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Peer reviewedOpen accessSARSCOVID-19

Early Detection and Surveillance of the SARS-CoV-2 Variant BA.3.2 — Worldwide, November 2024–February 2026

MMWR. Morbidity and Mortality Weekly Report·

Mila Shakya, Kevin C. Ma, Laura J. Hughes, Casey Smith, Lydia J. Atherton, Alexandria B. Boehm, Peter W. Cook, Daniel M. Cornforth, Meredith Gardner, Iryna V. Goraichuk, Jennifer L. Harcourt, Heather Hicks, Marc Johnson, Anna Kelleher, Heather E. Reese, Susanna J. Sabin, Teresa C. Smith, Azaibi Tamin, Marlene K. Wolfe, Benjamin J. Silk, Clinton R. Paden, Natalie Thornburg, Adam MacNeil

DOI
10.15585/mmwr.mm7510a1
PMID
41855090
PMCID
PMC13001989
OpenAlex
W7138897645
Study type
Journal article
Publisher
Centers for Disease Control MMWR Office
Article type
journal-article
Integrity
current

Why this research matters now

Persistent monitoring remains necessary to evaluate whether genetic shifts could diminish immunity from past exposures or shots, especially considering the ongoing global disease burden.

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Structured evidence summary

Research question

What are the initial detection patterns, geographic distribution, and genetic characteristics of the SARS-CoV-2 variant BA.3.2?

Study design

An observational surveillance report compiling data from international travel screening, clinical diagnostics, and environmental wastewater monitoring.

Population and setting

A global scope encompassing at least twenty-three nations, with detailed tracking within the United States involving travelers, clinical patients, and wastewater networks across multiple states.

Main findings

The variant initially emerged in South Africa during late 2024 and has since appeared across numerous countries. Domestic monitoring revealed instances among returning passengers, individual patients, and environmental samples throughout early 2026. Genomic analysis reveals extensive spike protein alterations compared to strains incorporated into recent immunization formulations.

Public-health relevance

Persistent monitoring remains necessary to evaluate whether genetic shifts could diminish immunity from past exposures or shots, especially considering the ongoing global disease burden.

Important limitations

Detection relies heavily on targeted screening initiatives and voluntarily submitted samples, which may limit comprehensive representation of broader community circulation.

GIDS interpretation

This record establishes an initial reference point for tracking a novel viral lineage, offering foundational context for future epidemiological assessments without suggesting active outbreak validation.

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Related GIDS surveillance

Literature context does not validate, explain, or change a surveillance signal. Exact and contextual relationships are shown separately.

03

Evidence relationships

This article has 12 auditable classifier relationships to diseases, places, topics, and study design.

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