While transmission is unlikely it can't be ruled out. At least 2 Cryptic-like variants have transmitted:
• Early 2022, Iran, 4 patients, ≥1 death (a child)
• From Canary Islands (Dec 2022/Jan 2023) to Spain (Oct 2024), 2 patients, ≥1 death.
bsky.app/profile/ryan...Fascinating 🧵. The grotesquely mutated spike of this NJ Cryptic binds ACE2 very tightly.
It raises a broader question: Can cryptic wastewater-like lineages transmit?
YES
We knew it happened once. Now we know it's happened at least twice. The results in both cases were not pretty. 1/15