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Combining genomics and epidemiology to track mumps virus transmission in the United States

Authors: Shirlee Wohl; Hayden C. Metsky; Stephen F. Schaffner; Anne Piantadosi; Meagan Burns; Joseph A. Lewnard; Bridget Chak; +23 Authors

Combining genomics and epidemiology to track mumps virus transmission in the United States

Abstract

Unusually large outbreaks of mumps across the United States in 2016 and 2017 raised questions about the extent of mumps circulation and the relationship between these and prior outbreaks. We paired epidemiological data from public health investigations with analysis of mumps virus whole genome sequences from 201 infected individuals, focusing on Massachusetts university communities. Our analysis suggests continuous, undetected circulation of mumps locally and nationally, including multiple independent introductions into Massachusetts and into individual communities. Despite the presence of these multiple mumps virus lineages, the genomic data show that one lineage has dominated in the US since at least 2006. Widespread transmission was surprising given high vaccination rates, but we found no genetic evidence that variants arising during this outbreak contributed to vaccine escape. Viral genomic data allowed us to reconstruct mumps transmission links not evident from epidemiological data or standard single-gene surveillance efforts and also revealed connections between apparently unrelated mumps outbreaks.

Country
United States
Keywords

Biomedical and clinical sciences, Epidemiology, Medical and Health Sciences, Disease Outbreaks, Sequence alignment, veterinary and food sciences, 2.2 Factors relating to the physical environment, Genetic epidemiology, Clinical Epidemiology, Viral, Aetiology, Biology (General), Phylogeny, Molecular Epidemiology, Phylogenetic analysis, Genome, Vaccination, Sequence analysis, Genomics, Biological Sciences, Biological sciences, Infectious Diseases, Mumps virus, Virus Diseases, Viruses, Viral genomics, Multiple alignment calculation, Infection, Sequence Analysis, Biotechnology, Research Article, Genotype, QH301-705.5, 610, Infectious Disease, Genome, Viral, Vaccine Related, Viral Proteins, Virology, Genetics, Humans, Mumps, Agricultural, Biomedical and Clinical Sciences, Agricultural and Veterinary Sciences, Human Genome, DNA, Sequence Analysis, DNA, United States, Immunology of Infectious Disease, Good Health and Well Being, Mutation, Immunization, Developmental Biology

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    This is an alternative to the "Influence" indicator, which also reflects the overall/total impact of an article in the research community at large, based on the underlying citation network (diachronically).
    44
    popularity
    This indicator reflects the "current" impact/attention (the "hype") of an article in the research community at large, based on the underlying citation network.
    Top 10%
    influence
    This indicator reflects the overall/total impact of an article in the research community at large, based on the underlying citation network (diachronically).
    Top 10%
    impulse
    This indicator reflects the initial momentum of an article directly after its publication, based on the underlying citation network.
    Top 1%
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selected citations
These citations are derived from selected sources.
This is an alternative to the "Influence" indicator, which also reflects the overall/total impact of an article in the research community at large, based on the underlying citation network (diachronically).
BIP!Citations provided by BIP!
popularity
This indicator reflects the "current" impact/attention (the "hype") of an article in the research community at large, based on the underlying citation network.
BIP!Popularity provided by BIP!
influence
This indicator reflects the overall/total impact of an article in the research community at large, based on the underlying citation network (diachronically).
BIP!Influence provided by BIP!
impulse
This indicator reflects the initial momentum of an article directly after its publication, based on the underlying citation network.
BIP!Impulse provided by BIP!
44
Top 10%
Top 10%
Top 1%
Green
gold