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1. Strengthening genomic surveillance capacity for epidemic-prone pathogens by training personnel from public health laboratories in Brazil and Paraguay/Renforcement des capacites de surveillance genomique des agents pathogenes a tendance epidemique par la formation du personnel des laboratories de sante publique au Bresil et au Paraguay

Author

Giovanetti, Marta, Fonseca, Vagner, Navegantes, Wildo, de Abreu, Andre, Stabeli, Rodrigo, Vazquez, Cynthia Carolina, de Albuquerque, Carlos Frederico Campelo, Rico, Jairo Andres Mendez, Galiano, Socorro Gross, Almirong, Maria, and Alcantara, Luiz Carlos, Jr.

Subjects
Epidemics -- Brazil -- Paraguay, Virulence (Microbiology) -- Health aspects, Yellow fever -- Health aspects, Laboratories -- Health aspects, Public health -- Health aspects, Coronaviruses -- Health aspects, Pathogenic microorganisms -- Health aspects, Government, Health, Pan American Health Organization -- Training
Abstract

Infectious diseases continue to be a leading cause of death worldwide. Viruses, in particular, can evolve and spread rapidly, leading to the emergence of newly mutated, more virulent strains of [...]

Published
2023

2. Description of the first global outbreak of mpox: an analysis of global surveillance data

Author

Abdelgawad, Basma, Babu, Amarnath, Buliva, Evans, Campbell, Finlay, Cardoso Portela Câmara, Daniel, Eleiba, Zainab, Greene-Cramer, Blanche Johanna, Hamblion, Esther, Hassan, Mahmoud, Kaasik-Aaslav, Kaja, Mohamed, Basant, Ndarukwa, Victoria, Otieno, James Richard, Pires, Jeffrey, Pukkila, Jukka, Sanni, Felix, Schultz, Craig, Sedai, Tika, Skrowny, Laila, Phengxay, Manilay, Ochirpurev, Ariuntuya, Skufca, Jozica, Goddard, Laura, Biaukula, Viema, Laurenson-Schafer, Henry, Sklenovská, Nikola, Hoxha, Ana, Kerr, Steven M, Ndumbi, Patricia, Fitzner, Julia, Almiron, Maria, de Sousa, Luis Alves, Briand, Sylvie, Cenciarelli, Orlando, Colombe, Soledad, Doherty, Meg, Fall, Ibrahima Soce, García-Calavaro, Christian, Haussig, Joana M, Kato, Masaya, Mahamud, Abdi Rahman, Morgan, Oliver W, Nabeth, Pierre, Naiene, Jeremias Domingos, Navegantes, Wildo Araujo, Ogundiran, Opeayo, Okot, Charles, Pebody, Richard, Matsui, Tamano, Ramírez, Hugo López-Gatell, Smallwood, Catherine, Tasigchana, Raúl Francisco Pérez, Vaughan, Aisling M, Williams, George Sie, Mala, Peter Omondi, Lewis, Rosamund F, Pavlin, Boris I, and le Polain de Waroux, Olivier

Published
2023
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3. Genomic epidemiology of the SARS-CoV-2 epidemic in Brazil

