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Published on 11/19/2020

COVID-19 Genomics and Precision Public Health Weekly Update Content

Pathogen and Human Genomics Studies

  • Transmission of SARS-CoV-2 on mink farms between humans and mink and back to humans.
    Oude Munnink Bas B et al. Science (New York, N.Y.) 2020 Nov
    "Here, we describe an in-depth investigation using whole genome sequencing of outbreaks on 16 mink farms and the humans living or working on these farms. We conclude that the virus was initially introduced from humans and has since evolved, most likely reflecting widespread circulation among mink... Despite enhanced biosecurity, early warning surveillance and immediate culling of infected farms, transmission occurred between mink farms in three big transmission clusters with unknown modes of transmission. Sixty-eight percent (68%) of the tested mink farm residents, employees and/or contacts had evidence of SARS-CoV-2 infection. Where whole genomes were available, these persons were infected with strains with an animal sequence signature, providing evidence of animal to human transmission of SARS-CoV-2 within mink farms."
  • Causal Inference for Genetic Obesity, Cardiometabolic Profile and COVID-19 Susceptibility: A Mendelian Randomization Study
    N Aung et al, Front in Genetics, November 11, 2020
    Using Mendelian randomization in the UK biobank, we identified causal associations between BMI, LDL cholesterol and susceptibility to COVID-19. In particular, individuals in higher genetic risk categories were predisposed to SARS-CoV-2 infection. These findings support the integration of BMI into the risk assessment of COVID-19 and allude to a potential role of lipid modification in the prevention and treatment.
  • SARS-CoV-2 Transmission among Marine Recruits during Quarantine.
    Letizia Andrew G et al. The New England journal of medicine 2020 Nov
    ?The efficacy of public health measures to control the transmission of severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) has not been well studied in young adults. We investigated SARS-CoV-2 infections among U.S. Marine Corps recruits who underwent a 2-week quarantine at home followed by a second supervised 2-week quarantine at a closed college campus that involved mask wearing, social distancing, and daily temperature and symptom monitoring?. [A]pproximately 2% who had previously had negative results for SARS-CoV-2 at the beginning of supervised quarantine? tested positive by day 14?. Viral genomes were recovered from almost two thirds of infected study participants. Phylogenetic analysis of these genomes identified six independent monophyletic transmission clusters indicative of local transmission during the supervised quarantine. Most clusters predominantly included members of the same platoon, and many infected recruits had an infected roommate.?
  • Associations between blood type and COVID-19 infection, intubation, and death
    M Zietz et al, Nature Comms, November 13, 2020
    We use observational healthcare data on 14,112 individuals tested for SARS-CoV-2 with known blood type to assess the association between ABO and Rh blood types and infection, intubation, and death. We find slightly increased infection prevalence among non-O types. We estimate Rh-negative blood type to have a protective effect for all three outcomes.
  • Performance of Nucleic Acid Amplification Tests for Detection of Severe Acute Respiratory Syndrome Coronavirus 2 in Prospectively Pooled Specimens.
    Wang Hannah et al. Emerging infectious diseases 2020 Nov (1)
    We tested 1,648 prospectively pooled specimens by using 3 nucleic acid amplification tests for severe acute respiratory syndrome coronavirus 2: a laboratory-developed real-time reverse transcription PCR targeting the envelope gene, and 2 commercially available Panther System assays targeting open reading frame 1ab. Positive percent agreement (PPA) of pooled versus individual testing ranged from 71.7% to 82.6% for pools of 8 and from 82.9% to 100.0% for pools of 4.
  • Large scale sequencing of SARS-CoV-2 genomes from one region allows detailed epidemiology and enables local outbreak management
    AJ Page et al, MEDRXIV, November 16, 2020
    We undertook whole genome sequencing of the SARS-CoV-2 genomes present in positive clinical samples from the Norfolk region. These samples were collected by four major hospitals, multiple minor hospitals, care facilities and community organisations within Norfolk and surrounding areas. We combined clinical metadata with the sequencing data from regional genomes to understand the origins, genetic variation, transmission and expansion of the virus within the region.
  • Wastewater-based Epidemiology for Averting COVID-19 Outbreaks on The University of Arizona Campus
    WW Bentacourt et al, MEDRXIV, November 16, 2020
    The University of Arizona utilized wastewater-based epidemiology paired with clinical testing as a surveillance strategy to monitor COVID-19 prevalence in a dormitory community. Positive detection in wastewater led to prompt testing of all residents and the identification and isolation of three infected individuals which averted potential disease transmission.
  • Implementation of a Pooled Surveillance Testing Program for Asymptomatic SARS-CoV-2 Infections on a College Campus — Duke University, Durham, North Carolina, August 2–October 11, 2020
    TN Denny et al, MMWR, November 17, 2020
    In fall 2020, Duke University’s COVID-19 prevention strategy included risk reduction behaviors, frequent testing using pooled SARS-CoV-2 polymerase chain reaction testing, and contact tracing. Among 10,265 students who received testing 68,913 times, 84 had positive results. One half of infections were asymptomatic, and some had high viral loads. Pooled testing reduced the need for resources while allowing high throughput with high sensitivity and rapid turnaround of results.

