O que é variante da covid 19

  • The Omicron variant has been detected in Wisconsin.
  • The Omicron variant has a number of mutations occurring on its spike protein that make it more transmissible than previous variants and reduce the effectiveness of some monoclonal antibody treatments.  
  • COVID-19 vaccines still offer protection against severe illness, hospitalization, and death from COVID-19, including circulating variants.
  • With the emergence of the Omicron variant, it is critical to get vaccinated, get your booster, and layer public health practices to prevent further spread. 

Find Data from the Wisconsin State Laboratory of Hygiene

A variant is a new strain of the SARS-CoV-2 virus, the virus that causes COVID-19. Variants occur through mutations, which are changes in the genetic code of a virus. Variants have specific gene mutations that make them unique and different from the original virus. Viruses, including SARS-CoV-2, naturally change or mutate over time and new variants are expected to occur.

Variants are identified through a process called whole genome sequencing. Whole genome sequencing takes a sample of the virus from a positive SARS-CoV-2 test specimen and reads its genetic code. Genomic sequencing allows scientists to identify how virus samples from different people might have different genetic characteristics. This way, they can look out for new variants of the virus and better understand how different mutations change the characteristics of the virus, like how easily it spreads from person-to-person.

The Department of Health Services (DHS), the Wisconsin State Laboratory of Hygiene, and other laboratory partners regularly perform whole genome sequencing on a portion of positive tests. DHS has also requested that clinicians identify cases that may be good candidates for genome sequencing, such as individuals who have traveled internationally or individuals who may have tested positive after being up to date with COVID-19 vaccines.

Why track SARS-CoV-2 variants?

  • To understand which strains are spreading in our state.
  • To know which variants make up the largest proportion of new cases in Wisconsin.
  • To help public health effectively plan COVID-19 prevention measures because some variants can spread more quickly than earlier strains and/or reduce the effectiveness of vaccines or treatments. The Centers for Disease Control and Prevention (CDC) classifies these as variants of concern.
  • To understand how common the new strains are in our communities, not to have a real-time number of cases infected with each strain.

The CDC classifies variants into four categories:

  • Variants Being Monitored
  • Variants of Interest
  • Variants of Concern
  • Variants of High Consequence

A variant's classification is based on its attributes, including:

  • how easily it spreads,
  • how sick it makes people, and
  • whether COVID-19 treatments and vaccines can prevent it.

The classification of a particular variant might change based on new research. Learn more about SARS-CoV-2 variant classifications on the CDC website.

  • Variant B.1.1.529, also known as the Omicron variant, was first discovered in South Africa in November 2021.
    • On December 1, 2021, the United States detected its first case of the Omicron variant. 
    • On December 4, 2021, the Omicron variant was first detected in Wisconsin.
    • On December 20, 2020, the CDC announced that the Omicron variant became the dominant strain among new COVID-19 cases.
  • The Omicron variant continues to change into new sub-lineages. Sub-lineages are newer versions of the same variant. These sub-lineages differ based on mutations in the spike protein, but they still share a lot of the mutations as the original Omicron variant strain, B.1.1.529.
    • CDC refers to Omicron variant sub-lineages as BA lineages.
  • Attributes of the Omicron variant include:
    • Increased transmissibility compared to the Delta variant
    • Potential decrease in vaccine effectiveness against preventing SARS-CoV-2 infection compared to the Delta variant. Initial studies show that COVID-19 vaccines still provide protection against severe illness, hospitalization, and death caused by the Omicron variant.
    • Reduction in the effectiveness of some monoclonal antibody treatments
  • With the emergence of the Omicron variant, it is critical to get vaccinated, get your booster, and layer public health practices to prevent further spread. 

Visit the CDC website for more information on the Omicron variant. 