Author

Giovanetti, Marta, Slavov, Svetoslav Nanev, Fonseca, Vagner, Wilkinson, Eduan, Tegally, Houriiyah, Patané, José Salvatore Leister, Viala, Vincent Louis, San, Emmanuel James, Rodrigues, Evandra Strazza, Santos, Elaine Vieira, Aburjaile, Flavia, Xavier, Joilson, Fritsch, Hegger, Adelino, Talita Emile Ribeiro, Pereira, Felicidade, Leal, Arabela, Iani, Felipe Campos de Melo, de Carvalho Pereira, Glauco, Vazquez, Cynthia, Sanabria, Gladys Mercedes Estigarribia, Oliveira, Elaine Cristina de, Demarchi, Luiz, Croda, Julio, dos Santos Bezerra, Rafael, Paola Oliveira de Lima, Loyze, Martins, Antonio Jorge, Renata dos Santos Barros, Claudia, Marqueze, Elaine Cristina, de Souza Todao Bernardino, Jardelina, Moretti, Debora Botequio, Brassaloti, Ricardo Augusto, de Lello Rocha Campos Cassano, Raquel, Mariani, Pilar Drummond Sampaio Corrêa, Kitajima, João Paulo, Santos, Bibiana, Proto-Siqueira, Rodrigo, Cantarelli, Vlademir Vicente, Tosta, Stephane, Nardy, Vanessa Brandão, Reboredo de Oliveira da Silva, Luciana, Gómez, Marcela Kelly Astete, Lima, Jaqueline Gomes, Ribeiro, Adriana Aparecida, Guimarães, Natália Rocha, Watanabe, Luiz Takao, Barbosa Da Silva, Luana, da Silva Ferreira, Raquel, da Penha, Mara Patricia F., Ortega, María José, de la Fuente, Andrea Gómez, Villalba, Shirley, Torales, Juan, Gamarra, María Liz, Aquino, Carolina, Figueredo, Gloria Patricia Martínez, Fava, Wellington Santos, Motta-Castro, Ana Rita C., Venturini, James, do Vale Leone de Oliveira, Sandra Maria, Gonçalves, Crhistinne Cavalheiro Maymone, do Carmo Debur Rossa, Maria, Becker, Guilherme Nardi, Giacomini, Mayra Presibella, Marques, Nelson Quallio, Riediger, Irina Nastassja, Raboni, Sonia, Mattoso, Gabriela, Cataneo, Allan D., Zanluca, Camila, Duarte dos Santos, Claudia N., Assato, Patricia Akemi, Allan da Silva da Costa, Felipe, Poleti, Mirele Daiana, Lesbon, Jessika Cristina Chagas, Mattos, Elisangela Chicaroni, Banho, Cecilia Artico, Sacchetto, Lívia, Moraes, Marília Mazzi, Grotto, Rejane Maria Tommasini, Souza-Neto, Jayme A., Nogueira, Maurício Lacerda, Fukumasu, Heidge, Coutinho, Luiz Lehmann, Calado, Rodrigo Tocantins, Neto, Raul Machado, Bispo de Filippis, Ana Maria, Venancio da Cunha, Rivaldo, Freitas, Carla, Peterka, Cassio Roberto Leonel, de Fátima Rangel Fernandes, Cássia, Navegantes, Wildo, do Carmo Said, Rodrigo Fabiano, Campelo de A e Melo, Carlos F., Almiron, Maria, Lourenço, José, de Oliveira, Tulio, Holmes, Edward C., Haddad, Ricardo, Sampaio, Sandra Coccuzzo, Elias, Maria Carolina, Kashima, Simone, Junior de Alcantara, Luiz Carlos, and Covas, Dimas Tadeu

Published
2022
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4. Genomic epidemiology unveils the dynamics and spatial corridor behind the Yellow Fever virus outbreak in Southern Brazil

