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Published on: June 7, 2017
Genomic Epidemiology Reconstructs the Introduction and Spread of Zika Virus in Central America and Mexico
Julien Thézé1, Tony Li2, Louis du Plessis1
1Department of Zoology, University of Oxford, Oxford, UK.
Abstract:
The Zika virus (ZIKV) epidemic in the Americas established ZIKV as a major public health threat and uncovered its association with severe diseases, including microcephaly. However, genetic epidemiology in some at-risk regions, particularly Central America and Mexico, remains limited. We report 61 ZIKV genomes from this region, generated using metagenomic sequencing with ZIKV-specific enrichment, and combine phylogenetic, epidemiological, and environmental data to reconstruct ZIKV transmission. These analyses revealed multiple independent ZIKV introductions to Central America and Mexico. One introduction, likely from Brazil via Honduras, led to most infections and the undetected spread of ZIKV through the region from late 2014. Multiple lines of evidence indicate biannual peaks of ZIKV transmission in the region, likely driven by varying local environmental conditions for mosquito vectors and herd immunity. The spatial and temporal heterogeneity of ZIKV transmission in Central America and Mexico challenges arbovirus surveillance and disease control measures.
Insights
Genetic epidemiology of Zika virus (ZIKV) in Central America and Mexico reveals multiple introductions and biannual transmission peaks. Understanding ZIKV spread is crucial for effective arbovirus surveillance and control.
Area of Science:
- Virology
- Epidemiology
- Genetics
Background:
- The Zika virus (ZIKV) epidemic highlighted its threat and link to severe diseases like microcephaly.
- Limited genetic epidemiology data exists for ZIKV in Central America and Mexico.
Purpose of the Study:
- To reconstruct ZIKV transmission dynamics in Central America and Mexico.
- To investigate the origins and spread patterns of ZIKV in the region.
Main Methods:
- Generated 61 ZIKV genomes using metagenomic sequencing with ZIKV-specific enrichment.
- Combined phylogenetic, epidemiological, and environmental data for transmission reconstruction.
Main Results:
- Identified multiple independent ZIKV introductions into Central America and Mexico.
- Traced a major ZIKV introduction from Brazil via Honduras, leading to widespread undetected transmission from late 2014.
- Revealed biannual ZIKV transmission peaks, likely influenced by environmental factors and herd immunity.
Conclusions:
- ZIKV transmission in Central America and Mexico is characterized by complex introductions and heterogeneous spatial-temporal patterns.
- The findings challenge current arbovirus surveillance and disease control strategies in the region.
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