The evolving SARS-CoV-2 epidemic in Africa: Insights from rapidly expanding genomic surveillance

Author:

Tegally Houriiyah12ORCID,San James E.12ORCID,Cotten Matthew34ORCID,Moir Monika1ORCID,Tegomoh Bryan56,Mboowa Gerald7ORCID,Martin Darren P.89,Baxter Cheryl110ORCID,Lambisia Arnold W.11ORCID,Diallo Amadou12ORCID,Amoako Daniel G.1314ORCID,Diagne Moussa M.12,Sisay Abay1516ORCID,Zekri Abdel-Rahman N.17ORCID,Gueye Abdou Salam18,Sangare Abdoul K.19,Ouedraogo Abdoul-Salam20,Sow Abdourahmane21,Musa Abdualmoniem O.222324ORCID,Sesay Abdul K.25,Abias Abe G.26,Elzagheid Adam I.27ORCID,Lagare Adamou28,Kemi Adedotun-Sulaiman29,Abar Aden Elmi30,Johnson Adeniji A.3132,Fowotade Adeola3334,Oluwapelumi Adeyemi O.3536ORCID,Amuri Adrienne A.3738ORCID,Juru Agnes39,Kandeil Ahmed40ORCID,Mostafa Ahmed40ORCID,Rebai Ahmed41ORCID,Sayed Ahmed42,Kazeem Akano4344,Balde Aladje4546,Christoffels Alan747ORCID,Trotter Alexander J.48ORCID,Campbell Allan49ORCID,Keita Alpha K.5051,Kone Amadou52,Bouzid Amal4153,Souissi Amal41ORCID,Agweyu Ambrose11ORCID,Naguib Amel54,Gutierrez Ana V.48ORCID,Nkeshimana Anatole55,Page Andrew J.48ORCID,Yadouleton Anges56ORCID,Vinze Anika57,Happi Anise N.43,Chouikha Anissa5859ORCID,Iranzadeh Arash89,Maharaj Arisha1,Batchi-Bouyou Armel L.6061,Ismail Arshad13ORCID,Sylverken Augustina A.6263ORCID,Goba Augustine6465,Femi Ayoade4344ORCID,Sijuwola Ayotunde E.43,Marycelin Baba6667ORCID,Salako Babatunde L.2932ORCID,Oderinde Bamidele S.66,Bolajoko Bankole43,Diarra Bassirou52ORCID,Herring Belinda L.18,Tsofa Benjamin11ORCID,Lekana-Douki Bernard6869ORCID,Mvula Bernard70,Njanpop-Lafourcade Berthe-Marie18,Marondera Blessing T.71,Khaireh Bouh Abdi7273,Kouriba Bourema19ORCID,Adu Bright74ORCID,Pool Brigitte75,McInnis Bronwyn17ORCID,Brook Cara7677ORCID,Williamson Carolyn91078ORCID,Nduwimana Cassien55,Anscombe Catherine7980,Pratt Catherine B.81ORCID,Scheepers Cathrine1382ORCID,Akoua-Koffi Chantal G.8384,Agoti Charles N.1185,Mapanguy Chastel M.6086,Loucoubar Cheikh12,Onwuamah Chika K.87ORCID,Ihekweazu Chikwe88,Malaka Christian N.89ORCID,Peyrefitte Christophe12,Grace Chukwa4344ORCID,Omoruyi Chukwuma E.3334,Rafaï Clotaire D.90,Morang’a Collins M.91ORCID,Erameh Cyril92ORCID,Lule Daniel B.3ORCID,Bridges Daniel J.93ORCID,Mukadi-Bamuleka Daniel37,Park Danny57ORCID,Rasmussen David A.9495ORCID,Baker David48,Nokes David J.1196ORCID,Ssemwanga Deogratius397ORCID,Tshiabuila Derek2ORCID,Amuzu Dominic S. Y.91ORCID,Goedhals Dominique98,Grant Donald S.646599ORCID,Omuoyo Donwilliams O.11,Maruapula Dorcas100,Wanjohi Dorcas W.7,Foster-Nyarko Ebenezer48,Lusamaki Eddy K.373851ORCID,Simulundu Edgar101ORCID,Ong’era Edidah M.11,Ngabana Edith N.3738,Abworo Edward O.102,Otieno Edward11ORCID,Shumba Edwin71,Barasa Edwine11ORCID,Ahmed El Bara103104,Ahmed Elhadi A.23,Lokilo Emmanuel37ORCID,Mukantwari Enatha105ORCID,Philomena Eromon43,Belarbi Essia106ORCID,Simon-Loriere Etienne107ORCID,Anoh Etilé A.83ORCID,Manuel Eusebio108,Leendertz Fabian106,Taweh Fahn M.109,Wasfi Fares58ORCID,Abdelmoula Fatma41110,Takawira Faustinos T.39,Derrar Fawzi111ORCID,Ajogbasile Fehintola V.43,Treurnicht Florette112113,Onikepe Folarin4344ORCID,Ntoumi Francine60114,Muyembe Francisca M.3738,Ragomzingba Frank E. Z.115,Dratibi Fred A.11618,Iyanu Fred-Akintunwa43ORCID,Mbunsu Gabriel K.38,Thilliez Gaetan48ORCID,Kay Gemma L.48ORCID,Akpede George O.92,van Zyl Gert U.117118ORCID,Awandare Gordon A.91,Kpeli Grace S.119120,Schubert Grit106,Maphalala Gugu P.121,Ranaivoson Hafaliana C.77ORCID,Omunakwe Hannah E.122ORCID,Onywera Harris7ORCID,Abe Haruka123ORCID,Karray Hela124ORCID,Nansumba Hellen125,Triki Henda58,Kadjo Herve Albéric Adje126,Elgahzaly Hesham127ORCID,Gumbo Hlanai39,Mathieu Hota128,Kavunga-Membo Hugo37,Smeti Ibtihel41,Olawoye Idowu B.43,Adetifa Ifedayo M. O.88129ORCID,Odia Ikponmwosa92,Ben Boubaker Ilhem Boutiba130131,Muhammad Iluoreh Ahmed43,Ssewanyana Isaac125,Wurie Isatta132,Konstantinus Iyaloo S.133,Halatoko Jacqueline Wemboo Afiwa134,Ayei James26,Sonoo Janaki135,Makangara Jean-Claude C.3738ORCID,Tamfum Jean-Jacques M.3738,Heraud Jean-Michel1277ORCID,Shaffer Jeffrey G.136ORCID,Giandhari Jennifer2ORCID,Musyoki Jennifer11,Nkurunziza Jerome137,Uwanibe Jessica N.43,Bhiman Jinal N.13113ORCID,Yasuda Jiro123ORCID,Morais Joana138139ORCID,Kiconco Jocelyn97,Sandi John D.6465,Huddleston John140ORCID,Odoom John