
New study retraces Covid's origins to bats in southwest China or northern Laos
The virus that causes Covid-19 followed the same evolutionary path as Sars, a coronavirus that jumped from bats to wildlife to people in the early 2000s, according to an analysis of their genomes.
In a paper published in Cell journal, scientists compared the genomes of 250 coronaviruses to reconstruct how the pathogens evolved over time, potentially offering insights into how Covid-19 spilled into people – an unresolved question that's been thrust back into the spotlight since Donald Trump assumed office.
The researchers found that both Sars viruses were circulating and changing inside bats in southern China and neighbouring countries for hundreds of thousands of years before emerging in humans.
Bats have unusual immune systems which allow them to harbour coronaviruses, allowing them to mix and mutate into something new.
By unpicking this 'recombination' process, the scientists were able to estimate when and where each of the two coronaviruses had emerged in bats.
They found Sars was circulating in western China just one to two years before it jumped into humans in Guangdong, central China.
Sars-Cov-2 followed an 'extremely similar' route, they say. It made its final recombination between 2012 and 2014 in bats in southwest China or northern Laos, five to seven years before sparking a human pandemic Wuhan.
The researchers say it is striking that, in both instances, the virus was circulating in bats hundreds of miles from where humans were first infected.
In the case of Sars, there is strong evidence that wildlife sold in wet markets bridged this geographical gap and carried the virus to humans.
Researchers have previously established that the virus was present in palm civets and other wild mammals for sale in markets at the time of the first Sars outbreak in 2002.
They concluded that it was the wildlife trade which transported the pathogens hundreds of miles, from bat caves to people.
Prof Michael Worobey, head of the department of ecology and evolutionary biology at the University of Arizona and a co-author of the paper, said that 'we're seeing exactly the same pattern with Sars-Cov-2'.
Like Sars, Sars-Cov-2 evolved in bat caves hundreds of miles away from the spot humans were first infected. While the paper does not prove it was transported by the wildlife trade to the wet market around which the first human cases emerged in Wuhan, the authors said parallels between the two pandemics were too striking to be ignored.
'At the outset of the Covid-19 pandemic, there was a concern that the distance between Wuhan and the bat virus reservoir was too extreme for a zoonotic origin,' said Prof Joel Wertheim, a professor of medicine at UC San Diego School of Medicine's division of Infectious Diseases and Global Public Health.
'This paper shows that it isn't unusual and is, in fact, extremely similar to the emergence of Sars-Cov-1 in 2002,' he said.
Analysis 'won't quash the lab leak' theory
The question of how Covid-19 emerged has long been contentious, but tensions have ratcheted up since President Trump assumed his second term in office.
Last month the White House created a website called 'Lab Leak: The True Origin of Covid 19', which suggests the pandemic was caused by human error in a Wuhan lab facility.
Beijing then resurfaced its own conspiracy theory – believed by many in China – that the US's own high security labs were to blame.
Prof Jonathan Ball, a professor of molecular virology at the Liverpool School of Tropical Medicine who was not involved in the paper, praised the new research for showing how the two Sars viruses had evolved. But he added that it could not settle the lab v natural origins debate.
'I sit in favour of the Huannan market [analysis], mainly because of all the other evidence. This paper adds another bit of evidence to that pile,' he said. 'But it's not going to quash the lab leak [hypothesis], and it won't persuade Donald [Trump].'
Prof Stuart Neil, head of the department of Infectious Diseases at King's College London, also said the paper 'can't fill the gap between the bats and the market'.
But he added that the evolution and geography of Sars and Sars-Cov-2 described in the paper clearly showed that both were able to fully emerge of their own accord in nature and that there was no reason it could not happen again.
'What [the paper] reinforces is that you need to control and monitor the most likely flash points for zoonotic emergence,' he said.
Yet some remain sceptical of the idea that the wildlife trade carried the Sars-CoV-2 to Wuhan as happened with Sars in the 2002 outbreak.
'It's a very sophisticated analysis of the evolutionary origins of Sars viruses in their natural reservoir, however the analysis leaves two big gaps,' said Prof Mark Woolhouse, a professor of infectious disease epidemiology at the University of Edinburgh.
'The story [for Covid] stops some years short of 2020, and it also leaves a very big gap in terms of space.
'I don't agree with the inference in the paper that the only plausible way that the virus could have gone from its natural habitat to Wuhan is through the wildlife trade.
'For me, there's no convincing evidence that the animals implicated in the early spread of Sars-Cov-2 [such as racoondogs] were farmed in the region where Sars-Cov-2 is thought to evolve. So for me, the most likely route that it got from one place to the other is via people,' Prof Woolhouse said.

