Surge Covid testing is rolled out in Staffordshire

Surge Covid testing is rolled out in Staffordshire after case of South Africa variant is detected in resident with no links to international travel – with strain now spotted 200 times across the UK

  • Stafford Borough Council detected variant strain during a routine lab screening 
  • They said there is no evidence of the strain now circulating in the community 
  • Council is advising everyone in the area to be Covid tested in next four weeks 

Surge Covid testing will be rolled out in Staffordshire after a case of the South Africa variant was detected in a resident with no links to international travel.

The mutant coronavirus strain — which has now been spotted 202 times across the UK — was discovered during routine lab screening after the person tested positive for coronavirus in January. 

Stafford Borough Council said there is no evidence of the variant circulating widely in the community, and that the unwell person has since recovered.  

Officials added that contact tracing has established they had no known contact with people in their local area whilst infectious, and no links to other areas with known cases of the South Africa variant. 

There are fears that vaccines being dished out in Britain are less effective at stopping people becoming ill with the South African variant, after studies indicated they don’t block the mutant strain as well as other types of the virus. 

But scientists are confident they will still be potent enough to reduce Covid to ‘the sniffles’ and prevent vaccinated people from being hospitalised or dying — which is their main purpose. 

There are now six variants of coronavirus being investigated by Public Health England, five of which have already been found in the UK

Surge Covid testing will be rolled out in Staffordshire after a case of the South Africa variant was detected in a resident with no links to international travel. Pictured: Testing in Lancashire today

Surge Covid testing will be rolled out in Staffordshire after a case of the South Africa variant was detected in a resident with no links to international travel. Pictured: Testing in Lancashire today

Surge Covid testing will be rolled out in Staffordshire after a case of the South Africa variant was detected in a resident with no links to international travel. Pictured: Testing in Lancashire today

The council is now advising everyone in the Stafford borough area to take a Covid tested over the next four weeks, as part of efforts to identify any further cases of the variant.

Dr Nic Coetzee, a consultant in communicable disease control for Public Health England Midlands, said: ‘With new variants emerging all the time and spreading more rapidly, it is not surprising that a case of the South African variant has been found in Staffordshire.

‘While there is currently no evidence of the South African variant circulating in the community, we want to be proactive in testing people and stopping the spreading of infection. 

Surge testing — which involves local officials going door-to-door — has already been deployed in dozens of areas of England in order to sniff out cases of troublesome variants. 

For example, extra swabs were dished out to Bristol last week because of a cluster of cases of the Kent variant that had picked up a new mutation also found in the South African strain. 

Kent Covid variant is ‘going to sweep the world’, top UK scientist claims

The Kent coronavirus variant may become the most dominant strain in the world, the director of the UK’s genetic surveillance programme claimed today.

More than 50 countries have already spotted the mutant B.1.1.7 strain, which evolved to become more infectious than the original virus. 

Professor Sharon Peacock, head of the Covid-19 Genomics UK (Cog-UK) Consortium said the variant ‘is going to sweep the world, in all probability’.

It is already the dominant strain across the UK but all the evidence suggests current vaccines work against it. 

But there are fears the variant has started to mutate further to become more like the one that evolved in South Africa, which is better able to resist immunity developed by past infection or from the current vaccines.

Professor Peacock said her work sequencing variants could be needed for at least 10 years.

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‘This is a timely reminder to everyone to continue to follow the rules, stay at home, and if they do have essential reasons to leave their home then get tested regularly.’

Community testing for people without symptoms is available seven days a week in every borough and district, and the county council plans to offer additional testing capacity and screening for the variant in Stafford borough.

Dr Richard Harling, the county council’s director of health and care said: ‘In Staffordshire we are asking everyone who has a legitimate reason for being out and about during lockdown, to make sure they get tested at least weekly at one of our community testing centres for people without symptoms.

‘We know that one in three people who have the virus show no symptoms, and this will help us identify more people with Covid who should be isolating, which will help stop the spread of infection.

‘In the case of residents who test positive in Stafford borough, we will also check to see whether they have the South African variant.’

The South African variant of coronavirus, known as B.1.351, has mutations on its outer spike proteins that change the shape of the virus in a way that makes it look different to the body than older versions of the virus.

Because the immune system’s antibodies are so specific, any change in the part of the virus that they attach to – in this case the spikes – can affect how well they can do so.

Current vaccines have been developed using versions of the virus from a year ago, which didn’t have the mutations the South African variant does, so scientists are worried the immunity they create won’t be good enough to stop it.

Research published last week claimed that the Oxford/AstraZeneca vaccine — the main jab being used in Britain’s mammoth inoculation drive — appears to only have a ‘minimal effect’ against the variant.

A study of 2,000 people by the University of Witwatersrand in Johannesburg found that two doses of the jab may only offer 10-20 per cent protection against mild or moderate Covid.

The study was controversial, however – nobody in the test group developed severe Covid but the researchers said this ‘could not be assessed in this study as the target population were at such low risk’. Participants’ average age was 31 and they were otherwise healthy. 

Scientists working on the vaccine said they still believe it will be protective at cutting the risk of severe illness and death, however. 

Oxford and AstraZeneca said they are already working on a booster jab targeted at the South African variant and that it will be ready by autumn. 

WHY ARE SCIENTISTS SO SCARED OF THE SOUTH AFRICAN VARIANT? 