Author

Giovanetti, Marta, primary, Pinotti, Francesco, additional, Zanluca, Camila, additional, Fonseca, Vagner, additional, Nakase, Taishi, additional, Koishi, Andrea C., additional, Tscha, Marcel, additional, Soares, Guilherme, additional, Dorl, Gisiane Gruber, additional, Marques, Antônio Ernesto M.L, additional, Sousa, Renato, additional, Adelino, Talita Emile Ribeiro, additional, Xavier, Joilson, additional, de Oliveira, Carla, additional, Patroca, Sandro, additional, Guimaraes, Natalia Rocha, additional, Fritsch, Hegger, additional, Mares-Guia, Maria Angélica, additional, Levy, Flavia, additional, Passos, Pedro Henrique, additional, da Silva, Vinicius Leme, additional, Pereira, Luiz Augusto, additional, Mendonça, Ana Flávia, additional, de Macêdo, Isabel Luana, additional, Ribeiro de Sousa, Davi Emanuel, additional, Rodrigues de Toledo Costa, Gabriela, additional, Botelho de Castro, Marcio, additional, de Souza Andrade, Miguel, additional, de Abreu, Filipe Vieira Santos, additional, Campos, Fabrício Souza, additional, Iani, Felipe Campos de Melo, additional, Pereira, Maira Alves, additional, Cavalcante, Karina Ribeiro Leite Jardim, additional, de Freitas, Andre Ricardo Ribas, additional, Campelo de Albuquerque, Carlos Frederico, additional, Macário, Eduardo Marques, additional, dos Anjos, Marlei Pickler Debiasi, additional, Ramos, Rosane Campanher, additional, Campos, Aline Alves Scarpellini, additional, Pinter, Adriano, additional, Chame, Marcia, additional, Abdalla, Livia, additional, Riediger, Irina Nastassja, additional, Ribeiro, Sérvio Pontes, additional, Bento, Ana I., additional, de Oliveira, Tulio, additional, Freitas, Carla, additional, Oliveira de Moura, Noely Fabiana, additional, Fabri, Allison, additional, dos Santos Rodrigues, Cintia Damasceno, additional, Dos Santos, Carolina Cardoso, additional, Barreto de Almeida, Marco Antonio, additional, dos Santos, Edmilson, additional, Cardoso, Jader, additional, Augusto, Douglas Adriano, additional, Krempser, Eduardo, additional, Mucci, Luís Filipe, additional, Gatti, Renata Rispoli, additional, Cardoso, Sabrina Fernandes, additional, Fuck, João Augusto Brancher, additional, Lopes, Maria Goretti David, additional, Belmonte, Ivana Lucia, additional, Mayoral Pedroso da Silva, Gabriela, additional, Soares, Maiane Regina Ferreira, additional, de Castilhos, Marilia de Melo Santos, additional, de Souza e Silva, Joseana Cardoso, additional, Bisetto Junior, Alceu, additional, Pouzato, Emanuelle Gemin, additional, Tanabe, Laurina Setsuko, additional, Arita, Daniele Akemi, additional, Matsuo, Ricardo, additional, dos Santos Raymundo, Josiane, additional, Silva, Paula Cristina Linder, additional, Santana Araújo Ferreira Silva, Ana, additional, Samila, Sandra, additional, Carvalho, Glauco, additional, Stabeli, Rodrigo, additional, Navegantes, Wildo, additional, Moreira, Luciano Andrade, additional, Ferreira, Alvaro Gil A., additional, Pinheiro, Guilherme Garcia, additional, Nunes, Bruno Tardelli Diniz, additional, de Almeida Medeiros, Daniele Barbosa, additional, Cruz, Ana Cecília Ribeiro, additional, Venâncio da Cunha, Rivaldo, additional, Van Voorhis, Wes, additional, Bispo de Filippis, Ana Maria, additional, Almiron, Maria, additional, Holmes, Edward C., additional, Ramos, Daniel Garkauskas, additional, Romano, Alessandro, additional, Lourenço, José, additional, Alcantara, Luiz Carlos Junior, additional, and Duarte dos Santos, Claudia Nunes, additional

Published
2023
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5. Genomic epidemiology sheds light on the recent spatio-temporal dynamics of Yellow Fever virus and the spatial corridor that fueled its ongoing emergence in southern Brazil

