New COVID subvariant XEC poses potential threat heading into winter

 

RNS: As the colder months approach, a new coronavirus subvariant known as XEC is emerging as a significant concern in Western Europe. Health officials are increasingly worried that this variant could reverse recent positive trends in COVID-19 transmission, leading to a potential uptick in infections.

Overview of the XEC Variant
First detected in Germany, the XEC variant is a hybrid of two previously identified subvariants, KP.3.3 and KS.1.1. Both of these subvariants had already been marked as potential threats due to their ability to spread rapidly. The emergence of XEC underscores the ongoing evolution of the virus, which continues to adapt and pose challenges to public health efforts.

According to the U.S. Centers for Disease Control and Prevention, KP.3.1.1, a descendant of the FLiRT subvariants, is the dominant circulating strain nationwide. For the two-week period ending Sept. 14, KP.3.1.1 was estimated to comprise 52.7% of the nation’s coronavirus specimens.

KS.1.1: A part of FliRT variant, it has mutations in the building block molecules phenylalanine (F) altered to leucine (L), and arginine (R) to threonine (T) on the spike protein that the virus uses to attach to human cells.

KP.3.3: This is a type of FLuQE variant, where the amino acid glutamine (Q) is mutated to glutamic acid (E) on thespike protein, making it more efficient in binding to human cells.

“Key differences with earlier variants include the variant’s higher transmissibility and the specific mutations that enhance its ability to bind to human cells. However, early reports suggest it is not significantly more dangerous in terms of severity,” says Dr Neha Rastogi, Consultant, Infectious Diseases, Fortis Memorial Research Institute, Gurugram

Current Spread and Data
Recent reports indicate that there are now 95 confirmed cases of the XEC variant across 12 states and 15 countries. Transmission has been noted in about 27 nations, including regions in Europe, America, and Asia. This widespread presence has raised alarms among health authorities, who fear that the impact of XEC could resemble the challenges faced during previous COVID-19 waves.

Historical Context and Patterns
Dr. Elizabeth Hudson, regional chief of infectious diseases at Kaiser Permanente Southern California, highlighted a concerning trend: past surges of COVID-19 have typically moved from Western Europe to the East Coast of the United States and then to the West Coast. “As we head into colder weather, XEC could be the variant that takes hold,” she stated, emphasizing the need for vigilance.

Dominance of Other Variants
Currently, the CDC has reported that the KP.3.1.1 strain is the dominant circulating variant in the United States, comprising 52.7% of recent coronavirus specimens. This information underscores the competitive landscape of variants as XEC begins to spread.

Symptoms Associated with XEC
The symptoms of the XEC variant are similar to those of previous COVID-19 infections, including:

Common Symptoms: Fever, sore throat, fatigue, cough
Additional Symptoms: Shortness of breath, muscle aches, headache, congestion, runny nose, nausea, vomiting, and diarrhea.
Recovery times can vary; some patients may recover within a week or two, while others could experience prolonged illness.

Expert Insights on Severity and Vaccine Effectiveness
Dr. Neha Rastogi, an infectious diseases consultant, provided reassurance that while XEC may exhibit higher transmissibility due to specific mutations, it is not significantly more dangerous in terms of severity compared to earlier variants. “Existing vaccines are expected to remain effective against this new strain,” she affirmed.

Recommendations for the Public
To mitigate the risk of infection from the XEC variant, health officials recommend several preventive measures:
Vaccination: The CDC advises that everyone aged six months and older should receive the updated COVID-19 vaccine to bolster protection against severe illness.
Mask-Wearing: In crowded spaces, wearing masks—preferably N95 or KN95—can help reduce transmission risk.
Hygiene Practices: Frequent hand washing and the use of hand sanitizer are crucial in preventing infection.
Social Distancing: Maintaining distance from others, especially in indoor settings, can help limit spread.
Ventilation: Ensuring proper ventilation in enclosed spaces is essential for reducing the risk of airborne transmission.

As the situation with the XEC variant evolves, it is essential for the public to stay informed and take appropriate precautions. By adhering to vaccination recommendations and preventive measures, individuals can help protect themselves and their communities as we navigate the changing landscape of COVID-19.

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