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Cryptic transmission of SARS-CoV-2 in Washington State.


ABSTRACT: Following its emergence in Wuhan, China, in late November or early December 2019, the SARS-CoV-2 virus has rapidly spread throughout the world. On March 11, 2020, the World Health Organization declared Coronavirus Disease 2019 (COVID-19) a pandemic. Genome sequencing of SARS-CoV-2 strains allows for the reconstruction of transmission history connecting these infections. Here, we analyze 346 SARS-CoV-2 genomes from samples collected between 20 February and 15 March 2020 from infected patients in Washington State, USA. We found that the large majority of SARS-CoV-2 infections sampled during this time frame appeared to have derived from a single introduction event into the state in late January or early February 2020 and subsequent local spread, strongly suggesting cryptic spread of COVID-19 during the months of January and February 2020, before active community surveillance was implemented. We estimate a common ancestor of this outbreak clade as occurring between 18 January and 9 February 2020. From genomic data, we estimate an exponential doubling between 2.4 and 5.1 days. These results highlight the need for large-scale community surveillance for SARS-CoV-2 introductions and spread and the power of pathogen genomics to inform epidemiological understanding.

SUBMITTER: Bedford T 

PROVIDER: S-EPMC7276023 | biostudies-literature | 2020 Apr

REPOSITORIES: biostudies-literature

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Cryptic transmission of SARS-CoV-2 in Washington State.

Bedford Trevor T   Greninger Alexander L AL   Roychoudhury Pavitra P   Starita Lea M LM   Famulare Michael M   Huang Meei-Li ML   Nalla Arun A   Pepper Gregory G   Reinhardt Adam A   Xie Hong H   Shrestha Lasata L   Nguyen Truong N TN   Adler Amanda A   Brandstetter Elisabeth E   Cho Shari S   Giroux Danielle D   Han Peter D PD   Fay Kairsten K   Frazar Chris D CD   Ilcisin Misja M   Lacombe Kirsten K   Lee Jover J   Kiavand Anahita A   Richardson Matthew M   Sibley Thomas R TR   Truong Melissa M   Wolf Caitlin R CR   Nickerson Deborah A DA   Rieder Mark J MJ   Englund Janet A JA   Hadfield James J   Hodcroft Emma B EB   Huddleston John J   Moncla Louise H LH   Müller Nicola F NF   Neher Richard A RA   Deng Xianding X   Gu Wei W   Federman Scot S   Chiu Charles C   Duchin Jeff J   Gautom Romesh R   Melly Geoff G   Hiatt Brian B   Dykema Philip P   Lindquist Scott S   Queen Krista K   Tao Ying Y   Uehara Anna A   Tong Suxiang S   MacCannell Duncan D   Armstrong Gregory L GL   Baird Geoffrey S GS   Chu Helen Y HY   Shendure Jay J   Jerome Keith R KR  

medRxiv : the preprint server for health sciences 20200406


Following its emergence in Wuhan, China, in late November or early December 2019, the SARS-CoV-2 virus has rapidly spread throughout the world. On March 11, 2020, the World Health Organization declared Coronavirus Disease 2019 (COVID-19) a pandemic. Genome sequencing of SARS-CoV-2 strains allows for the reconstruction of transmission history connecting these infections. Here, we analyze 346 SARS-CoV-2 genomes from samples collected between 20 February and 15 March 2020 from infected patients in  ...[more]

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