COVID-19 Variants of Concern

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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1] ; Associate Editor(s)-in-Chief: Mohamed Riad, M.D.[2] Deekshitha Manney, M. D[3]

Overview

All viruses mutate. Mutations are mistakes that happen when the virus replicates. Every single viral replication is an opportunity to mutate. As a result of mutations occurring in COVID-19 virus, new variants of COVID-19 emerge and most of them are being tracked in the United States. The "variants of concern" refer to those COVID-19 variants with clear evidence of an increased rate of transmission, severe illness and death, marked decrease in neutralization by antibodies produced as a result of previous infection or vaccination, decreased effectiveness of vaccines or treatments, or failure of diagnostic detection.

Variants of Concern

As in all viruses, COVID-19 virus continuously undergo spontaneous mutations followed by emergence of new variants of COVID-19. Some of these variants appear then disappear; however, others persist causing global pandemic. The best way to fight against the appearance of new variants is a commitment to protective measures.

The " variants of concern" refer to those COVID-19 variants with clear evidence of an increased rate of transmission, severe illness, and death, marked decrease in neutralization by antibodies produced as a result of previous infection or vaccination, decreased effectiveness of vaccines or treatments, or failure of diagnostic detection.


1) Omicron - B.1.1.529 :

The variant was first detected in South Africa. It is designated as VoC, meaning that it can pass between people easily and evade vaccines, treatments, or other protective measures. The number of mutations this variant has is concerning, estimated to be more than 30, which could have a big influence on how this virus behaves.

It is not yet clear whether omicron makes symptoms worse or is severe than other variants like delta. It is also not clear yet how Omicron affects people compared to alpha and delta variants. Infection rates have been increasing from the first week of December-2021 and we need to see how the variant affects the world.

2) Delta - B.1.617.2 :

This variant was first identified in India in early 2020. It is twice as contagious as earlier variants and might cause more severe illness. Most affected people are the unvaccinated people for this variant. Vaccinations do provide protection against this variant.


3) Alpha (B.1.1.7) :

References