K.74,Morobe John M.11ORCID,Gyapong John O.119ORCID,Kayiwa John T.3,Okolie Johnson C.43,Xavier Joicymara S.1141142ORCID,Gyamfi Jones119ORCID,Wamala Joseph F.143,Bonney Joseph H. K.74,Nyandwi Joseph55144,Everatt Josie13,Nakaseegu Joweria97,Ngoi Joyce M.91,Namulondo Joyce97,Oguzie Judith U.4344ORCID,Andeko Julia C.68,Lutwama Julius J.3ORCID,Mogga Juma J. H.143,O’Grady Justin48,Siddle Katherine J.57ORCID,Victoir Kathleen145,Adeyemi Kayode T.4344,Tumedi Kefentse A.146ORCID,Carvalho Kevin S.147ORCID,Mohammed Khadija Said11ORCID,Dellagi Koussay145,Musonda Kunda G.148,Duedu Kwabena O.119120ORCID,Fki-Berrajah Lamia124,Singh Lavanya2ORCID,Kepler Lenora M.9495ORCID,Biscornet Leon75ORCID,de Oliveira Martins Leonardo48,Chabuka Lucious149,Olubayo Luicer8ORCID,Ojok Lul Deng26,Deng Lul Lojok26,Ochola-Oyier Lynette I.11ORCID,Tyers Lynn9ORCID,Mine Madisa150,Ramuth Magalutcheemee135ORCID,Mastouri Maha151152ORCID,ElHefnawi Mahmoud153ORCID,Mbanne Maimouna12,Matsheka Maitshwarelo I.146ORCID,Kebabonye Malebogo154,Diop Mamadou12,Momoh Mambu6465155,Lima Mendonça Maria da Luz147ORCID,Venter Marietjie156ORCID,Paye Marietou F.57,Faye Martin12,Nyaga Martin M.157,Mareka Mathabo158,Damaris Matoke-Muhia159ORCID,Mburu Maureen W.11,Mpina Maximillian G.160161162ORCID,Owusu Michael163ORCID,Wiley Michael R.81164ORCID,Tatfeng Mirabeau Y.165,Ayekaba Mitoha Ondo’o161,Abouelhoda Mohamed166167,Beloufa Mohamed Amine111,Seadawy Mohamed G.168169,Khalifa Mohamed K.170ORCID,Matobo Mooko Marethabile158,Kane Mouhamed12,Salou Mounerou171,Mbulawa Mphaphi B.154,Mwenda Mulenga93ORCID,Allam Mushal172ORCID,Phan My V. T.3ORCID,Abid Nabil151173ORCID,Rujeni Nadine174175,Abuzaid Nadir176,Ismael Nalia177,Elguindy Nancy54,Top Ndeye Marieme12ORCID,Dia Ndongo12,Mabunda Nédio177,Hsiao Nei-yuan978ORCID,Silochi Nelson Boricó161ORCID,Francisco Ngiambudulu M.138ORCID,Saasa Ngonda178ORCID,Bbosa Nicholas3,Murunga Nickson11,Gumede Nicksy18,Wolter Nicole13113ORCID,Sitharam Nikita1,Ndodo Nnaemeka88ORCID,Ajayi Nnennaya A.179ORCID,Tordo Noël180,Mbhele Nokuzola9,Razanajatovo Norosoa H.77,Iguosadolo Nosamiefan43,Mba Nwando88,Kingsley Ojide C.181,Sylvanus Okogbenin92,Femi Oladiji182ORCID,Adewumi Olubusuyi M.3132ORCID,Testimony Olumade4344,Ogunsanya Olusola A.43,Fakayode Oluwatosin183,Ogah Onwe E.184,Oludayo Ope-Ewe43,Faye Ousmane12ORCID,Smith-Lawrence Pamela154,Ondoa Pascale71,Combe Patrice185,Nabisubi Patricia186187ORCID,Semanda Patrick125ORCID,Oluniyi Paul E.43ORCID,Arnaldo Paulo177ORCID,Quashie Peter Kojo91ORCID,Okokhere Peter O.92188,Bejon Philip11ORCID,Dussart Philippe77ORCID,Bester Phillip A.189,Mbala Placide K.3738,Kaleebu Pontiano397,Abechi Priscilla4344,El-Shesheny Rabeh40190ORCID,Joseph Rageema9,Aziz Ramy Karam191192,Essomba René G.193194,Ayivor-Djanie Reuben91119120ORCID,Njouom Richard195,Phillips Richard O.63ORCID,Gorman Richmond63,Kingsley Robert A.48,Neto Rodrigues Rosa Maria D. E. S. A.196197,Audu Rosemary A.29ORCID,Carr Rosina A. A.119120ORCID,Gargouri Saba124,Masmoudi Saber41,Bootsma Sacha143,Sankhe Safietou12ORCID,Mohamed Sahra Isse198,Femi Saibu43,Mhalla Salma131199,Hosch Salome160200ORCID,Kassim Samar Kamal127ORCID,Metha Samar57,Trabelsi Sameh201,Agwa Sara Hassan127ORCID,Mwangi Sarah Wambui7,Doumbia Seydou52ORCID,Makiala-Mandanda Sheila3738,Aryeetey Sherihane63,Ahmed Shymaa S.54ORCID,Ahmed Side Mohamed103,Elhamoumi Siham57,Moyo Sikhulile100202ORCID,Lutucuta Silvia138,Gaseitsiwe Simani100202,Jalloh Simbirie6465,Andriamandimby Soa Fy77ORCID,Oguntope Sobajo43,Grayo Solène180,Lekana-Douki Sonia68ORCID,Prosolek Sophie48,Ouangraoua Soumeya203204ORCID,van Wyk Stephanie1,Schaffner Stephen F.57ORCID,Kanyerezi Stephen186187ORCID,Ahuka-Mundeke Steve3738,Rudder Steven48,Pillay Sureshnee2ORCID,Nabadda Susan125,Behillil Sylvie205ORCID,Budiaki Sylvie L.158ORCID,van der Werf Sylvie205ORCID,Mashe Tapfumanei39206,Mohale Thabo13ORCID,Le-Viet Thanh48ORCID,Velavan Thirumalaisamy P.114207ORCID,Schindler Tobias160161200ORCID,Maponga Tongai G.117ORCID,Bedford Trevor140208ORCID,Anyaneji Ugochukwu J.2ORCID,Chinedu Ugwu4344ORCID,Ramphal Upasana210209ORCID,George Uwem E.43ORCID,Enouf Vincent205ORCID,Nene Vishvanath102,Gorova Vivianne210211,Roshdy Wael H.54ORCID,Karim Wasim Abdul1,Ampofo William K.212,Preiser Wolfgang117118ORCID,Choga Wonderful T.100213,Ahmed Yahaya Ali18ORCID,Ramphal Yajna1,Bediako Yaw91214ORCID,Naidoo