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Record W4406939470 · doi:10.1016/s2214-109x(24)00419-4

Emergence and spread of the SARS-CoV-2 omicron (BA.1) variant across Africa: an observational study

2025· article· en· W4406939470 on OpenAlexaff
Carlo Fischer, Tongai Maponga, Anges Yadouléton, Nuro Abílio, Emmanuel Aboce, Praise Adewumi, Pedro Afonso, Jewelna Akorli, Soa Fy Andriamandimby, Latifa Anga, Yvonne Ashong, Mohamed Amine Beloufa, Aïcha Bensalem, Richard J. Birtles, Anicet Luc Magloire Boumba, Freddie Bwanga, Mike Chaponda, Paradzai Chibukira, R Matthew Chico, Justin Chileshe, Wonderful T. Choga, Gershom Chongwe, Assana Cissé, Fatoumata Cissé, Umberto D’Alessandro, Xavier de Lamballerie, Joana Morais, Fawzi Derrar, Ndongo Dia, Youssouf Diarra, Lassina Doumbia, Christian Drosten, Philippe Dussart, Richard Echodu, Abdelmajid Eloualid, Ousmane Faye, Torsten Feldt, Anna Frühauf, Simani Gaseitsiwe, Afiwa Halatoko, Etuhole Iipumbu, Pauliana-Vanessa Ilouga, Nália Ismael, Ronan Jambou, Sheikh Jarju, Antje Kamprad, Ben Katowa, John Kayiwa, Leonard Kingwara, Ousmane Koita, Vincent Lacoste, Adamou Lagaré, Olfert Landt, Sonia Etenna Lekana-Douki, Jean Bernard Lékana-Douki, Hugues Loemba, Tom Luedde, Julius J. Lutwama, Santou Mamadou, Issaka Maman, Brendon Manyisa, Pedro Martı́nez, Japhet Matoba, Lusia Mhuulu, Andrés Moreira‐Soto, Sikhulile Moyo, Judy Mwangi, Nadine N’dilimabaka, Charity Angella Nassuna, Mamadou Ousmane Ndiath, Emmanuel Nepolo, Richard Njouom, Jalal Nourlil, Steven Ger Nyanjom, Eddy Okoth Odari, Alfred Okeng, Jean Bienvenue Ouoba, Michael Owusu, Irene Owusu Donkor, Karabo Kristen Phadu, Richard Odame Phillips, Wolfgang Preiser, Pierre Roques, Vurayai Ruhanya, Fortune Salah, Sourakatou Salifou, Amadou Alpha Sall, Augustina Angelina Sylverken, Paul Alain Tagnouokam‐Ngoupo, Zékiba Tarnagda, Francis Olivier Tchikaya, Noël Tordo, Tafese Beyene Tufa, Jan Felix Drexler

Bibliographic record

VenueThe Lancet Global Health · 2025
Typearticle
Languageen
FieldMedicine
TopicSARS-CoV-2 and COVID-19 Research
Canadian institutionsUniversity of Ottawa
FundersHorizon 2020Horizon 2020 Framework ProgrammeKwame Nkrumah University of Science and TechnologyAfrican Academy of SciencesAgence Française de DéveloppementJomo Kenyatta University of Agriculture and TechnologyUniversiteit StellenboschInstitut Pasteur de la GuyaneWorld Health OrganizationDepartment of Science and Innovation, South AfricaAgence Nationale de Recherches sur le Sida et les Hépatites ViralesEuropean and Developing Countries Clinical Trials PartnershipInstitut de Recherche pour le DéveloppementMinistère de l'Europe et des Affaires ÉtrangèresPoliomyelitis Research FoundationBill and Melinda Gates FoundationThe Ministry of Economic Affairs and EmploymentInyuvesi Yakwazulu-NataliUK Research and Innovation
KeywordsObservational studySevere acute respiratory syndrome coronavirus 2 (SARS-CoV-2)Coronavirus disease 2019 (COVID-19)2019-20 coronavirus outbreakVirologyPandemicBetacoronavirusGeographyMedicineInternal medicineDiseaseOutbreak

