A year of genomic surveillance reveals how the SARS-CoV-2 pandemic unfolded in Africa

Author:

Wilkinson Eduan12ORCID,Giovanetti Marta34ORCID,Tegally Houriiyah1ORCID,San James E.1ORCID,Lessells Richard1ORCID,Cuadros Diego5,Martin Darren P.67,Rasmussen David A.89ORCID,Zekri Abdel-Rahman N.10ORCID,Sangare Abdoul K.11,Ouedraogo Abdoul-Salam12,Sesay Abdul K.13,Priscilla Abechi14,Kemi Adedotun-Sulaiman14,Olubusuyi Adewunmi M.15ORCID,Oluwapelumi Adeyemi O. O.16ORCID,Hammami Adnène17,Amuri Adrienne A.1819ORCID,Sayed Ahmad20,Ouma Ahmed E. O.21ORCID,Elargoubi Aida2223,Ajayi Nnennaya A.24ORCID,Victoria Ajogbasile F.14,Kazeem Akano14,George Akpede25,Trotter Alexander J.26,Yahaya Ali A.27ORCID,Keita Alpha K.2829,Diallo Amadou30ORCID,Kone Amadou31,Souissi Amal32ORCID,Chtourou Amel17,Gutierrez Ana V.26ORCID,Page Andrew J.26ORCID,Vinze Anika33,Iranzadeh Arash67,Lambisia Arnold34ORCID,Ismail Arshad35ORCID,Rosemary Audu36ORCID,Sylverken Augustina37ORCID,Femi Ayoade14ORCID,Ibrahimi Azeddine38,Marycelin Baba39,Oderinde Bamidele S.39,Bolajoko Bankole14,Dhaala Beatrice40,Herring Belinda L.27,Njanpop-Lafourcade Berthe-Marie27,Kleinhans Bronwyn41ORCID,McInnis Bronwyn10,Tegomoh Bryan42,Brook Cara4344ORCID,Pratt Catherine B.45ORCID,Scheepers Cathrine3546ORCID,Akoua-Koffi Chantal G.47,Agoti Charles N.3448,Peyrefitte Christophe30,Daubenberger Claudia49ORCID,Morang’a Collins M.50ORCID,Nokes D. James3451ORCID,Amoako Daniel G.35ORCID,Bugembe Daniel L.40ORCID,Park Danny33ORCID,Baker David26,Doolabh Deelan7,Ssemwanga Deogratius4052ORCID,Tshiabuila Derek1ORCID,Bassirou Diarra30ORCID,Amuzu Dominic S. Y.50ORCID,Goedhals Dominique53,Omuoyo Donwilliams O.34,Maruapula Dorcas54,Foster-Nyarko Ebenezer26,Lusamaki Eddy K.1819ORCID,Simulundu Edgar55ORCID,Ong’era Edidah M.34,Ngabana Edith N.1819,Shumba Edwin56,El Fahime Elmostafa57ORCID,Lokilo Emmanuel18ORCID,Mukantwari Enatha58ORCID,Philomena Eromon14,Belarbi Essia59ORCID,Simon-Loriere Etienne60ORCID,Anoh Etilé A.47ORCID,Leendertz Fabian59ORCID,Ajili Faida61,Enoch Fakayode O.62,Wasfi Fares63ORCID,Abdelmoula Fatma3264,Mosha Fausta S.27,Takawira Faustinos T.65,Derrar Fawzi66ORCID,Bouzid Feriel32ORCID,Onikepe Folarin14ORCID,Adeola Fowotade67,Muyembe Francisca M.1819,Tanser Frank686970ORCID,Dratibi Fred A.27,Mbunsu Gabriel K.19,Thilliez Gaetan26ORCID,Kay Gemma L.26ORCID,Githinji George3471,van Zyl Gert4172ORCID,Awandare Gordon A.50,Schubert Grit59,Maphalala Gugu P.73,Ranaivoson Hafaliana C.44ORCID,Lemriss Hajar74ORCID,Anise Happi14,Abe Haruka75,Karray Hela H.17ORCID,Nansumba Hellen76,Elgahzaly Hesham A.77,Gumbo Hlanai65,Smeti Ibtihel32,Ayed Ikhlas B.32,Odia Ikponmwosa25,Ben Boubaker Ilhem Boutiba7879,Gaaloul Imed22,Gazy Inbal80,Mudau Innocent7,Ssewanyana Isaac76,Konstantinus Iyaloo81,Lekana-Douk Jean B.82,Makangara Jean-Claude C.1819ORCID,Tamfum Jean-Jacques M.1819,Heraud Jean-Michel3044ORCID,Shaffer Jeffrey G.83ORCID,Giandhari Jennifer1ORCID,Li Jingjing84ORCID,Yasuda Jiro75ORCID,Mends Joana Q.85ORCID,Kiconco Jocelyn52,Morobe John M.34ORCID,Gyapong John O.85ORCID,Okolie Johnson C.14,Kayiwa John T.40,Edwards Johnathan A.6886ORCID,Gyamfi Jones85ORCID,Farah Jouali87,Nakaseegu Joweria52,Ngoi Joyce M.50,Namulondo Joyce52,Andeko Julia C.82,Lutwama Julius J.40ORCID,O’Grady Justin26,Siddle Katherine33ORCID,Adeyemi