1. First Identification of Reinfection by a Genetically Different Variant of SARS-CoV-2 in a Homeless Person from the Metropolitan Area of Santiago, Chile
- Author
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Claudio Acuña-Castillo, Mabel Vidal, Ailen Inostroza-Molina, Eva Vallejos-Vidal, Roberto Luraschi, Maximiliano Figueroa, Carlos Barrera-Avalos, Rodrigo Vera, Sergio Vargas, Daniel Valdes, Kevin Maisey, Mónica Imarai, Elías Leiva-Salcedo, Alejandro Escobar, Sebastián Reyes-Cerpa, Alexis Gaete, Ricardo Palma-Vejares, Dante Travisany, Leonel E. Rojo, Felipe E. Reyes-López, Ana María Sandino, Universidad de Santiago de Chile [Santiago] (USACH), Groupe Interdisciplinaire de Génoprotéomique Appliquée (GIGA-Research), Université de Liège, Universidad de Chile = University of Chile [Santiago] (UCHILE), Universidad Mayor [Santiago de Chile], Centro de Modelamiento Matemático [Santiago] (CMM), Universidad de Santiago de Chile [Santiago] (USACH)-Centre National de la Recherche Scientifique (CNRS), Inria Chile, Universidad Diego Portales [Santiago] (UDP)-Universidad de la frontera [Chile]-Pontificia Universidad Católica de Chile (UC)-Institut National de Recherche en Informatique et en Automatique (Inria)-Pontificia Universidad Católica de Valparaíso (PUCV)-Universidad Adolfo Ibáñez [Santiago]-Universidad de Valparaiso [Chile]-Universidad Tecnica Federico Santa Maria [Valparaiso] (UTFSM)-Universidad de Concepción - University of Concepcion [Chile], and Universitat Autònoma de Barcelona (UAB)
- Subjects
[SDV.MHEP.ME]Life Sciences [q-bio]/Human health and pathology/Emerging diseases ,Article Subject ,SARS-CoV-2 ,Health, Toxicology and Mutagenesis ,Public Health, Environmental and Occupational Health ,COVID-19 ,COVID-19 Testing ,[SDV.MHEP.MI]Life Sciences [q-bio]/Human health and pathology/Infectious diseases ,Reinfection ,Ill-Housed Persons ,Humans ,[SDV.SPEE]Life Sciences [q-bio]/Santé publique et épidémiologie ,Chile ,Pandemics - Abstract
International audience; The identification and tracking of SARS-CoV-2 infected patients in the general population are essential components of the global strategy to limit the COVID-19 viral spread, specifically for maintaining traceability and suppressing the resurgence of local outbreaks. Public health programs that include continuous RT-qPCR testing for COVID-19 in the general population, viral sequencing, and genomic surveillance for highly contagious forms of the virus have allowed for the identification of SARS-CoV-2 infections and reinfections. This work identified SARS-CoV-2 reinfection in a homeless person, which occurred 58 days after the first COVID-19 diagnosis. Genomic sequencing identified a different Nextstrain classification clade (20A and 20B) and PANGO lineage, with a divergence of 4 single nucleotide variants (SNVs) in S and ORF1ab genes, suggesting reinfection by different viral variants. This study is the first from the great metropolitan area of Santiago, Chile, one of the top ten countries in the world to live during the COVID-19 pandemic. We support the importance of performing intensive genomic surveillance programs in the whole population and high-risk groups, such as homeless people, nearly 20 thousand people in Chile, and have limited access to health care services and poor viral traceability.
- Published
- 2022
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