Enhancing epidemiological surveillance of the emergence of the SARS-CoV-2 Omicron variant using spike gene target failure data, England, 15 November to 31 December 2021

Author:

Blomquist Paula B1ORCID,Bridgen Jessica1ORCID,Bray Neil1,O’Connell Anne Marie1,West Daniel2,Groves Natalie2ORCID,Gallagher Eileen2,Utsi Lara1ORCID,Jarvis Christopher I31ORCID,Hardstaff Jo L1ORCID,Byers Chloe1ORCID,Metelmann Soeren1ORCID,Simons David1ORCID,Zaidi Asad2ORCID,Twohig Katherine A2ORCID,Savagar Bethan1,Løchen Alessandra1ORCID,Ryan Cian1ORCID,Wrenn Katie1,Saavedra-Campos María1ORCID,Abedin Zahidul1ORCID,Florence Isaac2ORCID,Cleary Paul1ORCID,Elson Richard41ORCID,Vivancos Roberto1ORCID,Lake Iain R41ORCID

Affiliation:

1. COVID-19 Outbreak Surveillance Team, UK Health Security Agency, London, United Kingdom

2. UK Health Security Agency, London, United Kingdom

3. London School of Hygiene and Tropical Medicine, London, United Kingdom

4. School of Environmental Sciences, UEA, Norwich, United Kingdom

Abstract

When SARS-CoV-2 Omicron emerged in 2021, S gene target failure enabled differentiation between Omicron and the dominant Delta variant. In England, where S gene target surveillance (SGTS) was already established, this led to rapid identification (within ca 3 days of sample collection) of possible Omicron cases, alongside real-time surveillance and modelling of Omicron growth. SGTS was key to public health action (including case identification and incident management), and we share applied insights on how and when to use SGTS.

Publisher

European Centre for Disease Control and Prevention (ECDC)

Subject

Virology,Public Health, Environmental and Occupational Health,Epidemiology

Reference17 articles.

1. World Health Organization (WHO). Enhancing readiness for Omicron (B.1.1.529): technical brief and priority actions for Member States. Geneva: WHO; 2021. Available from: https://www.who.int/docs/default-source/coronaviruse/2021-12-23-global-technical-brief-and-priority-action-on-omicron.pdf?sfvrsn=d0e9fb6c_8

2. Ferguson N, Ghani A, Cori A, Hogan A, Hinsley W, Volz E, et al. Growth, population distribution and immune escape of Omicron in England. London: Imperial College London; 2021. Available from: https://www.imperial.ac.uk/mrc-global-infectious-disease-analysis/covid-19/report-49-Omicron

3. Covid-19: Early studies give hope omicron is milder than other variants.;Christie;BMJ,2021

4. Genomic sequencing effort for SARS-CoV-2 by country during the pandemic.;Furuse;Int J Infect Dis,2021

5. European Centre for Disease Control (ECDC). Detection and characterisation capability and capacity for SARS-CoV-2 variants within the EU/EEA. Stockholm: ECDC; 2021. Available from. https://www.ecdc.europa.eu/en/publications-data/detection-and-characterisation-capability-and-capacity-sars-cov-2-variants

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