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Unexplained 'cryptic lineages' of coronavirus found in New York City sewage. Is it the rats? – National Post

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The mutations have not appeared in human patients and some scientists suspect they might come from virus-infected animals

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Researchers are getting some unusual results from a study of sewage waste as they attempt to decipher the origin of some COVID variants.

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Though the mutations of note share many similarities with Omicron, they have not as yet appeared in human patients — or at least have survived undetected in sequencing. They don’t currently appear to present any extra risk to humans.

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Some scientists suspect these ‘cryptic lineages’ may come from virus-infected animals, possibly the city’s enormous population of rats that skitter around the metropolis, or from cats or dogs.

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In a paper published today in Nature Communications and reported in the New York Times , the scientists say these viral fragments may lead to the emergence of new variants resistant to naturally acquired or vaccine-induced immunity.

Because wastewater samples contain an amalgam of lineages — so called because they are of common descent from a known virus —  the report says it is not possible to reconstruct individual genomes using standard methods. About twice a month since June 2020 they have been sequencing SARS-CoV-2 RNA isolated from the raw influent in all 14 city wastewater treatment plants. In January 2021, the Times writes, they began doing targeted sequencing of the samples, focusing on parts of the gene for the virus’s all-important spike protein.

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Eventually, they saw that even these cryptic lineages had mutated in that time.

The researchers found that these lineages appeared repeatedly at just a handful of the 14 treatment plants, but won’t divulge their locations. Most polymorphisms remained within their own sewershed, but one location’s traces were found in a neighbouring treatment plant’s wastewater.

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Four treatment plants were singled out for more detailed study. Each of the lineages found in them contained at least five polymorphisms, and one showed 16. Some contained similarities to Omicron and several showed resistance to some antibodies.

Consideration was also given to population movement in the city. The researchers were challenged by the fact that New Yorkers, and any variants they may have been carrying, generally move widely throughout the city — although numbers were far reduced from pre-lockdown periods.

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But having been able to pin it down to a very small area of the sewershed suggests to the authors that it is not a contagious human pathogen.

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John Dennehy, a virologist at Queens College in New York and an author of the paper, speculated that the sequences could be coming from people who are confined to long-term health care facilities in just a few areas of the city. But he has not been able to prove it.

Alternatively, the researchers noted, the cryptic lineages may exist in areas of the body standard swabbing tests aren’t covering. It’s possible these lineages “predominantly replicate in gut epithelial cells and are not present in the nasopharynx….”

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Many scientists theorize that Omicron emerged from an immunocompromised patient and, indeed, people who have compromised immune systems may have more difficulty fighting off the virus, giving it more opportunities to mutate.

This is a very promiscuous virus

Virologist Marc Johnson

As the wastewater sources have been narrowed down to a certain few locations, University of Missouri virologist Marc Johnson is of the mind that the sequences are coming from animals — likely a few specific populations with territorial bounds. Supporting his theory is that in May and June of 2021, when the number of human COVID-19 cases in New York City was low, more of the odd lineages showed up in the viral RNA in wastewater, suggesting that they may have come from a non-human source.

The researchers initially considered that the source might be squirrels, skunks, dogs, cats and rats. “This is a very promiscuous virus,” Johnson told the Times. “It can infect all kinds of species.”

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The researchers are homing in on the spread of coronavirus mutations, potentially because of rats.
The researchers are homing in on the spread of coronavirus mutations, potentially because of rats. Photo by Carlo Allegri/REUTERS

The wastewater again yielded more information, as the animals leave behind other genetic traces of themselves. Johnson created pseudoviruses with the same mutations as in the cryptic lineages. With them, he was able to infect both mouse and rat cells. While the original version of the SARS-CoV-2 virus does not appear able to infect rodents, some variants, such as Beta, can.

But, so far, there have been no signs of the virus in blood and fecal samples from local rats.

“Maybe we’re not hitting the right animals,” Dennehy said.

It has been shown that humans can pass the virus to animals, and the concern is that it may mutate there and emerge to reinfect humans.

But no evidence indicates that the virus is circulating in wild rats, and in any event it is not known how humans could have infected them.

The team is looking to other states for potential clarification on the cryptic lineages’ origins. So far, similar results have been found by scientists studying wastewater at University of California, Berkeley.

They also analyzed data “from nearly 5,000 other wastewater samples globally spanning 2020–2021, including 172 samples from New York state,” the report states. “Of all samples, only seven, all from N.Y. state sewersheds, had sequences resembling the lineages we described.”

“Nothing makes perfect sense,” Johnson said, “but we will know eventually.”

