1. The seventh pandemic of cholera in Europe revisited by microbial genomics
- Author
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Radu Cojocaru, Anatoly N. Kravetz, Daniela Cristea, Jean Rauzier, Clifford G. Clark, Olivier Gascuel, Marie-Laure Quilici, François-Xavier Weill, Elisabeth Njamkepo, Adriana Simona Ciontea, Monakhova Ev, Maria Damian, Mihaela Oprea, Anna Zhukova, Cantacuzino National Medico-Military Institute for Research Development [Bucharest], Cantacuzino Institute [Romania], Réseau International des Instituts Pasteur (RIIP)-Réseau International des Instituts Pasteur (RIIP), Bactéries pathogènes entériques (BPE), Institut Pasteur [Paris] (IP), Bioinformatique évolutive - Evolutionary Bioinformatics, Institut Pasteur [Paris] (IP)-Centre National de la Recherche Scientifique (CNRS), Hub Bioinformatique et Biostatistique - Bioinformatics and Biostatistics HUB, National Microbiology Laboratory [Winnipeg, Canada], Public Health Agency of Canada, Kiev Research Institute of Epidemiology and Infectious Diseases, Rostov-on-Don Research Institute for Plague Control, National Centre for Public Health [Chisinau, Republic of Moldova], This study was supported by the Institut Pasteur, Cantacuzino NMMIRD, Santé publiqueFrance, the Fondation Le Roch-Les Mousquetaires, the French government’s Investisse-ment d’Avenir programme, Laboratoire d’Excellence‘Integrative Biology of EmergingInfectious Diseases’(grant number ANR-10-LABX-62-IBEID), and'Institut Convergence for the study of Emergence of Pathology Through Individuals and Populations'(INCEPTION, grant number PIA/ANR-16-CONV-0005). D.C. was supported by a trai-neeship grant from the Calmette and Yersin Program of the Institut Pasteur InternationalNetwork. M.O. was supported by a mobility grant from the Romanian Ministry of Research and Innovation CNCS - UEFISCDI, project no. 495/2018, within PNCDI III.The Institut Pasteur Biomics platform is supported by France Génomique (ANR10-INBS-09-08) and IBISA. We thank I. Najjar and L. Lemée for sequencing the isolates., ANR-10-LABX-0062,IBEID,Integrative Biology of Emerging Infectious Diseases(2010), ANR-16-CONV-0005,INCEPTION,Institut Convergences pour l'étude de l'Emergence des Pathologies au Travers des Individus et des populatiONs(2016), ANR-10-INBS-0009,France-Génomique,Organisation et montée en puissance d'une Infrastructure Nationale de Génomique(2010), Institut Pasteur [Paris], and Institut Pasteur [Paris]-Centre National de la Recherche Scientifique (CNRS)
- Subjects
0301 basic medicine ,Epidemiology ,Black sea region ,General Physics and Astronomy ,MESH: Genome, Bacterial ,Ribotyping ,El Tor ,West africa ,Cholera ,Pandemic ,Socioeconomics ,MESH: Phylogeny ,lcsh:Science ,Vibrio cholerae ,Phylogeny ,MESH: Evolution, Molecular ,Multidisciplinary ,Middle East ,biology ,MESH: Genomics ,Genomics ,3. Good health ,Europe ,Geography ,MESH: Human Migration ,MESH: History, 20th Century ,Pathogens ,MESH: History, 21st Century ,MESH: Pandemics ,Science ,Human Migration ,030106 microbiology ,History, 21st Century ,Article ,General Biochemistry, Genetics and Molecular Biology ,Evolution, Molecular ,03 medical and health sciences ,Spatio-Temporal Analysis ,MESH: Spatio-Temporal Analysis ,MESH: Cholera ,Drug Resistance, Bacterial ,MESH: Drug Resistance, Bacterial ,medicine ,Humans ,Clinical microbiology ,Pandemics ,MESH: Humans ,Outbreak ,MESH: Ribotyping ,General Chemistry ,History, 20th Century ,medicine.disease ,biology.organism_classification ,Microbial genomics ,Bacterial genes ,030104 developmental biology ,lcsh:Q ,MESH: Europe ,[INFO.INFO-BI]Computer Science [cs]/Bioinformatics [q-bio.QM] ,Genome, Bacterial ,MESH: Vibrio cholerae - Abstract
In 1970, the seventh pandemic of cholera (7 P) reached both Africa and Europe. Between 1970 and 2011, several European countries reported cholera outbreaks of a few to more than 2,000 cases. We report here a whole-genome analysis of 1,324 7 P V. cholerae El Tor (7 PET) isolates, including 172 from autochthonous sporadic or outbreak cholera cases occurring between 1970 and 2011 in Europe, providing insight into the spatial and temporal spread of this pathogen across Europe. In this work, we show that the 7 PET lineage was introduced at least eight times into two main regions: Eastern and Southern Europe. Greater recurrence of the disease was observed in Eastern Europe, where it persisted until 2011. It was introduced into this region from Southern Asia, often circulating regionally in the countries bordering the Black Sea, and in the Middle East before reaching Eastern Africa on several occasions. In Southern Europe, the disease was mostly seen in individual countries during the 1970s and was imported from North and West Africa, except in 1994, when cholera was imported into Albania and Italy from the Black Sea region. These results shed light on the geographic course of cholera during the seventh pandemic and highlight the role of humans in its global dissemination., Since 1970, several cholera outbreaks caused by the “seventh pandemic” (7PET) lineage have been reported in Europe. Here, the authors demonstrate that the outbreaks were caused by repeated introductions of 7PET into Europe, rather than local environmental sources.
- Published
- 2020
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