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Genetic evolution of influenza viruses among selected countries in Latin America, 2017–2018

Identifieur interne : 000C67 ( Pmc/Curation ); précédent : 000C66; suivant : 000C68

Genetic evolution of influenza viruses among selected countries in Latin America, 2017–2018

Auteurs : Juliana Almeida Leite [États-Unis] ; Paola Resende [Brésil] ; Jenny Lara Araya [Costa Rica] ; Gisela Badillo Barrera [Mexique] ; Elsa Baumeister [Argentine] ; Alfredo Bruno Caicedo [Équateur] ; Leticia Coppola [Uruguay] ; Wyller Alencar De Mello [Brésil] ; Domenica De Mora [Équateur] ; Mirleide Cordeiro Dos Santos [Brésil] ; Rodrigo Fasce [Chili] ; Jorge Fernández [Chili] ; Natalia Go I [Uruguay] ; Irma L Pez Martínez [Mexique] ; Jannet Otárola Mayhua [Pérou] ; Fernando Motta [Brésil] ; Maribel Carmen Huaringa Nu Ez [Pérou] ; Jenny Ojeda [Équateur] ; María José Ortega [Paraguay] ; Erika Ospitia [Colombie] ; Terezinha Maria De Paiva [Brésil] ; Andrea Pontoriero [Argentine] ; Hebleen Brenes Porras [Costa Rica] ; Jose Alberto Diaz Quinonez [Mexique] ; Viviana Ramas [Uruguay] ; Juliana Barbosa Ramírez [Colombie] ; Katia Correa De Oliveira Santos [Brésil] ; Marilda Mendonça Siqueira [Brésil] ; Cynthia Vàzquez [Paraguay] ; Rakhee Palekar [États-Unis]

Source :

RBID : PMC:7064222

Abstract

Objective

Since the 2009 influenza pandemic, Latin American (LA) countries have strengthened their influenza surveillance systems. We analyzed influenza genetic sequence data from the 2017 through 2018 Southern Hemisphere (SH) influenza season from selected LA countries, to map the availability of influenza genetic sequence data from, and to describe, the 2017 through 2018 SH influenza seasons in LA.

Methods

We analyzed influenza A/H1pdm09, A/H3, B/Victoria and B/Yamagata hemagglutinin sequences from clinical samples from 12 National Influenza Centers (NICs) in ten countries (Argentina, Brazil, Chile, Colombia, Costa Rica, Ecuador, Mexico, Paraguay, Peru and Uruguay) with a collection date from epidemiologic week (EW) 18, 2017 through EW 43, 2018. These sequences were generated by the NIC or the WHO Collaborating Center (CC) at the U.S Centers for Disease Control and Prevention, uploaded to the Global Initiative on Sharing All Influenza Data (GISAID) platform, and used for phylogenetic reconstruction.

Findings

Influenza hemagglutinin sequences from the participating countries (A/H1pdm09 n = 326, A/H3 n = 636, B n = 433) were highly concordant with the genetic groups of the influenza vaccine-recommended viruses for influenza A/H1pdm09 and influenza B. For influenza A/H3, the concordance was variable.

Conclusions

Considering the constant evolution of influenza viruses, high-quality surveillance data—specifically genetic sequence data, are important to allow public health decision makers to make informed decisions about prevention and control strategies, such as influenza vaccine composition. Countries that conduct influenza genetic sequencing for surveillance in LA should continue to work with the WHO CCs to produce high-quality genetic sequence data and upload those sequences to open-access databases.