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Interior Health delivers nearly 800K immunization doses in 2023

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Interior Health says it delivered nearly 800,000 immunization doses last year — a number almost equal to the region’s population.

The released figure of 784,980 comes during National Immunization Awareness Week, which runs April 22-30.

The health care organization, which serves a large area of around 820,000,  says it’s using the occasion to boost vaccine rates even though there may be post-pandemic vaccine fatigue.

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“This is a very important initiative because it ensures that communicable diseases stay away from a region,” said Dr. Silvina Mema of Interior Health.

However, not all those doses were for COVID; the tally includes childhood immunizations plus immunizations for adults.

But IHA said immunizations are down from the height of the pandemic, when COVID vaccines were rolled out, though it seems to be on par with previous pre-pandemic years.

Interior Health says it’d like to see the overall immunization rate rise.

“Certainly there are some folks who have decided a vaccine is not for them. And they have their reasons,” said Jonathan Spence, manager of communicable disease prevention and control at Interior Health.

“I think there’s a lot of people who are hesitant, but that’s just simply because they have questions.

“And that’s actually part of what we’re celebrating this week is those public health nurses, those pharmacists, who can answer questions and answer questions with really good information around immunization.”

Mima echoed that sentiment.

“We take immunization very seriously. It’s a science-based program that has saved countless lives across the world and eliminated diseases that were before a threat and now we don’t see them anymore,” she said.

“So immunization is very important.”

 

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Remnants of bird flu virus found in pasteurized milk, FDA says

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The U.S. Food and Drug Administration said Tuesday that samples of pasteurized milk had tested positive for remnants of the bird flu virus that has infected dairy cows.

The agency stressed that the material is inactivated and that the findings “do not represent actual virus that may be a risk to consumers.” Officials added that they’re continuing to study the issue.

“To date, we have seen nothing that would change our assessment that the commercial milk supply is safe,” the FDA said in a statement.

The announcement comes nearly a month after an avian influenza virus that has sickened millions of wild and commercial birds in recent years was detected in dairy cows in at least eight states. The Agriculture Department says 33 herds have been affected to date.

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FDA officials didn’t indicate how many samples they tested or where they were obtained. The agency has been evaluating milk during processing and from grocery stores, officials said. Results of additional tests are expected in “the next few days to weeks.”

The PCR lab test the FDA used would have detected viral genetic material even after live virus was killed by pasteurization, or heat treatment, said Lee-Ann Jaykus, an emeritus food microbiologist and virologist at North Carolina State University

“There is no evidence to date that this is infectious virus and the FDA is following up on that,” Jaykus said.

Officials with the FDA and the USDA had previously said milk from affected cattle did not enter the commercial supply. Milk from sick animals is supposed to be diverted and destroyed. Federal regulations require milk that enters interstate commerce to be pasteurized.

Because the detection of the bird flu virus known as Type A H5N1 in dairy cattle is new and the situation is evolving, no studies on the effects of pasteurization on the virus have been completed, FDA officials said. But past research shows that pasteurization is “very likely” to inactivate heat-sensitive viruses like H5N1, the agency added.

Matt Herrick, a spokesman for the International Dairy Foods Association, said that time and temperature regulations for pasteurization ensure that the commercial U.S. milk supply is safe. Remnants of the virus “have zero impact on human health,” he wrote in an email.

Scientists confirmed the H5N1 virus in dairy cows in March after weeks of reports that cows in Texas were suffering from a mysterious malady. The cows were lethargic and saw a dramatic reduction in milk production. Although the H5N1 virus is lethal to commercial poultry, most infected cattle seem to recover within two weeks, experts said.

To date, two people in U.S. have been infected with bird flu. A Texas dairy worker who was in close contact with an infected cow recently developed a mild eye infection and has recovered. In 2022, a prison inmate in a work program caught it while killing infected birds at a Colorado poultry farm. His only symptom was fatigue, and he recovered.

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The Associated Press Health and Science Department receives support from the Howard Hughes Medical Institute’s Science and Educational Media Group. The AP is solely responsible for all content.

 

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Canada Falling Short in Adult Vaccination Rates – VOCM

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Canada is about where it should be when it comes to childhood vaccines, but for adult vaccinations it’s a different story.

Dr. Vivien Brown of Immunize Canada says the overall population should have rates of between 80 and 90 per cent for most vaccines, but that is not the case.

She says most children are in that range but not for adult vaccines and ultimately the most at-risk populations are not being reached.

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She says the population is under immunized for conditions such as pneumonia, shingles, tetanus, and pertussis.

Brown wants people to talk with their family physician or pharmacist to see if they are up-to-date on vaccines, and to get caught up because many are “killer diseases.”

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