said Kenneth Mak, director of medical services in city-state\u2019s health ministry.<\/p>\n<p>But \u201cvaccination does not prevent you from getting infected 100%,\u201d he said in a Tuesday briefing.<\/p>\n<p>Ravindra Gupta\u2019s team at the University of Cambridge recently studied the two mutations that appear on the receptor binding domain of the India variant\u2019s spike protein. The team tested viruses made to simulate the variant against serum from nine people who had already received a single dose of the BioNTech-Pfizer vaccine.<\/p>\n<blockquote class=\"twitter-tweet\">\n<p dir=\"ltr\" lang=\"en\">ICMR study shows <a href=\"https:\/\/twitter.com\/hashtag\/COVAXIN?src=hash&amp;ref_src=twsrc%5Etfw\">#COVAXIN<\/a> neutralises against multiple variants of SARS-CoV-2 and effectively neutralises the double mutant strain as well. <a href=\"https:\/\/twitter.com\/MoHFW_INDIA?ref_src=twsrc%5Etfw\">@MoHFW_INDIA<\/a> <a href=\"https:\/\/twitter.com\/DeptHealthRes?ref_src=twsrc%5Etfw\">@DeptHealthRes<\/a> <a href=\"https:\/\/twitter.com\/hashtag\/IndiaFightsCOVID19?src=hash&amp;ref_src=twsrc%5Etfw\">#IndiaFightsCOVID19<\/a> <a href=\"https:\/\/twitter.com\/hashtag\/LargestVaccineDrive?src=hash&amp;ref_src=twsrc%5Etfw\">#LargestVaccineDrive<\/a> <a href=\"https:\/\/t.co\/syv5T8eHuR\">pic.twitter.com\/syv5T8eHuR<\/a><\/p>\n<p>\u2014 ICMR (@ICMRDELHI) <a href=\"https:\/\/twitter.com\/ICMRDELHI\/status\/1384762345314951173?ref_src=twsrc%5Etfw\">April 21, 2021<\/a><\/p><\/blockquote>\n<p><script async src=\"https:\/\/platform.twitter.com\/widgets.js\" charset=\"utf-8\"><\/script><\/p>\n<p>\u201cWe wanted to know whether this double mutant really is a double whammy,\u201d said Gupta, a professor of clinical microbiology at Cambridge\u2019s Institute for Therapeutic Immunology and Infectious Diseases. What they found was that while each of the mutations could partly evade neutralizing antibodies, the two mutations didn\u2019t combine to create an even greater ability to evade immune protection.<\/p>\n<p>\u201cThey don\u2019t combine to make a super mutant,\u201d Gupta said. \u201cIt kind of debunks this view that this double mutant is doubly evading neutralizing antibodies.\u201d<\/p>\n<blockquote class=\"twitter-tweet\">\n<p dir=\"ltr\" lang=\"en\">Given the dire situation in India and questions regarding the new variant B.1.617, the so called \u2018Double Mutant\u2019 we are sharing some prelim analyses on viruses with either or both of the mutations E484Q and L452R in the critical receptor binding domain that our antibodies target<\/p>\n<p>\u2014 Gupta Lab, Cambridge (@GuptaR_lab) <a href=\"https:\/\/twitter.com\/GuptaR_lab\/status\/1388422656907780096?ref_src=twsrc%5Etfw\">May 1, 2021<\/a><\/p><\/blockquote>\n<p><script async src=\"https:\/\/platform.twitter.com\/widgets.js\" charset=\"utf-8\"><\/script><\/p>\n<p>While the findings ease concerns around B.1.617, researchers are turning to the next set of variants as India\u2019s outbreak continues to rage. Genomic surveillance can provide crucial information on the new forms of this shape-shifting virus &#8211; critical in preventing subsequent waves and developing the next generation of vaccines.<\/p>\n<p>In the US, recent studies published by the Centers for Disease Control and Prevention show that a variant that caused concern when it emerged in New York isn\u2019t more dangerous than earlier strains, while a pair of mutants that surfaced in southern California \u201cmight more frequently cause discernible and severe illness than do nationally circulating lineages overall.\u201d<\/p>\n<p>The WHO has been monitoring variants through a global working group of laboratories, said Maria Van Kerkhove, the agency\u2019s technical lead officer. Information about new variants is coming in \u201cfast and furious,\u201d she said.<\/p>\n<p>But as its health system is stretched to breaking point and prime minister Narendra Modi resists calls for a lockdown, the country\u2019s labs are ill-equipped to keep up with the necessary monitoring.<\/p>\n<p>Genomic sequencing that can identify new strains and track their progress is still relatively sparse in India, where only about 11,000 viruses have been analyzed, according to Mishra.<\/p>\n<p>While countries like the UK monitor about 5% to 10% of cases, in India far fewer are sequenced. To do so would require analyzing tens of thousands of samples daily, and failing to leaves a huge blind spot, according to Ashish Jha, dean of Brown University\u2019s School of Public Health in Rhode Island.<\/p>\n<p>\u201cWhat genomic surveillance does,\u201d he said, \u201cis it helps you really track where infections are going and how things are spreading in a way India was pretty blind to.\u201d<\/p>\n<hr \/>\n<p><strong>Read: <a href=\"https:\/\/businesstech.co.za\/news\/trending\/488187\/south-africa-on-high-alert-over-new-covid-19-variants-mkhize\/\" target=\"_blank\" rel=\"noopener\">South Africa on high alert over new Covid-19 variants: Mkhize<\/a><\/strong><\/p>\n","protected":false},"excerpt":{"rendered":"<p>The good news is that the vaccines work against a new virus strain circulating in India that\u2019s spread to several other countries.<\/p>\n","protected":false},"author":59,"featured_media":466434,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[1],"tags":[14985,15339,26,15337],"class_list":["post-488315","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-trending","tag-astrazeneca","tag-biontech","tag-headline","tag-pfizer"],"_links":{"self":[{"href":"https:\/\/businesstech.co.za\/news\/wp-json\/wp\/v2\/posts\/488315","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/businesstech.co.za\/news\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/businesstech.co.za\/news\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/businesstech.co.za\/news\/wp-json\/wp\/v2\/users\/59"}],"replies":[{"embeddable":true,"href":"https:\/\/businesstech.co.za\/news\/wp-json\/wp\/v2\/comments?post=488315"}],"version-history":[{"count":4,"href":"https:\/\/businesstech.co.za\/news\/wp-json\/wp\/v2\/posts\/488315\/revisions"}],"predecessor-version":[{"id":488325,"href":"https:\/\/businesstech.co.za\/news\/wp-json\/wp\/v2\/posts\/488315\/revisions\/488325"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/businesstech.co.za\/news\/wp-json\/wp\/v2\/media\/466434"}],"wp:attachment":[{"href":"https:\/\/businesstech.co.za\/news\/wp-json\/wp\/v2\/media?parent=488315"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/businesstech.co.za\/news\/wp-json\/wp\/v2\/categories?post=488315"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/businesstech.co.za\/news\/wp-json\/wp\/v2\/tags?post=488315"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}