Corona/CoViD-news

Conclusion

A year after the start of the COVID-19 pandemic in Arkhangelsk, Northwest Russia, 59.7% 95% CI (56.7; 62.6) of the surveyed adult population aged 40–74 years had been infected by SARS-CoV-2. Symptomatic cases comprised 47.1% 95% CI (43.2; 51.0) of the total infected, and 8.6% 95% CI (6.6; 11.1) of those previously infected were hospitalized. Our findings indicated a high proportion of asymptomatic cases that remained undetected by the healthcare system. The asymptomatic COVID-19 cases were unaware that they had been infected and might have continued their usual activities spreading the infection to others. This could have resulted in the rapid COVID-19 transmission and unsuccessful disease control.

Since the asymptomatic COVID-19 patients are difficult to be diagnosed, a wider testing of high-risk populations should be performed regardless of symptoms to improve the control strategies. Combining different surveillance approaches could prevent future outbreaks by capturing silent infection spread.

#18,351

Until the SARS virus began its limited world tour in 2002-2003, (see SARS and Remembrance), only four coronaviruses (Alpha coronaviruses 229E and NL63, and Beta coronaviruses OC43 & HKU1) were known to infect humans.

These human coronaviruses were thought to produce only mild upper respiratory illnesses and were believed responsible for 15%-30% of the `common colds’ around the world, Only rarely did they migrate to the lower respiratory tract (cite).

As of today > 2,600 MERS-related human infections, and 943 associated deaths have been reported, although both are likely under-counts. 

SARS-CoV-2, which emerged as COVID-19 five years ago, removed all doubts as to the ability of coronaviruses to spark a major pandemic.  And while COVID is exquisitely adapted to humans, it has also shown an unexpectedly broad host range, and has become entrenched in many non-human species. 

The concern is - given how rapidly COVID mutates and evolves in humans - it may be undergoing similar parallel evolution in a number of other mammalian species.  And at some point, a radically mutated SARS-CoV-2 virus could spill back into the human population. 

It is not an idle concern.  

In late 2020, Danish authorities announced the spillover of COVID into millions of susceptible farmed mink, and the discovery of several `mink specific' mutations in the virus (see Denmark Orders Culling Of All Mink Following Discovery Of Mutated Coronavirus), which subsequently jumped back into the human population.

Although this `mink variant' was quickly overtaken by the Alpha variant - and no longer circulates - over the summer of 2021 we learned from an SSI Study: Denmark's Cluster-5 mink Variant Had Increased Antibody Resistance. 

This served as a `proof of concept' that - if allowed to spread in a non-human species - SARS-CoV-2 could evolve into something `new' and potentially more dangerous, and spillover into the human population with unpredictable results. 

Cats and dogs - because they often live in close proximity to humans - are not only at high risk of exposure (see EID Journal: SARS-CoV-2 Seroprevalence Studies in Pets, Spain) they may also serve as a conduit for the virus to infect other peridomestic animals.  

All of which brings us to a new report - published last week in Nature - that identifies a short-list of non-human hosts (dogs, cats, mink, deer, etc.) which should be continually monitored for SARS-CoV-2 mutations and specific sites within the Spike Protein that need to be monitored for signs of novel animal variants. 

While we grudgingly accept that influenza pandemics occur several times a century, and that most have a zoonotic origin, there seems to be a widespread belief that our coronavirus pandemic was somehow a rare - one off - event, that is unlikely to be repeated. 

This despite two other brushes with `COVID-like' epidemics in the past 20 years (SARS & MERS), and the fact that new emerging coronavirus threats continue to be discovered (see J. Med. Virology: Potential Cross-Species Transmission Risks of Emerging Swine Enteric Coronavirus to Human Beings).

Add in the concurrent circulation and evolution of SARS-CoV-2 in dozens of other non-human species, and you have ample opportunities for new threats to emerge. 

The uncomfortable truth is we now live in a new age where the the number, frequency, and intensity of pandemics are only expected to increase over the next few decades.