  • The Delta variant, B.1.617.2, was first discovered in India in October 2020.
  • The Delta variant continues to change into new sub-lineages. Sub-lineages are newer versions of the same variant. These sub-lineages differ based on mutations in the spike protein, but they still share a lot of the mutations as the original Delta variant strain, B.1.617.2.
    • CDC refers to Delta variant sub-lineages as AY lineages
  • Attributes of the Delta variant:
    • Increased transmissibility compared to the original strain of SARS-CoV-2
    • Decrease in vaccine effectiveness against preventing SARS-CoV-2 infection compared to the original strain.
    • Susceptible to monoclonal antibody treatments.
  • Available evidence shows that the current COVID-19 vaccines are highly effective against severe illness, hospitalization, and death from the Delta variant. 

Visit the CDC website for more information on the Delta variant.

All viruses mutate, or change, over time. Mutation can happen very slowly or more quickly. The longer a virus sticks around, the more time it has to change. When a virus changes, it is called a variant. Many variants are no more harmful than the original virus, however, some can be more infectious or deadly. When our bodies are faced with a new variant, our immune responses built from vaccination or a previous infection may be able to fight it off.

Vaccines reduce a virus's ability to infect people. Vaccines still provide protection against current variants since many of the characteristics of the virus remain the same. The sooner people get vaccinated against COVID-19, the less opportunity we give the virus to keep mutating.

O que é variante da covid 19

Available in Spanish.

O que é variante da covid 19

Available in Spanish.

Last Revised: May 27, 2022

ECDC regularly assesses new evidence on variants detected through epidemic intelligence, rules-based genomic variant screening, or other scientific sources. If a decision is made to add, remove, or change the category for any variant, the tables are updated to reflect this change. The tables are regularly sent for consultation to ECDC and WHO Regional Office for Europe’s joint virus characterisation working group. The rules-based genomic screening is performed using an open source algorithm. The weekly ECDC variant surveillance data report can be found in the weekly COVID-19 country overviews published on ECDC’s website.

More information on variants is available on

Description of the tables

The tables include:

Category: variant of concern (VOC), variant of interest (VOI), or variant under monitoring (VUM) (see definition above each table). Note that it is a possible for a VOC, VOI or VUM to also be a part of a broader VOC, VOI, or VUM definition, e.g. B.1.617.2+E484X is also a part of B.1.617.2, this means that there is enough evidence to fulfil the VOC, VOI or VUM criteria for this variant using the broader variant as a reference.

  1. WHO label: As of 31st May 2021, WHO proposed labels for global SARS-CoV-2 variants of concern and variants of interest to be used alongside the scientific nomenclature in communications about variants to the public. This list includes variants on WHO’s global list of VOC and VOI, and is updated as WHO’s list changes.
  2. Lineage and additional mutations: the variant designation specified by one or more Pango lineages and any additional characteristic spike protein changes. An alternate description may be used if the variant is not easy to describe using this nomenclature. For updated information on Pango lineages and definition of lineages and for instructions on how to suggest new lineages, visit the Pango lineages website. Each lineage in then table is linked to the respective lineage page on the Pango lineages website.
  3. Country first detected: only present if there is moderate confidence in the evidence relating to the first country of detection.
  4. Spike mutations of interest: not all spike protein amino acid changes are included – this is not a full reference for assignment of the variants. It includes changes to spike protein residues 319-541 (receptor binding domain) and 613-705 (the S1 part of the S1/S2 junction and a small stretch on the S2 side), and any additional unusual changes specific to the variant.
  5. Year and month first detected: as reported in the GISAID EpiCoV database. This can be adjusted backwards in time if new retrospective detections are made.
  6. Evidence concerning properties in three different categories:
    • Transmissibility
    • Immunity
    • Infection severity
      Each category is annotated as increased, reduced, similar, unclear, or no evidence depending on the currently available evidence. Increased or reduced means that there is evidence demonstrating that the property is different enough for the variant compared to previously circulating variants that it is likely to have an impact on the epidemiological situation in the EU/EEA. Similar means that there is evidence that demonstrates that the property is not different enough for this variant compared to previously circulating variants that it is unlikely to have an impact. Unclear means that the current evidence is preliminary or contradictory enough to make the assessment uncertain. No evidence means that no evidence has yet been evaluated for this category. The evidence is further annotated with v or m to indicate whether the evidence is available for the variant itself (v) or for mutations associated with the variant (m).
  7. Transmission in the EU/EEA: categorised as dominant, community, outbreak(s), and sporadic/travel. The categories are qualitative, and the assessment is based on surveillance data collected in TESSy, GISAID EpiCoV data, epidemic intelligence data, and direct communications with the affected countries.