Author

Giovanetti, Marta, primary, Pinotti, Francesco, additional, Zanluca, Camila, additional, Fonseca, Vagner, additional, Nakase, Taishi, additional, Koishi, Andrea C., additional, Tscha, Marcel, additional, Soares, Guilherme, additional, Dorl, Gisiane Gruber, additional, Marques, Antônio Ernesto M.L, additional, Sousa, Renato, additional, Ribeiro Adelino, Talita Emile, additional, Xavier, Joilson, additional, de Oliveira, Carla, additional, da Silva, Sandro Patroca, additional, Guimaraes, Natalia Rocha, additional, Fritsch, Hegger, additional, Angélica Mares-Guia, Maria, additional, Levy, Flavia, additional, Passos, Pedro Henrique, additional, da Silva, Vinicius Leme, additional, Pereira, Luiz Augusto, additional, Mendonça, Ana Flávia, additional, de Macêdo, Isabel Luana, additional, de Sousa, Davi Emanuel Ribeiro, additional, de Toledo Costa, Gabriela Rodrigues, additional, de Castro, Marcio Botelho, additional, de Melo Iani, Felipe Campos, additional, Pereira, Maira Alves, additional, Jardim Cavalcante, Karina Ribeiro Leite, additional, de Freitas, Andre Ricardo Ribas, additional, de Albuquerque, Carlos Frederico Campelo, additional, Macário, Eduardo Marques, additional, dos Anjos, Marlei Pickler Debiasi, additional, Ramos, Rosane Campanher, additional, Scarpellini Campos, Aline Alves, additional, Pinter, Adriano, additional, Chame, Marcia, additional, Abdalla, Livia, additional, Riediger, Irina Nastassja, additional, Ribeiro, Sérvio Pontes, additional, Bento, Ana Isabel, additional, de Oliveira, Tulio, additional, Freitas, Carla, additional, de Moura, Noely Fabiana Oliveira, additional, Fabri, Allison, additional, Santos Rodrigues, Cintia Damasceno Dos, additional, Dos Santos, Carolina Cardoso, additional, de Almeida, Marco Antonio Barreto, additional, Santos, Edmilson dos, additional, Cardoso, Jader, additional, Augusto, Douglas Adriano, additional, Krempser, Eduardo, additional, Mucci, Luís Filipe, additional, Gatti, Renata Rispoli, additional, Cardoso, Sabrina Fernandes, additional, Brancher Fuck, João Augusto, additional, David Lopes, Maria Goretti, additional, Belmonte, Ivana Lucia, additional, da Silva, Gabriela Mayoral Pedroso, additional, Ferreira Soares, Maiane Regina, additional, de Melo Santos de Castilhos, Marilia, additional, de Souza e Silva, Joseana Cardoso, additional, Junior, Alceu Bisetto, additional, Pouzato, Emanuelle Gemin, additional, Tanabe, Laurina Setsuko, additional, Arita, Daniele Akemi, additional, Matsuo, Ricardo, additional, Santos Raymundo, Josiane dos, additional, Linder Silva, Paula Cristina, additional, Araújo Ferreira Silva, Ana Santana, additional, Samila, Sandra, additional, Carvalho, Glauco, additional, Stabeli, Rodrigo, additional, Navegantes, Wildo, additional, Moreira, Luciano Andrade, additional, A. Ferreira, Alvaro Gil, additional, Pinheiro, Guilherme Garcia, additional, Diniz Nunes, Bruno Tardelli, additional, de Almeida Medeiros, Daniele Barbosa, additional, Ribeiro Cruz, Ana Cecília, additional, da Cunha, Rivaldo Venâncio, additional, Van Voorhis, Wes, additional, de Filippis, Ana Maria Bispo, additional, Almiron, Maria, additional, Holmes, Edward C., additional, Ramos, Daniel Garkauskas, additional, Romano, Alessandro, additional, Lourenço, José, additional, Junior Alcantara, Luiz Carlos, additional, and dos Santos, Claudia Nunes Duarte, additional

Published
2023
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6. Field and classroom initiatives for portable sequence-based monitoring of dengue virus in Brazil

