However, the recent surge in cases has been precipitated by a novel Omicron XBB.1.16 variant, dubbed "Arcturus." 3 First detected from samples collected in January 2023, XBB.1.16 4 has rapidly spread to over 31 countries by late March 2023, 5 and is reported to have originated in India, where it is predominant and has replaced other strains of the virus. 3,6,7 Cases have also been reported in several parts of Europe, and countries such as Australia, Britain, Brunei (4.50%), 5 Canada, India (highest number of sequences globally at 32.47%), 5 Indonesia, Singapore (3.21%), 5 and the United States. [6][7][8][9] In the United States, the cases caused by XBB.1.16 strain sore from 0.21% in late February, to 3.96% in March, and 7.2% in mid-April 2023. 6 Owing to such an increase in cases, on March 22, 2023, the World Health Organization (WHO) designated XBB.1.16 as a variant under monitoring status, and later as a variant of interest on April 17, 2023. 5 Nextstrain/Nextclade has promoted XBB.1.16 as a novel clade, 23B. 5 Currently, XBB.1.16 is one of the seven variants of SARS-CoV-2 currently being monitored. 6 Compared with the parental XBB.1.5 variant that bore the spike protein mutation, F486P, XBB.1.16 variant presents two additional mutations, viz. E180V and T478R, 2 as illustrated in