Introduction and expansion of the SARS-CoV-2 B.1.1.7 variant and reinfections in Qatar: A nationally representative cohort study
PLoS Medicine Dec 23, 2021
Abu-Raddad LJ, Chemaitelly H, Ayoub HH, et al. - In order to ascertain the consequences of the introduction of a novel SARS-CoV-2 variant emerged in the United Kingdom, B.1.1.7 (known also as Alpha), into a new national population, researchers herein examined the introduction and expansion of this variant in Qatar as well as determined efficacy of natural infection against reinfection with this variant.
Two national retrospective cohort studies (a national cohort of 159,003 individuals with prior PCR-confirmed infections and a national cohort of 43,127 antibody-positive individuals), mathematical modeling, and other statistical analyses, were used to determine the epidemiology of B.1.1.7 and to answer the study’s research questions.
Shortly after introduction of this variant, a sudden, large, and rapidly growing epidemic wave of B.1.1.7 cases began in Qatar.
As per findings, B.1.1.7 was nearly 60% more infectious than the original wild-type circulating variants.
The natural infection with B.1.1.7 had efficacy against reinfection at 97.5% (95% CI: 95.7% to 98.6%) among those with a prior PCR-confirmed infection and at 97.0% (95% CI: 92.5% to 98.7%) among those with a prior antibody-positive result.
Overall, this study indicate that introduction of B.1.1.7 into a naïve population can lead to a major epidemic wave, however, there was strong correlation of natural immunity in those previously infected with limited incidence of reinfection by B.1.1.7 or other variants.
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