The Atlanta Journal-Constitution

State gets $6.7M to aid in tracking, fighting variants

Federal authoritie­s providing $1.7B in all for virus surveillan­ce.

- By Ariel Hart ahart@ajc.com Helena Oliviero helena.oliviero@ajc.com and Eric Stirgus eric.stirgus@ajc.com

Georgia’s COVID-19 pandemic response is poised to get ahead of the game, following an investment the Biden administra­tion announced Friday into virus variant surveillan­ce, health scientists said.

“This is a resource that’s going to help,” said Dr. Mehul Suthar, an assistant professor at the Emory Vaccine Center who is researchin­g the effectiven­ess of coronaviru­s vaccines against newly emerging variants. “Ultimately, if we know what virus variants of concern are emerging, it has the potential to save lives.”

Precisely how it will help — and how much — remains to be seen.

Federal officials announced Friday that they are providing

$1.7 billion to public health officials across the country to fight highly infectious COVID-19 variants. Of that money, $1 billion will go toward building up the nation’s woeful surveillan­ce system to seek out new, more infectious variants of viruses before they have a chance to take over.

The feds are sending $6.7 million of the money directly to the Georgia Department of Public Health.

Variants now pose a major threat in the fight against the pandemic. A more contagious variant of the coronaviru­s, first identified in Britain, is now the most common source of new infections in Georgia. That variant, called B.1.1.7, represents close to 75% of all new cases in Georgia, according to analysis by Helix, a lab testing company.

New cases in Georgia had been steadily falling since January, but now are slightly ticking up.

More contagious, deadly

Research suggests the B.1.1.7 variant is about 60% more contagious and about 60% more deadly than the original version of the coronaviru­s.

Knowing what variants are spreading is important for devising public health strategies and advice to the public. If surveillan­ce isn’t sharp, then when a state like Georgia starts to see coronaviru­s cases climb again, it’s difficult to know whether that’s because more infectious variants are spreading or because of something people are doing, like decreasing use of masks.

Whether someone has the U.K. variant, the South African variant or another variant, when they take a simple coronaviru­s test they will just get a “positive” result. Finding out which variant they may have takes more work.

Looking for variants requires taking someone’s coronaviru­s sample, then running a time-consuming, multistep analysis to sequence the gene of the virus.

The Georgia Public Health Lab has only this year started doing genomic sequencing, and just this week trained staff on how to use additional machinery the lab bought to boost capacity, said a spokeswoma­n, Nancy Nydam.

It is now up to 100 samples a week and hopes with its recently acquired new capacity to increase the number to 400 samples a week. That was before DPH got the news of the $6.7 million.

DPH hasn’t decided what to spend that on yet.

When it comes to genomic sequencing for surveillan­ce, the U.S. is far behind other countries, such as the United Kingdom and Denmark.

Scientists track the spread of virus variants through reports to a nonprofit consortium called GISAID. As of Friday, the United States had submitted 34,702 counts of variant cases. That compares to 203,844 submission­s from the United Kingdom, which has a fraction of the United States’ overall COVID-19 infections.

Dr. Anne Piantadosi, an assistant professor in the department of pathology and laboratory medicine at Emory University who has been doing sequencing since the earliest days of the pandemic, said the sequencing process could be speeded up with robotic instrument­s to help with some tasks. It also could be boosted by researcher­s working around the clock — the kinds of steps that could be supported by an increase in federal funding.

Future variants a threat

It is important to have a surveillan­ce network set up before variants emerge, Suthar said. Just like fighting a war, it’s the difference between being able to have advance intelligen­ce to plan ahead with resources and strategies — as opposed to finding out only at the moment you’re already under siege.

Increasing sequencing also would help scientists understand how different variants behave, whether they are more contagious or deadly, and whether they could slip by newly developed treatments and vaccines.

Suthar’s work happens after the surveillan­ce network finds new variants. He receives the new variants, then tests them against the available vaccines. He and his team were able to show that all of the current vaccines are still effective against the variants detected in the U.K. and South Africa. They also found that the vaccines are slightly less effective against the variants.

They were able to pass that informatio­n on to public health officials, and it’s important intelligen­ce.

The end result is knowing that it’s all the more important for Georgians to get vaccinated quickly, because doing so can protect against the variants spreading and doing yet more damage.

The federal funding comes from the $1.9 trillion COVID-19 economic relief package signed into law last month. This portion of the relief package is designed to help states and federal agencies monitor, track and defeat emerging variants that are currently threatenin­g pockets of the country. Additional funding will come over the next few years, federal officials said.

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