Evidence map›Paper›PMID 39604601›Full record

ArticleCommunications medicine2024

Spatiotemporal evolution and transmission dynamics of Alpha and Delta SARS-CoV-2 variants contributing to sequential outbreaks in Cambodia during 2021.

Yvonne C F Su, Michael A Zeller, Tey Putita Ou, Jordan Ma, Leakhena Pum, Rong Zhang, Sophannadeth Rath, Vireak Heang, Sonita Kol, Reaksa Lim and 33 more

Abstract read
In one paragraph

Article in Communications medicine, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

2 citing papers in PubMed.

  1. Article
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

43 authors.

Yvonne C F SuProgramme in Emerging Infectious Diseases, Duke-NUS Medical School, 8 College Road, Singapore, 169857, Singapore. yvonne.su@duke-nus.edu.sg.ORCID http://orcid.org/0000-0003-4349-9211
Michael A ZellerProgramme in Emerging Infectious Diseases, Duke-NUS Medical School, 8 College Road, Singapore, 169857, Singapore.
Tey Putita OuVirology Unit, World Health Organization COVID-19 Global Referral Laboratory, Institut Pasteur du Cambodge, Phnom Penh, Cambodia.ORCID http://orcid.org/0000-0001-8179-1382
Jordan MaProgramme in Emerging Infectious Diseases, Duke-NUS Medical School, 8 College Road, Singapore, 169857, Singapore.
Leakhena PumVirology Unit, World Health Organization COVID-19 Global Referral Laboratory, Institut Pasteur du Cambodge, Phnom Penh, Cambodia.
Rong ZhangProgramme in Emerging Infectious Diseases, Duke-NUS Medical School, 8 College Road, Singapore, 169857, Singapore.
Sophannadeth RathVirology Unit, World Health Organization COVID-19 Global Referral Laboratory, Institut Pasteur du Cambodge, Phnom Penh, Cambodia.
Vireak HeangVirology Unit, World Health Organization COVID-19 Global Referral Laboratory, Institut Pasteur du Cambodge, Phnom Penh, Cambodia.
Sonita KolVirology Unit, World Health Organization COVID-19 Global Referral Laboratory, Institut Pasteur du Cambodge, Phnom Penh, Cambodia.
Reaksa LimVirology Unit, World Health Organization COVID-19 Global Referral Laboratory, Institut Pasteur du Cambodge, Phnom Penh, Cambodia.
Kim Lay CheaVirology Unit, World Health Organization COVID-19 Global Referral Laboratory, Institut Pasteur du Cambodge, Phnom Penh, Cambodia.
Limmey KhunVirology Unit, World Health Organization COVID-19 Global Referral Laboratory, Institut Pasteur du Cambodge, Phnom Penh, Cambodia.
Leangyi HengVirology Unit, World Health Organization COVID-19 Global Referral Laboratory, Institut Pasteur du Cambodge, Phnom Penh, Cambodia.
Sidonn KrangCommunicable Disease Control Department, Ministry of Health, Phnom Penh, Cambodia.
Philomena RafteryWorld Health Organization Country Office, Phnom Penh, Cambodia.ORCID http://orcid.org/0000-0002-2683-7154
Michael H KinzerUnited States Centers for Disease Control and Prevention, Phnom Penh, Cambodia.
Vanra IengWorld Health Organization Country Office, Phnom Penh, Cambodia.
Vannda KabWorld Health Organization Country Office, Phnom Penh, Cambodia.
Sarika PatelWorld Health Organization Country Office, Phnom Penh, Cambodia.
Borann SarUnited States Centers for Disease Control and Prevention, Phnom Penh, Cambodia.
Viseth Srey HormVirology Unit, World Health Organization COVID-19 Global Referral Laboratory, Institut Pasteur du Cambodge, Phnom Penh, Cambodia.
Sokhoun YannVirology Unit, World Health Organization COVID-19 Global Referral Laboratory, Institut Pasteur du Cambodge, Phnom Penh, Cambodia.
Heidi AuerswaldVirology Unit, World Health Organization COVID-19 Global Referral Laboratory, Institut Pasteur du Cambodge, Phnom Penh, Cambodia.ORCID http://orcid.org/0000-0002-4717-7618
Jurre Y SiegersVirology Unit, World Health Organization COVID-19 Global Referral Laboratory, Institut Pasteur du Cambodge, Phnom Penh, Cambodia.
Cecile TroupinVirology Unit, World Health Organization COVID-19 Global Referral Laboratory, Institut Pasteur du Cambodge, Phnom Penh, Cambodia.ORCID http://orcid.org/0000-0001-9173-4525
Narjis BoukliVirology Unit, World Health Organization COVID-19 Global Referral Laboratory, Institut Pasteur du Cambodge, Phnom Penh, Cambodia.
Koen VandelannooteBacterial Phylogenomics Group, Institute Pasteur du Cambodge, Phnom Penh, Cambodia.ORCID http://orcid.org/0000-0001-8367-4083
Foong Ying WongProgramme in Emerging Infectious Diseases, Duke-NUS Medical School, 8 College Road, Singapore, 169857, Singapore.
Giselle G K NgProgramme in Emerging Infectious Diseases, Duke-NUS Medical School, 8 College Road, Singapore, 169857, Singapore.ORCID http://orcid.org/0000-0003-2172-2689
Malen ChanEpidemiology and Public Health Unit, Institute Pasteur du Cambodge, Phnom Penh, Cambodia.
Sopheak SornEpidemiology and Public Health Unit, Institute Pasteur du Cambodge, Phnom Penh, Cambodia.
Yi SengdoeurnCommunicable Disease Control Department, Ministry of Health, Phnom Penh, Cambodia.
Seng HengCommunicable Disease Control Department, Ministry of Health, Phnom Penh, Cambodia.
Chau DarapheakNational Institute for Public Health, Phnom Penh, Cambodia.
Chin SavuthNational Institute for Public Health, Phnom Penh, Cambodia.
Asheena KhalakdinaWorld Health Organization Country Office, Phnom Penh, Cambodia.
Sowath LyEpidemiology and Public Health Unit, Institute Pasteur du Cambodge, Phnom Penh, Cambodia.
Laurence BarilDirection, Institute Pasteur du Cambodge, Phnom Penh, Cambodia.ORCID http://orcid.org/0000-0003-2346-883X
Andre SpiegelDirection, Institute Pasteur du Cambodge, Phnom Penh, Cambodia.
Veasna DuongVirology Unit, World Health Organization COVID-19 Global Referral Laboratory, Institut Pasteur du Cambodge, Phnom Penh, Cambodia.ORCID http://orcid.org/0000-0003-0353-1678
Sovann LyCommunicable Disease Control Department, Ministry of Health, Phnom Penh, Cambodia.
Gavin J D SmithProgramme in Emerging Infectious Diseases, Duke-NUS Medical School, 8 College Road, Singapore, 169857, Singapore.ORCID http://orcid.org/0000-0001-5031-468X
Erik A KarlssonVirology Unit, World Health Organization COVID-19 Global Referral Laboratory, Institut Pasteur du Cambodge, Phnom Penh, Cambodia. ekarlsson@pasteur-kh.org.ORCID http://orcid.org/0000-0001-6004-5671

