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Establishment and lineage dynamics of the SARS-CoV-2 epidemic in the UK

  • Louis du Plessis
  • , John T. McCrone
  • , Alexander E. Zarebski
  • , Verity Hill
  • , Christopher Ruis
  • , Bernardo Gutierrez
  • , Jayna Raghwani
  • , Jordan Ashworth
  • , Rachel Colquhoun
  • , Thomas R. Connor
  • , Nuno R. Faria
  • , Ben Jackson
  • , Nicholas J. Loman
  • , Áine O'Toole
  • , Samuel M. Nicholls
  • , Kris V. Parag
  • , Emily Scher
  • , Tetyana I. Vasylyeva
  • , Erik M. Volz
  • , Alexander Watts
  • Isaac I. Bogoch, Kamran Khan, David M. Aanensen, Moritz U.G. Kraemer, Andrew Rambaut*, Oliver G. Pybus*
*Corresponding author for this work
  • University of Oxford
  • EaStCHEM School of Chemistry, University of Edinburgh
  • University of Cambridge
  • Universidad San Francisco de Quito
  • Cardiff University
  • Public Health Wales
  • Medical Research Council
  • University of Birmingham
  • University of Toronto
  • BlueDot Inc.
  • University of Toronto Faculty of Medicine
  • University Health Network and Mount Sinai Hospital
  • Centre for Genomic Pathogen Surveillance
  • Nuffield Department of Medicine
  • Royal Veterinary College University of London

Research output: Contribution to journalArticlepeer-review

285 Scopus citations

Abstract

The United Kingdom's COVID-19 epidemic during early 2020 was one of world's largest and was unusually well represented by virus genomic sampling. We determined the fine-scale genetic lineage structure of this epidemic through analysis of 50,887 severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) genomes, including 26,181 from the UK sampled throughout the country's first wave of infection. Using large-scale phylogenetic analyses combined with epidemiological and travel data, we quantified the size, spatiotemporal origins, and persistence of genetically distinct UK transmission lineages. Rapid fluctuations in virus importation rates resulted in >1000 lineages; those introduced prior to national lockdown tended to be larger and more dispersed. Lineage importation and regional lineage diversity declined after lockdown, whereas lineage elimination was size-dependent. We discuss the implications of our genetic perspective on transmission dynamics for COVID-19 epidemiology and control.

Original languageEnglish
Pages (from-to)708-712
Number of pages5
JournalScience
Volume371
Issue number6530
DOIs
StatePublished - 12 Feb 2021
Externally publishedYes

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