Yeshnee2,Butera Yvan174215216ORCID,de Laurent Zaydah R.11ORCID,Ouma Ahmed E. O.7,von Gottberg Anne13113ORCID,Githinji George11217ORCID,Moeti Matshidiso18,Tomori Oyewale43ORCID,Sabeti Pardis C.57ORCID,Sall Amadou A.12,Oyola Samuel O.102,Tebeje Yenew K.7,Tessema Sofonias K.7,de Oliveira Tulio1210218ORCID,Happi Christian4344ORCID,Lessells Richard2ORCID,Nkengasong John7,Wilkinson Eduan12ORCID,Shibemba Aaron L.,Obong Abasi Ene,Fadeyi Abayomi,Anas Abbad,Shabaan Abd Elazeez,Adel Abd Monaem,Shoka Abd Moniem Ain,Abdelhamid W.,Laraqui Abdelilah,Laatiris Abdelkader,Bellefquih Abdelkrim Meziane,Faouzi Abdellah,Abdelmoulah F.,Essabbar Abdelomunim,Bimouhen Abderrahmane,Hilali Abderraouf,Abdo I.,Padane Abdou,Sangaré Abdoul Karim,Soumah Abdoul Karim,Djimde Abdoulaye,Toure Abdoulaye,Kanteh Abdoulie,Bashein Abdulla,Salama Abdullah,Lojuan Abe,Bayih Abebe Genetu,Negash Abel Abera,Lissom Abel,Abid N.,Konou Abla A.,Shama Abo,Abosede O.,Abouelnaga S.,Ali Abraham,Anang Abraham Kwabena,Tesfaye Abraham,Khan Adam K.,Tayachew Adamu,Mihret Adane,AlEmam Adba Alfatih,Hawi Adede,Adesegun A.,Desta Adey Feleke,Ghassan Adib,Traoré Adjaratou,Adjiratou Aissatou B. A.,Sadji Adodo,Egli Adrian,Mendes Adriano,Abera Adugna,Candé Adul,Alaoui Afaf,Pedro Afonso,Agbodzi B.,Ageez A.M.,Ayouba Ahidjo,Alarif Ahlam,Kayed Ahmed E,El-Taweel Ahmed,Elsayed Ahmed,Gad Ahmed F.,Fakhfakh Ahmed,Kandeil Ahmed,Ahmed M.,Mostafa Ahmed,Ahmed O. S.,Reggad Ahmed,Taha Ahmed,Vida Ahyong,Bensalem Aicha,Sivro Aida,Hachid Aissam,Ajili F.,Ajogbasile F.V.,Adegnika Akim A.,Siliadin Akoele,Natasha Akwii Patience,Balde Aladje,Lemtudo Alan,Sanaa-amine Alaoui,Alaruusi A. M.,Ouro-Medeli Alassane,Nyunja Albert,Rizzo Alberto,Abdissa Alemseged,Debela Alemu Tike,Mancon Alessandro,Marcello Alessandro,Goredema Alexander,Greninger Alexander,Ndjolo Alexis,Niyomwungere Alexis,Mari Alfredo,Mayor Alfredo,Ali M.A.,Zumla Ali,Ben Kahla Alia,Grad Alia,Kabanda Alice,Tia Alie,Camara Alimou,Zumla Alimuddin,Dieng Alle Baba,Maiga Almoustapha I.,Sall Amadou Alpha,Daou Amadou,Naguib Amal,Souiri Amal,Zouaki Amal,Ghita Amalou,Mveang-Nzoghe Amandine,Koné Amariane,Koné Amariane M. M.,Ahouidi Ambroise,Benyahia Amel,Nagiub Amel,Amer K. E.,Dorkenoo Ameyo,Barkat Amina,Dia Aminata,Mbaye Aminata,Mboup Aminata,Thiam Aminata Sileymane,Lahlou Amine Idriss,Wadi Amira Suliaman,Ehlan Amivi,Marion Amujal,Aziza Amuri,Strydom Amy,Abbad Anass,Nkeshimana Anatole,Mulu Andargachew,Maaroufi Anderrahmane,Luquette Andrea E.,Shiningavamwe Andreas,Moreira-Soto Andres,Azman Andrew,Bennett Andrew J.,Tarupiwa Andrew,Latifa Anga,Badjo Ange,Angelov Angel,Brisebarre Angela,Detweiler Angela M.,Ndong Angoune,Werno Anja,NDiaye Anna Julienne Selbe,Sander Anna-Lena,Annajr B.,D'Aprile Annamaria,van der Linden Anne,van der Eijk Annemiek,Erhart Annette,Somboro Anou M.,Dagnran Anoumou,Ahumibe Anthony,Levasseur Anthony,van der Linden Antje,Dara Antoine,Jegede-Williams Anu,Aouni M.,Arjarquah A.,Uwituze Arlene,Upton Arlo,Poda Armel,Somé Arsène,Zongo Arsène,Massinga Arsenia,Asare K.M.,Katabazi Ashaba Fred,Ferjani Asma,Dieng Assane,Gaye-Gaye Astou,Atiga N.,Weldemariam Atsbeha G.,Arjaquah Augustina,Auld A.,Ba-Diallo Awa,ElMoussi Awatef,Sena Awunyo,Mohamed Aya,Farghaly Ayman,Ayo-Ale B.,Ayoade F.,Adegnika Ayola Akim,More Ayong,James Ayorinde Babatunde,Nawfel Azami,Diergaardt Azaria,Okwuraiwe Azuka Patrick,Taiwo Babafemi O.,Baboo S. B.,Bahadoor B. S.,Bahnassy A.A.,Sanyang Bakary,Bakry U.,Touré Bamba Fatoumata,Iwalokun Bamidele,Banda R.,Bane S.,Johnson Bankole,Cisse Barada,Murwira Barbra,Munnink Bas Oude,Batchi-Bouyou Armel L.,Batra R.,Dhaala Beatrice,Lamiae Belayachi,Belkhir A.B.,Ben Ayed I.,Morton Ben,Moussa Ben,Wulf Ben,Ndeboko Bénédicte,Rachid Benhida,Lindsey Benjamiin B.,Foulkes Benjamin H.,Hounkpatin Benjamin,Selekon Benjamin,Bensaid M.,Mpairwe Bernard,Bagaya Bernard Ssentalo,Vanmechelen Bert,Lell Bertrand,Mutai Beth,Adnew Bethlehem,Makamure Beuty,Bighignoli B.,Ndiaye Birahim Piere,Adhikari Bishwo N.,Bitrou S.M.,Akenji Blaise MBoringong,Shobayo Bode,Zuze Boitumelo,Nlavo Bonifacio Manguire,Belfquih Bouchra,Boujemla Bouchra,Yatassaye Bouna,Aymane Bouzidi,Andika Brian,Yemi Bright K.,Kleinhans Bronwyn,Galvao Bruna,Embaló Bubacar Delgado Pinto,Manene Bulelani,Pascal Butoyi,Capel Camille,Anu Campbell,Tchibozo Carine,Madeira Carla,Cortes Carlos,Elisabeth Carniel,Kifude