Abstract

fetched live from OpenAlex

BACKGROUND: In mid-November, 2021, the SARS-CoV-2 omicron variant (B.1.1.529; BA.1 sublineage) was detected in southern Africa, prompting international travel restrictions. We aimed to investigate the spread of omicron BA.1 in Africa. METHODS: ) at the country level considering the BA.1 fraction and the reported numbers of infections. Phylogeographical analyses were done in a Bayesian framework. FINDINGS: of 2·60 (95% CI 2·46-2·71). This south-north spread, established on the basis of PCR data, was substantiated by phylogeographical reconstructions, ancestral state reconstructions, and GISAID data. PCR-based reconstructions of country-level BA.1 predominance and the availability of BA.1 genomic sequences in GISAID correlated significantly in time (p=0·0002, r=0·78). The first detections of BA.1 in high-income settings beyond Africa were predicted accurately in time by mobility-based mathematical simulations (p<0·0001). Comparing PCR-based reconstructions with mobility-based mathematical simulations suggested that SARS-CoV-2 infections in Africa were under-reported by approximately ten times. Inbound travellers infected with BA.1, departing from five continents, were identified in six African countries by early December, 2021. INTERPRETATION: and the geographical spread of emerging pathogens in a cost-effective and timely manner, and can guide evidence-based, non-pharmaceutical interventions such as travel restrictions or physical distancing. FUNDING: Bill & Melinda Gates Foundation. TRANSLATIONS: For the French, Portugese and Spanish translations of the abstract see Supplementary Materials section.

Fetched live from OpenAlex and de-inverted. Abstracts are not stored in this database: the inverted indexes are 8.6 GB of the frame’s 9.3 GB of text, and the host has 13 GB free.

How this classification was reachedexpand

Full frame distilled prediction

Teacher imitation

Not calibrated prevalence, not ground truth. Human validation pending. Learned from the 10,348 direct Codex labels and 10,348 direct Gemma labels. Candidate is the union of thresholded teacher heads; consensus is their intersection. These outputs are machine_predicted_unvalidated and are not human labels or direct frontier model labels.

metaresearch head score (Codex)0.001
metaresearch head score (Gemma)0.000
Version: codex-gemma-dda1882f352aValidation status: machine_predicted_unvalidated
Candidate categoriesnone
Consensus categoriesnone
DomainCandidate signal: none · Consensus signal: none
Study designCandidate signal: Observational · Consensus signal: Observational
GenreCandidate signal: Empirical · Consensus signal: Empirical
Teacher disagreement score0.041
Threshold uncertainty score0.562

Codex and Gemma teacher scores by category

CategoryCodexGemma
Metaresearch0.0010.000
Meta-epidemiology (narrow)0.0000.000
Meta-epidemiology (broad)0.0000.000
Bibliometrics0.0000.001
Science and technology studies0.0000.000
Scholarly communication0.0000.000
Open science0.0000.000
Research integrity0.0000.000
Insufficient payload (model declined to judge)0.0000.000

Machine scores (provisional)

The two teacher heads of the student model, read on this work. A score orders the frame for review; it never asserts a category, and the validation status ships verbatim with every row.

Baseline scores from an immature model (maturity gate not passed, 7 training rounds). Scores rank; they never assert a category.

Opus teacher head0.216
GPT teacher head0.486
Teacher spread0.270 · how far apart the two teachers sit on this one work
Validation statusscore_only:v0-immature-baseline · verbatim from the scoring run: score_only means the number may rank works, and no category label ships from it

Classification

machine, unvalidated

Machine predicted; a candidate call from one teacher head, not a consensus.

The models applied no category: nothing in the taxonomy fit this work.
Study designObservational
Domainnot available
GenreEmpirical

How this classification was reached, model by model and score by score, is at the end of the page under "How this classification was reached".

Quick stats

Citations11
Published2025
Admission routes1
Has abstractyes

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