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Nov 8 (Reuters) - Vaccine maker Novavax Inc (NVAX.O) said on Tuesday its COVID-19 shot retooled against the Omicron BA.1 variant showed a strong immune response as the fourth dose and met the main goal of strain change in a late-stage study. Data showed the shot, NVX-CoV2515, produced 1.6 times the amount of neutralizing antibodies in people who had previously not been exposed to COVID-19 compared to Novavax's original coronavirus vaccine. The trial included Novavax's so-called bivalent vaccine, the BA.1-tailored shot and its prototype vaccine. Novavax says the results from the study showed its Omicron-tailored shot can be changed to target a new variant vaccine if necessary. Novavax's COVID shot has not yet received approval in the United States as a second booster dose.
The recently authorized booster vaccine protects against the original SARS-CoV-2 virus and the more recent omicron variants, BA.4 and BA.5. But there's a new batch of so-called "Scrabble" variants circulating globally. But experts still expect the shots to ramp up your immunity against all Covid variants, to some degree. The Scrabble variants are descendants of omicronThe new variants are descendants of omicron, which is a promising initial sign for the boosters. That can "restore a level of immunity and patch up the holes that some of these new Scrabble variants have found," she explains.
The fall is shaping up as a rough and unpredictable one for respiratory viruses. Covid-19 cases and hospitalizations are simmering at a sustained level, with new Omicron subvariants and the coming holiday season threatening to drive them higher. Other viruses including influenza and respiratory syncytial virus, or RSV, are surging earlier than usual, after two years of unusually low or sporadic transmission.
Pfizer-BioNTech's updated booster shot generates a stronger immune response against the omicron subvariants BA.4 and BA.5 compared with the original Covid vaccine, the companies said in a release Friday. Pfizer's original vaccine formula, which was first administered to older adults in December 2020, was designed to target the original coronavirus strain. The updated booster shot is designed to target the original virus strain, as well as BA.4 and BA.5, in a single shot. Two independent studies posted online late last month suggested that the updated shots do not offer better protection against the new omicron subvariants than the original vaccines do. The new findings may hint that the updated booster is better than the original vaccine, but not by much, said John Moore, a professor of microbiology and immunology at Weill Cornell Medical College.
A Tripledemic Could Be On Its Way This Fall
  + stars: | 2022-11-04 | by ( Brianna Abbott | ) www.wsj.com   time to read: 1 min
The fall is shaping up as a rough and unpredictable one for respiratory viruses. Covid-19 cases and hospitalizations are simmering at a sustained level, with new Omicron subvariants and the coming holiday season threatening to drive them higher. Other viruses including influenza and respiratory syncytial virus, or RSV, are surging earlier than usual, after two years of unusually low or sporadic transmission.
A Tripledemic Could Be on Its Way This Fall
  + stars: | 2022-11-04 | by ( Brianna Abbott | ) www.wsj.com   time to read: 1 min
The fall is shaping up as a rough and unpredictable one for respiratory viruses. Covid-19 cases and hospitalizations are simmering at a sustained level, with new Omicron subvariants and the coming holiday season threatening to drive them higher. Other viruses including influenza and respiratory syncytial virus, or RSV, are surging earlier than usual, after two years of unusually low or sporadic transmission.
COVID variants BQ.1/BQ.1.1 make up 35% of U.S. cases
  + stars: | 2022-11-04 | by ( ) www.reuters.com   time to read: +2 min
The subvariants made up nearly 9% of total cases in the week of Oct. 15 and their proportion has been rising steadily among circulating cases since then. New variants are monitored closely by regulators and vaccine manufacturers in case they start to evade protection offered by current shots. BQ.1.1 made up nearly 19% of circulating variants and BQ.1 was estimated to make up 16.5% of circulating cases in the week of Nov. 5, the U.S. CDC said on Friday. The BA.5 subvariant, which drove up cases earlier this year, is estimated to make up about 39% of cases, compared with nearly 51% in the week ended Oct. 29. Coronavirus cases saw a small uptick for the week ended Nov. 2, data from CDC showed.
The following describes the new coronavirus subvariants and how they may impact people. WHAT ARE BQ.1 AND BQ.1.1? In early July, BA.5 became the dominant subvariant of the coronavirus circulating in the United States, but in October it started giving way to BQ.1 and BQ.1.1. A study of blood from three dozen adults showed the shot increased neutralizing antibodies against the BA.4/BA.5 Omicron subvariants by fourfold compared with the original shot after one month. read moreIt is not yet clear whether that will translate into higher protection against the BQ.1 and BQ.1.1 subvariants, but their close relationship to BA.5 may work in the booster's favor.
CNN —Pfizer and BioNTech said Friday that the immune responses against Omicron BA.4/BA.5 subvariants were “substantially higher” in people who got its new bivalent booster compared with people who received the companies’ original Covid-19 vaccine. The bivalent booster that targets the original coronavirus strain and the Omicron BA.4 and BA.5 subvariants became available in the US in early September. When someone gets any vaccine, it can take a few weeks to build up immunity and generate its full protection. The Omicron BA.5 subvariant had dominated US Covid-19 infections since July, but a mix of other Omicron subvariants have been gaining against it. So far, 26.3 million people age 5 and older in the United States have received updated Covid-19 boosters.