Variants of Concern (VOC)

For these variants, clear evidence is available indicating a significant impact on transmissibility, severity and/or immunity that is likely to have an impact on the epidemiological situation in the EU/EEA. The combined genomic, epidemiological, and in-vitro evidence for these properties invokes at least moderate confidence. In addition, all the criteria for variants of interest and under monitoring outlined below apply.

WHO label

Lineage + additional mutations

Country first detected (community)

Spike mutations of interest

Year and month first detected

Impact on transmissibility

Impact on immunity

Impact on severity

Transmission in EU/EEA

Omicron BA.1 South Africa and Botswana (x) November 2021 Increased (v) (1, 2) Increased (v) (3-5) Reduced (v) (6-8) Community
Omicron BA.2 South Africa (y) November 2021 Increased (v) (1, 9) Increased (v) (3) Reduced (v) (10, 11) Dominant
Omicron BA.4 South Africa L452R, F486V, R493Q January 2022 No evidence Increased (12, 13) No evidence Community
Omicron BA.5 South Africa L452R, F486V, R493Q February 2022 No evidence Increased (12, 13) No evidence Community

x: A67V, Δ69-70, T95I, G142D, Δ143-145, N211I, Δ212, ins215EPE, G339D, S371L, S373P, S375F, K417N, N440K, G446S, S477N, T478K, E484A, Q493R, G496S, Q498R, N501Y, Y505H, T547K, D614G, H655Y, N679K, P681H, N764K, D796Y, N856K, Q954H, N969K, L981F

y: G142D, N211I, Δ212, V213G, G339D, S371F, S373P, S375F, T376A, D405N, R408S, K417N, N440K, S477N, T478K, E484A, Q493R, Q498R, N501Y, Y505H, D614G, H655Y, N679K, P681H, N764K, D796Y, Q954H, N969K

All sub-lineages of the listed lineages are also included in the variant, e.g., BA.1.1 is included in Omicron BA.1 as it is a sub-lineage of BA.1.

Variants of Interest (VOI)

For these variants, evidence is available on genomic properties, epidemiological evidence or in-vitro evidence that could imply a significant impact on transmissibility, severity and/or immunity, realistically having an impact on the epidemiological situation in the EU/EEA. However, the evidence is still preliminary or is associated with major uncertainty. In addition, all the criteria for variants under monitoring outlined below apply.

WHO label

Lineage + additional mutations

Country first detected (community)

Spike mutations of interest

Year and month first detected

Impact on transmissibility

Impact on immunity

Impact on severity

Transmission in EU/EEA

Omicron BA.2 + L452X (x) n/a L452X n/a No evidence Increased (13) No evidence Detected (a)

x: Any amino-acid substitution

Variants under monitoring

These additional variants of SARS-CoV-2 have been detected as signals through epidemic intelligence, rules-based genomic variant screening, or preliminary scientific evidence. There is some indication that they could have properties similar to those of a VOC, but the evidence is weak or has not yet been assessed by ECDC. Variants listed here must be present in at least one outbreak, detected in a community within the EU/EEA, or there must be evidence that there is community transmission of the variant elsewhere in the world.

