COVID-19 epidemic in the Brazilian state of Amazonas was driven by long-term persistence of endemic SARS-CoV-2 lineages and the recent emergence of the new Variant of Concern P.1

@inproceedings{Naveca2021COVID19EI,
  title={COVID-19 epidemic in the Brazilian state of Amazonas was driven by long-term persistence of endemic SARS-CoV-2 lineages and the recent emergence of the new Variant of Concern P.1},
  author={Felipe Gomes Naveca and Valdinete Alves do Nascimento and Victor Costa de Souza and Andr{\'e} Corado and Fernanda Nascimento and George Silva and {\'A}gatha Costa and D{\'e}bora Duarte and Karina Pinheiro Pessoa and Matilde Mej{\'i}a and Maria Bernadete Brandao and Michele Silva de Jesus and Luciana F{\'e} Gonçalves and Cristiano da Costa and Vanderson de Souza Sampaio and Daniela França de Barros and Marineide Silva and Tirza Peixoto Mattos and Gemilson Soares Pontes and Ligia Fernandes Abdalla and Jo{\~a}o Messias dos Santos and Ighor Arantes and Filipe Zimmer Dezordi and Marilda Mendonça Siqueira and Gabriel da Luz Wallau and Paola Cristina Resende and Edson Delatorre and Tiago Gr{\"a}ff and Gonzalo Bello},
  year={2021}
}
The Northern Brazilian state of Amazonas is one of the most heavily affected country regions by the COVID-19 epidemic and experienced two exponential growing waves in early and late 2020. Through a genomic epidemiology study based on 250 SARS-CoV-2 genomes from different Amazonas municipalities sampled between March 2020 and January 2021 we revealed that the first exponential growth phase was driven mostly by the dissemination of lineage B.1.195 which was gradually replaced by lineage B.1.1… 

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