#Epitwitter and others @trvrb @K_G_Andersen @ChristoPhraser is there any evidence yet to support (or refute) existence of genetic differences in transmissibility or case-severity in SARS-CoV-2?
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Als antwoord op @mlipsitch @trvrb en
Not yet, though many groups are looking into this. Spike D614G is the most interesting, but no clear evidence that it’s more transmissible or causes severe disease. Takes a non-trivial amount of phylogenetic, clinical, and experimental data to test.
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Als antwoord op @NathanGrubaugh @trvrb en
not surprised it is actively being looked at. I have not followed that discussion so helpful to have an update - thank you! I guess transmission pairs are too rare (and biased) to do heritability analyses....
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Als antwoord op @mlipsitch @NathanGrubaugh en
Glad to be a witness to this exchange, too.
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Als antwoord op @NAChristakis @mlipsitch en
There's too little good metadata to make any good conclusions thus far, but based on current data, there's nothing to suggest there are any differences (same as prior). D614G as Nate mentioned, might have a skew towards slightly lower Ct (<1/2 log) [...] 1/2
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and may also be slightly skewed towards higher proportion of younger people, so CFR estimates would have to be age-stratified (but I don't think we'll see a diff). The "it transmits better" hypothesis I don't buy-it's likely due to founder. R0 also appear same for D614 and G614.
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