Daily Archives: June 30, 2021

Cape Town, South Africa From his 10-bed private clinic in western Johannesburg, Bayanda Gumende is more used to treating renal diseases than COVID-19. But with the citys hospitals full, patients lingering in casualty wards for days and ambulances stuck waiting in car parks, that is beginning to change.

The 27-year-old chief nephrology technologist says he has been swamped with calls from patients desperate for oxygen and who cannot find it elsewhere. But with supply being limited, he is forced to prioritise.

It has taken a toll on me. It is very emotional to watch people taking their last breath. Some people are gasping for air. There is literally nothing you can do about it. You cannot save everybody, he says.

South Africa accounts for close to 40 percent of all COVID-19 deaths on the continent, with 60,038 officially recorded fatalities so far. It is currently in the midst of a third wave, driven by the rapid spread of the Delta variant, first detected in India, which is fast becoming the dominant strain.

Professor Salim Abdool Karim, a world-leading epidemiologist and former co-chair of South Africas Ministerial Advisory Committee on COVID-19, believes that a mutation related to furin an enzyme that cleaves the spike protein makes this variant particularly dangerous.

That cutting process is critical. It enables the virus to enter cells more easily, and therefore spread faster, he says. This variant is about twice as transmissible as the other variants of concern.

Science has translated into policy. In a televised address on Sunday, President Cyril Ramaphosa announced a raft of new restrictions, including the banning of all alcohol sales and gatherings, as well as an expansion of curfew hours from 9pm to 4am.

For Gumende, it need not have got to this point. Waiting until the virus has spread uncontrollably has forced us to move into a far harsher lockdown than was necessary, he says. They knew that the Delta variant was spreading across India. They should have banned flights from India to South Africa.

For now, Gauteng province home of the countrys financial hub, Johannesburg, and its administrative capital, Pretoria has been the epicentre of this third wave, accounting for more than 60 percent of new cases. As of Monday, the province had 81,399 active cases.

During a press briefing last week, provincial Premier David Makhura said, We are struggling. We are under extreme pressure. The pandemic is everywhere.

The situation in Johannesburg in particular has been aggravated after the 1,000-bed Charlotte Maxeke Johannesburg Academic Hospital was forced to close following a fire in April. But many believe the authorities are not entirely blameless.

Where is the preparedness of the existing system regarding ICU, oxygen, diagnostics and treatment? tweeted Tlaleng Mofokeng, the United Nations special rapporteur on the right to health.

Some large health facilities in Johannesburg, such as the Nasrec field hospital and the AngloGold Ashanti Hospital, sit empty. There are a lot of unemployed doctors and nurses, says Gumende. It just seems ridiculous to me that the government has not prepared at all.

If there is still some debate as to how South Africa became the worst-hit country on the continent, the way out of this crisis is clear, according to Karim.

The reality is that vaccination is a critically important part of trying to control the virus. We have to combine vaccination with some of our public health prevention measures.

While Ramapahosa has been among the leading global voices calling for vaccine equity and a waiver of production patents, his governments vaccination campaign has been slow. South Africa has administered just 2.9 million doses so far, despite receiving a total of 7.4 million vaccines. Less than 5 percent of the population have received a single dose.

Government critics, including opposition parties, say the rollout has been slow because of poor planning. But in his address on Sunday, Ramaphosa alluded to vaccine hesitancy.

There is still a lot of misinformation being circulated about the COVID-19 vaccine. False stories are being spread on WhatsApp groups, on social media, and by word of mouth about the COVID-19 vaccine, claiming that the vaccine is not safe, that it can make you sick, or that it doesnt work, the president said.

I have said it before, and I wish to say it again: Please think long and hard before you press share or send, he told South Africans. You are spreading panic, fear and confusion at a time when we can ill-afford it.

Still, the slow rollout has left many frustrated.

Celeste Bortz is a 59-year-old teacher from Johannesburg. Her husband has been in hospital, on oxygen, for the past six weeks.

