Genomic insights into the 2022-2023Vibrio cholerae outbreak in Malawi.


Journal

Nature communications
ISSN: 2041-1723
Titre abrégé: Nat Commun
Pays: England
ID NLM: 101528555

Informations de publication

Date de publication:
26 Jul 2024
Historique:
received: 08 06 2023
accepted: 09 07 2024
medline: 27 7 2024
pubmed: 27 7 2024
entrez: 26 7 2024
Statut: epublish

Résumé

Malawi experienced its deadliest Vibrio cholerae (Vc) outbreak following devastating cyclones, with >58,000 cases and >1700 deaths reported between March 2022 and May 2023. Here, we use population genomics to investigate the attributes and origin of the Malawi 2022-2023 Vc outbreak isolates. Our results demonstrate the predominance of ST69 clone, also known as the seventh cholera pandemic El Tor (7PET) lineage, expressing O1 Ogawa (~ 80%) serotype followed by Inaba (~ 16%) and sporadic non-O1/non-7PET serogroups (~ 4%). Phylogenetic reconstruction revealed that the Malawi outbreak strains correspond to a recent importation from Asia into Africa (sublineage AFR15). These isolates harboured known antimicrobial resistance and virulence elements, notably the ICE

Identifiants

pubmed: 39060226
doi: 10.1038/s41467-024-50484-w
pii: 10.1038/s41467-024-50484-w
doi:

Types de publication

Journal Article

Langues

eng

Sous-ensembles de citation

IM

Pagination

6291

Informations de copyright

© 2024. The Author(s).

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Auteurs

Chrispin Chaguza (C)

Department of Epidemiology of Microbial Diseases, Yale School of Public Health, Yale University, New Haven, CT, USA. chrispin.chaguza@yale.edu.
Yale Institute for Global Health, Yale University, New Haven, CT, USA. chrispin.chaguza@yale.edu.
Department of Clinical Infection, Microbiology and Immunology, Institute of Infection, Veterinary and Ecological Sciences, University of Liverpool, Liverpool, UK. chrispin.chaguza@yale.edu.
NIHR Mucosal Pathogens Research Unit, Research Department of Infection, Division of Infection and Immunity, University College London, London, UK. chrispin.chaguza@yale.edu.
Parasites and Microbes Programme, Wellcome Sanger Institute, Hinxton, UK. chrispin.chaguza@yale.edu.

Innocent Chibwe (I)

Public Health Institute of Malawi, Ministry of Health, Lilongwe, Malawi.

David Chaima (D)

Department of Pathology, School of Medicine and Oral Health, Kamuzu University of Health Sciences, Blantyre, Malawi.

Patrick Musicha (P)

Parasites and Microbes Programme, Wellcome Sanger Institute, Hinxton, UK.
Malawi-Liverpool-Wellcome Research Programme, Blantyre, Malawi.

Latif Ndeketa (L)

Department of Clinical Infection, Microbiology and Immunology, Institute of Infection, Veterinary and Ecological Sciences, University of Liverpool, Liverpool, UK.
Malawi-Liverpool-Wellcome Research Programme, Blantyre, Malawi.

Watipaso Kasambara (W)

Public Health Institute of Malawi, Ministry of Health, Lilongwe, Malawi.

Chimwemwe Mhango (C)

Malawi-Liverpool-Wellcome Research Programme, Blantyre, Malawi.

Upendo L Mseka (UL)

Malawi-Liverpool-Wellcome Research Programme, Blantyre, Malawi.

Joseph Bitilinyu-Bangoh (J)

Public Health Institute of Malawi, Ministry of Health, Lilongwe, Malawi.

Bernard Mvula (B)

Public Health Institute of Malawi, Ministry of Health, Lilongwe, Malawi.

Wakisa Kipandula (W)

Department of Medical Laboratory Sciences, Faculty of Biomedical Sciences and Health profession, Kamuzu University of Health Sciences, Blantyre, Malawi.

Patrick Bonongwe (P)

Ministry of Health, Balaka District Hospital, Balaka, Machinga, Malawi.

