Estimated transmissibility and impact of SARS-CoV-2 lineage B.1.1.7 in England

CMMID COVID-19 Working Group, COVID-19 Genomics UK (COG-UK) Consortium, William Waites

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Abstract

A severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) variant, VOC 202012/01 (lineage B.1.1.7), emerged in southeast England in September 2020 and is rapidly spreading toward fixation. Using a variety of statistical and dynamic modeling approaches, we estimate that this variant has a 43 to 90% (range of 95% credible intervals, 38 to 130%) higher reproduction number than preexisting variants. A fitted two-strain dynamic transmission model shows that VOC 202012/01 will lead to large resurgences of COVID-19 cases. Without stringent control measures, including limited closure of educational institutions and a greatly accelerated vaccine rollout, COVID-19 hospitalizations and deaths across England in the first 6 months of 2021 were projected to exceed those in 2020. VOC 202012/01 has spread globally and exhibits a similar transmission increase (59 to 74%) in Denmark, Switzerland, and the United States.

Original languageEnglish
Article numbereabg3055
Number of pages10
JournalScience
Volume372
Issue number6538
Early online date3 Mar 2021
DOIs
Publication statusPublished - 9 Apr 2021
Externally publishedYes

Funding

Supported by UK Research and Innovation (UKRI) Research England, National Institute for Health Research (NIHR) Health Protection Research Unit in Immunisation (NIHR200929), and UK Medical Research Council (MRC) (MC_PC_19065) (N.G.D.); Wellcome Trust (WT) (210758/Z/18/Z) (S.A.); European Commission (EC) (EpiPose 101003688) (R.C.B.); Global Challenges Research Fund managed through Research Councils UK and the Economic and Social Research Council (RECAP ES/P010873/1) (C.I.J.); WT (206250/Z/17/Z) and NIHR (NIHR200908) (A.J.K.); WT (210758/Z/18/Z) (J.D.M.); Bill & Melinda Gates Foundation (BMGF) (OPP1184344) and UK Foreign, Commonwealth and Development Office (FCDO)/WT (221303/Z/ 20/Z) (C.A.B.P.); WT (206250/Z/17/Z) (T.W.R.); EC (EpiPose 101003688) (A.G.); NIHR (COV0335) and MRC (MR/V027956/1) (W.W.); FCDO/WT (221303/Z/20/Z) and Elrha's Research for Health in Humanitarian Crises Programme funded by FCDO, WT, and NIHR (K.v.Z.); Royal Society-WT Sir Henry Dale Fellowship 218554/Z/19/Z (K.D.-O.); UKRI Future Leaders Fellowship (MR/ S017968/1) (R.K.); Health Data Research UK (MR/S003975/1), MRC (MC_PC 19065), and NIHR (NIHR200908) (R.M.E.); WT (210758/Z/18/Z) and NIHR (NIHR200908) (S.F.); BMGF (INV-003174, INV-016832), NIHR (16/137/109, NIHR200929, NIHR200908), and EC (EpiPose 101003688) (M.J.); European Research Council (757688) (K.E.A.); and EC (EpiPose 101003688) and NIHR (NIHR200908) (W.J.E.). COG-UK is supported by funding from the MRC, part of UKRI; the NIHR; and Genome Research Limited, operating as the Wellcome Sanger Institute.

Keywords

  • SARS CoV-2
  • transmissibility
  • respiratory disease

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