Houston Chronicle Sunday

What we know about the ‘kraken’ variant

After slow start, omicron descendant XBB.1.5 surges to become dominant strain

- By Low De Wei

A new COVID variant that was first detected last year has quickly become the dominant strain in the U.S. — and picked up a creepy moniker along the way.

Nicknamed the “kraken variant” by some, it surged through the nation and has now been identified in at least 28 other countries, according to the World Health Organizati­on. Is it more dangerous? Does it spread more easily? And how will it affect China’s COVID outbreak?

Here are all your questions, answered:

What is the new variant?

XBB.1.5 is a descendant of the omicron XBB subvariant — which is itself a cross between two earlier strains: BA.2.75 and BA.2.10.1.

The original XBB variant has already caused waves of infection in countries including Singapore and India since the WHO first raised concern about it last October.

How fast is XBB.1.5 spreading?

While accounting for just 1 percent of all COVID cases at the start of December, estimates from the U.S. Centers for Disease Control and Prevention show that it surged to become the dominant strain by the end of the month, responsibl­e for about 41 percent of all infections. In northeaste­rn states, that figure has jumped above 70 percent.

XBB.1.5 is “the most transmissi­ble sub-variant which has been detected yet,” said WHO’s COVID-19 technical lead, Maria Van Kerkhove, during a press conference on Jan. 4. While only 29 countries have reported cases caused by it, health authoritie­s are warning it could be much more widespread and silently proliferat­ing thanks to a drop-off in testing.

In other countries, the proportion of infections caused by XBB.1.5 has remained lower, although the picture may rapidly change. Estimates from the Wellcome Sanger Institute

There haven’t been significan­t difference­s in severity reported between cases caused by XBB.1.5 and previous variants.

found that the variant made up around 4 percent of COVID infections in England as of mid-December, while Canada has found a handful of such cases.

Scientists pointed out that the sub-variant has a much stronger affinity to ACE2, a key receptor for the virus, which allows it to bind more easily and boosts its transmissi­bility.

Is it more dangerous than previous variants?

There haven’t been significan­t difference­s in severity reported between cases caused by XBB.1.5 and previous variants. Like other strains that concerned scientists, however, XBB.1.5 is attracting attention because it is exhibiting signs of immunity escape. That means it has an ability to evade natural immunity or previous protection provided by vaccines, and re-infect people who have recovered from an earlier bout of COVID.

Data remains limited on XBB.1.5’s severity and its propensity to cause severe disease or death. Previous therapies to tackle COVID — like monoclonal antibody treatments — were rendered ineffectiv­e by previous strains. That trend is set to continue with the new variant. Scientists in a recent peer-reviewed article published in the journal Cell warned that subvariant­s like XBB pose “serious threats” to current COVID vaccines. Higher transmissi­bility also means more people are likely to get infected, and thereby suffer severe outcomes.

It’s unclear if the U.S. experience with XBB.1.5 will extend to other countries. America, unlike many other developed nations, suffers from low vaccinatio­n rates. Only 15 percent of the population aged 5 and above has received an updated bivalent booster dose. The rate is slightly better among the vulnerable elderly population, including those aged 65 and above, with fewer than four in 10 receiving the shot. Hospitaliz­ation rates for COVID are already rising, amid a surge in other winter-season infections like influenza.

The WHO plans to release an updated assessment on the variant’s risks in the coming days.

Has it reached China yet, and what will be its impact?

China, which is going through a major wave of infections after dismantlin­g its stringent COVID Zero policy in recent weeks, has yet to report any domestic cases of XBB.1.5. Shanghai has detected three infections caused by the variant and said all were imported cases. But health agencies across the world, including the WHO, have raised concerns that China isn’t providing enough genomic sequencing informatio­n to come to any definitive conclusion­s.

In the meantime, the country’s COVID wave is being driven by two other omicron strains: BA.5.2 and BF.7. Together they account for 97.5 percent of all local infections, according to genomic sequencing data from the Chinese Center for Disease Control and Prevention.

While authoritie­s have tried to allay fears that the XBB variants will drive new waves of infection, the public — already spooked by the strained healthcare system and limited availabili­ty of treatments — isn’t convinced. A widely circulated viral post claiming the XBB variant may lead to vomiting and diarrhea led to an anti-diarrheal medication selling out across China as panicked buyers snapped it up.

Where did the ‘kraken’ name come from?

COVID variants are named by an expert group convened by the WHO.

It identifies so-called variants of concern that have potential global public health significan­ce, such as reducing the effectiven­ess of current pandemic measures, using the Greek alphabet. Previous strains like alpha, beta and delta fell under the convention.

But the last Greeknamed variant, omicron, emerged more than a year ago and left no room for the emergence of other, significan­tly different strains. Omicron has spawned multiple lineages, including XBB.1.5, and their names stem from a mix of alphabets and numbers known as “Pango.”

That has led to the rise in popularity of informal online nicknames, including “kraken.” The moniker for XBB.1.5 was proposed by an evolutiona­ry professor on Twitter to match the strength of the new strain with the mythologic­al sea monster.

 ?? Photos by Seth Wenig/Associated Press ?? Passengers disembarki­ng from internatio­nal flights take anonymous COVID tests for study purposes Wednesday at Newark Liberty Internatio­nal Airport in Newark, N.J.
Photos by Seth Wenig/Associated Press Passengers disembarki­ng from internatio­nal flights take anonymous COVID tests for study purposes Wednesday at Newark Liberty Internatio­nal Airport in Newark, N.J.
 ?? ?? Amid a COVID-19 surge in China, the U.S. is expanding its traveler-based genomic coronaviru­s surveillan­ce program.
Amid a COVID-19 surge in China, the U.S. is expanding its traveler-based genomic coronaviru­s surveillan­ce program.

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