Author

Adelino, Talita ?mile Ribeiro, Giovanetti, Marta, Fonseca, Vagner, Xavier, Joilson, Abreu, ?lvaro Salgado de, Nascimento, Valdinete Alves do, Demarchi, Luiz Henrique Ferraz, Oliveira, Marluce Aparecida Assun??o, Silva, Vin?cius Lemos da, Mello, Arabela Leal e Silva de, Cunha, Gabriel Muricy, Santos, Roselene Hans, Oliveira, Elaine Cristina de, Chamon J?nior, Jorge Ant?nio, Iani, Felipe Campos de Melo, Filippis, Ana Maria Bispo de, Abreu, Andr? Luiz de, Jesus, Ronaldo de, Albuquerque, Carlos Frederico Campelo de, Rico, Jairo Mendez, Said, Rodrigo Fabiano do Carmo, Silva, Josc?lio Aguiar, Moura, Noely Fabiana Oliveira de, Leite, Priscila, Frutuoso, L?via Carla Vinhal, Haddad, Simone Kashima, Mart?nez, Alexander, Barreto, Fernanda Khouri, Vazquez, Cynthia Carolina, Cunha, Rivaldo Ven?ncio da, Ara?jo, Emerson Luiz Lima, Tosta, Stephane Fraga de Oliveira, Fabri, Allison de Ara?jo, Chalhoub, Fl?via Lowen Levy, Lemos, Poliana da Silva, Bruycker-Nogueira, Fernanda de, Lichs, Gislene Garcia de Castro, Zardin, Marina Castilho Souza Umaki, Segovia, F?tima Mar?a Cardozo, Gon?alves, Crhistinne Cavalheiro Maymone, Grillo, Zoraida Del Carmen Fernandez, Slavov, Svetoslav Nanev, Pereira, Luiz Augusto, Mendon?a, Ana Fl?via, Pereira, Felicidade Mota, Magalh?es, Jurandy J?nior Ferraz de, Santos J?nior, Agenor de Castro Moreira dos, Lima, Maric?lia Maia de, Nogueira, Rita Maria Ribeiro, G?es-Neto, Arist?teles, Azevedo, Vasco Ariston de Carvalho, Ramalho, Dario Brock, Oliveira, Wanderson Kleber, Macario, Eduardo Marques, Medeiros, Arnaldo Correia de, Pimentel, Victor, Holmes, Edward C, Oliveira, Tulio de, Louren?o, Jos?, Alcantara, Luiz Carlos Junior, Cerqueira, Erenilde Marques de, Graf, Tiago, Ramalho, Walter, Navegantes, Wildo, Reis, Renato Barbosa, Duarte, Clara Guerra, Pereira, Maria Alves, Silva, Paulo Eduardo de Souza da, Souza, Raoni Almeida de, Pauvolid-Corr?a, Alex, Paiva, Anne Aline Pereira de, Fritsch, Hegger Machado, Mares-Guia, Maria Ang?lica, Torres, Maria Celeste, Lima, Maur?cio Teixeira, Sequeira, Patr?cia, Marques, William de Almeida, Jesus, Jorlan Fernandes de, Naveca, Felipe Gomes, Silva, Alessandra Lima, Pinto, Anne Cybelle, Jaiswal, Arun Kumar, Lopes, ?lisson Nogueira, Costa, Francielly Morais Rodrigues da, Quintanilha-Peixoto, Gabriel, Soares, Gilson Carlos, Fonseca, Paula Luize Camargos, Souza, Renan Pedra de, Kato, Rodrigo Bentes, Santos, Rodrigo Profeta Silveira, Tiwari, Sandeep, Nogueira, Wylerson Guimar?es, Santos, Beatriz Senra ?lvares da Silva, Bueno, Bruna Lopes, Siqueira, Isadora Cristina de, Valle, Lourdes Farre, Borba, Melina Mosquera Navarro, Mazzetto, Alix Sandra, Aguiar, Francisco de Assis Ara?jo, Gomes, Irenio da Silva, Abrantes, Jayra Juliana Paiva Alves, Watanabe, Luiz Takao, Rego, Marta Ferreira da Silva, Nardy, Vanessa Brand?o, Aguiar, Shirlei Ferreira de, Santos, Fabiana Cristina Pereira dos, Queiroz, Alice Louize Nunes, Nunes, Bruno Tardelli Diniz, Martins, L?via Car?cio, Nunes, Marcio Roberto Teixeira, Salles, Fl?via Cristina da Silva, Claro, Ingra Morales, Jesus, Jaqueline Goes de, C?ndido, Darlan da Silva, Fabbri, Cintia Marcela, Gonz?lez, Claudia, Sa?z, Lisseth, Chen-Germ?n, Mar?a, Barrera, Jaime Lagos, Ram?rez-Gonz?lez, Jos? Ernesto, Campos, Josefina, Faller, Noelia Morel, Villalobos, Marta Eugenia V?quez, Kaslin, Roberto, Cisneros, Silvia Paola Salgado, Aburjaile, Fl?via Figueira, Amaral, Carolina Dourado, Freire, Danielle Bandeira Costa de Sousa, Cruz, Laura Nogueira, Mattos, Daniel, Landeira, Leandro Ferreira Lopes, Menezes, Mariane Talon de, Orioli, Ieda Maria, Ferraz, Ariane Coelho, Oliveira, Daiane Teixeira de, Reis, Alexandre Barbosa, Cota, Renata Guerra de S?, Bezerra, Rafael dos Santos, Falc?o, Melissa Barreto, and Carvalho, Rodrigo Dias de Oliveira

