Concerns Over the Persistence of COVID-19 Variants

Even as there’s hope that the COVID-19 pandemic will soon be controlled with several vaccines now available globally, there’s still growing concern that the situation could grow worse as new, fast-spreading variants of the virus, including strains from The United Kingdom (UK), Brazil and South Africa, have been identified in the U.S., including South Florida.

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On Monday, March 1, appearing on national television, the director of the Centers for Disease Control (CDC), Dr. Rochelle P. Walensky, reiterated her concern that the continued spread of the COVID-19 virus could spike and reverse gains being made in control of the primary strain of the virus.

Viruses constantly change through mutation, and new variants of a virus are expected to occur over time. Sometimes new variants emerge and disappear. Other times, new variants emerge and persist. Multiple variants of the virus that causes COVID-19 have been documented in the United States and globally during this pandemic.

The virus that causes COVID-19 is a type of coronavirus, a large family of viruses. Coronaviruses are named for the crown-like spikes on their surfaces. Scientists monitor changes in the virus, including changes to the spikes on the surface of the virus. These studies, including genetic analyses of the virus, are helping scientists understand how changes to the virus might affect how it spreads and what happens to people who are infected with it.

Multiple variants of the virus that causes COVID-19 are circulating globally:

The United Kingdom (UK) identified a variant called B.1.1.7 with a large number of mutations in the fall of 2020. This variant spreads more easily and quickly than other variants. In January 2021, experts in the UK reported this variant may be associated with an increased risk of death compared to other variant viruses, but more studies are needed to confirm this finding. It has since been detected in many countries around the world. This variant was first detected in the U.S. at the end of December 2020.

In South Africa, another variant called B.1.351 emerged independently of B.1.1.7. Originally detected in early October 2020, B.1.351 shares some mutations with B.1.1.7. Cases caused by this variant have been reported in the US at the end of January 2021.

In Brazil, a variant called P.1 emerged first identified in travelers from Brazil, who were tested during routine screening at an airport in Japan, in early January. This variant contains a set of additional mutations that may affect its ability to be recognized by antibodies. This variant was also first detected in the U.S. at the end of January 2021.

These variants seem to spread more easily and quickly than other variants, which may lead to more cases of COVID-19. An increase in the number of cases will put more strain on U.S. and global health care resources, lead to more hospitalizations, and potentially more deaths.

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So far, studies suggest that antibodies generated through vaccination with currently authorized vaccines recognize these variants. This is being closely investigated, and more studies are underway.

Rigorous and increased compliance with public health mitigation strategies, such as vaccination, physical distancing, use of masks, hand hygiene, and isolation and quarantine, is essential to limit the spread of the all variants of COVID-19 and protect public health.

Scientists are working to learn:

  • How widely these new variants have spread
  • How the disease caused by these new variants differs from the disease caused by other variants that are currently circulating
  • How these variants may affect existing therapies, vaccines, and tests

Public health officials are studying these variants quickly to learn more to control their spread. They want to understand whether the variants:

  • Spread more easily from person-to-person
  • Cause milder or more severe disease in people
  • Are detected by currently available viral tests
  • Respond to medicines currently being used to treat people for COVID-19
  • Change the effectiveness of COVID-19 vaccines

The Center for Disease Control (CDC) in Atlanta, in collaboration with other public health agencies, is monitoring the situation closely. CDC is working to monitor the spread of identified strains, characterize emerging viral variants, and expand its ability to find new variants.  

 

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