I dodged Covid for 2.5 years and got my bivalent booster in September. Now I have Covid. How is that possible? Is it possible to know what variant I have? Dana, California First off, our reader deserves congratulations for making it so long without catching Covid. At this point, the vast majority of Americans have had the virus — some more than once. "While this bout with Covid may make you feel like your efforts were in vain, it's great that you protected yourself from repeated infections," says Katrine Wallace, an epidemiologist at the University of Illinois at Chicago. "Each infection was a chance for severe disease in pre-vaccine days, and repeated infections increase the chances for long Covid and even, theoretically, creation of a new variant. Preventing all that was good!" That fresh booster, Wallace says, can't totally prevent the spread of the virus but does lower the risk of developing a severe infection that results in hospitalization or death.
While it's exceedingly difficult for the reader to discover what variant she had, Wallace points out that the BA.4 and BA.5 omicron subvariants still account for about 70% of all infections detected by PCR testing. And nearly 90% of our US wastewater testing sites detected those same two variants last week. That's good news, since that's what the latest booster shots are designed to target. But new variants are always popping up. Researchers have sequenced samples and found new omicron subvariants, BQ.1 and BQ.1.1, that could be on the rise, says Wallace. They contain mutations that might allow them to circumvent some, but not all, of the protective defenses booster shots provide. In general, there's probably much more Covid circulating than we realize, according to Jessica Justman, an infectious-diseases specialist and epidemiologist at the Columbia University Medical Center.
"Even though the number of confirmed cases in the US is relatively low, the widespread use of self-testing rapid test kits means many cases are not confirmed, so the confirmed case count is definitely an underestimate," she says. In New York, for example, researchers have found high levels of the virus in wastewater. That highlights the importance of getting vaccinated and boosted. And, says, Justman, if you do catch Covid, there are now many great treatment options, such as antiviral medications. — Kristen V. Brown |
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