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https://www.livemint.com/news/world/covid-variants-will-not-get-less-virulent-with-time-experts-on-how-omicron-ba2-12-1-differs-from-ba-4-ba5-11652190257032.html
Issuing a warning for Omicron BA2.12.1, experts have revealed that it is far more transmissible than BA.4 and BA.5 subvariants that are dominant in South Africa. And many who are vaccinated or even boosted are now infected with the variant. Regarding the next variant, they said, “it is not true that variants will get less virulent over time."
Eric Topol, physician and scientist, who tweeted about the recent finding, also posted a paper on the topic that pointed out that BA2.12.1 has a substantial transmissibility advantage beyond BA.2, which was already 30% more transmissible than BA.1.
How transmissible is Omicron BA2.12.1?
The study also showed that Omicron BA2.12.1 has a substantial transmissibility advantage beyond BA.2, which was already 30% more transmissible than BA.1, and reduced cross-immunity to BA.1 such that the people who had Omicron BA.1 infections (estimated to be at least 40% of Americans) may be susceptible to reinfections by this variant.
“Indeed, the Omicron-specific vaccines that use the BA.1 spike structure, which are in clinical trials and due to read out in the next couple of months, may not fulfill their promise with a variant that carries such immune escape properties."
What are the differences between BA2.12.1 and BA.4 and BA.5?
The study also makes a relevant comparison between BA.2.12.1 and the BA.4 and BA.5 variants (which share the same spike protein sequence), which have become dominant in South Africa.
Their (BA.4 and BA.5) increase in transmissibility does not appear to be as much as BA2.12.1, but their immune escape, relative lack of cross-reactive immunity to BA.1 and some increase resistance to monoclonal antibodies is similar to BA2.12.1. Unlike BA2.12.1, BA.4 and BA.5 have not shown enhanced entry to cells.
The study also pointed out the fact that it is concerning that there is significant drop in protection ‘from hospitalization even with 3-shots from prior vaccine effectiveness (pre-Omicron) well above 90%.’
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