Subjects
0106 biological sciences, 0301 basic medicine, Sequenciamento por Nanoporos, Lineage (evolution), General Physics and Astronomy, Dengue virus, medicine.disease_cause, 01 natural sciences, Dengue fever, law.invention, Dengue, law, Clade, Phylogeny, Molecular Epidemiology, Multidisciplinary, V?rus da Dengue / patogenicidade, Varia??o Estrutural do Genoma, Phylogenetics, Transmission (mechanics), Geography, Epidemiological Monitoring, RNA, Viral, Brazil, Science, Genome, Viral, Real-Time Polymerase Chain Reaction, 010603 evolutionary biology, Proof of Concept Study, General Biochemistry, Genetics and Molecular Biology, Article, Dengue / virologia, 03 medical and health sciences, medicine, Humans, Epidemics, Retrospective Studies, Whole genome sequencing, Whole Genome Sequencing, Genetic Variation, Dengue / transmiss?o, General Chemistry, Dengue Virus, medicine.disease, Molecular Typing, 030104 developmental biology, Evolutionary biology, Feasibility Studies, Nanopore sequencing, Mobile Health Units
Abstract

Brazil experienced a large dengue virus (DENV) epidemic in 2019, highlighting a continuous struggle with effective control and public health preparedness. Using Oxford Nanopore sequencing, we led field and classroom initiatives for the monitoring of DENV in Brazil, generating 227 novel genome sequences of DENV1-2 from 85 municipalities (2015–2019). This equated to an over 50% increase in the number of DENV genomes from Brazil available in public databases. Using both phylogenetic and epidemiological models we retrospectively reconstructed the recent transmission history of DENV1-2. Phylogenetic analysis revealed complex patterns of transmission, with both lineage co-circulation and replacement. We identified two lineages within the DENV2 BR-4 clade, for which we estimated the effective reproduction number and pattern of seasonality. Overall, the surveillance outputs and training initiative described here serve as a proof-of-concept for the utility of real-time portable sequencing for research and local capacity building in the genomic surveillance of emerging viruses., Here, the authors present results of the ZiBRA-2 project (https://www.zibra2project.org) which is an arbovirus surveillance project, across the Midwest of Brazil using a mobile genomics laboratory, combined with a genomic surveillance training program that targeted post-graduate students, laboratory technicians, and health practitioners in universities and laboratories.

Published
2021

7. Replacement of the Gamma by the Delta variant in Brazil: impact of lineage displacement on the ongoing pandemic

Author

Giovanetti, Marta, primary, Fonseca, Vagner, additional, Wilkinson, Eduan, additional, Tegally, Houriiyah, additional, San, Emmanuel James, additional, Althaus, Christian L., additional, Xavier, Joilson, additional, Nanev Slavov, Svetoslav, additional, Viala, Vincent Louis, additional, Ranieri Jeronimo Lima, Alex, additional, Ribeiro, Gabriela, additional, Souza-Neto, Jayme A., additional, Fukumasu, Heidge, additional, Lehmann Coutinho, Luiz, additional, Venancio da Cunha, Rivaldo, additional, Freitas, Carla, additional, Campelo de A e Melo, Carlos F, additional, Navegantes, Wildo, additional, do Carmo Said, Rodrigo Fabiano, additional, Almiron, Maria, additional, de Oliveira, Tulio, additional, Sampaio, Sandra Coccuzzo, additional, Elias, Maria Carolina, additional, Tadeu Covas, Dimas, additional, Holmes, Edward C, additional, Lourenco, Jose, additional, Kashima, Simone, additional, and Alcantara, Luiz Carlos Junior, additional

