Evidence map›Paper›PMID 32764827›Full record

ArticlePLoS pathogens2020

Genomic Surveillance of Yellow Fever Virus Epizootic in São Paulo, Brazil, 2016 - 2018.

Sarah C Hill, Renato de Souza, Julien Thézé, Ingra Claro, Renato S Aguiar, Leandro Abade, Fabiana C P Santos, Mariana S Cunha, Juliana S Nogueira, Flavia C S Salles and 30 more

Open access · goldAbstract read
In one paragraph

Article in PLoS pathogens, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 38 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
38citing papers in PubMed, 1 pooled it
7.0field-weighted citation impact, top 2% of its field
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

38 citing papers in PubMed, 1 synthesis or guideline pooled it, 67 citations in OpenAlex.

  1. Pooled it
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  3. Review
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  7. Yellow fever virus resurgence in Sao Paulo State, Brazil, 2024-2025.Revista do Instituto de Medicina Tropical de Sao Paulo · 2026
    Article
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  17. Ecological Requirements for Abundance and Dispersion of Brazilian Yellow Fever Vectors in Tropical Areas.International journal of environmental research and public health · 2024
    Article
  18. Review
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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

40 authors at 10 institutions in 5 countries.

Sarah C HillDepartment of Zoology, University of Oxford, Oxford, United Kingdom.
Renato de SouzaInstituto Adolfo Lutz, São Paulo, Brazil.
Julien ThézéDepartment of Zoology, University of Oxford, Oxford, United Kingdom.ORCID 0000-0001-8188-9494
Ingra ClaroInstituto de Medicina Tropical, Departamento de Moléstias Infecciosas e Parasitárias, Faculdade de Medicina e, Universidade de São Paulo, São Paulo, Brazil.
Renato S AguiarLaboratório de Virologia Molecular, Departamento de Genética, Instituto de Biologia, Rio de Janeiro, Brazil.
Leandro AbadeDepartment of Zoology, University of Oxford, Oxford, United Kingdom.
Fabiana C P SantosInstituto Adolfo Lutz, São Paulo, Brazil.ORCID 0000-0003-1751-4537
Mariana S CunhaInstituto Adolfo Lutz, São Paulo, Brazil.ORCID 0000-0001-8903-604X
Juliana S NogueiraInstituto Adolfo Lutz, São Paulo, Brazil.
Flavia C S SallesInstituto de Medicina Tropical, Departamento de Moléstias Infecciosas e Parasitárias, Faculdade de Medicina e, Universidade de São Paulo, São Paulo, Brazil.ORCID 0000-0002-9048-0030
Iray M RoccoInstituto Adolfo Lutz, São Paulo, Brazil.
Adriana Y MaedaInstituto Adolfo Lutz, São Paulo, Brazil.ORCID 0000-0001-8642-3511
Fernanda G S VasamiInstituto Adolfo Lutz, São Paulo, Brazil.
Louis du PlessisDepartment of Zoology, University of Oxford, Oxford, United Kingdom.ORCID 0000-0003-0352-6289
Paola P SilveiraLaboratório de Virologia Molecular, Departamento de Genética, Instituto de Biologia, Rio de Janeiro, Brazil.
Jaqueline G de JesusInstituto de Medicina Tropical, Departamento de Moléstias Infecciosas e Parasitárias, Faculdade de Medicina e, Universidade de São Paulo, São Paulo, Brazil.
Joshua QuickInstitute of Microbiology and Infection, University of Birmingham, Birmingham, United Kingdom.ORCID 0000-0001-6376-871X
Natália C C A FernandesInstituto Adolfo Lutz, São Paulo, Brazil.ORCID 0000-0003-4754-4200
Juliana M GuerraInstituto Adolfo Lutz, São Paulo, Brazil.ORCID 0000-0002-0326-7187
Rodrigo A RéssioInstituto Adolfo Lutz, São Paulo, Brazil.
Marta GiovanettiLaboratório de Flavivírus, Instituto Oswaldo Cruz, FIOCRUZ, Rio de Janeiro, Brazil.
Luiz C J AlcantaraLaboratório de Flavivírus, Instituto Oswaldo Cruz, FIOCRUZ, Rio de Janeiro, Brazil.ORCID 0000-0002-6769-9931
Cinthya S CirqueiraInstituto Adolfo Lutz, São Paulo, Brazil.ORCID 0000-0002-3719-5505
Josué Díaz-DelgadoInstituto Adolfo Lutz, São Paulo, Brazil.ORCID 0000-0003-1216-5446
Fernando L L MacedoInstituto Adolfo Lutz, São Paulo, Brazil.ORCID 0000-0003-2097-0429
Maria do Carmo S T TimenetskyInstituto Adolfo Lutz, São Paulo, Brazil.ORCID 0000-0001-8317-0539
Regiane de PaulaCentro de Vigilância Epidemiológica "Prof. Alexandre Vranjac", São Paulo, Brazil.
Roberta SpinolaCentro de Vigilância Epidemiológica "Prof. Alexandre Vranjac", São Paulo, Brazil.
Juliana Telles de DeusSuperintendência do Controle de Endemias, São Paulo, Brazil.ORCID 0000-0002-1617-7340
Luís F MucciSuperintendência do Controle de Endemias, São Paulo, Brazil.ORCID 0000-0002-7766-7597
Rosa Maria TubakiSuperintendência do Controle de Endemias, São Paulo, Brazil.ORCID 0000-0002-9688-5266
Regiane M T de MenezesSuperintendência do Controle de Endemias, São Paulo, Brazil.ORCID 0000-0002-1778-437X
Patrícia L RamosFundação Parque Zoológico de São Paulo, São Paulo, Brazil.ORCID 0000-0003-2726-4949
Andre L de AbreuSecretaria de Vigilância em Saúde, Ministério da Saúde (SVS/MS), Brasília-DF, Brazil.
Laura N CruzInstituto Adolfo Lutz, São Paulo, Brazil.
Nick LomanInstitute of Microbiology and Infection, University of Birmingham, Birmingham, United Kingdom.
Simon DellicourSpatial Epidemiology Lab (SpELL), Université Libre de Bruxelles, CP160/12 50, Bruxelles, Belgium.ORCID 0000-0001-9558-1052
Oliver G PybusDepartment of Zoology, University of Oxford, Oxford, United Kingdom.
Ester C SabinoInstituto de Medicina Tropical, Departamento de Moléstias Infecciosas e Parasitárias, Faculdade de Medicina e, Universidade de São Paulo, São Paulo, Brazil.
Nuno R FariaDepartment of Zoology, University of Oxford, Oxford, United Kingdom.ORCID 0000-0001-8839-2798
Instituto Adolfo Lutz · BRUniversidade de São Paulo · BRUniversity of Oxford · GBDepartamento de Epidemiología · GTFundação Oswaldo Cruz · BRRoyal Veterinary College · GBUniversity of Birmingham · GBMinistério da Saúde · BRUniversité Clermont Auvergne · FRUniversité Libre de Bruxelles · BE

