There's a New "Stealth" Omicron Variant—Should We Worry?

 

There is a new variant spreading that people are calling "stealth" Omicron. It is a variant of of the existing Omicron variant.

According to the Washington Post the variant has been detected in many countries, and this includes India, Britain, and Denmark. Three U.S. cases have been detected at a hospital in Houston.

The virus is similar to Omicron, labeled BA.1 by researchers, but contains some mutations that make it different. The reason is it called "stealth" is that, according to the UK Health Services Agency:

Omicron BA.2 lacks the genetic deletion on the spike protein which produces S-gene target failure (SGTF) in some polymerase chain reaction (PCR) tests, which has been used as a proxy for Omicron cases previously.   

This is also known as an "s-gene dropout" and you have seen it referred to in this blog before. Variants that have this feature can be quickly identified in the course of processing PCR tests. If a variant does not have the feature it can only be typed through more time consuming genetic sequencing.

ASU has been tracking this feature in the PCR tests it performs. As of Monday, 97.7% of its positive samples have this feature, indicating that almost all cases we are seeing now in Arizona are due to Omicron BA.1.

PCR tests will still show someone infected with the BA.2 version as positive for SARS-CoV-2. It will just no longer be possible to identify that the variant is "stealth" Omicron on the spot.

That is not really important for you, the end user of the test results. Testing will still tell you whether you're infected or not—for PCR tests anyway, those rapid antigen tests were not very accurate to begin with. The main impact will be on public health people interested in tracking what variants are circulating.

There is no evidence so far that this variant-of-a-variant causes more severe disease. Some scientists worry that it might be more contagious, but there is no evidence for that either and geez you gotta wonder how much more contagious it could get.  

For right now I don't see any reason to worry about this.



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