My husband is 61 and missed the beginning of the vaccination programme by one week. If the government had been more on top of its game, things could have been so much better, she said.

In general, I like Ramaphosa. Last year he took the reins and locked down quickly. But I think the government could have handled this third wave better.

A series of corruption scandals related to COVID-19 spending have also shaken public confidence in the governments response to the pandemic.

In September 2020, a report (PDF) from the auditor general found serious shortcomings in the financial management of the governments COVID-19 initiatives from procurement of personal protective equipment, to hospital beds, to social relief grants.

Earlier this month, Health Minister Zweli Mkhize was placed on fully-paid special leave after awarding contracts to Digital Vibes, a communications company staffed by his former associates. An investigation is ongoing.

If, according to the presidency, this third wave could be the longest yet, Karim says it will certainly not be the last.

Were going to see more effective variants of the Delta and then were going to move on to the next one. Its basically humans versus the virus and its variants. Right now, the virus is gaining the upper hand. It is able to keep one step ahead of us.

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South Africas third COVID wave could be the worst yet - Al Jazeera English

TALLAHASSEE On June 22, a staffer in Florida House Speaker Chris Sprowls office reached out to her colleagues with a request.

Please remind your staff to report when they are fully vaccinated, wrote Michelle Davila, the deputy chief of staff for operations and COVID-19 protocols, in an email reviewed by the Times/Herald.

Davila provided a link to a Google form in which respondents are asked to fill in the date they became fully vaccinated and the county in which they got their shots.

The form extols the virtues of the coronavirus vaccines. Getting vaccinated against COVID-19 adds one more layer of protection for you and those around you, it reads. Please do your part to keep the House a safe place to work.

Florida ranks toward the middle of the pack of the 50 states in vaccines administered per capita, according to the Centers for Disease Control and Prevention.

The survey is not mandatory for staffers. The final question allows those responding to deny the House the right to collect and use information regarding...vaccination status for the purpose of implementing the House COVID-19 protocols.

Last month, Gov. Ron DeSantis signed a law banning businesses, governments and schools from requiring the people they serve to provide evidence that they have been vaccinated. Violators can be fined up to $5,000 per infraction under the so-called vaccine passport ban.

DeSantis pushed hard for the ban during the legislative session. At the time, he argued requiring someone to disclose their vaccination status which some other countries have done in order to mitigate the spread of the disease is a violation of privacy.

The House collecting staffers vaccine data does not appear to violate the new law. Still, some lawmakers said they were surprised to see the House making the effort.

To me, its shocking that anybody would even ask the question in the state given the current state of affairs, said Sen. Jeff Brandes, R-St. Petersburg. Later in the interview, Brandes added: It doesnt seem like something that the Legislature would do given that they just told people they couldnt do this.

Tom Yu, a spokesperson for the House, said in an emailed response that any comparison between the House survey and a vaccine passport is silly.

The information collected does not restrict an employees access to or entry to House spaces or (an employees ability to) participate in any employment-related activities, Yu said. Instead, he noted, the survey would be used to allow vaccinated staffers to avoid quarantining in the event of an office outbreak.

The 2021 lawmaking session ran through March and April, but lawmakers returned to the capitol to do business starting in January near the time of Floridas reported coronavirus case peak. During the months of lawmaking in Tallahassee, the House and Senate tested lawmakers, staffers and members of the press weekly for the virus.

Yu said the form sent to staffers last week has been available to representatives and staff since April 7. Around that time, the Legislature tweaked its rules to allow vaccinated workers to skip the testing process. Staffers, journalists and members were given the option to report in a separate Google form when they were fully vaccinated.

Rep. Evan Jenne, D-Dania Beach, the House Democratic leader, said he supports efforts to collect information on who in the House office has been vaccinated, so long as its done securely and without coercion.

It does confirm how serious this thing still is, and that we are still in the midst of the pandemic, Jenne said.

Jenne said he too was having some trouble squaring the Houses efforts with the Republican rhetoric around the importance of vaccine privacy.

