Evidence map›Paper›PMID 35251740›Full record

ArticleWestern Pacific surveillance and response journal : WPSAR

COVID-19: Integrating genomic and epidemiological data to inform public health interventions and policy in Tasmania, Australia.

Nicola Stephens, Michelle McPherson, Louise Cooley, Rob Vanhaeften, Mathilda Wilmot, Courtney Lane, Michelle Harlock, Kerryn Lodo, Natasha Castree, Torsten Seemann and 7 more

Abstract read
In one paragraph

Article in Western Pacific surveillance and response journal : WPSAR. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing 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

2 citing papers in PubMed.

  1. Article
  2. 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

17 authors.

Nicola StephensTasmanian School of Medicine, University of Tasmania, Tasmania, Australia.
Michelle McPhersonTasmanian School of Medicine, University of Tasmania, Tasmania, Australia.
Louise CooleyTasmanian School of Medicine, University of Tasmania, Tasmania, Australia.
Rob VanhaeftenTasmanian Health Services, Tasmanian Department of Health, Tasmania, Australia.
Mathilda WilmotMicrobiological Diagnostic Unit Public Health Laboratory, Department of Microbiology & Immunology, University of Melbourne at the Doherty Institute, 
Victoria, Australia.
Courtney LaneMicrobiological Diagnostic Unit Public Health Laboratory, Department of Microbiology & Immunology, University of Melbourne at the Doherty Institute, 
Victoria, Australia.
Michelle HarlockPublic Health Services, Tasmanian Department of Health, Tasmania, Australia.
Kerryn LodoPublic Health Services, Tasmanian Department of Health, Tasmania, Australia.
Natasha CastreePublic Health Services, Tasmanian Department of Health, Tasmania, Australia.
Torsten SeemannMicrobiological Diagnostic Unit Public Health Laboratory, Department of Microbiology & Immunology, University of Melbourne at the Doherty Institute, 
Victoria, Australia.
Michelle SaitMicrobiological Diagnostic Unit Public Health Laboratory, Department of Microbiology & Immunology, University of Melbourne at the Doherty Institute, 
Victoria, Australia.
Susan BallardMicrobiological Diagnostic Unit Public Health Laboratory, Department of Microbiology & Immunology, University of Melbourne at the Doherty Institute, 
Victoria, Australia.
Kristy HoranMicrobiological Diagnostic Unit Public Health Laboratory, Department of Microbiology & Immunology, University of Melbourne at the Doherty Institute, 
Victoria, Australia.
Mark VeitchPublic Health Services, Tasmanian Department of Health, Tasmania, Australia.
Fay JohnstonPublic Health Services, Tasmanian Department of Health, Tasmania, Australia.
Norelle SherryMicrobiological Diagnostic Unit Public Health Laboratory, Department of Microbiology & Immunology, University of Melbourne at the Doherty Institute, 
Victoria, Australia.
Ben HowdenMicrobiological Diagnostic Unit Public Health Laboratory, Department of Microbiology & Immunology, University of Melbourne at the Doherty Institute, 
Victoria, Australia.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectiveWe undertook an integrated analysis of genomic and epidemiological data to investigate a large health-care-associated outbreak of coronavirus disease 2019 (COVID-19) and to better understand the epidemiology of COVID-19 cases in Tasmania, Australia.

methodsEpidemiological data collected on COVID-19 cases notified in Tasmania between 2 March and 15 May 2020, and positive samples of severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) or RNA extracted from the samples were included. Sequencing was conducted by tiled amplicon polymerase chain reaction with ARTIC v1 or v3 primers and Illumina sequencing. Consensus sequences were generated, sequences were aligned to a reference sequence and phylogenetic analysis was performed. Genomic clusters were determined and integrated with epidemiological data to provide additional information.

resultsAll 231 COVID-19 cases notified in Tasmania during the study period and 266 SARS-CoV-2-positive samples, representing 217/231 (94%) notified cases, were included; 184/217 (84%) were clustered, 21/217 (10%) were unique and 12/217 (6%) could not be sequenced. Genomics confirmed the presence of seven clusters already identified through epidemiological links, clarified transmission networks in which the epidemiology had been unclear and identified one cluster that had not previously been recognized. DISCUSSION: Genomic analysis provided useful additional information on COVID-19 in Tasmania, including evidence of a large health-care-associated outbreak linked to an overseas cruise, the probable source of infection in cases with no previously identified epidemiological link and confirmation that there was no identified community transmission from other imported cases. Genomic insights are an important component of the response to COVID-19, and continuing genomic surveillance is warranted.

Indexed as

COVID-19AustraliaGenomicsHumansPhylogenyPolicyPublic HealthSARS-CoV-2Tasmania

Identifiers

PMID35251740
PMCPMC8873912

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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.