Non-Genomics Precision Health Studies

  • Transmission of SARS-CoV-2 on mink farms between humans and mink and back to humans.
    Oude Munnink Bas B et al. Science (New York, N.Y.) 2020 Nov
    "Here, we describe an in-depth investigation using whole genome sequencing of outbreaks on 16 mink farms and the humans living or working on these farms. We conclude that the virus was initially introduced from humans and has since evolved, most likely reflecting widespread circulation among mink... Despite enhanced biosecurity, early warning surveillance and immediate culling of infected farms, transmission occurred between mink farms in three big transmission clusters with unknown modes of transmission. Sixty-eight percent (68%) of the tested mink farm residents, employees and/or contacts had evidence of SARS-CoV-2 infection. Where whole genomes were available, these persons were infected with strains with an animal sequence signature, providing evidence of animal to human transmission of SARS-CoV-2 within mink farms."
  • Causal Inference for Genetic Obesity, Cardiometabolic Profile and COVID-19 Susceptibility: A Mendelian Randomization Study
    N Aung et al, Front in Genetics, November 11, 2020
    Using Mendelian randomization in the UK biobank, we identified causal associations between BMI, LDL cholesterol and susceptibility to COVID-19. In particular, individuals in higher genetic risk categories were predisposed to SARS-CoV-2 infection. These findings support the integration of BMI into the risk assessment of COVID-19 and allude to a potential role of lipid modification in the prevention and treatment.
  • SARS-CoV-2 Transmission among Marine Recruits during Quarantine.
    Letizia Andrew G et al. The New England journal of medicine 2020 Nov
    ?The efficacy of public health measures to control the transmission of severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) has not been well studied in young adults. We investigated SARS-CoV-2 infections among U.S. Marine Corps recruits who underwent a 2-week quarantine at home followed by a second supervised 2-week quarantine at a closed college campus that involved mask wearing, social distancing, and daily temperature and symptom monitoring?. [A]pproximately 2% who had previously had negative results for SARS-CoV-2 at the beginning of supervised quarantine? tested positive by day 14?. Viral genomes were recovered from almost two thirds of infected study participants. Phylogenetic analysis of these genomes identified six independent monophyletic transmission clusters indicative of local transmission during the supervised quarantine. Most clusters predominantly included members of the same platoon, and many infected recruits had an infected roommate.?
  • Associations between blood type and COVID-19 infection, intubation, and death
    M Zietz et al, Nature Comms, November 13, 2020
    We use observational healthcare data on 14,112 individuals tested for SARS-CoV-2 with known blood type to assess the association between ABO and Rh blood types and infection, intubation, and death. We find slightly increased infection prevalence among non-O types. We estimate Rh-negative blood type to have a protective effect for all three outcomes.
  • Performance of Nucleic Acid Amplification Tests for Detection of Severe Acute Respiratory Syndrome Coronavirus 2 in Prospectively Pooled Specimens.
    Wang Hannah et al. Emerging infectious diseases 2020 Nov (1)
    We tested 1,648 prospectively pooled specimens by using 3 nucleic acid amplification tests for severe acute respiratory syndrome coronavirus 2: a laboratory-developed real-time reverse transcription PCR targeting the envelope gene, and 2 commercially available Panther System assays targeting open reading frame 1ab. Positive percent agreement (PPA) of pooled versus individual testing ranged from 71.7% to 82.6% for pools of 8 and from 82.9% to 100.0% for pools of 4.
  • Large scale sequencing of SARS-CoV-2 genomes from one region allows detailed epidemiology and enables local outbreak management
    AJ Page et al, MEDRXIV, November 16, 2020
    We undertook whole genome sequencing of the SARS-CoV-2 genomes present in positive clinical samples from the Norfolk region. These samples were collected by four major hospitals, multiple minor hospitals, care facilities and community organisations within Norfolk and surrounding areas. We combined clinical metadata with the sequencing data from regional genomes to understand the origins, genetic variation, transmission and expansion of the virus within the region.
  • Wastewater-based Epidemiology for Averting COVID-19 Outbreaks on The University of Arizona Campus
    WW Bentacourt et al, MEDRXIV, November 16, 2020
    The University of Arizona utilized wastewater-based epidemiology paired with clinical testing as a surveillance strategy to monitor COVID-19 prevalence in a dormitory community. Positive detection in wastewater led to prompt testing of all residents and the identification and isolation of three infected individuals which averted potential disease transmission.
  • Implementation of a Pooled Surveillance Testing Program for Asymptomatic SARS-CoV-2 Infections on a College Campus — Duke University, Durham, North Carolina, August 2–October 11, 2020
    TN Denny et al, MMWR, November 17, 2020
    In fall 2020, Duke University’s COVID-19 prevention strategy included risk reduction behaviors, frequent testing using pooled SARS-CoV-2 polymerase chain reaction testing, and contact tracing. Among 10,265 students who received testing 68,913 times, 84 had positive results. One half of infections were asymptomatic, and some had high viral loads. Pooled testing reduced the need for resources while allowing high throughput with high sensitivity and rapid turnaround of results.

