Please use this identifier to cite or link to this item:
https://www.arca.fiocruz.br/handle/icict/61085
GENOMIC EPIDEMIOLOGY AND LINEAGE DYNAMICS OF SARS-COV-2 IN BULGARIA: INSIGHTS FROM A THREE-YEAR PANDEMIC ANALYSIS
Author
Giovanetti, Marta
Cella, Eleonora
Ivanov, Ivan
Grigorova, Lyubomira
Stoikov, Ivan
Donchev, Deyan
Dimitrova, Reneta
Slavov, Svetoslav Nanev
Mavian, Carla
Fonseca, Vagner
Scarpa, Fabio
Borsetti, Alessandra
Korsun, Neli
Trifonova, Ivelina
Dobrinov, Veselin
Kantardjiev, Todor
Christova, Iva
Ciccozzi, Massimo
Alexiev, Ivailo
Cella, Eleonora
Ivanov, Ivan
Grigorova, Lyubomira
Stoikov, Ivan
Donchev, Deyan
Dimitrova, Reneta
Slavov, Svetoslav Nanev
Mavian, Carla
Fonseca, Vagner
Scarpa, Fabio
Borsetti, Alessandra
Korsun, Neli
Trifonova, Ivelina
Dobrinov, Veselin
Kantardjiev, Todor
Christova, Iva
Ciccozzi, Massimo
Alexiev, Ivailo
Affilliation
Fundação Oswaldo Cruz. Instituto Rene Rachou. Belo Horizonte. MG, Brazil / Sciences and Technologies for Sustainable Development and One Health. Università Campus Bio-Medico di Roma. Rome, Italy / Climate Amplified Diseases and Epidemics. Brazil.
Burnett School of Biomedical Sciences. University of Central Florida. Orlando, FL, USA.
National Center of Infectious and Parasitic Diseases. Sofia, Bulgaria.
National Center of Infectious and Parasitic Diseases. Sofia, Bulgaria.
National Center of Infectious and Parasitic Diseases. Sofia, Bulgaria.
National Center of Infectious and Parasitic Diseases. Sofia, Bulgaria.
National Center of Infectious and Parasitic Diseases. Sofia, Bulgaria.
Butantan Institute. São Paulo, SP, Brazil / Blood Center of Ribeirão Preto. Faculty of Medicine of Ribeirão Preto. University of São Paulo. Ribeirão Preto, SP, Brazil.
Emerging Pathogens Institute. Department of Pathology, Immunology and Laboratory Medicine. College of Medicine. University of Florida. Gainesville, FL, USA.
Department of Exact and Earth Sciences. University of the State of Bahia. Salvador BA, Brazil / Organização Pan-Americana da Saúde/Organização Mundial da Saúde. Coordenação de Vigilância, Preparação e Resposta à Emergências e Desastres. Brasilia, DF, Brazil.
Department of Biomedical Sciences. University of Sassari. Sassari, Italy.
National HIV/AIDS Research Center. National Institute of Health. Rome, Italy.
National Center of Infectious and Parasitic Diseases. Sofia, Bulgaria.
National Center of Infectious and Parasitic Diseases. Sofia, Bulgaria.
National Center of Infectious and Parasitic Diseases. Sofia, Bulgaria.
National Center of Infectious and Parasitic Diseases. Sofia, Bulgaria.
National Center of Infectious and Parasitic Diseases. Sofia, Bulgaria.
Unit of Medical Statistics and Molecular Epidemiology. Universita Campus Bio-Medico di Roma. Rome, Italy.
National Center of Infectious and Parasitic Diseases. Sofia, Bulgaria.
Burnett School of Biomedical Sciences. University of Central Florida. Orlando, FL, USA.
National Center of Infectious and Parasitic Diseases. Sofia, Bulgaria.
National Center of Infectious and Parasitic Diseases. Sofia, Bulgaria.
National Center of Infectious and Parasitic Diseases. Sofia, Bulgaria.
National Center of Infectious and Parasitic Diseases. Sofia, Bulgaria.
National Center of Infectious and Parasitic Diseases. Sofia, Bulgaria.
Butantan Institute. São Paulo, SP, Brazil / Blood Center of Ribeirão Preto. Faculty of Medicine of Ribeirão Preto. University of São Paulo. Ribeirão Preto, SP, Brazil.
Emerging Pathogens Institute. Department of Pathology, Immunology and Laboratory Medicine. College of Medicine. University of Florida. Gainesville, FL, USA.
Department of Exact and Earth Sciences. University of the State of Bahia. Salvador BA, Brazil / Organização Pan-Americana da Saúde/Organização Mundial da Saúde. Coordenação de Vigilância, Preparação e Resposta à Emergências e Desastres. Brasilia, DF, Brazil.
Department of Biomedical Sciences. University of Sassari. Sassari, Italy.
National HIV/AIDS Research Center. National Institute of Health. Rome, Italy.
National Center of Infectious and Parasitic Diseases. Sofia, Bulgaria.
National Center of Infectious and Parasitic Diseases. Sofia, Bulgaria.
National Center of Infectious and Parasitic Diseases. Sofia, Bulgaria.
National Center of Infectious and Parasitic Diseases. Sofia, Bulgaria.
National Center of Infectious and Parasitic Diseases. Sofia, Bulgaria.
Unit of Medical Statistics and Molecular Epidemiology. Universita Campus Bio-Medico di Roma. Rome, Italy.
National Center of Infectious and Parasitic Diseases. Sofia, Bulgaria.
Abstract
The COVID-19 pandemic caused by severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) has brought about significant challenges worldwide. In this study, we present a comprehensive analysis of the genomic epidemiology and lineage dynamics of SARS-CoV-2 in Bulgaria over a three-year period. Through extensive genomic sequencing and data analysis, we investigated the evolution of the virus, the emergence of variants of concern (VOCs), and their impact on the country's pandemic trajectory. We also assessed the relationship between viral diversity and COVID-19 morbidity and mortality in Bulgaria. Our findings shed light on the temporal and spatial distribution of SARS-CoV-2 lineages and provide crucial insights into the dynamics of the pandemic in the country. The interplay between international travel and viral transmission plays a significant role in the emergence and dissemination of different SARS-CoV-2 variants. The observed proportions of exportation to various continents provide insights into the potential pathways through which these lineages spread globally. Understanding the genomic epidemiology of SARS-CoV-2 in Bulgaria is essential for formulating targeted public health strategies, enhancing vaccination efforts, and effectively managing future outbreaks.
Share