The emergence and implications of SARS-CoV-2 omicron subvariant BA.2.86 on global health

Author:

Satapathy Prakasini123,Kumar Pawan45,Gupta Jeetendra K.6,Rabaan Ali A.789,Al Kaabi Nawal A.1011,Mohanty Dibyalochan12,Naveen Pathakala13,Khatib Mahalaqua Nazli14,Gaidhane Shilpa15,Zahiruddin Quazi Syed16,Neyazi Ahmad1718

Affiliation:

1. Center for Global Health Research, Saveetha Medical College and Hospital, Saveetha Institute of Medical and Technical Sciences, Saveetha University, Chennai, Tamil Nadu

2. School of Pharmacy, Graphic Era Hill University

3. School of Applied and Life Sciences, Uttaranchal University, Dehradun, Uttarakhand

4. Global Center for Evidence Synthesis, Chandigarh

5. EvidenceSynthesis Lab, Kolkata, West Bengal

6. Institute of Pharmaceutical Research, GLA University, Mathura, Uttar Pradesh

7. Molecular Diagnostic Laboratory, Johns Hopkins Aramco Healthcare, Dhahran

8. College of Medicine, Alfaisal University, Riyadh

9. Department of Public Health and Nutrition, The University of Haripur, Haripur, Pakistan

10. College of Medicine and Health Science, Khalifa University

11. Sheikh Khalifa Medical City, Abu Dhabi Health Services Company (SEHA), Abu Dhabi, United Arab Emirates

12. Centre for Nano Medicine, School of Pharmacy

13. Department of Pharmacology, Anurag University, Hyderabad

14. Division of Evidence Synthesis, Global Consortium of Public Health and Research

15. One Health Centre (COHERD), Jawaharlal Nehru Medical College, Datta Meghe Institute of Higher Education, Wardha, Maharashtra, India

16. South Asia Infant Feeding Research Network (SAIFRN)

17. Afghanistan Center for Epidemiological Studies

18. Academic Affairs, Herat Regional Hospital, Herat, Afghanistan

Abstract

The SARS-CoV-2 subvariant BA.2.86 ‘Pirola’, first identified in Denmark in August 2023, has manifested with a significantly mutated spike protein profile, suggesting a heightened ability to evade vaccine-induced and infection-induced antibodies. This article outlines the epidemiological spread, immune response implications, and global responses to BA.2.86. Preliminary observations indicate community transmissions of the subvariant, even among those previously infected or vaccinated. Notably, the BA.2.86 infection has shown a potential to amplify antibody responses. The variant’s emergence has evoked memories of the Omicron variant’s rise in late 2021, though global immunity levels might modulate the impact of BA.2.86 impact differently. Continuous genomic surveillance, coupled with integrated diagnostic and epidemiological strategies, proves crucial in early detection and management. The emergence of BA.2.86 reaffirms the unpredictable nature of the COVID-19 pandemic, emphasizing the need for ongoing research, adaptability, and global collaboration.

Publisher

Ovid Technologies (Wolters Kluwer Health)

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