Carol,Tayimetha Carolle Yanique,Arnold Catherine E.,Okoi Catherine,Waruhiu Cecilia,Godwe Celestin,Obiekea Celestina,Nkenfou Celine,Chabuka L. B.,Nejjari Chakib,Chambaro H.,Chanda D.,Changula K.,Touzani Charifa Drissi,Kayuki Charles,Nyagupe Charles,Ssuuna Charles,Hicham Charoute,Watters Chaselynn M.,Chawech H.,Sokhna Cheikh,Mohamed Chenaoui,Nwuba Chiamaka,Chilufya C.,Chukwu Chimaobi,Anyika Chinyere,Chipimo P.J.,Chitanga S.,Chitenje M.,Chiwaula M. J.,Taha Chouati,Mansell Chris,Butel Christelle,Devaux Christian A.,Drosten Christian,Ranaivoson Christian,Utpatel Christian,Malabat Christophe,Chtourou A.,Chukwu G.,Daubenberger Claudia,Kakai Clement G.,Masakwe Clement,Rafai Clotaire Donatien,Chenwi Collins,Misita Collins M.,Muli Collins,GeurtsvanKessel Corine H.,Maufrais Corinne,Mbegnan Coulibaly,Crawford M.,Tato Cristina M.,Yiaba Cyrus,D'Amore N.,Damilari Dabiri,Ramadan Dalia,Damena D.,Ouso Daniel,Pisanelli Daniela,Licastro Danilo,Hammer David,Nieuwenhuijse David,Kateete David Patrick,Wilkinson David,Mouangala Davy Leger,Alemayehu Dawit Hailu,Dawood R.M.,De Sanctis R.,Mettle Deborah N. A.,Koita Demba,Lodiongo Dennis Kenyi,Laryea Dennis,Wandera Dennis N.,Leta Dereje,Noureddine Dersi,Takou Desire,Tefera Dessalegn Abeje,Batra Dhwani,Ndongo Dia,Diab A.,Diagne Diabou,Mabika Diane A.,Bamourou Diané,Samaté Dianke,Diarra B.,Raoult Didier,Mutangana Dieudonne,Nyepetsi Dineo Emang Tshiamo. Gape,Ada Diosdado Odjama Nseng,Salah Djimabi,Cedola Donatella,Harding Doris,Yeboah-Manu Dorothy,Ange Dossou,Djomsi Dowbiss Meta,Drinkovic Dragana,Draper C.,Sahr Dumbuya Foday,Odewale Ebenezer,Sedjro Eclou,Armand Edang-Minko,Kigozi Edgar,Koskei Edith,Nkwembe Edith,de Oliveira Filho Edmilson F.,Maria da Costa Edmira,Kiritu Edward,Lim Efrem S.,Ozer Egon A.,Egyir B.,Abuelenein Ehab Abdelkader,Ngole Eitel Mpoudi,Aissam El Aliani,Zahra El Ansari Fatima,Adil El Hamouchi,Abdelmjid El Oualid,El-Shaqnqery H.,El-Zayat M.,Abualas Elamin,Hicham Elannaz,Elargoubi A.,Kidane Eleni,Rizgalla Elham,Elhoseny M.M.,Elhosieny F.W.,Carniel Elisabeth,Nyakarungu Elizabeth,Elkhateeb S.M.,Benaissa Elmostafa,El Fahime Elmostafa,Elouanass M.,Elsissy M.H.,Mbongo-Nkama Elvyre,Latif Elwaleed M. 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H.,Fuh-Neba T.,Gaaloul I.,Kabamba Gabriel,Gutema Gadissa,Emna Gaies,Gadzama Galadima,Mahmoud Galal,Ouangole Garba,Gargouri S.,Garry R.,McAuliffe Gary,Kimita Gathii,Manouana Gédéon Prince,Tesfaye Gelanew,Awinda George,Kyei George B.,Michuki George,Ondo Georgelin Nguema,van Rooyen Gerhard,Marais Gert,Abichu Getachew,Beyene Getachew Tesfaye,Tollera Getachew,Hailu Getnet,Hamza Ghamaz,Kayali Ghazi,El Amin Ghizlane,Mhlanga Gibson,Kibet Gilbert,Hounkanrin Gildas,Giordani F.,Teka Gizaw,Masete Godfrey,Goldstone R.,Gomaa C.,Mokhtar Gomaa,Lo Gora,Gosnell B. I.,Gottberg A.,Belournou Grace Angong,Oni Grace,Vincent Grace,Wani Gregory,Barreh Guedi Ali,Garcia Guillermo,Deng Guohong,Guseva N. 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B.,Adepetun Tomiwa,Tomkins-Tinch C.,Wawina-Bokalanga Tony,Sobajo Tope,Nadia Touil,Essayagh Touria,Nwako Toy,Traoré ,Triki H.,Tsiry R.,Randriambolamanantsoa Tsiry,Madisa Tumisang,Turki M.,Ugwu C.A.,Emokpae Uyi,Carri Valeria Delli,Micheli Valeria,Van Rooyen G.,Vanaerschot M.,Magnussen Vanessa,Mohr Vanessa,Sathyendran Vani,Playle Veronica,Viana R.,Vickos U.,Corman Victor Max,Mukonka Victor,Ofula Victor,Ahyong Vida,Appiah Vincent,Bours Vincent,M'cormack Violette V.,Hope Virginia,Lieu Vivi Hue-Trang,Raharinosy Vololoniaina,Meshack Wadegu,Wadonda N.,Wadula J.,Ali Wael,Sule Waidi,Bulimo Wallace D,Yiaba Warren Cyrus,Waruhiu C.N.,Fares Wasfi,Webby R.,Weldemariam A.G.,Jo Wendy Karen,Woelfel R.,Wolh S.,Wurie I.,Crespin Xavier,Ren Xiaoyun,Wang Xiuhua,Krasnov Ya.M.,Dia Yacine Amet,Ndiaye Yacine DIA Seni,Yusuf Yacob Mohamed,Sawadogo Yacouba,Yadouleton Yahya,Maidane Yakob Gebregziabher,Tsegay Yao,Layibo Yasser,El Hady Yassine,Sekhsokh Yassmin,Moatasim Yawo A.,Sadji ,Yeboah C.,Mohammed Youbi,Makki Yousif Rabih,Akhoud Youssef,Ushijima Yuri,Jimoh Yusuf,Badou Yvette,Zablon J. Matoke D.,Zablon J.O.,Hamzaoui Zaineb,Regragui Zakia,Wuduri Zara,Souma Zein,Waberi Zeinab Ali,Imam Zeinab S.,Tarnagda Zekiba,Faouzia Zemmouri,Zhang J.,Li Zhenghui,Maiga Zimmerman,Kasmy Zohour,Zong Minko O.,Zorgani A.,Yassine Zouheir,Issa Zoukaneirii,Zulu P.,Xiang Zuzheng, ,