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In her newsletter, on her social media accounts, on her website, in her book and during podcast appearances, the entrepreneur and influencer has at times failed to disclose that she could profit or benefit in other ways from sales of products she recommends. In some cases, she promoted companies in which she was an investor or adviser without consistently disclosing the connection, the AP found. Means, 37, has said she recommends products that she has personally vetted and uses herself. She is far from the only online creator who doesn't always follow federal transparency rules that require influencers to disclose when they have a 'material connection' to a product they promote. Still, legal and ethics experts said those business entanglements raise concerns about conflicting interests for an aspiring surgeon general, a role responsible for giving Americans the best scientific information on how to improve their health. 'I fear that she will be cultivating her next employers and her next sponsors or business partners while in office,' said Jeff Hauser, executive director of the Revolving Door Project, a progressive ethics watchdog monitoring executive branch appointees. The nomination, which comes amid a whirlwind of Trump administration actions to dismantle the government's public integrity guardrails, also has raised questions about whether Levels, a company Means co-founded that sells subscriptions for devices that continuously monitor users' glucose levels, could benefit from this administration's health guidance and policy. Though scientists debate whether continuous glucose monitors are beneficial for people without diabetes, U.S. Health Secretary Robert F. Kennedy Jr. has promoted their use as a precursor to making certain weight-loss drugs available to patients. The aspiring presidential appointee has built her own brand in part by criticizing doctors, scientists and government officials for being 'bought off' or 'corrupt' because of ties to industry. Means' use of affiliate marketing and other methods of making money from her recommendations for supplements, medical tests and other health and dietary products raise questions about the extent to which she is influenced by a different set of special interests: those of the wellness industry. A compelling origin story Means earned her medical degree from Stanford University, but she dropped out of her residency program in Oregon in 2018, and her license to practice is inactive. She has grown her public profile in part with a compelling origin story that seeks to explain why she left her residency and conventional medicine. 'During my training as a surgeon, I saw how broken and exploitative the healthcare system is and left to focus on how to keep people out of the operating room,' she wrote on her website. Means turned to alternative approaches to address what she has described as widespread metabolic dysfunction driven largely by poor nutrition and an overabundance of ultra-processed foods. She co-founded Levels, a nutrition, sleep and exercise-tracking app that can also give users insights from blood tests and continuous glucose monitors. The company charges $199 per year for an app subscription and an additional $184 per month for glucose monitors. Means has argued that the medical system is incentivized not to look at the root causes of illness but instead to maintain profits by keeping patients sick and coming back for more prescription drugs and procedures. 'At the highest level of our medical institutions, there are conflicts of interest and corruption that are actually making the science that we're getting not as accurate and not as clean as we'd want it,' she said on Megyn Kelly's podcast last year. But even as Means decries the influence of money on science and medicine, she has made her own deals with business interests. During the same Megyn Kelly podcast, Means mentioned a frozen prepared food brand, Daily Harvest. She promoted that brand in a book she published last year. What she didn't mention in either instance: Means had a business relationship with Daily Harvest. Growing an audience, and selling products Influencer marketing has expanded beyond the beauty, fashion and travel sectors to 'encompass more and more of our lives,' said Emily Hund, author of 'The Influencer Industry: The Quest for Authenticity on Social Media.' With more than 825,000 followers on Instagram and a newsletter that she has said reached 200,000 subscribers, Means has a direct line into the social media feeds and inboxes of an audience interested in health, nutrition and wellness. Affiliate marketing, brand partnerships and similar business arrangements are growing more popular as social media becomes increasingly lucrative for influencers, especially among younger generations. Companies might provide a payment, free or discounted products or other benefits to the influencer in exchange for a post or a mention. But most consumers still don't realize that a personality recommending a product might make money if people click through and buy, said University of Minnesota professor Christopher Terry. 