Those were the charming names scientists proposed for a new variant of the coronavirus that was identified in South Africa. The convoluted strings of letters, numbers and dots are deeply meaningful for the scientists who devised them, but how was anyone else supposed to keep them straight? Even the easiest to remember, B.1.351, refers to an entirely different lineage of the virus if a single dot is missed or misplaced.
The naming conventions for viruses were fine as long as variants remained esoteric topics of research. But they are now the source of anxiety for billions of people. They need names that roll off the tongue, without stigmatizing the people or places associated with them.
“What’s challenging is coming up with names that are distinct, that are informative, that don’t involve geographic references and that are kind of pronounceable and memorable,” said Emma Hodcroft, a molecular epidemiologist at the University of Bern in Switzerland. “It sounds kind of simple, but it’s actually a really big ask to try and convey all of this information.”
The solution, she and other experts said, is to come up with a single system for everyone to use but to link it to the more technical ones scientists rely on. The World Health Organization has convened a working group of a few dozen experts to devise a straightforward and scalable way to do this.
“This new system will assign variants of concern a name that is easy to pronounce and recall and will also minimize unnecessary negative effects on nations, economies and people,” the W.H.O. said in a statement. “The proposal for this mechanism is currently undergoing internal and external partner review before finalization.”
The W.H.O.’s leading candidate so far, according to two members of the working group, is disarmingly simple: numbering the variants in the order in which they were identified — V1, V2, V3 and so on.
“There are thousands and thousands of variants that exist, and we need some way to label them,” said Trevor Bedford, an evolutionary biologist at the Fred Hutchinson Cancer Research Center in Seattle and a member of the working group.
Naming diseases was not always so complicated. Syphilis, for example, is drawn from a 1530 poem in which a shepherd, Syphilus, is cursed by the god Apollo. But the compound microscope, invented around 1600, opened up a hidden world of microbes, allowing scientists to start naming them after their shapes, said Richard Barnett, a historian of science in Britain.
Still, racism and imperialism infiltrated disease names. In the 1800s, as cholera spread from the Indian subcontinent to Europe, British newspapers began calling it “Indian cholera,” depicting the disease as a figure in a turban and robes.
“Naming can very often reflect and extend a stigma,” Dr. Barnett said.
In 2015, the W.H.O. issued best practices for naming diseases: avoiding geographic locations or people’s names, species of animal or food, and terms that incite undue fear, like “fatal” and “epidemic.”
“You can’t track something you can’t name,” said Oliver Pybus, an Oxford evolutionary biologist who helped design the Pango system.
Scientists name variants when changes in the genome coincide with new outbreaks, but they draw attention to them only if there is a change in their behavior — if they transmit more easily, for instance (B.1.1.7, the variant first seen in Britain), or if they at least partly sidestep the immune response (B.1.351, the variant detected in South Africa).
Encoded in the jumbled letters and digits are clues about the variant’s ancestry: The “B.1,” for instance, denotes that those variants are related to the outbreak in Italy last spring. (Once the hierarchy of variants becomes too deep to accommodate another number and dot, newer ones are given the next letter available alphabetically.)
But when scientists announced that a variant called B.1.315 — two digits removed from the variant first seen in South Africa — was spreading in the United States, South Africa’s health minister “got quite confused” between that and B.1.351, said Tulio de Oliveira, a geneticist at the Nelson Mandela School of Medicine in Durban and a member of the W.H.O.’s working group.
“We have to come up with a system that not only evolutionary biologists can understand,” he said.
With no easy alternatives at hand, people have resorted to calling B.1.351 “the South African variant.” But Dr. de Oliveira pleaded with his colleagues to avoid the term. (Look no further than the origins of this very virus: Calling it the “China virus” or the “Wuhan virus” fed into xenophobia and aggression against people of East Asian origin all over the world.)
The potential harms are grave enough…