Funding

Medical Research Council MR/J014370/1Medical Research Council MR/M501621/1Medical Research Council MR/R015600/1Medical Research Council MR/S0195/1Medical Research Council MR/S019510/1Medical Research Council MR/S035362/1Wellcome TrustWellcome Trust 204311/Z/16/Z
6 · The paper itself

Abstract

São Paulo, a densely inhabited state in southeast Brazil that contains the fourth most populated city in the world, recently experienced its largest yellow fever virus (YFV) outbreak in decades. YFV does not normally circulate extensively in São Paulo, so most people were unvaccinated when the outbreak began. Surveillance in non-human primates (NHPs) is important for determining the magnitude and geographic extent of an epizootic, thereby helping to evaluate the risk of YFV spillover to humans. Data from infected NHPs can give more accurate insights into YFV spread than when using data from human cases alone. To contextualise human cases, identify epizootic foci and uncover the rate and direction of YFV spread in São Paulo, we generated and analysed virus genomic data and epizootic case data from NHPs in São Paulo. We report the occurrence of three spatiotemporally distinct phases of the outbreak in São Paulo prior to February 2018. We generated 51 new virus genomes from YFV positive cases identified in 23 different municipalities in São Paulo, mostly sampled from NHPs between October 2016 and January 2018. Although we observe substantial heterogeneity in lineage dispersal velocities between phylogenetic branches, continuous phylogeographic analyses of generated YFV genomes suggest that YFV lineages spread in São Paulo at a mean rate of approximately 1km per day during all phases of the outbreak. Viral lineages from the first epizootic phase in northern São Paulo subsequently dispersed towards the south of the state to cause the second and third epizootic phases there. This alters our understanding of how YFV was introduced into the densely populated south of São Paulo state. Our results shed light on the sylvatic transmission of YFV in highly fragmented forested regions in São Paulo state and highlight the importance of continued surveillance of zoonotic pathogens in sentinel species.

Indexed as

Genome, ViralAnimalsBrazilDisease OutbreaksGenomicsHumansPhylogenyPhylogeographyPrimate DiseasesPrimatesYellow FeverYellow fever virusZoonoses

Identifiers

PMID32764827
PMCPMC7437926
OpenAlexW3048289012

What OpenQuestion holds

Textmetadata
LicenceCC BY
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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.