Funding

NIAID Centers of Excellence for Influenza Research and Response: Universal Influenza Vaccine Research Activities75N93021C00016 · NIAID · ST. JUDE CHILDREN'S RESEARCH HOSPITAL · PI WEBBY, RICHARD · 2021 to 2025
$91.4M
NIAID Centers of Excellence for Influenza Research and Response: Universal Influenza Vaccine Research Activities75N93021C00015 · NIAID · UNIVERSITY OF PENNSYLVANIA · PI HENSLEY, SCOTT · 2021 to 2025
$50.7M
Inter-regional study of transmission, adaptation and pathogenesis of viruses with pandemic potential in Southeast Asia and West/Central AfricaU01AI151758 · NIAID · INSTITUT PASTEUR · PI SAKUNTABHAI, ANAVAJ, SIMON-LORIERE, ETIENNE · 2020 to 2024
$6.7M
NIAID NIH HHS 75N93021C00015NIAID NIH HHS 75N93021C00016NIAID NIH HHS U01 AI151758Wellcome TrustWorld Health Organization 001
6 · The paper itself

Abstract

backgroundTracking the emergence, introduction and spread of SARS-CoV-2 variants of concern are essential for informing public health strategies. In 2021, Cambodia faced two major epidemic waves of SARS-CoV-2 triggered by the successive rise of the Alpha and Delta variants.

methodsPhylodynamic analysis of 1,163 complete SARS-CoV-2 genomes from Cambodia, along with global sequences, were conducted between February and September 2021 to infer viral introductions, molecular epidemiology and population dynamics. The relationship between epidemic trends and control strategies were evaluated. Bayesian phylogeographic reconstruction was employed to estimate and contrast the spatiotemporal dynamics of the Alpha and Delta variants over time.

resultsHere we reveal that the Alpha variant displays rapid lineage diversification, accompanied by the acquisition of a spike E484K mutation that coincides with the national implementation of mass COVID-19 vaccination. Despite nationwide control strategies and increased vaccination coverage, the Alpha variant was quickly displaced by Delta variants that exhibits a higher effective reproductive number. Phylogeographic inference indicates that the Alpha variant was introduced through south-central region of Cambodia, with strong diffusion rates from the capital of Phnom Penh to other provinces, while the Delta variant likely entered the country via the northern border provinces.

conclusionsContinual genomic surveillance and sequencing efforts, in combination with public health strategies, play a vital role in effectively tracking and responding to the emergence, evolution and dissemination of future emerging variants.

Identifiers

PMID39604601
PMCPMC11603031

What Socratic holds

Textmetadata
LicenceCC BY-NC-ND
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the Socratic graph.