Published
2021
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9. Genomic epidemiology reveals how restriction measures shaped the SARS-CoV-2 epidemic in Brazil

Author

Giovanetti, Marta, primary, Nanev Slavov, Svetoslav, additional, Fonseca, Vagner, additional, Wilkinson, Eduan, additional, Tegally, Houriiyah, additional, Patane, Jose, additional, Viala, Vincent Louis, additional, San, Emmanuel James, additional, Strazza Rodrigues, Evandra, additional, Vieira Santos, Elaine, additional, Aburjaile, Flavia, additional, Xavier, Joilson, additional, Fritsch, Hegger, additional, Ribeiro Adelino, Talita Emile, additional, Pereira, Felicidade, additional, Leal, Arabela, additional, Campos de Melo Iani, Felipe, additional, de Carvalho Pereira, Glauco, additional, Vazquez, Cynthia, additional, Mercedes Estigarribia Sanabria, Gladys, additional, Cristina de Oliveira, Elaine, additional, Demarchi, Luiz, additional, Croda, Julio, additional, Bezerra, Rafael Dos Santos, additional, Oliveira de Lima, Loyze Paola, additional, Martins, Antonio Jorge, additional, dos Santos Barros, Claudia Renata, additional, Marqueze, Elaine Cristina, additional, de Souza Todao Bernardino, Jardelina, additional, Botequio Moretti, Debora, additional, Brassaloti, Ricardo Augusto, additional, de Lello Rocha Campos Cassano, Raquel, additional, Drummond Sampaio Correa Mariani, Pilar, additional, Paulo Kitajima, Joao, additional, Santos, Bibiana, additional, Proto Siqueira, Rodrigo, additional, Cantarelli, Vlademir Vicente, additional, Tosta, Stephane, additional, Brandao Nardy, Vanessa, additional, Reboredo de Oliveira da Silva, Luciana, additional, Astete Gomez, Marcela Kelly, additional, Gomes Lima, Jaqueline, additional, Ribeiro, Adriana Aparecida, additional, Rocha Guimaraes, Natalia, additional, Takao Watanabe, Luiz, additional, Barbosa Da Silva, Luana, additional, da Silva Ferreira, Raquel, additional, F. da Penha, Mara Patricia, additional, Ortega, Maria Jose, additional, Gomez de la Fuente, Andrea, additional, Villalba, Shirley, additional, Torales, Juan, additional, Gamarra, Maria Liz, additional, Aquino, Carolina, additional, Martinez Figueredo, Gloria Patricia, additional, Santos Fava, Wellington, additional, Motta Castro, Ana Rita C., additional, Venturini, James, additional, do Vale Leone de Oliveira, Sandra Maria, additional, Cavalheiro Maymone Goncalves, Crhistinne, additional, do Carmo Debur Rossa, Maria, additional, Nardi Becker, Guilherme, additional, Marinho Presibella, Mayra, additional, Quallio Marques, Nelson, additional, Nastassja Riediger, Irina, additional, Raboni, Sonia, additional, Mattoso, Gabriela, additional, Cataneo, Allan D., additional, Zanluca, Camila, additional, Duarte dos Santos, Claudia N, additional, Akemi Assato, Patricia, additional, da Silva da Costa, Felipe Allan, additional, Poleti, Mirele Daiana, additional, Chagas Lesbon, Jessika Cristina, additional, Chicaroni Mattos, Elisangela, additional, Artico Banho, Cecilia, additional, Sacchetto, Livia S, additional, Mazzi Moraes, Marilia, additional, Tommasini Grotto, Rejane Maria, additional, Souza-Neto, Jayme A., additional, Nogueira, Mauricio L, additional, Fukumasu, Heidge, additional, Lehmann Coutinho, Luiz, additional, Tocantins Calado, Rodrigo, additional, Machado Neto, Raul, additional, Bispo de Filippis, Ana Maria, additional, Venancio da Cunha, Rivaldo, additional, Freitas, Carla, additional, Leonel Peterka, Cassio Roberto, additional, Rangel Fernandes, Cassia de Fatima, additional, Navegantes, Wildo, additional, do Carmo Said, Rodrigo Fabiano, additional, Almiron, Maria, additional, Campelo de A e Melo, Carlos F, additional, Lourenco, Jose, additional, de Oliveira, Tulio, additional, Holmes, Edward C, additional, Haddad, Ricardo, additional, Sampaio, Sandra Coccuzzo, additional, Elias, Maria Carolina, additional, Kashima, Simone, additional, Alcantara, Luiz Carlos Junior, additional, and Covas, Dimas Tadeu, additional

Published
2021
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11. Description of the first global outbreak of mpox: an analysis of global surveillance data.

