Abstract |
The Diamond Princess cruise ship was put under quarantine offshore Yokohama, Japan, after a passenger who disembarked in Hong Kong was confirmed as a coronavirus disease 2019 case. We performed whole-genome sequencing of severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) directly from PCR+ clinical specimens and conducted a phylogenetic analysis of the outbreak. All tested isolates exhibited a transversion at G11083T, suggesting that SARS-CoV-2 dissemination on the Diamond Princess originated from a single introduction event before the quarantine started. Although further spreading might have been prevented by quarantine, some progeny clusters could be linked to transmission through mass-gathering events in the recreational areas and direct transmission among passengers who shared cabins during the quarantine. This study demonstrates the usefulness of haplotype network/phylogeny analysis in identifying potential infection routes.
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Authors | Tsuyoshi Sekizuka, Kentaro Itokawa, Tsutomu Kageyama, Shinji Saito, Ikuyo Takayama, Hideki Asanuma, Naganori Nao, Rina Tanaka, Masanori Hashino, Takuri Takahashi, Hajime Kamiya, Takuya Yamagishi, Kensaku Kakimoto, Motoi Suzuki, Hideki Hasegawa, Takaji Wakita, Makoto Kuroda |
Journal | Proceedings of the National Academy of Sciences of the United States of America
(Proc Natl Acad Sci U S A)
Vol. 117
Issue 33
Pg. 20198-20201
(08 18 2020)
ISSN: 1091-6490 [Electronic] United States |
PMID | 32723824
(Publication Type: Journal Article, Research Support, Non-U.S. Gov't)
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Copyright | Copyright © 2020 the Author(s). Published by PNAS. |
Topics |
- Betacoronavirus
(classification, genetics, isolation & purification)
- COVID-19
- Coronavirus Infections
(prevention & control, transmission, virology)
- Genome, Viral
- Haplotypes
- Humans
- Pandemics
(prevention & control)
- Phylogeny
- Pneumonia, Viral
(prevention & control, transmission, virology)
- Quarantine
- SARS-CoV-2
- Ships
- Whole Genome Sequencing
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