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Medicine

Why Scientists Are Very Worried About the Variant From Brazil (npr.org) 207

An anonymous reader quotes a report from NPR: New coronavirus variants seem to be cropping up everywhere. There's one from the U.K., which is more contagious and already circulating in the United States. There's one from South Africa, which is forcing Moderna and Pfizer to reformulate their COVID-19 vaccines and create "booster" shots, just to make sure the vaccines maintain their efficacies. But for some scientists, the most worrying variant might be the newest one. A variant called P.1, which emerged in early December in Manaus, Brazil, and by mid-January had already caused a massive resurgence in cases across the city of 2 million people. [...] The concern with P.1 is twofold: scientists don't understand why the variant has spread so explosively in Brazil, and the variant carries a particularly dangerous set of mutations.

While the variant from the U.K. took about three months to dominate the outbreak in England, P.1 took only about a month to dominate the outbreak in Manaus. In addition, Manaus had already been hit extremely hard by the virus back in April. One study estimated that the population should have reached herd immunity and the virus shouldn't be able to spread easily in the community. So why would the city see an even bigger surge 10 months later? Could P.1 be evading the antibodies made against the previous version of the virus, making reinfections easier? Could it just be significantly more contagious? Could both be true? "While we don't *know* exactly why this variant has been so apparently successful in Brazil, none of the explanations on the table are good," epidemiologist Bill Hanage, at Harvard University, wrote on Twitter.

Reinfections are a serious concern for several reasons. First off, like the variant from South Africa, P.1 carries a cluster of mutations along the surface of the virus where antibodies -- especially the potent antibodies -- like to bind. "They are kind of the major targets of the immune system," says virologist Penny Moore at the National Institute for Communicable Diseases in South Africa and the University of KwaZulu-Natal. "So when we see a whole lot of mutations in [those surfaces], it raises the possibility that the mutations might be conferring immune escape." That is, the mutations are helping the virus evade antibodies or escape recognition by them. In essence, the mutations are providing the virus with a type of invisibility cloak. And thus, now we have a game of "cat and mouse," says virologist Ravi Gupta, between the virus and the vaccine. The virus finds ways around the vaccine (and our immune system), says Gupta, and so the manufacturers have to reformulate the vaccines (or else we run the risk of getting infected twice).

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Why Scientists Are Very Worried About the Variant From Brazil

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  • by Anonymous Coward

    Brazil has been cursed by a President who is as short sighted and deceitful as Donald Trump.

    Like Trump, Bolsanaro has laid down Brazil's defenses against Covid-19. Like the USA, Brazil is paying a steep price in death and economic ruin for their President's willfully incompetent response to Covid-19.

    • by ISayWeOnlyToBePolite ( 721679 ) on Thursday January 28, 2021 @12:27AM (#61000150)

      Brazil makes he who shal not be named look comparatively reasonable https://www.bloomberg.com/news... [bloomberg.com] This is a massive political failure.

    • by Tablizer ( 95088 ) on Thursday January 28, 2021 @12:45AM (#61000172) Journal

      So they got a screwy Trump variant AND a screwy Covid variant? Oh the shitty luck. Let's hope they don't merge.

      • Some probably would hope that the screwy Covid variant *does* merge with the screwy president...
  • by Actually, I do RTFA ( 1058596 ) on Thursday January 28, 2021 @12:52AM (#61000180)

    Allowing a virus, one of the main examples of microevolution taught in schools, free reign to multiply has negative consequences? Who would have thought some mutations would make things worse? That would be like expecting antibiotic-resistant forms of diseases to grow and spread. Nah, penicillin was just made better back in the old days.

    • by timeOday ( 582209 ) on Thursday January 28, 2021 @01:27AM (#61000218)
      What's interesting is that the virus upped its game in the exact same timeframe it took us to create and test a vaccine. A very notable crossover point in medical history.
      • i.e., That would make this pandemic permanent, and life will never go back to the way it was prior to COVID-19.
        • That's called "endemic". It's a part of everyday life now. :(

          • So, investing in the "hospitality" industry is a waste of money?
            • I didn't say that. The Flu is endemic, and we manage to live with it. Eventually we will achieve a sort of herd immunity, either by vaccine or by death.

