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  • 8/10/2023
A new strain of COVID-19 has been designated as a 'variant of interest' by the World Health Organisation. It's called eg5 -- or Erris -- and countries affected so far include China, the US and the UK. Stuart Turville is a virologist at the Kirby Institute at UNSW, he says despite the low number of cases, vulnerable Australians still need to be cautious.

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00:00 There are not a lot of reported cases of ERIS or EG5.1.
00:08 We're looking close to around about 100 that have been detected
00:13 in the community by whole genome sequencing.
00:16 There are a number of other variants, XBB1.5, XBB1.16,
00:23 and also the parent of EG5.1, XBB1.9 and other derivatives.
00:28 So it does represent a mix where it's approximately 2% of that mix.
00:33 So it's at very low numbers and it has been very low numbers
00:35 for some time in Australia.
00:37 But the WHO has named it a variant of interest.
00:41 What exactly does that mean and how significant is that?
00:45 Yeah, look, there have been some studies.
00:47 We've worked with a really bright team at Karolinska Institute
00:51 whereby they've got algorithms to look at the growth of variants
00:54 and this particular variant came up on their radar in June actually.
00:58 So the competitive advantage of it against other variants was highlighted.
01:03 We picked it up in collaboration with the whole genome sequencing teams
01:07 that they're based at at WestMed at ICPMR.
01:11 And we actually looked at the phenotypic characterisation of it
01:14 very, very early on when it entered Australia.
01:16 And what we observe, and it's kind of consistent with what's being seen
01:19 worldwide and also in the United States, is that there is just
01:23 an iterative change in the outside of the virus called the spike
01:26 and that just gives it a better ability and more of a competitive edge
01:30 to transmit in the presence of what we call neutralising antibodies,
01:34 that antibodies that block the virus that are produced
01:38 when you get vaccinated or vaccinated and when you're infected.
01:41 So what does this mean then for people who think that they are
01:44 fully vaccinated now?
01:48 Look, I think in the context of we looked at cohorts,
01:50 we looked at a lot of Australian cohorts and we've looked at antibodies
01:53 across those cohorts.
01:54 There's the VIM cohort that we've worked with to look at vaccine responses
01:58 and vaccine responses close to infection.
02:00 So even people that have waned from a third dose of the vaccine
02:03 do have antibody coverage.
02:05 Those who have had a booster recently, so Moderna BA1,
02:09 have got really good coverage to this variant.
02:11 So what we're seeing is that although it might have a competitive edge
02:14 and it might supplant another variant, it's very much more of the same
02:18 compared to what we've observed at the beginning of the year
02:20 with XBP1.5.
02:22 So should vulnerable people though still be wary, take precautions?
02:27 Yeah, look, I think people that are in those situations,
02:30 you know, they need to - yes, they need to be careful.
02:32 I think the numbers are fortunately low in Australia at the moment
02:36 so we are fortunate.
02:37 But, you know, I think it's obviously people in those situations
02:40 need to be vigilant.
02:42 In terms of how it enters the body and how it attaches and does things
02:45 in cells, it's very similar to what variants we've seen
02:48 at the beginning of the year.
02:49 So we've got to see it along the lines of that trajectory.
02:52 Okay.
02:53 Are there strains or variants that you're looking at, Stuart,
02:56 which could become a problem?
02:58 Look, there are.
02:59 There are ones beyond AG5.1 that we're looking at that have locked
03:03 in even more changes and I think that's the importance
03:05 of actually continuing to monitor this virus as we move forward
03:08 and how we manage it pragmatically.
03:10 So I think it's important to support teams that continue
03:13 to do a whole genome sequencing and still doing a brilliant job
03:16 and also to support teams that actually work alongside them
03:19 like my team and others to actually give us the first kind
03:22 of snapshot of these variants as they enter the community.
03:24 So we are still looking at them.
03:26 There's a few on the horizon that we are looking at.
03:28 But at the moment it still looks more of the same in the context
03:32 of, you know, slight iterative gains.
03:35 We're not talking large jumps like we saw with like delta-dolmicron
03:39 or even at the back of last year where we saw changes
03:42 from BA5 to XBP1.5.
03:45 So I think, you know, what we're observing, there are positive
03:48 signs that there's quite a bit of pressure on the virus just
03:52 by the sheer fact that there's quite a large amount of, you know,
03:56 immunity in the community, which is a good thing.
03:58 And what's happening finally with ARIS cases and infections
04:01 in other parts of the world, Stuart, places like China,
04:04 the US and the UK?
04:05 And could we follow that path as time goes on?
04:09 Yeah, look, it's a very good question.
04:11 I think we need to be mindful that every country has had
04:14 its own unique experience, especially with COVID,
04:16 and that sets up an immune landscape.
04:18 It's very unique to each territory.
04:20 I think if we were talking this time late last year,
04:23 we'd be talking about BQ1.1 and the US and that dominating
04:29 in the US, but that variant never dominated in Australia.
04:32 What we had dominance in was a variant called - two variants,
04:35 actually, called XBF and BR2.1.
04:37 So - and even if we look at New Zealand, there's a variant
04:40 dominating called XPC1.3.
04:42 So I think that, you know, although we take cues from different
04:45 parts of the world, sometimes the trajectory and what we see
04:48 in our own country is very unique, and we need to be mindful of that.
04:51 But that said, they're very similar in the context
04:55 of what's in the US and what we have in Australia.
04:58 So we can obviously observe what's happening there
05:01 and to some extent have confidence of how it will play out in Australia.
05:04 - Stuart Turfill, thank you so much.
05:06 - Pleasure. Thanks.
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