Url:
DOI: 10.1371/journal.pone.0227962
PubMed: 32155152
PubMed Central: 7064222

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PMC:7064222

Le document en format XML

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<name sortKey="Barrera, Gisela Badillo" sort="Barrera, Gisela Badillo" uniqKey="Barrera G" first="Gisela Badillo" last="Barrera">Gisela Badillo Barrera</name>
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<name sortKey="Caicedo, Alfredo Bruno" sort="Caicedo, Alfredo Bruno" uniqKey="Caicedo A" first="Alfredo Bruno" last="Caicedo">Alfredo Bruno Caicedo</name>
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<name sortKey="Coppola, Leticia" sort="Coppola, Leticia" uniqKey="Coppola L" first="Leticia" last="Coppola">Leticia Coppola</name>
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<name sortKey="De Mello, Wyller Alencar" sort="De Mello, Wyller Alencar" uniqKey="De Mello W" first="Wyller Alencar" last="De Mello">Wyller Alencar De Mello</name>
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<name sortKey="De Mora, Domenica" sort="De Mora, Domenica" uniqKey="De Mora D" first="Domenica" last="De Mora">Domenica De Mora</name>
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<name sortKey="Martinez, Irma L Pez" sort="Martinez, Irma L Pez" uniqKey="Martinez I" first="Irma L Pez" last="Martínez">Irma L Pez Martínez</name>
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<name sortKey="Nu Ez, Maribel Carmen Huaringa" sort="Nu Ez, Maribel Carmen Huaringa" uniqKey="Nu Ez M" first="Maribel Carmen Huaringa" last="Nu Ez">Maribel Carmen Huaringa Nu Ez</name>
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<name sortKey="Ortega, Maria Jose" sort="Ortega, Maria Jose" uniqKey="Ortega M" first="María José" last="Ortega">María José Ortega</name>
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<name sortKey="Ospitia, Erika" sort="Ospitia, Erika" uniqKey="Ospitia E" first="Erika" last="Ospitia">Erika Ospitia</name>
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<name sortKey="Porras, Hebleen Brenes" sort="Porras, Hebleen Brenes" uniqKey="Porras H" first="Hebleen Brenes" last="Porras">Hebleen Brenes Porras</name>
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<nlm:aff id="aff003">
<addr-line>Instituto Costarricense de Investigación y Enseñanza en Nutrición y Salud (INCIENSA), Tres Ríos, Cartago, Costa Rica</addr-line>
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<country xml:lang="fr">Costa Rica</country>
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<name sortKey="Quinonez, Jose Alberto Diaz" sort="Quinonez, Jose Alberto Diaz" uniqKey="Quinonez J" first="Jose Alberto Diaz" last="Quinonez">Jose Alberto Diaz Quinonez</name>
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<addr-line>Instituto de Diagnóstico y Referencia Epidemiológicos (InDRE), Ciudad de México, Mexico, Mexico</addr-line>
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<country xml:lang="fr">Mexique</country>
<wicri:regionArea>Instituto de Diagnóstico y Referencia Epidemiológicos (InDRE), Ciudad de México, Mexico</wicri:regionArea>
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<nlm:aff id="aff015">
<addr-line> Division of Postgraduate Studies, Faculty of Medicine, National Autonomous University of Mexico, Mexico City, Mexico</addr-line>
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<country xml:lang="fr">Mexique</country>
<wicri:regionArea> Division of Postgraduate Studies, Faculty of Medicine, National Autonomous University of Mexico, Mexico City</wicri:regionArea>
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<name sortKey="Ramas, Viviana" sort="Ramas, Viviana" uniqKey="Ramas V" first="Viviana" last="Ramas">Viviana Ramas</name>
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<addr-line>Departamento de Laboratorio de Salud Publica (DLSP), Montevideo, Montevideo, Uruguay</addr-line>
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<country xml:lang="fr">Uruguay</country>
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<name sortKey="Ramirez, Juliana Barbosa" sort="Ramirez, Juliana Barbosa" uniqKey="Ramirez J" first="Juliana Barbosa" last="Ramírez">Juliana Barbosa Ramírez</name>
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<name sortKey="Santos, Katia Correa De Oliveira" sort="Santos, Katia Correa De Oliveira" uniqKey="Santos K" first="Katia Correa De Oliveira" last="Santos">Katia Correa De Oliveira Santos</name>
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<name sortKey="Siqueira, Marilda Mendonca" sort="Siqueira, Marilda Mendonca" uniqKey="Siqueira M" first="Marilda Mendonça" last="Siqueira">Marilda Mendonça Siqueira</name>
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<name sortKey="Vazquez, Cynthia" sort="Vazquez, Cynthia" uniqKey="Vazquez C" first="Cynthia" last="Vàzquez">Cynthia Vàzquez</name>
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<addr-line>Laboratorio Central de Salud Pública (LCSP), Ascuncion, Distrito Capital, Paraguay</addr-line>
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<title xml:lang="en" level="a" type="main">Genetic evolution of influenza viruses among selected countries in Latin America, 2017–2018</title>
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<name sortKey="Resende, Paola" sort="Resende, Paola" uniqKey="Resende P" first="Paola" last="Resende">Paola Resende</name>
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<country xml:lang="fr">Brésil</country>
<wicri:regionArea>Laboratorio de Virus Respiratorio, Fundação Oswaldo Cruz (Fiocruz), Rio de Janeiro, Rio de Janeiro</wicri:regionArea>
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<name sortKey="Araya, Jenny Lara" sort="Araya, Jenny Lara" uniqKey="Araya J" first="Jenny Lara" last="Araya">Jenny Lara Araya</name>
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<nlm:aff id="aff003">
<addr-line>Instituto Costarricense de Investigación y Enseñanza en Nutrición y Salud (INCIENSA), Tres Ríos, Cartago, Costa Rica</addr-line>
</nlm:aff>
<country xml:lang="fr">Costa Rica</country>
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<name sortKey="Barrera, Gisela Badillo" sort="Barrera, Gisela Badillo" uniqKey="Barrera G" first="Gisela Badillo" last="Barrera">Gisela Badillo Barrera</name>
<affiliation wicri:level="1">
<nlm:aff id="aff004">
<addr-line>Instituto de Diagnóstico y Referencia Epidemiológicos (InDRE), Ciudad de México, Mexico, Mexico</addr-line>
</nlm:aff>
<country xml:lang="fr">Mexique</country>
<wicri:regionArea>Instituto de Diagnóstico y Referencia Epidemiológicos (InDRE), Ciudad de México, Mexico</wicri:regionArea>
</affiliation>
</author>
<author>
<name sortKey="Baumeister, Elsa" sort="Baumeister, Elsa" uniqKey="Baumeister E" first="Elsa" last="Baumeister">Elsa Baumeister</name>
<affiliation wicri:level="1">
<nlm:aff id="aff005">
<addr-line>Instituto Nacional de Enfermedades Infecciosas—Administración Nacional de Laboratorios e Institutos de Salud (INEI-ANLIS) "Dr. Carlos G. Malbran", Buenos Aires, Argentina</addr-line>
</nlm:aff>
<country xml:lang="fr">Argentine</country>
<wicri:regionArea>Instituto Nacional de Enfermedades Infecciosas—Administración Nacional de Laboratorios e Institutos de Salud (INEI-ANLIS) "Dr. Carlos G. Malbran", Buenos Aires</wicri:regionArea>
</affiliation>
</author>
<author>
<name sortKey="Caicedo, Alfredo Bruno" sort="Caicedo, Alfredo Bruno" uniqKey="Caicedo A" first="Alfredo Bruno" last="Caicedo">Alfredo Bruno Caicedo</name>
<affiliation wicri:level="1">
<nlm:aff id="aff006">
<addr-line>Instituto Nacional de Investigación en Salud Pública (INSPI), Guayaquil, Guayas, Ecuador</addr-line>
</nlm:aff>
<country xml:lang="fr">Équateur</country>
<wicri:regionArea>Instituto Nacional de Investigación en Salud Pública (INSPI), Guayaquil, Guayas</wicri:regionArea>
</affiliation>
</author>
<author>
<name sortKey="Coppola, Leticia" sort="Coppola, Leticia" uniqKey="Coppola L" first="Leticia" last="Coppola">Leticia Coppola</name>
<affiliation wicri:level="1">
<nlm:aff id="aff007">
<addr-line>Departamento de Laboratorio de Salud Publica (DLSP), Montevideo, Montevideo, Uruguay</addr-line>
</nlm:aff>
<country xml:lang="fr">Uruguay</country>
<wicri:regionArea>Departamento de Laboratorio de Salud Publica (DLSP), Montevideo, Montevideo</wicri:regionArea>
</affiliation>
</author>
<author>
<name sortKey="De Mello, Wyller Alencar" sort="De Mello, Wyller Alencar" uniqKey="De Mello W" first="Wyller Alencar" last="De Mello">Wyller Alencar De Mello</name>
<affiliation wicri:level="1">
<nlm:aff id="aff008">
<addr-line>Instituto Evandro Chagas (IEC), Ananindeua, Para, Brazil</addr-line>
</nlm:aff>
<country xml:lang="fr">Brésil</country>
<wicri:regionArea>Instituto Evandro Chagas (IEC), Ananindeua, Para</wicri:regionArea>
</affiliation>
</author>
<author>
<name sortKey="De Mora, Domenica" sort="De Mora, Domenica" uniqKey="De Mora D" first="Domenica" last="De Mora">Domenica De Mora</name>
<affiliation wicri:level="1">
<nlm:aff id="aff006">
<addr-line>Instituto Nacional de Investigación en Salud Pública (INSPI), Guayaquil, Guayas, Ecuador</addr-line>
</nlm:aff>
<country xml:lang="fr">Équateur</country>
<wicri:regionArea>Instituto Nacional de Investigación en Salud Pública (INSPI), Guayaquil, Guayas</wicri:regionArea>
</affiliation>
</author>
<author>
<name sortKey="Cordeiro Dos Santos, Mirleide" sort="Cordeiro Dos Santos, Mirleide" uniqKey="Cordeiro Dos Santos M" first="Mirleide" last="Cordeiro Dos Santos">Mirleide Cordeiro Dos Santos</name>
<affiliation wicri:level="1">
<nlm:aff id="aff008">
<addr-line>Instituto Evandro Chagas (IEC), Ananindeua, Para, Brazil</addr-line>
</nlm:aff>
<country xml:lang="fr">Brésil</country>
<wicri:regionArea>Instituto Evandro Chagas (IEC), Ananindeua, Para</wicri:regionArea>
</affiliation>
</author>
<author>
<name sortKey="Fasce, Rodrigo" sort="Fasce, Rodrigo" uniqKey="Fasce R" first="Rodrigo" last="Fasce">Rodrigo Fasce</name>
<affiliation wicri:level="1">
<nlm:aff id="aff009">
<addr-line>Instituto de Salud Pública de Chile (ISPCH), Santiago, Santiago, Chile</addr-line>
</nlm:aff>
<country xml:lang="fr">Chili</country>