WHO label

Lineage + additional mutations

Country first detected (community)

Spike mutations of interest

Year and month first detected

Impact on transmissibility

Impact on immunity

Impact on severity

Transmission in EU/EEA

Omicron BA.3 South Africa (z) November 2021 No evidence No evidence No evidence Detected (a)

z: A67V, Δ69-70, Δ143-145, N211I, Δ212, G339D, S371F, S373P, S375F, D405N, K417N, N440K, G446S, S477N, T478K, E484A, Q493R, Q498R, N501Y, Y505H, D614G, H655Y, N679K, P681H, D796Y, Q954H, N969K

n/a: not applicable, no WHO label has been assigned to this variant at this time

De-escalated variants

These additional variants of SARS-CoV-2 have been de-escalated based on at least one the following criteria: (1) the variant is no longer circulating, (2) the variant has been circulating for a long time without any impact on the overall epidemiological situation, (3) scientific evidence demonstrates that the variant is not associated with any concerning properties.

WHO label

Lineage + additional mutations

Country first detected (community)

Spike mutations of interest

Year and month first detected

Impact on transmissibility

Impact on immunity

Impact on severity

Rationale for de-escalation

Alpha

B.1.1.7

United Kingdom

N501Y, D614G, P681H

September 2020

Increased (v) (14)

Similar

Increased (v) (15, 16)

Drastically reduced circulation in the EU/EEA following the emergence of Delta; little evidence of impact on vaccine induced immunity

n/a

B.1.1.7+E484K

United Kingdom

E484K, N501Y, D614G, P681H

December 2020

Increased (v) (14)

Increased (v) (17, 18)

Increased (v) (15)

Very low levels of circulation in the EU/EEA

Epsilon

B.1.427/B.1.429

USA

L452R, D614G

September 2020

Unclear (19)

Increased (v) (19)

No evidence

No longer detected or detected at extremely low levels in the EU/EEA and available data indicating that vaccines and treatments are effective against such variant

n/a

B.1.616(c)

France

V483A, D614G, H655Y, G669S

February 2021

Detection (c) (20)

No evidence

No evidence

Not detected since 2021-04-23 (26)

Eta

B.1.525

Nigeria

E484K, D614G, Q677H

December 2020

No evidence

Increased (m) (17, 22)

No evidence

No longer detected or detected at extremely low levels in the EU/EEA

Theta

P.3

The Philippines

E484K, N501Y, D614G, P681H

January 2021

Increased (m) (14)

Increased (m) (17)

No evidence

No longer detected or detected at extremely low levels in the EU/EEA

Kappa

B.1.617.1

India

L452R, E484Q, D614G, P681R

December 2020

Increased (v) (23)

Increased (v) (24-27)

No evidence

No longer detected or detected at extremely low levels in the EU/EEA

n/a

B.1.620

Unclear (b)

S477N, E484K, D614G, P681H

February 2021

No evidence

Increased (m) (17, 28)

No evidence

No longer detected or detected at extremely low levels in the EU/EEA

n/a

B.1.617.3

India

L452R, E484Q, D614G, P681R

February 2021

Increased (m) (14)

Increased (m) (17, 19)

No evidence

No longer detected or detected at extremely low levels in the EU/EEA

n/a

B.1.214.2

Unclear2

Q414K, N450K, ins214TDR, D614G

December 2020

No evidence

No evidence

No evidence

No longer detected or detected at extremely low levels in the EU/EEA

n/a

A.23.1+E484K

United Kingdom

V367F, E484K, Q613H

December 2020

No evidence

Increased (m) (17)

No evidence

No longer detected or detected at extremely low levels in the EU/EEA

n/a

A.27

Unclear (b)

L452R, N501Y, A653V, H655Y

December 2020

Increased (m) (14)

Increased (m) (19)

No evidence

No longer detected or detected at extremely low levels in the EU/EEA

n/a

A.28

Unclear (b)

E484K, N501T, H655Y

December 2020

No evidence

Increased (m) (17)

No evidence

No longer detected or detected at extremely low levels in the EU/EEA

n/a

C.16

Unclear (b)

