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‘American COVID' Symptoms: Hoarse Voice Among Signs of XFG Variant

‘American COVID' Symptoms: Hoarse Voice Among Signs of XFG Variant

Summary

The XFG variant of COVID-19, also called "American COVID" or "Stratus," is spreading in the UK, United States, and other parts of the world. It causes symptoms similar to other COVID variants, with hoarseness being a common sign, but it is not causing more severe illness or deaths according to health authorities.

Key Facts

  • XFG is a COVID-19 variant that combines two earlier variants, LF.7 and LP.8.1.2.
  • The first known XFG case was found in January 2025, and the WHO began monitoring it in June 2025.
  • It is currently the most common COVID variant in the UK, with a 7% positive test rate and a 50% increase in hospital admissions during September.
  • Similar increases in COVID cases have been observed across Europe and the U.S.
  • XFG symptoms include common COVID signs like sore throat, cough, and fever, plus a hoarse or raspy voice.
  • Doctors cannot identify XFG by symptoms alone; genetic testing is used to confirm the variant.
  • The WHO and UK health agencies say XFG does not cause more severe illness or death than other variants.
  • The nickname "American COVID" comes from where the variant was first detected, not necessarily where it started.
  • XFG has been found in 38 countries and is spreading in multiple regions worldwide.
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