Affiliation:

1. Centre for Epidemic Response and Innovation (CERI), School of Data Science and Computational Thinking, Stellenbosch University, Stellenbosch, South Africa.

2. KwaZulu-Natal Research Innovation and Sequencing Platform (KRISP), Nelson R Mandela School of Medicine, University of KwaZulu-Natal, Durban, South Africa.

3. MRC/UVRI and LSHTM Uganda Research Unit, Entebbe, Uganda.

4. MRC-University of Glasgow Centre for Virus Research, Glasgow, UK.

5. The Biotechnology Centre of the University of Yaoundé I, Yaoundé, Cameroon.

6. CDC Foundation, Atlanta, Georgia, Nebraska Department of Health and Human Services, Lincoln, NE, USA.

7. Institute of Pathogen Genomics, Africa Centres for Disease Control and Prevention (Africa CDC), Addis Ababa, Ethiopia.

8. Institute of Infectious Diseases and Molecular Medicine, Department of Integrative Biomedical Sciences, Computational Biology Division, University of Cape Town, Cape Town, South Africa.

9. Division of Medical Virology, Wellcome Centre for Infectious Diseases in Africa, Institute of Infectious Disease and Molecular Medicine, University of Cape Town, Cape Town, South Africa.

10. Centre for the AIDS Programme of Research in South Africa (CAPRISA), Durban, South Africa.

11. KEMRI-Wellcome Trust Research Programme, Kilifi, Kenya.

12. Institut Pasteur de Dakar, Dakar, Senegal.

13. National Institute for Communicable Diseases (NICD) of the National Health Laboratory Service (NHLS), Johannesburg, South Africa.

14. School of Health Sciences, College of Health Sciences, University of KwaZulu-Natal, Durban, KwaZulu-Natal, South Africa.

15. Department of Medical Laboratory Sciences, College of Health Sciences, Addis Ababa University, Addis Ababa, Ethiopia.

16. Department of Microbial, Cellular and Molecular Biology, College of Natural and Computational Sciences, Addis Ababa University, Addis Ababa, Ethiopia.

17. Cancer Biology Department, Virology and Immunology Unit, National Cancer Institute, Cairo University, Cairo, Egypt.

18. World Health Organization, Africa Region, Brazzaville, Republic of the Congo.

19. Centre d’Infectiologie Charles Mérieux-Mali (CICM-Mali), Bamako, Mali.

20. Bacteriology and Virology Department Souro Sanou University Hospital, Bobo-Dioulasso, Burkina Faso.

21. West African Health Organisation, Bobo-Dioulasso, Burkina Faso.

22. Faculty of Medicine and Health Sciences, Kassala University, Kassala City, Sudan.

23. Department of Microbiology, Faculty of Medical Laboratory Sciences, University of Gezira, Gezira, Sudan.

24. General Administration of Laboratories and Blood Banks, Ministry of Health, Kassala State, Sudan.

25. MRC Unit The Gambia at LSHTM, Fajara, Gambia.

26. National Public Health Laboratory, Ministry of Health, Juba, Republic of South Sudan.

27. Libyan Biotechnology Research Center, Tripoli, Libya.

28. Center for Medical and Sanitary Research (CERMES), Niamey, Niger.

29. The Nigerian Institute of Medical Research, Yaba, Lagos, Nigeria.

30. Laboratoire de la Caisse Nationale de Sécurité Sociale, Djibouti, Republic of Djibouti.

31. Department of Virology, College of Medicine, University of Ibadan, Ibadan, Nigeria.

32. Infectious Disease Institute, College of Medicine, University of Ibadan, Ibadan, Nigeria.

33. Medical Microbiology and Parasitology Department, College of Medicine, University of Ibadan, Ibadan, Nigeria.

34. Biorepository Clinical Virology Laboratory, College of Medicine, University of Ibadan, Ibadan, Nigeria.

35. Department of Medical Microbiology and Parasitology, Faculty of Basic Clinical Sciences, College of Health Sciences, University of Ilorin, Ilorin, Kwara State, Nigeria.

36. The Pirbright Institute, Woking, UK.

37. Pathogen Sequencing Lab, Institut National de Recherche Biomédicale (INRB), Kinshasa, the Democratic Republic of the Congo.

38. Université de Kinshasa (UNIKIN), Kinshasa, the Democratic Republic of the Congo.

39. National Microbiology Reference Laboratory, Harare, Zimbabwe.

40. Center of Scientific Excellence for Influenza Viruses, National Research Centre (NRC), Cairo, Egypt.

41. Laboratory of Molecular and Cellular Screening Processes, Centre of Biotechnology of Sfax, University of Sfax, Sfax, Tunisia.

42. Genomics and Epigenomics Program, Research Department CCHE57357, Cairo, Egypt.

43. African Centre of Excellence for Genomics of Infectious Diseases (ACEGID), Redeemer’s University, Ede, Osun State, Nigeria.

