1. Virus genomes reveal factors that spread and sustained the Ebola epidemic
- Author
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Kilian Stoecker, Chantal B.E.M. Reusken, Stephen F. Schaffner, Marion Koopmans, Sarah M. Winnicki, Augustine Goba, My V. T. Phan, Lucy Thorne, Michael R. Wiley, Simon Dellicour, Andrew Rambaut, James Qu, Fatorma K. Bolay, Christian T. Happi, Stephen K. Gire, Oliver G. Pybus, Jeffrey R. Kugelman, Bernice Dahn, Pardis C. Sabeti, Marc A. Suchard, Gytis Dudas, Kristian G. Andersen, Gustavo Palacios, Mohamed A. Vandi, Simon J. Watson, Saskia L. Smits, Amadou A. Sall, Isatta Wurie, Miles W. Carroll, Andrew J. Tatem, David A. Matthews, Georgios Pollakis, Sahr M. Gevao, George F. Gao, Philippe Lemey, Filip Bielejec, Shannon L.M. Whitmer, Roman Wölfel, Nuno R. Faria, Jonathan D'ambrozio, Jason T. Ladner, Christine M. Malboeuf, Danny Asogun, Christian B. Matranga, Christophe Fraser, N’Faly Magassouba, Guy Baele, Luke W. Meredith, Robert F. Garry, Ekaete Alice Tobin, Etienne Simon-Loriere, Pierre Formenty, Sophie Duraffour, Jens H. Kuhn, Edward C. Holmes, Paul Kellam, Ousmane Faye, Brima Kargbo, Kendra West, Sarah L Caddy, Dhamari Naidoo, Stuart T. Nichol, Rachel Sealfon, Joshua Quick, Shirlee Wohl, Andreas Gnirke, Matthew Cotten, Mariano Sanchez-Lockhart, Donald S. Grant, Nicholas J. Loman, Trevor Bedford, Antonino Di Caro, Daniel J. Park, Julian A. Hiscox, Sylvia O. Blyden, Stephan Günther, Lawrence Fakoli, Susan D. Pas, Suzanne Mate, Armando Arias, Ian Goodfellow, Bart L. Haagmans, Adrianne Gladden-Young, Joseph W. Diclaro, Nathan L. Yozwiak, Merle L. Gilbert, Umaru Jah, Sakoba Keita, Michael J. Elmore, Jia Lu, John S. Schieffelin, Ute Ströher, Tolbert Nyenswah, Luiz Max Carvalho, Boubacar Diallo, Di Liu, Department of Virology, Virology, Wang, Sarah [0000-0002-9790-7420], Lu, Jia [0000-0003-3995-324X], Meredith, Luke [0000-0002-3802-8290], Goodfellow, Ian [0000-0002-9483-510X], and Apollo - University of Cambridge Repository
- Subjects
0301 basic medicine ,DYNAMICS ,Internationality ,OUTBREAK ,Climate ,viruses ,medicine.disease_cause ,Genome ,DISEASE ,law.invention ,Disease Outbreaks ,law ,Viral ,Phylogeny ,Molecular Epidemiology ,Travel ,Multidisciplinary ,Geography ,Research Support, Non-U.S. Gov't ,Ebolavirus ,Multidisciplinary Sciences ,Infectious Diseases ,Transmission (mechanics) ,Ebola ,Science & Technology - Other Topics ,Infection ,TRANSMISSION ,HYPERMUTATION ,General Science & Technology ,Genome, Viral ,Biology ,MEASLES ,Virus ,Article ,Sierra leone ,Vaccine Related ,03 medical and health sciences ,SDG 3 - Good Health and Well-being ,Research Support, N.I.H., Extramural ,Biodefense ,SURVEILLANCE ,medicine ,Journal Article ,Humans ,Ebola virus ,Science & Technology ,Prevention ,REAL-TIME ,Outbreak ,Hemorrhagic Fever, Ebola ,Virology ,EVOLUTION ,Emerging Infectious Diseases ,Good Health and Well Being ,030104 developmental biology ,GUINEA ,Linear Models ,Hemorrhagic Fever ,Biological dispersal ,Research Support, U.S. Gov't, Non-P.H.S ,Demography - Abstract
The 2013-2016 West African epidemic caused by the Ebola virus was of unprecedented magnitude, duration and impact. Here we reconstruct the dispersal, proliferation and decline of Ebola virus throughout the region by analysing 1,610 Ebola virus genomes, which represent over 5% of the known cases. We test the association of geography, climate and demography with viral movement among administrative regions, inferring a classic 'gravity' model, with intense dispersal between larger and closer populations. Despite attenuation of international dispersal after border closures, cross-border transmission had already sown the seeds for an international epidemic, rendering these measures ineffective at curbing the epidemic. We address why the epidemic did not spread into neighbouring countries, showing that these countries were susceptible to substantial outbreaks but at lower risk of introductions. Finally, we reveal that this large epidemic was a heterogeneous and spatially dissociated collection of transmission clusters of varying size, duration and connectivity. These insights will help to inform interventions in future epidemics. ispartof: Nature vol:544 issue:7650 pages:309- ispartof: location:England status: published
- Published
- 2017