UK: Delta with K417N – the “mountaineers” variant – PHE #coronavirus Delta-AY.1 update

Of the 36 cases of Delta-AY.1 (mountaineers) variant, 27 cases were known to have a vaccination status within the National Immunisation Management System (NIMS). 

“Through routine scanning of variation in Delta a small number of sequences were detected which had acquired the spike protein mutation K417N. Information suggests that there are at least 2 separate clades of Delta with K417N. One clade is large and internationally distributed with PANGO lineage designation AY.1. A second clade found in sequences uploaded to GISAID from the USA. There is limited epidemiological information available at present.

International Epidemiology
As of 7 June 2021, 63 genomes of Delta with K417N have been identified on GISAID. from Canada (1) Germany (1), Russia (1), Nepal (2), Switzerland (4), India (6), Poland (9), Portugal (12), Japan (13), USA (14).

Epidemiology
There are currently 36 cases of Delta-AY.1 in England (35 confirmed sequencing and 1 probable genotyping) plus an additional 10 sequences which include some cases in other UK nations and some genomes for which case data is being sought. The first 5 cases were sequenced on 26 April 2021 and were contacts of travellers to Nepal and Turkey. All these cases were detected in the West Midlands. Cases have been detected in 6 different regions in England (Table 21, Figure 26). The majority of cases are in younger individuals, with 2 cases of age 60 or over (Figure 27). Out of the 36 cases, there were 11 travel associated cases (6 travellers and 5 cases amongst contacts of travellers). Twelve cases have no history of travel or contact with travellers. Countries of travel included red-list countries (Nepal and Turkey), amber-list countries (Malaysia) and green-list countries (Singapore).

Of the 36 cases, 27 cases were known to have a vaccination status within the National Immunisation Management System (NIMS), when linked on NHS number. Of these, 18 cases occurred in people who were not vaccinated, 2 cases in people who had received their first dose within 21 days of specimen date, 5 cases in people who had received their  first dose more than 21 days after specimen date. There was a total of 2 cases where there were more than 14 days between the second dose of vaccine and a positive specimen. No deaths have been recorded amongst the 36 cases.”

PHE download – SARS-CoV-2 variants of concern and variants under investigation in England  – Technical briefing 15 (PDF)

 

UK: The “mountaineers variant” – B.1.617.2 with K417N mutation

 

UK: “Everest climbers could have spread potentially more infectious and vaccine resistant’ variant

 

 

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Singapore: 78 #coronavirus cases in current outbreak were vaccinated compared to about 300 unvaccinated cases

A total of 78 Covid-19 cases in the current outbreak in Singapore have been vaccinated – many of whom are frontline workers – compared to about 300 unvaccinated cases, said Health Minister Ong Ye Kung.  The numbers represent a ratio of about 79 per cent unvaccinated cases versus 21 per cent vaccinated ones. It’s “not quite” true that the situation in Singapore is “getting very bad”, he said.

ChannelNewsAsia.com report

Singapore is currently battling a fresh wave of B.1.617.2 infections introduced through Changi airport despite strict anti-covid protocols including regular antigen and RT-PCR testing for the workforce. About one quarter of the population of Singapore have been fully vaccinated and over one third have been partially vaccinated. Singapore has only approved the use of the Pfizer and Moderna Covid-19 vaccines for use in the country. It’s a stark warning about the difficulty of controlling the spread of the new variant first discovered in India.

 

Singapore: Changi Airport #coronavirus cluster – 18 patients with 61% vaccine breakthrough rate

 

 

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Singapore: B.1.617.2 Delta has a higher viral load in the respiratory tract of patients and stays for longer

On May 19, the director of Singapore’s National Center for Infectious Diseases, Professor Liang Yuxin, said in an exclusive interview with Singapore’s mainstream media, Lianhe Zaobao, that Singapore’s research shows that the recent local transmission of the mutant new coronavirus B.1.617.2 remains in the respiratory tract of patients in a higher amount. It also stays for longer, causing the virus to spread more easily.  A study found that patients infected with the B.1.617.2 virus had a higher amount and discharge of the virus in the respiratory tract than the original, longer time in the body, and a slower rate of decline.

Professor Liang Yuxin said that the lower the circulation threshold, the more viruses in the body. The circulation threshold of a common virus is about 20, while that of a variant virus is 15, so it may be easier to spread. She also said that the recent outbreaks of multiple infection groups in Singapore are all related to the B.1.617.2 variant virus that was first discovered in India.

Huanqiu.com report

 

Singapore: Changi Airport #coronavirus cluster – 18 patients with 61% vaccine breakthrough rate

 

 

Image by Jason Goh from Pixabay

Singapore: Changi Airport #coronavirus cluster – 18 patients with 61% vaccine breakthrough rate

 Eleven out of 18 positive patients were vaccinated, at least 6 are infected with the B.1.617 variant.

 

UK: eleven vaccine breakthrough cases reported for B.1.617.2

 

 

 

Image by David Mak from Pixabay