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In early November, laboratories in South Africa’s Gauteng province began picking up something unusual while processing Covid-19 tests: they weren’t able to detect the virus’s S-gene, which creates the spike protein that enables the pathogen to enter human cells and spread. Picture: BLOOMBERG
In early November, laboratories in South Africa’s Gauteng province began picking up something unusual while processing Covid-19 tests: they weren’t able to detect the virus’s S-gene, which creates the spike protein that enables the pathogen to enter human cells and spread. Picture: BLOOMBERG

In early November, laboratories in Gauteng province began picking up something unusual while processing Covid-19 tests: they weren’t able to detect the virus’s S-gene, which creates the spike protein that enables the pathogen to enter human cells and spread. 

Around the same time, doctors in the region saw a sudden flood of patients with fatigue and headaches. The new cases appeared after weeks of calm that ensued after a Delta variant-driven third coronavirus wave, which had ripped through Johannesburg and the capital Pretoria in July. 

The developments heralded the onset of a wave of infections with the Omicron variant in the country. It swiftly became the dominant strain and has driven a new surge in cases. The November 25 announcement of its discovery triggered global panic and a market meltdown, with countries including the UK and the US imposing flight bans to and from SA. By Tuesday, the mutation had been found in at least 15 countries. 

The anomalies in samples were first detected by scientists at the privately owned Lancet Laboratories, who sounded the alarm, according to Glenda Gray, the president of the SA Medical Research Council. “They didn’t know what was wrong so they alerted the virologists, who began to sequence the samples,” she said in an interview.

Junior Lancet scientist Alicia Vermeulen was credited with making the initial find on the afternoon of November 4, when she noticed an anomaly in a single positive test and told her manager, according to News24. Over the next week, the same anomaly was picked up several times, and Allison Glass, head of molecular pathology at Lancet and a member of the government’s Ministerial Advisory Council on Covid-19, was informed, the website said. 

No S-gene

Together with the National Institute for Communicable Diseases, Lancet was able to determine by November 22 that there was a new variant, initially known as B.1.1.529, News24 reported. The S-gene couldn’t be detected because it had mutated, it said. 

Scientists in Botswana had meanwhile also picked up the same anomalies in samples from tests conducted on travellers in early November, and the quirk also surfaced in a sample taken from a person who had returned to Hong Kong from SA and was in quarantine.

The data was uploaded onto GISAID, a global repository, and quickly leaked. By November 24, there were initial reports about the new variant in the British media.

Nicholas Crisp, the acting director-general of SA’s department of health, said he was first informed on the evening of November 24. Other key government officials were told early the next day and a press conference was hastily convened, where Tulio de Oliveira, the head of two gene-sequencing institutes in SA, announced the discovery.

For now, doctors say, Omicron seems to be causing mild disease. But with the outbreak initially taking off in a relatively young cohort of college students it’s hard to tell what the effect may be once it takes hold in older, more vulnerable segments of the population.

“Whatever I tell you today may be false tomorrow,” Gray said.

The World Health Organisation (WHO) has warned of the potential for Covid surges with “severe consequences” fuelled by Omicron, whose constellation of mutations suggests it may be both more transmissible and capable of evading the immunity provided by vaccination or a prior infection. 

More than capable

The speed of the discovery is a testament to SA’s gene-sequencing capabilities that were built up with the aid of research money that was ploughed into tackling other diseases. The country has the most people infected with HIV in the world and has one of the largest tuberculosis epidemics.

“SA has some world-class virologists and gene sequencers. We have this because of HIV and TB,” Gray said. “All of these people have transitioned to Covid-19.” 

The events that unfolded after Omicron’s discovery have dismayed the government and business groups. Flight bans were quickly imposed just as the country’s crucial summer holiday season began and threaten to derail efforts to rebuild an economy that contracted by the most in at least 27 years in 2020. 

“We have to question the purpose of creating the panic that the public announcement has no doubt created,” said the SA Chamber of Commerce and Industry, the country’s biggest business group.  

While the WHO said SA and Botswana should be thanked for the speed of the announcement, the response has instead felt like a punishment.

“Our scientists did what they were supposed to do, they did what they are ethically obliged to do,” said Angelique Coetzee, who chairs the SA Medical Association. “Now we are the villains of the global travel community.”

More stories like this are available on bloomberg.com
Bloomberg

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