How can we know what is the limit of a Covid-19 variant?
The Alpha variant, first identified in
Kent, UK, performed a large jump in its ability to transmit. Now Delta, seen
first in India, leapt further still.
This is evolution in action
So are we doomed to a never-ending parade
of new and improved variants that get harder and harder to contain? Or is there
a limit to how much worse coronavirus can become?
It's worth remembering the journey this
virus is on. It has made the jump from infecting a completely different species
- its closest relatives are in bats - to us. It's like you,
starting a new job: you're competent, but not the finished article. The first
variant was good enough to start a devastating pandemic, but now it's learning
on the job.
When viruses jump to humans it would be
"very rare for them to be a perfect," said Prof Wendy Barclay, a
virologist from Imperial College London. "They settle in and then they
have a great time."
There are examples of viruses, she said, from flu
pandemics to Ebola outbreaks, making the jump and then accelerating.
So how far could it go?
The cleanest way of comparing the pure biological
spreading power of viruses is to look at their R0 (pronounced R-naught). It's
the average number of people each infected person passes a virus on to if
nobody were immune and nobody took extra precautions to avoid getting infected.
This virus has surprised us a lot. It is
beyond anything we feared," said Dr Aris Katzourakis, who studies viral
evolution at the University of Oxford. "The fact it has happened twice in
18 months, two lineages (Alpha and then Delta) each 50% more transmissible is a
phenomenal amount of change."
It's "foolish", he thinks, to
attempt to put a number on how high it could go, but he can easily see further
jumps in transmission over the next couple of years. Other viruses have far
higher R0s and the record holder, measles, can cause explosive outbreaks.
How are the variants doing it?
There are many tricks the virus could
employ to get better at spreading, such as:
.- Improving how it opens the
doorway to our body's cells.
.- Surviving longer in the
air
.- Increasing the viral load
so patients breathe or cough out more viruses.
.- Changing when in the
course of an infection it spreads to another person.
One way the Alpha variant became more transmissible was by getting better at
sneaking past the intruder alarm - called the interferon response - inside our
body's cells. But this does not mean that by the time we work through the Greek
alphabet of variants and reach Omega that we'll end up with an unstoppable
beast.

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