WHO experts expect details of Omicron transmission ‘within days’

The Omicron variant has now been reported in 23 countries.

Catherine Wylie
Wednesday 01 December 2021 18:54
The Omicron variant has been reported in 23 countries, according to the WHO (PA)
The Omicron variant has been reported in 23 countries, according to the WHO (PA)

More will be known about the transmissibility of the Omicron variant “within days”, global health leaders said.

Dr Maria Van Kerkhove, Covid-19 technical lead at the World Health Organisation (WHO), said it is still “very early days” in terms of understanding the new variant, but said information is coming in daily.

The Omicron variant has been reported in 23 countries, according to the WHO

Speaking at a press briefing, Dr Van Kerkhove said: “We don’t have all the information yet on transmission in terms of if there is a fitness advantage, if it’s more transmissible.

Everything that we can do for Delta which is dominant worldwide, needs to be applied and strengthened for Omicron

Dr Maria Van Kerkhove

“There is some suggestion of that, but again it’s early days.

“We expect to have more information on transmission within days, not necessarily weeks, but in days.”

She said they have seen reports of Omicron cases which “go from mild disease all the way to severe disease”, but said it is still early days.

“It is certainly possible that one of the scenarios is that the virus, as it continues to evolve, may still have a fitness advantage, meaning that it can become more transmissible, more transmissible than Delta, we’ll have to see.

“But we don’t know quite yet about the severity.”

She added: “Everything that we can do for Delta which is dominant worldwide, needs to be applied and strengthened for Omicron.

“So however this unfolds, the way that we act now, the decisions that are taken now in every country, will benefit however Omicron unfolds.”

Prime Minister Boris Johnson speaks to a member of the public during a visit to Lordship Lane Primary Care Centre in north London during a booster vaccine session (Paul Grover/Daily Telegraph/PA)

Dr Van Kerkhove said the vaccines that are currently in use have “very strong protection” against the dominant virus – Delta – that is circulating globally.

“So it is absolutely critical that when it’s your turn you get vaccinated, because the chances of you developing severe disease and dying with vaccination is significantly less than if you’re not vaccinated.

Vaccines are saving lives. And we need vaccines to get into the arms of all of those who are at risk in every single country, not just in some countries, and not adding more vaccines to people who are already protected, but getting that first and second dose to those individuals who are at risk in all countries.

“And this is really important that this is crystal clear today because there is still a lot of uncertainty around Omicron, and this data will come in and there are scientists around the world that are studying this.

“But there’s no indication to suggest that the vaccines won’t work. Even if there is a reduction in efficacy, it’s still better to have the vaccine because it will save your life,” she said at a press briefing.

Meanwhile, the global health experts said there is a lack of evidence to support offering Covid-19 booster jabs to an entire population.

The remarks from the WHO come after the UK Government set the challenge for the NHS to offer boosters to all adults in just 62 days.

The Joint Committee on Vaccination and Immunisation (JCVI) advised on Monday that the booster programme should be extended to include all adults amid concerns about the Omicron variant – making 14 million more people eligible for a booster shot.

But doubt has been cast on the benefits of offering these booster jabs to healthy individuals.

Dr Mike Ryan, executive director of WHO’s health emergencies programme, said he is not aware of any evidence that would suggest offering booster jabs to the entire population gives any greater protection to healthy people.

Asked about the acceleration of the UK’s booster programme, he told the press briefing: “The primary objective, I think of all governments, now must be, in the face of Delta and Omicron and others, is to ensure that all vulnerable individuals, people of older age, people with underlying conditions, are immediately offered the vaccine to ensure that everyone has had at least a primary course of vaccine.

(PA Graphics)

“There are others here who can better answer than me regarding the benefits of a booster regarding other variants, but right now there is no evidence that I’m aware of that would suggest that boosting the entire population is going to necessarily provide any greater protection for otherwise healthy individuals against hospitalisation or death.

“The real risk of severe disease, hospitalisation, and death lies in particularly at risk and vulnerable individuals who do require protection against all variants of Covid-19.”

He said having excess amounts of vaccine and deciding what to do with it is not a problem being faced by many countries around the world who are struggling to get even one jab to their most vulnerable.

Dr Soumya Swaminathan, WHO’s chief scientist, said the focus should be on people who have not yet received a first jab, rather than on giving booster jabs.

Speaking at the press conference, she said: “I just want to reiterate what was just said, that our goal should be really to protect those who have not yet received their primary cause of vaccination.

“And this is true in all countries.”

She added: “Some countries are doing, as a precautionary principle, providing additional doses to people because they have adequate supplies, and they’re just doing it.

“There isn’t a whole lot of evidence that everybody over the age of 18, or for that matter above any age, is going to benefit from this.

“So what we really need is the data to come in from many countries using different vaccines, different demographics, different populations, and coverage, and also different variants at different times during the year to have a comprehensive view on when boosters are going to be needed, which subgroups of people they’re going to be most useful and which vaccines should indeed be used.”

Boris Johnson said all adults will be offered a booster by the end of January.

Experts have said the expansion of the vaccine booster programme poses a “huge logistical challenge” for the NHS.

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