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I'll venture some guesses here: * How transmissible is Omicron? Very. But how much? Based on current data, there's a sort of invariant involving a tradeoff
by Enginerrrd 5y ago
I'll venture some guesses here:
* How transmissible is Omicron?
Very. But how much? Based on current data, there's a sort of invariant involving a tradeoff between greater escape of post-infection/post-vaccination immunity and greater transmissibility where anything along that invariant line can explain it's aggressive rise. Either way, it doesn't really matter. If it continues to behave as it has, we'll see a lot more of omicron. ~60% confidence
* Are Omicron infections milder, or more severe?
That's the BIG question right now. I've seen one MD describe patients that they've seen with omicron as being mild. On the other hand, there's also been a significant rise in hospitalizations in affected areas, however, if there's simply more infected, that would be expected. I don't have a good guess here. We haven't had enough time to find out.
* Can Omicron become dominant in this Delta environment?
Given it's very rapid rise to dominance in the small subset of testing data I've seen, I'll put money on it out-competing delta. ~60% confidence
* How much can Omicron evade the vaccine-immunity and/or natural-immunity?
Another good question. Despite the fact it has a lot of spike-protein mutations, and many experts believe that immune escape is likely here: I'm not convinced that's the best metric, and I've only 20-30% confidence in my agreement with it. I'll revise this according to the following pieces of evidence I expect to see, in increasing order of how much confidence I'll gain in that assessment for each piece: I'll gain more after I hear a lot of anecdotes about vaccinated getting sick, more if I see lab results confirm lower antibody affinity, and more still after actual numbers to high statistical significance confirm that previously infected or people 2-6 months post-vaccination have a high rate of infection en par with the rest of the population.
- dragontamer 5y agoI've got a simpler, though stupider, analysis. The variants of concern (as defined by WHO) thus-far are Alpha, Beta, Gamma, Delta, and now Omicron. (The others were "variants of interest", but never graduated to a higher status than that). So about 50% of the variants of concern (Alpha and Delta) became dominant in their time. The other 50% were concerning with their respective "superpowers", but were outcompeted by the others. --------- So I give 50/50 odds that Omicron becomes dominant. Maybe a bad analysis, but hey, everything is bad analysis right now until we get better data. Note: there are many, many variants, including "Delta Plus" variants (offspring of Delta), Lambda, and other variants who grabbed the headlines. Gamma in particular took over South America (graduating into a Variant of Concern), but never managed to spread further than that. Lambda also spread rapidly in South America, but also was vanquished by Delta. So very high spread in a local area does not necessarily mean it will spread rapidly in other settings (especially since Delta seems so good at outcompeting all these variants).
- kgwgk 5y ago> So very high spread in a local area does not necessarily mean it will spread rapidly in other settings (especially since Delta seems so good at outcompeting all these variants). In South Africa omicron has replaced delta. Why should we expect delta to dominate omicron elsewhere? Of course omicron may fail to be the dominant variant if there is a "better" one, but it seems more likely than not that delta will be replaced.