              Then, the "hospitality" industry will no doubt take off once again. If you're the type to play the long odds, investing in the industry will eventually be a wise choice, but probably not for a while.

      • Mutants in the same genome regions as the "worrying" variants have been identified for months (in those countries that have been doing genome monitoring of virus samples), indicating that these regions of the genome are relatively unstable. (Maybe they're on exposed corners of the genome when it's folded ; whatever. Why the region is unstable isn't terribly interesting compared to "what can this instability do, and can we use it?"

        Given there is a mutation rate in this region of the genome, and increasing n

    • Re: (Score:2, Interesting)

      by rtb61 ( 674572 )

      Viruses are very gene bound. Their impact directly tied to the genes of the targeted host. The explosion in South America likely tied to the human genetic tendency in conjunction with a viral mutation.

      People do not respect the real world numbers when it comes to viruses and mutations. They mutate all of the time, there is huge potential, but only a tiny few will be beneficial, and it depends upon the host they are in at the time and their genes.

      It's like trillions of dice rolls of billions of dice. All so

      • by xonen ( 774419 )

        shutdowns did SLOWWW etc the spread creating far more opportunity for mutation guaranteeing a bad one would arise

        I'm not sure that's a logic conclusion. It sounds logic, with time as factor, but it isn't - the virus is not a living organism that given time will evolve - it needs a host to evolve and mutate.

        Meanin, the mutation rate is proportional to the number of people infected. It likely does not matter if this goes fast or slow, with every person infected there's a certain chance for a mutation.

        Now, I'm not saying time is not a factor - it still might be, and your suggestion that if everyone was infected fast, it'

      • by jbengt ( 874751 )

        . . . shutdowns did SLOWWW etc the spread creating far more opportunity for mutation

        Some of your other points (social distancing done badly) had validity. But the idea that slowing the spread increases the opportunity for mutations is wrong.
        The time the virus mutates is while it's reproducing. Mutations don't matter if they're not spread to new hosts and replicated, no matter how much time passes.
        A lot of mistakes are made copying the genome. From the virus' point of view, some of them are neutral, a

      • by Petrini ( 49261 )

        One thing I remember about SARS-COV-2 reporting is that the virus has a strong gene-checking mechanism upon replication that was thought to suppress mutations. I wonder if that's why there's only 3-4 spreading notorious mutations? Would there maybe have been many more? Or does that mechanism not edit out this type of mutation?

        I wish we could get some information tying that earlier understanding to these new variants.

  • They can be called The Boys From Brazil, because that would have about the right amount of an ominous undertone to it.
  • by sound+vision ( 884283 ) on Thursday January 28, 2021 @01:34AM (#61000228) Journal

    Now this one in Brazil may be re-infecting people who had the original strain last year... Presumably, it also has some resistance to the vaccines being deployed (both target the spike protein that's mutating).

    About that spike protein. I recall very early on, prior to the initial outbreak in the US, there was a mutation that increased transmissibility. Most of the initial Wuhan infections were of the original-original strain, the current "standard" strain evolved during the initial European outbreak and was dominant globally from there on out.

    I've been hearing that "coronavirus doesn't mutate often", "the mutations really aren't that bad", but now that's seeming to be wrong. Now it's starting to look like we're going back to square 1, or even worse. If you can catch it twice, that doubles your risk of death, even if the new strain isn't actually any more deadly. But the latest information is the UK variant may be 30% more deadly.

    Unless the vaccines we have now have some kind of efficacy against the new strains, things could get very ugly, very fast. I wonder what Americans would be more willing to accept: A China-style lockdown with soldiers patrolling to make sure you don't leave the house... Or a Covid-21 with two or three times the body count?