Richard J Munthali (RJ)

Department of Psychiatry, University of British Columbia, Vancouver, BC, Canada.

Selemani Ngwira (S)

Public Health Institute of Malawi, Ministry of Health, Lilongwe, Malawi.

Chikondi A Mwendera (CA)

Department of Clinical Infection, Microbiology and Immunology, Institute of Infection, Veterinary and Ecological Sciences, University of Liverpool, Liverpool, UK.

Akuzike Kalizang'oma (A)

NIHR Mucosal Pathogens Research Unit, Research Department of Infection, Division of Infection and Immunity, University College London, London, UK.
Malawi-Liverpool-Wellcome Research Programme, Blantyre, Malawi.

Kondwani C Jambo (KC)

Malawi-Liverpool-Wellcome Research Programme, Blantyre, Malawi.
Department of Clinical Sciences, Liverpool School of Tropical Medicine, Liverpool, UK.

Dzinkambani Kambalame (D)

Public Health Institute of Malawi, Ministry of Health, Lilongwe, Malawi.

Arox W Kamng'ona (AW)

Department of Biomedical Sciences, School of Life Sciences and Allied Health Professions, Kamuzu University of Health Sciences, Blantyre, Malawi.

A Duncan Steele (AD)

Diarrhoeal Pathogens Research Unit, Sefako Makgatho Health Sciences University, Medunsa, 0204, Pretoria, South Africa.

Annie Chauma-Mwale (A)

Public Health Institute of Malawi, Ministry of Health, Lilongwe, Malawi.

Daniel Hungerford (D)

Department of Clinical Infection, Microbiology and Immunology, Institute of Infection, Veterinary and Ecological Sciences, University of Liverpool, Liverpool, UK.
NIHR Health Protection Research Unit in Gastrointestinal Infections, University of Liverpool, Liverpool, UK.

Matthew Kagoli (M)

Public Health Institute of Malawi, Ministry of Health, Lilongwe, Malawi.

Martin M Nyaga (MM)

Next Generation Sequencing Unit and Division of Virology, Faculty of Health Sciences, University of the Free State, Bloemfontein, 9300, South Africa.

Queen Dube (Q)

Malawi Ministry of Health, Lilongwe, Malawi.

Neil French (N)

Department of Clinical Infection, Microbiology and Immunology, Institute of Infection, Veterinary and Ecological Sciences, University of Liverpool, Liverpool, UK.
Malawi-Liverpool-Wellcome Research Programme, Blantyre, Malawi.

Chisomo L Msefula (CL)

Department of Pathology, School of Medicine and Oral Health, Kamuzu University of Health Sciences, Blantyre, Malawi.

Nigel A Cunliffe (NA)

Department of Clinical Infection, Microbiology and Immunology, Institute of Infection, Veterinary and Ecological Sciences, University of Liverpool, Liverpool, UK.
NIHR Health Protection Research Unit in Gastrointestinal Infections, University of Liverpool, Liverpool, UK.
NIHR Global Health Research Group on Gastrointestinal Infections, University of Liverpool, Liverpool, UK.

Khuzwayo C Jere (KC)

Department of Clinical Infection, Microbiology and Immunology, Institute of Infection, Veterinary and Ecological Sciences, University of Liverpool, Liverpool, UK. Khuzwayo.Jere@liverpool.ac.uk.
Malawi-Liverpool-Wellcome Research Programme, Blantyre, Malawi. Khuzwayo.Jere@liverpool.ac.uk.
Department of Medical Laboratory Sciences, Faculty of Biomedical Sciences and Health profession, Kamuzu University of Health Sciences, Blantyre, Malawi. Khuzwayo.Jere@liverpool.ac.uk.
NIHR Health Protection Research Unit in Gastrointestinal Infections, University of Liverpool, Liverpool, UK. Khuzwayo.Jere@liverpool.ac.uk.
NIHR Global Health Research Group on Gastrointestinal Infections, University of Liverpool, Liverpool, UK. Khuzwayo.Jere@liverpool.ac.uk.

Classifications MeSH