Evidence map›Paper›PMID 30606844›Full record

ArticleScience (New York, N.Y.)2019

Metagenomic sequencing at the epicenter of the Nigeria 2018 Lassa fever outbreak.

L E Kafetzopoulou, S T Pullan, P Lemey, M A Suchard, D U Ehichioya, M Pahlmann, A Thielebein, J Hinzmann, L Oestereich, D M Wozniak and 55 more

Abstract read
In one paragraph

Article in Science (New York, N.Y.), 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 159 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
159citing papers in PubMed, 1 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

159 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
  2. Article
  3. Article
  4. Article
  5. Nosocomial Outbreak of Lassa Fever in Conakry, Guinea, 2022.The Journal of infectious diseases · 2026
    Article
  6. Article
  7. Article
  8. Review
  9. Article
  10. Article
  11. Article
  12. Integrating metagenomics and metatranscriptomics intoThe Journal of general virology · 2026
    Review
  13. Article
  14. Review
  15. Biological causes and impacts of rugged tree landscapes in phylodynamic inference.Proceedings of the National Academy of Sciences of the United States of America · 2026
    Article
  16. Article
  17. Article
  18. Review
  19. Article
  20. Article

99 more citing papers are in PubMed but not listed here.

4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

65 authors.

L E KafetzopoulouPublic Health England, National Infection Service, Porton Down, UK.ORCID 0000-0003-4531-1374
S T PullanPublic Health England, National Infection Service, Porton Down, UK.ORCID 0000-0002-8983-599X
P LemeyDepartment of Microbiology and Immunology, Rega Institute, KU Leuven - University of Leuven, Leuven, Belgium.ORCID 0000-0003-2826-5353
M A SuchardDepartments of Biomathematics, Biostatistics, and Human Genetics, University of California, Los Angeles, CA, USA.ORCID 0000-0001-9818-479X
D U EhichioyaBernhard Nocht Institute for Tropical Medicine, Hamburg, Germany.ORCID 0000-0002-5777-685X
M PahlmannBernhard Nocht Institute for Tropical Medicine, Hamburg, Germany.
A ThielebeinBernhard Nocht Institute for Tropical Medicine, Hamburg, Germany.
J HinzmannBernhard Nocht Institute for Tropical Medicine, Hamburg, Germany.
L OestereichBernhard Nocht Institute for Tropical Medicine, Hamburg, Germany.
D M WozniakBernhard Nocht Institute for Tropical Medicine, Hamburg, Germany.ORCID 0000-0001-6719-6931
K EfthymiadisArtificial Intelligence Laboratory, Vrije Universiteit Brussel, Brussels, Belgium.
D SchachtenBernhard Nocht Institute for Tropical Medicine, Hamburg, Germany.
F KoenigBernhard Nocht Institute for Tropical Medicine, Hamburg, Germany.
J MatjeschkBernhard Nocht Institute for Tropical Medicine, Hamburg, Germany.ORCID 0000-0001-7700-2539
S LorenzenBernhard Nocht Institute for Tropical Medicine, Hamburg, Germany.ORCID 0000-0003-4857-6087
S LumleyPublic Health England, National Infection Service, Porton Down, UK.
Y IghodaloIrrua Specialist Teaching Hospital, Irrua, Nigeria.
D I AdomehIrrua Specialist Teaching Hospital, Irrua, Nigeria.
T OlokorIrrua Specialist Teaching Hospital, Irrua, Nigeria.
E OmomohIrrua Specialist Teaching Hospital, Irrua, Nigeria.
R OmiunuIrrua Specialist Teaching Hospital, Irrua, Nigeria.
J AgbukorIrrua Specialist Teaching Hospital, Irrua, Nigeria.
B EboIrrua Specialist Teaching Hospital, Irrua, Nigeria.
J AiyepadaIrrua Specialist Teaching Hospital, Irrua, Nigeria.
P EbhodagheIrrua Specialist Teaching Hospital, Irrua, Nigeria.
B OsiemiIrrua Specialist Teaching Hospital, Irrua, Nigeria.
S EhikhametalorIrrua Specialist Teaching Hospital, Irrua, Nigeria.
P AkhilomenIrrua Specialist Teaching Hospital, Irrua, Nigeria.
M AirendeIrrua Specialist Teaching Hospital, Irrua, Nigeria.
R EsumehIrrua Specialist Teaching Hospital, Irrua, Nigeria.
E MuoebonamIrrua Specialist Teaching Hospital, Irrua, Nigeria.
R GiwaIrrua Specialist Teaching Hospital, Irrua, Nigeria.
A EkanemIrrua Specialist Teaching Hospital, Irrua, Nigeria.
G IgenegbaleIrrua Specialist Teaching Hospital, Irrua, Nigeria.
G OdigieIrrua Specialist Teaching Hospital, Irrua, Nigeria.
G OkonofuaIrrua Specialist Teaching Hospital, Irrua, Nigeria.
R EnigbeIrrua Specialist Teaching Hospital, Irrua, Nigeria.
J OyakhilomeIrrua Specialist Teaching Hospital, Irrua, Nigeria.
E O YerumohIrrua Specialist Teaching Hospital, Irrua, Nigeria.
I OdiaIrrua Specialist Teaching Hospital, Irrua, Nigeria.
C AireIrrua Specialist Teaching Hospital, Irrua, Nigeria.
M OkonofuaIrrua Specialist Teaching Hospital, Irrua, Nigeria.
R AtafoIrrua Specialist Teaching Hospital, Irrua, Nigeria.
E TobinIrrua Specialist Teaching Hospital, Irrua, Nigeria.
D AsogunIrrua Specialist Teaching Hospital, Irrua, Nigeria.
N AkpedeIrrua Specialist Teaching Hospital, Irrua, Nigeria.
P O OkokhereIrrua Specialist Teaching Hospital, Irrua, Nigeria.
M O RafiuIrrua Specialist Teaching Hospital, Irrua, Nigeria.ORCID 0000-0001-6289-0967
K O IraoyahIrrua Specialist Teaching Hospital, Irrua, Nigeria.
C O IruolagbeIrrua Specialist Teaching Hospital, Irrua, Nigeria.
P AkhidenoIrrua Specialist Teaching Hospital, Irrua, Nigeria.ORCID 0000-0002-4736-7964
C EramehIrrua Specialist Teaching Hospital, Irrua, Nigeria.ORCID 0000-0001-7783-2495
G AkpedeIrrua Specialist Teaching Hospital, Irrua, Nigeria.
E IsiborIrrua Specialist Teaching Hospital, Irrua, Nigeria.
D NaidooWorld Health Organization, Geneva, Switzerland.
R HewsonPublic Health England, National Infection Service, Porton Down, UK.ORCID 0000-0003-2273-3152
J A HiscoxNational Institute of Health Research (NIHR), Health Protection Research Unit in Emerging and Zoonotic Infections, University of Liverpool, Liverpool, UK.
R VipondPublic Health England, National Infection Service, Porton Down, UK.
M W CarrollPublic Health England, National Infection Service, Porton Down, UK.
C IhekweazuNigeria Centre for Disease Control, Abuja, Nigeria.
P FormentyWorld Health Organization, Geneva, Switzerland.
S OkogbeninIrrua Specialist Teaching Hospital, Irrua, Nigeria.
E Ogbaini-Emovon *Irrua Specialist Teaching Hospital, Irrua, Nigeria.
S Günther *Bernhard Nocht Institute for Tropical Medicine, Hamburg, Germany. guenther@bni.uni-hamburg.de.ORCID 0000-0002-6562-0230
S Duraffour *Bernhard Nocht Institute for Tropical Medicine, Hamburg, Germany.ORCID 0000-0002-1239-4372

