Phylogenomic analysis of COVID-19 summer and winter outbreaks in Hong Kong: An observational study
Abstract
Background:
Viral genomic surveillance is vital for understanding the transmission of COVID-19. In Hong Kong, breakthrough outbreaks have occurred in July (third wave) and November (fourth wave) 2020. We used whole viral genome analysis to study the characteristics of these waves.
Methods:
We analyzed 509 SARS-CoV-2 genomes collected from Hong Kong patients between 22nd January and 29th November, 2020. Phylogenetic and phylodynamic analyses were performed, and were interpreted with epidemiological information.
Findings:
During the third and fourth waves, diverse SARS-CoV-2 genomes were identified among imported infections. Conversely, local infections were dominated by a single lineage during each wave, with 96.6% (259/268) in the third wave and 100% (73/73) in the fourth wave belonging to B.1.1.63 and B.1.36.27 lineages, respectively. While B.1.1.63 lineage was imported 2 weeks before the beginning of the third wave, B.1.36.27 lineage has circulated in Hong Kong for 2 months prior to the fourth wave. During the fourth wave, 50.7% (37/73) of local infections in November was identical to the viral genome from an imported case in September. Within B.1.1.63 or B.1.36.27 lineage in our cohort, the most common non-synonymous mutations occurred at the helicase (nsp13) gene.
Interpretation:
Although stringent measures have prevented most imported cases from spreading in Hong Kong, a single lineage with low-level local transmission in October and early November was responsible for the fourth wave. A superspreading event or lower temperature in November may have facilitated the spread of the B.1.36.27 lineage.
Funding:
Richard and Carol Yu, Michael Tong, and the Government Consultancy Service (see acknowledgments for full list).
Citation
Chan, W.-M., Ip, J. D., Chu, A. W.-H., Tse, H., Tam, A. R., Li, X., … To, K. K.-W. (2021, May). Phylogenomic analysis of COVID-19 summer and winter outbreaks in Hong Kong: An observational study. The Lancet Regional Health - Western Pacific. Elsevier BV. http://doi.org/10.1016/j.lanwpc.2021.100130
Resource Type
Addition Details
Date:
2021-05-01
Wave of COVID:
4th
Category:
Source URL:
Share