Covid, Phase II. Commonsense is the order of the day. | Page 83 | Vital Football

Covid, Phase II. Commonsense is the order of the day.

Gregory Barber
Science
01.14.2021 02:00 PM
Can an AI Predict the Language of Viral Mutation?
Computational biologists used an algorithm meant to model human language to instead predict how viruses could evolve to evade the immune system.



Viruses lead a rather repetitive existence. They enter a cell, hijack its machinery to turn it into a viral copy machine, and those copies head on to other cells armed with instructions to do the same. So it goes, over and over again. But somewhat often, amidst this repeated copy-pasting, things get mixed up. Mutations arise in the copies. Sometimes, a mutation means an amino acid doesn’t get made and a vital protein doesn’t fold—so into the dustbin of evolutionary history that viral version goes. Sometimes the mutation does nothing at all, because different sequences that encode the same proteins make up for the error. But every once in a while, mutations go perfectly right. The changes don’t affect the virus’s ability to exist; instead, they produce a helpful change, like making the virus unrecognizable to a person’s immune defenses. When that allows the virus to evade antibodies generated from past infections or from a vaccine, that mutant variant of the virus is said to have “escaped.”

Scientists are always on the lookout for signs of potential escape. That’s true for SARS-CoV-2, as new strains emerge and scientists investigate what genetic changes could mean for a long-lasting vaccine. (So far, things are looking okay.) It’s also what confounds researchers studying influenza and HIV, which routinely evade our immune defenses. So in an effort to see what’s possibly to come, researchers create hypothetical mutants in the lab and see if they can evade antibodies taken from recent patients or vaccine recipients. But the genetic code offers too many possibilities to test every evolutionary branch the virus might take over time. It’s a matter of keeping up.

Last winter, Brian Hie, a computational biologist at MIT and a fan of the lyric poetry of John Donne, was thinking about this problem when he alighted upon an analogy: What if we thought of viral sequences the way we think of written language? Every viral sequence has a sort of grammar, he reasoned—a set of rules it needs to follow in order to be that particular virus. When mutations violate that grammar, the virus reaches an evolutionary dead end. In virology terms, it lacks “fitness.” Also like language, from the immune system’s perspective, the sequence could also be said to have a kind of semantics. There are some sequences the immune system can interpret—and thus stop the virus with antibodies and other defenses—and some that it can’t. So a viral escape could be seen as a change that preserves the sequence’s grammar but changes its meaning.

The analogy had a simple, almost too simple, elegance. But to Hie, it was also practical. In recent years, AI systems have gotten very good at modeling principles of grammar and semantics in human language. They do this by training a system with data sets of billions of words, arranged in sentences and paragraphs, from which the system derives patterns. In this way, without being told any specific rules, the system learns where the commas should go and how to structure a clause. It can also be said to intuit the meaning of certain sequences—words and phrases—based on the many contexts in which they appear throughout the data set. It’s patterns, all the way down. That’s how the most advanced language models, like OpenAI’s GPT-3, can learn to produce perfectly grammatical prose that manages to stay reasonably on topic.

One advantage of this idea is that it’s generalizable. To a machine learning model, a sequence is a sequence, whether it’s arranged in sonnets or amino acids. According to Jeremy Howard, an AI researcher at the University of San Francisco and a language model expert, applying such models to biological sequences can be fruitful. With enough data from, say, genetic sequences of viruses known to be infectious, the model will implicitly learn something about how infectious viruses are structured. “That model will have a lot of sophisticated and complex knowledge,” he says. Hie knew this was the case. His graduate advisor, computer scientist Bonnie Berger, had previously done similar work with another one of her lab's members, using AI to predict protein folding patterns.


So this spring, Berger's lab tried out Hie’s analogy, and the results are out today in Science. At first, the team had been interested in influenza and HIV, which are both notorious for evading vaccines. But when they began their lab work in March, sequences from the novel coronavirus were becoming available, so they decided to add those in as well. For all three viruses, they homed in on sequences for the proteins the viruses use to enter cells and replicate, explains Bryan Bryson, a professor of biological engineering at MIT and a coauthor of the research. These also happen to be primary immune system and vaccine targets. They’re the places where antibodies latch on, preventing the virus from entering a cell and marking it for destruction. (For SARS-CoV-2, that’s the spike protein.) For each of the viruses, the MIT team trained a language model using the genetic sequence data instead of the usual paragraphs and sentences.

