Emergence and spread of SARS-CoV-2 variants of concern in Canada: a retrospective analysis from clinical and wastewater data

Abstract Background The spread of SARS-CoV-2 has been studied at unprecedented levels worldwide. In jurisdictions where molecular analysis was performed on large scales, the emergence and competition of numerous SARS-CoV-2lineages have been observed in near real-time. Lineage identification, traditi...

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Main Authors: David Champredon, Devan Becker, Shelley W. Peterson, Edgard Mejia, Nikho Hizon, Andrea Schertzer, Mohamed Djebli, Femi F. Oloye, Yuwei Xie, Mohsen Asadi, Jenna Cantin, Xia Pu, Charles A. Osunla, Markus Brinkmann, Kerry N. McPhedran, Mark R. Servos, John P. Giesy, Chand Mangat
Format: Article
Language:English
Published: BMC 2024-01-01
Series:BMC Infectious Diseases
Subjects:
Online Access:https://doi.org/10.1186/s12879-024-08997-8
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author David Champredon
Devan Becker
Shelley W. Peterson
Edgard Mejia
Nikho Hizon
Andrea Schertzer
Mohamed Djebli
Femi F. Oloye
Yuwei Xie
Mohsen Asadi
Jenna Cantin
Xia Pu
Charles A. Osunla
Markus Brinkmann
Kerry N. McPhedran
Mark R. Servos
John P. Giesy
Chand Mangat
author_facet David Champredon
Devan Becker
Shelley W. Peterson
Edgard Mejia
Nikho Hizon
Andrea Schertzer
Mohamed Djebli
Femi F. Oloye
Yuwei Xie
Mohsen Asadi
Jenna Cantin
Xia Pu
Charles A. Osunla
Markus Brinkmann
Kerry N. McPhedran
Mark R. Servos
John P. Giesy
Chand Mangat
author_sort David Champredon
collection DOAJ
description Abstract Background The spread of SARS-CoV-2 has been studied at unprecedented levels worldwide. In jurisdictions where molecular analysis was performed on large scales, the emergence and competition of numerous SARS-CoV-2lineages have been observed in near real-time. Lineage identification, traditionally performed from clinical samples, can also be determined by sampling wastewater from sewersheds serving populations of interest. Variants of concern (VOCs) and SARS-CoV-2 lineages associated with increased transmissibility and/or severity are of particular interest. Method Here, we consider clinical and wastewater data sources to assess the emergence and spread of VOCs in Canada retrospectively. Results We show that, overall, wastewater-based VOC identification provides similar insights to the surveillance based on clinical samples. Based on clinical data, we observed synchrony in VOC introduction as well as similar emergence speeds across most Canadian provinces despite the large geographical size of the country and differences in provincial public health measures. Conclusion In particular, it took approximately four months for VOC Alpha and Delta to contribute to half of the incidence. In contrast, VOC Omicron achieved the same contribution in less than one month. This study provides significant benchmarks to enhance planning for future VOCs, and to some extent for future pandemics caused by other pathogens, by quantifying the rate of SARS-CoV-2 VOCs invasion in Canada.
