张美玲, 周洁楠, 陈瑶瑶, 孙艳红, 刘照生, 赵晓南, 伏晓庆. 2022年9月云南省镇康县一起新型冠状病毒感染疫情溯源分析[J]. 疾病监测, 2023, 38(4): 493-499. DOI: 10.3784/jbjc.202212140531
引用本文: 张美玲, 周洁楠, 陈瑶瑶, 孙艳红, 刘照生, 赵晓南, 伏晓庆. 2022年9月云南省镇康县一起新型冠状病毒感染疫情溯源分析[J]. 疾病监测, 2023, 38(4): 493-499. DOI: 10.3784/jbjc.202212140531
Zhang Meiling, Zhou Jienan, Chen Yaoyao, Sun Yanhong, Liu Zhaosheng, Zhao Xiaonan, Fu Xiaoqing. Infection source of COVID-19 epidemic in Zhenkang, Yunnan, September 2022[J]. Disease Surveillance, 2023, 38(4): 493-499. DOI: 10.3784/jbjc.202212140531
Citation: Zhang Meiling, Zhou Jienan, Chen Yaoyao, Sun Yanhong, Liu Zhaosheng, Zhao Xiaonan, Fu Xiaoqing. Infection source of COVID-19 epidemic in Zhenkang, Yunnan, September 2022[J]. Disease Surveillance, 2023, 38(4): 493-499. DOI: 10.3784/jbjc.202212140531

2022年9月云南省镇康县一起新型冠状病毒感染疫情溯源分析

Infection source of COVID-19 epidemic in Zhenkang, Yunnan, September 2022

  • 摘要:
      目的  调查2022年9月云南省镇康县新型冠状病毒感染本土疫情的感染来源和病毒变异情况。
      方法  收集疫情期间采集的9例本土病例和3例境外病例的标本进行新型冠状病毒(SARS-CoV-2)全基因组测序。 通过基因组学分析,结合流行病学调查内容,明确病毒基因组变异情况及感染来源。
      结果  来自9例本土病例的病毒株属Omicron变异株BA.5.2和BA.5.2.20进化分支,形成独立的两条传播链,均与境外病例病毒株基因组序列高度同源。 结合流行病学调查,提示可能与直接或间接接触境外病毒感染病例有关。 BA.5.2和BA.5.20基因型毒株基因组序列共享53个氨基酸错义突变和11个氨基酸缺失突变,各自具备其代表性氨基酸突变位点。 在S蛋白上均发现HV69~70del、L452R、T478K、R493Q回复突变、F486V等可能影响病毒传播力和免疫逃逸能力的关键性变异位点。 同时研究发现,S:K147T、S:M1237V、ORF1a:M85del等其他特征性突变位点,其功能作用值得进一步研究。
      结论  本次疫情有2个境外病毒感染源,提示云南省边境地区疫情的复杂性和长期性。 因此,边境地区仍要提高监测预警敏感性,不断有方向性地追踪病毒变异动态,以期提高SARS-CoV-2感染防控工作的科学性和精准性。

     

    Abstract:
      Objective  To understand the infection source of an outbreak of coronavirus disease 2019 (COVID-19) occurred in Zhenkang county, Yunnan province in September 2022 and analyze the variation of severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2).
      Methods  The samples were collected from 9 local cases and 3 imported cases for whole-genome sequencing of SARS-CoV-2. The virus genome variation and the infection source were identified by the genomics analysis and epidemiological investigation.
      Results  The SARS-CoV-2 strains detected in 9 local cases belonged to Omicron BA.5.2 and BA.5.2.20, indicating two independent transmission chains. The genome sequences of the strains were highly homologous to the strains from 3 imported cases. The epidemiological investigation also indicted that the infections might be related to the direct or indirect contacts with the imported cases. The BA.5.2 and BA.5.20 strains shared 53 amino acid missense mutations and 11 amino acid deletion mutations, but each had its representative amino acid mutation site, respectively. HV69-70del, L452R, T478K, R493Q reversion, F486V and other vital mutation sites were found in the S protein of these SARS-CoV-2 strains, which might affect the transmission and immune escape of Omicron variant of SARS-CoV-2. The functional effects of the other characteristic mutations, such as S: K147T, S: M1237V, ORF1a: M85del were discovered in this study, for which further studies are needed.
      Conclusion  The epidemic might be associated with two imported infection sources, indicating the complexity and protracted nature of the epidemic in Yunnan border area. Therefore, the sensitivity of surveillance and forewarning still needs to be enhanced in border areas, and the dynamic surveillance for virus mutation should be continued to further improve the accuracy of the prevention and control of the epidemic.

     

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