Kayode T.14,Tumedi Kefentse A.88ORCID,Said Khadija M.34ORCID,Hae-Young Kim89ORCID,Duedu Kwabena O.85ORCID,Belyamani Lahcen38,Fki-Berrajah Lamia17,Singh Lavanya1ORCID,Martins Leonardo de O.26ORCID,Tyers Lynn7ORCID,Ramuth Magalutcheemee90ORCID,Mastouri Maha2223ORCID,Aouni Mahjoub22,el Hefnawi Mahmoud91ORCID,Matsheka Maitshwarelo I.88ORCID,Kebabonye Malebogo92,Diop Mamadou30,Turki Manel32,Paye Marietou33,Nyaga Martin M.93,Mareka Mathabo94,Damaris Matoke-Muhia95ORCID,Mburu Maureen W.34,Mpina Maximillian499697ORCID,Nwando Mba98,Owusu Michael99,Wiley Michael R.45ORCID,Youtchou Mirabeau T.100,Ayekaba Mitoha O.96,Abouelhoda Mohamed101102,Seadawy Mohamed G.103,Khalifa Mohamed K.20ORCID,Sekhele Mooko94,Ouadghiri Mouna38ORCID,Diagne Moussa M.30,Mwenda Mulenga104ORCID,Allam Mushal35ORCID,Phan My V. T.40ORCID,Abid Nabil79105ORCID,Touil Nadia106,Rujeni Nadine107108,Kharrat Najla32ORCID,Ismael Nalia109,Dia Ndongo30,Mabunda Nedio109,Hsiao Nei-yuan7110ORCID,Silochi Nelson B.96ORCID,Nsenga Ngoy27,Gumede Nicksy27,Mulder Nicola111ORCID,Ndodo Nnaemeka98,Razanajatovo Norosoa H44,Iguosadolo Nosamiefan14,Judith Oguzie14ORCID,Kingsley Ojide C.112,Sylvanus Okogbenin25,Peter Okokhere25,Femi Oladiji113,Idowu Olawoye14,Testimony Olumade14,Chukwuma Omoruyi E.67,Ogah Onwe E.114,Onwuamah Chika K.36115ORCID,Cyril Oshomah25ORCID,Faye Ousmane30ORCID,Tomori Oyewale14ORCID,Ondoa Pascale56,Combe Patrice116,Semanda Patrick76ORCID,Oluniyi Paul E.14ORCID,Arnaldo Paulo109ORCID,Quashie Peter K.50ORCID,Dussart Philippe44ORCID,Bester Phillip A.53,Mbala Placide K.1819,Ayivor-Djanie Reuben85ORCID,Njouom Richard117,Phillips Richard O.118ORCID,Gorman Richmond118,Kingsley Robert A.26,Carr Rosina A. A.85,El Kabbaj Saâd119,Gargouri Saba17,Masmoudi Saber32,Sankhe Safietou30ORCID,Lawal Salako B.36,Kassim Samar77ORCID,Trabelsi Sameh120,Metha Samar33,Kammoun Sami121,Lemriss Sanaâ119ORCID,Agwa Sara H. A.77ORCID,Calvignac-Spencer Sébastien59ORCID,Schaffner Stephen F.33ORCID,Doumbia Seydou31ORCID,Mandanda Sheila M.1819,Aryeetey Sherihane122,Ahmed Shymaa S.122ORCID,Elhamoumi Siham33,Andriamandimby Soafy44,Tope Sobajo14,Lekana-Douki Sonia82,Prosolek Sophie26ORCID,Ouangraoua Soumeya123124ORCID,Mundeke Steve A.1819,Rudder Steven26,Panji Sumir111ORCID,Pillay Sureshnee1ORCID,Engelbrecht Susan4172ORCID,Nabadda Susan76,Behillil Sylvie125ORCID,Budiaki Sylvie L.94,van der Werf Sylvie125ORCID,Mashe Tapfumanei65,Aanniz Tarik38,Mohale Thabo35ORCID,Le-Viet Thanh26ORCID,Schindler Tobias4996ORCID,Anyaneji Ugochukwu J.1ORCID,Chinedu Ugwu14ORCID,Ramphal Upasana169126ORCID,Jessica Uwanibe14,George Uwem14ORCID,Fonseca Vagner14127ORCID,Enouf Vincent125ORCID,Gorova Vivianne128129,Roshdy Wael H.122ORCID,Ampofo William K.50,Preiser Wolfgang4172ORCID,Choga Wonderful T.54130,Bediako Yaw50ORCID,Naidoo Yeshnee1ORCID,Butera Yvan107131132,de Laurent Zaydah R.34ORCID,Sall Amadou A.30,Rebai Ahmed32,von Gottberg Anne35133ORCID,Kouriba Bourema12ORCID,Williamson Carolyn769110ORCID,Bridges Daniel J.104ORCID,Chikwe Ihekweazu98,Bhiman Jinal N.35133ORCID,Mine Madisa134,Cotten Matthew40135ORCID,Moyo Sikhulile54136ORCID,Gaseitsiwe Simani54136,Saasa Ngonda55ORCID,Sabeti Pardis C.33ORCID,Kaleebu Pontiano40,Tebeje Yenew K.21,Tessema Sofonias K.21,Happi Christian14,Nkengasong John21,de Oliveira Tulio1269137

