Evidence map›Paper›PMID 33883675›Full record

ArticleCommunications biology2021

SARS-CoV-2 shifting transmission dynamics and hidden reservoirs potentially limit efficacy of public health interventions in Italy.

Marta Giovanetti, Eleonora Cella, Francesca Benedetti, Brittany Rife Magalis, Vagner Fonseca, Silvia Fabris, Giovanni Campisi, Alessandra Ciccozzi, Silvia Angeletti, Alessandra Borsetti and 18 more

Abstract read
In one paragraph

Article in Communications biology, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 17 papers.

0numbers the graph read from it
0cells of the map it votes in
17citing 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

17 citing papers in PubMed.

  1. Review
  2. Article
  3. Article
  4. Severe Acute Respiratory Syndrome Coronavirus 2 Delta Vaccine Breakthrough Transmissibility in Alachua County, Florida.Clinical infectious diseases : an official publication of the Infectious Diseases Society of America · 2022
    Article
  5. Review
  6. Article
  7. Review
  8. Article
  9. Article
  10. Article
  11. Article
  12. Review
  13. The variants question: What is the problem?Journal of medical virology · 2021
    Review
  14. Article
  15. Article
  16. Article
  17. Article
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

28 authors.

Marta Giovanetti *Laboratório de Flavivírus, Instituto Oswaldo Cruz, Fundação Oswaldo Cruz, Rio de Janeiro, Brazil.ORCID 0000-0002-5849-7326
Eleonora Cella *Burnett School of Biomedical Sciences, University of Central Florida, Orlando, FL, USA.ORCID 0000-0002-7870-9744
Francesca Benedetti *Institute of Human Virology and Global Virus Network Center, Department of Biochemistry and Molecular Biology, University of Maryland School of Medicine, Baltimore, MD, USA.
Brittany Rife Magalis *Emerging Pathogens Institute & Department of Pathology, College of Medicine, University of Florida, Gainesville, FL, USA.
Vagner FonsecaLaboratório de Genética Celular e Molecular, ICB, Universidade Federal de Minas Gerais, Belo Horizonte, Minas Gerais, Brazil.ORCID 0000-0001-5521-6448
Silvia FabrisMedical Statistic and Molecular Epidemiology Unit, University of Biomedical Campus, Rome, Italy.
Giovanni CampisiDepartment of Molecular and Translational Medicine, Section of Microbiology, University of Brescia, Brescia, Italy.
Alessandra CiccozziMedical Statistic and Molecular Epidemiology Unit, University of Biomedical Campus, Rome, Italy.
Silvia AngelettiUnit of Clinical Laboratory Science, University Campus Bio-Medico of Rome, Rome, Italy.
Alessandra BorsettiNational HIV/AIDS Researh Center, Istituto Superiore di Sanità, Rome, Italy.
Vittoradolfo TamboneAnthropology, and Applied Ethics, Campus Bio-Medico University, Rome, Italy.
Caterina SagnelliDepartment of Mental Health and Public Medicine, University of Campania "Luigi Vanvitelli", Naples, Italy.ORCID 0000-0002-6413-7810
Stefano PascarellaDepartment of Biochemical Sciences "A. Rossi Fanelli", University of Rome "La Sapienza", Rome, Italy.
Alberto RivaICBR, University of Florida, Gainesville, FL, USA.ORCID 0000-0001-9150-8333
Giancarlo CeccarelliDepartment of Public Health and Infectious Diseases, Policlinico Umberto I Università 'Sapienza', Rome, Italy.ORCID 0000-0001-5921-3180
Alessandro MarcelloLaboratory of Molecular Virology, International Centre for Genetic Engineering and Biotechnology (ICGEB), Trieste, Italy.ORCID 0000-0002-8903-8202
Taj AzarianBurnett School of Biomedical Sciences, University of Central Florida, Orlando, FL, USA.ORCID 0000-0002-8611-5241
Eduan WilkinsonKwaZulu-Natal Research Innovation and Sequencing Platform (KRISP), School of Laboratory Medicine and Medical Sciences, College of Health Sciences, University of KwaZulu-Natal, Durban, South Africa.
Tulio de OliveiraKwaZulu-Natal Research Innovation and Sequencing Platform (KRISP), School of Laboratory Medicine and Medical Sciences, College of Health Sciences, University of KwaZulu-Natal, Durban, South Africa.
Luiz Carlos Junior AlcantaraLaboratório de Flavivírus, Instituto Oswaldo Cruz, Fundação Oswaldo Cruz, Rio de Janeiro, Brazil.ORCID 0000-0002-6769-9931
Roberto CaudaDepartment Infectious Diseases, - Fondazione Policlinico Universitario "A. Gemelli" IRCCS, Rome, Italy.
Arnaldo CarusoDepartment of Molecular and Translational Medicine, Section of Microbiology, University of Brescia, Brescia, Italy.ORCID 0000-0001-5178-566X
Natalie E DeanDepartment of Epidemiology, College of Public Health and Health Professions, University of Florida, Gainesville, FL, USA.
Cameron BrowneDepartment of Mathematics, University of Lafayette, Lafayette, LA, USA.
Jose LourencoDepartment of Zoology, University of Oxford, Oxford, UK.ORCID 0000-0002-9318-2581
Marco SalemiEmerging Pathogens Institute & Department of Pathology, College of Medicine, University of Florida, Gainesville, FL, USA. salemi@pathology.ufl.edu.ORCID 0000-0003-0136-2102
Davide ZellaInstitute of Human Virology and Global Virus Network Center, Department of Biochemistry and Molecular Biology, University of Maryland School of Medicine, Baltimore, MD, USA. Dzella@ihv.umaryland.edu.ORCID 0000-0001-5576-5770
Massimo CiccozziMedical Statistic and Molecular Epidemiology Unit, University of Biomedical Campus, Rome, Italy. m.ciccozzi@unicampus.it.ORCID 0000-0003-3866-9239

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

We investigated SARS-CoV-2 transmission dynamics in Italy, one of the countries hit hardest by the pandemic, using phylodynamic analysis of viral genetic and epidemiological data. We observed the co-circulation of multiple SARS-CoV-2 lineages over time, which were linked to multiple importations and characterized by large transmission clusters concomitant with a high number of infections. Subsequent implementation of a three-phase nationwide lockdown strategy greatly reduced infection numbers and hospitalizations. Yet we present evidence of sustained viral spread among sporadic clusters acting as "hidden reservoirs" during summer 2020. Mathematical modelling shows that increased mobility among residents eventually catalyzed the coalescence of such clusters, thus driving up the number of infections and initiating a new epidemic wave. Our results suggest that the efficacy of public health interventions is, ultimately, limited by the size and structure of epidemic reservoirs, which may warrant prioritization during vaccine deployment.

Indexed as

MutationCommunicable Disease ControlCOVID-19Genome, ViralGeographyHumansItalyPandemicsPhylogenyPublic HealthSARS-CoV-2

Identifiers

PMID33883675
PMCPMC8060392

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.