Real name: B.1.351

When and where was it discovered? 

Scientists first noticed in December 2020 that the variant, named B.1.351, was genetically different in a way that could change how it acts.

It was picked up through random genetic sampling of swabs submitted by people testing positive for the virus, and was first found in Nelson Mandela Bay, around Port Elizabeth. 

What mutations did scientists find?

There are two key mutations on the South African variant that appear to give it an advantage over older versions of the virus – these are called N501Y and E484K.

Both are on the spike protein of the virus, which is a part of its outer shell that it uses to stick to cells inside the body, and which the immune system uses as a target.

They appear to make the virus spread faster and may give it the ability to slip past immune cells that have been made in response to a previous infection or a vaccine. 

What does N501Y do? 

N501Y changes the spike in a way which makes it better at binding to cells inside the body.

This means the viruses have a higher success rate when trying to enter cells when they get inside the body, meaning that it is more infectious and faster to spread.

This corresponds to a rise in the R rate of the virus, meaning each infected person passes it on to more others.

N501Y is also found in the Kent variant found in England, and the two Brazilian variants of concern – P.1. and P.2.

What does E484K do?

The E484K mutation found on the South African variant is more concerning because it tampers with the way immune cells latch onto the virus and destroy it.

Antibodies – substances made by the immune system – appear to be less able to recognise and attack viruses with the E484K mutation if they were made in response to a version of the virus that didn’t have the mutation.

Antibodies are extremely specific and can be outwitted by a virus that changes radically, even if it is essentially the same virus.

South African academics found that 48 per cent of blood samples from people who had been infected in the past did not show an immune response to the new variant. One researcher said it was ‘clear that we have a problem’.

Vaccine makers, however, have tried to reassure the public that their vaccines will still work well and will only be made slightly less effective by the variant. 

How many people in the UK have been infected with the variant?  

At least 200 Brits have been infected with this variant, according to Public Health England’s random sampling.

The number is likely to be far higher, however, because PHE has only picked up these cases by randomly scanning the genetics of around 15 per cent of all positive Covid tests in the UK. 

Where else has it been found?

According to the PANGO Lineages website, the variant has been officially recorded in 31 other countries worldwide.  

The UK has had the second highest number of cases after South Africa itself.  

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WILL THE CURRENT VACCINES WORK AGAINST SOUTH AFRICAN COVID VARIANT? 

The South African variant of coronavirus, known as B.1.351, has mutations on its outer spike proteins that change the shape of the virus in a way that makes it look different to the body than older versions of the virus.

Because the immune system’s antibodies are so specific, any change in the part of the virus that they attach to – in this case the spikes – can affect how well they can do so.

Current vaccines have been developed using versions of the virus from a year ago, which didn’t have the mutations the South African variant does, so scientists are worried the immunity they create won’t be good enough to stop it.

Here’s what we know about the vaccines and the variant so far:

Oxford/AstraZeneca (Approved; Being used in the UK)

Research published in February claimed that the Oxford/AstraZeneca vaccine appears to have a ‘minimal effect’ against the South African variant.

A study of 2,000 people by the University of Witwatersrand in Johannesburg found that two doses of the jab may only offer 10-20 per cent protection against mild or moderate Covid-19.

The study was controversial, however – nobody in the test group developed severe Covid-19 but the researchers said this ‘could not be assessed in this study as the target population were at such low risk’. Participants’ average age was 31 and they were otherwise healthy. 

Scientists working on the vaccine said they still believe it will be protective. 

Oxford and AstraZeneca said they are already working on a booster jab targeted at the South African variant and that it will be ready by autumn.

Pfizer/BioNTech (Approved; Being used in the UK)

Two studies suggest that Pfizer and BioNTech’s vaccine will protect against the South African variant, although its ability to neutralise the virus is lower.

One by Pfizer itself and the University of Texas found that the mutations had ‘small effects’ on its efficacy. In a lab study on the blood of 20 vaccine recipients they found a reduction in the numbers of working antibodies to tackle the variant, but it was still enough to destroy the virus, they said. 

Another study by New York University has made the same finding on 10 blood samples from people who had the jab. That team said there was a ‘partial resistance’ from the variant and that a booster should be made, but that it would still be more effective than past infection with another variant.

Pfizer is developing an updated version of its jab to tackle the variant. 

Moderna (Approved; Delivery expected in March)

Moderna said its vaccine ‘retains neutralizing activity’ in the face of the South African variant.

In a release in January the company said it had tested the jab on the blood of eight people who had received it and found that antibody levels were significantly lower when it was exposed to the South Africa variant, but it still worked.

It said: ‘A six-fold reduction in neutralizing [antibodies] was observed with the B.1.351 variant relative to prior variants. Despite this reduction, neutralizing levels with B.1.351 remain above levels that are expected to be protective.’

Moderna is working on a booster jab to tackle the South African variant.

Janssen/Johnson & Johnson (Awaiting approval; 30m doses)

Janssen, a subsidiary of Johnson & Johnson, has trialled its vaccine in South Africa and found it prevented 57 per cent of Covid cases.

This was the lowest efficacy the company saw in its global trials – in Latin America it was 66 per cent and in the US 72 per cent. These differences are likely in part due to the variants in circulation.

The vaccine was 85 per cent effective at stopping severe disease and 100 per cent effective at stopping death from Covid-19, even in South Africa where the variant is dominant, Janssen said.

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