News, Reviews and Commentaries

  • Transmission of SARS-CoV-2 on mink farms between humans and mink and back to humans.
    Oude Munnink Bas B et al. Science (New York, N.Y.) 2020 Nov
    "Here, we describe an in-depth investigation using whole genome sequencing of outbreaks on 16 mink farms and the humans living or working on these farms. We conclude that the virus was initially introduced from humans and has since evolved, most likely reflecting widespread circulation among mink... Despite enhanced biosecurity, early warning surveillance and immediate culling of infected farms, transmission occurred between mink farms in three big transmission clusters with unknown modes of transmission. Sixty-eight percent (68%) of the tested mink farm residents, employees and/or contacts had evidence of SARS-CoV-2 infection. Where whole genomes were available, these persons were infected with strains with an animal sequence signature, providing evidence of animal to human transmission of SARS-CoV-2 within mink farms."
  • Causal Inference for Genetic Obesity, Cardiometabolic Profile and COVID-19 Susceptibility: A Mendelian Randomization Study
    N Aung et al, Front in Genetics, November 11, 2020
    Using Mendelian randomization in the UK biobank, we identified causal associations between BMI, LDL cholesterol and susceptibility to COVID-19. In particular, individuals in higher genetic risk categories were predisposed to SARS-CoV-2 infection. These findings support the integration of BMI into the risk assessment of COVID-19 and allude to a potential role of lipid modification in the prevention and treatment.
  • SARS-CoV-2 Transmission among Marine Recruits during Quarantine.
    Letizia Andrew G et al. The New England journal of medicine 2020 Nov
    ?The efficacy of public health measures to control the transmission of severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) has not been well studied in young adults. We investigated SARS-CoV-2 infections among U.S. Marine Corps recruits who underwent a 2-week quarantine at home followed by a second supervised 2-week quarantine at a closed college campus that involved mask wearing, social distancing, and daily temperature and symptom monitoring?. [A]pproximately 2% who had previously had negative results for SARS-CoV-2 at the beginning of supervised quarantine? tested positive by day 14?. Viral genomes were recovered from almost two thirds of infected study participants. Phylogenetic analysis of these genomes identified six independent monophyletic transmission clusters indicative of local transmission during the supervised quarantine. Most clusters predominantly included members of the same platoon, and many infected recruits had an infected roommate.?
  • Associations between blood type and COVID-19 infection, intubation, and death
    M Zietz et al, Nature Comms, November 13, 2020
    We use observational healthcare data on 14,112 individuals tested for SARS-CoV-2 with known blood type to assess the association between ABO and Rh blood types and infection, intubation, and death. We find slightly increased infection prevalence among non-O types. We estimate Rh-negative blood type to have a protective effect for all three outcomes.
  • Performance of Nucleic Acid Amplification Tests for Detection of Severe Acute Respiratory Syndrome Coronavirus 2 in Prospectively Pooled Specimens.
