A person wearing a face mask to curb the spread of COVID-19 is silhouetted against B.C. Place stadium while walking over a pedestrian bridge on False Creek, in Vancouver, on Friday, April 2, 2021. THE CANADIAN PRESS/Darryl Dyck

A person wearing a face mask to curb the spread of COVID-19 is silhouetted against B.C. Place stadium while walking over a pedestrian bridge on False Creek, in Vancouver, on Friday, April 2, 2021. THE CANADIAN PRESS/Darryl Dyck

Experts say COVID variants likely make up 40% of B.C.’s cases, double what officials have disclosed

The B.1.1.7 variant alone makes up a third of B.C.’s cases. It’s expected to reach 60%, catching up with Ontario in about a month.

British Columbia is severely under-reporting the number of COVID-19 cases that are variants of concern, limiting the public’s awareness of the threat, experts say.

Sarah Otto, a University of British Columbia professor who has done COVID-19 modelling, said the province’s reliance on time-consuming whole-genome sequencing to confirm variant cases is not necessary.

She said the PCR test used to identify all COVID-19 cases in the province already detects a mutation that the three major variants of concern have in common. B.C. could also adopt a newer method to distinguish between the variants as part of the test, she added.

Instead, the province only reports cases once they’ve been confirmed through whole-genome sequencing. Otto said she doesn’t believe B.C. has the capacity to sequence all presumptive variant cases identified by the PCR test, and is under-reporting them as a result.

Sharing timely, complete information about these more-transmissible variants would help enlist more B.C. residents in the “concerted effort” needed to curb the spread, Otto said.

“If a patient comes into the hospital and knows it’s a variant, then you already know the person is at basically double the risk, and so doctors should be treating the cases more cautiously,” she said.

“As well, if you just got it and you realize you’re carrying a variant, people may just be that much more cautious in the way that we want.”

B.C. has reported 3,766 cases that are variants of concern to date, including 2,837 of the B.1.1.7 variant first identified in the United Kingdom, 51 of the B. 1.351 strain first detected in South Africa and 878 of the P. 1 variant first found in Brazil.

Provincial health officer Dr. Bonnie Henry said Tuesday that 266 variant cases are active, just three per cent of overall active cases.

However, in the same briefing, she also said the B.1.1.7 variant makes up a third of B.C.’s cases and she expects it to reach 60 per cent, catching up with Ontario, in about a month.

Jens von Bergmann, a mathematician who does data analysis, said the three per cent figure is a “meaningless” number. The province is not sequencing all variant cases, and for those it does sequence, they are likely no longer active by the time the work is done, he said.

He said B.1.1.7 making up a third of B.C.’s infections sounds more accurate, although he suspected that data was a week or two old. Both he and Otto believe variant cases represent about 50 per cent of current infections in the province.

A preprint paper done by BC Centre for Disease Control scientists shows that publicly reported figures of variants of concern are lower than those captured by the PCR test.

The paper, recently posted on a public server ahead of formal peer review, says that 23 presumptive variant cases were identified by the PCR test the week of Jan. 31, representing just over one per cent of infections.

For the week of Feb. 28, there were 434 presumptive variant cases, or 12.2 per cent of infections, the paper says.

The authors of the paper concluded that there was a “high concordance” between PCR testing and whole-genome sequencing, and that a combined testing approach was feasible.

The BC Centre for Disease Control did not immediately respond to requests for comment.

In contrast with the figures in the paper, Henry and Health Minister Adrian Dix reported that the province had only seen 14 variant cases by the end of January, with that number growing to 158 by the end of February.

On March 25, Henry said the percentage of variant cases was in the “high teens” to “early 20s.”

Otto and von Bergmann both said that given the exponential growth of variants of concern, it’s likely that they now account for about half of active cases.

Henry said Tuesday the province screens about 90 per cent of positive tests for the mutation associated with the three major variants of concern. All of the samples that contain the mutation undergo whole-genome sequencing, she said.

Otto said she believed that Henry’s remarks were based on outdated information.

“I know that they intended to sequence everything that had come up as a variant. That was possible when it was just a few cases or a few hundred cases. But we’re getting into the region where it’s a few thousand cases a week,” she said.

Ontario reports daily on the variant cases identified by PCR testing. It is able to detect cases involving B.1.1.7 based on the test alone, but must do whole-genome sequencing to distinguish between P. 1 and B. 1.351.

Henry said reporting variants of concern based on the PCR test would provide an “inflated” figure because other variants also contain the mutation that the three major ones share.