<wicri:regionArea>Instituto de Salud Pública de Chile (ISPCH), Santiago, Santiago</wicri:regionArea>
</affiliation>
</author>
<author>
<name sortKey="Fernandez, Jorge" sort="Fernandez, Jorge" uniqKey="Fernandez J" first="Jorge" last="Fernández">Jorge Fernández</name>
<affiliation wicri:level="1">
<nlm:aff id="aff009">
<addr-line>Instituto de Salud Pública de Chile (ISPCH), Santiago, Santiago, Chile</addr-line>
</nlm:aff>
<country xml:lang="fr">Chili</country>
<wicri:regionArea>Instituto de Salud Pública de Chile (ISPCH), Santiago, Santiago</wicri:regionArea>
</affiliation>
</author>
<author>
<name sortKey="Go I, Natalia" sort="Go I, Natalia" uniqKey="Go I N" first="Natalia" last="Go I">Natalia Go I</name>
<affiliation wicri:level="1">
<nlm:aff id="aff007">
<addr-line>Departamento de Laboratorio de Salud Publica (DLSP), Montevideo, Montevideo, Uruguay</addr-line>
</nlm:aff>
<country xml:lang="fr">Uruguay</country>
<wicri:regionArea>Departamento de Laboratorio de Salud Publica (DLSP), Montevideo, Montevideo</wicri:regionArea>
</affiliation>
</author>
<author>
<name sortKey="Martinez, Irma L Pez" sort="Martinez, Irma L Pez" uniqKey="Martinez I" first="Irma L Pez" last="Martínez">Irma L Pez Martínez</name>
<affiliation wicri:level="1">
<nlm:aff id="aff004">
<addr-line>Instituto de Diagnóstico y Referencia Epidemiológicos (InDRE), Ciudad de México, Mexico, Mexico</addr-line>
</nlm:aff>
<country xml:lang="fr">Mexique</country>
<wicri:regionArea>Instituto de Diagnóstico y Referencia Epidemiológicos (InDRE), Ciudad de México, Mexico</wicri:regionArea>
</affiliation>
</author>
<author>
<name sortKey="Mayhua, Jannet Otarola" sort="Mayhua, Jannet Otarola" uniqKey="Mayhua J" first="Jannet Otárola" last="Mayhua">Jannet Otárola Mayhua</name>
<affiliation wicri:level="1">
<nlm:aff id="aff010">
<addr-line>Instituto Nacional de Salud (INS), Chorrillos, Lima, Peru</addr-line>
</nlm:aff>
<country xml:lang="fr">Pérou</country>
<wicri:regionArea>Instituto Nacional de Salud (INS), Chorrillos, Lima</wicri:regionArea>
</affiliation>
</author>
<author>
<name sortKey="Motta, Fernando" sort="Motta, Fernando" uniqKey="Motta F" first="Fernando" last="Motta">Fernando Motta</name>
<affiliation wicri:level="1">
<nlm:aff id="aff002">
<addr-line>Laboratorio de Virus Respiratorio, Fundação Oswaldo Cruz (Fiocruz), Rio de Janeiro, Rio de Janeiro, Brazil</addr-line>
</nlm:aff>
<country xml:lang="fr">Brésil</country>
<wicri:regionArea>Laboratorio de Virus Respiratorio, Fundação Oswaldo Cruz (Fiocruz), Rio de Janeiro, Rio de Janeiro</wicri:regionArea>
</affiliation>
</author>
<author>
<name sortKey="Nu Ez, Maribel Carmen Huaringa" sort="Nu Ez, Maribel Carmen Huaringa" uniqKey="Nu Ez M" first="Maribel Carmen Huaringa" last="Nu Ez">Maribel Carmen Huaringa Nu Ez</name>
<affiliation wicri:level="1">
<nlm:aff id="aff010">
<addr-line>Instituto Nacional de Salud (INS), Chorrillos, Lima, Peru</addr-line>
</nlm:aff>
<country xml:lang="fr">Pérou</country>
<wicri:regionArea>Instituto Nacional de Salud (INS), Chorrillos, Lima</wicri:regionArea>
</affiliation>
</author>
<author>
<name sortKey="Ojeda, Jenny" sort="Ojeda, Jenny" uniqKey="Ojeda J" first="Jenny" last="Ojeda">Jenny Ojeda</name>
<affiliation wicri:level="1">
<nlm:aff id="aff011">
<addr-line>Ministerio de Salud Pública, Quito, Pichincha, Ecuador</addr-line>
</nlm:aff>
<country xml:lang="fr">Équateur</country>
<wicri:regionArea>Ministerio de Salud Pública, Quito, Pichincha</wicri:regionArea>
</affiliation>
</author>
<author>
<name sortKey="Ortega, Maria Jose" sort="Ortega, Maria Jose" uniqKey="Ortega M" first="María José" last="Ortega">María José Ortega</name>
<affiliation wicri:level="1">
<nlm:aff id="aff012">
<addr-line>Laboratorio Central de Salud Pública (LCSP), Ascuncion, Distrito Capital, Paraguay</addr-line>
</nlm:aff>
<country xml:lang="fr">Paraguay</country>
<wicri:regionArea>Laboratorio Central de Salud Pública (LCSP), Ascuncion, Distrito Capital</wicri:regionArea>
</affiliation>
</author>
<author>
<name sortKey="Ospitia, Erika" sort="Ospitia, Erika" uniqKey="Ospitia E" first="Erika" last="Ospitia">Erika Ospitia</name>
<affiliation wicri:level="1">
<nlm:aff id="aff013">
<addr-line>Instituto Nacional de Salud (INS), Bogota, Cundinamarca, Colombia</addr-line>
</nlm:aff>
<country xml:lang="fr">Colombie</country>
<wicri:regionArea>Instituto Nacional de Salud (INS), Bogota, Cundinamarca</wicri:regionArea>
</affiliation>
</author>
<author>
<name sortKey="De Paiva, Terezinha Maria" sort="De Paiva, Terezinha Maria" uniqKey="De Paiva T" first="Terezinha Maria" last="De Paiva">Terezinha Maria De Paiva</name>
<affiliation wicri:level="1">
<nlm:aff id="aff014">
<addr-line>Instituto Adolfo Lutz (IAL), Sao Paulo, Sao Paulo, Brazil</addr-line>
</nlm:aff>
<country xml:lang="fr">Brésil</country>
<wicri:regionArea>Instituto Adolfo Lutz (IAL), Sao Paulo, Sao Paulo</wicri:regionArea>
</affiliation>
</author>
<author>
<name sortKey="Pontoriero, Andrea" sort="Pontoriero, Andrea" uniqKey="Pontoriero A" first="Andrea" last="Pontoriero">Andrea Pontoriero</name>
<affiliation wicri:level="1">
<nlm:aff id="aff005">
<addr-line>Instituto Nacional de Enfermedades Infecciosas—Administración Nacional de Laboratorios e Institutos de Salud (INEI-ANLIS) "Dr. Carlos G. Malbran", Buenos Aires, Argentina</addr-line>
</nlm:aff>
<country xml:lang="fr">Argentine</country>
<wicri:regionArea>Instituto Nacional de Enfermedades Infecciosas—Administración Nacional de Laboratorios e Institutos de Salud (INEI-ANLIS) "Dr. Carlos G. Malbran", Buenos Aires</wicri:regionArea>
</affiliation>
</author>
<author>
<name sortKey="Porras, Hebleen Brenes" sort="Porras, Hebleen Brenes" uniqKey="Porras H" first="Hebleen Brenes" last="Porras">Hebleen Brenes Porras</name>
<affiliation wicri:level="1">
<nlm:aff id="aff003">
<addr-line>Instituto Costarricense de Investigación y Enseñanza en Nutrición y Salud (INCIENSA), Tres Ríos, Cartago, Costa Rica</addr-line>
</nlm:aff>
<country xml:lang="fr">Costa Rica</country>
<wicri:regionArea>Instituto Costarricense de Investigación y Enseñanza en Nutrición y Salud (INCIENSA), Tres Ríos, Cartago</wicri:regionArea>
</affiliation>
</author>
<author>
<name sortKey="Quinonez, Jose Alberto Diaz" sort="Quinonez, Jose Alberto Diaz" uniqKey="Quinonez J" first="Jose Alberto Diaz" last="Quinonez">Jose Alberto Diaz Quinonez</name>
<affiliation wicri:level="1">
<nlm:aff id="aff004">
<addr-line>Instituto de Diagnóstico y Referencia Epidemiológicos (InDRE), Ciudad de México, Mexico, Mexico</addr-line>
</nlm:aff>
<country xml:lang="fr">Mexique</country>
<wicri:regionArea>Instituto de Diagnóstico y Referencia Epidemiológicos (InDRE), Ciudad de México, Mexico</wicri:regionArea>
</affiliation>
<affiliation wicri:level="1">
<nlm:aff id="aff015">
<addr-line> Division of Postgraduate Studies, Faculty of Medicine, National Autonomous University of Mexico, Mexico City, Mexico</addr-line>
</nlm:aff>
<country xml:lang="fr">Mexique</country>
<wicri:regionArea> Division of Postgraduate Studies, Faculty of Medicine, National Autonomous University of Mexico, Mexico City</wicri:regionArea>
</affiliation>
</author>
<author>
<name sortKey="Ramas, Viviana" sort="Ramas, Viviana" uniqKey="Ramas V" first="Viviana" last="Ramas">Viviana Ramas</name>
<affiliation wicri:level="1">
<nlm:aff id="aff007">
<addr-line>Departamento de Laboratorio de Salud Publica (DLSP), Montevideo, Montevideo, Uruguay</addr-line>
</nlm:aff>
<country xml:lang="fr">Uruguay</country>
<wicri:regionArea>Departamento de Laboratorio de Salud Publica (DLSP), Montevideo, Montevideo</wicri:regionArea>
</affiliation>
</author>
<author>
<name sortKey="Ramirez, Juliana Barbosa" sort="Ramirez, Juliana Barbosa" uniqKey="Ramirez J" first="Juliana Barbosa" last="Ramírez">Juliana Barbosa Ramírez</name>
<affiliation wicri:level="1">
<nlm:aff id="aff013">
<addr-line>Instituto Nacional de Salud (INS), Bogota, Cundinamarca, Colombia</addr-line>
</nlm:aff>
<country xml:lang="fr">Colombie</country>
<wicri:regionArea>Instituto Nacional de Salud (INS), Bogota, Cundinamarca</wicri:regionArea>
</affiliation>
</author>
<author>
<name sortKey="Santos, Katia Correa De Oliveira" sort="Santos, Katia Correa De Oliveira" uniqKey="Santos K" first="Katia Correa De Oliveira" last="Santos">Katia Correa De Oliveira Santos</name>
<affiliation wicri:level="1">
<nlm:aff id="aff014">
<addr-line>Instituto Adolfo Lutz (IAL), Sao Paulo, Sao Paulo, Brazil</addr-line>
</nlm:aff>
<country xml:lang="fr">Brésil</country>
<wicri:regionArea>Instituto Adolfo Lutz (IAL), Sao Paulo, Sao Paulo</wicri:regionArea>
</affiliation>
</author>
<author>
<name sortKey="Siqueira, Marilda Mendonca" sort="Siqueira, Marilda Mendonca" uniqKey="Siqueira M" first="Marilda Mendonça" last="Siqueira">Marilda Mendonça Siqueira</name>
<affiliation wicri:level="1">
<nlm:aff id="aff002">
<addr-line>Laboratorio de Virus Respiratorio, Fundação Oswaldo Cruz (Fiocruz), Rio de Janeiro, Rio de Janeiro, Brazil</addr-line>
</nlm:aff>
<country xml:lang="fr">Brésil</country>
<wicri:regionArea>Laboratorio de Virus Respiratorio, Fundação Oswaldo Cruz (Fiocruz), Rio de Janeiro, Rio de Janeiro</wicri:regionArea>
</affiliation>
</author>
<author>
<name sortKey="Vazquez, Cynthia" sort="Vazquez, Cynthia" uniqKey="Vazquez C" first="Cynthia" last="Vàzquez">Cynthia Vàzquez</name>
<affiliation wicri:level="1">
<nlm:aff id="aff012">
<addr-line>Laboratorio Central de Salud Pública (LCSP), Ascuncion, Distrito Capital, Paraguay</addr-line>
</nlm:aff>
<country xml:lang="fr">Paraguay</country>
<wicri:regionArea>Laboratorio Central de Salud Pública (LCSP), Ascuncion, Distrito Capital</wicri:regionArea>
</affiliation>
</author>
<author>
<name sortKey="Palekar, Rakhee" sort="Palekar, Rakhee" uniqKey="Palekar R" first="Rakhee" last="Palekar">Rakhee Palekar</name>
<affiliation wicri:level="1">
<nlm:aff id="aff001">
<addr-line>Pan American Health Organization (PAHO/WHO), Washington, DC, United States of America</addr-line>
</nlm:aff>
<country xml:lang="fr">États-Unis</country>
<wicri:regionArea>Pan American Health Organization (PAHO/WHO), Washington, DC</wicri:regionArea>
</affiliation>
</author>
</analytic>
<series>
<title level="j">PLoS ONE</title>