44. Department of Biological Sciences, Faculty of Natural Sciences, Redeemer’s University, Ede, Osun State, Nigeria.

45. Laboratório de Biologia Molecular Jean Piaget, Bissau, Guinea-Bissau.

46. University Jean Piaget in Guinea-Bissau, Bissau, Guinea-Bissau.

47. SAMRC Bioinformatics Unit, SA Bioinformatics Institute, University of the Western Cape, Cape Town, South Africa.

48. Quadram Institute Bioscience, Norwich, UK.

49. Central Public Health Reference Laboratories, Freetown, Sierra Leone.

50. Centre de Recherche et de Formation en Infectiologie de Guinée (CERFIG), Université de Conakry, Conakry, Guinea.

51. TransVIHMI, Institut de Recherche pour le Développement, Institut National de la Santé et de la Recherche Médicale (INSERM), Montpellier University, 34090, Montpellier, France.

52. University Clinical Research Center (UCRC), University of Sciences, Techniques and Technology of Bamako, Bamako, Mali.

53. Sharjah Institute for Medical Research, College of Medicine, University of Sharjah, Sharjah, United Arab Emirates.

54. Central Public Health Laboratories (CPHL), Cairo, Egypt.

55. National Institute of Public Health, Bujumbura, Burundi.

56. Laboratoire des Fièvres Hémorragiques Virales du Benin, Cotonou, Benin.

57. Infectious Disease and Microbiome Program, Broad Institute of Harvard and MIT, Cambridge, MA, USA.

58. Laboratory of Clinical Virology, WHO Reference Laboratory for Poliomyelitis and Measles in the Eastern Mediterranean Region, Pasteur Institute of Tunis, University Tunis El Manar (UTM), Tunis 1002, Tunisia.

59. Research Laboratory “Virus, Vectors and Hosts: One Health Apporach and Technological Innovation for a Better Health”, LR20IPT02, Pasteur Institute, Tunis 1002, Tunisia.

60. Fondation Congolaise pour la Recherche Médicale, Brazzaville, Republic of the Congo.

61. Marien Ngouabi, Brazzaville, Republic of the Congo.

62. Kwame Nkrumah University of Science and Technology, Department of Theoretical and Applied Biology, Kumasi, Ghana.

63. Kumasi Centre for Collaborative Research in Tropical Medicine, Kwame Nkrumah University of Science and Technology, Kumasi, Ghana.

64. Viral Haemorrhagic Fever Laboratory, Kenema Government Hospital, Kenema, Sierra Leone.

65. Ministry of Health and Sanitation, Freetown, Sierra Leone.

66. Department of Immunology, University of Maiduguri Teaching Hospital, P.M.B. 1414, Maiduguri, Nigeria.

67. Department of Medical Laboratory Science, College of Medical Sciences, University of Maiduguri, P.M.B. 1069, Maiduguri, Borno State, Nigeria.

68. Centre Interdisciplinaires de Recherches Medicales de Franceville (CIRMF), Franceville, Gabon.

69. Département de Parasitologie-Mycologie Université des Sciences de la Santé (USS), Libreville, Gabon.

70. National HIV Reference Laboratory, Community Health Sciences Unit, Ministry of Health, Lilongwe, Malawi.

71. African Society for Laboratory Medicine, Addis Ababa, Ethiopia.

72. National Medical and Molecular Biology Laboratory, Ministry of Health, Djibouti, Republic of Djibouti.

73. Africa CDC, Rapid Responder, Team Djibouti, Djibouti, Djibouti.

74. Noguchi Memorial Institute for Medical Research, University of Ghana, Legon, Ghana.

75. Seychelles Public Health Laboratory, Public Health Authority, Ministry of Health Seychelles, Victoria, Seychelles.

76. Department of Ecology and Evolution, University of Chicago, Chicago, IL, USA.

77. Virology Unit, Institut Pasteur de Madagascar, Antananarivo, Madagascar.

78. National Health Laboratory Service (NHLS), Cape Town, South Africa.

79. Malawi-Liverpool-Wellcome Trust Clinical Research Programme, Blantyre, Malawi.

80. Liverpool School of Tropical Medicine, Liverpool, UK.

81. University of Nebraska Medical Center (UNMC), Omaha, NE, USA.

82. SAMRC Antibody Immunity Research Unit, School of Pathology, University of the Witwatersrand, Johannesburg, South Africa.

83. CHU de Bouaké, Laboratoire/Unité de Diagnostic des Virus des Fièvres Hémorragiques et Virus Émergents, Bouaké, Côte d’Ivoire.

84. UFR Sciences Médicales, Universite Alassane Ouattara, Bouaké, Côte d’Ivoire.

85. School of Public Health, Pwani University, Kilifi, Kenya.

86. Faculty of Science and Techniques, University Marien Ngouabi, Brazzaville, Republic of the Congo.

87. Centre for Human Virology and Genomics, Nigerian Institute of Medical Research, Yaba, Lagos, Nigeria.

88. Nigeria Centre for Disease Control and Prevention, Abuja, Nigeria.

89. Laboratoire des Arbovirus, Fièvres Hémorragiques virales, Virus Emergents et Zoonoses, Institut Pasteur de Bangui, Bangui, Central African Republic.

90. Le Laboratoire National de Biologie Clinique et de Santé Publique (LNBCSP), Bangui, Central African Republic.

91. West African Centre for Cell Biology of Infectious Pathogens (WACCBIP), College of Basic and Applied Sciences, University of Ghana, Accra, Ghana.

92. Institute of Lassa Fever Research and Control, Irrua Specialist Teaching Hospital, Irrua, Nigeria.

93. PATH, Lusaka, Zambia.

94. Department of Entomology and Plant Pathology, North Carolina State University, Raleigh, NC, USA.

95. Bioinformatics Research Center, North Carolina State University, Raleigh, NC, USA.

96. School of Life Sciences and Zeeman Institute for Systems Biology and Infectious Disease Epidemiology Research (SBIDER), University of Warwick, Coventry, UK.

97. Uganda Virus Research Institute, Entebbe, Uganda.

98. PathCare Vermaak, Pretoria, South Africa and Division of Virology, University of the Free State, Bloemfontein, South Africa.

