SrasV1, PubMed, Curation, bibRecord, 000306

Whole genome and phylogenetic analysis of two SARS-CoV-2 strains isolated in Italy in January and February 2020: additional clues on multiple introductions and further circulation in Europe.

Identifieur interne : 000306 ( PubMed/Curation ); précédent : 000305; suivant : 000307

Whole genome and phylogenetic analysis of two SARS-CoV-2 strains isolated in Italy in January and February 2020: additional clues on multiple introductions and further circulation in Europe.

Auteurs : Paola Stefanelli [Italie] ; Giovanni Faggioni [Italie] ; Alessandra Lo Presti [Italie] ; Stefano Fiore ; Antonella Marchi ; Eleonora Benedetti ; Concetta Fabiani ; Anna Anselmo [Italie] ; Andrea Ciammaruconi [Italie] ; Antonella Fortunato [Italie] ; Riccardo De Santis [Italie] ; Silvia Fillo [Italie] ; Maria Rosaria Capobianchi [Italie] ; Maria Rita Gismondo [Italie] ; Alessandra Ciervo [Italie] ; Giovanni Rezza [Italie] ; Maria Rita Castrucci [Italie] ; Florigio Lista [Italie] ; On Behalf Of Iss Covid-Study Group

Source :

Euro surveillance : bulletin Europeen sur les maladies transmissibles = European communicable disease bulletin [ 1560-7917 ] ; 2020.

RBID : pubmed:32265007

Descripteurs français

KwdFr :
- ARN viral (génétique), ARN viral (isolement et purification), Allemagne, Chine, Coronavirus (), Coronavirus (génétique), Coronavirus (isolement et purification), Génome viral (génétique), Humains, Infections à coronavirus (diagnostic), Infections à coronavirus (transmission), Infections à coronavirus (épidémiologie), Italie, Mutation ponctuelle, Pandémies, Phylogénie, Pneumopathie virale (diagnostic), Pneumopathie virale (transmission), Pneumopathie virale (épidémiologie), Syndrome respiratoire aigu sévère (diagnostic), Syndrome respiratoire aigu sévère (virologie), Voyage, Épidémiologie moléculaire.
MESH :
- diagnostic : Infections à coronavirus, Pneumopathie virale, Syndrome respiratoire aigu sévère.
- génétique : ARN viral, Coronavirus, Génome viral.
- isolement et purification : ARN viral, Coronavirus.
- virologie : Syndrome respiratoire aigu sévère.
- épidémiologie : Infections à coronavirus, Pneumopathie virale.
- Allemagne, Chine, Coronavirus, Humains, Italie, Mutation ponctuelle, Pandémies, Phylogénie, Voyage, Épidémiologie moléculaire.
Wicri :
- geographic : République populaire de Chine, Allemagne, Italie.

English descriptors

KwdEn :
- Betacoronavirus (genetics), Betacoronavirus (isolation & purification), China, Coronavirus (classification), Coronavirus (genetics), Coronavirus (isolation & purification), Coronavirus Infections (diagnosis), Coronavirus Infections (epidemiology), Coronavirus Infections (transmission), Genome, Viral (genetics), Germany, Humans, Italy, Molecular Epidemiology, Pandemics, Phylogeny, Pneumonia, Viral (diagnosis), Pneumonia, Viral (epidemiology), Pneumonia, Viral (transmission), Point Mutation, RNA, Viral (genetics), RNA, Viral (isolation & purification), Severe Acute Respiratory Syndrome (diagnosis), Severe Acute Respiratory Syndrome (virology), Travel, Whole Genome Sequencing (methods).
MESH :
- chemical , genetics : RNA, Viral.
- chemical , isolation & purification : RNA, Viral.
- geographic : China, Germany, Italy.
- classification : Coronavirus.
- diagnosis : Coronavirus Infections, Pneumonia, Viral, Severe Acute Respiratory Syndrome.
- epidemiology : Coronavirus Infections, Pneumonia, Viral.
- genetics : Betacoronavirus, Coronavirus, Genome, Viral.
- isolation & purification : Betacoronavirus, Coronavirus.
- methods : Whole Genome Sequencing.
- transmission : Coronavirus Infections, Pneumonia, Viral.
- virology : Severe Acute Respiratory Syndrome.
- Humans, Molecular Epidemiology, Pandemics, Phylogeny, Point Mutation, Travel.