Then they checked on what the model learned about the sequences. Sequences deemed to have similar “meanings” should infect the same hosts, the researchers reasoned. The genetic language of a swine flu would be semantically more similar to another swine flu than a flu that normally infects humans. They were pleased to see that this was the case—and also to find that certain strains that had spilled from one species to another in the real world, like avian flu in 1918 and 2009, were scored as semantically similar. Then they checked the grammar. How well did a sequence’s “grammar” score correspond to how viable a virus was in real-world conditions? The researchers gathered data from past research quantifying the fitness of various mutants—how well they binded to or replicated in cells—for all three viruses, and then examined how grammatical the model believed those sequences to be. Grammaticality seemed to be a good proxy for their fitness.
But Bryson and Hie wanted to know if combining the two proxies could predict viral escape. When they compared their model’s predictions to prior known instances of actual viral escape, the influenza model was the most predictive. That wasn’t surprising, because the data set they used to train the model was particularly large, including years’ worth of influenza sequences and a wealth of mutations known to sneak past the human immune system. For SARS-CoV-2, they checked their predictions against escape mutants that had been artificially derived, passed through antibody-rich serum until the selection pressure produced mutants that could evade the antibodies. (In other words, not anything we currently need to worry about in the real world.) The correlation was looser. The model flagged most of the true escapees but also sequences that weren’t.

Continued..
 
Part II


Still, it’s a start that could give virologists a better grip on where natural mutations are headed. “This is a phenomenal way of narrowing down the entire universe of potential mutant viruses,” says Benhur Lee, a microbiologist at Mount Sinai’s Icahn School of Medicine who wasn’t involved in the work. The predictions are only as good as the data that goes into it, he adds. And as the researchers note, that means the model misses certain nuances, because escape is not always only a function of mutations the virus acquires. HIV is a good example. Sometimes, the sequence doesn’t change, and viral proteins are still recognized by antibodies, but those proteins are shielded by a type of sugary compound called a glycan.

Lee points out that the AI predictions are good for telling researchers what they already know. It correctly identified, for example, the two parts of the SARS-CoV-2 spike that researchers believe are more inclined to accumulate escape mutations, and another section that’s more stable, and thus a better antibody target. But it remains to be seen whether its predictions can provide truly novel insights. One area where the paper’s authors believe computational models will be most useful is in identifying so-called “combinatorial mutations” that involve many changes built on each other. But that will likely require much more data to make them produce good leads for lab scientists like Lee.
https://www.wired.com/story/unsettl...8ea00f-8b14-44c7-b64c-0a7380cfd1a6_popular4-1
The next step, which will begin this Friday with Bryson’s collaborators in another lab, will involve creating some of the predicted SARS-CoV-2 mutants in the lab and seeing how they fare against antibodies in serum taken from recovered and vaccinated individuals. They’ll be using what’s known as a pseudotyped virus, which can test how well the antibodies neutralize a particular variation of the virus, but are not dangerously infectious. They’ll also test a few sequences picked up in efforts to sequence viral samples from Covid-19 patients that the model suggested were more primed for escape than others, Bryson says.
The lab members are wondering whether their analogy may apply in other situations. Could a similar model predict if an immune system will grow intolerant of a particular cancer treatment, or how a tumor mutation might evolve to evade the body’s controls? With the right data, Bryson’s lab would like to try it out. “A good analogy can go a long way,” he says.
 
What Will COVID-19 Look Like in the Future?



By Alan Mozes HealthDay Reporter
FRIDAY, Jan. 15, 2021
The bad news? COVID-19 may be around for a long, long time. The good news? Even if it does, new research suggests it could very well end up being just another mild illness, bringing with it inconvenience and discomfort, but rarely hospitalization or death.

Why? The theory is rooted in the epidemiology patterns previously followed by four other coronaviruses. All have been in circulation for a very long time. In fact, they're endemic, which means that most people get infected and develop immunity during childhood that protects against serious illness (although not reinfection) as adults.

And that trajectory led a team of investigators to model what might ultimately happen in the future if most people were similarly exposed to the new coronavirus during childhood.
"In the vast majority of cases, the endemic human coronaviruses [HCoVs] cause nothing more than a common cold, [meaning an] upper respiratory tract infection," said study author Jennie Lavine, a postdoctoral researcher in the department of biology at Emory University in Atlanta. About 15% of adult common colds are believed to be attributable to HCoVs, she added.

