The Evolution and Transmission Dynamics of Multidrug-Resistant Tuberculosis in an Isolated High-Plateau Population of Tibet, China

Author:

Jiang Qi1ORCID,Liu Hai-Can2,Liu Qing-Yun3,Phelan Jody E.4,Tao Feng-Xi1,Zhao Xiu-Qin2,Wang Jian5,Glynn Judith R.6,Takiff Howard E.7ORCID,Clark Taane G.46ORCID,Wan Kang-Lin2,Gao Qian8ORCID

Affiliation:

1. Department of Epidemiology and Biostatistics, School of Public Health, Wuhan University, Wuhan, China

2. State Key Laboratory for Infectious Disease Prevention and Control and National Institute for Communicable Disease Control and Prevention, Chinese Center for Disease Control and Prevention, Beijing, China

3. Department of Immunology and Infectious Diseases, Harvard T. H. Chan School of Public Health, Boston, Massachusetts, USA

4. Department of Infection Biology, London School of Hygiene & Tropical Medicine, London, United Kingdom

5. Tibet Center for Disease Control and Prevention, Lhasa, Tibet Autonomous Region, China

6. Department of Infectious Disease Epidemiology, London School of Hygiene & Tropical Medicine, London, United Kingdom

7. Laboratorio de Genética Molecular, CMBC, IVIC, Caracas, Venezuela

8. National Clinical Research Center for Infectious Diseases, The Third People’s Hospital of Shenzhen, Shenzhen, Guangdong, China

Abstract

Emerging isoniazid resistance in the 1970s allowed M. tuberculosis strains to spread and form into large multidrug-resistant tuberculosis clusters in the isolated plateau of Tibet, China. The epidemic was driven by the high risk of transmission as well as the potential of acquiring further drug resistance from isoniazid-resistant strains.

Funder

CSU | Fundamental Research Funds for Central Universities of the Central South University

MOST | National Major Science and Technology Projects of China

National Natural Science Foundation of China

Publisher

American Society for Microbiology

Subject

Infectious Diseases,Cell Biology,Microbiology (medical),Genetics,General Immunology and Microbiology,Ecology,Physiology

Reference27 articles.

1. World Health Organization. 2021. Global tuberculosis report 2021. World Health Organization, Geneva, Switzerland.

2. Prevalence of pulmonary tuberculosis in Tibet Autonomous Region, China, 2014

3. Analysis on the drug resistance of Mycobacterium tuberculosis in Lhasa area, Tibet;Yang J;J Tibet Univ (in Chinese),2014

4. Local adaptation of Mycobacterium tuberculosis on the Tibetan Plateau

5. Evolution and transmission of drug-resistant tuberculosis in a Russian population

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