Abstract

Whole genome sequences of SARS-CoV-2 obtained from two patients, a Chinese tourist visiting Rome and an Italian, were compared with sequences from Europe and elsewhere. In a phylogenetic tree, the Italian patient's sequence clustered with sequences from Germany while the tourist's sequence clustered with other European sequences. Some additional European sequences in the tree segregated outside the two clusters containing the patients' sequences. This suggests multiple SARS-CoV-2 introductions in Europe or virus evolution during circulation.

DOI: 10.2807/1560-7917.ES.2020.25.13.2000305
PubMed: 32265007

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Stefano Fiore

<affiliation><nlm:affiliation>These authors contributed equally to the work.</nlm:affiliation>
<wicri:noCountry code="no comma">These authors contributed equally to the work.</wicri:noCountry>
</affiliation>

Antonella Marchi

<affiliation><nlm:affiliation>These authors contributed equally to the work.</nlm:affiliation>
<wicri:noCountry code="no comma">These authors contributed equally to the work.</wicri:noCountry>
</affiliation>

Eleonora Benedetti

<affiliation><nlm:affiliation>These authors contributed equally to the work.</nlm:affiliation>
<wicri:noCountry code="no comma">These authors contributed equally to the work.</wicri:noCountry>
</affiliation>

Concetta Fabiani

<affiliation><nlm:affiliation>These authors contributed equally to the work.</nlm:affiliation>
<wicri:noCountry code="no comma">These authors contributed equally to the work.</wicri:noCountry>
</affiliation>

On Behalf Of Iss Covid-Study Group

<affiliation><nlm:affiliation>The members of the ISS COVID-19 study group are acknowledged at the end of the article.</nlm:affiliation>
<wicri:noCountry code="no comma">The members of the ISS COVID-19 study group are acknowledged at the end of the article.</wicri:noCountry>
</affiliation>