L452R, D614G

October 2020

No evidence

Increased (m) (17)

No evidence

No longer detected or detected at extremely low levels in the EU/EEA

n/a

B.1.351+P384L

South Africa

P384L, K417N, E484K, N501Y, D614G, A701V

December 2020

Increased (v) (29)

Increased (v) (30, 31)

Unclear (32)

No longer detected or detected at extremely low levels in the EU/EEA

n/a

B.1.351+E516Q

Unclear (b)

K417N, E484K, N501Y, E516Q, D614G, A701V

January 2021

Increased (v) (29)

Increased (v) (30, 31)

Unclear (32)

No longer detected or detected at extremely low levels in the EU/EEA

n/a

B.1.1.7+L452R

United Kingdom

L452R, N501Y, D614G, P681H

January 2021

Increased (v) (14)

Increased (m) (19)

Increased (v) (15)

No longer detected or detected at extremely low levels in the EU/EEA

n/a

B.1.1.7+S494P

United Kingdom

S494P, N501Y, D614G, P681H

January 2021

Increased (v) (14)

Increased (m) (33)

Increased (v) (15)

No longer detected or detected at extremely low levels in the EU/EEA

Iota

B.1.526

USA

 E484K, D614G, A701V

December 2020

No evidence

Increased (m) (17)

No evidence

No longer detected or detected at extremely low levels in the EU/EEA

n/a

B.1.526.1

USA

L452R, D614G

October 2020

No evidence

Increased (m) (19)

No evidence

Lineage withdrawn from Pango

n/a

B.1.526.2

USA

S477N, D614G

December 2020

No evidence

No evidence

No evidence

Lineage withdrawn from Pango

Zeta

P.2

Brazil

E484K, D614G

January 2021

No evidence

Increased (m) (17)

No evidence

No longer detected or detected at extremely low levels in the EU/EEA

n/a

B.1.1.519

Mexico

T478K, D614G

November 2020

No evidence

Increased (m) (19)

No evidence

No longer detected or detected at extremely low levels in the EU/EEA

n/a

AV.1

United Kingdom

N439K, E484K, D614G, P681H

March 2021

No evidence

Increased (m) (17)

No evidence

No longer detected or detected at extremely low levels in the EU/EEA

n/a AT.1 Russian Federation E484K, D614G, N679K, ins679GIAL January 2021 No evidence Increased (m) (17) No evidence No longer detected or detected at extremely low levels in the EU/EEA
n/a C.36+L452R Egypt L452R, D614G, Q677H December 2020 No evidence Increased (m) (19) No evidence No longer detected or detected at extremely low levels in the EU/EEA

n/a

P.1+P681H

Italy

D614G, E484K, H655Y, K417T, N501Y, P681H

February 2021

No evidence

Unclear (34, 35)