<idno type="eISSN">1932-6203</idno>
<imprint>
<date when="2020">2020</date>
</imprint>
</series>
</biblStruct>
</sourceDesc>
</fileDesc>
<profileDesc>
<textClass></textClass>
</profileDesc>
</teiHeader>
<front>
<div type="abstract" xml:lang="en">
<sec id="sec001">
<title>Objective</title>
<p>Since the 2009 influenza pandemic, Latin American (LA) countries have strengthened their influenza surveillance systems. We analyzed influenza genetic sequence data from the 2017 through 2018 Southern Hemisphere (SH) influenza season from selected LA countries, to map the availability of influenza genetic sequence data from, and to describe, the 2017 through 2018 SH influenza seasons in LA.</p>
</sec>
<sec id="sec002">
<title>Methods</title>
<p>We analyzed influenza A/H1pdm09, A/H3, B/Victoria and B/Yamagata hemagglutinin sequences from clinical samples from 12 National Influenza Centers (NICs) in ten countries (Argentina, Brazil, Chile, Colombia, Costa Rica, Ecuador, Mexico, Paraguay, Peru and Uruguay) with a collection date from epidemiologic week (EW) 18, 2017 through EW 43, 2018. These sequences were generated by the NIC or the WHO Collaborating Center (CC) at the U.S Centers for Disease Control and Prevention, uploaded to the Global Initiative on Sharing All Influenza Data (GISAID) platform, and used for phylogenetic reconstruction.</p>
</sec>
<sec id="sec003">
<title>Findings</title>
<p>Influenza hemagglutinin sequences from the participating countries (A/H1pdm09 n = 326, A/H3 n = 636, B n = 433) were highly concordant with the genetic groups of the influenza vaccine-recommended viruses for influenza A/H1pdm09 and influenza B. For influenza A/H3, the concordance was variable.</p>
</sec>
<sec id="sec004">
<title>Conclusions</title>
<p>Considering the constant evolution of influenza viruses, high-quality surveillance data—specifically genetic sequence data, are important to allow public health decision makers to make informed decisions about prevention and control strategies, such as influenza vaccine composition. Countries that conduct influenza genetic sequencing for surveillance in LA should continue to work with the WHO CCs to produce high-quality genetic sequence data and upload those sequences to open-access databases.</p>
</sec>
</div>
</front>
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</author>
<author>
<name sortKey="Bowden, Ta" uniqKey="Bowden T">TA Bowden</name>
</author>
<author>
<name sortKey="Edwards, S" uniqKey="Edwards S">S Edwards</name>
</author>
<author>
<name sortKey="Gall, A" uniqKey="Gall A">A Gall</name>
</author>
<author>
<name sortKey="Watson, Sj" uniqKey="Watson S">SJ Watson</name>
</author>
</analytic>
</biblStruct>
<biblStruct>
<analytic>
<author>
<name sortKey="Petrova, Vn" uniqKey="Petrova V">VN Petrova</name>
</author>
<author>
<name sortKey="Russell, Ca" uniqKey="Russell C">CA Russell</name>
</author>
</analytic>
</biblStruct>
</listBibl>
</div1>
</back>
</TEI>
<pmc article-type="research-article">
<pmc-dir>properties open_access</pmc-dir>
<front>
<journal-meta>
<journal-id journal-id-type="nlm-ta">PLoS One</journal-id>
<journal-id journal-id-type="iso-abbrev">PLoS ONE</journal-id>
<journal-id journal-id-type="publisher-id">plos</journal-id>
<journal-id journal-id-type="pmc">plosone</journal-id>
<journal-title-group>
<journal-title>PLoS ONE</journal-title>
</journal-title-group>
<issn pub-type="epub">1932-6203</issn>
<publisher>
<publisher-name>Public Library of Science</publisher-name>
<publisher-loc>San Francisco, CA USA</publisher-loc>
</publisher>
</journal-meta>
<article-meta>
<article-id pub-id-type="pmid">32155152</article-id>
<article-id pub-id-type="pmc">7064222</article-id>
<article-id pub-id-type="doi">10.1371/journal.pone.0227962</article-id>
<article-id pub-id-type="publisher-id">PONE-D-19-16505</article-id>
<article-categories>
<subj-group subj-group-type="heading">
<subject>Research Article</subject>
</subj-group>
<subj-group subj-group-type="Discipline-v3">
<subject>Medicine and Health Sciences</subject>
<subj-group>
<subject>Infectious Diseases</subject>
<subj-group>
<subject>Viral Diseases</subject>
<subj-group>
<subject>Influenza</subject>
</subj-group>
</subj-group>
</subj-group>
</subj-group>
<subj-group subj-group-type="Discipline-v3">
<subject>Biology and life sciences</subject>
<subj-group>
<subject>Organisms</subject>
<subj-group>
<subject>Viruses</subject>
<subj-group>
<subject>RNA viruses</subject>
<subj-group>
<subject>Orthomyxoviruses</subject>
<subj-group>
<subject>Influenza Viruses</subject>
</subj-group>
</subj-group>
</subj-group>
</subj-group>
</subj-group>
</subj-group>
<subj-group subj-group-type="Discipline-v3">
<subject>Biology and Life Sciences</subject>
<subj-group>
<subject>Microbiology</subject>
<subj-group>
<subject>Medical Microbiology</subject>
<subj-group>
<subject>Microbial Pathogens</subject>
<subj-group>
<subject>Viral Pathogens</subject>
<subj-group>
<subject>Orthomyxoviruses</subject>
<subj-group>
<subject>Influenza Viruses</subject>
</subj-group>
</subj-group>
</subj-group>
</subj-group>
</subj-group>
</subj-group>
</subj-group>
<subj-group subj-group-type="Discipline-v3">
<subject>Medicine and Health Sciences</subject>
<subj-group>
<subject>Pathology and Laboratory Medicine</subject>
<subj-group>
<subject>Pathogens</subject>
<subj-group>
<subject>Microbial Pathogens</subject>
<subj-group>
<subject>Viral Pathogens</subject>
<subj-group>
<subject>Orthomyxoviruses</subject>
<subj-group>
<subject>Influenza Viruses</subject>
</subj-group>
</subj-group>
</subj-group>
</subj-group>
</subj-group>
</subj-group>
</subj-group>
<subj-group subj-group-type="Discipline-v3">
<subject>Biology and Life Sciences</subject>
<subj-group>
<subject>Organisms</subject>
<subj-group>
<subject>Viruses</subject>
<subj-group>
<subject>Viral Pathogens</subject>
<subj-group>
<subject>Orthomyxoviruses</subject>
<subj-group>
<subject>Influenza Viruses</subject>
</subj-group>
</subj-group>
</subj-group>
</subj-group>
</subj-group>
</subj-group>
<subj-group subj-group-type="Discipline-v3">
<subject>Biology and life sciences</subject>
<subj-group>
<subject>Organisms</subject>
<subj-group>
<subject>Viruses</subject>
<subj-group>
<subject>RNA viruses</subject>
<subj-group>
<subject>Orthomyxoviruses</subject>
<subj-group>
<subject>Influenza viruses</subject>
<subj-group>
<subject>Influenza B virus</subject>
</subj-group>
</subj-group>
</subj-group>
</subj-group>
</subj-group>
</subj-group>
</subj-group>
<subj-group subj-group-type="Discipline-v3">
<subject>Biology and life sciences</subject>
<subj-group>
<subject>Microbiology</subject>
<subj-group>
<subject>Medical microbiology</subject>
<subj-group>
<subject>Microbial pathogens</subject>
<subj-group>
<subject>Viral pathogens</subject>
<subj-group>
<subject>Orthomyxoviruses</subject>
<subj-group>
<subject>Influenza viruses</subject>
<subj-group>
<subject>Influenza B virus</subject>
</subj-group>
</subj-group>
</subj-group>
</subj-group>
</subj-group>
</subj-group>
</subj-group>
</subj-group>
<subj-group subj-group-type="Discipline-v3">
<subject>Medicine and health sciences</subject>
<subj-group>
<subject>Pathology and laboratory medicine</subject>
<subj-group>
<subject>Pathogens</subject>
<subj-group>
<subject>Microbial pathogens</subject>
<subj-group>
<subject>Viral pathogens</subject>
<subj-group>
<subject>Orthomyxoviruses</subject>
<subj-group>
<subject>Influenza viruses</subject>
<subj-group>
<subject>Influenza B virus</subject>
</subj-group>
</subj-group>
</subj-group>
</subj-group>
</subj-group>
</subj-group>
</subj-group>
</subj-group>
<subj-group subj-group-type="Discipline-v3">
<subject>Biology and life sciences</subject>
<subj-group>
<subject>Organisms</subject>
<subj-group>
<subject>Viruses</subject>
<subj-group>
<subject>Viral pathogens</subject>
<subj-group>
<subject>Orthomyxoviruses</subject>
<subj-group>
<subject>Influenza viruses</subject>
<subj-group>
<subject>Influenza B virus</subject>
</subj-group>
</subj-group>
</subj-group>
</subj-group>
</subj-group>
</subj-group>
</subj-group>
<subj-group subj-group-type="Discipline-v3">
<subject>Biology and Life Sciences</subject>
<subj-group>
<subject>Genetics</subject>
<subj-group>
<subject>Microbial Genetics</subject>
</subj-group>
</subj-group>
</subj-group>
<subj-group subj-group-type="Discipline-v3">
<subject>Research and Analysis Methods</subject>
<subj-group>
<subject>Database and Informatics Methods</subject>
<subj-group>
<subject>Bioinformatics</subject>
<subj-group>
<subject>Sequence Analysis</subject>
</subj-group>
</subj-group>
</subj-group>
</subj-group>
<subj-group subj-group-type="Discipline-v3">
<subject>Earth sciences</subject>
<subj-group>
<subject>Geography</subject>
<subj-group>
<subject>Geographic areas</subject>
<subj-group>
<subject>Southern Hemisphere</subject>
</subj-group>
</subj-group>
</subj-group>
</subj-group>
<subj-group subj-group-type="Discipline-v3">
<subject>Research and analysis methods</subject>
<subj-group>
<subject>Database and informatics methods</subject>
<subj-group>
<subject>Bioinformatics</subject>
<subj-group>
<subject>Sequence analysis</subject>
<subj-group>
<subject>DNA sequence analysis</subject>
</subj-group>
</subj-group>
</subj-group>
</subj-group>
</subj-group>
<subj-group subj-group-type="Discipline-v3">
<subject>Medicine and Health Sciences</subject>
<subj-group>
<subject>Infectious Diseases</subject>
<subj-group>
<subject>Infectious Disease Control</subject>
<subj-group>
<subject>Vaccines</subject>
<subj-group>
<subject>Viral Vaccines</subject>
</subj-group>
</subj-group>
</subj-group>
</subj-group>
</subj-group>
<subj-group subj-group-type="Discipline-v3">
<subject>Biology and Life Sciences</subject>
<subj-group>
<subject>Microbiology</subject>
<subj-group>
<subject>Virology</subject>
<subj-group>
<subject>Viral Vaccines</subject>
</subj-group>
</subj-group>
</subj-group>
</subj-group>
</article-categories>
<title-group>
<article-title>Genetic evolution of influenza viruses among selected countries in Latin America, 2017–2018</article-title>
<alt-title alt-title-type="running-head">Genetic evolution influenza viruses</alt-title>
</title-group>
<contrib-group>