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spelling doaj.art-837b36c669de490cb8ba35ec255c03f02024-03-05T17:49:14ZengBMCBMC Infectious Diseases1471-23342024-01-0124111110.1186/s12879-024-08997-8Emergence and spread of SARS-CoV-2 variants of concern in Canada: a retrospective analysis from clinical and wastewater dataDavid Champredon0Devan Becker1Shelley W. Peterson2Edgard Mejia3Nikho Hizon4Andrea Schertzer5Mohamed Djebli6Femi F. Oloye7Yuwei Xie8Mohsen Asadi9Jenna Cantin10Xia Pu11Charles A. Osunla12Markus Brinkmann13Kerry N. McPhedran14Mark R. Servos15John P. Giesy16Chand Mangat17Public Health Agency of Canada, National Microbiology Laboratory, Public Health Risk Sciences DivisionPublic Health Agency of Canada, National Microbiology Laboratory, Public Health Risk Sciences DivisionPublic Health Agency of Canada, National Microbiology Laboratory, One Health DivisionPublic Health Agency of Canada, National Microbiology Laboratory, One Health DivisionPublic Health Agency of Canada, National Microbiology Laboratory, One Health DivisionPublic Health Agency of Canada, Centre for Immunization and Respiratory Infectious DiseasesPublic Health Agency of Canada, Centre for Immunization and Respiratory Infectious DiseasesToxicology Program, University of SaskatchewanToxicology Program, University of SaskatchewanDepartment of Civil, Geological and Environmental Engineering, College of Engineering, University of SaskatchewanToxicology Program, University of SaskatchewanToxicology Program, University of SaskatchewanToxicology Program, University of SaskatchewanToxicology Program, University of SaskatchewanDepartment of Civil, Geological and Environmental Engineering, College of Engineering, University of SaskatchewanDepartment of Biology, University of WaterlooToxicology Program, University of SaskatchewanPublic Health Agency of Canada, National Microbiology Laboratory, One Health DivisionAbstract Background The spread of SARS-CoV-2 has been studied at unprecedented levels worldwide. In jurisdictions where molecular analysis was performed on large scales, the emergence and competition of numerous SARS-CoV-2lineages have been observed in near real-time. Lineage identification, traditionally performed from clinical samples, can also be determined by sampling wastewater from sewersheds serving populations of interest. Variants of concern (VOCs) and SARS-CoV-2 lineages associated with increased transmissibility and/or severity are of particular interest. Method Here, we consider clinical and wastewater data sources to assess the emergence and spread of VOCs in Canada retrospectively. Results We show that, overall, wastewater-based VOC identification provides similar insights to the surveillance based on clinical samples. Based on clinical data, we observed synchrony in VOC introduction as well as similar emergence speeds across most Canadian provinces despite the large geographical size of the country and differences in provincial public health measures. Conclusion In particular, it took approximately four months for VOC Alpha and Delta to contribute to half of the incidence. In contrast, VOC Omicron achieved the same contribution in less than one month. This study provides significant benchmarks to enhance planning for future VOCs, and to some extent for future pandemics caused by other pathogens, by quantifying the rate of SARS-CoV-2 VOCs invasion in Canada.https://doi.org/10.1186/s12879-024-08997-8SARS-CoV-2lineagesMolecular analysisLineage identificationVariant of concernClinical samples: OmicronWastewater-based epidemiology
spellingShingle David Champredon
Devan Becker
Shelley W. Peterson
Edgard Mejia
Nikho Hizon
Andrea Schertzer
Mohamed Djebli
Femi F. Oloye
Yuwei Xie
Mohsen Asadi
Jenna Cantin
Xia Pu
Charles A. Osunla
Markus Brinkmann
Kerry N. McPhedran
Mark R. Servos
John P. Giesy
Chand Mangat
Emergence and spread of SARS-CoV-2 variants of concern in Canada: a retrospective analysis from clinical and wastewater data
BMC Infectious Diseases
SARS-CoV-2lineages
Molecular analysis
Lineage identification
Variant of concern
Clinical samples: Omicron
Wastewater-based epidemiology
title Emergence and spread of SARS-CoV-2 variants of concern in Canada: a retrospective analysis from clinical and wastewater data
title_full Emergence and spread of SARS-CoV-2 variants of concern in Canada: a retrospective analysis from clinical and wastewater data
title_fullStr Emergence and spread of SARS-CoV-2 variants of concern in Canada: a retrospective analysis from clinical and wastewater data
title_full_unstemmed Emergence and spread of SARS-CoV-2 variants of concern in Canada: a retrospective analysis from clinical and wastewater data
title_short Emergence and spread of SARS-CoV-2 variants of concern in Canada: a retrospective analysis from clinical and wastewater data
title_sort emergence and spread of sars cov 2 variants of concern in canada a retrospective analysis from clinical and wastewater data
topic SARS-CoV-2lineages
Molecular analysis
Lineage identification
Variant of concern
Clinical samples: Omicron
Wastewater-based epidemiology
url https://doi.org/10.1186/s12879-024-08997-8
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