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Genomic epidemiology of SARS-CoV-2 in a UK university identifies dynamics of transmission

Dinesh Aggarwal Orcid Logo, Ben Warne Orcid Logo, Aminu S. Jahun Orcid Logo, William L. Hamilton Orcid Logo, Thomas Fieldman, Louis du Plessis Orcid Logo, Verity Hill Orcid Logo, Beth Blane Orcid Logo, Emmeline Watkins, Elizabeth Wright Orcid Logo, Grant Hall Orcid Logo, Catherine Ludden, Richard Myers, Myra Hosmillo, Yasmin Chaudhry Orcid Logo, Malte L. Pinckert Orcid Logo, Iliana Georgana, Rhys Izuagbe Orcid Logo, Danielle Leek, Olisaeloka Nsonwu Orcid Logo, Gareth J. Hughes Orcid Logo, Simon Packer Orcid Logo, Andrew J. Page Orcid Logo, Marina Metaxaki Orcid Logo, Stewart Fuller, Gillian Weale Orcid Logo, Jon Holgate, Christopher A. Brown Orcid Logo, Alexandra Orton, Julie Douthwaite, Steve Rees, Christopher Brown, Roger Clark, Daniel R. 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Hadjirin, William L. Hamilton, Aminu Jahun, Malte Pinckert, Ashley Shaw, Afzal Chaudhry, Nicholas M. Brown, Lenette Mactavous, Sophie Hannan, Aleksandra Hosaja, Clare Leong, Jo Wright, Natalie Quinnell, Chris Workman, Mark Ferris, Giles Wright, Elizabeth Wright Orcid Logo, Dinesh Aggarwal Orcid Logo, Ellena Brooks, Alessandro M. Carabelli, Carol M. Churcher, Katerina Galai, Sophia T. Girgis, Ravi K. Gupta, Catherine Ludden, Georgina M. McManus, Sophie Palmer, Sharon J. Peacock Orcid Logo, Kim S. Smith, Elias Allara, David Bibby, Chloe Bishop, Andrew Bosworth, Daniel Bradshaw, Vicki Chalker, Meera Chand, Gavin Dabrera, Nicholas Ellaby, Eileen Gallagher, Natalie Groves, Ian Harrison, Hassan Hartman, Richard Hopes, Jonathan Hubb, Stephanie Hutchings, Angie Lackenby, Juan Ledesma, David Lee, Nikos Manesis, Carmen Manso, Tamyo Mbisa, Shahjahan Miah, Peter Muir, Husam Osman, Vineet Patel, Clare Pearson, Steven Platt, Hannah M. 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McClure, Theocharis Tsoleridis, David Buck, Mariateresa de Cesare, Angie Green, George MacIntyre-Cockett, John A. Todd, Amy Trebes, Rory N. Gunson, Claire Cormie, Joana Dias, Sally Forrest, Harmeet K. Gill, Ellen E. Higginson, Leanne M. Kermack, Mailis Maes, Chris Ruis, Sushmita Sridhar, Jamie Young, Rob Howes, Duncan McFarlane, Gordon Dougan, Oliver G. Pybus Orcid Logo, Daniela De Angelis, Patrick H. Maxwell, Sharon J. Peacock Orcid Logo, Michael P. Weekes Orcid Logo, Chris Illingworth, Ewan M. Harrison Orcid Logo, Nicholas J. Matheson Orcid Logo, Ian G. Goodfellow Orcid Logo, (The Cambridge Covid-19 testing Centre), (University of Cambridge Asymptomatic COVID-19 Screening Programme Consortium), (The COVID-19 Genomics UK (COG-UK) Consortium), Ronan Lyons Orcid Logo

Nature Communications, Volume: 13, Issue: 1

Swansea University Author: Ronan Lyons Orcid Logo

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Abstract

Understanding SARS-CoV-2 transmission in higher education settings is important to limit spread between students, and into at-risk populations. In this study, we sequenced 482 SARS-CoV-2 isolates from the University of Cambridge from 5 October to 6 December 2020. We perform a detailed phylogenetic c...

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Published in: Nature Communications
ISSN: 2041-1723
Published: Springer Science and Business Media LLC 2022
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URI: https://cronfa.swan.ac.uk/Record/cronfa66417
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Abstract: Understanding SARS-CoV-2 transmission in higher education settings is important to limit spread between students, and into at-risk populations. In this study, we sequenced 482 SARS-CoV-2 isolates from the University of Cambridge from 5 October to 6 December 2020. We perform a detailed phylogenetic comparison with 972 isolates from the surrounding community, complemented with epidemiological and contact tracing data, to determine transmission dynamics. We observe limited viral introductions into the university; the majority of student cases were linked to a single genetic cluster, likely following social gatherings at a venue outside the university. We identify considerable onward transmission associated with student accommodation and courses; this was effectively contained using local infection control measures and following a national lockdown. Transmission clusters were largely segregated within the university or the community. Our study highlights key determinants of SARS-CoV-2 transmission and effective interventions in a higher education setting that will inform public health policy during pandemics.
College: Faculty of Medicine, Health and Life Sciences
Funders: Authors A.S.J., W.H. and T.F., and authors L.d.P. and V.H. contributed equally. We thank members of the COVID-19 Genomics Consortium UK and NHS Test and Trace contact tracers for their contributions to generating data used in this study. We thank the Sanger Covid Team for assisting with Samples and Logistics. We are grateful to all students and staff at the University of Cambridge who have contributed to the COVID-19 response during Michaelmas Term. We are grateful to all staff members of the Cambridge COVID-19 Testing Centre for generating qPCR data. D.A. is a Wellcome Clinical PhD Fellow and gratefully supported by the Wellcome Trust (Grant number: 222903/Z/21/Z). B.W. receives funding from the University of Cambridge and the National Institute for Health Research (NIHR) Cambridge Biomedical Research Centre (BRC) at the Cambridge University Hospitals NHS Foundation Trust. I.G. is a Wellcome Senior Fellow and is supported by the Wellcome Trust (Grant number: 207498/Z/17/Z and 206298/B/17/Z). E.M.H. is supported by a UK Research and Innovation (UKRI) Fellowship: MR/S00291X/1. C.J.R.I. acknowledges Medical Research Council (MRC) funding (ref: MC_UU_00002/11). NJM is supported by the MRC (CSF MR/P008801/1) and NHSBT (WPA15-02). A.J.P. gratefully acknowledge the support of the Biotechnology and Biological Sciences Research Council (BBSRC); their research was funded by the BBSRC Institute Strategic Programme Microbes in the Food Chain BB/R012504/1 and its constituent project BBS/E/F/000PR10352, also Quadram Institute Bioscience BBSRC funded Core Capability Grant (project number BB/CCG1860/1). L.d.P. and O.G.P. were supported by the Oxford Martin School. This research was supported by the NIHR Cambridge BRC. The views expressed are those of the authors and not necessarily those of the NHS, the NIHR, or the Department of Health and Social Care. The COVID-19 Genomics UK Consortium is supported by funding from the MRC part of UK Research & Innovation (UKRI), the National Institute of Health Research and Genome Research Limited, operating as the Wellcome Sanger Institute. The Cambridge Covid-19 testing Centre is funded by the Department of Health and Social Care, UK Government. The funders had no role in study design, data collection and analysis, decision to publish, or preparation of the manuscript. For the purpose of Open Access, the author has applied a CC-BY public copyright licence to any Author Accepted Manuscript version arising from this submission.
Issue: 1