<contrib contrib-type="author">
<contrib-id authenticated="true" contrib-id-type="orcid">http://orcid.org/0000-0002-8620-114X</contrib-id>
<name>
<surname>Leite</surname>
<given-names>Juliana Almeida</given-names>
</name>
<role content-type="http://credit.casrai.org/">Conceptualization</role>
<role content-type="http://credit.casrai.org/">Data curation</role>
<role content-type="http://credit.casrai.org/">Formal analysis</role>
<role content-type="http://credit.casrai.org/">Methodology</role>
<role content-type="http://credit.casrai.org/">Validation</role>
<role content-type="http://credit.casrai.org/">Writing – original draft</role>
<role content-type="http://credit.casrai.org/">Writing – review & editing</role>
<xref ref-type="aff" rid="aff001">
<sup>1</sup>
</xref>
</contrib>
<contrib contrib-type="author">
<name>
<surname>Resende</surname>
<given-names>Paola</given-names>
</name>
<role content-type="http://credit.casrai.org/">Conceptualization</role>
<role content-type="http://credit.casrai.org/">Formal analysis</role>
<role content-type="http://credit.casrai.org/">Software</role>
<role content-type="http://credit.casrai.org/">Validation</role>
<role content-type="http://credit.casrai.org/">Writing – original draft</role>
<xref ref-type="aff" rid="aff002">
<sup>2</sup>
</xref>
</contrib>
<contrib contrib-type="author">
<name>
<surname>Araya</surname>
<given-names>Jenny Lara</given-names>
</name>
<role content-type="http://credit.casrai.org/">Data curation</role>
<role content-type="http://credit.casrai.org/">Formal analysis</role>
<role content-type="http://credit.casrai.org/">Writing – review & editing</role>
<xref ref-type="aff" rid="aff003">
<sup>3</sup>
</xref>
</contrib>
<contrib contrib-type="author">
<name>
<surname>Barrera</surname>
<given-names>Gisela Badillo</given-names>
</name>
<role content-type="http://credit.casrai.org/">Data curation</role>
<role content-type="http://credit.casrai.org/">Formal analysis</role>
<role content-type="http://credit.casrai.org/">Writing – review & editing</role>
<xref ref-type="aff" rid="aff004">
<sup>4</sup>
</xref>
</contrib>
<contrib contrib-type="author">
<name>
<surname>Baumeister</surname>
<given-names>Elsa</given-names>
</name>
<role content-type="http://credit.casrai.org/">Data curation</role>
<role content-type="http://credit.casrai.org/">Formal analysis</role>
<role content-type="http://credit.casrai.org/">Writing – review & editing</role>
<xref ref-type="aff" rid="aff005">
<sup>5</sup>
</xref>
</contrib>
<contrib contrib-type="author">
<name>
<surname>Caicedo</surname>
<given-names>Alfredo Bruno</given-names>
</name>
<role content-type="http://credit.casrai.org/">Data curation</role>
<role content-type="http://credit.casrai.org/">Formal analysis</role>
<role content-type="http://credit.casrai.org/">Writing – review & editing</role>
<xref ref-type="aff" rid="aff006">
<sup>6</sup>
</xref>
</contrib>
<contrib contrib-type="author">
<name>
<surname>Coppola</surname>
<given-names>Leticia</given-names>
</name>
<role content-type="http://credit.casrai.org/">Data curation</role>
<role content-type="http://credit.casrai.org/">Formal analysis</role>
<role content-type="http://credit.casrai.org/">Writing – review & editing</role>
<xref ref-type="aff" rid="aff007">
<sup>7</sup>
</xref>
</contrib>
<contrib contrib-type="author">
<name>
<surname>de Mello</surname>
<given-names>Wyller Alencar</given-names>
</name>
<role content-type="http://credit.casrai.org/">Data curation</role>
<role content-type="http://credit.casrai.org/">Formal analysis</role>
<role content-type="http://credit.casrai.org/">Writing – review & editing</role>
<xref ref-type="aff" rid="aff008">
<sup>8</sup>
</xref>
</contrib>
<contrib contrib-type="author">
<name>
<surname>de Mora</surname>
<given-names>Domenica</given-names>
</name>
<role content-type="http://credit.casrai.org/">Data curation</role>
<role content-type="http://credit.casrai.org/">Formal analysis</role>
<role content-type="http://credit.casrai.org/">Writing – review & editing</role>
<xref ref-type="aff" rid="aff006">
<sup>6</sup>
</xref>
</contrib>
<contrib contrib-type="author">
<name>
<surname>Cordeiro dos Santos</surname>
<given-names>Mirleide</given-names>
</name>
<role content-type="http://credit.casrai.org/">Data curation</role>
<role content-type="http://credit.casrai.org/">Formal analysis</role>
<role content-type="http://credit.casrai.org/">Writing – review & editing</role>
<xref ref-type="aff" rid="aff008">
<sup>8</sup>
</xref>
</contrib>
<contrib contrib-type="author">
<name>
<surname>Fasce</surname>
<given-names>Rodrigo</given-names>
</name>
<role content-type="http://credit.casrai.org/">Data curation</role>
<role content-type="http://credit.casrai.org/">Formal analysis</role>
<role content-type="http://credit.casrai.org/">Writing – review & editing</role>
<xref ref-type="aff" rid="aff009">
<sup>9</sup>
</xref>
</contrib>
<contrib contrib-type="author">
<name>
<surname>Fernández</surname>
<given-names>Jorge</given-names>
</name>
<role content-type="http://credit.casrai.org/">Data curation</role>
<role content-type="http://credit.casrai.org/">Formal analysis</role>
<role content-type="http://credit.casrai.org/">Writing – review & editing</role>
<xref ref-type="aff" rid="aff009">
<sup>9</sup>
</xref>
</contrib>
<contrib contrib-type="author">
<contrib-id authenticated="true" contrib-id-type="orcid">http://orcid.org/0000-0002-3460-5097</contrib-id>
<name>
<surname>Goñi</surname>
<given-names>Natalia</given-names>
</name>
<role content-type="http://credit.casrai.org/">Data curation</role>
<role content-type="http://credit.casrai.org/">Formal analysis</role>
<role content-type="http://credit.casrai.org/">Writing – review & editing</role>
<xref ref-type="aff" rid="aff007">
<sup>7</sup>
</xref>
</contrib>
<contrib contrib-type="author">
<name>
<surname>Martínez</surname>
<given-names>Irma López</given-names>
</name>
<role content-type="http://credit.casrai.org/">Data curation</role>
<role content-type="http://credit.casrai.org/">Formal analysis</role>
<role content-type="http://credit.casrai.org/">Writing – review & editing</role>
<xref ref-type="aff" rid="aff004">
<sup>4</sup>
</xref>
</contrib>
<contrib contrib-type="author">
<name>
<surname>Mayhua</surname>
<given-names>Jannet Otárola</given-names>
</name>
<role content-type="http://credit.casrai.org/">Data curation</role>
<role content-type="http://credit.casrai.org/">Formal analysis</role>
<role content-type="http://credit.casrai.org/">Writing – review & editing</role>
<xref ref-type="aff" rid="aff010">
<sup>10</sup>
</xref>
</contrib>
<contrib contrib-type="author">
<name>
<surname>Motta</surname>
<given-names>Fernando</given-names>
</name>
<role content-type="http://credit.casrai.org/">Data curation</role>
<role content-type="http://credit.casrai.org/">Formal analysis</role>
<role content-type="http://credit.casrai.org/">Writing – review & editing</role>
<xref ref-type="aff" rid="aff002">
<sup>2</sup>
</xref>
</contrib>
<contrib contrib-type="author">
<name>
<surname>Nuñez</surname>
<given-names>Maribel Carmen Huaringa</given-names>
</name>
<role content-type="http://credit.casrai.org/">Data curation</role>
<role content-type="http://credit.casrai.org/">Formal analysis</role>
<role content-type="http://credit.casrai.org/">Writing – review & editing</role>
<xref ref-type="aff" rid="aff010">
<sup>10</sup>
</xref>
</contrib>
<contrib contrib-type="author">
<name>
<surname>Ojeda</surname>
<given-names>Jenny</given-names>
</name>
<role content-type="http://credit.casrai.org/">Data curation</role>
<role content-type="http://credit.casrai.org/">Formal analysis</role>
<role content-type="http://credit.casrai.org/">Writing – review & editing</role>
<xref ref-type="aff" rid="aff011">
<sup>11</sup>
</xref>
</contrib>
<contrib contrib-type="author">
<name>
<surname>Ortega</surname>
<given-names>María José</given-names>
</name>
<role content-type="http://credit.casrai.org/">Data curation</role>
<role content-type="http://credit.casrai.org/">Formal analysis</role>
<role content-type="http://credit.casrai.org/">Writing – review & editing</role>
<xref ref-type="aff" rid="aff012">
<sup>12</sup>
</xref>
</contrib>
<contrib contrib-type="author">
<name>
<surname>Ospitia</surname>
<given-names>Erika</given-names>
</name>
<role content-type="http://credit.casrai.org/">Data curation</role>
<role content-type="http://credit.casrai.org/">Formal analysis</role>
<role content-type="http://credit.casrai.org/">Writing – review & editing</role>
<xref ref-type="aff" rid="aff013">
<sup>13</sup>
</xref>
</contrib>
<contrib contrib-type="author">
<name>
<surname>de Paiva</surname>
<given-names>Terezinha Maria</given-names>
</name>
<role content-type="http://credit.casrai.org/">Data curation</role>
<role content-type="http://credit.casrai.org/">Formal analysis</role>
<role content-type="http://credit.casrai.org/">Writing – review & editing</role>
<xref ref-type="aff" rid="aff014">
<sup>14</sup>
</xref>
</contrib>
<contrib contrib-type="author">
<name>
<surname>Pontoriero</surname>
<given-names>Andrea</given-names>
</name>
<role content-type="http://credit.casrai.org/">Data curation</role>
<role content-type="http://credit.casrai.org/">Formal analysis</role>
<role content-type="http://credit.casrai.org/">Writing – review & editing</role>
<xref ref-type="aff" rid="aff005">
<sup>5</sup>
</xref>
</contrib>
<contrib contrib-type="author">
<name>
<surname>Porras</surname>
<given-names>Hebleen Brenes</given-names>
</name>
<role content-type="http://credit.casrai.org/">Data curation</role>
<role content-type="http://credit.casrai.org/">Formal analysis</role>
<role content-type="http://credit.casrai.org/">Writing – review & editing</role>
<xref ref-type="aff" rid="aff003">
<sup>3</sup>
</xref>
</contrib>
<contrib contrib-type="author">
<contrib-id authenticated="true" contrib-id-type="orcid">http://orcid.org/0000-0002-3503-7079</contrib-id>
<name>
<surname>Quinonez</surname>
<given-names>Jose Alberto Diaz</given-names>
</name>
<role content-type="http://credit.casrai.org/">Data curation</role>
<role content-type="http://credit.casrai.org/">Formal analysis</role>
