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Emergence and Spread of SARS-CoV-2 Lineages B 1 1 7 and P 1 in Italy #MMPMID33946747
Di Giallonardo F; Puglia I; Curini V; Camma C; Mangone I; Calistri P; Cobbin JCA; Holmes EC; Lorusso A
Viruses 2021[Apr]; 13 (5): ä PMID33946747show ga
Italy's second wave of SARS-CoV-2 has hit hard, with more than three million cases and over 100,000 deaths, representing an almost ten-fold increase in the numbers reported by August 2020. Herein, we present an analysis of 6515 SARS-CoV-2 sequences sampled in Italy between 29 January 2020 and 1 March 2021 and show how different lineages emerged multiple times independently despite lockdown restrictions. Virus lineage B.1.177 became the dominant variant in November 2020, when cases peaked at 40,000 a day, but since January 2021 this is being replaced by the B.1.1.7 'variant of concern'. In addition, we report a sudden increase in another documented variant of concern-lineage P.1-from December 2020 onwards, most likely caused by a single introduction into Italy. We again highlight how international importations drive the emergence of new lineages and that genome sequencing should remain a top priority for ongoing surveillance in Italy.