"They sometimes lead to lower respiratory tract infections, particularly in very young children and the elderly," Lavine noted. Only in rare cases, among particularly vulnerable populations, do they trigger more serious illness.
"It seems likely that COVID-19 will end up playing out this way," she said. But exactly when that would happen is anyone's guess, she cautioned, with projections ranging anywhere from one to 10 years. And there's always a chance it might not unfold that way at all.

Lavine cited a number of factors that can affect future developments. One factor is how quickly the virus spreads in the near future. Another is how quickly the public gets vaccinated in the coming months. And it also remains to be seen how many infections and/or vaccinations will ultimately be needed to trigger strong and durable immunity.

Another issue is to what degree natural infections and/or vaccinations are able to block viral transmission altogether, versus how long either are able to block the serious illness that can develop following an infection.
The notion that the new coronavirus will indeed become endemic and mild is predicated on the basic assumption that the disease continues to play out relatively mildly -- or even asymptomatically -- among most infected children and teens.

Still, "if infections in children become more severe than they are now," that would be a bad sign, Lavine warned. "We have no reason to suspect this will happen, but the long-term scenario would be much bleaker if they did."
Another concern? The virus could mutate in a way that undermines the development of widespread immunity. "However, as long as viral evolution happens slowly enough that people are exposed to new variants while they still have some disease-blocking immunity from vaccination and/or exposure to previous variants, we expect the disease to remain mild," Lavine said.
But one thing is clear, she said: "We can influence the path to endemicity." How? One way is by keeping transmission rates as low as possible until vaccination is widespread, "to reduce deaths and prevent overwhelming hospital systems."
Another way is by getting vaccinated, "especially if you are at higher risk of severe disease. While it is likely that everyone will get infected with this virus at some point even after vaccination, the vaccine will very likely reduce your symptoms," she said.

That latter point was echoed by Dr. Sandro Cinti, a professor of internal medicine and infectious diseases with Michigan Medicine at the University of Michigan, in Ann Arbor.

"This is a modeling study," he said. "And it makes sense. But the timeline is five-to-10 years down the line. Yes, over time, this change in the manifestation of the disease could occur without any of the vaccine distribution we're deploying now. But, in the meantime, you could have millions of people dying. Unnecessarily," Cinti said.

"So people should not think that they don't need to get the vaccine," Cinti stressed. "Vaccines right now are extremely important. This is an academic article and an academic exercise. It's a bit of hope for the future to say that this isn't forever. But it's not a strategy. Vaccines are a strategy."
The findings were published Jan. 12 in the journal Science.


SOURCES: Jennie Lavine, PhD, postdoctoral researcher, department of biology, Emory University, Atlanta; Sandro Kurt Cinti, M.D., professor, internal medicine and infectious diseases, Michigan Medicine, University of Michigan, Ann Arbor; Science, Jan. 12, 2021
 
Spursex thats alot of prose to describe a simple process, mutations are inherently Darwinian, its survival of the fittest, a virus uses the material a cell provides to replicate, the mutations occur within the cell environmentally. The more successful mutations that proceed to be retransmitted and adopted by the new host survive, the less successful virus mutations fail.

Radio 4 had a Professor on this morning who talked alot of sense about the impact of aerosol transmission, how to also mitigate against it. Ironically she referenced Florence Nightingales early notes and observations.
 
GPs in England see big drop in common cold and flu cases
Exclusive: coronavirus restrictions and increased uptake of flu vaccine is likely explanation, say experts
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The scale of the drop in England is surprising given children attended school and limited social mixing was allowed until the full lockdown on 4 January. Photograph: Sasha Suzi/Getty Images/iStockphoto

Linda Geddes
Sun 10 Jan 2021 14.12 GMT
Last modified on Mon 11 Jan 2021 04.36 GM


GPs in England have reported a big drop in cases of influenza, colds and other common infections – with cold rates now about a quarter of the five-year average, and flu at about a 20th of the usual level for this time of year.
Social restrictions brought in to curb transmission of coronavirus combined with an increased uptake of flu vaccine is the most likely explanation, experts say.

