2020
DOI: 10.1101/2020.08.25.20171595
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Multiple introductions followed by ongoing community spread of SARS-CoV-2 at one of the largest metropolitan areas in the Northeast of Brazil

Abstract: The emergence of SARS-CoV-2 in the human population has caused a huge pandemic that is still unfolding in many countries around the world. Multiple epicenters of the pandemic have emerged since the first pneumonia cases in Wuhan, first in Italy followed by the USA and Brazil. Up to now, Brazil is the second most affected country, however, genomic sequences of SARS-CoV-2 strains circulating in the country are restricted to some highly impacted states. Although the Pernambuco state, located in the Northeast Regi… Show more

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Cited by 11 publications
(18 citation statements)
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References 57 publications
(67 reference statements)
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“…Compared to three other studies conducted in Brazil (Candido et al 2020b), in the states of Minas Gerais (Xavier et al 2020) and Pernambuco (Paiva et al 2020) in the early phase of pandemic — which showed the introduction of viral lineages from other continents (mainly Europe) by international returning travelers —, this study suggests a minor role of international lineages in the ongoing viral transmission in Esteio. We speculate a trend towards the perpetuation and diversification of the lineages found in this study (B.1.1.248 and B.1.1.33) inside Brazil, unless new importations massively occur and these new imported lineages begin to circulate.…”
Section: Discussioncontrasting
confidence: 74%
See 1 more Smart Citation
“…Compared to three other studies conducted in Brazil (Candido et al 2020b), in the states of Minas Gerais (Xavier et al 2020) and Pernambuco (Paiva et al 2020) in the early phase of pandemic — which showed the introduction of viral lineages from other continents (mainly Europe) by international returning travelers —, this study suggests a minor role of international lineages in the ongoing viral transmission in Esteio. We speculate a trend towards the perpetuation and diversification of the lineages found in this study (B.1.1.248 and B.1.1.33) inside Brazil, unless new importations massively occur and these new imported lineages begin to circulate.…”
Section: Discussioncontrasting
confidence: 74%
“…Unprecedented international efforts of viral sequencing have allowed the submission of ∼375,000 genomes in the Global Initiative on Sharing All Influenza Data (GISAID) up to date (Shu and McCauley 2017), which are now available for studies of genomic epidemiology to follow the evolutionary history and dynamics of SARS-CoV-2 through space and time. In this sense, some important studies were already conducted in highly-affected countries, including China (Lu et al 2020), USA (Deng et al 2020; Fauver et al 2020; Ladner et al 2020; Maurano et al 2020), Italy (Bartolini et al 2020), Netherlands (Oude Munnink et al 2020), Australia (Rockett et al 2020; Seemann et al 2020), and Brazil (Candido et al 2020b; Paiva et al 2020; Xavier et al 2020).…”
Section: Introductionmentioning
confidence: 99%
“…A dynamic nomenclature system for SARS-CoV-2 can be used to track the lineages as they emerge and move in local and global patterns [ 19 ]. Phylogenetic and phylogeographic methods were used to track the early emergence of the virus in Italy [ 29 , 30 ]; New York [ 31 ]; and Pernambuco, Brazil [ 32 ]. In addition to tree inference, epidemic and sequence simulation methods established the earliest sustained transmission networks in Europe and the USA [ 33 ].…”
Section: Discussionmentioning
confidence: 99%
“…Many new SARS-CoV-2 strains associated with Spike substitutions have recently emerged (e.g. as observed for variants from Brazil, United-Kingdom and South-Africa) with increased infectivity (28)(29)(30)(31). These new strains also display several mutations in other viral genes encoding for structural and accessory proteins.…”
Section: Discussionmentioning
confidence: 99%