    Honestly, given the pace these new variants are showing, we should start with a total ban on international travel. Ground all the planes, like in the days after 9/11, but for as many months as we need to. Go into an actual war posture to make sure no new variants can get in from the outside. Implement strict lockdowns and contact tracing, the kind that people will absolutely hate, with the threat of arrest backing it up, to take care of the domestic situation. Then again it's probably too late now.

    One thing's for sure though. If we don't get a virus with a 30% or 80% death rate mutating out of Covid, it'll come from somewhere else in the future. There needs to be a plan, and the willingness to use it when the time comes. And Ted Kaczinsky was right about one thing, having a shitton of planes flying everywhere all the time isn't good. We should do something about that. A targeted carbon tax on air travel would work wonders, but so could just a basic limit on the number of air miles anyone can travel in a year.

    • Every action has a cost and a consequence. Often unforeseen and much high priced than the thing you're trying to stop.

      Lock down the planet and people start dying of other things such as starvation, cold, heat, dirty water, mental illness rises, homelessness increases which magnifies all bad things, other illnesses rates will go up as people avoid or can't get to hospitals and the longer and wider spread a lockdown is the harder it is to get our logistics based transport heavy global economy rolling again.

      S

      • Just imagine if it was 3 weeks early last year. How much easier and simpler that would have been than what we did end up with?

    • by dryeo ( 100693 ) on Thursday January 28, 2021 @02:17AM (#61000296)

      Mutation rates are relative. Considering the population infected, mutating not too often is still too much.
      There's also the question of wildlife reservoirs, we know mink get it bad, what other animal populations does it exist in?
      While stopping all international travel would be great, the world is likely too interconnected as well as, at least in the west, travel is considered a right, which makes it that much harder to completely stop. Really enforcing quarantine for travelers would be a good start though.

    • No, you simply listened to people who were full of shit and used pathetic low values for "herd immunity."

      They said, "Well maybe that's enough for herd immunity?" And others said, look, it's not even halfway there. And then another wave comes, and you get confused, and make up new stuff to explain it, instead of just realizing this proves that the low values for herd immunity are bullshit, as the experts said.

    • This shows once again how bad globalism actually is.

      Frequent international travels with planes made a serious issue such as a pandemic spread not in months or years (giving nations and medicine time to prepare) but literally days or even hours.

      Renouncing to proper country borders (such as in EU) made it much much easier for deadly diseases to spread from community to community and now we are realizing that we must return to strictly enforced borders and nationalism to save ourselves.

      Big cities are making di

      • If you should barely be leaving your house to shut this virus down, international borders aren't even the most relevant. International travel is just the extreme end of the same spectrum.

    • Presumably, it also has some resistance to the vaccines being deployed

      Why do you presume that?

    • I've been hearing that "coronavirus doesn't mutate often", "the mutations really aren't that bad", but now that's seeming to be wrong. Now it's starting to look like we're going back to square 1, or even worse.

      And all of that is still correct. Coronavirus doesn't mutate that often. For a virus which has spread as much as it has it has an incredibly low mutation rate. Of all the mutations none have taken us even remotely back to square 1.

      Please just let the experts do their thing and stop armchair bioengineering.

    • "I wonder what Americans would be more willing to accept: A China-style lockdown with soldiers patrolling to make sure you don't leave the house... Or a Covid-21 with two or three times the body count?"

      Body count. For good or bad, most Americans don't want a government of martial law/dictatorship. Unless, perhaps, if it's an existential threat. Then we'll declare war on it, for good (see WWII) or bad (see War on Drugs).

      And it still devolves to opinions (aka politics). Some saw drugs as an existential threat

    • by hey! ( 33014 )

      It doesn't mutate that often, and most mutations are not of much concern. But when 100 million people get infected, you get a low *rate* multiplied by an astronomical number of trials, which equals a risk worth worrying about if you don't contain the virus.