Affiliation:

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

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

3. Laboratorio de Flavivirus, Fundacao Oswaldo Cruz, Rio de Janeiro, Brazil.

4. Laboratório de Genética Celular e Molecular, Universidade Federal de Minas Gerais, Belo Horizonte, Minas Gerais, Brazil.

5. Department of Geography and GIS, University of Cincinnati, Cincinnati, OH, USA.

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

7. 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.

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

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

10. Cancer Biology Department, Virology and Immunology Unit, National Cancer Institute, Cairo University, Cairo 11796, Egypt.

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

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

13. MRCG at LSHTM Genomics Lab, Fajara, Gambia.

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

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

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

17. CHU Habib Bourguiba, Laboratory of Microbiology, Faculty of Medicine of sFax, University of sFax, sFax, Tunisia.

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

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

20. Genomics Research Program, Children’s Cancer Hospital, Cairo, Egypt.

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

22. Laboratory of Transmissible Diseases and Biological Active Substances (LR99ES27), Faculty of Pharmacy of Monastir, Monastir, Tunisia.

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

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

25. Irrua Specialist Teaching Hospital, Irrua, Nigeria.

26. Quadram Institute Bioscience, Norwich, UK.

27. World Health Organization, Africa Region, Brazzaville Congo.

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

29. TransVIHMI, Montpellier University/IRD/INSERM, Montpellier, France.

30. Virology Department, Institut Pasteur de Dakar, Dakar, Senegal.

31. Mali-University Clinical Research Center (UCRC), Bamako, Mali.

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

33. Broad Insitute of Harvard and MIT, Cambridge, MA, USA.

34. KEMRI-Wellcome Trust Research Programme/KEMRI-CGMR-C, Kilifi, Kenya.

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

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

37. Institute of Virology, Charité – Universitätsmedizin, Berlin, Germany.

38. Medical Biotechnology Laboratory, Rabat Medical and Pharmacy School, Mohammed V University, Rabat, Morocco.

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

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

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

42. The Biotechnology Center of the University of Yaoundé I, Cameroon and CDC Foundation, Yaounde, Cameroon.

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

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

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

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

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

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

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

50. West African Centre for Cell Biology of Infectious Pathogens (WACCBIP), Department of Biochemistry, Cell and Molecular Biology, University of Ghana, Accra, Ghana.

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

52. Uganda Virus Research Institute, Entebbe, Uganda.

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

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

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

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

57. Functional Genomic Platform/National Centre for Scientific and Technical Research (CNRST), Rabat, Morocco.

58. Rwanda National Reference Laboratory, Kigali, Rwanda.

59. Robert Koch-Institute, Berlin, Germany.

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

61. Research Unit of Autoimmune Diseases UR17DN02, Military Hospital of Tunis, University of Tunis El Manar, Tunis, Tunisia.