Le document en format XML

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<author><name sortKey="On Behalf Of Iss Covid Study Group" sort="On Behalf Of Iss Covid Study Group" uniqKey="On Behalf Of Iss Covid Study Group" last="On Behalf Of Iss Covid-Study Group">On Behalf Of Iss Covid-Study Group</name>
<affiliation><nlm:affiliation>The members of the ISS COVID-19 study group are acknowledged at the end of the article.</nlm:affiliation>
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<wicri:noCountry code="no comma">These authors contributed equally to the work.</wicri:noCountry>
</affiliation>
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<wicri:noCountry code="no comma">These authors contributed equally to the work.</wicri:noCountry>
</affiliation>
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<author><name sortKey="Fillo, Silvia" sort="Fillo, Silvia" uniqKey="Fillo S" first="Silvia" last="Fillo">Silvia Fillo</name>
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<country xml:lang="fr">Italie</country>
<wicri:regionArea>Scientific Department Army Medical Center, Rome</wicri:regionArea>
</affiliation>
</author>
<author><name sortKey="Capobianchi, Maria Rosaria" sort="Capobianchi, Maria Rosaria" uniqKey="Capobianchi M" first="Maria Rosaria" last="Capobianchi">Maria Rosaria Capobianchi</name>
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<country xml:lang="fr">Italie</country>
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</affiliation>
</author>
<author><name sortKey="Gismondo, Maria Rita" sort="Gismondo, Maria Rita" uniqKey="Gismondo M" first="Maria Rita" last="Gismondo">Maria Rita Gismondo</name>
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<country xml:lang="fr">Italie</country>
<wicri:regionArea>Clinical Microbiology, Virology and Bioemergency, L. Sacco University Hospital, Milan</wicri:regionArea>
</affiliation>
</author>
<author><name sortKey="Ciervo, Alessandra" sort="Ciervo, Alessandra" uniqKey="Ciervo A" first="Alessandra" last="Ciervo">Alessandra Ciervo</name>
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<country xml:lang="fr">Italie</country>
<wicri:regionArea>Department of Infectious Diseases, Istituto Superiore di Sanità, Rome</wicri:regionArea>
</affiliation>
</author>
<author><name sortKey="Rezza, Giovanni" sort="Rezza, Giovanni" uniqKey="Rezza G" first="Giovanni" last="Rezza">Giovanni Rezza</name>
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<country xml:lang="fr">Italie</country>
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</affiliation>
</author>
<author><name sortKey="Castrucci, Maria Rita" sort="Castrucci, Maria Rita" uniqKey="Castrucci M" first="Maria Rita" last="Castrucci">Maria Rita Castrucci</name>
<affiliation wicri:level="1"><nlm:affiliation>Department of Infectious Diseases, Istituto Superiore di Sanità, Rome, Italy.</nlm:affiliation>
<country xml:lang="fr">Italie</country>
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</affiliation>
</author>
<author><name sortKey="Lista, Florigio" sort="Lista, Florigio" uniqKey="Lista F" first="Florigio" last="Lista">Florigio Lista</name>
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</affiliation>
</author>
<author><name sortKey="On Behalf Of Iss Covid Study Group" sort="On Behalf Of Iss Covid Study Group" uniqKey="On Behalf Of Iss Covid Study Group" last="On Behalf Of Iss Covid-Study Group">On Behalf Of Iss Covid-Study Group</name>
<affiliation><nlm:affiliation>The members of the ISS COVID-19 study group are acknowledged at the end of the article.</nlm:affiliation>
<wicri:noCountry code="no comma">The members of the ISS COVID-19 study group are acknowledged at the end of the article.</wicri:noCountry>
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<profileDesc><textClass><keywords scheme="KwdEn" xml:lang="en"><term>Betacoronavirus (genetics)</term>
<term>Betacoronavirus (isolation & purification)</term>
<term>China</term>
<term>Coronavirus (classification)</term>
<term>Coronavirus (genetics)</term>
<term>Coronavirus (isolation & purification)</term>
<term>Coronavirus Infections (diagnosis)</term>
<term>Coronavirus Infections (epidemiology)</term>
<term>Coronavirus Infections (transmission)</term>
<term>Genome, Viral (genetics)</term>
<term>Germany</term>
<term>Humans</term>
<term>Italy</term>
<term>Molecular Epidemiology</term>
<term>Pandemics</term>
<term>Phylogeny</term>
<term>Pneumonia, Viral (diagnosis)</term>
<term>Pneumonia, Viral (epidemiology)</term>
<term>Pneumonia, Viral (transmission)</term>