99. College of Medicine and Allied Health Sciences, University of Sierra Leone, Freetown, Sierra Leone.

100. Botswana Harvard AIDS Institute Partnership and Botswana Harvard HIV Reference Laboratory, Gaborone, Botswana.

101. Macha Research Trust, Choma, Zambia.

102. International Livestock Research Institute (ILRI), Nairobi, Kenya.

103. INRSP, Nouakchott, Mauritania.

104. Faculté de Médecine de Nouakchott, Nouakchott, Mauritani.

105. Rwanda National Reference Laboratory, Kigali, Rwanda.

106. Robert Koch-Institute, Berlin, Germany.

107. G5 Evolutionary Genomics of RNA Viruses, Institut Pasteur, Paris, France.

108. Direcção Nacional da Saúde Pública, Ministério da Saúde, Luanda, Angola.

109. National Public Health Reference Laboratory–National Public Health Institute of Liberia, Monrovia, Liberia.

110. Faculty of Pharmacy of Monastir, Monastir, Tunisia.

111. National Influenza Centre, Institut Pasteur d’Algérie, Algiers, Algeria.

112. Department of Virology, National Health Laboratory Service (NHLS), Charlotte Maxeke Johannesburg Academic Hospital, Johannesburg, South Africa.

113. School of Pathology, Faculty of Health Science, University of the Witwatersrand, Johannesburg, South Africa.

114. Institute of Tropical Medicine, Universitätsklinikum Tübingen, Tübingen, Germany.

115. Ministère de Santé Publique et de la Solidarité Nationale, Ndjamena, Chad.

116. WHO Int Comoros, Moroni, Union of Comoros.

117. Division of Medical Virology, Faculty of Medicine and Health Sciences, Stellenbosch University, Tygerberg, Cape Town, South Africa.

118. National Health Laboratory Service (NHLS), Tygerberg, Cape Town, South Africa.

119. UHAS COVID-19 Testing and Research Centre, University of Health and Allied Sciences, Ho, Ghana.

120. Department of Biomedical Sciences, University of Health and Allied Sciences, PMB 31, Ho, Ghana.

121. Ministry of Health, COVID-19 Testing Laboratory, Mbabane, Kingdom of Eswatini.

122. Satellite Molecular Laboratory, Rivers State University Teaching Hospital, Port Harcourt, Nigeria.

123. Department of Emerging Infectious Diseases, Institute of Tropical Medicine, Nagasaki University, Nagasaki, Japan.

124. CHU Habib Bourguiba, Laboratory of Microbiology, Faculty of Medicine of Sfax, University of Sfax, Sfax, Tunisia.

125. Central Public Health Laboratories (CPHL), Kampala, Uganda.

126. Institut Pasteur de Côte d’Ivoire, Departement des Virus Epidemiques, Abidjan, Côte d’Ivoire.

127. Faculty of Medicine Ain Shams Research Institute (MASRI), Ain Shams University, Cairo, Egypt.

128. Doctoral School of Technical and Environmental Sciences, Department of Biology and Human Health, N’Djamena, Chad.

129. Department of Infectious Diseases Epidemiology, London School of Hygiene and Tropical Medicine, London, UK.

130. Charles Nicolle Hospital, Laboratory of Microbiology, National Influenza Center, Tunis, Tunisia.

131. University of Tunis El Manar, Faculty of Medicine of Tunis, Research Laboratory LR99ES09, Tunis, Tunisia.

132. College of Medicine and Allied Health Science, University of Sierra Leone, Freetown, Sierra Leone.

133. Namibia Institute of Pathology, Windhoek, Namibia.

134. National Institute of Hygiene, Lomé, Togo.

135. Virology/Molecular Biology Department, Central Health Laboratory, Victoria Hospital, Ministry of Health and Wellness, Port Louis, Mauritius.

136. Department of Biostatistics and Data Science, School of Public Health and Tropical Medicine, Tulane University, New Orleans, LA, USA.

137. WHO Burundi, Gitega, Burundi.

138. Grupo de Investigação Microbiana e Imunológica, Instituto Nacional de Investigação em Saúde (National Institute for Health Research), Luanda, Angola.

139. Departamento de Bioquímica, Faculdade de Medicina, Universidade Agostinho Neto, Luanda, Angola.

140. Vaccine and Infectious Disease Division, Fred Hutchinson Cancer Center, Seattle, WA, USA.

141. Universidade Federal de Minas Gerais, Belo Horizonte, Brazil.

142. Institute of Agricultural Sciences, Universidade Federal dos Vales do Jequitinhonha e Mucuri, Unaí, Brazil.

143. WHO South Sudan, Juba, South Sudan.

144. Faculty of Medicine, University of Burundi, Bujumbura, Burundi.

145. Pasteur Network, Institut Pasteur, Paris, France.

146. Botswana Institute for Technology Research and Innovation, Gaborone, Botswana.

147. Instituto Nacional de Saúde Pública, Praia, Cape Verde.

148. Zambia National Public Health Institute, Lusaka, Zambia.

149. Public Health Institute of Malawi, Lilongwe, Malawi.

150. National Health Laboratory, Gaborone, Botswana.

151. Laboratory of Transmissible Diseases and Biologically Active Substances (LR99ES27), Faculty of Pharmacy, University of Monastir, Monastir, Tunisia.

152. Laboratory of Microbiology, University Hospital of Monastir, Monastir, Tunisia.

153. Biomedical Informatics and Chemoinformatics Group, Informatics and Systems Department, National Research Centre, Cairo, Egypt.

154. Ministry of Health and Wellness, Gaborone, Botswana.

155. Eastern Technical University of Sierra Leone, Kenema, Sierra Leone.

156. Zoonotic Arbo and Respiratory Virus Program, Centre for Viral Zoonoses, Department of Medical Virology, University of Pretoria, Pretoria, South Africa.

157. Next Generation Sequencing Unit and Division of Virology, Faculty of Health Sciences, University of the Free State, Bloemfontein, South Africa.

158. National Reference Laboratory Lesotho, Maseru, Lesotho.

159. Centre for Biotechnology Research and Development, Kenya Medical Research Institute, Nairobi, Kenya.

160. Swiss Tropical and Public Health Institute, Basel, Switzerland.

161. Laboratorio de Investigaciones de Baney, Baney, Equatorial Guinea.

162. Ifakara Health Insitute, Ifakara, Tanzania.

163. Department of Medical Diagnostics, Kumasi Centre for Collaborative Research in Tropical Medicine, Kwame Nkrumah University of Science and Technology, Kumasi, Ghana.

