Evidence map›Paper›PMID 40978069›Full record

ArticleChina CDC weekly2025

Genomic Surveillance and Phylogenetic Analysis of Monkeypox Virus Sampled from Clinical Monkeypox Cases and Sewage - Sichuan Province, China, 2023.

Ranran Cao, Chengxia Liu, Ying Shi, Can Luo, Xin Chen, Li Liu, Chaohua Xu, Ming Pan, Changcheng Wu, Li Zhang and 1 more

Abstract read
In one paragraph

Article in China CDC weekly, 2025. 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. 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.

Ranran CaoSichuan Center for Disease Control and Prevention, Chendu City, Sichuan Province, China.
Chengxia LiuSichuan Center for Disease Control and Prevention, Chendu City, Sichuan Province, China.
Ying ShiSichuan International Travel Healthcare Center (Chengdu Customs Port Clinic), Chendu City, Sichuan Province, China.
Can LuoSichuan Center for Disease Control and Prevention, Chendu City, Sichuan Province, China.
Xin ChenJinjiang Center for Disease Control and Prevention, Chendu City, Sichuan Province, China.
Li LiuSichuan Center for Disease Control and Prevention, Chendu City, Sichuan Province, China.
Chaohua XuSichuan Center for Disease Control and Prevention, Chendu City, Sichuan Province, China.
Ming PanSichuan Center for Disease Control and Prevention, Chendu City, Sichuan Province, China.
Changcheng WuNational Key Laboratory of Intelligent Tracking and Forecasting for Infectious Diseases, National Institute for Viral Disease Control and Prevention, Chinese Center for Disease Control and Prevention, Beijing, China.
Li ZhangSichuan Center for Disease Control and Prevention, Chendu City, Sichuan Province, China.
Wenjie TanNational Key Laboratory of Intelligent Tracking and Forecasting for Infectious Diseases, National Institute for Viral Disease Control and Prevention, Chinese Center for Disease Control and Prevention, Beijing, China.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Introduction: Monkeypox (Mpox) has reemerged globally, with thousands of confirmed cases reported in China. However, limited data exist on the genomic variations and transmission patterns of monkeypox virus (MPXV) in southwestern China. Methods: Clinical samples from Mpox cases and sewage samples from wastewater treatment plants were collected from Sichuan Province for whole-genome sequencing and MPXV analysis. Results: In the second half of 2023, 96 clinical samples from Mpox patients were collected, yielding 58 full-length viral genomes. All sequenced viruses belonged to the Western African clade (IIb), comprising three C.1 and fifty-five C.1.1 sequences. This study determined that Mpox cases in Sichuan originated from both importation and subsequent local transmission, with evidence of at least six distinct transmission clusters. Additionally, 26 sewage samples were collected, and 3 complete MPXV genomes were constructed. Analysis of viral genomes from sewage samples demonstrated a 95% concordance in high-frequency mutation sites with those observed in clinical cases, suggesting that sewage surveillance effectively captures diagnosed cases and serves as a robust complement to conventional monitoring. The integration of newly sequenced genomes with published data revealed an increased mutation rate in MPXV, along with fluctuating patterns of expansion and contraction of the effective viral population size. Conclusion: This study provides preliminary insights into MPXV transmission dynamics and genomic evolution in Sichuan and demonstrates the utility of sewage monitoring in tracking viral diversity.

Indexed as

Genome sequencingHaplotype networkMonkeypoxVariation surveillance

Identifiers

PMID40978069
PMCPMC12446377

What OpenQuestion holds

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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.