Publication Details

Category Text Publication
Reference Category Journals
DOI 10.2807/1560-7917.ES.2022.27.43.2101089
Licence creative commons licence
Title (Primary) Integrated genomic surveillance enables tracing of person-to-person SARS-CoV-2 transmission chains during community transmission and reveals extensive onward transmission of travel-imported infections, Germany, June to July 2021
Author Houwaart, T.; Belhaj, S.; Tawalbeh, E.; Nagels, D.; Fröhlich, Y.; Finzer, P.; Ciruela, P.; Nunes da Rocha, U.; Rosenstiel, P., et al.
Source Titel Eurosurveillance
Year 2022
Department UMB
Volume 27
Issue 43
Page From art. 2101089
Language englisch
Topic T7 Bioeconomy
Data and Software links https://doi.org/10.17605/OSF.IO/B7TU3
Supplements https://www.eurosurveillance.org/content/10.2807/1560-7917.ES.2022.27.43.2101089#supplementary_data
Abstract Background
Tracking person-to-person SARS-CoV-2 transmission in the population is important to understand the epidemiology of community transmission and may contribute to the containment of SARS-CoV-2. Neither contact tracing nor genomic surveillance alone, however, are typically sufficient to achieve this objective.
Aim
We demonstrate the successful application of the integrated genomic surveillance (IGS) system of the German city of Düsseldorf for tracing SARS-CoV-2 transmission chains in the population as well as detecting and investigating travel-associated SARS-CoV-2 infection clusters.
Methods
Genomic surveillance, phylogenetic analysis, and structured case interviews were integrated to elucidate two genetically defined clusters of SARS-CoV-2 isolates detected by IGS in Düsseldorf in July 2021.
Results
Cluster 1 (n = 67 Düsseldorf cases) and Cluster 2 (n = 36) were detected in a surveillance dataset of 518 high-quality SARS-CoV-2 genomes from Düsseldorf (53% of total cases, sampled mid-June to July 2021). Cluster 1 could be traced back to a complex pattern of transmission in nightlife venues following a putative importation by a SARS-CoV-2-infected return traveller (IP) in late June; 28 SARS-CoV-2 cases could be epidemiologically directly linked to IP. Supported by viral genome data from Spain, Cluster 2 was shown to represent multiple independent introduction events of a viral strain circulating in Catalonia and other European countries, followed by diffuse community transmission in Düsseldorf.
Conclusion
IGS enabled high-resolution tracing of SARS-CoV-2 transmission in an internationally connected city during community transmission and provided infection chain-level evidence of the downstream propagation of travel-imported SARS-CoV-2 cases.
Persistent UFZ Identifier https://www.ufz.de/index.php?en=20939&ufzPublicationIdentifier=29556
Houwaart, T., Belhaj, S., Tawalbeh, E., Nagels, D., Fröhlich, Y., Finzer, P., Ciruela, P., Nunes da Rocha, U., Rosenstiel, P., et al. (2022):
Integrated genomic surveillance enables tracing of person-to-person SARS-CoV-2 transmission chains during community transmission and reveals extensive onward transmission of travel-imported infections, Germany, June to July 2021
Eurosurveillance 27 (43), art. 2101089 10.2807/1560-7917.ES.2022.27.43.2101089