ผศ.นพ. TAVATCHAI JARIYASETHPONG, M.D.
Infectious Disease

The COVID-19 pandemic situation has returned to the spotlight following the detection of a new subvariant named NB.1.8.1 or “COVID Nimbus,” which is currently causing an increase in outbreaks across several regions, particularly in Singapore and Thailand. This article summarizes key information to help you understand and prepare appropriately.
NB.1.8.1, also known as "Nimbus," is an Omicron subvariant that evolved from the recombinant lineage XDV.1.5.1 and is linked to the JN.1 group. It was first detected in January 2025 and was declared by the World Health Organization (WHO) as a Variant Under Monitoring (VUM) on May 23, 2025.
The defining feature of NB.1.8.1 is multiple mutations on its spike protein, which allow the virus to bind more tightly to human cells and better evade immunity. This contributes to its rapid transmission. However, there is currently no evidence indicating that this variant causes more severe symptoms compared to previous strains. (European Centre for Disease Prevention and Control, 2025)
Symptoms for individuals infected with NB.1.8.1 are mostly mild, but a frequently reported specific characteristic is:

Although recent reports in Thailand indicate that the majority of patients are within the working-age population (ages 20-29 and 30-35 years), there are other vulnerable groups that still require close monitoring:
Despite the virus's mutations, initial screening using ATK (Antigen Test Kit) remains effective. If symptoms such as fever, cough, or a runny nose develop, a test should be performed immediately. If the result is positive—especially for those in high-risk groups—a physician should be consulted for further diagnosis. At the laboratory level, public health agencies continue to utilize genetic sequencing to closely monitor strain changes.