• Home
  • Latest
  • Fortune 500
  • Finance
  • Tech
  • Leadership
  • Lifestyle
  • Rankings
  • Multimedia

Trendingnow

1

The millennial generation has split, new Fed research shows: Those over 35 are edging toward boomer-style wealth, while everyone else falls behind

2

Mark Cuban says he has the solution to growing income inequality, and it's to reward every employee—from CEO to janitor—with company stock

3

Scott Bessent casually says the U.S. has more than $1 trillion in gold—and that it doesn’t matter for the dollar

1

The millennial generation has split, new Fed research shows: Those over 35 are edging toward boomer-style wealth, while everyone else falls behind

2

Mark Cuban says he has the solution to growing income inequality, and it's to reward every employee—from CEO to janitor—with company stock

3

Scott Bessent casually says the U.S. has more than $1 trillion in gold—and that it doesn’t matter for the dollar
HealthCoronavirus

What’s CH.1.1? Meet ‘Orthrus,’ a new wildcard Omicron strain with a concerning Delta mutation

By
Erin Prater
Erin Prater
Down Arrow Button Icon
By
Erin Prater
Erin Prater
Down Arrow Button Icon
January 27, 2023, 4:42 PM ET
CH.1.1 is an Omicron with a concerning Delta mutation—not quite a "Deltacron," but still potentially concerning, experts say.
CH.1.1 is an Omicron with a concerning Delta mutation—not quite a "Deltacron," but still potentially concerning, experts say.Fortune
Add Fortune on Google for similar content.

Omicron spawn XBB.1.5, also known as “Kraken,” now dominates the U.S. COVID variant scene, comprising an estimated 61% of cases, according to federal health data released Friday.

But there’s now a new player being tracked by the U.S. Centers for Disease Control and Prevention that could give Kraken a run for its money. CH.1.1, or “Orthrus,” was estimated to comprise 1.5% of U.S. cases as of Friday. Another Omicron spawn, it was named after a mythical two-headed cattle dog killed by Hercules, by Australian variant tracker Mike Honey.

Not much is known about the relatively new strain, levels of which have been rising globally since November. Like other “high flying” COVID variants, it has the potential to be more transmissible, evade immunity from vaccine and infection, and cause more severe disease. 

What’s more, it features a concerning mutation seen in the deadly Delta variant that generally isn’t seen in Omicrons—one that could make it even more daunting of a foe. While CH.1.1 isn’t a “Deltacron”—a recombinant, or combination, of Delta and Omicron—it’s a prime example of convergent evolution, a process through which COVID variants evolve independently but pick up the same mutations.

It’s anyone’s best guess as to how CH.1.1 will play out in various countries throughout the world, including the U.S., Dr. Michael Osterholm, director of the University of Minnesota’s Center for Infectious Disease Research and Policy (CIDRAP), tells Fortune.

“I don’t think we have a real sense of what variants to be concerned about and which not to be,” he says. 

Case in point: XBB.1.5, which “started out looking like it was going to be a very serious challenge, in terms of COVID” in the U.S. But after attaining dominance in the Northeast, “it just began to peter out throughout the rest of the country,” where it hasn’t risen as swiftly, he says.

“We’ve seen this before: What might appear to be a challenging variant turns out not to be a real challenge.”

The bottom line, according to Osterholm: Anyone who thinks they can tell you what the future of the pandemic looks like—and make no mistake, we’re still in a pandemic, he says—“probably has a bridge to sell you.”

Lack of crystal ball aside, here’s what we know about the variant under monitoring by the World Health Organization.

Where and when was it discovered?

CH.1.1 emerged in Southeast Asia this fall and is now responsible for more than a quarter of infections in parts of the United Kingdom and New Zealand, according to a preprint paper released last week by researchers at Ohio State University.

Its prevalence has risen sharply since November, and it now comprises about 10% of COVID samples sequenced each day around the globe, according to outbreak.info, a community repository of COVID information.

The variant is among those being monitored by the WHO, the international health organization said in a Wednesday report.

What countries has it been located in?

New Zealand is seeing the bulk of CH.1.1 cases right now, according to outbreak.info. There, it’s responsible for more than a third of sequenced cases. Other hotspots include Hong Kong and Papua New Guinea—it comprises around a quarter of cases in each country. It’s behind slightly less than a fifth of cases in Cambodia and Ireland.

Why is it so concerning?

XBB.1.5 continues to be the most transmissible COVID strain yet, according to a Jan. 19 report from variant tracker Cornelius Romer, computational biologist at the University of Basel in Switzerland, and others. But CH.1.1 is worth watching, he says. Like XBB.1.5, it’s highly transmissible, with levels doubling every two weeks or so.

CH.1.1 also binds well to ACE2 receptors, the site where COVID infects human cells, according to Ohio State researchers. That means it has the potential to override—at least partially—antibody immunity from prior infection and vaccination, as well as to cause more severe disease. It may be able to out-perform other competitive Omicron strains in these arenas due to a concerning L452R mutation seen in Delta, but generally not in Omicron.

