4 ms·
Good summary, thanks! Related to the origin hypotheses, the hypothesis of zoonotic outbreak from a wet market in mid-Dec no longer seems as relevant. It was f
by pmayrgundter 6y ago
Good summary, thanks!
Related to the origin hypotheses, the hypothesis of zoonotic outbreak from a wet market in mid-Dec no longer seems as relevant. It was first laid out in a widely disseminated paper in The Lancet [1, see Figure 1B], but since then retrospective wastewater analyses from Italy[2], Spain[3], Brazil and others[4] have found it was circulating much earlier.
"The Italian National Institute of Health looked at 40 sewage samples collected from wastewater treatment plants in northern Italy between October 2019 and February 2020. An analysis released on Thursday said samples taken in Milan and Turin on Dec. 18 showed the presence of the SARS-Cov-2 virus." [2]
and
"Most COVID-19 cases show mild influenza-like symptoms (14) and it has been suggested that some uncharacterized influenza cases may have masked COVID-19 cases in the 2019-2020 season (11). This possibility prompted us to analyze some archival WWTP samples from January 2018 to December 2019 (Figure 2). All samples came out to be negative for the presence of SARS-CoV-2 genomes with the exception of March 12, 2019, in which both IP2 and IP4 target assays were positive. This striking finding indicates circulation of the virus in Barcelona long before the report of any COVID-19 case worldwide." [3]
[1] https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7159299/ https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7159299/
[2] https://www.reuters.com/article/us-health-coronavirus-italy-sewage/italy-sewage-study-suggests-covid-19-was-there-in-december-2019-idUSKBN23Q1J9 https://www.reuters.com/article/us-health-coronavirus-italy-...
[3] https://www.medrxiv.org/content/10.1101/2020.06.13.20129627v1.full.pdf+html https://www.medrxiv.org/content/10.1101/2020.06.13.20129627v...
[4] https://twitter.com/LMeigre/status/1282819131390210050 https://twitter.com/LMeigre/status/1282819131390210050
- FabHK 6y agoI think the “hypothesis of zoonotic outbreak from a wet market in mid-Dec” is still very relevant, and the few papers claiming to have evidence of SARS-CoV-2 prior to Dec 2019 outside China are still very questionable. It’s not like they tested old samples in a few places and the virus promptly showed up. Rather, lots of old samples were tested all over the place, and the virus almost never showed up, except in a very few instances that night more parsimoniously be explained with false positives.
- hakfoo 6y agoWhy not both? There could have been a baseline level of the virus or a close brother of it in circulation early in 2019, but the conditions of the wet market ecosystem in late 2019 let it suddenly spiral out of control, or make a final evolution to its current high-transmissiveness form. Sort of like how we can find, retrospectively, intermittent cases of HIV back to the early part of the 20th century, but it suddenly exploded in the 1980s.
- dwd 6y agoI would consider the final evolutionary jump to not have been at the wet market, but the virology lab where someone who works with the bat virus caught the one in circulation worldwide - this more deadly virus broke out in Wuhan because that was where the last jump occurred. Some viruses lie dormant in our bodies for years, was someone at the lab infected with a bat SARs virus at some point, and all it needed was this other virus to come along for it to share some of its virulence?
- scoopertrooper 6y agoIt's actually been hypothesised from the beginning that ancestors of Covid-19 passed back and forth between humans and animals several times before taking its current form. The idea being that an ancestor of the virus was first transferred to humans where it 'learned' how to adapt to the human body before transmitting back to an animal host and mutated to become more deadly to humans and then transferred back to humans. This is partly based on the idea that a successful virus wouldn't adapt to be more lethal to its host and that close cousins of Covid-19 have been found in several species of bats and other animals. This actually makes China a much better candidate than Europe for the place where the most important step in its evolution occurred. China has much more vibrant trade in wild animals for clothing, consumption, and traditional medicine. China also happens to be the place where the first reports of widespread hospitalisations occurred. I don't think it's possible that Covid-19 in its current form could have floated around with its current high level of transmissivity or even the lower level of transmissibility of the Chinese strain without being detected for more than a month. As we've seen from America's second wave (bumpy first wave?) the virus replicates exponentially (even with some social distancing), so tens of thousands of people can be infected within two weeks. So we ought to see pretty strong signal in ICU admissions within about 5 weeks of an outbreak (allowing ramp up time, incubation period, and time for symptoms to progress). We'd also expect to see all-cause mortality rates of people over 65 to increase significantly within about 7 to 8 weeks of the outbreak occurring as the average time to mortality is about 18 days. I fail to see how it'd be possible for the health system of any developed nation to miss all that, but a developing country that has a culture of secrecy and suppressing information from both its own people and central authorities? Yeah I could believe that. > Sort of like how we can find, retrospectively, intermittent cases of HIV back to the early part of the 20th century, but it suddenly exploded in the 1980s. That's in large part because HIV collided with African urbanisation, significant international air travel deflation, an explosion of homosexual activity (unprotected sex), an industrialised blood transfer system, and a drug epidemic with administration using shared syringes. I can't think of a similar set of factors changing in our current society that could have allowed for the explosion of a coronavirus.
- MiroF 6y ago> Related to the origin hypotheses, the hypothesis of zoonotic outbreak from a wet market in mid-Dec no longer seems as relevant Perhaps in your mind, but this is not at all a fair representation of the general scientific consensus - most still hold the weight of the evidence leans towards a November '19 origin in Wuhan
- mikedilger 6y agoHow did you determine the general scientific consensus?
- MiroF 6y agoReading peer-reviewed papers & following field leaders on Twitter. I have experience in academia, so it might be easier to parse because of that, but news articles are certainly not sufficient.
- jkhdigital 6y agoHe cited papers, you referenced a "general scientific consensus". This is a gun fight, sir, so you'd best put that knife away.
- dijksterhuis 6y agoI see you’ve played knifey spoony before!
- MiroF 6y agoHe cited two scientific papers, one which is peer-reviewed and indicates that the virus originated in Wuhan and one which is an un-peer reviewed pre-print on medRxiv, funded by a private company with interest in promoting the efficacy of wastewater monitoring, that Covid was present in wastewater. It's worth looking in to, but hardly discredits the widely-accepted Wuhan origin yet. In your poorly fit analogy, the scientific consensus would be the gun to the single, unreviewed paper's knife.
- ardit33 6y ago
- hedora 6y agoI read the spain paper. They don’t report the false positive rate of the test they used, but if it was one that was commonly available, that paper’s P-value is something like 0.5. They don’t compute a P value. Until the others make it through peer review, I wouldn’t read anything into their results.