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'We were in the dark': why the US is far behind in tracking Covid-19 variants

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As researchers around the world scramble to understand the dangers of several newly discovered variants of the deadly coronavirus, the US remains woefully behind in its ability to track the mutations, scientists say.

The federal government has had its “head in the sand”, failing to develop a coordinated surveillance system for tracking the genetic footprints of the virus, according to academic researchers, scientific panelists and private entrepreneurs, who say they have been urging US officials for months to make better use of the hi-tech resources already sitting in labs around the country.

Genomic sequencing looks at the entire genetic code – or genome – of viruses obtained from samples from infected patients. The technique allows researchers to watch for dangerous mutations and to track movements of specific variants, like detectives following footprints.

Most genetic variations are inconsequential. But to discover those with functional differences, like more transmissible variants first identified in the UK (B117) and in South Africa (B1351), the research is essential. Yet by Friday the US had only plotted and shared the genetic sequences of 0.3% of its coronavirus cases, ranking 30th in the world, behind countries including Portugal, Latvia and Sierra Leone, according to a tracker developed by scientists at the Broad Institute of MIT and Harvard. Some US states have had virtually no surveillance at all.

“We’re used to being No 1 and this technology is all over the country,” said Jeremy Kamil, a virologist at the Louisiana State University Health Sciences Center Shreveport, who heads a coronavirus sequencing effort there. Instead, he said, when alarms were raised about the new mutation spreading rapidly in the UK, “we were in the dark. With so few samples, the detective work becomes more like seeing a mirage in the desert.”

‘A failure of leadership’

As viruses replicate, small copying errors lead to changes in their genetic material. These mutations are one of the central features of how viruses function, mutating as they infect more and more hosts. Following the different changes can be like tracking fingerprints or footprints for homicide detectives. By watching for a sudden increase in a certain version of the virus, researchers can raise an alarm if one particular variant appears to be more transmissible than the dominant strain, as happened in December with the variant discovered in the United Kingdom, known as B117.

The UK has been a world leader in the field of genomic sequencing, budgeting £20m ($27m) at the beginning of the pandemic to fund and coordinate research by a large network of laboratories around the country. So far, it has examined 186,000 genetic samples of its coronavirus cases – more than twice as many as the US, despite a caseload that’s one-seventh the size of that of the US, according to data from the worldwide open repository of genetic information, known as Gisaid.

The US offered its scientists no such budget and coordination.

In December, as scientists around the world scrambled to understand the potential dangers of the new variant rapidly spreading around London, the US had no way of knowing whether it was also thriving there, as many states had done no genetic sampling at all.


Source: US Politics - theguardian.com


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