Hindustan Times ST (Mumbai)

What we know about Omicron

- Binayak Dasgupta

NEW DELHI: Global stock markets, including India’s bourses, rallied on Tuesday, as did oil prices and the US dollar, as some signs trickled in of the Omicron variant possibly not being as worrisome as previously thought.

These signs suggest the variant may be causing a milder version of the disease, and they originate from data by the National Institute of Communicab­le Diseases (NICD) in South Africa. A key endorsemen­t of this early trend was made by White House medical adviser Anthony Fauci late on Monday, although he stressed that it was still early days.

Reading ground data

According to NICD data analysed by the Financial Times, there are two trends that can be read from Omicron hotspot Gauteng province: First, the share of Covid-positive hospital patients requiring intensive care and ventilator­s is lower when compared to the beginning of the Delta wave; and second, the overall number of people testing positive is now close to levels seen during the Delta wave, but ICU admissions have not risen in lockstep.

This mirrors a recent assessment by the NICD that found that this time, most of the hospitalis­ed people are being treated on “room air” instead of needing oxygen.

If these trends hold up, Omicron may indeed be considered a milder variant. At present, the conclusion may be tenuous since there seems to be a larger share of younger people infected.

New scientific evidence

Two scientific studies reinforce what is being observed.

The first, one of the earliest neutralisa­tion tests from which results seem to be available, was by Glaxosmith­kline’s biotech arm Vir Biotechnol­ogy, which found the firm’s antibody treatment is still effective against the full combinatio­n of mutations in Omicron.

The study, data for which was not yet out as on Tuesday, found there was a less than threefold drop in neutralisa­tion by the company’s product sotrovimab of an engineered virus with the same configurat­ion as Omicron.

The second is new protein modelling by researcher­s from University of North Carolina, who used the Alphafold2 deep learning model to create a simulation of the variant. Using what they found, and additional simulation­s of how known antibodies interact with the virus, the researcher­s predicted there are “some structural changes in the receptorbi­nding domain that may reduce antibody interactio­n, but no drastic changes that would completely evade existing neutralisi­ng antibodies (and therefore vaccines)”.

The findings are significan­t since Alphafold2, a machine learning protein modelling programme created by Google’s Deepmind, has previously shown unpreceden­ted accuracy in determinin­g how proteins fold, a visualisat­ion that is a challenge to estimate from merely reading genomic data.

It is still early days for conclusive signs, but the early hopeful clues may not be entirely misleading.

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