No evidence

No longer detected or detected at extremely low levels in the EU/EEA

Mu B.1.621 Colombia R346K, E484K, N501Y, D614G, P681H January 2021 Increased (m) (14) Increased (m) (14) No evidence No longer detected or detected at extremely low levels in the EU/EEA
Lambda C.37 Peru L452Q, F490S, D614G December 2020 No evidence Increased (v) (36, 37) No evidence No longer detected or detected at extremely low levels in the EU/EEA
n/a AY.4.2 United Kingdom L452R, T478K, D614G, P681R, A222V, Y145H June 2021 Increased (v) (38) Similar (v) (38, 39) Similar (v) (38) Delta sub-lineages will continue to be monitored within Delta VOC
n/a B.1.1.318 Unclear (b) E484K, D614G, P681H January 2021 No evidence Increased (m) (17) No evidence No longer detected or detected at extremely low levels in the EU/EEA
n/a B.1.617.2 + K417N United Kingdom L452R, T478K, D614G, P681R, K417N June 2021 No evidence No evidence No evidence Delta sub-lineages will continue to be monitored within Delta VOC
n/a C.1.2 South Africa D614G, E484K, H655Y, N501Y, N679K, Y449H June 2021 Increased (m) (14) Increased (m) (17) No evidence No longer detected or detected at extremely low levels in the EU/EEA
n/a B.1.617.2 + E484X (d) India L452R, T478K, D614G, P681R, E484X (d) April 2021 No evidence No evidence No evidence Delta sub-lineages will continue to be monitored within Delta VOC
n/a B.1.617.2 + Q613H India L452R, T478K, D614G, P681R, Q613H April 2021 No evidence No evidence No evidence Delta sub-lineages will continue to be monitored within Delta VOC
n/a B.1.617.2 + Q677H India L452R, T478K, D614G, P681R, Q677H April 2021 No evidence No evidence No evidence Delta sub-lineages will continue to be monitored within Delta VOC
Beta B.1.351 South Africa K417N, E484K, N501Y, D614G, A701V September 2020 Increased (v) (29) Increased (v) (30, 31) Increased (v) (16, 32) No longer detected or detected at extremely low levels in the EU/EEA  
Gamma P.1 Brazil K417T, E484K, N501Y, D614G, H655Y December 2020 Increased (v) (7) Increased (v) (40) Increased (v) (16) No longer detected or detected at extremely low levels in the EU/EEA
n/a B.1.640 The Republic of Congo D614G, F490R, N394S, N501Y, P681H, R346S, Y449N, 137−145de September 2021 No evidence No evidence No evidence No longer detected or detected at extremely low levels in the EU/EEA
n/a XF United Kingdom Omicron-like January 2022 No evidence No evidence No evidence No longer detected.
n/a France NTD Delta-like; remaining Omicron-like January 2022 No evidence No evidence No evidence No longer detected.
Delta B.1.617.2 India L452R, T478K, D614G, P681R December 2020 Increased (v) (41) Increased (v) (42-44) Increased (v) (43, 45) Detected at extremely low levels in the EU/EEA

n/a: not applicable, no WHO label has been assigned to this variant at this time

All sub-lineages of the listed lineages are also included in the variant, e.g., B.1.429.1 is included in B.1.427/B.1.429 as it is a sub-lineage of B.1.429.

(a) No assessment of transmission is given for variants in the monitoring category, only detected/not detected.

(b) The earliest detections from several different countries are close in time and there is no clearly demonstrated travel link to a specific country that explains the detections.

(c) The property of concern for this variant was the fact that there are reports of difficulties associated with detecting it in upper respiratory tract samples. These difficulties were not caused by primer-template mismatch but rather by the virus not being present in sufficient quantities in the upper respiratory tract.

(d) Any amino acid substitution

See changes from previous weeks

Geographic scope of the tables

The tables are based on genomic, phenotypic, and epidemiological evidence available on a global scale, but focus on the potential impact for the European region. For this reason, the list may deviate slightly from the global variants of concern and interest list and labels produced by WHO and published in the WHO weekly epidemiological update.

More on this topic

  1. UK Health Security Agency. SARS-CoV-2 variants of concern and variants under investigation in England. Technical Briefing 35: UKHSA; 2022 [Available from: https://assets.publishing.service.gov.uk/government/uploads/system/uploads/attachment_data/file/1050999/Technical-Briefing-35-28January2022.pdf.

  2. Hui KPY, Ho JCW, Cheung M-c, Ng K-c, Ching RHH, Lai K-l, et al. SARS-CoV-2 Omicron variant replication in human bronchus and lung ex vivo. Nature. 2022;603(7902):715-20.

  3. UK Health Security Agency. COVID-19 vaccine surveillance report week 6 2022 [Available from: https://assets.publishing.service.gov.uk/government/uploads/system/uploads/attachment_data/file/1054071/vaccine-surveillance-report-week-6.pdf.