The U.S. is facing the highest flu hospitalization rates in more than a decade with children and the elderly most at risk, according to the Centers for Disease Control and Prevention. Flu and respiratory syncytial virus had receded during the Covid-19 pandemic due to mitigation measures such as masks and social distancing. About about 3 patients are being hospitalized with the flu out of every 100,000 people with the virus right now, which is the highest rate since 2010. Seniors and children younger than age 5 face the biggest risk right now, with hospitalization rates about double the general population, according to CDC data. In the Mid-Atlantic and Midwest, H1N1 flu viruses are growing in circulation, he said.
Fauci, in a radio interview Thursday, said the pandemic has clearly eased since last winter but deaths, which average more than 2,600 per week, remain far too high. At the same time, the new omicron variants are knocking out key tools used to protect the most vulnerable. As we're entering into the cooler months, we are starting to see the emergence of sublineage variants of omicron," Fauci said on the Conversations on Health Care radio show. The omicron subvariants BQ.1 and BQ.1.1 are of greatest concern. Fauci said hospitals could face a "negative trifecta" this winter from emerging Covid variants as well as resurgent flu and respiratory syncytial virus.
BERLIN, Nov 2 (Reuters) - Swiss drugs regulator Swissmedic said on Wednesday it is examining potential risks in connection with bubbles that appeared in vials of COVID-19 vaccine boosters retooled to target the Omicron variant of the coronavirus. "Vials of the batch concerned contained bubbles after being removed from the fridge," said Swissmedic, adding that the phenomenon seems to be accentuated when the syringes were prepared several hours in advance. Cantons and vaccination centres have been informed as a precaution, the regulator said. A BioNTech spokesperson said Pfizer was in charge of the supply chain and distribution in Switzerland and had no further immediate comment. Writing by Miranda Murray; Editing by Thomas Escritt and Bill BerkrotOur Standards: The Thomson Reuters Trust Principles.
The recently authorized booster vaccine protects against the original SARS-CoV-2 virus and the more recent omicron variants, BA.4 and BA.5. The Food and Drug Administration said two studies this week showing that the new omicron boosters weren't that much better than the old shots were too small to come to any real conclusions. The antibody responses were slightly higher with the omicron boosters, though the studies concluded the difference wasn't significant. The studies are of public interest because there's very limited human data on how the omicron BA.5 boosters perform right now. The FDA also looked at data directly on the BA.5 shots that came from animal studies.
Two omicron subvariants that are resistant to key antibody treatments are on the rise in the U.S., according to data from the Centers for Disease Control and Prevention. It now represents about 50% of infections in the U.S., down from 60% the week prior, according to the data. President Joe Biden this week cautioned people with compromised immune systems that they were particularly at risk this winter because antibody treatments are not effective against emerging subvariants. Jha has said the boosters should offer better protection than the old shots because these subvariants are descended from BA.5, which is contained in the updated vaccines. "It is reasonable to expect based on what we know about immunology and the science of this virus that these new vaccines will provide better protection against infection, better protection against transmission and ongoing and better protection against serious illness," Jha told reporters in September.
CNN —The Omicron BA.5 subvariant is no longer the dominant cause of Covid-19 infections in the United States, according to estimates released Friday by the US Centers for Disease Control and Prevention. The gaggle of new variants have been gaining ground against BA.5, which has dominated Covid-19 infections in the United States since July. Together, they now account for more than 1 in 4 new Covid-19 infections nationwide, according to CDC data. BQ.1.1 is now causing about 1 in 5 new Covid-19 infections in the Northeast, where cases and hospitalizations are rising. But that strain is causing just 3% of new Covid-19 infections in the Pacific Northwest.
Emerging omicron subvariants are resistant to key antibody treatments for HIV patients, kidney transplant recipients and other immunocompromised people, making them particularly vulnerable to Covid this winter, the White House warned this week. While this may be true for the general population, it is not the case for people with weak immune systems. Evusheld is an antibody cocktail authorized by the Food and Drug Administration to prevent Covid in people ages 12 and older who have moderately or severely compromised immune systems. Evusheld, made by AstraZeneca , has helped fill a gap in protection for those with weak immune systems who cannot mount a strong response to the vaccines. Jha acknowledged at the White House on Tuesday that the U.S. has dwindling treatment and prevention options for people with weak immune systems as Covid evolves.
The new COVID-19 booster which includes protection for Omicron at AltaMed Health Services in South Gate on Thursday, October 6, 2022. Two studies are raising doubts about whether the new omicron BA.5 booster really will offer better protection against Covid than the first generation shot. Scientists at Columbia University in New York City found the new boosters did not produce a better antibody response in humans against BA.5 than the first-generation vaccines. Hotez said there should also be investigations into how the boosters perform against emerging omicron subvariants such as XBB and BQ.1., as the currently dominant BA.5 declines in circulation. It could be the case that the new boosters perform better against these emerging variants than the first generation shots do, Hotez said.