<term>Point Mutation</term>
<term>RNA, Viral (genetics)</term>
<term>RNA, Viral (isolation & purification)</term>
<term>Severe Acute Respiratory Syndrome (diagnosis)</term>
<term>Severe Acute Respiratory Syndrome (virology)</term>
<term>Travel</term>
<term>Whole Genome Sequencing (methods)</term>
</keywords>
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<term>ARN viral (isolement et purification)</term>
<term>Allemagne</term>
<term>Chine</term>
<term>Coronavirus ()</term>
<term>Coronavirus (génétique)</term>
<term>Coronavirus (isolement et purification)</term>
<term>Génome viral (génétique)</term>
<term>Humains</term>
<term>Infections à coronavirus (diagnostic)</term>
<term>Infections à coronavirus (transmission)</term>
<term>Infections à coronavirus (épidémiologie)</term>
<term>Italie</term>
<term>Mutation ponctuelle</term>
<term>Pandémies</term>
<term>Phylogénie</term>
<term>Pneumopathie virale (diagnostic)</term>
<term>Pneumopathie virale (transmission)</term>
<term>Pneumopathie virale (épidémiologie)</term>
<term>Syndrome respiratoire aigu sévère (diagnostic)</term>
<term>Syndrome respiratoire aigu sévère (virologie)</term>
<term>Voyage</term>
<term>Épidémiologie moléculaire</term>
</keywords>
<keywords scheme="MESH" type="chemical" qualifier="genetics" xml:lang="en"><term>RNA, Viral</term>
</keywords>
<keywords scheme="MESH" type="chemical" qualifier="isolation & purification" xml:lang="en"><term>RNA, Viral</term>
</keywords>
<keywords scheme="MESH" type="geographic" xml:lang="en"><term>China</term>
<term>Germany</term>
<term>Italy</term>
</keywords>
<keywords scheme="MESH" qualifier="classification" xml:lang="en"><term>Coronavirus</term>
</keywords>
<keywords scheme="MESH" qualifier="diagnosis" xml:lang="en"><term>Coronavirus Infections</term>
<term>Pneumonia, Viral</term>
<term>Severe Acute Respiratory Syndrome</term>
</keywords>
<keywords scheme="MESH" qualifier="diagnostic" xml:lang="fr"><term>Infections à coronavirus</term>
<term>Pneumopathie virale</term>
<term>Syndrome respiratoire aigu sévère</term>
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<keywords scheme="MESH" qualifier="epidemiology" xml:lang="en"><term>Coronavirus Infections</term>
<term>Pneumonia, Viral</term>
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<term>Coronavirus</term>
<term>Genome, Viral</term>
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<term>Coronavirus</term>
<term>Génome viral</term>
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<term>Coronavirus</term>
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<term>Coronavirus</term>
</keywords>
<keywords scheme="MESH" qualifier="methods" xml:lang="en"><term>Whole Genome Sequencing</term>
</keywords>
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<term>Pneumonia, Viral</term>
</keywords>
<keywords scheme="MESH" qualifier="virologie" xml:lang="fr"><term>Syndrome respiratoire aigu sévère</term>
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<keywords scheme="MESH" qualifier="virology" xml:lang="en"><term>Severe Acute Respiratory Syndrome</term>
</keywords>
<keywords scheme="MESH" qualifier="épidémiologie" xml:lang="fr"><term>Infections à coronavirus</term>
<term>Pneumopathie virale</term>
</keywords>
<keywords scheme="MESH" xml:lang="en"><term>Humans</term>
<term>Molecular Epidemiology</term>
<term>Pandemics</term>
<term>Phylogeny</term>
<term>Point Mutation</term>
<term>Travel</term>
</keywords>
<keywords scheme="MESH" xml:lang="fr"><term>Allemagne</term>
<term>Chine</term>
<term>Coronavirus</term>
<term>Humains</term>
<term>Italie</term>
<term>Mutation ponctuelle</term>
<term>Pandémies</term>
<term>Phylogénie</term>
<term>Voyage</term>
<term>Épidémiologie moléculaire</term>
</keywords>
<keywords scheme="Wicri" type="geographic" xml:lang="fr"><term>République populaire de Chine</term>
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<front><div type="abstract" xml:lang="en">Whole genome sequences of SARS-CoV-2 obtained from two patients, a Chinese tourist visiting Rome and an Italian, were compared with sequences from Europe and elsewhere. In a phylogenetic tree, the Italian patient's sequence clustered with sequences from Germany while the tourist's sequence clustered with other European sequences. Some additional European sequences in the tree segregated outside the two clusters containing the patients' sequences. This suggests multiple SARS-CoV-2 introductions in Europe or virus evolution during circulation.</div>
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<DateCompleted><Year>2020</Year>
