Article
Epidemiologic History and Genetic Diversity Origins of Chikungunya and Dengue Viruses, Paraguay
Registro en:
GRAF, Tiago et al. History and Genetic Diversity Origins of Chikungunya and Dengue Viruses, Paraguay. Emerging Infectious Diseases, v. 27, n. 5, p. 1393-1404, may, 2021.
1080-6040
10.3201/eid2705.204244
Autor
Gräf, Tiago
Vazquez, Cynthia
Giovanetti, Marta
Nogueira, Fernanda de Bruycker
Fonseca, Vagner
Claro, Ingra Morales
Jesus, Jaqueline Goes de
Gómez, Andrea
Xavier, Joilson
Mendonça, Marcos Cesar Lima de
Villalba, Shirley
Torales, Juan
Gamarra, Maria Liz
Thézé, Julien
Filippis, Ana Maria Bispo de
Azevedo, Vasco
Oliveira, Tulio de
Franco, Leticia
Melo, Carlos Frederico Campelo de Albuquerque e
Irala, Sandra
Holmes, Edward Charles
Rico, Jairo Andrés Méndez
Alcantara, Luiz Carlos Junior
Resumen
Fundação Oswaldo Cruz, Salvador, Brazil
(T. Gräf, J.G. de Jesus); Fundação Oswaldo Cruz, Rio de Janeiro,
Brazil (C. Vazquez, M. Giovanetti, F. de Bruycker-Nogueira,
V. Fonseca, J. Xavier, M.C.L. de Mendonça, A.M. Bispo de
Filippis, L.C.J. Alcantara); Laboratorio Central de Salud Pública,
Asunción, Paraguay (C. Vazquez, A. Gómez, S. Villalba,
J. Torales, M.L. Gamarra); Instituto de Ciências Biológicas,
Universidade Federal de Minas Gerais, Belo Horizonte, Brazil
(M. Giovanetti, V. Fonseca, J. Xavier, V. Azevedo, L.C.J. Alcantara);
University of KwaZulu-Natal, Durban, South Africa (V. Fonseca,
T. de Oliveira); Universidade de São Paulo, São Paulo, Brazil
(I.M. Claro); University of Oxford, Oxford, UK (J. Thézé); University
of Washington, Seattle, Washington, USA (T. de Oliveira);
Organización Panamericana de la Salud /Organización Mundial
de la Salud, Panama City, Panama (L. Franco); Organização
Pan-Americana da Saúde/Organização Mundial da Saúde,
Brasília, Brazil (C.F. Campelo de Albuquerque); Dirección General
de Vigilancia de la Salud Paraguay, Asunción (S. Irala); The University
of Sydney, Sydney, New South Wales, Australia
E.C. Holmes); Pan American Health Organization/World Health
Organization, Washington, DC, USA (J.A.M. Rico) Decit/SCTIE/MoH and
CNPq (440685/2016-8 and 440856/2016-7); by CAPES
(88887.130716/2016-00, 88881.130825/2016-00, and
88887.130823/2016-00), and by the EU Horizon 2020
Programme through ZIKAlliance (PRES-005-FEX-
17-4-2-33). M.G. is supported by the Fundação de Amparo
à Pesquisa do Estado do Rio de Janeiro–FAPERJ. E.C.H.
is supported by an Australian Research Council Australian
Laureate Fellowship (FL170100022). A.M.B.F. was
supported by International Development Research Centre,
Canada (grant 108411-001) and by Horizon 2020 through
ZikaPlan and ZikAction (grant agreement nos. 734584
and 734857). Paraguay has been severely aff ected by emergent Zika
and chikungunya viruses, and dengue virus is endemic.
To learn more about the origins of genetic diversity and
epidemiologic history of these viruses in Paraguay, we
deployed portable sequencing technologies to strengthen
genomic surveillance and determine the evolutionary
and epidemic history of arthropod-borne viruses (arboviruses).
Samples stored at the Paraguay National Central
Laboratory were sequenced and subjected to phylogenetic
analysis. Among 33 virus genomes generated, we
identifi ed 2 genotypes of chikungunya and 2 serotypes
of dengue virus that circulated in Paraguay during 2014–
2018; the main source of these virus lineages was estimated
to be Brazil. The evolutionary history inferred by
our analyses precisely matched the available travel history
of the patients. The genomic surveillance approach
used was valuable for describing the epidemiologic history
of arboviruses and can be used to determine the
origins and evolution of future arbovirus outbreaks.