Similar immune responsesThe studies have important limitations, and they aren’t the final word on the updated boosters. In Barouch’s study, antibody concentrations were 15 times higher after the original boosters, rising from 184 to 2,829. They were 17 times higher after the updated shots, jumping from 211 to 3,693. After waiting the recommended three months since his last Covid-19 infection, President Joe Biden got an updated booster Tuesday and urged eligible Americans to do the same. Worobey says that when the strains are combined as they are in the updated boosters, they actually end up competing.
CNN —New ads promoting the Covid-19 vaccines are making their debut this week, targeting specific communities that have had a slow uptake of the updated shots. “These ads also reflect our commitment to equity in our COVID response and the need to redouble efforts to reach Black and Hispanic communities about the benefits of the updated vaccines,” she said. We now have updated COVID-19 vaccines to protect you against the Omicron strain.”The new ads, first reported on CNN, will run in 15 US markets, according to HHS. The ads, with a special focus on communities that have historically been underserved, are part of the Biden administration’s effort to encourage people to get their updated vaccine ahead of winter. Get CNN Health's weekly newsletter Sign up here to get The Results Are In with Dr. Sanjay Gupta every Tuesday from the CNN Health team.
Oct 25 (Reuters) - Daily global COVID-19 infections are projected to rise slowly to about 18.7 million by February from the current 16.7 million aveage daily cases, driven by the northern hemisphere's winter months, the University of Washington said in an analysis. The increase in cases is not expected to cause a surge in deaths, the University of Washington's Institute for Health Metrics and Evaluation (IHME) said. It forecast that global daily deaths would average 2,748 people on Feb. 1, compared with around 1,660 currently. IHME estimates that daily infections in the United States will increase by a third to more than a million, driven by students back in schools and cold weather-related indoor gatherings. A rapid increase in hospital admissions in Germany – the highest since the COVID outbreak in 2020 - remains an area of concern, it said.
Oct 25 (Reuters) - Daily global COVID-19 infections are projected to rise slowly to about 18.7 million by February from the current 16.7 million aveage daily cases, driven by the northern hemisphere's winter months, the University of Washington said in an analysis. The increase in cases is not expected to cause a surge in deaths, the University of Washington's Institute for Health Metrics and Evaluation (IHME) said. It forecast that global daily deaths would average 2,748 people on Feb. 1, compared with around 1,660 currently. A surge in Germany has peaked already, it said in its report on Oct. 24. A rapid increase in hospital admissions in Germany – the highest since the COVID outbreak in 2020 - remains an area of concern, it said.
Pediatric cases of the flu and RSV, or respiratory syncytial virus, are on the rise. Here are the signs and symptoms to look out for if your child has a respiratory virus. Does my child have RSV, Covid or the flu? Early symptoms of Covid, RSV and the flu can look similar for many children, including:CongestionCoughRunny noseMuscle achesFeverHeadacheA sore throat, Moffitt said, could be a sign of Covid, as doctors have noticed that infections with omicron subvariants often begin with sore throats. Hotez also urged parents to get their children vaccinated against Covid and the flu.
A relic of pre-pandemic days is making its return to the workplace: the office cold. With people returning to workplaces amid relaxing Covid protocols, poor Covid-19 booster uptake and cold and flu season on the way, the office bug is making an unwelcome comeback. Cold, flu, Covid cases could be serious this winterThere are already hints that this year's cold and flu season could be bad: On Oct. 14, the CDC reported early increases in seasonal flu activity. Still, "there's more pressure to get people in, and it's hitting at the same time as cold and flu and RSV season." Working while sick does everyone a disserviceShowing up to work sick, or even powering through from home, can be damaging on a number of levels.
WASHINGTON — President Joe Biden will get the updated Covid-19 shot Tuesday after he delivers remarks about the pandemic and the administration’s efforts to get people in the U.S. boosted, a White House official said. It has been more than three months since Biden contracted the coronavirus, which is how long health experts recommend waiting before getting another shot. The White House is focused on reaching those at the highest risk of infection, including senior citizens. Top Biden administration officials have warned in recent weeks about a possible winter surge, particularly as more people head indoors. The White House Covid -19 coordinator, Dr. Ashish Jha, has stressed that timing is also a key factor, pushing people to ideally get their boosters before Halloween to have the best protection possible by the holidays.
Troubling recent reports reveal the emergence of new omicron subvariants that not only evade AstraZeneca’s Evusheld, the antibody drug authorized to prevent Covid infection, but also the sole antibody drug that has retained effectiveness as treatment for Covid, Eli Lilly’s bebtelovimab. Doctors have cautioned that should Laura get Covid, this could aggravate her autoimmune disease and lead to catastrophic kidney damage. Evusheld is a long-acting antibody injection given every six months that studies have suggested provides a robust buffer to the immunosuppressed. For now, immunocompromised people are anxiously watching the pandemic forecast to see if the subvariants that research indicates evade monoclonal antibodies will become predominant. “If fewer people are prescribed Evusheld,” she said, “there’s less incentive for drug companies to start developing newer therapeutics.
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