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Spatiotemporal diffusion of the 2024 Oropouche outbreak in Cuba
Rosario Gravier1, Melissa M Perez1, Mayling Álvarez1
1'Pedro Kouri' Tropical Medicine Institute, PAHO/WHO Collaborating Center for the study of dengue and its control, Havana, Cuba.
Nature Medicine
|July 7, 2026
Summary
Oropouche virus (OROV) rapidly spread in Cuba in 2024. Genetic analysis shows the Cuban OROV strain originated from Brazil, highlighting the virus
Area of Science:
- * Virology and Molecular Epidemiology
- * Arbovirology and Public Health
Background:
- * Oropouche virus (OROV) outbreaks have been reported in Cuba starting May 2024.
- * Understanding OROV's genetic diversity and spread is crucial for public health interventions.
Purpose of the Study:
- * To sequence and analyze the whole genomes of OROV strains detected in Cuba.
- * To determine the origin and phylogenetic relationship of the Cuban OROV outbreak.
- * To investigate the introduction pathways and dissemination patterns of OROV within Cuba.
Main Methods:
- * Whole-genome sequencing of 39 OROV samples from 147 RT-PCR positive cases (May-July 2024).
- * Phylogenetic and phylogeographic analyses to reconstruct viral evolutionary history and geographic spread.
Main Results:
- * All sequenced Cuban OROV genomes belong to the reassortant lineage OROVBR-2015-2025, circulating in Brazil since 2023.
- * Phylogeographic analysis suggests a single introduction from Acre, Brazil, in early February 2024.
- * The virus spread from central Cuba, establishing transmission hubs in western and eastern regions.
Conclusions:
- * The Cuban OROV outbreak originated from Brazil, indicating viral spread beyond South America.
- * Findings highlight OROV's potential for intercontinental transmission and underscore the need for enhanced surveillance.
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