Hindustan Times ST (Mumbai)

Maha sees 10 more Delta Plus cases, tally now 76

- Jyoti Shelar

MUMBAI: Ten more Delta Plus cases have been identified in Maharashtr­a taking the tally to 76. Of the new cases, six are from Kolhapur, three from Ratnagiri and one from Sindhudurg. All the 10 patients have recovered completely.

The Delta variant is now a variant of concern globally and is currently the predominan­t strain in Maharashtr­a. According to the Centers for Disease Control and Prevention, the Delta variant is more than two times contagious than the previous variants.

The Delta has further mutated to B.1.617.2.1 or AY.1 which is known as Delta Plus. There are now a total of 13 sublineage­s identified globally from AY.1 to AY.12 and AY.3.1.

“In Maharashtr­a, we have found at least five sub-lineages including AY.1. AY.2, AY.3 and AY.12,” state’s surveillan­ce officer Dr Pradeep Awate told Hindustan Times. Of the 76 patients with Delta Plus identified so far, 39 have required hospitalis­ation, while the rest recuperate­d at home. Five of the patients have succumbed to the infection.

As of July 31, a total of 11,968 samples have been sent for genome sequencing from Maharashtr­a. Of these, 8,089 were detected with the Delta variant (B.1.617.2) of the novel coronaviru­s. The state has at least 20 cases of the AY.3 sublineage that has been on the rise in the US for the past few weeks. The state’s samples also have 31 cases of the AY.1 sublineage and 10 cases of AY.2 sub-lineage. Medical experts said that it is difficult to analyse the impact of these sub-lineages as the number of samples are few.

According to Awate, the sublineage­sAY.1, AY.2, AY.3, Ay.12found in Maharashtr­a have all been clubbed under the Delta

Plus category owing to the lack of nomenclatu­re attached to these newer mutations.

“Data from the UK suggests that the Delta Plus variant is more virulent and can have immune escape response to vaccines and monoclonal antibodies,” said Dr Shashank Joshi, member of the Covid-19 task force of Maharashtr­a. “But it is too early to comment on its behaviour as we have few identified cases,” he said.

In June, the Union health ministry declared that Delta Plus was a variant of concern for the country as it had characteri­stics like increased transmissi­bility, stronger binding to receptors of lung cells and a potential reduction in monoclonal antibody response.

A recent study carried out by researcher­s based in Boston that is yet to be peer-reviewed observed that transmissi­on of the Delta variant sub-lineage AY.3 may occur among vaccinated persons even in the more controlled environmen­t of an inpatient medical-surgical ward.

“It remains to be determined whether the Delta variant AY.3 lineage is more transmissi­ble than the Delta Variant B.1.617.2,” the researcher­s said in the paper.

“Our findings do raise concern that without stricter risk mitigation, nosocomial (originatin­g in a hospital) transmissi­on of the Delta variant and Delta sub-lineages will occur more frequently than with prior, less transmissi­ble variants, even in vaccinated persons,” researcher­s said.

A state health official said that aggressive contact tracing has been carried out in the identified Delta Plus cases. A few cluster infections have been found linked to the Delta Plus cases.

Of the 76 patients identified so far, 10 were fully vaccinated while 12 were partially vaccinated.

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