"The groundwork of all happiness is health." - Leigh Hunt

New “FLiRT” variants trigger warning of rising COVID numbers in summer

April 30, 2024 – In recent weeks, COVID-19 forecasters have reported a brand new set of variants emerging in Wastewater monitoring. Nickname flirtThey threaten to trigger a brand new wave of COVID infections, which have recently reached their lowest point after their steep rise in December.

Models released last week by Jay Weilandan information scientist who has accurately predicted COVID waves because the starting of the pandemic warns that a surge is coming. “He is someone that many experts like me follow because he has been pretty accurate so far,” said Megan L. Ranney, MD, dean of the Yale School of Public Health.

Ripe for a brand new infection

In addition, Ranney said, FLiRT also has some worrying features, reminiscent of changes within the spike protein that play a task in supporting SARS-CoV-2, the The virus that causes COVID-19 can take hold within the body, colonize it, and make people sick.

Another worrying factor is the vulnerability of the host, since only 22% of American adults have received the most recent COVID vaccine. And since many individuals may not have had the virus shortly, they're liable to reinfection.

“We have a population with declining immunity, which increases our vulnerability to a wave,” said Thomas A. Russo MD, ceducated for Infectious Diseases on the Jacobs School of Medicine and Biomedical Sciences on the University of Buffalo.

There can also be some worrying data showing that even those that have received the most recent COVID booster shot will not be well protected against a possible surge in cases. form A study published this week by researchers at Harvard University provides compelling evidence that the most recent booster just isn't faring well against JN.1, essentially the most recent dominant variant, and its FLiRT offshoots. The study has not yet been peer-reviewed.

JN.1 has spread worldwide over the winter and still accounts for 95% of COVID cases within the United States. Its origin is the Omicron variant, which has been in circulation in some form since 2021. Nevertheless, recent variants can quickly prevail. Chapter 1 accounted for nearly not one of the cases in mid-November, but rose quickly to 21% in December and 85% until the third week of January.

In recent years, Covid-19 waves have also followed a predictable rhythm: with a big wave in winter and a smaller peak in mid- to late summer. This is principally because people spend a lot time in air-conditioned indoor spaces with poor ventilation when the weather is warmer outside, Russo said.

“If I looked into my crystal ball at all of these factors, I would say we will see another wave or surge in cases and hospitalizations sometime this summer,” he said.

How to guard yourself from a summer flood

While there's some doubt about how the brand new booster shot will perform against the most recent variants, keeping your vaccinations up to this point remains to be one of the best method to protect yourself. For those that haven't yet received the most recent booster shot, time is of the essence. And for many who are over 65 or immunocompromised, the CDC recommends getting a second, up-to-date COVID booster vaccination 4 months after the last booster.

“Assuming the virus continues to evolve and our immunity wanes, the general population will likely continue to need annual booster vaccinations for protection,” Ranney said.

And many experts said we'd like to take the virus more seriously. Basically, if you happen to are sick, don't go to work, don't exit or travel, and provides yourself time to get better so that you don't infect everyone around you. The CDC recommends that folks stay home and isolate until no less than 24 hours have passed after fever subsides and general symptoms improve. And if you happen to're in a crowded area with poor ventilation, a mask remains to be an easy and effective method to protect yourself.

New treatments reminiscent of monoclonal antibodies Pemgardawhich the FDA granted emergency approval in March, could also help protect those that are particularly vulnerable to a coronavirus wave within the spring or summer, said Shirin Mazumder, MD, infectious disease physician at Methodist Le Bonheur Healthcare in Memphis. The drug is meant to be taken as a safety measure for all individuals who're moderately to severely immunocompromised. The drug is run intravenously.before a patient's potential exposure to COVID. It is meant for many who are unlikely to accumulate sufficient immunity and might have more protection from the virus.

“It is another tool that can help people in addition to vaccination and other precautionary measures,” said Mazumder.

The increasing risk of Long COVID

According to a study published in March 2024, vaccination can also be essential for defense against Long COVID The Lancet Respiratory MedicineAnd for Dr. Grace McComsey, who leads the long-term COVID RECOVER study at University Hospitals Health System in Cleveland, it just isn't the chance of acute illness that's most frightening.

She said long COVID is becoming a much bigger problem for many who may not have been as afraid of acute COVID. The Lancet Infectious Diseases Recently, it has been shown that many individuals that suffer from Long COVID – a chronic disease characterised by Fatigue, brain fog, and heart and lung problems – didn't necessarily should have had a severe course of infection.

The variety of long-COVID cases can also be increasing: 6.8% of Americans report long-COVID symptoms, in comparison with 5.3% in 2022. Overall, 17.6% said they'd already had the disease, in line with a survey by the CDC“Long COVID is what I would be most worried about right now, as case numbers are rising and it can make you chronically ill even when that would not be the case with an acute infection,” said McComsey.

We don't know exactly what this variant will do, but we do know that COVID has been excellent at spreading disease and evading immunity to this point. Whether that is the following variant to take hold is tough to say needless to say, but when not this one, then surely one other variant will, McComsey said.

“We have to respect this virus and take it seriously because whether we like it or not, it is here and it is still making people very sick,” she said.