<role content-type="http://credit.casrai.org/">Writing – review & editing</role>
<xref ref-type="aff" rid="aff004">
<sup>4</sup>
</xref>
<xref ref-type="aff" rid="aff015">
<sup>15</sup>
</xref>
</contrib>
<contrib contrib-type="author">
<name>
<surname>Ramas</surname>
<given-names>Viviana</given-names>
</name>
<role content-type="http://credit.casrai.org/">Data curation</role>
<role content-type="http://credit.casrai.org/">Formal analysis</role>
<role content-type="http://credit.casrai.org/">Writing – review & editing</role>
<xref ref-type="aff" rid="aff007">
<sup>7</sup>
</xref>
</contrib>
<contrib contrib-type="author">
<name>
<surname>Ramírez</surname>
<given-names>Juliana Barbosa</given-names>
</name>
<role content-type="http://credit.casrai.org/">Data curation</role>
<role content-type="http://credit.casrai.org/">Formal analysis</role>
<role content-type="http://credit.casrai.org/">Writing – review & editing</role>
<xref ref-type="aff" rid="aff013">
<sup>13</sup>
</xref>
</contrib>
<contrib contrib-type="author">
<name>
<surname>Santos</surname>
<given-names>Katia Correa de Oliveira</given-names>
</name>
<role content-type="http://credit.casrai.org/">Data curation</role>
<role content-type="http://credit.casrai.org/">Formal analysis</role>
<role content-type="http://credit.casrai.org/">Writing – review & editing</role>
<xref ref-type="aff" rid="aff014">
<sup>14</sup>
</xref>
</contrib>
<contrib contrib-type="author">
<name>
<surname>Siqueira</surname>
<given-names>Marilda Mendonça</given-names>
</name>
<role content-type="http://credit.casrai.org/">Data curation</role>
<role content-type="http://credit.casrai.org/">Formal analysis</role>
<role content-type="http://credit.casrai.org/">Writing – review & editing</role>
<xref ref-type="aff" rid="aff002">
<sup>2</sup>
</xref>
</contrib>
<contrib contrib-type="author">
<name>
<surname>Vàzquez</surname>
<given-names>Cynthia</given-names>
</name>
<role content-type="http://credit.casrai.org/">Data curation</role>
<role content-type="http://credit.casrai.org/">Formal analysis</role>
<role content-type="http://credit.casrai.org/">Writing – review & editing</role>
<xref ref-type="aff" rid="aff012">
<sup>12</sup>
</xref>
</contrib>
<contrib contrib-type="author">
<contrib-id authenticated="true" contrib-id-type="orcid">http://orcid.org/0000-0001-5216-3117</contrib-id>
<name>
<surname>Palekar</surname>
<given-names>Rakhee</given-names>
</name>
<role content-type="http://credit.casrai.org/">Conceptualization</role>
<role content-type="http://credit.casrai.org/">Formal analysis</role>
<role content-type="http://credit.casrai.org/">Methodology</role>
<role content-type="http://credit.casrai.org/">Project administration</role>
<role content-type="http://credit.casrai.org/">Supervision</role>
<role content-type="http://credit.casrai.org/">Visualization</role>
<role content-type="http://credit.casrai.org/">Writing – original draft</role>
<role content-type="http://credit.casrai.org/">Writing – review & editing</role>
<xref ref-type="aff" rid="aff001">
<sup>1</sup>
</xref>
<xref ref-type="corresp" rid="cor001">*</xref>
</contrib>
</contrib-group>
<aff id="aff001">
<label>1</label>
<addr-line>Pan American Health Organization (PAHO/WHO), Washington, DC, United States of America</addr-line>
</aff>
<aff id="aff002">
<label>2</label>
<addr-line>Laboratorio de Virus Respiratorio, Fundação Oswaldo Cruz (Fiocruz), Rio de Janeiro, Rio de Janeiro, Brazil</addr-line>
</aff>
<aff id="aff003">
<label>3</label>
<addr-line>Instituto Costarricense de Investigación y Enseñanza en Nutrición y Salud (INCIENSA), Tres Ríos, Cartago, Costa Rica</addr-line>
</aff>
<aff id="aff004">
<label>4</label>
<addr-line>Instituto de Diagnóstico y Referencia Epidemiológicos (InDRE), Ciudad de México, Mexico, Mexico</addr-line>
</aff>
<aff id="aff005">
<label>5</label>
<addr-line>Instituto Nacional de Enfermedades Infecciosas—Administración Nacional de Laboratorios e Institutos de Salud (INEI-ANLIS) "Dr. Carlos G. Malbran", Buenos Aires, Argentina</addr-line>
</aff>
<aff id="aff006">
<label>6</label>
<addr-line>Instituto Nacional de Investigación en Salud Pública (INSPI), Guayaquil, Guayas, Ecuador</addr-line>
</aff>
<aff id="aff007">
<label>7</label>
<addr-line>Departamento de Laboratorio de Salud Publica (DLSP), Montevideo, Montevideo, Uruguay</addr-line>
</aff>
<aff id="aff008">
<label>8</label>
<addr-line>Instituto Evandro Chagas (IEC), Ananindeua, Para, Brazil</addr-line>
</aff>
<aff id="aff009">
<label>9</label>
<addr-line>Instituto de Salud Pública de Chile (ISPCH), Santiago, Santiago, Chile</addr-line>
</aff>
<aff id="aff010">
<label>10</label>
<addr-line>Instituto Nacional de Salud (INS), Chorrillos, Lima, Peru</addr-line>
</aff>
<aff id="aff011">
<label>11</label>
<addr-line>Ministerio de Salud Pública, Quito, Pichincha, Ecuador</addr-line>
</aff>
<aff id="aff012">
<label>12</label>
<addr-line>Laboratorio Central de Salud Pública (LCSP), Ascuncion, Distrito Capital, Paraguay</addr-line>
</aff>
<aff id="aff013">
<label>13</label>
<addr-line>Instituto Nacional de Salud (INS), Bogota, Cundinamarca, Colombia</addr-line>
</aff>
<aff id="aff014">
<label>14</label>
<addr-line>Instituto Adolfo Lutz (IAL), Sao Paulo, Sao Paulo, Brazil</addr-line>
</aff>
<aff id="aff015">
<label>15</label>
<addr-line> Division of Postgraduate Studies, Faculty of Medicine, National Autonomous University of Mexico, Mexico City, Mexico</addr-line>
</aff>
<contrib-group>
<contrib contrib-type="editor">
<name>
<surname>Gyarmati</surname>
<given-names>Peter</given-names>
</name>
<role>Editor</role>
<xref ref-type="aff" rid="edit1"></xref>
</contrib>
</contrib-group>
<aff id="edit1">
<addr-line>University of Illinois College of Medicine, UNITED STATES</addr-line>
</aff>
<author-notes>
<fn fn-type="COI-statement" id="coi001">
<p>
<bold>Competing Interests: </bold>
The authors have declared that no competing interests exist.</p>
</fn>
<corresp id="cor001">* E-mail:
<email>rpalekar@gmail.com</email>
</corresp>
</author-notes>
<pub-date pub-type="epub">
<day>10</day>
<month>3</month>
<year>2020</year>
</pub-date>
<pub-date pub-type="collection">
<year>2020</year>
</pub-date>
<volume>15</volume>
<issue>3</issue>
<elocation-id>e0227962</elocation-id>
<history>
<date date-type="received">
<day>11</day>
<month>6</month>
<year>2019</year>
</date>
<date date-type="accepted">
<day>3</day>
<month>1</month>
<year>2020</year>
</date>
</history>
<permissions>
<copyright-statement>© 2020 Leite et al</copyright-statement>
<copyright-year>2020</copyright-year>
<copyright-holder>Leite et al</copyright-holder>
<license xlink:href="http://creativecommons.org/licenses/by/4.0/">
<license-p>This is an open access article distributed under the terms of the
<ext-link ext-link-type="uri" xlink:href="http://creativecommons.org/licenses/by/4.0/">Creative Commons Attribution License</ext-link>
, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.</license-p>
</license>
</permissions>
<self-uri content-type="pdf" xlink:href="pone.0227962.pdf"></self-uri>
<abstract>
<sec id="sec001">
<title>Objective</title>
<p>Since the 2009 influenza pandemic, Latin American (LA) countries have strengthened their influenza surveillance systems. We analyzed influenza genetic sequence data from the 2017 through 2018 Southern Hemisphere (SH) influenza season from selected LA countries, to map the availability of influenza genetic sequence data from, and to describe, the 2017 through 2018 SH influenza seasons in LA.</p>
</sec>
<sec id="sec002">
<title>Methods</title>
<p>We analyzed influenza A/H1pdm09, A/H3, B/Victoria and B/Yamagata hemagglutinin sequences from clinical samples from 12 National Influenza Centers (NICs) in ten countries (Argentina, Brazil, Chile, Colombia, Costa Rica, Ecuador, Mexico, Paraguay, Peru and Uruguay) with a collection date from epidemiologic week (EW) 18, 2017 through EW 43, 2018. These sequences were generated by the NIC or the WHO Collaborating Center (CC) at the U.S Centers for Disease Control and Prevention, uploaded to the Global Initiative on Sharing All Influenza Data (GISAID) platform, and used for phylogenetic reconstruction.</p>
</sec>
<sec id="sec003">
<title>Findings</title>
<p>Influenza hemagglutinin sequences from the participating countries (A/H1pdm09 n = 326, A/H3 n = 636, B n = 433) were highly concordant with the genetic groups of the influenza vaccine-recommended viruses for influenza A/H1pdm09 and influenza B. For influenza A/H3, the concordance was variable.</p>
</sec>
<sec id="sec004">
<title>Conclusions</title>
<p>Considering the constant evolution of influenza viruses, high-quality surveillance data—specifically genetic sequence data, are important to allow public health decision makers to make informed decisions about prevention and control strategies, such as influenza vaccine composition. Countries that conduct influenza genetic sequencing for surveillance in LA should continue to work with the WHO CCs to produce high-quality genetic sequence data and upload those sequences to open-access databases.</p>
</sec>
</abstract>
<funding-group>
<funding-statement>The authors received no specific funding for this work.</funding-statement>
</funding-group>
<counts>
<fig-count count="7"></fig-count>
<table-count count="3"></table-count>
<page-count count="19"></page-count>
</counts>
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<custom-meta id="data-availability">
<meta-name>Data Availability</meta-name>
<meta-value>All relevant data are within the manuscript and its Supporting Information files.</meta-value>
</custom-meta>
</custom-meta-group>
</article-meta>
<notes>
<title>Data Availability</title>
<p>All relevant data are within the manuscript and its Supporting Information files.</p>
</notes>
</front>
<sub-article id="pone.0227962.r001" article-type="aggregated-review-documents">
<front-stub>
<article-id pub-id-type="doi">10.1371/journal.pone.0227962.r001</article-id>
<title-group>
<article-title>Decision Letter 0</article-title>
</title-group>
<contrib-group>
<contrib contrib-type="author">
<name>
<surname>Gyarmati</surname>
<given-names>Peter</given-names>
</name>
<role>Academic Editor</role>
</contrib>
