Author
Listed:
- Gage K. Moreno
(University of Wisconsin-Madison)
- Katarina M. Braun
(University of Wisconsin-Madison)
- Kasen K. Riemersma
(University of Wisconsin-Madison)
- Michael A. Martin
(Emory University
Emory University)
- Peter J. Halfmann
(University of Wisconsin-Madison
University of Wisconsin-Madison)
- Chelsea M. Crooks
(University of Wisconsin-Madison)
- Trent Prall
(University of Wisconsin-Madison)
- David Baker
(University of Wisconsin-Madison)
- John J. Baczenas
(University of Wisconsin-Madison
University of Wisconsin-Madison)
- Anna S. Heffron
(University of Wisconsin-Madison)
- Mitchell Ramuta
(University of Wisconsin-Madison)
- Manjeet Khubbar
(City of Milwaukee Health Department Laboratory)
- Andrea M. Weiler
(University of Wisconsin-Madison
University of Wisconsin-Madison)
- Molly A. Accola
(University of Wisconsin School of Medicine and Public Health
The William S. Middleton Memorial Veterans Hospital)
- William M. Rehrauer
(University of Wisconsin School of Medicine and Public Health
The William S. Middleton Memorial Veterans Hospital)
- Shelby L. O’Connor
(University of Wisconsin-Madison
University of Wisconsin-Madison)
- Nasia Safdar
(University of Wisconsin School of Medicine and Public Health)
- Caitlin S. Pepperell
(University of Wisconsin School of Medicine and Public Health
University of Wisconsin-Madison)
- Trivikram Dasu
(City of Milwaukee Health Department Laboratory)
- Sanjib Bhattacharyya
(City of Milwaukee Health Department Laboratory)
- Yoshihiro Kawaoka
(University of Wisconsin-Madison
University of Wisconsin-Madison)
- Katia Koelle
(Emory University)
- David H. O’Connor
(University of Wisconsin-Madison)
- Thomas C. Friedrich
(University of Wisconsin-Madison
University of Wisconsin-Madison)
Abstract
Evidence-based public health approaches that minimize the introduction and spread of new SARS-CoV-2 transmission clusters are urgently needed in the United States and other countries struggling with expanding epidemics. Here we analyze 247 full-genome SARS-CoV-2 sequences from two nearby communities in Wisconsin, USA, and find surprisingly distinct patterns of viral spread. Dane County had the 12th known introduction of SARS-CoV-2 in the United States, but this did not lead to descendant community spread. Instead, the Dane County outbreak was seeded by multiple later introductions, followed by limited community spread. In contrast, relatively few introductions in Milwaukee County led to extensive community spread. We present evidence for reduced viral spread in both counties following the statewide “Safer at Home” order, which went into effect 25 March 2020. Our results suggest patterns of SARS-CoV-2 transmission may vary substantially even in nearby communities. Understanding these local patterns will enable better targeting of public health interventions.
Suggested Citation
Gage K. Moreno & Katarina M. Braun & Kasen K. Riemersma & Michael A. Martin & Peter J. Halfmann & Chelsea M. Crooks & Trent Prall & David Baker & John J. Baczenas & Anna S. Heffron & Mitchell Ramuta &, 2020.
"Revealing fine-scale spatiotemporal differences in SARS-CoV-2 introduction and spread,"
Nature Communications, Nature, vol. 11(1), pages 1-13, December.
Handle:
RePEc:nat:natcom:v:11:y:2020:i:1:d:10.1038_s41467-020-19346-z
DOI: 10.1038/s41467-020-19346-z
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