New Scientist - USA (2022-01-01)

(Antfer) #1

16 | New Scientist | 1 January 2022


Preview of 2022


7


W


E HAVE been watching
evolution in action as one
coronavirus variant after another
emerges and triggers further waves
of infections around the world.
There is every reason to think this
will continue during 2022 – and there
is no guarantee that future variants
will be any less dangerous.
For the SARS-CoV-2 coronavirus,
survival is all about infecting as many
people as possible. Variants that are
better at spreading will outcompete
other variants. A key part of this is
transmissibility. When the original
virus began spreading, every
infected person infected two or
three others on average. Delta infects
six or seven. Omicron seems to be
even more contagious.
It isn’t yet fully understood
how the virus is becoming more
infectious. But with delta, it might
be because it is better at replicating
itself, meaning infected people
shed more of the virus.
Infecting people is no longer as
easy as it used to be, however. Most
people in the world now have some
degree of immunity because of past
infection or vaccination. So variants
such as omicron are evolving to evade
this immunity, typically through
changes in the outer spike protein,
the main target of our antibodies.
There is a limit to how much more
infectious the virus can become, but
there may be no limit to its ability
to evade our immune response.
As happens with human flu viruses,

we may see the continual emergence
of new variants that evade immunity
enough to cause wave after wave
of infections.
It is possible that, over time,
different viral lineages will persist
and diverge, rather than successive
variants wiping out all others and
sweeping to dominance. This could
require different vaccines to be
combined into a single dose,
as is done with the flu vaccine.
It is often claimed that new
viruses will evolve to cause milder
symptoms. But because SARS-CoV-
is most infectious just before

symptoms appear, there is little
selective pressure for it to do this.
Smallpox was highly lethal and might
have become worse over time. Flu still
exacts a high annual death toll.
Another concern is that the virus
might be circulating in several other
animals, generating new variants
that could jump back into people.
While it is possible that future
variants may cause more severe
illness in people with no immunity,
most people in the world do now
have some immunity. This is likely to
continue to provide some protection
against severe illness even if it fails to
prevent infections.
But we can expect this immunity
to fade over time. Even if you have
already had a booster shot, you could
well find yourself standing in line to
get yet another jab or two in 2022 to
protect you from rho, sigma, upsilon
or maybe even omega. ❚

Covid-

More SARS-CoV-2 variants
are inevitable. Michael Le Page
reveals what to expect from them

The virus will evolve further


The delta variant,
viewed using an
electron microscope

“ Most people around the


world now have some


immunity from past


infection or vaccination”


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