The World Health Organization reviews EG.5 COVID-19 variant status and what it means for public health

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The World Health Organization has brought attention to the EG.5 variant of COVID-19, noting that risk of spread may rise in many regions while current evidence does not indicate a higher likelihood of severe illness leading to more hospitalizations. The assessment reflects ongoing monitoring of how new viral forms behave and how they interact with population immunity built from prior infections and vaccines.

In a recent update, the United Nations health authority described EG.5 as a strain derived from the XBB.1.9.2 lineage, first observed in February of this year. The variant was placed under surveillance in mid July and has since been categorized as a variant of interest due to its growth dynamics and potential immune escape properties. This classification helps health agencies focus on studies that track transmission patterns and the effectiveness of existing vaccines and treatments.

Experts note that EG.5 shows a higher prevalence and growth advantage compared with some predecessors, along with traits that can help it partially evade immune responses. Despite these characteristics, there has not been a demonstrated change in disease severity to date. In several countries, including Japan and South Korea, rising hospitalization rates associated with COVID-19 have occurred, but researchers have not established a direct link to EG.5 growth alone. The WHO emphasizes continued vigilance to determine whether observed increases are driven by the variant itself, waning immunity, or other factors such as behavior and testing practices.

At the same time, WHO cautions that the growth advantage and immune escape properties of EG.5 can contribute to more infections in communities where vaccines and prior infections have offered partial protection. When a variant becomes more common, it can become the dominant circulating strain in some places and may influence overall case counts even if the illness remains manageable for most people. Public health authorities urge continued monitoring and vaccination where appropriate to reduce risk and protect vulnerable groups.

Compared with earlier sublineages, EG.5 carries a key spike protein mutation known as F456L, a change that differentiates it from its parental variants XBB.1.9.2 and XBB.1.5. Within the lineage, the EG.5.1 subvariant has an additional Q52H mutation in the spike protein and accounts for a large share of identified sequences. The distribution of EG.5 shows a global pattern with noticeable activity across multiple regions, underscoring the importance of international collaboration in tracking and understanding this evolving virus.

Global surveillance shows a steady rise in EG.5 activity over recent weeks. For a specific reporting window, the variant comprised a meaningful fraction of detected cases, signaling a trend that warrants attention from health systems. Country by country, sequencing data reveal varying levels of EG.5 presence, with substantial contributions from several major nations. This information assists laboratories, clinicians, and public health decision-makers in calibrating responses, including vaccination campaigns, testing strategies, and resource planning.

As more sequence data become available from diverse regions, scientists can better estimate transmission dynamics and potential impacts on healthcare demand. The overarching message from health authorities remains clear: staying up to date with vaccination, maintaining good infection prevention practices, and continuing genomic surveillance are essential components of a robust public health response. This approach helps communities prepare for possible shifts in the virus landscape while prioritizing safety and resilience across health care systems.

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