Genetic diversity of SARS-CoV-2 infections in Ghana from 2020-2021.

Collins M Morang'a ORCID logo ; Joyce M Ngoi ; Jones Gyamfi ; Dominic SY Amuzu ; Benjamin D Nuertey ORCID logo ; Philip M Soglo ; Vincent Appiah ; Ivy A Asante ; Paul Owusu-Oduro ; Samuel Armoo ; +46 more... Dennis Adu-Gyasi ORCID logo ; Nicholas Amoako ; Joseph Oliver-Commey ; Michael Owusu ORCID logo ; Augustina Sylverken ; Edward D Fenteng ; Violette V M'cormack ; Frederick Tei-Maya ORCID logo ; Evelyn B Quansah ; Reuben Ayivor-Djanie ORCID logo ; Enock K Amoako ; Isaac T Ogbe ; Bright K Yemi ; Israel Osei-Wusu ORCID logo ; Deborah NA Mettle ; Samirah Saiid ; Kesego Tapela ; Francis Dzabeng ; Vanessa Magnussen ; Jerry Quaye ORCID logo ; Precious C Opurum ; Rosina A Carr ORCID logo ; Patrick T Ababio ; Abdul-Karim Abass ; Samuel K Akoriyea ; Emmanuella Amoako ; Frederick Kumi-Ansah ORCID logo ; Oliver D Boakye ; Dam K Mibut ; Theophilus Odoom ; Lawrence Ofori-Boadu ; Emmanuel Allegye-Cudjoe ; Sylvester Dassah ; Victor Asoala ; Kwaku P Asante ; Richard O Phillips ; Mike Y Osei-Atweneboana ; John O Gyapong ; Patrick Kuma-Aboagye ; William K Ampofo ; Kwabena O Duedu ORCID logo ; Nicaise T Ndam ; Yaw Bediako ; Peter K Quashie ORCID logo ; Lucas N Amenga-Etego ORCID logo ; Gordon A Awandare ORCID logo ; (2022) Genetic diversity of SARS-CoV-2 infections in Ghana from 2020-2021. Nature Communications, 13 (1). p. 2494. ISSN 2041-1723 DOI: 10.1038/s41467-022-30219-5
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The COVID-19 pandemic is one of the fastest evolving pandemics in recent history. As such, the SARS-CoV-2 viral evolution needs to be continuously tracked. This study sequenced 1123 SARS-CoV-2 genomes from patient isolates (121 from arriving travellers and 1002 from communities) to track the molecular evolution and spatio-temporal dynamics of the SARS-CoV-2 variants in Ghana. The data show that initial local transmission was dominated by B.1.1 lineage, but the second wave was overwhelmingly driven by the Alpha variant. Subsequently, an unheralded variant under monitoring, B.1.1.318, dominated transmission from April to June 2021 before being displaced by Delta variants, which were introduced into community transmission in May 2021. Mutational analysis indicated that variants that took hold in Ghana harboured transmission enhancing and immune escape spike substitutions. The observed rapid viral evolution demonstrates the potential for emergence of novel variants with greater mutational fitness as observed in other parts of the world.


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