Evidence map›Paper›PMID 32014110›Full record

ArticleeLife2020

Previously undetected super-spreading of

Robyn S Lee, Jean-François Proulx, Fiona McIntosh, Marcel A Behr, William P Hanage

Abstract read
In one paragraph

Article in eLife, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 31 papers.

0numbers the graph read from it
0cells of the map it votes in
31citing papers in PubMed
–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

31 citing papers in PubMed.

  1. Article
  2. Article
  3. Article
  4. Genetic Diversity and Molecular Epidemiology ofPathogens (Basel, Switzerland) · 2026
    Article
  5. Protein-Mediated Virulence in Mycobacterium tuberculosis.Advances in experimental medicine and biology · 2026
    Review
  6. Review
  7. Review
  8. Article
  9. Review
  10. Article
  11. Article
  12. Detection ofFrontiers in microbiology · 2024
    Article
  13. Article
  14. Article
  15. Article
  16. Article
  17. Article
  18. Review
  19. Article
  20. Review
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

5 authors.

Robyn S LeeEpidemiology Division, Dalla Lana School of Public Health, University of Toronto, Toronto, Canada.ORCID 0000-0001-7120-9053
Jean-François ProulxNunavik Regional Board of Health and Social Services, Kuujjuaq, Canada.
Fiona McIntoshThe Research Institute of McGill University Health Centre, Montréal, Canada.
Marcel A BehrThe Research Institute of McGill University Health Centre, Montréal, Canada.
William P HanageCenter for Communicable Disease Dynamics, Harvard TH Chan School of Public Health, Boston, United States.

Funding

Deep sequencing of pathogens to precisely define transmission networks using rare variantsR01AI128344 · NIAID · HARVARD SCHOOL OF PUBLIC HEALTH · PI HANAGE, WILLIAM · 2017 to 2021
$3.4M
CIHR 148362CIHR 152448NIAID NIH HHS R01 AI128344
6 · The paper itself

Abstract

Tuberculosis disproportionately affects the Canadian Inuit. To address this, it is imperative we understand transmission dynamics in this population. We investigate whether 'deep' sequencing can provide additional resolution compared to standard sequencing, using a well-characterized outbreak from the Arctic (2011-2012, 50 cases). Samples were sequenced to ~500-1000x and reads were aligned to a novel local reference genome generated with PacBio SMRT sequencing. Consensus and heterogeneous variants were identified and compared across genomes. In contrast with previous genomic analyses using ~50x depth, deep sequencing allowed us to identify a novel super-spreader who likely transmitted to up to 17 other cases during the outbreak (35% of the remaining cases that year). It is increasingly evident that within-host diversity should be incorporated into transmission analyses; deep sequencing may facilitate more accurate detection of super-spreaders and transmission clusters. This has implications not only for TB, but all genomic studies of transmission - regardless of pathogen.

Indexed as

Carrier StateDisease OutbreaksGenome, BacterialHigh-Throughput Nucleotide SequencingHumansMolecular EpidemiologyMycobacterium tuberculosisPolymorphism, Single NucleotideTuberculosisepidemiologygenomic epidemiologyglobal healthoutbreakstransmissionTuberculosiswithin-host diversity

Identifiers

PMID32014110
PMCPMC7012596

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

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.