Sunday, November 28, 2021

Coronavirus: Omicron cases found in four European countries, South Africa says it’s being ‘punished’

South Africa said the decision of several nations to ban flights from the country was ‘akin to punishing it for its advanced genomic sequencing’.
Travellers arriving at London's Heathrow airport will now have to take RT-PCR tests upon arrival. | Tolga Akmen/AFP

Cases of the Omicron strain of the coronavirus were reported in the United Kingdom, Germany, Italy, and the Czech Republic a day after it was declared a variant of concern by the World Health Organization, The Guardian reported on Saturday.

The B.1.1.529 or the Omicron variant was first discovered in South Africa on November 24 with cases gradually occurring in Botswana, Israel, and Hong Kong. The virus variant has some concerning mutations, according to the World Health Organization, that suggest an increased risk of reinfection.

On Saturday, two cases of the Omicron variant were detected in the United Kingdom and Germany each, while one patient in Italy and another in Czech were infected with the new strain, The Guardian reported.

The two Omicron cases in the United Kingdom were connected to travel to southern Africa, British Health Minister Sajid Javid said, according to Al Jazeera. The country has now asked all travellers to take an RT-PCR test once they arrive in the United Kingdom.

Currently, the country has banned travellers from ten countries. The nations are South Africa, Namibia, Lesotho, Eswatini, Zimbabwe, Botswana, Malawi, Mozambique, Zambia, and Angola.

Meanwhile, Germany had isolated two of its citizens who were infected with the Omicron variant. However, the health ministry has not yet revealed where the citizens had travelled to.

The Italian government has also isolated the person infected with the variant. They had travelled to Mozambique, the country’s National Health Institute said, according to Al Jazeera.

Apart from European nations, no Omicron cases were detected in other countries till Sunday morning. However, countries such as Australia and India have called for rigorous testing of travellers from South Africa at the airport.

On Saturday, health officials in Sydney started urgent testing at the airport after two travellers on a flight from southern Africa tested positive for the coronavirus, Reuters reported.

Being punished, says South Africa

South Africa on Saturday said it was being “punished” for detecting the Omicron variant of the coronavirus, AFP reported. The country’s foreign ministry, in a statement, called out the countries that have banned flights from South Africa.

It said that the decision to ban flights from southern Africa “is akin to punishing South Africa for its advanced genomic sequencing and the ability to detect new variants quicker”.

“Excellent science should be applauded and not punished,” the foreign ministry said.

Currently, along with the United Kingdom, Germany, France Italy, Singapore and Israel have banned flights from South Africa. The United States will ban most travellers from eight countries of southern Africa from November 29.

Hong Kong confirms two cases of virulent new COVID-19 variant, one of which travelled from Canada

Global authorities around the world have already reacted with alarm Friday to the new coronavirus variant, dubbed Omicron, detected in South Africa



Stephanie Nebehay
Publishing date:Nov 26, 2021 • 
People leave the Regal Airport Hotel at Chek Lap Kok airport in Hong Kong on November 26, 2021, where a new Covid-19 variant deemed a 'major threat' was detected in a traveller from South Africa and who has since passed it on to a local man whilst in quarantine. 
PHOTO BY PETER PARKS / AFP
Article content

Two cases of the new COVID-19 strain raising alarm in parts of southern Africa and unnerving financial markets worldwide have been found in travellers in compulsory quarantine in Hong Kong.

A traveller from South Africa was found to have the variant — B.1.1.529, dubbed Omicron — while the other case was identified in a person who had travelled from Canada and was quarantined in the hotel room opposite his, the Hong Kong government said late Thursday. The traveller from South Africa used a mask with a valve that doesn’t filter exhaled air and may have transmitted the virus to his neighbour when the hotel room door was open, a health department spokesperson said Friday.

Twelve people who were staying in rooms close to the two Hong Kong cases are now undergoing compulsory 14-day quarantines at a government facility, according to the statement out Thursday.

Global authorities around the world have already reacted with alarm Friday to the new coronavirus variant detected in South Africa. The EU and Britain were among the first to tighten border controls as researchers seek to determine whether the mutation was vaccine-resistant

Canada is now closing its borders to all foreigners who have recently been to southern Africa. The ban and new testing and quarantine requirements for Canadians returning home applies to people who have been to South Africa, Mozambique, Namibia, Zimbabwe, Botswana, Lesotho and Eswatini in the last two weeks.

The United States will restrict entry to travellers from eight southern African nations, President Joe Biden said on Friday. The policy does not ban flights or apply to U.S. citizens and lawful U.S. permanent residents, a Biden administration official said.

