Department of Health Sciences, Faculty of Graduate Studies, Arab American University, Ramallah, Palestine.
Present address: Al Quds Bard College, Al-Quds University, East Jerusalem, Palestine.
Microb Genom. 2021 Jun;7(6). doi: 10.1099/mgen.0.000584.
Severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2), the novel coronavirus responsible for the COVID-19 pandemic, continues to cause a significant public-health burden and disruption globally. Genomic epidemiology approaches point to most countries in the world having experienced many independent introductions of SARS-CoV-2 during the early stages of the pandemic. However, this situation may change with local lockdown policies and restrictions on travel, leading to the emergence of more geographically structured viral populations and lineages transmitting locally. Here, we report the first SARS-CoV-2 genomes from Palestine sampled from early March 2020, when the first cases were observed, through to August of 2020. SARS-CoV-2 genomes from Palestine fall across the diversity of the global phylogeny, consistent with at least nine independent introductions into the region. We identify one locally predominant lineage in circulation represented by 50 Palestinian SARS-CoV-2, grouping with genomes generated from Israel and the UK. We estimate the age of introduction of this lineage to 05/02/2020 (16/01/2020-19/02/2020), suggesting SARS-CoV-2 was already in circulation in Palestine predating its first detection in Bethlehem in early March. Our work highlights the value of ongoing genomic surveillance and monitoring to reconstruct the epidemiology of COVID-19 at both local and global scales.
严重急性呼吸综合征冠状病毒 2(SARS-CoV-2)是导致 COVID-19 大流行的新型冠状病毒,它继续在全球范围内造成重大的公共卫生负担和破坏。基因组流行病学方法表明,在大流行的早期阶段,世界上大多数国家都经历了多次 SARS-CoV-2 的独立传入。然而,随着当地的封锁政策和旅行限制,这种情况可能会发生变化,从而导致更具地理结构的病毒群体和在当地传播的谱系的出现。在这里,我们报告了 2020 年 3 月初首次观察到病例时从巴勒斯坦采集的第一批 SARS-CoV-2 基因组,一直到 2020 年 8 月。巴勒斯坦的 SARS-CoV-2 基因组跨越了全球系统发育的多样性,与至少 9 次独立传入该地区的情况一致。我们发现了一种在当地流行的谱系,由 50 个巴勒斯坦 SARS-CoV-2 代表,与来自以色列和英国的基因组聚在一起。我们估计该谱系的引入年龄为 05/02/2020(16/01/2020-19/02/2020),表明 SARS-CoV-2 早在 3 月初在伯利恒首次检测到之前就已经在巴勒斯坦流行。我们的工作强调了持续进行基因组监测和监测的价值,以在地方和全球范围内重建 COVID-19 的流行病学。
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