Funding

Technology CoreU19AI135995 · NIAID · SCRIPPS RESEARCH INSTITUTE, THE · PI Kristian Graugaard Andersen · 2018 to 2026
$32.0M
European Research CouncilNIAID NIH HHS U19 AI135995Wellcome TrustWorld Health Organization 001
6 · The paper itself

Abstract

The 2018 Nigerian Lassa fever season saw the largest ever recorded upsurge of cases, raising concerns over the emergence of a strain with increased transmission rate. To understand the molecular epidemiology of this upsurge, we performed, for the first time at the epicenter of an unfolding outbreak, metagenomic nanopore sequencing directly from patient samples, an approach dictated by the highly variable genome of the target pathogen. Genomic data and phylogenetic reconstructions were communicated immediately to Nigerian authorities and the World Health Organization to inform the public health response. Real-time analysis of 36 genomes and subsequent confirmation using all 120 samples sequenced in the country of origin revealed extensive diversity and phylogenetic intermingling with strains from previous years, suggesting independent zoonotic transmission events and thus allaying concerns of an emergent strain or extensive human-to-human transmission.

Indexed as

Disease OutbreaksMolecular EpidemiologyAnimalsGenome, ViralHumansLassa FeverLassa virusMetagenomicsNigeriaPhylogenyZoonoses

Identifiers

PMID30606844
PMCPMC6855379

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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.