The Ohio State researchers used a lab-created version of CH.1.1 and examined how well serum from 14 healthcare workers—who had received between two and four doses of the original vaccine, and the new Omicron booster—neutralized it. They found that the workers’ sera created 17 times fewer antibodies against CH.1.1 as they did against BA.4 and BA.5.

CH.1.1 and another new variant, CA.3.1, are more immune evasive than XBB and BQ subvariants, the researchers wrote, calling the finding “astonishing.”

How did it evolve?

CH.1.1 is a descendent of BA.2.75, a variant that was dubbed “Centaurus” this summer but eventually fizzled out.

Most dominant COVID strains right now are descendents of either BA.5, which swept the world this summer, or BA.2.75. The variant “family” is important to note, experts say, as recent exposure to BA.2.75 or BA.5—or one of their spawn—may offer some temporary protection against infection from that family.

For example: If you were recently exposed to a BA.5 variant, you may be less vulnerable to new BA.5 variants for a time, but more vulnerable to BA.2.75 variants, and vice versa. (Of note, XBB.1.5 is also a descendent of BA.2.75.)

But with COVID, there are exceptions to every rule, it seems: Japan just saw back-to-back BA.5 waves that caused deaths there to skyrocket to an all-pandemic high, Osterholm notes.

Will the new Omicron COVID booster protect me?

Protection offered by the original COVID vaccine is waning, the Ohio State researchers wrote. They recommended the new Omicron booster but noted that it will offer less protection against CH.1.1 and CA.3.1 than it will against other variants like XBB and BQ.1.1.

Learn how to navigate and strengthen trust in your business with The Trust Factor, a weekly newsletter examining what leaders need to succeed. Sign up here.

About the Author
By Erin Prater
See full bioRight Arrow Button Icon
Add Fortune on Google for similar content.

Latest in Health

Finance
Lorem ipsum dolor sit amet, consectetur adipiscing elit, sed do eiusmod tempor incididunt ut labore et dolore magna aliqua. Ut enim ad minim veniam
By Fortune Editors
October 20, 2025
Finance
Lorem ipsum dolor sit amet, consectetur adipiscing elit, sed do eiusmod tempor incididunt ut labore et dolore magna aliqua. Ut enim ad minim veniam
By Fortune Editors
October 20, 2025
Finance
Lorem ipsum dolor sit amet, consectetur adipiscing elit, sed do eiusmod tempor incididunt ut labore et dolore magna aliqua. Ut enim ad minim veniam
By Fortune Editors
October 20, 2025
Finance
Lorem ipsum dolor sit amet, consectetur adipiscing elit, sed do eiusmod tempor incididunt ut labore et dolore magna aliqua. Ut enim ad minim veniam
By Fortune Editors
October 20, 2025
Finance
Lorem ipsum dolor sit amet, consectetur adipiscing elit, sed do eiusmod tempor incididunt ut labore et dolore magna aliqua. Ut enim ad minim veniam
By Fortune Editors
October 20, 2025
Finance
Lorem ipsum dolor sit amet, consectetur adipiscing elit, sed do eiusmod tempor incididunt ut labore et dolore magna aliqua. Ut enim ad minim veniam
By Fortune Editors
October 20, 2025

Most Popular

Finance
Lorem ipsum dolor sit amet, consectetur adipiscing elit, sed do eiusmod tempor incididunt ut labore et dolore magna aliqua. Ut enim ad minim veniam
By Fortune Editors
October 20, 2025
Finance
Lorem ipsum dolor sit amet, consectetur adipiscing elit, sed do eiusmod tempor incididunt ut labore et dolore magna aliqua. Ut enim ad minim veniam
By Fortune Editors
October 20, 2025
Finance
Lorem ipsum dolor sit amet, consectetur adipiscing elit, sed do eiusmod tempor incididunt ut labore et dolore magna aliqua. Ut enim ad minim veniam
By Fortune Editors
October 20, 2025
Finance
Lorem ipsum dolor sit amet, consectetur adipiscing elit, sed do eiusmod tempor incididunt ut labore et dolore magna aliqua. Ut enim ad minim veniam
By Fortune Editors
October 20, 2025
Finance
Lorem ipsum dolor sit amet, consectetur adipiscing elit, sed do eiusmod tempor incididunt ut labore et dolore magna aliqua. Ut enim ad minim veniam
By Fortune Editors
October 20, 2025
Finance
Lorem ipsum dolor sit amet, consectetur adipiscing elit, sed do eiusmod tempor incididunt ut labore et dolore magna aliqua. Ut enim ad minim veniam
By Fortune Editors
October 20, 2025
Fortune Secondary Logo
Rankings
  • 100 Best Companies
  • Fortune 500
  • Global 500
  • Fortune 500 Europe
  • Most Powerful Women
  • World's Most Admired Companies
  • See All Rankings
  • Lists Calendar
Sections
  • Finance
  • Fortune Crypto
  • Features
  • Leadership
  • Health
  • Commentary
  • Success
  • Retail
  • Mpw
  • Tech
  • Lifestyle
  • CEO Initiative
  • Asia
  • Politics
  • Conferences
  • Europe
  • Newsletters
  • Personal Finance
  • Environment
  • Magazine
  • Education
Customer Support
  • Frequently Asked Questions
  • Customer Service Portal
  • Privacy Policy
  • Terms Of Use
  • Single Issues For Purchase
  • International Print
Commercial Services
  • Advertising
  • Fortune Brand Studio
  • Fortune Analytics
  • Fortune Conferences
  • Business Development
  • Group Subscriptions
About Us
  • About Us
  • Press Center
  • Work At Fortune
  • Terms And Conditions
  • Site Map
  • About Us
  • Press Center
  • Work At Fortune
  • Terms And Conditions
  • Site Map
  • Facebook icon
  • Twitter icon
  • LinkedIn icon
  • Instagram icon
  • TikTok icon
  • YouTube icon

