Please use this identifier to cite or link to this item: http://hdl.handle.net/1843/56472
Type: Artigo de Periódico
Title: Genomic Surveillance of Yellow Fever Virus Epizootic in São Paulo, Brazil, 2016 – 2018
Authors: Sarah C. Hill
Flavia Cristina da Silva Sales
Iray M. Rocco
Adriana Yumi Maeda
Fernanda G. S. Vasami
Louis du Plessis
Paola P. Silveira
Jaqueline G. de Jesus
Joshua Quick
Natália Coelho Couto de Azevedo Fernandes
Juliana M. Guerra
Renato de Souza
Rodrigo A. Réssio
Marta Giovanetti
Luiz C. J. Alcantara
Cinthya dos Santos Cirqueira Borges
Josué Díaz-Delgado
Fernando Luiz de Lima Macedo
Maria do Carmo Timenetsky
Regiane de Paula
Roberta Spinola
Juliana Telles de Deus
Julien Thézé
Luís Filipe Mucci
Rosa Maria Tubaki
Regiane Maria Tironi de Menezes
Patricia Locosque Ramos
Andre L. de Abreu
Laura N. Cruz
Nick Loman
Simon Dellicour
Oliver G. Pybus
Ester C. Sabino
Ingra Claro
Nuno R. Faria
Renato Santana de Aguiar
Leandro Abade
Fabiana dos Santos
Mariana Sequetin Cunha
Juliana da Silva Nogueira
Abstract: São Paulo, a densely inhabited state in southeast Brazil that contains the fourth most populated city in the world, recently experienced its largest yellow fever virus (YFV) outbreak in decades. YFV does not normally circulate extensively in São Paulo, so most people were unvaccinated when the outbreak began. Surveillance in non-human primates (NHPs) is important for determining the magnitude and geographic extent of an epizootic, thereby helping to evaluate the risk of YFV spillover to humans. Data from infected NHPs can give more accurate insights into YFV spread than when using data from human cases alone. To contextualise human cases, identify epizootic foci and uncover the rate and direction of YFV spread in São Paulo, we generated and analysed virus genomic data and epizootic case data from NHPs in São Paulo. We report the occurrence of three spatiotemporally distinct phases of the outbreak in São Paulo prior to February 2018. We generated 51 new virus genomes from YFV positive cases identified in 23 different municipalities in São Paulo, mostly sampled from NHPs between October 2016 and January 2018. Although we observe substantial heterogeneity in lineage dispersal velocities between phylogenetic branches, continuous phylogeographic analyses of generated YFV genomes suggest that YFV lineages spread in São Paulo at a mean rate of approximately 1km per day during all phases of the outbreak. Viral lineages from the first epizootic phase in northern São Paulo subsequently dispersed towards the south of the state to cause the second and third epizootic phases there. This alters our understanding of how YFV was introduced into the densely populated south of São Paulo state. Our results shed light on the sylvatic transmission of YFV in highly fragmented forested regions in São Paulo state and highlight the importance of continued surveillance of zoonotic pathogens in sentinel species.
Subject: Febre amarela
Brasil - São Paulo
language: por
metadata.dc.publisher.country: Brasil
Publisher: Universidade Federal de Minas Gerais
Publisher Initials: UFMG
metadata.dc.publisher.department: ICA - INSTITUTO DE CIÊNCIAS AGRÁRIAS
Rights: Acesso Aberto
metadata.dc.identifier.doi: https://doi.org/10.1371/journal.ppat.1008699
URI: http://hdl.handle.net/1843/56472
Issue Date: 2020
metadata.dc.url.externa: https://journals.plos.org/plospathogens/article?id=10.1371/journal.ppat.1008699
metadata.dc.relation.ispartof: PLOS Pathogens
Appears in Collections:Artigo de Periódico

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