Molecular epidemiology of the SARS-CoV-2 variant Omicron BA.2 sub-lineage in Denmark, 29 November 2021 to 2 January 2022

Author:

Fonager Jannik1ORCID,Bennedbæk Marc1ORCID,Bager Peter2,Wohlfahrt Jan3,Ellegaard Kirsten Maren4,Ingham Anna Cäcilia4ORCID,Edslev Sofie Marie4,Stegger Marc4ORCID,Sieber Raphael Niklaus4ORCID,Lassauniere Ria1ORCID,Fomsgaard Anders1ORCID,Lillebaek Troels56ORCID,Svarrer Christina Wiid4,Møller Frederik Trier7ORCID,Møller Camilla Holten2ORCID,Legarth Rebecca2,Sydenham Thomas Vognbjerg8ORCID,Steinke Kat8ORCID,Paulsen Sarah Juel9,Castruita José Alfredo Samaniego9ORCID,Schneider Uffe Vest9,Schouw Christian Højte10,Nielsen Xiaohui Chen10,Overvad Maria7,Nielsen Rikke Thoft7,Marvig Rasmus L11ORCID,Pedersen Martin Schou12,Nielsen Lene13,Nilsson Line Lynge13,Bybjerg-Grauholm Jonas14ORCID,Tarpgaard Irene Harder15,Ebsen Tine Snejbjerg15,Lam Janni Uyen Hoa7,Gunalan Vithiagaran1ORCID,Rasmussen Morten1ORCID

Affiliation:

1. Virus Research and Development Laboratory, Virus and Microbiological Special Diagnostics, Statens Serum Institut, Copenhagen, Denmark

2. Infectious Disease Preparedness, Statens Serum Institut, Copenhagen, Denmark

3. Department of Epidemiology Research, Statens Serum Institut, Copenhagen, Denmark

4. Department of Bacteria, Parasites, and Fungi, Statens Serum Institut, Copenhagen, Denmark

5. Global Health Section, University of Copenhagen, Copenhagen, Denmark

6. International Reference Laboratory of Mycobacteriology, Statens Serum Institut, Copenhagen, Denmark

7. Infectious Disease Epidemiology and Prevention, Statens Serum Institut, Copenhagen, Denmark

8. Department of Clinical Microbiology, Odense University Hospital, Denmark

9. Department of Clinical Microbiology, Copenhagen University Hospital Amager-Hvidovre, Hvidovre, Denmark

10. Department of Clinical Microbiology, Zealand University Hospital, Køge, Denmark

11. Center for Genomic Medicine, Copenhagen University Hospital Rigshospitalet, Copenhagen, Denmark

12. Department of Clinical Microbiology, Copenhagen University Hospital Rigshospitalet, Copenhagen, Denmark

13. Department of Clinical Microbiology, Copenhagen University Hospital-Herlev and Gentofte, Herlev, Denmark

14. Department for Congenital Disorders, Statens Serum Institut, Copenhagen, Denmark

15. Clinical Microbiology Department, Aarhus University Hospital, Aarhus, Denmark

Abstract

Following emergence of the SARS-CoV-2 variant Omicron in November 2021, the dominant BA.1 sub-lineage was replaced by the BA.2 sub-lineage in Denmark. We analysed the first 2,623 BA.2 cases from 29 November 2021 to 2 January 2022. No epidemiological or clinical differences were found between individuals infected with BA.1 versus BA.2. Phylogenetic analyses showed a geographic east-to-west transmission of BA.2 from the Capital Region with clusters expanding after the Christmas holidays. Mutational analysis shows distinct differences between BA.1 and BA.2.

Publisher

European Centre for Disease Control and Prevention (ECDC)

Subject

Virology,Public Health, Environmental and Occupational Health,Epidemiology

Reference30 articles.

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3. World Health Organization (WHO). Classification of Omicron (B.1.1.529): SARS-CoV-2 variant of concern. Geneva: WHO; 26 Nov 2021. Available from: https://www.who.int/news/item/26-11-2021-classification-of-omicron-(b.1.1.529)-sars-cov-2-variant-of-concern#:~:text=Based%20on%20the%20evidence%20presented,as%20a%20VOC%2C%20named%20Omicron

4. Neutralization and stability of SARS-CoV-2 Omicron variant.;Zeng;bioRxiv,2021

5. Andrew R. Proposal to split B.1.1.529 to incorporate a newly characterised sibling lineage #361. Github. 7 Dec 2021. Available from: https://github.com/cov-lineages/pango-designation/issues/361

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