</contrib-group>
<permissions>
<copyright-statement>© 2020 Peter Gyarmati</copyright-statement>
<copyright-year>2020</copyright-year>
<copyright-holder>Peter Gyarmati</copyright-holder>
<license xlink:href="http://creativecommons.org/licenses/by/4.0/">
<license-p>This is an open access article distributed under the terms of the
<ext-link ext-link-type="uri" xlink:href="http://creativecommons.org/licenses/by/4.0/">Creative Commons Attribution License</ext-link>
, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.</license-p>
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</permissions>
<related-article id="rel-obj001" ext-link-type="doi" xlink:href="10.1371/journal.pone.0227962" related-article-type="reviewed-article"></related-article>
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<body>
<p>
<named-content content-type="letter-date">10 Sep 2019</named-content>
</p>
<p>PONE-D-19-16505</p>
<p>Genetic evolution of influenza viruses among selected countries in Latin America, 2017–2018</p>
<p>PLOS ONE</p>
<p>Dear Dr Palekar,</p>
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<p>Reviewer #1: The manuscript analyzed influenza A/H1pdm09, A/H3, B/Victoria and B/Yamagata hemagglutinin sequences from clinical samples from 12 National Influenza Centers in ten countries with a collection date from epidemiologic week (EW) 18, 2017 through EW 43, 2018. These sequences were used for phylogenetic reconstruction. They reported that hemagglutinin sequences from the participating countries were highly concordant with the genetic groups of the influenza vaccine-recommended viruses for influenza A/H1pdm09 and influenza B. Since this study is helpful to allow public health decision makers to make informed decisions about prevention and control strategies, this study is relevant and would deserve publication. On the other hand, the quantity and analysis period of clinical samples and HA sequences of influenza virus is still limited, which influence the reliability of the study to some extent.</p>
<p>Reviewer #2: In this manuscript Juliana and coworkers construct the phylogeny consensus for the influenza virus on the basis of previously sequenced data from the data banks. They have studied the influenza A/H1pdm09, A/H3, B/Victoria and B/Yamagata HA sequences for the year 2017-2018. I think they have to expand the time duration as only for one year it can't be concluded that which specific strain is circulating in the area. In the manuscript there are several English mistakes. It need to read it properly and correct the English mistakes. In line 100 reference style is not correct. Please make sure all the references are correct and in appropriate order and style. Also make the sample numbers very clear it make the reader to confuse about the sample numbers for each specific strain of Influenza virus.</p>
<p>Reviewer #3: See attachment for full comments.</p>
<p>Overview:</p>
<p>The manuscript analyzes influenza virus evolution in Latin America using sequence data in the GISAID database. The authors identify a set of hemagglutinin sequences representing influenza A/H1pdm09, A/H3, and B generated from Latin American sequencing centers and from the US WHO Collaborating Center based on samples collected at Latin American sentinel sites from 2017 to 2018. They perform a phylogenetic analysis of these sequences, identify the substitutions that occur along the phylogeny, and calculate the frequencies of viral clades. They find that sequences from Latin America are broadly aligned with clade frequencies worldwide.</p>
<p>The manuscript addresses the important topic of influenza's genetic diversity in an under-surveilled part of the world. The analyses are appropriately conducted according to standard methods, although the phylogenetic methods themselves are not especially novel. I find that the manuscript could be strengthened by providing more precision about major conclusions regarding the evolution of viruses in Latin American and their clade frequencies relative to other areas of the world. Much of this work can be done through rewriting and clarifying the discussion, but some simple additional analyses would substantially strengthen the manuscript as well.</p>
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<supplementary-material content-type="local-data" id="pone.0227962.s002">
<label>Attachment</label>
<caption>
<p>Submitted filename:
<named-content content-type="submitted-filename">PLoSOne-Leite-2019-KX.pdf</named-content>
</p>
</caption>
<media xlink:href="pone.0227962.s002.pdf">
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</body>
</sub-article>
<sub-article id="pone.0227962.r002" article-type="author-comment">
<front-stub>
<article-id pub-id-type="doi">10.1371/journal.pone.0227962.r002</article-id>
<title-group>
<article-title>Author response to Decision Letter 0</article-title>
</title-group>
<related-article id="rel-obj002" ext-link-type="doi" xlink:href="10.1371/journal.pone.0227962" related-article-type="editor-report"></related-article>
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<body>
<p>
<named-content content-type="author-response-date">8 Nov 2019</named-content>
</p>
<p>Dear Editors,</p>
<p>Thank you for your thoughtful review of our manuscript. Please find the responses to your comments below.</p>
<p>Sincerely,</p>
<p>Rakhee Palekar</p>
<p>General comments</p>
<p>Comment 1: The manuscript has to undergo language editing.</p>
<p>Response 1: This was done by a native English speaker, who is an influenza expert. </p>
<p>Comment 2: Samples were collected during a limited time period, please add a Discussion point as to how this could have affected the results.</p>
<p>Response 2: We have added a sentence in the discussion.</p>
<p>Comment 3: In order to properly interpret the data from this manuscript, a comparison with global genetic diversity of the virus would be necessary.</p>
<p>Journal requirements</p>
<p>Comment. 4: Please ensure that your manuscript meets PLOS ONE's style requirements, including those for file naming. </p>
<p>Response 4: We have done this. </p>
<p>Comment 5: Please change Fig.1, so that the names of the axes are clearly legible.</p>
<p>Response 5: We have updated the figure. </p>
<p>Reviewer specific comments</p>
<p>Reviewer #1: </p>
<p>Comment 5: On the other hand, the quantity and analysis period of clinical samples and HA sequences of influenza virus is still limited, which influence the reliability of the study to some extent.</p>
<p>Response: Thank you for the comment. </p>
<p>Reviewer #2</p>
<p>Comment 6: In line 100 reference style is not correct. Please make sure all the references are correct and in appropriate order and style. </p>
<p>Response #6: The reference was corrected. </p>
<p>Comment 7: Also make the sample numbers very clear it make the reader to confuse about the sample numbers for each specific strain of Influenza virus.</p>
<p>Comment 7: We have done this. </p>
<p>Reviewer #3</p>
<p>Comment 8: The authors state in the discussion that viruses identified in Latin America resemble the viruses that are detected globally (lines 353-355). Although the authors compare the genetic groups that they identify with the vaccine strains selected in different years, they do not provide sufficient analyses to show to what extent the viruses sequenced in Latin America resemble global genetic diversity. To address this important and central question of geographic distributions, it would be helpful to do some of the following, in declining order of difficulty and importance: </p>
<p>1. Provide a plot of global clade frequencies to parallel the plots of clade frequencies in Latin America in Figure 6. Generating these clade frequencies directly from global sequence data may be laborious, but the authors may be able to reproduce figures from other papers or to discuss clade frequencies in Latin America in comparison to those reported globally on sites like
<ext-link ext-link-type="uri" xlink:href="http://nextstrain.org">nextstrain.org</ext-link>
. </p>
<p>Response: We have added Figure 7 showing the global clades frequencies. The global findings align with the study results.</p>
<p>2. Provide a global phylogeny of influenza that includes some sequences from Latin America (subsampling the dataset would likely be necessary to conduct a more easily interpretable analysis), and label the sequences from Latin America. If these sequences are dispersed through the global tree, then this finding would strengthen the authors' argument that viruses in Latin America resemble global genetic diversity. </p>
<p>Response: Based on the global distribution of the phylogenetic groups and clades, the phylogenetic inferences obtained for Latin America resembles the global genetic diversity. Since the main focus of the study was the Latin America countries, new phylogenetics trees were not added to avoid overloading the paper. </p>
<p>3. Various other studies have addressed the geographic distribution of influenza, though not necessarily with respect to Latin America in particular (one example:
<ext-link ext-link-type="uri" xlink:href="https://www.ncbi.nlm.nih.gov/pubmed/26053121">https://www.ncbi.nlm.nih.gov/pubmed/26053121</ext-link>
). The authors should cite more of this relevant literature to provide additional context for their conclusions. </p>
<p>Response: We have added additional relevant literature and more points to the discussion and conclusions. </p>
<p>Comment 9: The authors write in the discussion that "the viruses that circulated in these countries during the early part of the 2017 Southern Hemisphere influenza season evolved and changed as compared to those that circulated at the end of the 2018 Southern Hemisphere season" (lines 350-353). This statement is imprecise and could benefit from additional clarification. Evolution could refer to the accumulation of neutral mutations, antigenic drift, competition between clades carrying distinct antigenic mutations, and many other phenomena. In the rest of their study, the authors already identified some of the specific molecular changes that occurred, and while their analyses are not powered to identify the particular evolutionary forces at work, they could make this part of the discussion more detailed and precise. </p>