Optically, its not the best look to talk out of both sides of your mouth, Jenne said.

Sign up for our newsletter: Get Capitol Buzz, a special bonus edition of The Buzz with Steve Contorno, each Saturday while the Legislature is meeting.

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Florida House asks staff to report when they got vaccinated for the coronavirus - Tampa Bay Times

In support of them, many people question why no intermediate animal has been identified yet and point to the proximity of a top coronavirus lab at the Wuhan Institute of Virology, which is located about a half hour drive from the Huanan Seafood Market that was linked to many of the first COVID-19 cases in December 2019.

WIV is home to a lab headed by Shi Zhengli, a virologist famous for her work tracking down the bat origins of the last coronavirus epidemic. Her lab specializes in collecting coronaviruses in the field and then studying them to understand their potential for creating pandemics.

The lab has made chimeric viruses that mix and match different elements to better understand whats required to infect human cellswhichsomepeopleconsider to be gain-of-function experiments, although Shi does not. As wevewritten, there is no single definition of gain-of-function, but in this context it typically refers to modifications that aim to make a virus more dangerous or infectious to study potential disease pathways.

Shi told Science that some of her coronavirus research was conducted at biosafety level 2 (BSL-2) a basic lab safety level that some say is inadequate; this information has also been publicly available in the methods sections of published papers.

Fueling suspicions about the WIV is the institutes removal of its online database of samples and virus sequences in September 2019 and news of a U.S. intelligence report that three WIV researchers fell ill and sought care in a hospital in November 2019.

Some people also speculate SARS-CoV-2 could have come from an abandoned mine where researchers from Shis lab collected bat samples after workers removing bat guano fell ill with an unknown respiratory illness in 2012 and several died. It was a sampling effort there that turned up RaTG13, the bat virus Shi announced in late January 2020 that, at 96.2% similarity, is the closest of all known viruses to SARS-CoV-2 in its overall genome sequence.

A few proponents further argue that the genetic sequence of SARS-CoV-2 contains several unexpected features that are indicative of bioengineering and that its curious that the virus was so well suited to infecting people from the start.

Underlying all of the supposition is Chinas lack of transparency and cooperation to find the origin of the virus, which many interpret to be incriminating.

Shi, however, has vigorously denied having the virus or any of its potential precursors and says that no one in the lab has tested positive for the coronavirus, nor do they have antibodies against it. If thats true, then theres no way SARS-CoV-2 came from her.

Despite several lab leak narratives that claim RaTG13 could have been modified to create SARS-CoV-2, scientists who study viruses do not believe thats possible. As others have explained before, RaTG13s genome differs from SARS-CoV-2 by more than 1,000 nucleotides, making it too different to plausibly have served as a progenitor. RaTG13 is too divergent to be this ancestral virus, David Robertson, the head of viral genomics and bioinformatics at the University of Glasgow, told us.

Moreover, Shi says there is only a genome sequence for RaTG13 anyway live virus was never isolated from the sample and that she has only ever isolated three SARS-related bat coronaviruses.

The only way SARS-CoV-2 could have come from the lab, manipulated or not, is if the facility was in possession of a virus much more similar to SARS-CoV-2 than RaTG13, multiple experts told us.

I would estimate at least 99%, thats the minimum. It probably has to be 99.9% similar to make that kind of switch in the lab at all, said Robert F. Garry, a virologist at Tulane University School of Medicine. Theres just no evidence that they had anything close to that.

In an email interview with the New York Times in June, Shi shot down the notion that she performed risky gain-of-function research, saying her lab had never conducted experiments that enhance the virulence of viruses. She also said she had no knowledge of any sick employees at the institute in November 2019, as suggested by a U.S. intelligence report.

In May, the Wall Street Journal reported a few additional details on the timing and number of alleged sick workers from the report, including that they had sought care at a hospital; otherwise, it was the same information in a fact sheet issued by the State Department on Jan. 15, which said the researchers symptoms were consistent with both COVID-19 and common seasonal illness.