  4. Rössler A, Knabl L, Laer Dv, Kimpel J. Neutralization profile of Omicron variant convalescent individuals. medRxiv. 2022:2022.02.01.22270263.

  5. Altarawneh HN, Chemaitelly H, Hasan MR, Ayoub HH, Qassim S, AlMukdad S, et al. Protection against the Omicron Variant from Previous SARS-CoV-2 Infection. N Engl J Med. 2022.

  6. European Centre for Disease Prevention and Control. Assessment of the further spread and potential impact of the SARS-CoV-2 Omicron variant of concern in the EU/EEA, 19th update 2022 [Available from: https://www.ecdc.europa.eu/sites/default/files/documents/RRA-19-update-27-jan-2022.pdf.

  7. Faria NR, Mellan TA, Whittaker C, Claro IM, Candido DdS, Mishra S, et al. Genomics and epidemiology of the P.1 SARS-CoV-2 lineage in Manaus, Brazil. Science. 2021.

  8. UK Health Security Agency (UKHSA). SARS-CoV-2 variants of concern and variants under investigation in England. Technical briefing: Update on hospitalisation and vaccine effectiveness for Omicron VOC-21NOV01 (B.1.1.529) UKHSA; 2021 [Available from: https://assets.publishing.service.gov.uk/government/uploads/system/uploads/attachment_data/file/1045619/Technical-Briefing-31-Dec-2021-Omicron_severity_update.pdf.

  9. Lyngse FP, Kirkeby CT, Denwood M, Christiansen LE, Mølbak K, Møller CH, et al. Transmission of SARS-CoV-2 Omicron VOC subvariants BA.1 and BA.2: Evidence from Danish Households. medRxiv. 2022:2022.01.28.22270044.

  10. Fonager J, Bennedbæk M, Bager P, Wohlfahrt J, Ellegaard KM, Ingham AC, et al. Molecular epidemiology of the SARS-CoV-2 variant Omicron BA.2 sub-lineage in Denmark, 29 November 2021 to 2 January 2022. Eurosurveillance. 2022;27(10):2200181.

  11. UK Health Security Agency (UKHSA). SARS-CoV-2 variants of concern and variants under investigation in England - Technical briefing 39: UKHSA; 2022 [Available from: https://assets.publishing.service.gov.uk/government/uploads/system/uploads/attachment_data/file/1063424/Tech-Briefing-39-25March2022_FINAL.pdf.

  12. Khan K, Karim F, Ganga Y, Bernstein M, Jule Z, Reedoy K, et al. Omicron sub-lineages BA.4/BA.5 escape BA.1 infection elicited neutralizing immunity. medRxiv. 2022:2022.04.29.22274477.

  13. Cao Y, Yisimayi A, Jian F, Song W, Xiao T, Wang L, et al. BA.2.12.1, BA.4 and BA.5 escape antibodies elicited by Omicron infection. bioRxiv. 2022:2022.04.30.489997.

  14. Davies NG, Abbott S, Barnard RC, Jarvis CI, Kucharski AJ, Munday JD, et al. Estimated transmissibility and impact of SARS-CoV-2 lineage B.1.1.7 in England. Science. 2021;372.

  15. Davies NG, Jarvis CI, van Zandvoort K, Clifford S, Sun FY, Funk S, et al. Increased mortality in community-tested cases of SARS-CoV-2 lineage B.1.1.7. Nature. 2021.

  16. Funk T, Pharris A, Spiteri G, Bundle N, Melidou A, Carr M, et al. Characteristics of SARS-CoV-2 variants of concern B.1.1.7, B.1.351 or P.1: data from seven EU/EEA countries, weeks 38/2020 to 10/2021. Eurosurveillance. 2021;26(16):2100348.

  17. Jangra S, Ye C, Rathnasinghe R, Stadlbauer D, Alshammary H, Amoako AA, et al. SARS-CoV-2 spike E484K mutation reduces antibody neutralisation. The Lancet Microbe.

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