Evidence map›Paper›PMID 35996591›Full record

ArticleVirus evolution2022

A single early introduction governed viral diversity in the second wave of SARS-CoV-2 epidemic in Hungary.

Eszter Ari, Bálint Márk Vásárhelyi, Gábor Kemenesi, Gábor Endre Tóth, Brigitta Zana, Balázs Somogyi, Zsófia Lanszki, Gergely Röst, Ferenc Jakab, Balázs Papp and 1 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 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing 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

3 citing papers in PubMed.

  1. Article
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  3. 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

11 authors.

Eszter AriHCEMM-BRC, Metabolic Systems Biology Research Group, Temesvári krt. 62, Szeged 6726, Hungary.ORCID https://orcid.org/0000-0001-7774-1067
Bálint Márk VásárhelyiSynthetic and System Biology Unit, Institute of Biochemistry, Biological Research Centre, Eötvös Loránd Research Network (ELKH), Temesvári krt. 62, Szeged 6726, Hungary.
Gábor KemenesiNational Laboratory of Virology, Virological Research Group, Szentágothai Research Centre, University of Pécs, Ifjúság útja 20, Pécs 7624, Hungary.
Gábor Endre TóthNational Laboratory of Virology, Virological Research Group, Szentágothai Research Centre, University of Pécs, Ifjúság útja 20, Pécs 7624, Hungary.
Brigitta ZanaNational Laboratory of Virology, Virological Research Group, Szentágothai Research Centre, University of Pécs, Ifjúság útja 20, Pécs 7624, Hungary.
Balázs SomogyiNational Laboratory of Virology, Virological Research Group, Szentágothai Research Centre, University of Pécs, Ifjúság útja 20, Pécs 7624, Hungary.
Zsófia LanszkiNational Laboratory of Virology, Virological Research Group, Szentágothai Research Centre, University of Pécs, Ifjúság útja 20, Pécs 7624, Hungary.
Gergely RöstNational Laboratory for Health Security, Bolyai Institute, University of Szeged, Aradi vértanúk tere 1, Szeged 6720, Hungary.
Ferenc JakabNational Laboratory of Virology, Virological Research Group, Szentágothai Research Centre, University of Pécs, Ifjúság útja 20, Pécs 7624, Hungary.
Balázs PappHCEMM-BRC, Metabolic Systems Biology Research Group, Temesvári krt. 62, Szeged 6726, Hungary.
Bálint KintsesHCEMM-BRC, Translational Microbiology Research Group, Temesvári krt. 62, Szeged 6726, Hungary.ORCID https://orcid.org/0000-0003-0844-0310

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Retrospective evaluation of past waves of the severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) epidemic is key for designing optimal interventions against future waves and novel pandemics. Here, we report on analysing genome sequences of SARS-CoV-2 from the first two waves of the epidemic in 2020 in Hungary, mirroring a suppression and a mitigation strategy, respectively. Our analysis reveals that the two waves markedly differed in viral diversity and transmission patterns. Specifically, unlike in several European areas or in the USA, we have found no evidence for early introduction and cryptic transmission of the virus in the first wave of the pandemic in Hungary. Despite the introduction of multiple viral lineages, extensive community spread was prevented by a timely national lockdown in March 2020. In sharp contrast, the majority of the cases in the much larger second wave can be linked to a single transmission lineage of the pan-European B.1.160 variant. This lineage was introduced unexpectedly early, followed by a 2-month-long cryptic transmission before a soar of detected cases in September 2020. Epidemic analysis has revealed that the dominance of this lineage in the second wave was not associated with an intrinsic transmission advantage. This finding is further supported by the rapid replacement of B.1.160 by the alpha variant (B.1.1.7) that launched the third wave of the epidemic in February 2021. Overall, these results illustrate how the founder effect in combination with the cryptic transmission, instead of repeated international introductions or higher transmissibility, can govern viral diversity.

Indexed as

cryptic transmissionfounder effectgenomic epidemiologyHungarysevere acute respiratory syndrome coronavirus 2 (SARS-CoV-2)

Identifiers

PMID35996591
PMCPMC9384595

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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.