The U.S. restrictions will be effective Monday and apply to South Africa, Botswana, Zimbabwe, Namibia, Lesotho, Eswatini, Mozambique and Malawi.

The World Health Organization (WHO) on Friday classified the B.1.1.529 variant detected in South Africa as a SARS-CoV-2 “variant of concern,” saying it may spread more quickly than other forms.

Preliminary evidence suggested there is an increased risk of reinfection and there had been a “detrimental change in COVID-19 epidemiology,” it said in a statement after a closed meeting of independent experts who reviewed the data.

“This variant has a large number of mutations, some of which are concerning. Preliminary evidence suggests an increased risk of reinfection with this variant, as compared to other (variants of concern), it said.

Omicron is the fifth variant to carry such a designation.

“This variant has been detected at faster rates than previous surges in infection, suggesting that this variant may have a growth advantage,” the WHO said.

Current PCR tests continue to successfully detect the variant, it said.

Earlier, the WHO cautioned countries against hastily imposing travel restrictions linked to the variant of COVID-19, saying they should take a “risk-based and scientific approach.”

The head of the UN World Tourism Organization called for a quick decision.

“It depends on WHO recommendations, but my recommendation will be to take decisions today, not after one week, because if it continues to spread as we are expecting then it will be late and will make no sense to apply restrictions,” organization chief Zurab Pololikashvili told Reuters.

One South African scientist expert labelled London’s ban a symptom of “vaccine apartheid,” though European Commission chief Ursula von der Leyen said the EU also aimed to halt air travel from the region and several other countries toughened curbs, including India, Japan and Israel.

“It is now important that all of us in Europe act very swiftly, decisively and united,” von der Leyen said, calling for EU citizens to get vaccinated and improve their protection with booster jabs. “All air travel to these countries should be suspended until we have a clearer understanding about the danger posed by this new variant.”

The new cases of the new variant may also prompt Hong Kong to further tighten what is already one of the toughest quarantine regimes in the world, with travellers from some places isolated in hotels for up to 21 days.

The city is one of the few places in the world that’s yet to have a recorded community outbreak of delta, the contagious variant first detected in India that has now become the dominant virus strain worldwide. The mutation has forced some countries who were able to keep COVID-19 out through quarantines and border curbs in 2020 to abandon that approach, instead pivoting to treating the virus as endemic.

David Hui, a professor of respiratory medicine at the Chinese University of Hong Kong and a member of the city’s COVID advisory panel, told local radio Friday that Hong Kong should ban all returnees from Africa because of the variant, according to thestandard.hk.

South African Health Minister Joe Phaahla said on Friday that preliminary studies suggest a new COVID-19 variant detected in his country may be more transmissible, but the decision of other countries to impose travel restrictions is “unjustified.”

Phaahla told a media briefing that South Africa was acting with transparency, and that travel bans contravened the norms and standards of the WHO.

The WHO said it would take weeks to determine how effective vaccines were against the variant , which was first identified this week.

The news pummeled global stocks and oil amid fears about what new bans would do to the global travel industry and already shaky economies across southern Africa.

The variant has a spike protein that is dramatically different to the one in the original coronavirus that vaccines are based on, the UK Health Security Agency said, raising fears about how current vaccines will fare.

“As scientists have described, (this is) the most significant variant they’ve encountered to date,” British Transport Secretary Grant Shapps told Sky News.

WHO spokesperson Christian Lindmeier told a UN briefing that it would take several weeks to determine the variant ‘s transmissibility and the effectiveness of vaccines, noting that 100 sequences of it had been reported so far.
In this file photo taken on November 01, 2021 passengers walk with their luggage upon their arrival at Ben Gurion Airport near Lod, as Israel reopens to tourists vaccinated against COVID-19. PHOTO BY JACK GUEZ / AFP

South African sport began to shut down on Friday, with the imposition of travel bans forcing international rugby teams and golfers to scramble to leave.

Belgium identified Europe’s first case, adding to those in Botswana, Israel and Hong Kong. Denmark has sequenced all COVID-19 cases and found no sign of the new mutation, Danish health authorities said on Thursday.

Israel imposed a travel ban covering most of Africa.

“We are currently on the verge of a state of emergency , ” Prime Minister Naftali Bennett said in a statement. “Our main principle is to act fast, strong and now.”

One epidemiologist in Hong Kong said it may be too late to tighten travel curbs.

“Most likely this virus is already in other places,” said Ben Cowling of the University of Hong Kong.

