早期未被识别的SARS-CoV-2引入形成了第一个流行病浪潮,瑞典,2020年
Robert Dyrdak1,2, Emma B Hodcroft3,4, Sandra Broddesson2
1Department of Clinical Microbiology, Karolinska University Hospital, Stockholm, Sweden.
概括
早期的SARS-CoV-2进入瑞典涉及来自意大利的20A和20B类,以及来自奥地利的19A和20C类. 克莱德20C,可能来自奥地利,主导了第一波,并形成了瑞典集群,突出了对诊断能力的需求.
科学领域:
- 病毒学 病毒学
- 流行病学 流行病学
- 基因组监测 基因组监测
背景情况:
- 瑞典经历了严重的COVID-19第一波尽管全球减轻努力.
- 2020年初在瑞典的SARS-CoV-2的引入和传播仍然不完全理解.
研究的目的:
- 在瑞典调查SARS-CoV-2的起源和早期传播动态.
- 为了确定该国COVID-19最初波的病毒类负责.
主要方法:
- 使用PCR检测SARS-CoV-2的储存呼吸器样本 (n=1,979) 的分析.
- 测序PCR阳性标本和植物遗传学分析与全球序列数据相结合.
- 下一个菌株的分类分配和特定突变的识别.
主要成果:
- 确定了12例以前未被识别的SARS-CoV-2病例,最早的样本采集于2020年3月3日.
- 早期的引入包括来自意大利的20A和20B类,以及来自奥地利的19A和20C类.
- 克莱德20C在第一波中占主导地位 (54%),形成了一个具有尖端突变 (G24368T) 的特定国家集群,与早期的COVID-19死亡相关.
结论:
- 在瑞典的社区传播开始之前,缓解努力转移了重点,有利于20C类.
- 引入第20C条款,可能来自奥地利,创造了传输优势.
- 疫情防控需要全面的诊断,以便及早发现与旅行有关的病例和社区传播.
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