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Caracterización de las variantes del SARS-CoV-2 en Beijing durante 2022: un análisis epidemiológico y filogenético
Yang Pan1, Liang Wang2, Zhaomin Feng1
1Beijing Center for Disease Prevention and Control, Beijing, China.
Lancet (London, England)
|February 11, 2023
Resumen
La ciudad de Beijing
Área de la Ciencia:
- Virología
- La genómica
- Epidemiología
Sus antecedentes:
- La estrategia dinámica de cero COVID de China limitó la transmisión local de SARS-CoV-2 en Beijing antes de diciembre de 2022.
- Los casos importados frecuentes y las recientes oleadas de COVID-19 generaron preocupaciones sobre las nuevas variantes del SARS-CoV-2.
- La vigilancia rutinaria del genoma viral en Beijing es vital para la respuesta mundial a la pandemia.
Objetivo del estudio:
- Para analizar las secuencias del genoma del SARS-CoV-2 de Beijing.
- Para investigar el surgimiento de nuevas variantes en medio del aumento de los casos de COVID-19.
- Para entender la dinámica espacio-temporal de las cepas circulantes.
Principales métodos:
- Muestras respiratorias recolectadas de casos importados y locales en Beijing (enero-diciembre de 2022).
- Se utilizó la secuenciación de próxima generación para la generación del genoma del SARS-CoV-2.
- Se han realizado análisis filogenéticos y dinámicos de poblaciones en secuencias completas de alta calidad.
Principales resultados:
- Se generaron 2994 genomas completos del SARS-CoV-2 (2881 de alta calidad).
- Secuenciaron 413 nuevas muestras (del 14 de noviembre al 20 de diciembre de 2022), incluidos 350 casos locales y 63 importados.
- Se identificaron BA.5.2 y BF.7 como cepas dominantes (90% de los casos locales), con un aumento en el tamaño efectivo de la población desde el 14 de noviembre de 2022. No se detectaron nuevos linajes.
Conclusiones:
- BF.7 y BA.5.2 circularon conjuntamente en el brote de Beijing desde el 14 de noviembre de 2022, sin evidencia de nuevas variantes.
- Los datos de Beijing ofrecen una instantánea de la situación de China debido al intercambio de población.
- La alta transmisibilidad de las cepas en circulación justifica un seguimiento continuo.
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