The credibility and significance of the report of illnesses during flu season remains unclear. No scientist has any way of verifying whether this is true or not, said Maciej Boni, an associate professor of biology at Pennsylvania State Universitys Center for Infectious Disease Dynamics.

In its article, the Wall Street Journal noted that officials have differing views on the strength of the intelligence and that in China, its common to visit the hospital for less serious ailments.

If several people did have COVID-19 and were quite ill, Garry said that would mean hundreds of other people would have had COVID-19 at some other level. The workers would also have generated antibodies. Thats where the seroconversion data comes in, he said, referring to the antibody tests the WIV says are negative.

Given that Wuhan had a huge surge of flu at the time, he said, it was likely any sick researchers had influenza.

Suspicions have also swirled around the bat viruses Shis group collected from a closed copper mine in Mojiang, Yunnan Province, with some opining that the mine workers mysterious lethal respiratory disease was COVID-19 or a disease caused by a similar coronavirus and that SARS-CoV-2 could have come from the mine.

A bat sample collected at the mine, which is located in southwestern China about 1,000 miles from Wuhan, in 2013 ended up producing RaTG13, a partial sequence of which made it into a publication in 2016 under a different name. In a November addendum to her 2020 paper describing RaTG13, Shi reported she had collected eight other SARS-related coronaviruses from the mine, which she described in a preprint posted on May 21. All of those viruses are nearly the same and are only a 77.6% match to SARS-CoV-2, falling on a separate branch of the viral family tree than both SARS-CoV-1, the virus that caused the first coronavirus epidemic, and SARS-CoV-2.

Some claim its fishy that Shi didnt disclose the sequences earlier or mention the pneumonia-like illnesses or mine in her publications. Shi explained in her addendum that her lab had tested serum samples from the sick workers for bat SARS-related coronaviruses and they were negative; she retested them more recently for SARS-CoV-2 and they also were negative. She also noted that all of the viruses were only distantly related to SARS-CoV-1 based on an initial check of a single gene sequence; RaTG13 was sequenced nearly in full in 2018 once sequencing technology in her lab had improved and had been renamed from its bat sample ID to reflect the bat species, the location and the sampling year. That sequence is what Shi was able to consult following the identification of SARS-CoV-2 in early 2020.

Nothing about the mine story seems abnormal, Garry said, calling it a distraction. He added that there would have been no reason for Shi not to report identification of a virus more similar to SARS-CoV-2 than RaTG13 if she had found one.

We wouldnt be having this conversation because she would have known which animal or species of bat it came from. And the natural origin would be solved, he said.

In an interview with Science in July, Shi had already shared the details on the name change and explained that her lab did not pay special attention to RaTG13 initially because it was not especially close to SARS-CoV-1.

Edward Holmes, an evolutionary biologist at the University of Sydney, told Science that her explanation made sense. Of course, they would have been mainly interested in bat viruses closely related to SARS-CoV not some random bat virus that is more distant, he said.

As for the missing database, WIV told the WHO team that there had been an online spreadsheet of samples for internal use and there had been plans to make an interactive system, but because of more than 3,000 cyberattacks the data was kept offline.

Its possible, of course, that the Chinese are lying about the database, negative coronavirus test results of WIV staff and that WIV or another facility had SARS-CoV-2 or its precursor in one of its labs.

Lab escapes of dangerous pathogens have happened in the past, including multiple instances with SARS-CoV-1 in China. Its nevertheless the case that there has never been a lab accident that sparked a pandemic or led to an outbreak of a novel pathogen, nor has there ever been a known breach at the WIV. (One incident frequently cited as an example of a lab accident, the 1977 influenza epidemic in Russia, is likely to have been a vaccine trial gone awry, not a lab release.)

The WHO team was not able to independently verify the labs virus collection or safety records, although that was never the mandate for the organizations origins studies.

Some scientists would nevertheless like a more comprehensive investigation.

