spectator | One
of the great mysteries of coronavirus is how the epidemic has become
much more severe in Europe and North America than in the Far East. A
disease which appeared to be on the wane in China, South Korea and
elsewhere in mid-February suddenly erupted with a vengeance in Europe in
March, with death tolls quickly surpassing those in Wuhan. Various
explanations have been offered: from the Chinese lying about the extent
of cases and deaths to the difficulties of enforcing lockdowns and
launching intrusive tracking and tracing strategies in western
democracies.
But
then have we really been fighting the same disease? A pre-publication
paper from a team at the University of Sheffield and the Los Alamos
National Laboratory in New Mexico suggests one reason that Europe and
North America might have suffered much more than East Asia from Covid-19
is that we have been fighting a mutation of the virus which causes it,
SARS-CoV-2. The team have analysed
the ‘spike protein’ in the virus and found 14 different mutations, but one in particular has caused them concern.
Early
in the outbreak – and this was true in Europe as well as in Asia –
samples of the virus contained a version of the protein known as D614.
But a different version, G614, began to emerge in samples from both
Europe and China. In Italy and Switzerland, from early on, it was found
to be the dominant version. Elsewhere in Europe, too, G614 rapidly
displaced D614 – and seems to have a competitive advantage over it.
Germany had a small outbreak of D614 followed by a second eruption of
cases of G614. In Britain G614 quickly took over from D614. The same
happened in North America – although the pattern is different across the
country. In New York, samples have been almost entirely G614 whereas in
Washington state – which has won praise for its handling of the
epidemic – D614 has been more prevalent. The authors have been unable to
track the evolution of D614 and G614 in China after 1 March owing to a
lack of samples, but in Japan and Taiwan, early samples were all D614,
with the G614 becoming more prevalent after 1 March.
The
good news is that the G614 version of the virus does not seem to result
in a greater risk of hospitalisation – indicating that it doesn’t cause
a more serious form of the disease. However, that does leave open the
possibility that the G614 version is much more easily transmissible
–perhaps explaining why this disease has proved so much harder to
contain in some places than others.
Other
mutations were found to be of lesser importance, though do show some
interesting patterns. One mutation was found only in Iceland – a country
which has been praised for its low number of infections and deaths, in
spite of not imposing a full lockdown – and another uniquely in Belgium,
the country with the highest death rate in the world.
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