Onishchenko G G, Sizikova T E, Lebedev V N, Borisevich S V
Sechenov First Moscow State Medical University (Sechenov University), Ministry of Health of the Russian Federation, Moscow, Russia.
48th Central Research Institute, Ministry of Defense of the Russian Federation, Sergiev Posad, Moscow oblast Russia.
Her Russ Acad Sci. 2022;92(4):381-391. doi: 10.1134/S1019331622040074. Epub 2022 Sep 6.
Over the two years that have passed since the WHO announced on March 11, 2020, a pandemic of the new coronavirus disease COVID-19, more than 460 million cases of the disease have been detected in the world, of which more than five million have been fatal. During the natural evolution of the COVID-19 pathogen, dominant variants emerge that account for most new infections. The WHO constantly monitors coronavirus mutations that potentially pose an epidemiological danger. Currently, the WHO divides modified variants of the SARS-CoV-2 virus into (VOC) and (VOI). The WHO-designated group of variants of concern includes potentially the most dangerous lines, which are characterized by a complex of new properties. This group also includes the variant, which has become the dominant agent of the new wave of the COVID-19 pandemic. The aim of this work is to analyze the characteristics of the SARS-CoV-2 Omicron strain, the dominant agent of the new wave of the COVID-19 pandemic. The proposed mechanism of origin of the Omicron variant, its geographical distribution, the features of the disease caused by it, and the distinguishing features from diseases caused by the Delta variant and the original Wuhan strain of the SARS-CoV-2 virus, mutations of the Omicron variant compared to the parent strain of the SARS-CoV-2 virus, the genetic variability of the Omicron variant, and the epidemiological characteristics of the disease it causes are considered. Particular attention is paid to evaluation of the preventive and therapeutic effectiveness of the existing medical means of protection against COVID-19 in relation to the Omicron strain.
自世界卫生组织于2020年3月11日宣布新型冠状病毒病COVID-19大流行以来的两年间,全球已检测到超过4.6亿例该疾病病例,其中超过500万例死亡。在COVID-19病原体的自然进化过程中,出现了占大多数新感染病例的优势变异株。世界卫生组织不断监测可能构成流行病学危险的冠状病毒突变。目前,世界卫生组织将严重急性呼吸综合征冠状病毒2(SARS-CoV-2)病毒的变异株分为关注变异株(VOC)和感兴趣变异株(VOI)。世界卫生组织指定的关注变异株组包括可能最危险的毒株,其具有一系列新特性。该组还包括奥密克戎变异株,它已成为COVID-19大流行新一轮的主要病原体。这项工作的目的是分析SARS-CoV-2奥密克戎毒株的特征,它是COVID-19大流行新一轮的主要病原体。文中考虑了奥密克戎变异株的起源机制、地理分布、由其引起的疾病特征、与SARS-CoV-2病毒的德尔塔变异株和原始武汉毒株引起的疾病的区别特征、奥密克戎变异株与SARS-CoV-2病毒亲本毒株相比的突变、奥密克戎变异株的基因变异性以及它所引起疾病的流行病学特征。特别关注评估现有预防和治疗COVID-19的医疗防护手段对奥密克戎毒株的有效性。