Ralph Baric, an epidemiologist and coronavirus researcher at the University of North Carolina at Chapel Hill who previously collaborated with Shi and was a signatory on the Science letter criticizing the WHO, told us in a statement that the genetic structure of SARS-CoV-2 points to the virus originating in natural wildlife populations, most likely bats,thatpassed fromanimals to humans but that more investigationand transparency are necessary to define the origin ofthe pandemic.

For example,a rigorous investigation would have reviewed the biosafety level under which bat coronavirus research wasconducted at WIV, he added. It would have included detailed information on the training procedures with records, the safety procedures with records and strategies that were in place to prevent inadvertent or accidental escape.

Dr. W. Ian Lipkin, an epidemiologist at Columbia University and a co-author on an influential Nature Medicine paper from March 2020 that found it improbable that SARS-CoV-2 was manipulated in the lab, has also raised concerns about safety. He told former New York Times science reporter Donald McNeil that he was troubled by the fact that some of Shis coronavirus work had been done in BSL-2 labs.

Despite the storys suggestion that Lipkin might no longer agree with the Nature Medicine papers conclusion that the virus was not bioengineered, he confirmed to FactCheck.org that he did.

I said only that novel bat viruses should not propagated at BSL-2 and that this raised concerns about biosecurity at the WIV, he said in an email. I dont disavow the paper.

He has since told the Washington Post that its possible that WIV researchers might have unwittingly become infected with a coronavirus they hadnt yet characterized.

Possible, however, does not mean equally likely, as Lipkin readily acknowledged. And indeed, even some who signed the Science letter, such as Baric, think the most probable scenario is a natural one.

Seeing how the letter has been interpreted to support the lab leak hypothesis, one signatory, Caltech professor of biology and bioengineering Pamela J. Bjorkman, has backed away from it.

I thought the letter would have the effect of prompting more funding for searching for natural viruses in animal reservoirs, which I personally have always assumed represent the origin of SARS-CoV-2 infections in humans, she wrote in a letter to the podcast This Week in Virology. Perhaps naively, I did not anticipate that the letter would be used to promote the lab origin hypothesis.

Marc Lipsitch, a professor of epidemiology at the Harvard T.H. Chan School of Public Health and another co-author of the Science letter, also told Vice that the letter has been misinterpreted as backing the lab leak hypothesis instead of being a call for more research. He has emphasized the lack of evidence on the subject and told CNN that the lab leak hypothesis is not a fringe theory and should be investigated.

On the flip side, there are a few scientists who have reversed their opinions and now think a lab origin is more likely than a natural one.

But many scientists especially the ones with the most expertise in coronaviruses find a lab origin unlikely, even if they cannot exclude it.

The finding of SARS-CoV-2-like viruses circulating in horseshoe bats in both China and Southeast Asia, coupled with the strong links of the first cases to animal markets in Wuhan are very compelling evidence SARS-CoV-2 is the result of an animal associated spillover much like SARS, said Robertson, the University of Glasgow virus bioinformatician, who has studied how SARS-CoV-2 might have evolved. On lab-leak, theres no evidence that SARS-CoV-2 escaped from a lab other than the coincidence of the Wuhan Institute of Virology being there.

Goldstein, the University of Utah coronavirus virologist, agreed.

We know that a majority of the first cases that were picked up were directly linked to animal markets in Wuhan. We know that these SARS-related coronaviruses circulate in animals; we know that people are infected with these viruses, he told us, citing a study Shis group did that found 2.7% of people in a rural village had antibodies against bat SARS-like viruses, indicating past infection.

Additionally, he said, a study published in Scientific Reports in June showed the presence of multiple mammal species illegally being sold in wet markets across Wuhan between May 2017 and November 2019, adding to the plausibility of how viral transfer might have occurred.

And so, kind of all the ingredients are there, the epidemiological links are there; the scientific evidence for the virus being engineered doesnt hold up at all, he said.

