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What Are Nimbus and Stratus?
Importantly, there is no evidence so far that these subvariants cause more severe disease than earlier Omicron variants. However, their growth advantage allows them to outcompete older strains, leading to noticeable increases in cases.
Why Are Cases Rising Again?
The surge associated with Nimbus- and Stratus-like subvariants is driven by a combination of factors:
- Waning immunity: Protection from prior infection or vaccination decreases over time, especially against infection (though protection against severe disease remains stronger).
- Increased transmissibility: Small genetic changes can make the virus better at infecting human cells.
- Behavioral shifts: Reduced masking, increased travel, and more indoor gatherings provide more opportunities for spread.
- Seasonal effects: Respiratory viruses tend to circulate more efficiently during cooler months or when people spend more time indoors.
Symptoms and Severity
Symptoms linked to these newer subvariants remain broadly similar to other Omicron strains. Common reports include:
- Sore throat
- Nasal congestion or runny nose
- Fatigue
- Headache
- Mild cough
- Fever (less common than in earlier pandemic waves)
Most cases are mild to moderate, particularly in people with some level of existing immunity. Older adults, immunocompromised individuals, and those with chronic conditions remain at higher risk for severe outcomes.
Impact on Vaccines and Treatments
Public health experts continue to emphasize the importance of:
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