'A lot of people watch those influencers, and they take what those influencers say as gospel,' said Terry, who teaches media advertising and internet law. Even his own students don't understand that influencers might stand to benefit from sales of the products they endorse, he added. Many companies, including Amazon, have affiliate marketing programs in which people with substantial social media followings can sign up to receive a percentage of sales or some other benefit when someone clicks through and buys a product using a special individualized link or code shared by the influencer. Means has used such links to promote various products sold on Amazon. Among them are books, including the one she co-wrote, 'Good Energy'; a walking pad; soap; body oil; hair products; cardamom-flavored dental floss; organic jojoba oil; a razor set; reusable kitchen products; sunglasses; a sleep mask; a silk pillowcase; fitness and sleep trackers; protein powder and supplements. She also has shared links to products sold by other companies that included 'affiliate' or 'partner' coding, indicating she has a business relationship with the companies. The products include an AI-powered sleep system and Daily Harvest, for which she curated a 'metabolic health collection.' On a 'My Faves' page that was taken down from her website shortly after Trump picked her, Means wrote that some links 'are affiliate links and I make a small percentage if you buy something after clicking them.' It's not clear how much money Means has earned from her affiliate marketing, partnerships and other agreements. Daily Harvest did not return messages seeking comment, and Means said she could not comment on the record during the confirmation process. Disclosing conflicts Means has raised concerns that scientists, regulators and doctors are swayed by the influence of industry, oftentimes pointing to public disclosures of their connections. In January, she told the Kristin Cavallari podcast 'Let's Be Honest' that 'relationships are influential.' 'There's huge money, huge money going to fund scientists from industry,' Means said. 'We know that when industry funds papers, it does skew outcomes.' In November, on a podcast run by a beauty products brand, Primally Pure, she said it was 'insanity' to have people connected to the processed food industry involved in writing food guidelines, adding, 'We need unbiased people writing our guidelines that aren't getting their mortgage paid by a food company.' On the same podcast, she acknowledged supplement companies sponsor her newsletter, adding, 'I do understand how it's messy.' Influencers who endorse or promote products in exchange for payment or something else of value are required by the Federal Trade Commission to make a clear and conspicuous disclosure of any business, family or personal relationship. While Means did provide disclosures about newsletter sponsors, the AP found in other cases Means did not always tell her audience when she had a connection to the companies she promoted. For example, a 'Clean Personal & Home Care Product Recommendations' guide she links to from her website contains two dozen affiliate or partner links and no disclosure that she could profit from any sales. Means has said she invested in Function Health, which provides subscription-based lab testing for $500 annually. Of the more than a dozen online posts the AP found in which Means mentioned Function Health, more than half did not disclose she had any affiliation with the company. Means also listed the supplement company Zen Basil as a company for which she was an 'Investor and/or Advisor.' The AP found posts on Instagram, X and on Facebook where Means promoted its products without disclosing the relationship. Though the 'About' page on her website discloses an affiliation with both companies, that's not enough, experts said. She is required to disclose any material connection she has to a company anytime she promotes it. Representatives for Function Health did not return messages seeking comment through their website and executives' LinkedIn profiles. Zen Basil's founder, Shakira Niazi, did not answer questions about Means' business relationship with the company or her disclosures of it. She said the two had known each other for about four years and called Means' advice 'transformational,' saying her teachings reversed Niazi's prediabetes and other ailments. 'I am proud to sponsor her newsletter through my company,' Niazi said in an email. While the disclosure requirements are rarely enforced by the FTC, Means should have been informing her readers of any connections regardless of whether she was violating any laws, said Olivier Sylvain, a Fordham Law School professor who was previously a senior adviser to the FTC chair. 'What you want in a surgeon general, presumably, is someone who you trust to talk about tobacco, about social media, about caffeinated alcoholic beverages, things that present problems in public health,' Sylvain said, adding, 'Should there be any doubt about claims you make about products?' Potential conflicts pose new ethical questions Means isn't the first surgeon general nominee whose financial entanglements have raised eyebrows. Jerome Adams, who served as surgeon general from 2017 to 2021, filed federal disclosure forms that showed he invested in several health technology, insurance and pharmaceutical companies before taking the job — among them Pfizer, Mylan and UnitedHealth Group. He also invested in the food and drink giant Nestle. He divested those stocks when he was confirmed for the role and pledged that he and his immediate family would not acquire financial interest in certain industries regulated by the Food and Drug Administration. Vivek Murthy, who served as surgeon general twice, under Presidents Barack Obama and Joe Biden, made more than $2 million in COVID-19-related speaking and consulting fees from Carnival, Netflix, Estee Lauder and Airbnb between holding those positions. He pledged to recuse himself from matters involving those parties for a period of time. Means has not yet gone through a Senate confirmation hearing and has not yet announced the ethical commitments she will make for the role. Hund said that as influencer marketing becomes more common, it is raising more ethical questions, such as what past influencers who enter government should do to avoid the appearance of a conflict. Other administration officials, including Homeland Security Secretary Kristi Noem and Centers for Medicare and Medicaid Services Administrator Dr. Mehmet Oz, have also promoted companies on social media without disclosing their financial ties. 'This is like a learning moment in the evolution of our democracy,' Hund said. 'Is this a runaway train that we just have to get on and ride, or is this something that we want to go differently?'