Garry, the Tulane virologist, also noted the past examples of natural spillovers, including SARS; the fact that the first four known COVID-19 cases in Wuhan had links to different wet markets, as shown in the WHO report and no sign that Shis lab had any virus close to SARS-CoV-2.

There is no evidence at all for a lab leak. Nothing scientific, its just an accusation, Garry said. You have to think one of the leading virologists on the planet is part of a major conspiracy that is involving hundreds of people.

Early in the pandemic we repeatedlydebunkedbaseless conspiracy theories circulating on social media about SARS-CoV-2 being bioengineered.

For example, there werebogus claimsthatthe virus contains HIV insertions andfalse claimsthat the virus was created by a prominent Harvard chemist who wascharged by the Department of Justice on Jan. 28, 2020, for making false statements about his ties to China.

Many scientists remain open to a lab escape of a natural virus, but fewer entertain the notion that SARS-CoV-2 was engineered. While this cannot be ruled out entirely, multiple coronavirus experts view this as implausible.

I am completely confident that the virus was not engineered, University of Pennsylvania coronavirus researcher Susan Weiss told us in an email.

University of Utahs Goldstein said it was virtually impossible, while Dr. Stanley Perlman, a coronavirus researcher at the University of Iowa, went with impossible.

In March, a group of scientists, including Kristian Andersen of Scripps Research and Garry of Tulane, published a paper in Nature Medicine that combed through the genome sequence for any signs of lab tinkering and concluded there were none.

Initially, the researchers had been suspicious that there were elements that were engineered. But upon closer examination, the group rejected that hypothesis, as we have written. (Contrary to some suggestions, the Andersen paper was not just an opinion piece that had no vetting by other scientists. A spokesperson for Nature Medicine told FactCheck.org by email that the paper was peer-reviewed.)

Even if scientists used methods that would not leave a trace of manipulation, as some lab leak proponents have suggested, that would still leave the arguably insurmountable problem of not knowing enough to create the virus.

No one would know how to do it, Perlman said. If one doesnt have the virus in hand, how do you decide to make this?

Recently, there has been additional speculation about SARS-CoV-2s furin cleavage site, which is a spot on the viruss spike protein thats cut by the enzyme furin to activate the spike and prepare the virus for entering cells. Experiments have shown the site is required for the virus to infect human lung cells and for viral transmission in ferrets. At first glance, the site is potentially curious, as its absent in coronaviruses that are closely related to SARS-CoV-2.

Furin cleavage sites, however, exist in many other coronaviruses, such as feline coronaviruses and the virus that causes MERS. Because similar sequences for the cleavage site are found in other coronaviruses, its presence is not at all suspicious or indicative of lab manipulation, Robertson said.

The lineage SARS-CoV-2 emerged from is under-sampled so its not surprising theres some unique properties in its genome, he added.

Thomas Gallagher, a professor of microbiology and immunology at Loyola University Chicago who studies coronaviruses, also said he did not think the furin cleavage site was a sign of engineering.

Some coronaviruses naturally have furin cleavage sites, others do not, he told us in an email. These cleavage sites evolve naturally under various natural selective pressures. The selective pressures are often powerful, so the furin cleavage site is a hotspot for coronavirus variation.

In a self-published story on Medium, later posted on the Bulletin of the Atomic Scientists website, former New York Times journalist Nicholas Wade zeroed in on an ostensibly suspicious element of the furin cleavage site. Namely, that the underlying genetic sequence of the viruss cleavage site looked manipulated because of two CGG stretches that code for the amino acid arginine. Because CGG is not often found in coronaviruses, he argued, instead of evolving naturally, it was more likely that a scientist had gone in and inserted the site into the genome while doing gain-of-function research.

In support of his theory, Wade quoted David Baltimore,Nobel laureateand president emeritus of CalTech,as saying the furin cleavage site with its arginine codons was the smoking gun for the origin of the virus and that it made a powerful challenge to the idea of a natural origin for SARS2.