164. PraesensBio, Lincoln, NE, USA.

165. Department of Medical Laboratory Science, Niger Delta University, Bayelsa State, Nigeria.

166. Systems and Biomedical Engineering Department, Faculty of Engineering, Cairo University, Cairo, Egypt.

167. King Faisal Specialist Hospital and Research Center, Riyadh, Kingdom of Saudi Arabia.

168. Biological Prevention Department, Ministry of Defence, Cairo, Egypt.

169. Faculty of Science, Fayoum University, Fayoum, Egypt.

170. Molecular Pathology Lab, Children’s Cancer Hospital, Cairo, Egypt.

171. LaboratoireBiolim FSS/Université de Lomé, Lomé, Togo.

172. Department of Genetics and Genomics, College of Medicine and Health Sciences, United Arab Emirates University, Abu Dhabi, United Arab Emirates.

173. High Institute of Biotechnology of Monastir, University of Monastir, Rue Taher Haddad 5000, Monastir, Tunisia.

174. Rwanda National Joint Task Force COVID-19, Rwanda Biomedical Centre, Ministry of Health, Kigali, Rwanda.

175. School of Health Sciences, College of Medicine and Health Sciences, University of Rwanda, Kigali, Rwanda.

176. Department of Microbiology, Faculty of Medical Laboratory Sciences, Omdurman Islamic University, Sudan.

177. Instituto Nacional de Saúde (INS), Marracuene, Mozambique.

178. Department of Disease Control, School of Veterinary Medicine, University of Zambia, Lusaka, Zambia.

179. Internal Medicine Department, Alex Ekwueme Federal University Teaching Hospital, Abakaliki, Nigeria.

180. Institut Pasteur de Guinée, Conarky, Guinea.

181. Virology Laboratory, Alex Ekwueme Federal University Teaching Hospital, Abakaliki, Nigeria.

182. Department of Epidemiology and Community Health, Faculty of Clinical Sciences. College of Health Sciences. University of Ilorin, Ilorin, Kwara State, Nigeria.

183. Department of Public Health, Ministry of Health, Ilorin, Kwara State, Nigeria.

184. Alex Ekwueme Federal University Teaching Hospital, Abakaliki, Nigeria.

185. Mayotte Hospital Center, Mayotte, France.

186. The African Center of Excellence in Bioinformatics and Data-Intensive Sciences, The Infectious Diseases Institute, Kampala, Uganda.

187. Immunology and Molecular Biology, Makerere University, Kampala, Uganda.

188. Department of Medicine, Faculty of Clinical Sciences, College of Medicine, Ambrose Alli University, Ekpoma, Edo State, Nigeria.

189. Division of Virology, National Health Laboratory Service and University of the Free State, Bloemfontein, South Africa.

190. Infectious Hazards Preparedness, World Health Organization, Eastern Mediterranean Regional Office, Cairo, Egypt.

191. Department of Microbiology and Immunology, Faculty of Pharmacy, Cairo University, Cairo, Egypt.

192. Microbiology and Immunology Research Program, Children’s Cancer Hospital Egypt, Cairo, Egypt.

193. National Public Health Laboratory, Ministry of Public Health of Cameroon, Yaoundé, Cameroon.

194. Faculty of Medicine and Biomedical Sciences, University of Yaoundé, Yaoundé, Cameroon.

195. Virology Service, Centre Pasteur of Cameroun, Yaounde, Cameroon.

196. Coordenadora da rede do Diagnóstico Tuberculose/HIV/COVID-19 na Instituição - Laboratório Nacional de Referência da Tuberculose em São Tomé e Príncipe, São Tomé, São Tomé and Principe.

197. Ponto focal para Melhoria da qualidade dos Laboratórios (SLIPTA) ao nível de São Tomé e Príncipe, São Tomé, São Tomé and Principe.

198. National Public Health Reference Laboratory (NPHRL), Mogadishu, Somalia.

199. Faculty of Medicine of Monastir, University of Monastir, Monastir, Tunisia.

200. University of Basel, Basel, Switzerland.

201. Clinical and Experimental Pharmacology Lab, LR16SP02, National Center of Pharmacovigilance, University of Tunis El Manar, Tunis, Tunisia.

202. Harvard T.H. Chan School of Public Health, Boston, MA, USA.

203. Centre MURAZ, Ouagadougou, Burkina Faso.

204. National Institute of Public Health of Burkina Faso (INSP/BF), Ouagadougou, Burkina Faso.

205. National Reference Center for Respiratory Viruses, Molecular Genetics of RNA Viruses, UMR 3569 CNRS, Université Paris Cité, Institut Pasteur, Paris, France.

206. World Health Organization, Harare, Zimbabwe.

207. Vietnamese-German Center for Medical Research, Hanoi, Vietnam.

208. Howard Hughes Medical Institute, Fred Hutchinson Cancer Center, Seattle, WA, USA.

209. Sub-Saharan African Network For TB/HIV Research Excellence (SANTHE), Durban, South Africa.

210. World Health Organization, WHO Lesotho, Maseru, Lesotho.

211. Med24 Medical Centre, Ruwa, Zimbabwe.

212. Department of Virology, Noguchi Memorial Institute for Medical Research, University of Ghana, Legon, Ghana.

213. Division of Human Genetics, Department of Pathology, University of Cape Town, Cape Town, South Africa.

214. Yemaachi Biotech, Accra, Ghana.

215. Center for Human Genetics, College of Medicine and Health Sciences, University of Rwanda, Kigali, Rwanda.

216. Laboratory of Human Genetics, GIGA Research Institute, Liège, Belgium.

217. Department of Biochemistry and Biotechnology, Pwani University, Kilifi, Kenya.

218. Department of Global Health, University of Washington, Seattle, WA, USA.

Abstract

Investment in severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) sequencing in Africa over the past year has led to a major increase in the number of sequences that have been generated and used to track the pandemic on the continent, a number that now exceeds 100,000 genomes. Our results show an increase in the number of African countries that are able to sequence domestically and highlight that local sequencing enables faster turnaround times and more-regular routine surveillance. Despite limitations of low testing proportions, findings from this genomic surveillance study underscore the heterogeneous nature of the pandemic and illuminate the distinct dispersal dynamics of variants of concern—particularly Alpha, Beta, Delta, and Omicron—on the continent. Sustained investment for diagnostics and genomic surveillance in Africa is needed as the virus continues to evolve while the continent faces many emerging and reemerging infectious disease threats. These investments are crucial for pandemic preparedness and response and will serve the health of the continent well into the 21st century.

Publisher

American Association for the Advancement of Science (AAAS)

Subject

Multidisciplinary

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