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Five die with Arcturus variant in UK as strain spreads globally

105 XBB.1.16 cases have been identified in England, with cases located in all regions apart from the North East

Rich Booth,Rebecca Thomas
Monday 24 April 2023 18:20 BST
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Arcturus: What is the new Covid variant causing a surge in cases
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Five people who had the Arcturus strain of Covid have died, according to the latest data from public health chiefs.

As of 17 April, there were 105 cases of XBB.1.16 – also known as Arcturus – in England, with infections located in all regions apart from the northeast.

Health chiefs have said that there is no evidence to suggest the new subvariant is more severe than past ones.

Professor Adam Finn, from the University of Bristol, who is also an advisor to the government’s Joint Committee on Vaccinations, told The Independent: “There’s no clear evidence that it’s a more dangerous variant in terms of case fatality rates, or hospitalisation rates than the previous and currently circulating subvariants.

“The deaths that we see [are] nearly all in the elderly and, of course, they are caused by whatever is circulating at the moment.”

He added: “Given that it [the variant] is around, then the deaths we’re going to see are going to be associated with it because it’s what’s around.”

Data from the UK Health Security Agency (UKHAS) shows Arcturus makes up roughly 2.3 per cent of all new cases.

Professor Francois Balloux, professor of computational systems biology and director of the University College London’s Genetics Institute, said Arcturus is closely related to another subvariant XBB1.5, which is currently the dominant variant in the UK.

He said: “In places that didn’t have an XBB.1.5 wave (e.g. India or China), it is expected to do well (as did XBB.1.5). Conversely, in places like the UK, it is not expected to have much of an impact on case numbers, and even less so, on hospitalisations and deaths. XBB.1.16 is still at low frequency here in the UK, but it may become the next dominant variant in the future.”

The UKHSA said there was “insufficient data” to calculate the severity or vaccine effectiveness of Arcturus compared to other variants that are circulating.

However, it said the “sample numbers are very low, and results may change as further data becomes available”.

Last week, the World Health Organization (WHO) upgraded XBB.1.16 to a “variant of interest”, which means it has mutations that are suspected or known to cause significant changes and is circulating widely in many countries.

It comes after top scientists told The Independent that the UK is not prepared to tackle the next pandemic following the dismantling of Covid surveillance systems, cuts to research funding and because the NHS is already under strain.

Last week, The Independent reported concerns from experts that Arcturus could become the dominant variant in the UK after the strain sparked a new wave of infections in India – growing at a faster rate than other variants and “rapidly outcompeting” others.

A UKHSA briefing, published last Thursday, said India, which accounts for 61 per cent of reported cases globally, continued to see a rise in cases linked to the new variant. Between 20 March and 3 April, the country had seen a rise in cases, almost doubling within four weeks, rising to 11,109 on 14 April.

However, UKHSA chiefs said that based on the epidemiological and laboratory data, it was unclear whether the growth will be replicated in the UK.

“XBB.1.16 is currently at a low prevalence in the UK, showing some early evidence of growth advantage (low confidence due to low sample numbers), and will be monitored,” they said.

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