<Month>04</Month>
<Day>14</Day>
</DateCompleted>
<DateRevised><Year>2020</Year>
<Month>04</Month>
<Day>14</Day>
</DateRevised>
<Article PubModel="Print"><Journal><ISSN IssnType="Electronic">1560-7917</ISSN>
<JournalIssue CitedMedium="Internet"><Volume>25</Volume>
<Issue>13</Issue>
<PubDate><Year>2020</Year>
<Month>04</Month>
</PubDate>
</JournalIssue>
<Title>Euro surveillance : bulletin Europeen sur les maladies transmissibles = European communicable disease bulletin</Title>
<ISOAbbreviation>Euro Surveill.</ISOAbbreviation>
</Journal>
<ArticleTitle>Whole genome and phylogenetic analysis of two SARS-CoV-2 strains isolated in Italy in January and February 2020: additional clues on multiple introductions and further circulation in Europe.</ArticleTitle>
<ELocationID EIdType="doi" ValidYN="Y">10.2807/1560-7917.ES.2020.25.13.2000305</ELocationID>
<Abstract><AbstractText>Whole genome sequences of SARS-CoV-2 obtained from two patients, a Chinese tourist visiting Rome and an Italian, were compared with sequences from Europe and elsewhere. In a phylogenetic tree, the Italian patient's sequence clustered with sequences from Germany while the tourist's sequence clustered with other European sequences. Some additional European sequences in the tree segregated outside the two clusters containing the patients' sequences. This suggests multiple SARS-CoV-2 introductions in Europe or virus evolution during circulation.</AbstractText>
</Abstract>
<AuthorList CompleteYN="Y"><Author ValidYN="Y"><LastName>Stefanelli</LastName>
<ForeName>Paola</ForeName>
<Initials>P</Initials>
<AffiliationInfo><Affiliation>Department of Infectious Diseases, Istituto Superiore di Sanità, Rome, Italy.</Affiliation>
</AffiliationInfo>
</Author>
<Author ValidYN="Y"><LastName>Faggioni</LastName>
<ForeName>Giovanni</ForeName>
<Initials>G</Initials>
<AffiliationInfo><Affiliation>Scientific Department Army Medical Center, Rome, Italy.</Affiliation>
</AffiliationInfo>
</Author>
<Author ValidYN="Y"><LastName>Lo Presti</LastName>
<ForeName>Alessandra</ForeName>
<Initials>A</Initials>
<AffiliationInfo><Affiliation>Department of Infectious Diseases, Istituto Superiore di Sanità, Rome, Italy.</Affiliation>
</AffiliationInfo>
</Author>
<Author ValidYN="Y"><LastName>Fiore</LastName>
<ForeName>Stefano</ForeName>
<Initials>S</Initials>
<AffiliationInfo><Affiliation>These authors contributed equally to the work.</Affiliation>
</AffiliationInfo>
<AffiliationInfo><Affiliation>Department of Infectious Diseases, Istituto Superiore di Sanità, Rome, Italy.</Affiliation>
</AffiliationInfo>
</Author>
<Author ValidYN="Y"><LastName>Marchi</LastName>
<ForeName>Antonella</ForeName>
<Initials>A</Initials>
<AffiliationInfo><Affiliation>These authors contributed equally to the work.</Affiliation>
</AffiliationInfo>
<AffiliationInfo><Affiliation>Department of Infectious Diseases, Istituto Superiore di Sanità, Rome, Italy.</Affiliation>
</AffiliationInfo>
</Author>
<Author ValidYN="Y"><LastName>Benedetti</LastName>
<ForeName>Eleonora</ForeName>
<Initials>E</Initials>
<AffiliationInfo><Affiliation>These authors contributed equally to the work.</Affiliation>
</AffiliationInfo>
<AffiliationInfo><Affiliation>Department of Infectious Diseases, Istituto Superiore di Sanità, Rome, Italy.</Affiliation>
</AffiliationInfo>
</Author>
<Author ValidYN="Y"><LastName>Fabiani</LastName>
<ForeName>Concetta</ForeName>
<Initials>C</Initials>
<AffiliationInfo><Affiliation>These authors contributed equally to the work.</Affiliation>
</AffiliationInfo>
<AffiliationInfo><Affiliation>Department of Infectious Diseases, Istituto Superiore di Sanità, Rome, Italy.</Affiliation>
</AffiliationInfo>
</Author>
<Author ValidYN="Y"><LastName>Anselmo</LastName>
<ForeName>Anna</ForeName>
<Initials>A</Initials>
<AffiliationInfo><Affiliation>Scientific Department Army Medical Center, Rome, Italy.</Affiliation>
</AffiliationInfo>
</Author>
<Author ValidYN="Y"><LastName>Ciammaruconi</LastName>
<ForeName>Andrea</ForeName>
<Initials>A</Initials>
<AffiliationInfo><Affiliation>Scientific Department Army Medical Center, Rome, Italy.</Affiliation>
</AffiliationInfo>
</Author>
<Author ValidYN="Y"><LastName>Fortunato</LastName>
<ForeName>Antonella</ForeName>
<Initials>A</Initials>
<AffiliationInfo><Affiliation>Scientific Department Army Medical Center, Rome, Italy.</Affiliation>
</AffiliationInfo>
</Author>
<Author ValidYN="Y"><LastName>De Santis</LastName>
<ForeName>Riccardo</ForeName>
<Initials>R</Initials>
<AffiliationInfo><Affiliation>Scientific Department Army Medical Center, Rome, Italy.</Affiliation>