But on Twitter, Andersen pushed back, noting that while rare, CGG triplets are not unheard of in SARS-CoV-2s genetic sequence and are used to code for arginine 3% of the time. Indeed, some feline coronaviruses differ there from SARS-CoV-2 by just one nucleotide. And now that the world is awash in SARS-CoV-2 sequences, theres no sign of the virus mutating away from using those triplets at the cleavage site, which might be expected if the sequence was unnatural.

Informed of Andersens points, Baltimore told a journalist with Nature that he agreed that the site could have evolved naturally. FactCheck.org contacted Baltimore as well and in an email he acknowledged he shouldnt have used the phrase smoking gun because it sounds so definitive, although he added that he didnt think Andersen is giving enough credence to the possibility that the furin cleavage site had a non-natural origin.

Virologists, however, say there are plenty of other reasons why its incredibly unlikely that the furin cleavage site was engineered, starting with the fact that the site is not a very good cleavage site.

This is a pretty bad one; its not cleaved very efficiently by furin, Goldstein said.

In fact, he said that based on other coronaviruses with similar cleavage sites, its known that mutations that make the protein sequence closer to the SARS-CoV-2 sequence end up losing the ability to be cut.

If youre trying to insert a furin cleavage site, Goldstein said, why would you pick a furin cleavage site that is not actually a functional furin cleavage site in other viruses?

Additionally, the cleavage site exists as an insertion in the genome that strangely breaks up the triplets in what is called an out-of-frame insertion. Any scientist wanting to add a furin cleavage site would just plop it in nice and clean, Goldstein said. I dont how to explain from a scientific standpoint how ridiculous this is, the idea that you would do an out-of-frame insertion. It just makes no sense.

Garry, the Tulane virologist, was also baffled by the suggestion that the cleavage site sequence showed the virus had been engineered. Which graduate student or post doc would think to put it in out-of-frame? That part I just dont get, he said. This, for all the world, looks like a natural virus.

Another line of speculation is that instead of a scientist deliberately choosing what to modify, the virus was serially passaged through human cells or an animal. That, in theory, would eliminate the requirement for a scientist to know what to insert or change. Lab leak proponents often cite experiments with human cells or humanized mice as a potential way this could happen.

But Perlman, who has done experiments passaging coronaviruses in mice, said that would not work. Most of the time when you take viruses and pass them in tissue culture cells, you get cells that grow very well in tissue culture cells and nowhere else, he said. And humanized mice are still mostly mice, he said, so the virus would adapt to growing better in mice, not humans.

Itd have to be something nearer to a palm civet cat, which is a weird animal to be passaging it [the virus], Perlman explained.

Youd also need a starting virus that is much closer to SARS-CoV-2 than any known virus, he said, and even then, the virus youd end up with would almost certainly not be SARS-CoV-2.

As a result, Perlman said, such a scenario could be technically possible but is extraordinarily improbable. In his mind, the engineering scenario can be ruled out, although he still considered accidental release of a natural virus as an unlikely, but possible, pathway.

Further complicating the lab leak scenarios is that when SARS-CoV-2 is grown in the standard cells used to isolate and propagate viruses in the lab,the furin cleavage site is frequently lost, as is documented in multiple reports. The Shi lab, notably, used those cells with each of the three SARS-related bat coronaviruses it successfully isolated in the past.

Some have also argued that SARS-CoV-2 was too well adapted to infecting humans at the start of the pandemic and that this could indicate human design.

But Penn States Boni said thats a faulty line of thinking.

Theres no guarantee that something that crosses over has to be perfectly adapted or half adapted or a third adapted. Whatever happens, happens, he said.

The H1N1 swine flu pandemic in 2009, for example, he said, was very well adapted to humans and took off very easily and very quickly. It is not a sign that they were bioengineered, Boni said.

A paper he co-authored with Robertson in PLOS Biology pieced together SARS-CoV-2s evolutionary history and suggests that the viruss ability to infect a broad range of mammals evolved hundreds of years ago.