Author

Laurenson-Schafer H, Sklenovská N, Hoxha A, Kerr SM, Ndumbi P, Fitzner J, Almiron M, de Sousa LA, Briand S, Cenciarelli O, Colombe S, Doherty M, Fall IS, García-Calavaro C, Haussig JM, Kato M, Mahamud AR, Morgan OW, Nabeth P, Naiene JD, Navegantes WA, Ogundiran O, Okot C, Pebody R, Matsui T, Ramírez HL, Smallwood C, Tasigchana RFP, Vaughan AM, Williams GS, Mala PO, Lewis RF, Pavlin BI, and le Polain de Waroux O

Subjects
Male, Female, Humans, Homosexuality, Male, Retrospective Studies, Disease Outbreaks, Mpox (monkeypox), Sexual and Gender Minorities
Abstract

Background: In May 2022, several countries with no history of sustained community transmission of mpox (formerly known as monkeypox) notified WHO of new mpox cases. These cases were soon followed by a large-scale outbreak, which unfolded across the world, driven by local, in-country transmission within previously unaffected countries. On July 23, 2022, WHO declared the outbreak a Public Health Emergency of International Concern. Here, we aim to describe the main epidemiological features of this outbreak, the largest reported to date., Methods: In this analysis of global surveillance data we analysed data for all confirmed mpox cases reported by WHO Member States through the global surveillance system from Jan 1, 2022, to Jan 29, 2023. Data included daily aggregated numbers of mpox cases by country and a case reporting form (CRF) containing information on demographics, clinical presentation, epidemiological exposure factors, and laboratory testing. We used the data to (1) describe the key epidemiological and clinical features of cases; (2) analyse risk factors for hospitalisation (by multivariable mixed-effects binary logistic regression); and (3) retrospectively analyse transmission trends. Sequencing data from GISAID and GenBank were used to analyse monkeypox virus (MPXV) genetic diversity., Findings: Data from 82 807 cases with submitted CRFs were included in the analysis. Cases were primarily due to clade IIb MPXV (mainly lineage B.1, followed by lineage A.2). The outbreak was driven by transmission among males (73 560 [96·4%] of 76 293 cases) who self-identify as men who have sex with men (25 938 [86·9%] of 29 854 cases). The most common reported route of transmission was sexual contact (14 941 [68·7%] of 21 749). 3927 (7·3%) of 54 117 cases were hospitalised, with increased odds for those aged younger than 5 years (adjusted odds ratio 2·12 [95% CI 1·32-3·40], p=0·0020), aged 65 years and older (1·54 [1·05-2·25], p=0·026), female cases (1·61 [1·35-1·91], p<0·0001), and for cases who are immunosuppressed either due to being HIV positive and immunosuppressed (2·00 [1·68-2·37], p<0·0001), or other immunocompromising conditions (3·47 [1·84-6·54], p=0·0001)., Interpretation: Continued global surveillance allowed WHO to monitor the epidemic, identify risk factors, and inform the public health response. The outbreak can be attributed to clade IIb MPXV spread by newly described modes of transmission., Funding: WHO Contingency Fund for Emergencies., Translations: For the French and Spanish translations of the abstract see Supplementary Materials section., Competing Interests: Declaration of interests We declare no competing interest., (This is an Open Access article published under the CC BY 3.0 IGO license which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited. In any use of this article, there should be no suggestion that WHO endorses any specific organisation, products or services. The use of the WHO logo is not permitted. This notice should be preserved along with the article's original URL.)

Published
2023
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