GP Short Notes

GP Short Notes # 562, 15 August 2021

The Global Spread of Delta Variant: Mutation Uncertainties, and the Vaccination Drives
Harini Madhusudan

What happened?
On 13 August, China reported a delta variant-related resurgence in the country, with more than 1,200 new cases in 48 cities in 18 provinces. On 12 August, Japan and the US reported more than 18,000 and 138,000 new infections. The delta variant is contributing to the rapid rise in infections around the world and has spread to about 130 countries. The Delta and Lambda variants are pushing a resurgence of cases even in countries that have vaccinated large numbers. This increase raises a concerning alarm for the regions with low vaccination rates and strained healthcare infrastructures. 

According to the WHO, the Delta variant is the most transmissible variant of the virus. In early August 2021, the world recorded a total of 200 million cases. While the first 100 million took a year to reach, the next 100 million were reported in about six months.

What is the background?
First, the global spread and the mutation. Scientists have revealed that the new mutations would continue over the subsequent few cycles of the Sars-CoV-2. Existing variants include - Alpha, Beta, Gamma, and Lambda; they have emerged from the virus' adaptability to the local environments and have developed independently. The Alpha, Beta, Gamma, and Delta variants have been reported from 178, 123, 75 and 130 countries, respectively. Of these four, the Delta is known to be 50 per cent more transmissible than the Alpha variant. 

Second, the efficiency of vaccination drives, distribution imbalance and public reluctance. On 14 August 2021, according to Bloomberg's vaccine tracker, 4.64 billion doses have been administered across the globe. With a vaccination rate of 38,345,129 doses per day, estimates say that it would take another six months to cover 75 per cent of the population. Countries with higher incomes are getting vaccinations at a 20 times faster rate than those with the lowest incomes, highlighting an imbalance in the distribution. Also, there has been a public reluctance. While some regions have observed protests against lockdowns, others have seen wastage of vaccines due to fewer takers. States have incentivized vaccination and pushing vaccination campaigns amongst the anti-vaxxers and deniers to multiple beliefs.  

Third, early lifting of restrictions. In recent months, countries have eased lockdown restrictions for two reasons - to deal with the economic recovery and a declining rate of virus transmission/ death. After its success with controlling the spread, China was one of the first countries to ease restrictions. Sweden and South Korea did not impose lockdown restrictions until it was unbearable. However, the delta variant has shaken the system; and imposing a heavy burden on the health sector. 

What does it mean?
With herd immunity far, vaccination drives and boosters remain the only immediate solution. Second, more data is expected in the coming months on the efficiency rates of vaccinations with the emerging variants. Regions that have reported a high vaccination rate would remain an important observation ground to map the responses between vaccines and the new variants. Studies have emerged which show a correlation between the vaccinations and the spread of variants, which say that the Delta variant has spread through vaccinated people. Finally, the challenge for the governments is to juggle economic recovery, public demands, and the safety of the collective society.

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