Surveillance data gathered during the southern hemisphere’s flu season had suggested the UK might expect to see a drop in the incidence of flu this winter. However, the scale of the drop in England is surprising given that children attended school and limited social mixing was permitted until the introduction of a full lockdown on 4 January.
The data is derived from patient reports of illness at up to 500 GP practices across England gathered by the Royal College of GPs’ (RCGP) research and surveillance centre. “We record whatever symptoms people consult with and these are sent on to the research and surveillance centre,” said Azeem Majeed, a professor of primary care and public health at Imperial College London and a GP.
During December, rates of common cold symptoms reported to GPs were 0.3-1.2 per 100,000 persons, while for influenza-like illness this was 0.5-1.3 per 100,000 persons – well below the five-year average for this time of year. The incidence of other common infections including intestinal disease, strep sore throat and inner ear infections (often linked to respiratory illness) is also well below the five-year average, and may similarly reflect increased hand hygiene and decreased social mixing.
Equivalent data for Wales and Scotland was not immediately accessible, but is likely to show a similar pattern given that similar restrictions on movement and social mixing have been imposed there.
“I think this is real and reflects two things: overwhelmingly the main thing is that social distancing and lockdown measures dramatically reduce the transmission of cold, influenza and other respiratory viruses,” said Paul Little, a professor of primary care research at the University of Southampton. “There may be a smaller secondary effect in that people may be contacting their GP less with ‘normal’ cold and coughs – but that cannot possibly explain the huge differences observed. Similar trends were seen in Australia with their flu season – which basically did not happen there either.”
There has also been a reduction in hospital admissions for flu, Majeed added.
Another factor that may have contributed is increased uptake of the flu vaccine. “There has been an excellent take-up this year, with a record 77% of over-65s coming forward for their jab, which will be offering them protection from the flu,” said Prof Martin Marshall, chair of the RCGP. “This is something general practice teams should be hugely proud of given the additional pressures under which they are delivering the expanded flu vaccination programme this year.
“Flu can be a nasty illness and as we start to come in contact with people again – even following social distancing measures – it’s important that people maintain good hygiene. We’d also urge anyone who is eligible for the flu vaccine – now including 50-to 64-year-olds – to come forward for their jab. This is the best protection we have against flu and vaccines only work if people have them.”
 
Phew, yes we agree, the misrepresentation of the facts has created mistrust and you can have a list as long as your arm of mucky mucks telling you that poo does not smell, but pooh smells like Poo.

I know that masks were beneficial, and was ridiculed for it, even my Doctor spouted the party line back then (Janauary Feb 2020) He got Covid second week of February.

I believe I caught covid at Spurs and I have a pretty convincing theory as to why the new stadium contributed unintentionally to the problem.

I do understand the financial consequences of stronger measures earlier on. The economy versus lives is not a decision I would like on my shoulders.
 
Flu cases are down 90% overall, this must-have helped :

NHS staff praised for record flu vaccination uptake in England

  • Public Health England
  • 12 Jan 2021


NHS England, NHS Improvement, PHE and the Secretary of State for Health and Social Care are thanking NHS staff for “their incredible work in achieving some of the highest ever vaccination rates for flu.”

In a statement, the organisations say that despite the complexities of rolling out the largest national NHS flu immunisation programme during a COVID-19 winter, NHS staff have vaccinated a record 80.3 per cent of people aged 65 years and over in England. This is the highest uptake ever achieved for this group and is almost 10 per cent higher than this time last year, exceeding the World Health Organization uptake target of 75 per cent.

Flu vaccine uptake rates are higher than the same time last season for all other eligible groups, including an uptake rate of 51.5 per cent in clinical at-risk groups, which is the highest achieved in the last seven seasons.

Uptake in two- and three-year-old children is also the highest ever recorded, at 54.0 and 56.5 per cent, respectively.

NHS England has achieved some of the highest flu vaccine uptake rates in Europe for health care workers, with an uptake of 74.3 per cent by the end of the season in 2019 to 2020. By the end of November 2020, 70.5 per cent of frontline health care workers had already been vaccinated, compared with 61.5 per cent at the same period last year.

PHE says these figures are a reflection of the hard work of the wide range of NHS and public health professionals involved in planning and delivering the national immunisation programme.

Dr Nikki Kanani, NHS national medical director for primary care, said: “The NHS has done an outstanding job in vaccinating a record number of people with flu and I congratulate staff for all of their fantastic efforts in achieving this as they continue to go above and beyond in these challenging times.”
 
I do understand the financial consequences of stronger measures earlier on. The economy versus lives is not a decision I would like on my shoulders.


