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A28    SCIENCE
                   Saturday 14 March 2020
            Scientist links 2 state outbreaks with genetic fingerprints




            By CARLA K. JOHNSON                                                                                                 next  day.  On  Jan.  19,  he
            AP Medical Writer                                                                                                   visited  a  clinic  in  and  was
            SEATTLE (AP) — A U.S. scien-                                                                                        hospitalized on Jan. 20.
            tist is helping public health                                                                                       "They  did  very  aggressive
            authorities understand and                                                                                          contact  tracing  looking  to
            track the coronavirus, turn-                                                                                        identify anybody who had
            ing  up  clues  about  how  it                                                                                      had  contact  with  that  ini-
            arrived and spread through                                                                                          tial  case  and  sort  of  con-
            Washington  state  and  be-                                                                                         centric circles outward," Dr.
            yond,  including  potentially                                                                                       Nancy  Messonnier  of  the
            seeding  an  outbreak  on                                                                                           Centers  for  Disease  Con-
            the  Grand  Princess  cruise                                                                                        trol  and  Prevention  said
            ship.                                                                                                               Wednesday.  She  called
            Washington's        gover-                                                                                          Bedford's work "an interest-
            nor  banned  large  public                                                                                          ing hypothesis," but said the
            events  in  three  counties                                                                                         outbreak could have been
            on  Wednesday,  a  strat-                                                                                           caused  by  "a  secondary
            egy  guided  by  the  work                                                                                          seeding."
            of  Trevor  Bedford  and  his                                                                                       Kristian  Andersen,  a  ge-
            colleagues,  who  have  es-                                                                                         netic   epidemiologist   at
            timated there are currently                                                                                         Scripps Research in La Jol-
            1,100  active  cases  in  the                                                                                       la,  California,  agreed  that
            state,  most  of  them  undis-                                                                                      the virus was introduced to
            covered by testing.                                                                                                 Washington  state  by  one
            Like  a  detective  studying   In this Feb. 7, 2019 photo provided by the Fred Hutch News Service, Trevor Bedford, a computational   person and suggested that
            fingerprints,  Bedford  uses   biologist at the Fred Hutchinson Cancer Research Center, poses at the center in Seattle.  the  active  cases  probably
            the genetic code the virus                                                                         Associated Press   exceed  1,100.  Neither  of
            leaves behind. The dots he  outbreak  on  the  Grand      planation,  Chiu  said.  A  perhaps  the  35-year-old  the  conclusions  Bedford
            connects  are  mutations  in  Princess cruise ship in Cali-  cruise  passenger  or  crew  man  who  was  the  first  described  is  a  surprise,  he
            the genetic alphabet of the  fornia.                      member  was  infected  in  known U.S. case. The coro-     said in an email.
            virus,  a  30,000-letter  string  "They  all  are  very  similar   another  country,  coinci-  navirus infection rate in the  "The United States has com-
            that  changes  at  the  rate  genetically,"  Bedford  told   dentally  by  a  virus  with  Seattle Flu Study, a project  pletely failed to prepare for
            of one letter every 15 days.  The  Associated  Press.  "It   the same mutations as the  mapping seasonal flu, indi-  the  pandemic  —  despite
            Those  tiny  mutations  don't  seems  very  possible"  that   Washington state cases.  cates there could be 1,100  having    adequate     time
            change the virus' effect on  virus  from  the  Washington   "Common  sense  tells  you  active   COVID-19   infec-  —  and  we  currently  have
            people, but they do allow  outbreak made it onto the      it  more  likely  came  from  tions in the state, although  one  of  the  lowest  capac-
            scientists  to  draw  conclu-  Grand Princess.            Washington," Chiu said.      because  of  limitations  in  ity  for  COVID-19  testing,"
            sions about how it spreads  Dr. Charles Chiu at the Uni-  For most people, the coro-   the modeling that number  he wrote. "This continues to
            from  person  to  person.  Af-  versity  of  California,  San   navirus  causes  only  mild  could range from as low as  be  an  enormous  problem
            ter  a  person  gets  tested  Francisco, agreed. He pro-  or  moderate  symptoms,  210 to as high as 2,800 ac-      and it is highly likely that we
            for the virus with nasal and  vided genome sequencing     such  as  fever  and  cough.  tive infections.            are currently be missing the
            throat swabs, a small bit of  of  seven  samples  from  in-  For  some,  especially  older  Health  authorities  tried  to  vast  majority  of  cases  oc-
            the specimen can be used  fected passengers who got       adults  and  people  with  trace  all  the  people  who  curring across the country."
            to rapidly sequence the vi-  off  the  Grand  Princess  this   existing health problems, it  had  contact  with  the  first  "Unless our ability to detect
            rus' genome. That work has  week.  An  eighth  sample     can cause more severe ill-   U.S. case, a resident of Sno-  cases is transformed within
            been  happening,  not  just  from an earlier Grand Prin-  ness, including pneumonia.  homish County, north of Se-   days and aggressive strate-
            in Seattle, but in other labs  cess  cruise  to  Mexico  had   The vast majority of people  attle, who had  visited  Wu-  gies  for  responses  are  put
            around the world. Scientists  ties  to  Washington  state,   recover within a few weeks.  han,  the  Chinese  city  that  in place, within a couple of
            are  sharing  their  results  on  Chiu  said,  and  that  per-  Based  on  genome  se-  was the initial epicenter of  weeks, we are going to find
            a  public  platform  where  son  likely  seeded  the  out-  quencing  of  18  Washing-  the  outbreak.  He  landed  ourselves in a situation that
            they've  been  sharing  influ-  break  among  passengers   ton  state  cases,  Bedford  at  Seattle-Tacoma  Inter-  is  very  similar  to  the  one
            enza  genome  data  since  on board as the ship left for   believes the state outbreak  national Airport on Jan. 15  currently unfolding in Italy,"
            2008.                        Hawaii.                      began  with  one  person,  and started feeling sick the  Andersen wrote.q
            This  week,  Bedford's  lab  "The  simplest  explanation,"
            at  the  Fred  Hutchinson  Chiu said, is that the earlier
            Cancer  Research  Center  Grand  Princess  passenger
            worked  with  California  re-  had  been  in  Washington
            searchers  to  find  links  be-  state and then seeded the
            tween a cluster of cases in  cruise ship outbreak.
            the  Seattle  area  and  the  There's  an  alternative  ex-
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