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The first wave of the COVID-19 epidemic in Spain was associated with early introductions and fast spread of a dominating genetic variant.

Mariana G LópezÁlvaro Chiner-OmsDarío García de ViedmaPaula Ruiz-RodriguezMaria Alma BrachoIrving Cancino-MuñozGiuseppe D'AuriaGriselda de MarcoNeris García-GonzálezGalo Adrian GoigInmaculada Gómez-NavarroSantiago Jiménez-SerranoLlúcia Martinez-PriegoPaula Ruiz-HuesoLidia Ruiz-RoldánManuela Torres-PuenteJuan AlberolaEliseo AlbertMaitane Aranzamendi ZaldumbideMaría Pilar Bea-EscuderoJose Antonio BogaAntoni E BordoyAndrés Canut-BlascoAna CarvajalGustavo Cilla EguiluzMaria Luz Cordón RodríguezJosé J Costa-AlcaldeMaría de ToroInmaculada de Toro PeinadoJose Luis Del PozoSebastián DuchêneJovita Fernández-PineroBegoña Fuster EscriváConcepción Gimeno CardonaVerónica González GalánNieves Gonzalo JiménezSilvia Hernáez CrespoMarta HerranzJosé Antonio LepeCarla López-CausapeJosé Luis López-HontangasVicente Martín SánchezElisa MartróAna Milagro BeamonteMilagrosa Montes RosRosario Moreno-MuñozDavid NavarroJosé María Navarro-MaríAnna NotAntonio OliverBegoña Palop-BorrásMónica Parra GrandeIrene Pedrosa-CorralMaria Carmen Pérez GonzálezLaura Pérez-LagoMercedes Pérez-RuizLuis Piñeiro VázquezNuria RabellaAntonio RezustaLorena Robles FonsecaÁngel Rodríguez-VillodresSara Sanbonmatsu-GámezJon SiciliaAlex SorianoMaría Dolores Tirado BalaguerIgnacio TorresAlexander TristanchoJosé María Marimónnull nullMireia CoscollaFernando Gonzáles-CandelasIñaki Comas
Published in: Nature genetics (2021)
The coronavirus disease 2019 (COVID-19) pandemic has affected the world radically since 2020. Spain was one of the European countries with the highest incidence during the first wave. As a part of a consortium to monitor and study the evolution of the epidemic, we sequenced 2,170 samples, diagnosed mostly before lockdown measures. Here, we identified at least 500 introductions from multiple international sources and documented the early rise of two dominant Spanish epidemic clades (SECs), probably amplified by superspreading events. Both SECs were related closely to the initial Asian variants of SARS-CoV-2 and spread widely across Spain. We inferred a substantial reduction in the effective reproductive number of both SECs due to public-health interventions (Re < 1), also reflected in the replacement of SECs by a new variant over the summer of 2020. In summary, we reveal a notable difference in the initial genetic makeup of SARS-CoV-2 in Spain compared with other European countries and show evidence to support the effectiveness of lockdown measures in controlling virus spread, even for the most successful genetic variants.
Keyphrases
  • sars cov
  • coronavirus disease
  • respiratory syndrome coronavirus
  • public health
  • genome wide
  • copy number
  • randomized controlled trial
  • systematic review
  • physical activity
  • risk factors
  • dna methylation
  • drinking water