I do too! But to achieve a an economic out outcome would have meant the government should have made some very brave choices in the summer when the levels came down
 
Politics latest news: Priti Patel looks to shift blame for UK's 'appalling' death toll on scientists - watch PMQs live




20 January 2021 • 12:32pm

The Home Secretary has tried to shift blame for the country's high death toll onto scientific advisers, after data suggested the UK has the world's worst daily death rate.
Statistics published yesterday by Our World in Data, an Oxford University research platform, showed that the UK now has the worst seven-day average of new daily Covid-19 deaths per million people - a rate of 16.54 per 1,000,000.
Priti Patel told BBC Breakfast "there is no one reason as to why we have an appalling death toll", arguing that "co-morbidities" have made some people "more susceptible to this virus".
But when challenged over several of the UK Government's actions - such as locking down too late, PPE supply issues, problems with Test and Trace in the spring and not closing the borders - she said: "I don't think that is right way to contextualise this at all."
Ms Patel added: "Government has listened to a range of advice, and followed advice, from professionals and advisers, medical, scientific, from day one in this pandemic.
"When it comes to border measures... scientists advised us at the time when coronavirus was incredibly high it would not have made any difference to take border measures... When it came to lockdown, again, we listened to the advice."
She stressed it was not "the time to talk about mismanagement", saying there would be an opportunity in the future to "look back... with a degree of humility" at what could have been done differently.
 
A lack of preparedness, which was a global phenomenon, is the only thing to revisit. And even that isn't really a blame game.

Alleviate the problem, assess the response, build a proper response for future situations. Even that will need improvement whenever it is utilized.

Just to use a story to illustrate the pre Covid thinking, our provincial government had a disaster recovery plan that called for all ministries to move to new buildings in the event of a disaster. There was nothing in place to separate people. It was 3-4 months of scrambling to implement the tech to have everyone operational from home.

Now we face the deglobalization process accelerated.
 
A lack of preparedness, which was a global phenomenon, is the only thing to revisit. And even that isn't really a blame game.

Alleviate the problem, assess the response, build a proper response for future situations. Even that will need improvement whenever it is utilized.

Just to use a story to illustrate the pre Covid thinking, our provincial government had a disaster recovery plan that called for all ministries to move to new buildings in the event of a disaster. There was nothing in place to separate people. It was 3-4 months of scrambling to implement the tech to have everyone operational from home.

Now we face the deglobalization process accelerated.

I think it is no a one size fits all situation, Taiwan was hit badly by SARS ( another strain of covid) They and Korea built in preparedness to their culture, their is also VERY slowly emerging evidence that because they eventually built immunity to SARS into their community, that they have more resilient immune system, they also figured out to defend their older community first as their immunity deteriorates with age.

The UK has relied on models TOO much and has made a (insert **** here ) up of the best way to defend against the virus.

The Germans got it right the first time, but covid fatigue set in and they have a ripe population with extremly small immunity ready to infect.

Therefore I do blame the total lack of leadership by the political class, the senior scientist, PHE and the top of the NHS. They learnt a lesson the first time Feb-July and did not prepare for the second wave, there were plenty of measures that could have been taken but may have been too controversial.
 
There were some key decisions to make. Close the borders or not. Close the pubs and restaurants or not, Close schools, lockdown early and stay locked. Impose mask wearing. Keep non essential retail open or not. Restrict travel within the UK.
 
Everyone is an expert.

My daughter just texted this to me:

Jesus. We lost 5 of the 11 covid patients on my half of the unit last night. This made it 7 out of 20 covid patients to die in the last 24 hours from my little 24 bed ICU.
 
Everyone is an expert.

My daughter just texted this to me:

Jesus. We lost 5 of the 11 covid patients on my half of the unit last night. This made it 7 out of 20 covid patients to die in the last 24 hours from my little 24 bed ICU.

I am sorry to hear this, she should not have to experience this, hopefully she will see better times ahead. Giver her our fondest regards
 
Priti Patel said she wanted the borders closed in March but the govt kept them open on science advice which suggested it wouldnt make any difference. I remember Hancock bring quizzed over it at a briefing and he gave the same answer...advice shows it will have no benefit ....or words to that effect.
So borders ....wrong decision
Schools .....wrong
Masks .....wrong
Pubs and restaurants...wrong
Carehomes....wrong
Lockdown...too late
Lockdown relax at Christmas.....wrong.

That's why we had the highest deaths in the UK in one day today...over 1800 and we have the highest deaths per million in the world.

















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