    Wang Hannah et al. Emerging infectious diseases 2020 Nov (1)
    We tested 1,648 prospectively pooled specimens by using 3 nucleic acid amplification tests for severe acute respiratory syndrome coronavirus 2: a laboratory-developed real-time reverse transcription PCR targeting the envelope gene, and 2 commercially available Panther System assays targeting open reading frame 1ab. Positive percent agreement (PPA) of pooled versus individual testing ranged from 71.7% to 82.6% for pools of 8 and from 82.9% to 100.0% for pools of 4.
  • Large scale sequencing of SARS-CoV-2 genomes from one region allows detailed epidemiology and enables local outbreak management
    AJ Page et al, MEDRXIV, November 16, 2020
    We undertook whole genome sequencing of the SARS-CoV-2 genomes present in positive clinical samples from the Norfolk region. These samples were collected by four major hospitals, multiple minor hospitals, care facilities and community organisations within Norfolk and surrounding areas. We combined clinical metadata with the sequencing data from regional genomes to understand the origins, genetic variation, transmission and expansion of the virus within the region.
  • Wastewater-based Epidemiology for Averting COVID-19 Outbreaks on The University of Arizona Campus
    WW Bentacourt et al, MEDRXIV, November 16, 2020
    The University of Arizona utilized wastewater-based epidemiology paired with clinical testing as a surveillance strategy to monitor COVID-19 prevalence in a dormitory community. Positive detection in wastewater led to prompt testing of all residents and the identification and isolation of three infected individuals which averted potential disease transmission.
  • Implementation of a Pooled Surveillance Testing Program for Asymptomatic SARS-CoV-2 Infections on a College Campus — Duke University, Durham, North Carolina, August 2–October 11, 2020
    TN Denny et al, MMWR, November 17, 2020
    In fall 2020, Duke University’s COVID-19 prevention strategy included risk reduction behaviors, frequent testing using pooled SARS-CoV-2 polymerase chain reaction testing, and contact tracing. Among 10,265 students who received testing 68,913 times, 84 had positive results. One half of infections were asymptomatic, and some had high viral loads. Pooled testing reduced the need for resources while allowing high throughput with high sensitivity and rapid turnaround of results.
Disclaimer: Articles listed in COVID-19 Genomics and Precision Public Health Weekly Update are selected by Public Health Genomics Branch to provide current awareness of the scientific literature and news. Inclusion in the update does not necessarily represent the views of the Centers for Disease Control and Prevention nor does it imply endorsement of the article's methods or findings. CDC and DHHS assume no responsibility for the factual accuracy of the items presented. The selection, omission, or content of items does not imply any endorsement or other position taken by CDC or DHHS. Opinion, findings and conclusions expressed by the original authors of items included in the Clips, or persons quoted therein, are strictly their own and are in no way meant to represent the opinion or views of CDC or DHHS. References to publications, news sources, and non-CDC Websites are provided solely for informational purposes and do not imply endorsement by CDC or DHHS.
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