European states had already been expanding booster vaccinations and tightening curbs as the continent battles a fourth COVID-19 wave, with many reporting record daily rises in cases.

Discovery of the new variant comes as Europe and the United States enter winter, with more people gathering indoors in the run-up to Christmas, providing a breeding ground for infection.

Italy imposed an entry ban on people who have visited southern African states in the last 14 days, while France suspended flights from southern Africa and Bahrain and Croatia will ban arrivals from some countries.

India issued an advisory to all states to test and screen international travelers from South Africa and other “at risk” countries, while Japan tightened border controls.

The coronavirus has swept the world in the two years since it was first identified in central China, infecting almost 260 million people and killing 5.4 million.

Omicron: How Dangerous Is The B.1.1.529 Variant Found In South Africa?

On Nov 26, 2021
By Adam Vaughan

A new variant of SARS-CoV-2, known first as B.1.1.529 and now named omicron, has an unusually high number of mutations and appears to have triggered a recent surge in cases in South Africa.

When was omicron first identified?

It was first detected on 23 November in South Africa using samples taken between 14 and 16 November. Joe Phaahla, South Africa’s health minister, said on 25 November that he believes the variant is behind an exponential daily rise in covid-19 cases across the country in recent days. The same day, the UK Health Security Agency (HSA) designated it a variant under investigation, triggering travel restrictions for people travelling to the UK from South Africa, Botswana, Lesotho, Eswatini, Zimbabwe and Namibia. The World Health Organization had listed B.1.1.529 as a variant under monitoring, but its Technical Advisory Group on SARS-CoV-2 Virus Evolution decided on 26 November to class it as a variant of concern. The WHO has now named it omicron after the Greek letter.

What is happening in South Africa?

National daily cases have gone from 274 on 11 November to 1000 a fortnight later. While the rate of growth has been fast, absolute numbers are still relatively low compared with the UK, which saw 50,000 cases on 26 November. More than 80 per cent of South Africa’s cases are currently in the country’s Gauteng province. All of the 77 cases sequenced in the province between 12 and 20 November were identified as being caused by the variant. The estimated reproduction number, the average number of people that an individual is likely to infect, is almost 2 in Gauteng compared with nearly 1.5 nationally.

What do B.1.1.529’s mutations tell us?

The variant has a “very unusual constellation of mutations”, says Sharon Peacock at the University of Cambridge. There are more than 30 mutations in the spike protein, the part of the virus that interacts with human cells. Other mutations may help the virus bypass our immune systems, make it more transmissible and less susceptible to treatments, according to the HSA. But the body notes that “this has not been proven”.

What the mutations mean is currently theoretical and based on experience of past mutations of SARS-CoV-2 rather than lab tests. Wendy Barclay at Imperial College London says “we don’t really know” if it will reduce the effectiveness of vaccines. Nonetheless, she adds that, in theory, the number of changes across the antigenic sites on the variant’s spike means the effectiveness of antibodies produced by covid-19 vaccines would be compromised.

Mutations on a part of the virus known as the furin cleavage site are similar to those seen in the alpha and delta variants, which could help the variant spread more easily. Barclay says “it’s very biologically plausible” that B.1.1.529 has greater transmissibility than delta.

The mutations also mean that the new variant is likely to be more resistant to antibody treatments such as those developed by Regeneron, which have been shown to save lives. “That is really a cause for concern,” says Barclay. One small bright spot is that, to date, there are no signs that the variant causes more severe disease.

How far has it spread?

Genomic sequencing has found the variant in South Africa, Botswana and Hong Kong. There are also reported cases in Israel, apparently originating from a traveller from Malawi, and in Belgium, from someone who had travelled from Egypt. UK health secretary Sajid Javid said it is “highly likely” that the variant has spread to other countries. As of 27 November, two cases had been detected in the UK, where about a fifth of positive cases are sent for genomic sequencing. Even in countries with low levels of sequencing, it may be possible to get early warning signs, because the variant is linked to a mutation called S-gene dropout, which is picked up by PCR tests, says Jeffrey Barrett at the Wellcome Sanger Institute in Hinxton, UK.

How have other places responded?

The UK and EU have both imposed restrictions on people travelling from countries in southern Africa, with Javid saying the variant is of “huge international concern”. Prime minister Boris Johnson announced further travel restrictions on 27 November.

Is it a given that this will outcompete the delta variant?

We don’t know. “We don’t have definitive evidence at the moment that this is more transmissible, but there are hints there that it may be,” says Peacock, pointing to the growth in South Africa and the higher R number in Gauteng. Some earlier variants have failed to get a toehold in certain countries because of the competition from other variants: beta hasn’t become established in the UK, for example, while alpha spread from Europe but never reached high levels in South Africa. “If this variant is not as transmissible as delta that would be good news for sure,” says Barrett.