This would indicate that the SARS-CoV-2 progenitor did not have to adapt to humans much, if at all, Robertson said, because it had already become a generalist virus long ago, although he said an intermediate animal could very well still be involved in the transfer to a human.

For some, its more than a coincidence that a novel coronavirus outbreak began in the same place as Chinas premier coronavirus research lab.

But Wuhan is also a city of 11 million people and a hub for commerce, including the wildlife trade.

Theres thousands and thousands of large and small markets in a city like Wuhan where theres human-animal contacts every day, said Boni, who spent eight years doing field epidemiology in Vietnam. These human-animal contacts arent rare. People dont do their shopping at Whole Foods, people do their shopping at these markets.

Thus, while lab accidents do occur and Boni said the possibility should be investigated it doesnt really compare to the scale of human-animal contact that you have in a province like Hubei where theres 60 million people and on an average day 5 million of those people could have been in contact with an animal at a market.

Lacking more information, Boni said he thought a natural spillover for SARS-CoV-2 was a thousand times, a million times more likely than a lab leak.

Still, its true that there is no proof of a natural spillover, and some 18 months out from the first identified COVID-19 cases, the lack of an animal that transmitted the virus to humans has led some people to wonder whether there was one.

After all, with the first SARS epidemic in 2003, cat-like mammals known as palm civets were identified as possible intermediate hosts within several months and fingered more definitively within a year. And with MERS in 2012, it took about a year to find out that people had likely picked up the virus from camels.

But experts told us the delay is not unexpected.

Its not really surprising, said Goldstein. For one, unlike with the first SARS, the market linked to many of the early COVID-19 cases was quickly shut down, making it significantly more difficult to find any potential intermediate animals there.

You need to get lucky, he said. You have to go at the right time. If you go later, its going to be hard.

And, as Perlman, pointed out, If I were illegally trading in exotic animals and heard [a] SARS-CoV-2 pandemic was about to begin, the first thing Id do is take my exotic animals and high-tail it.

In China, it is not surprising that scientists did not find SARS-CoV-2 in potential animal sources immediately after the human outbreak in Wuhan. Nor does that result indicate there is a problem with the wildlife spillover theory, wrote Christine K. Johnson, director of the EpiCenter for Disease Dynamics at the One Health Institute at the University of California, Davis School of Veterinary Medicine, in an editorial in Scientific American. This is a difficult search that takes time.

There have been some efforts to look for an intermediate. The WHO reported that 80,000 wildlife and farm animal samples from China had been tested, all of which turned up negative for SARS-CoV-2. But Garry said that the figure is not as impressive as it might seem.

80,000 animals sounds like a lot, but a lot of those were domestic cattle and chickens and birds and things like that that wouldnt be expected to have SARS-CoV-2, he said. When you actually get down to the species that might have it, its maybe a few hundred samples at most.

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The Facts and Gaps on the Origin of the Coronavirus - FactCheck.org

LONDON -- Nearly 2,000 people who live in Scotland have attended a Euro 2020 event while infectious with COVID-19, Public Health Scotland said on Wednesday.

Thousands of Scots came to London for their game against England in the UEFA European Football Championship group stage on June 18.

Many headed to Wembley Stadium to see the game in person or gathered in the city center, while Hampden Stadium in Glasgow has also hosted games.

Of the 1,991 people identified as having attended a EURO 2020 event while infectious, 1,294 had traveled to London and 397 had gone to Wembley, Public Health Scotland said.

Cases were labeled if the person in question had seen a match at Hampden or Wembley, gone to a fanzone in Glasgow, or participated in an informal gathering at a pub or a house to watch a match.

There were only 38 reports of people attending Scotland's home game against Croatia while contagious, with 37 reports from Scotland's match against the Czech Republic at Hampden.

(Reporting by Alistair Smout. Editing by Andrew MacAskill)

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Nearly 2000 Scots attended Euro 2020 events with COVID-19: health agency - CTV News