“…The Omicron variant and its emerging sublineages, (e.g., BA.1 and BA.2) are characterized by an increased number of mutations in the spike gene (>30 amino acid substitutions) that allow for evasion of vaccine-induced immunity, along with specific changes outside of the spike gene, (e.g., non-structural and nucleocapsid genes) that may play important roles in facilitating viral replication [ 11 , 12 , 13 ]. Omicron VOCs have been associated with reduced pathogenesis in animal model systems [ 14 , 15 , 16 ], but higher rates of transmission compared to the Delta variant [ 17 , 18 , 19 ]. Evaluating SARS-CoV-2 sequencing data along with patient status information may provide insights into drivers of viral evolution in this particularly vulnerable population.…”