What can I do?

All the usual measures of social distancing, handwashing, mask-wearing, getting vaccinated and having a booster shot still apply. The emergence of such a potentially worrying variant is, however, a reminder of the risk of uneven vaccination rates globally – only 24 per cent of people are fully vaccinated in South Africa.

How much do we really know about this variant?

Most of our knowledge is from the Network for Genomic Surveillance in South Africa, and the South African government, both of which have been praised by researchers for acting fast to share information on the variant. But there is more that we don’t know than we do. Tulio de Oliveira at Stellenbosch University, South Africa, said yesterday that the full significance of the variant’s mutations “remain uncertain.” Peacock adds: “It’s important to stress how much we don’t know this new variant.“


How vaccine makers plan to address the new COVID-19 omicron variant


November 27, 2021
NPR
DUSTIN JONESTwitter

A gas station attendant stands next to a newspaper headline in Pretoria, South Africa, on Saturday. The new omicron variant has spread from South Africa to parts of Europe, and as far as Hong Kong.
Denis Farrell/AP

A new strain of COVID-19 first discovered in South Africa was declared a variant of concern by the World Health Organization on Friday. Here's how the pharmaceutical industry plans to address the latest coronavirus curve ball.

Vaccine makers are already pivoting their efforts to combat the new variant: testing higher doses of booster shots, designing new boosters that anticipate strain mutations, and developing omicron-specific boosters.

In a statement sent to NPR, Moderna said it has been working on a comprehensive strategy to predict variants of concern since the beginning of 2021. One approach is to double the current booster from 50 to 100 micrograms. Secondly, the vaccine maker has been studying two booster vaccines that are designed to anticipate mutations like those found in the omicron variant. The company also said it will ramp up efforts to make a booster candidate that specifically targets omicron.

"From the beginning, we have said that as we seek to defeat the pandemic, it is imperative that we are proactive as the virus evolves," said Moderna CEO Stéphane Bancel. "The mutations in the Omicron variant are concerning and for several days, we have been moving as fast as possible to execute our strategy to address this variant."


The omicron variant spreads across Europe as new travel bans take effect

Pfizer and BioNTech told Reuters that it expects more data about the omicron variant to be collected within two weeks. That information will help determine whether or not they need to modify their current vaccine. Pfizer and BioNTech said that a vaccine tailored for the omicron variant, if needed, could be ready to ship in approximately 100 days.

Johnson & Johnson said in a statement sent to NPR that it too is already testing its vaccine's efficacy against the new variant.

The omicron variant was first reported to the WHO on Nov. 24, the WHO said. Preliminary evidence indicates the variant poses an increased risk for reinfection due to the large number of mutations. Until recently, cases across South Africa have predominantly been from the delta variant, an earlier strain that has pushed health care systems to the max since early summer. But omicron infections have been on the rise in recent weeks, the WHO reported.

More concerning, omicron cases have emerged across the globe. Al Jazeera reported that cases have been confirmed in the United Kingdom, Italy, Germany, Belgium, Israel and Hong Kong.

News of the rapidly spreading variant led to a new set of air travel restrictions from South Africa and seven other countries, implemented by President Joe Biden, that go into effect Monday. The president made the announcement the day after Thanksgiving, one of the busiest travel periods of the year.

Unlike last year, when millions of people traveled against the advice of health experts, the Centers for Disease Control and Prevention and chief medical advisor to the president, Dr. Anthony Fauci, more or less condoned Thanksgiving get-togethers for vaccinated Americans. And, according to an American Automobile Association travel forecast, over 53 million people were expected to travel for Thanksgiving — an 18% jump compared to last year — including more than 4 million by air.

As of Friday, the CDC said that no cases of the omicron variant had been identified in the United States. However, Fauci said on Saturday that he would not be surprised if the variant is already here.

"We have not detected it yet, but when you have a virus that is showing this degree of transmissibility and you're already having travel-related cases that they've noted in Israel and Belgium and other places ... it almost invariably is ultimately going to go essentially all over," he said in an interview on the Today show.

As Americans prepare to transition from one busy holiday to the next, the CDC is predicting that coronavirus cases, hospitalizations and deaths will increase over the next four weeks. More than 776,000 people in the U.S. have died of COVID-19 to date, according to Johns Hopkins University's tracker, and the country is projected to surpass 800,000 deaths by Christmas.

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