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

63. Laboratory of Clinical Virology, Institut Pasteur de Tunis, Tunis, Tunisia.

64. Faculty of Pharmacy of Monastir, Monastir, Tunisia.

65. National Microbiology Reference Laboratory, Harare, Zimbabwe.

66. National Influenza Centre, Viral Respiratory Laboratory, Algiers, Algeria.

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

68. Lincoln International Institute for Rural Health, University of Lincoln, Lincoln, UK.

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

70. Africa Health Research Institute, KwaZulu-Natal, Durban, South Africa.

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

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

73. Institution and Department, Ministry Of Health, COVID-19 Testing Laboratory, Mbabane, Kingdom of Eswatini.

74. Laboratory of Health Sciences and Technologies, High Institute of Health Sciences, Hassan 1st University, Settat, Morocco.

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

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

77. Faculty of Medicine Ain Shams Research institute (MASRI), Ain Shams University, Cairo, Egypt.

78. Charles Nicolle Hospital, Laboratory of Microbiology, National Influenza Center, 1006 Tunis, Tunisia.

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

80. Department of Biochemistry and Molecular Biology, The Institute for Medical Research Israel-Canada, Hadassah Medical School, The Hebrew University of Jerusalem, Jerusalem, Israel.

81. Namibia Institute of Pathology, Windhoek, Namibia.

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

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

84. Urban Health Collaborative, Dornsife School of Public Health, Drexel University, Philadelphia, PA, USA.

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

86. Rollins School of Public Health, Emory University, Atlanta, GA, USA.

87. Anoual Laboratory, Casablanca, Morocco.

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

89. New York University Grossman School of Medicine, New York City, NY, USA.

90. Virology/Molecular Biology Department, Central Health Laboratory, Ministry of Health and Wellness, Mauritius.

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

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

93. Next Generation Sequencing Unit and Division of Virology, Faculty of Health Sciences, University of the Free State, Bloemfontein 9300, South Africa.

94. National Reference Laboratory Lesotho, Maseru, Lesotho.

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

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

97. Ifakara Health Institute, Dar-es-Salaam, Tanzania.

98. Nigeria Centre for Disease Control, Abuja, Nigeria.

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

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

101. Systems and Biomedical Engineering Department, Faculty of Engineering, Cairo University, Cairo 12613, Egypt.

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

103. Biological Prevention Department, Main Chemical Laboratories, Egypt Army, Cairo, Egypt.

104. PATH, Lusaka, Zambia.

105. Department of Biotechnology, High Institute of Biotechnology of Sidi Thabet, University of Manouba, BP-66, 2020 Ariana-Tunis, Tunisia.

106. Genomic Center for Human Pathologies (GENOPATH), Faculty of Medicine and Pharmacy, Mohammed V University, Rabat, Morocco.

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

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

109. Instituto Nacional de Saude (INS), Maputo, Mozambique.

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

111. Computational Biology Division, Department of Integrative Biomedical Sciences, IDM, CIDRI Africa Wellcome Trust Centre, University of Cape Town, Cape Town, South Africa.

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

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

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

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

116. Mayotte Hospital Center, Mayotte, France.

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

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

119. Laboratoire de Recherche et d’Analyses Médicales de la Gendarmerie Royale, Rabat, Morocco.

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

121. CHU Hedi Chaker Sfax, Service de Pneumologie, Tunis, Tunisia.

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

123. Centre MURAZ, Ouagadougou, Burkina Faso.

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

125. National Reference Center for Respiratory Viruses, Molecular Genetics of RNA Viruses, UMR 3569 CNRS, University of Paris, Institut Pasteur, Paris, France.

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

127. Coordenação Geral de Laboratórios de Saúde Pública/Secretaria de Vigilância em Saúde, Ministério da Saúde, Brasília, Distrito Federal, Brazil.

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

129. Med24 Medical Centre, Ruwa, Zimbabwe.

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

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

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

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

134. National Health Laboratory, Gaborone, Botswana.

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

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

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

Abstract

SARS-CoV-2 across Africa The impact of the severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) pandemic has been hard to track in African countries, largely because of patchy data. Wilkinson et al . curated viral genomes collected in 2021 from several countries across the continent. Outbreaks during 2020 in each African country were initiated by imported cases, mostly from Europe. As the pandemic developed, case numbers in African countries were likely many times higher than reported, and subsequent waves of the pandemic appear to have been more severe. Consequently, high-transmission variants have emerged that have spread within the continent, and African countries must be included in global control efforts. —CA

Publisher

American Association for the Advancement of Science (AAAS)

Subject

Multidisciplinary

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