But von Bergmann noted that the BC Centre for Disease Control paper showed that one out of 23 presumptive variants of concern identified by the PCR test was found to be a non-variant of concern following whole-genome sequencing.

At the same time, he pointed out, another one of those 23 could not undergo sequencing because there wasn’t enough genetic material.

“It cuts both ways and we are giving an extremely deflated count right now.”

Coronavirus

Get local stories you won't find anywhere else right to your inbox.
Sign up here

Just Posted

Guinevere, lovingly referred to by Jackee Sullivan and her family as Gwenny, is in need of a gynecological surgery. The family is raising money to help offset the cost of the procedure. (Jackee Sullivan/Special to Langley Advance Times)
Langley lizard’s owners raise funds for gynaecological surgery

The young reptile is scheduled for operation on Tuesday

Essie Boelema, a 17-year-old lavender farmer, is passionate about the plant. (Screenshot/Special to The Star)
VIDEO: Langley lavender growers say season soon to be in full bloom

Family-owned farm marks five years by preparing for a summer of sales, tours, and growth

Mounties say they “corralled” four Ford Mustangs April 4 after an officer saw the muscle cars racing down 184 Street near 53 Avenue at about 10 p.m. (File Photo)
Mounties impound four Mustangs

Surrey RCMP say they seized four cars for street racing

Work was underway on the interior of the new Tennis Centre location in Langley. Popularity of the sport has risen during the pandemic (Special to Langley Advance Times)
Tennis business expands into Langley

‘Busiest we’ve ever been’ says manager

Conservative leader Erin O’Toole holds a press conference on Parliament Hill in Ottawa on Tuesday, April 6, 2020. Top Tory leaders of past and present will speak with supporters today about what a conservative economic recovery from COVID-19 could look like. THE CANADIAN PRESS/Sean Kilpatrick
O’Toole to vote against Conservative MP’s private bill on ‘sex-selective abortion’

Erin O’Toole said he supports a woman’s right to choose and will personally vote against the private member’s bill

Burnaby MLA Raj Chouhan presides as Speaker of the B.C. legislature, which opened it spring session April 12 with a speech from the throne. THE CANADIAN PRESS
B.C. NDP promises more health care spending, business support

John Horgan government to ‘carefully return to balanced budgets’

—Image: contributed
Indoor wine tastings still allowed in B.C., not considered a ‘social gathering’

“Tasting is really just part of the retail experience. The analogy I use is you wouldn’t buy a pair of pants without trying them on.”

A sign on a shop window indicates the store is closed in Ottawa, Monday March 23, 2020. The Canadian Federation of Independent Business is raising its estimate for the number of businesses that are considering the possibility of closing permanently. THE CANADIAN PRESS/Adrian Wyld
Small business struggling amid COVID-19 pandemic looks for aid in Liberals’ budget

President Dan Kelly said it is crucial to maintain programs to help businesses to the other side of the pandemic

Cannabis bought in British Columbia (Ashley Wadhwani/Black Press Media)
Is it time to start thinking about greener ways to package cannabis?

Packaging suppliers are still figuring eco-friendly and affordable packaging options that fit the mandates of Cannabis Regulations

The National Security and Intelligence Committee of Parliamentarians says that includes attempts to steal Canadian research on COVID-19 and vaccines, and sow misinformation. (AP Photo/Esteban Felix)
Intelligence committee warns China, Russia targeting Canadian COVID-19 research

Committee also found that the terrorist threat to Canada has shifted since its last such assessment

Parliament Hill is viewed below a Canada flag in Gatineau, Quebec, Friday, Sept. 18, 2020. A new poll suggests most Canadians are feeling more grateful for what they have in 2020 as a result of COVID-19 pandemic.THE CANADIAN PRESS/Sean Kilpatrick
Canada’s greenhouse gas emissions increased slightly in 2019: report

2019 report shows Canada emitted about one million tonnes more of these gases than the previous year

Part of the massive mess left behind in a Spallumcheen rental home owned by Wes Burden, whose tenants bolted from the property in the middle of the night. Burden is now facing a hefty cleaning and repair bill as a result. (Photo submitted)
Tenants disappear in the night leaving Okanagan home trashed with junk, feces

Spallumcheen rental rooms filled with junk, human and animal feces; landlord scared to rent again

Dr. E. Kwok administers a COVID-19 vaccine to a recipient at a vaccination clinic run by Vancouver Coastal Health, in Richmond, B.C., Saturday, April 10, 2021. THE CANADIAN PRESS/Jonathan Hayward
B.C. to register people ages 40+ for COVID-19 vaccines in April

Appointments are currently being booked for people ages 66 and up

Most Read