Genomic epidemiology reveals multiple introductions of Zika virus into the United States.

Nature
Authors
Keywords
Abstract

Zika virus (ZIKV) is causing an unprecedented epidemic linked to severe congenital abnormalities. In July 2016, mosquito-borne ZIKV transmission was reported in the continental United States; since then, hundreds of locally acquired infections have been reported in Florida. To gain insights into the timing, source, and likely route(s) of ZIKV introduction, we tracked the virus from its first detection in Florida by sequencing ZIKV genomes from infected patients and Aedes aegypti mosquitoes. We show that at least 4 introductions, but potentially as many as 40, contributed to the outbreak in Florida and that local transmission is likely to have started in the spring of 2016-several months before its initial detection. By analysing surveillance and genetic data, we show that ZIKV moved among transmission zones in Miami. Our analyses show that most introductions were linked to the Caribbean, a finding corroborated by the high incidence rates and traffic volumes from the region into the Miami area. Our study provides an understanding of how ZIKV initiates transmission in new regions.

Year of Publication
2017
Journal
Nature
Volume
546
Issue
7658
Pages
401-405
Date Published
2017 06 15
ISSN
1476-4687
DOI
10.1038/nature22400
PubMed ID
28538723
PubMed Central ID
PMC5536180
Links
Grant list
U19 AI115589 / AI / NIAID NIH HHS / United States
R01 AI099210 / AI / NIAID NIH HHS / United States
UL1 TR001114 / TR / NCATS NIH HHS / United States
R35 GM119774 / GM / NIGMS NIH HHS / United States
MR/M501621/1 / Medical Research Council / United Kingdom
T32 AI007244 / AI / NIAID NIH HHS / United States
U01 CK000510 / CK / NCEZID CDC HHS / United States
S10 OD020069 / OD / NIH HHS / United States
Wellcome Trust / United Kingdom
260864 / European Research Council / International
U54 GM088491 / GM / NIGMS NIH HHS / United States
HHSN272201400048C / AI / NIAID NIH HHS / United States