Lockdowns exert selection pressure on overdispersion of SARS-CoV-2 variants.
Epidemics 2022;
40:100613. [PMID:
35939969 PMCID:
PMC9338171 DOI:
10.1016/j.epidem.2022.100613]
[Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/02/2021] [Revised: 06/23/2022] [Accepted: 07/20/2022] [Indexed: 11/22/2022] Open
Abstract
The SARS-CoV-2 ancestral strain has caused pronounced superspreading events, reflecting a disease characterized by overdispersion, where about 10% of infected people cause 80% of infections. New variants of the disease have different person-to-person variability in viral load, suggesting for example that the Alpha (B.1.1.7) variant is more infectious but relatively less prone to superspreading. Meanwhile, non-pharmaceutical mitigation of the pandemic has focused on limiting social contacts (lockdowns, regulations on gatherings) and decreasing transmission risk through mask wearing and social distancing. Using a mathematical model, we show that the competitive advantage of disease variants may heavily depend on the restrictions imposed. In particular, we find that lockdowns exert an evolutionary pressure which favours variants with lower levels of overdispersion. Our results suggest that overdispersion is an evolutionarily unstable trait, with a tendency for more homogeneously spreading variants to eventually dominate.
Novel variants of SARS-CoV-2 appear to be less prone to superspreading.
A new model shows that it is advantageous for the pathogen to spread homogeneously.
Interventions exert a selective pressure towards developing homogeneous transmission.
The results have implications for the assessment of novel variants.
Adds to understanding of how behaviour and interventions shape pathogen evolution.
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