Latest in Health

mm
CommentaryLeadership
Michael Muthukrishna: The ‘lone genius’ myth is wrong and it’s holding back your business
By Michael MuthukrishnaJuly 23, 2026
4 hours ago
glp
Commentaryobesity
The GLP-1 paradox: too expensive to cover, too effective to cut
By Bryan Sivak and Elina OnitskanskyJuly 23, 2026
4 hours ago
Hasbro’s growth strategy isn’t just about kids anymore—it’s about ‘kidults’
Healthchief executive officer (CEO)
Hasbro’s growth strategy isn’t just about kids anymore—it’s about ‘kidults’
By Phil WahbaJuly 23, 2026
9 hours ago
The Top Fitness and Wellness Gifts (2026): For the Busy Gym-Goer in Your Life
HealthFitness
The Top Fitness and Wellness Gifts (2026): For the Busy Gym-Goer in Your Life
By Christina SnyderJuly 22, 2026
19 hours ago
An Ebola healthcare worker is assisted putting on protective equipment in a treatment center.
HealthEbola
Nearly 1,000 people dead from Ebola outbreak in Congo amid health worker strike
By The Associated Press, Prosper Heri Ngorora and Constant Same BagalwaJuly 22, 2026
23 hours ago
The American Heart Association has a new number for daily coffee—and a warning if you go over it
Successlifestyle
The American Heart Association has a new number for daily coffee—and a warning if you go over it
By Orianna Rosa RoyleJuly 22, 2026
1 day ago

Most Popular

The millennial generation has split, new Fed research shows: Those over 35 are edging toward boomer-style wealth, while everyone else falls behind
Real Estate
The millennial generation has split, new Fed research shows: Those over 35 are edging toward boomer-style wealth, while everyone else falls behind
By Nick LichtenbergJuly 22, 2026
23 hours ago
Mark Cuban says he has the solution to growing income inequality, and it's to reward every employee—from CEO to janitor—with company stock
Success
Mark Cuban says he has the solution to growing income inequality, and it's to reward every employee—from CEO to janitor—with company stock
By Sasha RogelbergJuly 20, 2026
3 days ago
Scott Bessent casually says the U.S. has more than $1 trillion in gold—and that it doesn’t matter for the dollar
Economy
Scott Bessent casually says the U.S. has more than $1 trillion in gold—and that it doesn’t matter for the dollar
By Sasha RogelbergJuly 22, 2026
20 hours ago
Mathematicians grapple with a ‘very rapid and very unsettling change’ as AI cracks yet another century-old problem
AI
Mathematicians grapple with a ‘very rapid and very unsettling change’ as AI cracks yet another century-old problem
By Eva RoytburgJuly 21, 2026
2 days ago
Despite a $156 million contract, Knicks star Jalen Brunson still calls his parents for financial advice any time he makes a big purchase
Success
Despite a $156 million contract, Knicks star Jalen Brunson still calls his parents for financial advice any time he makes a big purchase
By Emma BurleighJuly 21, 2026
2 days ago
OpenAI says its AI models secretly broke out of a secure test environment and hacked into AI company Hugging Face in order to cheat on an evaluation
Cybersecurity
OpenAI says its AI models secretly broke out of a secure test environment and hacked into AI company Hugging Face in order to cheat on an evaluation
By Jeremy Kahn and Emily ForliniJuly 21, 2026
2 days ago

© 2026 Fortune Media IP Limited. All Rights Reserved. Use of this site constitutes acceptance of our Terms of Use and Privacy Policy | CA Notice at Collection and Privacy Notice | Do Not Sell/Share My Personal Information
FORTUNE is a trademark of Fortune Media IP Limited, registered in the U.S. and other countries. FORTUNE may receive compensation for some links to products and services on this website. Offers may be subject to change without notice.