The new Omicron strain of COVID-19 could be really bad, and we may not know how bad for weeks

A new variant of SARS-CoV-2, named Omicron, has emerged and is causing global concern. First detected in South Africa, it's spreading quickly across the region and has already been identified in several other countries. This development has led to swift government responses and shaken financial markets over the past few days.

Despite the alarm, our understanding of Omicron is still limited. We don’t yet know how severe it is, whether it spreads more easily, causes more serious illness, or evades immunity. The situation is evolving rapidly, and we’re still gathering data to make sense of it all.

In this update, I’ll walk you through what we currently know, what remains uncertain, when we can expect clarity, and what steps you can take now to protect yourself and your family.

Key Takeaways:

  • Omicron has a heavily mutated genome, which has raised red flags among scientists.
  • We are still in the early stages of understanding its impact — including transmissibility, virulence, and immune evasion.
  • We should have much clearer answers within two weeks.
  • Omicron does not appear to evade PCR or antigen tests — so we can still detect it.
  • It’s not yet widespread in the U.S., but it could become a major issue if it spreads widely.
  • The main fear is that Omicron may overcome existing immunity, potentially overwhelming healthcare systems.
  • Vaccine manufacturers are working on updated shots, but it could take up to 100 days before new vaccines are available.

How to Approach New Variants: Focus on Data, Not Hype

Over the past year, the pandemic has shown us how critical it is to track viral evolution. In a previous article, I outlined three key properties of variants that matter most: increased transmissibility, higher virulence, and immune escape. These remain the same criteria for evaluating Omicron today.

So far, we’ve seen variants like Alpha, Beta, Gamma, and Delta each exhibit one or more of these traits. For example, Delta is highly transmissible, while Beta shows some immune escape. Now, Omicron’s genetic profile suggests it might be different — and possibly more concerning.

What We Know About Omicron: A Highly Mutated Virus

Genome sequencing has revealed that Omicron has over 30 mutations in its spike protein, many of which are unique or previously seen in other variants. It doesn't appear to be a direct descendant of Delta, but rather comes from an older lineage, similar to Beta.

Some experts believe that such a high number of mutations may have arisen in a long-term, immunocompromised infection, which can lead to rapid viral evolution. South Africa, with a significant population of people living with HIV, may be a hotspot for such mutations.

Importantly, there’s no indication that Omicron is evading current diagnostic tests. Both PCR and antigen tests should continue to detect it effectively.

On the ground, Omicron is spreading fast in South Africa, though the full extent of its impact is hard to measure due to limited genomic surveillance. Cases have also been reported in Hong Kong, Israel, Belgium, and other countries, suggesting it may already be more widespread than we realize.

What We Don’t Know: Transmissibility, Virulence, and Immune Escape

There are still many unknowns about Omicron. Is it more contagious than Delta? Does it cause more severe disease? And, most critically, does it evade the immune system — either from vaccination or prior infection?

Early reports have been mixed and sometimes exaggerated. Some claims suggest Omicron is far more infectious or deadly than previous strains, but these are not yet supported by solid data. Until we see clear evidence, it’s best to stay cautious and avoid panic.

As more information comes in, we'll be able to better assess the real risks and adjust our response accordingly.

Global Reaction: Restrictions, Fears, and Market Volatility

Health authorities and governments have responded quickly, with the WHO classifying Omicron as a Variant of Concern. Travel restrictions have been imposed, particularly on southern African countries, and financial markets have reacted with sharp declines, especially in travel and energy sectors.

While travel bans may not stop the spread entirely, they can buy time — crucial time for preparation and policy adjustments. The effectiveness of these measures will depend on how countries use that time.

When Will We Get Answers?

Within the next two weeks, we should have a clearer picture of how Omicron is behaving in South Africa and beyond. Early lab results on vaccine effectiveness and immune evasion are expected soon, and case trends will help us understand its spread.

However, definitive answers on virulence and long-term impact may take longer. As always, staying informed and relying on data will be key.

What If Omicron Evades Immunity?

If Omicron proves to be a strong immune escape variant, it could challenge current vaccines and treatments. But even then, it's unlikely to be completely resistant. Most experts believe it will fall somewhere between Beta and Gamma — partially evading immunity but not entirely.

Even if it reduces the effectiveness of vaccines, we still have treatment options like remdesivir and dexamethasone, and new drugs like Paxlovid and molnupiravir may still work against it.

Pharmaceutical companies are already working on updated vaccines, and mRNA vaccines, in particular, can be adapted quickly. While it may take around 100 days to roll out new versions, that window could give us time to prepare and respond.

What You Can Do Now

The most important takeaway is this: the pandemic isn’t over. Even if Omicron turns out to be less dangerous than feared, we must stay vigilant. Here are a few steps you can take right now:

  • Stay up to date with local health guidelines and consider getting vaccinated or boosted.
  • Keep N95 masks and rapid test kits on hand in case of a surge.
  • Plan ahead for large gatherings or travel, and be ready to adjust plans if needed.
  • Stock up on essentials like food, medicine, and household supplies — just in case.
  • Continue practicing good hygiene, social distancing, and mask-wearing in crowded places.

While we wait for more data, it’s wise to prepare for the worst while hoping for the best. The next few weeks will be critical, and being proactive now can make a big difference in how we handle whatever comes next.

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