xe variant

What is the XE COVID Variant and Where Has it Been Detected So Far?

Along with the XE variant, two other recombinant viruses are under investigation by health authorities in the U.K.

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A new hybrid COVID variant known as XE spreading in the United Kingdom is making headlines, but what exactly is it and why are health officials taking note?

Here's a look at what we know so far:

What is XE?

The XE variant is a recombinant, meaning it has parts of two different variants rearranged into a new virus, which in this case are BA.1, the original strain of omicron, and BA.2, known as "stealth omicron."

Recombinant variants themselves are not out of the ordinary, according to health officials.

"Recombinant variants are not an unusual occurrence, particularly when there are several variants in circulation, and several have been identified over the course of the pandemic to date," Hopkins said. "As with other kinds of variant, most will die off relatively quickly."

According to the Centers for Disease Control and Prevention's website, XE isn't currently being monitored by U.S. epidemiologists nor has it been labeled as a "variant of interest" or "variant of concern."

WHO said it will continue to study recombinants and provide updates as further evidence becomes available.

Where has XE been detected?

XE was first detected in mid-January in the United Kingdom, where more than 600 cases have been reported since, according to the UK's Health Security Agency.

According to the Chicago Department of Public Health, a handful of XE cases have been reported outside the U.K., including in the U.S.

Is XE in Chicago or Illinois?

So far, no cases of the XE variant have surfaced in Chicago or Illinois, according to health officials.

A total of 1,663 omicron cases have been detected as of March 15 in Chicago, but none are of the XE variant, as shown by surveillance data from the Regional Innovative Public Health Laboratory at Rush University Medical Center.

CDPH said in an email it continues to closely monitor circulating variants, and is part of regional and national surveillance efforts.

How contagious is it?

XE might be the fastest-spreading strain yet, according to preliminary research, but studies are underway to determine the exact contagiousness of the variant.

Early growth rates of the variant weren't significantly different from BA.2, the UK Health Security Agency initially said. However, in an update on March 25, health authorities revealed more recent data showed XE had a growth rate of 9.8% above BA.2.

The World Health Organization released similar information, citing estimates that show XE is 10% more transmissible than BA.2. However, those findings require further confirmation, the agency noted.

The more contagious omicron subvariant BA.2 has become the dominant COVID-19 strain in the U.S., but international health experts are putting an increased focus on a new hybrid variant that may even be more infectious.

BA.2 was previously identified as the most transmissible variant as it spreads about 75% faster than BA.1, according to health officials.

"Any time there is a more transmissible virus, it has the chance of becoming the predominant virus across the world," said Hannah Barbian, a genomic epidemiologist at the Regional Innovative Public Health Lab at Rush University Medical Center.

Experts said COVID vaccines have been effective against all variants that have surfaced, when it comes to preventing hospitalizations and death. More studies, however, are needed to see what impact vaccines could have on the XE variant.

What's happening in the UK?

In the U.K., health officials are monitoring two other recombinants: XD and XF, which consist of genetic material from the Delta and BA.1 strains, as well as the XE variant.

U.K. health authorities previously said there was "insufficient evidence to draw conclusions about growth advantage or other properties of this variant," but addressed initial reports about its infectiousness.

"This particular recombinant, XE, has shown a variable growth rate and we cannot yet confirm whether it has a true growth advantage," stated Susan Hopkins, chief medical advisor for UKHSA.

The U.K. has reported a recent surge in COVID-19 cases, with officials estimating one in 13 people has been infected within the past week.

So far during the pandemic, new strains and surges have hit Europe and China first, which is why scientists are watching what happens there closely.

"The U.S. hasn’t seen evidence for a new surge yet, so I think this could be the exception. We’re not sure, but I think we always want to know viral dynamics in our area.”

Incoming White House COVID-19 Response Coordinator Dr. Ashish Jha talks about the new omicron sub-variant BA.2 and whether the U.S. will see the kind of surge that Europe and Asia are experiencing.
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