      If this happened just 20 years ago, we'd have been screwed. In fact, if this happened just five years ago, we'd have been screwed. But *this* pandemic came at a kind of tipping point for molecular biology. These mRNA vaccines are the first *modular* vac

    • I've been hearing that "coronavirus doesn't mutate often",

      And it hasn't really changed. There's just a LOT more infections and a lot more viral replication occurring, which increases the number of mutations over time but not the probability.

  • by Camel Pilot ( 78781 ) on Thursday January 28, 2021 @01:57AM (#61000276) Homepage Journal

    Several numbskull leaders in the USA, Brazil, UK, etc. thought just let everyone get infected quickly and try to achieve natural herd immunity. Experts like Fauci and others said this is a very bad idea. One of the reasons why this is a bad idea is that for every infection there is a roll of the dice for a mutation. So many infections lead to lots of novel mutations that could be more infectious, more deadly, or able to re-infect previously infected individuals.

    • One thing is sure: when you tell the entire population to stay the fuck home, there isn't a snowball's chance in hell that any kind of herd immunity will ever be achieved - since there's no herd to begin with. I have no idea how anybody thought this would ever be reached in Manaus or elsewhere...

      • by Ungrounded Lightning ( 62228 ) on Thursday January 28, 2021 @10:11AM (#61001236) Journal

        One thing is sure: when you tell the entire population to stay the fuck home, there isn't a snowball's chance in hell that any kind of herd immunity will ever be achieved - since there's no herd to begin with.

        Sure there is. They're just at home or otherwise reducing contact, so the spread is slowed.

        Herd immunity is created by permanently reducing the density of susceptible individuals to below that needed to maintain the virus' spread. You can do that in several ways. The big ones are:
          - Individuals get the virus and develop immunity. This has the downside that the virus has more generations to change and bypass the immunity.
          - Individuals get the virus and DIE. This has the same downside for the virus having more generations to develop workarounds to attack the others that developed immunity or weren't susceptible to the existing strains. It also has the downside that you have to kill off MOST of the individuals to get the density of susceptible individuals down to where the virus doesn't spread - and the virus can work around THAT by changing to spread better.
          - Individuals can be made non-susceptible by immunization. BINGO! Herd immunity WITHOUT most of those opportunities for mutation and most of those dead bodies.

        The "stay the f*ck home" bit ALWAYS WAS to slow the virus down and keep most of the herd members alive until immunizations can be developed and deployed.

        • by dryeo ( 100693 )

          The "stay the f*ck home" bit ALWAYS WAS to slow the virus down and keep most of the herd members alive until immunizations can be developed and deployed.

          Well, it was also about keeping our healthcare systems from being overwhelmed like it seems has happened in Brazil. If I need oxygen, I'll get it without having someone lining up for 12 hours and paying a large amount of money. Also the people needing healthcare for other reasons.
          There's also been learning how to treat it better. Catch the virus now, your odds of survival are much better as the health professionals have learned.

  • by sg_oneill ( 159032 ) on Thursday January 28, 2021 @05:01AM (#61000518)

    I've gotten pretty skeptical whenever I hear the term "herd immunity". Very early in the epidemic there where various theories that there was a huge amount of asyptomatic spread going on raising hopes that we might have secretly gotten most of the way there without realising it. Asymptomatic carrying exists, but its much less common than originally hoped. It'd show up in the form of huge amounts of unknown-origin infections in epidemiological studies that just didn't happen in real life, and *nobody* would have had success containing it , which we know isnt true because multiple countries have.

    This was bolstered by some poorly conducted Antibody studies that seemed to be just searching for generic coronaviruses, of which there just happened to be a fairly virulent but unrelated coronavirus common cold going around . I think you can work out whats going on here (Theres another interesting side effect, Coronavirus antibodies are somewhat cross reactive. Its POSSIBLE buy not really studied, that coronavirus colds might confer a weak immunity to covid and vice versa, possibly explaining why some populations had surprising resistance.

