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Genomic epidemiology reveals the impact of national and international restrictions measures on the SARS-CoV-2 epidemic in Brazil.


ABSTRACT: Brazil has experienced some of the highest numbers of COVID-19 cases and deaths globally and from May 2021 made Latin America a pandemic epicenter. Although SARS-CoV-2 established sustained transmission in Brazil early in the pandemic, important gaps remain in our understanding of virus transmission dynamics at the national scale. Here, we describe the genomic epidemiology of SARS-CoV-2 using near-full genomes sampled from 27 Brazilian states and a bordering country - Paraguay. We show that the early stage of the pandemic in Brazil was characterised by the co-circulation of multiple viral lineages, linked to multiple importations predominantly from Europe, and subsequently characterized by large local transmission clusters. As the epidemic progressed under an absence of effective restriction measures, there was a local emergence and onward international spread of Variants of Concern (VOC) and Variants Under Monitoring (VUM), including Gamma (P.1) and Zeta (P.2). In addition, we provide a preliminary genomic overview of the epidemic in Paraguay, showing evidence of importation from Brazil. These data reinforce the usefulness and need for the implementation of widespread genomic surveillance in South America as a toolkit for pandemic monitoring that provides a means to follow the real-time spread of emerging SARS-CoV-2 variants with possible implications for public health and immunization strategies.

SUBMITTER: Giovanetti M 

PROVIDER: S-EPMC8978948 | biostudies-literature | 2022 Mar

REPOSITORIES: biostudies-literature

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Genomic epidemiology reveals the impact of national and international restrictions measures on the SARS-CoV-2 epidemic in Brazil.

Giovanetti Marta M   Slavov Svetoslav Nanev SN   Fonseca Vagner V   Wilkinson Eduan E   Tegally Houriiyah H   Patané José Salvatore Leister JSL   Viala Vincent Louis VL   San James Emmanuel JE   Rodrigues Evandra Strazza ES   Santos Elaine Vieira EV   Aburjaile Flavia F   Xavier Joilson J   Fritsch Hegger H   Adelino Talita Emile Ribeiro TER   Pereira Felicidade F   Leal Arabela A   de Melo Iani Felipe Campos FC   de Carvalho Pereira Glauco G   Vazquez Cynthia C   Mercedes Estigarribia Sanabria Gladys G   de Oliveira Elaine Cristina EC   Demarchi Luiz L   Croda Julio J   Dos Santos Bezerra Rafael R   de Lima Loyze Paola Oliveira LPO   Martins Antonio Jorge AJ   Dos Santos Barros Claudia Renata CR   Marqueze Elaine Cristina EC   de Souza Todao Bernardino Jardelina J   Moretti Debora Botequio DB   Brassaloti Ricardo Augusto RA   de Lello Rocha Campos Cassano Raquel R   Mariani Pilar Drummond Sampaio Corrêa PDSC   Kitajima João Paulo JP   Santos Bibiana B   Proto-Siqueira Rodrigo R   Cantarelli Vlademir Vicente VV   Tosta Stephane S   Nardy Vanessa Brandão VB   de Oliveira da Silva Luciana Reboredo LR   Kelly Astete Gómez Marcela M   Lima Jaqueline Gomes JG   Ribeiro Adriana Aparecida AA   Guimarães Natália Rocha NR   Watanabe Luiz Takao LT   Da Silva Luana Barbosa LB   da Silva Ferreira Raquel R   da Penha Mara Patricia F MPF   Ortega María José MJ   de la Fuente Andrea Gómez AG   Villalba Shirley S   Torales Juan J   Gamarra María Liz ML   Aquino Carolina C   Martínez Figueredo Gloria Patricia GP   Fava Wellington Santos WS   Motta-Castro Ana Rita C ARC   Venturini James J   de Oliveira Sandra Maria do Vale Leone SMDVL   Gonçalves Crhistinne Cavalheiro Maymone CCM   do Carmo Debur Rossa Maria M   Becker Guilherme Nardi GN   Presibella Mayra Marinho MM   Marques Nelson Quallio NQ   Riediger Irina Nastassja IN   Raboni Sonia S   Coelho Gabriela Mattoso GM   Cataneo Allan Henrique Depieri AHD   Zanluca Camila C   Dos Santos Claudia N Duarte CND   Assato Patricia Akemi PA   da Costa Felipe Allan da Silva FADS   Poleti Mirele Daiana MD   Lesbon Jessika Cristina Chagas JCC   Mattos Elisangela Chicaroni EC   Banho Cecilia Artico CA   Sacchetto Lívia L   Moraes Marília Mazzi MM   Grotto Rejane Maria Tommasini RMT   Souza-Neto Jayme A JA   Nogueira Maurício Lacerda ML   Fukumasu Heidge H   Coutinho Luiz Lehmann LL   Calado Rodrigo Tocantins RT   Neto Raul Machado RM   de Filippis Ana Maria Bispo AMB   da Cunha Rivaldo Venancio RV   Freitas Carla C   Peterka Cassio Roberto Leonel CRL   de Fátima Rangel Fernandes Cássia C   de Araújo Wildo Navegantes WN   do Carmo Said Rodrigo Fabiano RF   Almiron Maria M   de Albuquerque E Melo Carlos Frederico Campelo CFC   Lourenço José J   de Oliveira Tulio T   Holmes Edward C EC   Haddad Ricardo R   Sampaio Sandra Coccuzzo SC   Elias Maria Carolina MC   Kashima Simone S   de Alcantara Luiz Carlos Junior LCJ   Covas Dimas Tadeu DT  

medRxiv : the preprint server for health sciences 20220328


Brazil has experienced some of the highest numbers of COVID-19 cases and deaths globally and from May 2021 made Latin America a pandemic epicenter. Although SARS-CoV-2 established sustained transmission in Brazil early in the pandemic, important gaps remain in our understanding of virus transmission dynamics at the national scale. Here, we describe the genomic epidemiology of SARS-CoV-2 using near-full genomes sampled from 27 Brazilian states and a bordering country - Paraguay. We show that the  ...[more]

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