<p>Response 9: We have updated this language. </p>
<p>Comment 10: The authors should provide the standard acknowledgements table required for use of GISAID sequences. </p>
<p>Response 10: A new supplemental table was provided in the GISAID standard acknowledgement table format.</p>
<p>Comment 11: axis labels on Figure 1 are upside down. </p>
<p>Response 11: The axis labels were fixed. </p>
<p>Comment 12: Sequence names in Figures 2-5 are mostly illegible, and the authors might consider replacing each sequence name with a colored dot representing time of collection instead. </p>
<p>Comment 12: The sequences names were maintained in order to show the country of origin of the sequences.</p>
<p>Comment 13: lines 202-212: The number of HA sequences included in the final analysis (1395) is less than the numbers produced by the participating NICs and the number uploaded by the WHO CC at the US CDC (761 + 1169). Please clarify the reason for the discrepancy. Were the excluded sequences ones that had been passaged, or duplicates of other sequences, or was there some other reason? </p>
<p>Response 13: Only sequences obtained from original clinical samples were included in the analysis; sequences obtained from multiple virus-passages, incomplete HA sequences, or HA sequences with mismatches/gaps were excluded (lines 187 to 190). This explains the “discrepancy.” We added a line in the Results to clarify this.</p>
<p>Comment 14: When defining clades and subclades, as in lines 227 and 232-233, for example, please clarify whether and when the clades being defined are part of a standard nomenclature. </p>
<p>Response 14: We have reviewed this. </p>
<p>Comment 15: in lines 365, 375, 382, 391, and 410, the authors write that about the "reduction" of a virus with ferret anti-sera raised against particular viral strains. Perhaps the authors should consider using the more common and clearer term "inhibition" or "hemagglutination inhibition" instead. </p>
<p>Response 15: We have made this change in the Discussion.</p>
<supplementary-material content-type="local-data" id="pone.0227962.s003">
<label>Attachment</label>
<caption>
<p>Submitted filename:
<named-content content-type="submitted-filename">Palekar_GSD_AmericasPlos revisions_responses.docx</named-content>
</p>
</caption>
<media xlink:href="pone.0227962.s003.docx">
<caption>
<p>Click here for additional data file.</p>
</caption>
</media>
</supplementary-material>
</body>
</sub-article>
<sub-article id="pone.0227962.r003" article-type="aggregated-review-documents">
<front-stub>
<article-id pub-id-type="doi">10.1371/journal.pone.0227962.r003</article-id>
<title-group>
<article-title>Decision Letter 1</article-title>
</title-group>
<contrib-group>
<contrib contrib-type="author">
<name>
<surname>Gyarmati</surname>
<given-names>Peter</given-names>
</name>
<role>Academic Editor</role>
</contrib>
</contrib-group>
<permissions>
<copyright-statement>© 2020 Peter Gyarmati</copyright-statement>
<copyright-year>2020</copyright-year>
<copyright-holder>Peter Gyarmati</copyright-holder>
<license xlink:href="http://creativecommons.org/licenses/by/4.0/">
<license-p>This is an open access article distributed under the terms of the
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<p>
<named-content content-type="letter-date">27 Nov 2019</named-content>
</p>
<p>PONE-D-19-16505R1</p>
<p>Genetic evolution of influenza viruses among selected countries in Latin America, 2017–2018</p>
<p>PLOS ONE</p>
<p>Dear Dr Palekar,</p>
<p>Thank you for submitting your manuscript to PLOS ONE. After careful consideration, we feel that it has merit but does not fully meet PLOS ONE’s publication criteria as it currently stands. Therefore, we invite you to submit a revised version of the manuscript that addresses the points raised during the review process.</p>
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<p>[Note: HTML markup is below. Please do not edit.]</p>
<p>Reviewers' comments:</p>
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<p>Reviewer #1: All comments have been addressed</p>
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<p>**********</p>
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<p>**********</p>
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<p>**********</p>
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<p>Reviewer #1: (No Response)</p>
<p>Reviewer #2: (No Response)</p>
<p>Reviewer #3: The manuscript analyzes influenza virus evolution in Latin America using next-generation sequencing data. In particular, the authors study the extent to which viral genetic diversity in Latin American countries reflects broader, global patterns of genetic diversity. Since the previously submitted version of the manuscript, which I reviewed, the authors have improved the comparison of influenza clade frequencies in Latin America compared to the rest of the world by including a new Figure 7, generated from Nextstrain. I am generally satisfied that the authors have addressed my concerns about presenting a more explicit comparison of regional and global genetic diversity, but the analysis in Figure 7 contains a few remaining oddities that the authors need to correct.</p>
<p>Figure 7 shows global clade frequencies for the four influenza subtypes under study and is derived from the visualization interface at
<ext-link ext-link-type="uri" xlink:href="http://nextstrain.org">nextstrain.org</ext-link>
. It is not clear to me why the y-axes of these plots end at 12% (they should run from 0-100%), or why the diversity of viruses appears to decline after about mid-2018. Both anomalies should be corrected by the authors. For example, the
<ext-link ext-link-type="uri" xlink:href="http://nextstrain.org">nextstrain.org</ext-link>
interface shows that for B/Yamagata, the 172Q clade makes up nearly all viral diversity following 2017, but in Figure 7, the clade appears to decline in frequency until it makes up none of the viral diversity under analysis. It seems likely that the authors set a cutoff date that causes the odd appearance of the graph, but this visualization choice is confusing. It would be better for the authors to present all clade frequencies between 2017 and the present.</p>
<p>**********</p>
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<p>Reviewer #1: No</p>
<p>Reviewer #2: Yes: Mohsan Ullah</p>
<p>Reviewer #3: No</p>
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<supplementary-material content-type="local-data" id="pone.0227962.s004">
<label>Attachment</label>
<caption>
<p>Submitted filename:
<named-content content-type="submitted-filename">PLoSOne-Leite-2019-KX-resubmission.docx</named-content>
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<media xlink:href="pone.0227962.s004.docx">
<caption>
<p>Click here for additional data file.</p>
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</supplementary-material>
</body>
</sub-article>
<sub-article id="pone.0227962.r004" article-type="author-comment">
<front-stub>
<article-id pub-id-type="doi">10.1371/journal.pone.0227962.r004</article-id>
<title-group>
<article-title>Author response to Decision Letter 1</article-title>
</title-group>
<related-article id="rel-obj004" ext-link-type="doi" xlink:href="10.1371/journal.pone.0227962" related-article-type="editor-report"></related-article>
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<body>
<p>
<named-content content-type="author-response-date">2 Jan 2020</named-content>
</p>
<p>Dear Editors,</p>
<p>We have updated Figure 7 as per Reviewer #3's recommendations. Thank you for your thoughtful review of our work.</p>
<p>Warm regards</p>
<p>Rakhee</p>
<supplementary-material content-type="local-data" id="pone.0227962.s005">
<label>Attachment</label>
<caption>
<p>Submitted filename:
<named-content content-type="submitted-filename">Reviewer#3_response.docx</named-content>
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<media xlink:href="pone.0227962.s005.docx">
<caption>
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</body>
</sub-article>
<sub-article id="pone.0227962.r005" article-type="editor-report">
<front-stub>
<article-id pub-id-type="doi">10.1371/journal.pone.0227962.r005</article-id>
<title-group>
<article-title>Decision Letter 2</article-title>
</title-group>
<contrib-group>
<contrib contrib-type="author">
<name>
<surname>Gyarmati</surname>
<given-names>Peter</given-names>
</name>
<role>Academic Editor</role>
</contrib>
</contrib-group>
<permissions>
<copyright-statement>© 2020 Peter Gyarmati</copyright-statement>
<copyright-year>2020</copyright-year>
<copyright-holder>Peter Gyarmati</copyright-holder>
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<body>
<p>
<named-content content-type="letter-date">6 Jan 2020</named-content>
</p>
<p>Genetic evolution of influenza viruses among selected countries in Latin America, 2017–2018</p>
<p>PONE-D-19-16505R2</p>
<p>Dear Dr. Palekar,</p>
<p>We are pleased to inform you that your manuscript has been judged scientifically suitable for publication and will be formally accepted for publication once it complies with all outstanding technical requirements.</p>
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<p>Academic Editor</p>
<p>PLOS ONE</p>
<p>Additional Editor Comments (optional):</p>
<p>Reviewers' comments:</p>
</body>
</sub-article>
<sub-article id="pone.0227962.r006" article-type="editor-report">
<front-stub>
<article-id pub-id-type="doi">10.1371/journal.pone.0227962.r006</article-id>
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<body>
<p>
<named-content content-type="letter-date">2 Mar 2020</named-content>
</p>
<p>PONE-D-19-16505R2 </p>
<p>Genetic evolution of influenza viruses among selected countries in Latin America, 2017–2018 </p>
<p>Dear Dr. Palekar:</p>
<p>I am pleased to inform you that your manuscript has been deemed suitable for publication in PLOS ONE. Congratulations! Your manuscript is now with our production department. </p>
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