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Genomic characterization and epidemiology of an emerging SARS-CoV-2 variant in Delhi, India
Ist Teil von
Science (American Association for the Advancement of Science), 2021-11, Vol.374 (6570), p.995-999
Ort / Verlag
United States: The American Association for the Advancement of Science
Erscheinungsjahr
2021
Quelle
Science Online_科学在线
Beschreibungen/Notizen
Delhi, the national capital of India, experienced multiple severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) outbreaks in 2020 and reached population seropositivity of >50% by 2021. During April 2021, the city became overwhelmed by COVID-19 cases and fatalities, as a new variant, B.1.617.2 (Delta), replaced B.1.1.7 (Alpha). A Bayesian model explains the growth advantage of Delta through a combination of increased transmissibility and reduced sensitivity to immune responses generated against earlier variants (median estimates: 1.5-fold greater transmissibility and 20% reduction in sensitivity). Seropositivity of an employee and family cohort increased from 42% to 87.5% between March and July 2021, with 27% reinfections, as judged by increased antibody concentration after a previous decline. The likely high transmissibility and partial evasion of immunity by the Delta variant contributed to an overwhelming surge in Delhi.