</AffiliationInfo>
</Author>
<Author ValidYN="Y"><LastName>Fillo</LastName>
<ForeName>Silvia</ForeName>
<Initials>S</Initials>
<AffiliationInfo><Affiliation>Scientific Department Army Medical Center, Rome, Italy.</Affiliation>
</AffiliationInfo>
</Author>
<Author ValidYN="Y"><LastName>Capobianchi</LastName>
<ForeName>Maria Rosaria</ForeName>
<Initials>MR</Initials>
<AffiliationInfo><Affiliation>Laboratory of Virology, National Institute for Infectious Diseases "Lazzaro Spallanzani" IRCCS, Rome, Italy.</Affiliation>
</AffiliationInfo>
</Author>
<Author ValidYN="Y"><LastName>Gismondo</LastName>
<ForeName>Maria Rita</ForeName>
<Initials>MR</Initials>
<AffiliationInfo><Affiliation>Clinical Microbiology, Virology and Bioemergency, L. Sacco University Hospital, Milan, Italy.</Affiliation>
</AffiliationInfo>
</Author>
<Author ValidYN="Y"><LastName>Ciervo</LastName>
<ForeName>Alessandra</ForeName>
<Initials>A</Initials>
<AffiliationInfo><Affiliation>Department of Infectious Diseases, Istituto Superiore di Sanità, Rome, Italy.</Affiliation>
</AffiliationInfo>
</Author>
<Author ValidYN="Y"><LastName>Rezza</LastName>
<ForeName>Giovanni</ForeName>
<Initials>G</Initials>
<AffiliationInfo><Affiliation>Department of Infectious Diseases, Istituto Superiore di Sanità, Rome, Italy.</Affiliation>
</AffiliationInfo>
</Author>
<Author ValidYN="Y"><LastName>Castrucci</LastName>
<ForeName>Maria Rita</ForeName>
<Initials>MR</Initials>
<AffiliationInfo><Affiliation>Department of Infectious Diseases, Istituto Superiore di Sanità, Rome, Italy.</Affiliation>
</AffiliationInfo>
</Author>
<Author ValidYN="Y"><LastName>Lista</LastName>
<ForeName>Florigio</ForeName>
<Initials>F</Initials>
<AffiliationInfo><Affiliation>Scientific Department Army Medical Center, Rome, Italy.</Affiliation>
</AffiliationInfo>
</Author>
<Author ValidYN="Y"><LastName>On Behalf Of Iss Covid-Study Group</LastName>
<AffiliationInfo><Affiliation>The members of the ISS COVID-19 study group are acknowledged at the end of the article.</Affiliation>
</AffiliationInfo>
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<Language>eng</Language>
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<MedlineTA>Euro Surveill</MedlineTA>
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<ISSNLinking>1025-496X</ISSNLinking>
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<ChemicalList><Chemical><RegistryNumber>0</RegistryNumber>
<NameOfSubstance UI="D012367">RNA, Viral</NameOfSubstance>
</Chemical>
</ChemicalList>
<SupplMeshList><SupplMeshName Type="Disease" UI="C000657245">COVID-19</SupplMeshName>
<SupplMeshName Type="Organism" UI="C000656484">severe acute respiratory syndrome coronavirus 2</SupplMeshName>
</SupplMeshList>
<CitationSubset>IM</CitationSubset>
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<QualifierName UI="Q000235" MajorTopicYN="Y">genetics</QualifierName>
<QualifierName UI="Q000302" MajorTopicYN="N">isolation & purification</QualifierName>
</MeshHeading>
<MeshHeading><DescriptorName UI="D002681" MajorTopicYN="N" Type="Geographic">China</DescriptorName>
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<MeshHeading><DescriptorName UI="D017934" MajorTopicYN="N">Coronavirus</DescriptorName>
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<QualifierName UI="Q000453" MajorTopicYN="N">epidemiology</QualifierName>
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</MeshHeading>
<MeshHeading><DescriptorName UI="D006801" MajorTopicYN="N">Humans</DescriptorName>
</MeshHeading>
<MeshHeading><DescriptorName UI="D007558" MajorTopicYN="N" Type="Geographic">Italy</DescriptorName>
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<MeshHeading><DescriptorName UI="D017720" MajorTopicYN="N">Molecular Epidemiology</DescriptorName>
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<MeshHeading><DescriptorName UI="D058873" MajorTopicYN="N">Pandemics</DescriptorName>
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<MeshHeading><DescriptorName UI="D017354" MajorTopicYN="N">Point Mutation</DescriptorName>
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Whole genome and phylogenetic analysis of two SARS-CoV-2 strains isolated in Italy in January and February 2020: additional clues on multiple introductions and further circulation in Europe.

Whole genome and phylogenetic analysis of two SARS-CoV-2 strains isolated in Italy in January and February 2020: additional clues on multiple introductions and further circulation in Europe.

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