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Minnesota lowers the volume. As the number of new instances of omicron grows to 50%, the COVID-19 antibody approach is being used.

More than half of new coronavirus infections in Minnesota are expected to be caused by Omicron, making two types of monoclonal antibody infusions less effective.

By Prasad Madusanka HerathPublished 2 years ago 3 min read
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According to state officials, the now "dominant" omicron version of the coronavirus is responsible for more than half of new COVID-19 cases in Minnesota, leading health systems to halt the use of two ineffectual monoclonal antibody therapy.

According to Dr. Ruth Lynfield, state epidemiologist, giving infusions of antibodies that don't function against Omicron — Eli Lilly's bamlanivimab/etesevimab and Regeneron's casirivimab/imdevimab — would be pointless.

"By the end of last week, we were probably about 20%" of the time, she added, referring to the percentage of infections involving the variant. "Given omicron's doubling rate, we believe it is presently the dominant strain."

According to federal estimates released earlier this week, omicron was responsible for 73 percent of recent coronavirus infections nationwide and 92 percent in a Midwest region that included Minnesota. According to Lynfield, that estimate is likely too high for Minnesota, but the variety accounts for the bulk of new infections and is replacing the delta variant that generated the pandemic wave this autumn.

Minnesota is one among the more active states when it comes to examining samples from COVID-19 patients to find variations, and it announced on Wednesday that it has discovered 65 cases of omicron. That's up from seven last week, according to state health authorities, and it's remarkable given how few samples are submitted for genome sequencing.

"What we're seeing is an undercount of what's circulating in Minnesota," state infectious disease director Kris Ehresmann said. "This variation is extremely transmissible, as evidenced by its rapid expansion throughout the state," says the researcher.

When it was detected in South Africa last month, Omicron soon surpassed delta as the main strain and showed some capacity to resist immunity, it was called a variety of concern. In comparison to other states that had maxima in their delta waves this summer, it's uncertain if Minnesota's large number of immunizations and illnesses this autumn will help to minimize omicron spread.

Dr. Andrew Badley, chair of the Mayo Clinic's COVID-19 task committee, stated that while Omicron appears to produce a lower rate of serious sickness, it has spread so far that it might wind up being as dangerous as or worse than delta. "The overall consequence is that the strain on hospitals stays the same if we have more cases but a lesser proportion of them are unwell."

Vaccination against COVID-19, together with social separation and wearing masks in groups, is still the greatest prevention, according to health experts. Before major gatherings, the state recommends that individuals be tested to make sure they aren't transmitting the infection.

Monoclonal antibodies are infusions or injections used to prevent serious sickness and hospitalization in those who have COVID-19 in the early stages. 2,000 doses of GlaxoSmithKline's sotrovimab, an antibody treatment that acts against the omicron form, are expected to be available until Jan. 3. Supplies are being saved for those who are most vulnerable.

For a state that was raising infusion capacity in response to COVID-19, the loss of the two most prevalent monoclonal antibodies in Minnesota's stockpile is noteworthy. Capacity has climbed from 2,000 to 3,000 infusions every week, but it will soon drop to fewer than 1,000.

The loss was partially mitigated by news on Wednesday that the FDA had given emergency-use authorisation for a Pfizer oral medicine to treat COVID-19, albeit initial supplies would be restricted.

"Having it available might be a game-changer for our ability to treat COVID-19 in an outpatient environment," Badley said.

The fast-spreading delta variant fuelled a long-term COVID-19 outbreak in Minnesota this autumn, with 10,254 fatalities and 992,851 infections reported. There were an additional 57 fatalities and 2,807 illnesses on Wednesday.

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