Evidence map›Paper›PMID 35462736›Full record

ArticleVirus evolution2022

Evolutionary history and introduction of SARS-CoV-2 Alpha VOC/B.1.1.7 in Pakistan through international travelers.

Asghar Nasir, Ali Raza Bukhari, Nídia S Trovão, Peter M Thielen, Akbar Kanji, Syed Faisal Mahmood, Najia Karim Ghanchi, Zeeshan Ansar, Brian Merritt, Thomas Mehoke and 10 more

Abstract read
In one paragraph

Article in Virus evolution, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 9 papers.

0numbers the graph read from it
0cells of the map it votes in
9citing 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

9 citing papers in PubMed.

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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

20 authors.

Asghar NasirDepartment of Pathology and Laboratory Medicine, The Aga Khan University, Stadium Road, Karachi, Pakistan.
Ali Raza BukhariDepartment of Pathology and Laboratory Medicine, The Aga Khan University, Stadium Road, Karachi, Pakistan.
Nídia S TrovãoFogarty International Center, U.S. National Institutes of Health, 16 Center Drive, Bethesda, MD 20892, USA.ORCID https://orcid.org/0000-0002-2106-1166
Peter M ThielenJohns Hopkins University Applied Physics Laboratory, 11100 Johns Hopkins Road, Laurel, MD 20723, USA.ORCID https://orcid.org/0000-0003-1807-2785
Akbar KanjiDepartment of Pathology and Laboratory Medicine, The Aga Khan University, Stadium Road, Karachi, Pakistan.
Syed Faisal MahmoodDepartment of Medicine, The Aga Khan University, Karachi, Stadium Road, Pakistan.
Najia Karim GhanchiDepartment of Pathology and Laboratory Medicine, The Aga Khan University, Stadium Road, Karachi, Pakistan.
Zeeshan AnsarDepartment of Pathology and Laboratory Medicine, The Aga Khan University, Stadium Road, Karachi, Pakistan.
Brian MerrittJohns Hopkins University Applied Physics Laboratory, 11100 Johns Hopkins Road, Laurel, MD 20723, USA.
Thomas MehokeJohns Hopkins University Applied Physics Laboratory, 11100 Johns Hopkins Road, Laurel, MD 20723, USA.ORCID https://orcid.org/0000-0001-6607-8925
Safina Abdul RazzakDepartment of Pathology and Laboratory Medicine, The Aga Khan University, Stadium Road, Karachi, Pakistan.ORCID https://orcid.org/0000-0001-8073-0684
Muhammed Asif SyedDepartment of Health, Government of Sindh, Sindh Secretariat, Kamall Atta Turk Road, Karachi, Pakistan.
Suhail Raza ShaikhDepartment of Health, Government of Sindh, Sindh Secretariat, Kamall Atta Turk Road, Karachi, Pakistan.
Mansoor WassanDepartment of Health, Government of Sindh, Sindh Secretariat, Kamall Atta Turk Road, Karachi, Pakistan.
Uzma Bashir AamirWorld Health Organization country office, Park Road, Chak Shahzad, Islamabad, Pakistan.
Guy BaeleDepartment of Microbiology, Immunology and Transplantation, Rega Institute, KU Leuven, Leuven, Belgium.ORCID https://orcid.org/0000-0002-1915-7732
Zeba RasmussenFogarty International Center, U.S. National Institutes of Health, 16 Center Drive, Bethesda, MD 20892, USA.ORCID https://orcid.org/0000-0003-1798-781X
David SpiroFogarty International Center, U.S. National Institutes of Health, 16 Center Drive, Bethesda, MD 20892, USA.
Rumina HasanDepartment of Pathology and Laboratory Medicine, The Aga Khan University, Stadium Road, Karachi, Pakistan.
Zahra HasanDepartment of Pathology and Laboratory Medicine, The Aga Khan University, Stadium Road, Karachi, Pakistan.ORCID https://orcid.org/0000-0001-7580-372X

Funding

World Health Organization 001
6 · The paper itself

Abstract

Severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) variants continue to emerge, and their identification is important for the public health response to coronavirus disease 2019 (COVID-19). Genomic sequencing provides robust information but may not always be accessible, and therefore, mutation-based polymerase chain reaction (PCR) approaches can be used for rapid identification of known variants. International travelers arriving in Karachi between December 2020 and February 2021 were tested for SARS-CoV-2 by PCR. A subset of positive samples was tested for S-gene target failure (SGTF) on TaqPathTM COVID-19 (Thermo Fisher Scientific) and for mutations using the GSD NovaType SARS-CoV-2 (Eurofins Technologies) assays. Sequencing was conducted on the MinION platform (Oxford Nanopore Technologies). Bayesian phylogeographic inference was performed integrating the patients' travel history information. Of the thirty-five COVID-19 cases screened, thirteen had isolates with SGTF. The travelers transmitted infection to sixty-eight contact cases. The B.1.1.7 lineage was confirmed through sequencing and PCR. The phylogenetic analysis of sequence data available for six cases included four B.1.1.7 strains and one B.1.36 and B.1.1.212 lineage isolate. Phylogeographic modeling estimated at least three independent B.1.1.7 introductions into Karachi, Pakistan, originating from the UK. B.1.1.212 and B.1.36 were inferred to be introduced either from the UK or the travelers' layover location. We report the introduction of SARS-CoV-2 B.1.1.7 and other lineages in Pakistan by international travelers arriving via different flight routes. This highlights SARS-CoV-2 transmission through travel, importance of testing, and quarantine post-travel to prevent transmission of new strains, as well as recording detailed patients' metadata. Such results help inform policies on restricting travel from destinations where new highly transmissible variants have emerged.

Indexed as

B.1.1.7 variantBayesian inferenceMarkov chain Monte CarloPakistanphylodynamicsphylogenetics

Identifiers

PMID35462736
PMCPMC9021734

What OpenQuestion holds

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LicenceCC BY-NC
Read underepoch 390

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.