    The truth is, to get to herd immunity you need this gnarly asshole of a virus to chainsaw its way through 70% of the population. We know for instance that just under 10% of the US population has now had the virus. This lead to currently around 430,000 deaths. Multiply that by six then perhaps double it to account for most ofthat happening with no medical assistance available due to drastically overflowing hospitals and you'll get abot 6-7 million dead. I'm not convinced losing 2-3% of the population is a sane goal.

    And it might not work anyway because the more infected the more mutations and the higher the risk one of those mutants figures out how to reinfect everyone and its back on the treadmill to knocking off another 2-3% of the population ad-infinitum until this fucking virus has taken a serious chunk out of the world population. Hey, might be a winner for the environment, but what a miserable way to live.

    Which brings us back to vaccines! Vaccines can solve this, BUT it absolutely has to be done as rapidly and as comprehensively as possible. 2 million vaccines a day in the US was one expert projection for how to get this thing under control by *the end of the year*. I'd suggest much faster. War footing, nationalize industries if necessary. Get this fucking thing solved fast so we can all go back to our big dumb lives.

    • Herd immunity? It's more like herd mentality, the kind that causes lemmings to jump off a cliff.
    • by TheNameOfNick ( 7286618 ) on Thursday January 28, 2021 @08:23AM (#61000898)

      "Herd immunity" is a concept used in epidemiology. It does not mean that you can let a disease run its course until all (or enough) had it and thus the herd is immune. Herd immunity is practically never achieved through natural progression of an epidemic. If the only way you can become immune is by becoming infected, immunization depends on the presence of the disease. The spread tapers off as more become immune, so the remaining infected never run out of people to infect and the disease persists. The herd never becomes immune.

      Herd immunity is achieved through vaccination. You give immunity to people without making them carriers of the disease. If enough people become immune without adding to the spreading of the disease, herd immunity is achieved, because the few carriers are unlikely to meet someone to whom they can communicate the disease. Unlike people who become immune through infection, the vaccinated do not contribute to the spreading of the disease.

      The important aspect of the herd immunity concept is that the herd can become immune without every individual becoming immune. The reason this is important is that not everybody can be immunized. Babies can't be vaccinated before a certain age. Several illnesses preclude vaccination and some treatments for other illnesses make vaccination ineffective. That's what herd immunity means: Making the herd immune without making every individual immune. It does not mean Corona party and let the weak die.

  • So long as people are allowed to circulate about the globe for pleasure, business, or commerce, so will the communicable/contagious diseases those people harbor.

    Alas, when you have a global economy, if you shut down the meatspace circulation, you damage the global economy.

    And even with a mandated shutdown, the elite will continue to meatspace circulate.
  • Go to nextstrain, they've got nice visualizations of the lineages of the virus, put together from sequences submitted from all over the world.

    Spotting the "new" variants in it, is not easy. They're not obviously more mutated. If you can spot selective pressure going on in the data, distinct from genetic drift, you need to show me because I can't.

    Now, it may of course be that the variants are important because they happened to have mutations in just the right places (spike protein, presumably), and that they

  • Unless its an N95, you wear a mask to protect others from your infection more than yourself.

    Vaccinated people will get infected, but the immune system will fight it off so they will have mild or no symptoms.

    Some vaccinated people will have mutated virus that has evolved to evade the body' new defense. It is absolutely critical that the mutated virus immune to the vaccines are stopped by a mask.

    We are now entering the most dangerous phase of the pandemic. Please spread the word!
  • A few points:

    - RNA viruses have a very high error rate, increasing mutations. However, Coronaviruses have in their genome a protein called RdRp (an error checking mechanism that corrects errors). This allows Coronaviruses to have a very large genome of 30k bases, by reducing the inherent mutation rate.

    - Other Human Coronaviruses that cause ~ 15% or so of the common cold have been shown to induce neutralizing immunity for up to 8 years, decreasing somewhat year over year. A research paper did detailed tests

  • Here is a research paper [thelancet.com] on the variants circulating in Brazil, including the P.1 variant.

    If the observations in the paper hold up, then this is very troubling indeed ...

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