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Real-time, portable genome sequencing for Ebola surveillance

Identifieur interne : 000018 ( Main/Merge ); précédent : 000017; suivant : 000019

Real-time, portable genome sequencing for Ebola surveillance

Auteurs : Joshua Quick ; Nicholas J. Loman ; Sophie Duraffour ; Jared T. Simpson ; Ettore Severi ; Lauren Cowley ; Joseph Akoi Bore ; Raymond Koundouno ; Gytis Dudas ; Amy Mikhail ; Nobila Ouédraogo ; Babak Afrough ; Amadou Bah ; Jonathan Hj Baum ; Beate Becker-Ziaja ; Jan-Peter Boettcher ; Mar Cabeza-Cabrerizo ; Alvaro Camino-Sanchez ; Lisa L. Carter ; Juiliane Doerrbecker ; Theresa Enkirch ; Isabel Graciela García Dorival ; Nicole Hetzelt ; Julia Hinzmann ; Tobias Holm ; Liana Eleni Kafetzopoulou ; Michel Koropogui ; Abigail Kosgey ; Eeva Kuisma ; Christopher H. Logue ; Antonio Mazzarelli ; Sarah Meisel ; Marc Mertens ; Janine Michel ; Didier Ngabo ; Katja Nitzsche ; Elisa Pallash ; Livia Victoria Patrono ; Jasmine Portmann ; Johanna Gabriella Repits ; Natasha Yasmin Rickett ; Andrea Sachse ; Katrin Singethan ; Inês Vitoriano ; Rahel L. Yemanaberhan ; Elsa G. Zekeng ; Racine Trina ; Alexander Bello ; Amadou Alpha Sall ; Ousmane Faye ; Oumar Faye ; N Aly Magassouba ; Cecelia V. Williams ; Victoria Amburgey ; Linda Winona ; Emily Davis ; Jon Gerlach ; Franck Washington ; Vanessa Monteil ; Marine Jourdain ; Marion Bererd ; Alimou Camara ; Hermann Somlare ; Abdoulaye Camara ; Marianne Gerard ; Guillaume Bado ; Bernard Baillet ; Déborah Delaune ; Koumpingnin Yacouba Nebie ; Abdoulaye Diarra ; Yacouba Savane ; Raymond Bernard Pallawo ; Giovanna Jaramillo Gutierrez ; Natacha Milhano ; Isabelle Roger ; Christopher J. Williams ; Facinet Yattara ; Kuiama Lewandowski ; Jamie Taylor ; Philip Rachwal ; Daniel Turner ; Georgios Pollakis ; Julian A. Hiscox ; David A. Matthews ; Matthew K. O Hea ; Andrew Mcd Johnston ; Duncan Wilson ; Emma Hutley ; Erasmus Smit ; Antonino Di Caro ; Roman Woelfel ; Kilian Stoecker ; Erna Fleischmann ; Martin Gabriel ; Simon A. Weller ; Lamine Koivogui ; Boubacar Diallo ; Sakoba Keita ; Andrew Rambaut ; Pierre Formenty ; Stephan Gunther ; Miles W. Carroll

Source :

RBID : PMC:4817224

Abstract

The Ebola virus disease (EVD) epidemic in West Africa is the largest on record, responsible for >28,599 cases and >11,299 deaths 1. Genome sequencing in viral outbreaks is desirable in order to characterize the infectious agent to determine its evolutionary rate, signatures of host adaptation, identification and monitoring of diagnostic targets and responses to vaccines and treatments. The Ebola virus genome (EBOV) substitution rate in the Makona strain has been estimated at between 0.87 × 10−3 to 1.42 × 10−3 mutations per site per year. This is equivalent to 16 to 27 mutations in each genome, meaning that sequences diverge rapidly enough to identify distinct sub-lineages during a prolonged epidemic 2-7. Genome sequencing provides a high-resolution view of pathogen evolution and is increasingly sought-after for outbreak surveillance. Sequence data may be used to guide control measures, but only if the results are generated quickly enough to inform interventions 8. Genomic surveillance during the epidemic has been sporadic due to a lack of local sequencing capacity coupled with practical difficulties transporting samples to remote sequencing facilities 9. In order to address this problem, we devised a genomic surveillance system that utilizes a novel nanopore DNA sequencing instrument. In April 2015 this system was transported in standard airline luggage to Guinea and used for real-time genomic surveillance of the ongoing epidemic. Here we present sequence data and analysis of 142 Ebola virus (EBOV) samples collected during the period March to October 2015. We were able to generate results in less than 24 hours after receiving an Ebola positive sample, with the sequencing process taking as little as 15-60 minutes. We show that real-time genomic surveillance is possible in resource-limited settings and can be established rapidly to monitor outbreaks.


Url:
DOI: 10.1038/nature16996
PubMed: 26840485
PubMed Central: 4817224

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PMC:4817224

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<name sortKey="Davis, Emily" sort="Davis, Emily" uniqKey="Davis E" first="Emily" last="Davis">Emily Davis</name>
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<name sortKey="Washington, Franck" sort="Washington, Franck" uniqKey="Washington F" first="Franck" last="Washington">Franck Washington</name>
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<name sortKey="Monteil, Vanessa" sort="Monteil, Vanessa" uniqKey="Monteil V" first="Vanessa" last="Monteil">Vanessa Monteil</name>
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<name sortKey="Jourdain, Marine" sort="Jourdain, Marine" uniqKey="Jourdain M" first="Marine" last="Jourdain">Marine Jourdain</name>
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<name sortKey="Bererd, Marion" sort="Bererd, Marion" uniqKey="Bererd M" first="Marion" last="Bererd">Marion Bererd</name>
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<name sortKey="Camara, Alimou" sort="Camara, Alimou" uniqKey="Camara A" first="Alimou" last="Camara">Alimou Camara</name>
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<name sortKey="Somlare, Hermann" sort="Somlare, Hermann" uniqKey="Somlare H" first="Hermann" last="Somlare">Hermann Somlare</name>
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<name sortKey="Camara, Abdoulaye" sort="Camara, Abdoulaye" uniqKey="Camara A" first="Abdoulaye" last="Camara">Abdoulaye Camara</name>
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<name sortKey="Gerard, Marianne" sort="Gerard, Marianne" uniqKey="Gerard M" first="Marianne" last="Gerard">Marianne Gerard</name>
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<name sortKey="Bado, Guillaume" sort="Bado, Guillaume" uniqKey="Bado G" first="Guillaume" last="Bado">Guillaume Bado</name>
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</affiliation>
<affiliation>
<nlm:aff>NONE</nlm:aff>
</affiliation>
</author>
<author>
<name sortKey="Nebie, Koumpingnin Yacouba" sort="Nebie, Koumpingnin Yacouba" uniqKey="Nebie K" first="Koumpingnin Yacouba" last="Nebie">Koumpingnin Yacouba Nebie</name>
<affiliation>
<nlm:aff>NONE</nlm:aff>
</affiliation>
</author>
<author>
<name sortKey="Diarra, Abdoulaye" sort="Diarra, Abdoulaye" uniqKey="Diarra A" first="Abdoulaye" last="Diarra">Abdoulaye Diarra</name>
<affiliation>
<nlm:aff>NONE</nlm:aff>
</affiliation>
</author>
<author>
<name sortKey="Savane, Yacouba" sort="Savane, Yacouba" uniqKey="Savane Y" first="Yacouba" last="Savane">Yacouba Savane</name>
<affiliation>
<nlm:aff>NONE</nlm:aff>
</affiliation>
</author>
<author>
<name sortKey="Pallawo, Raymond Bernard" sort="Pallawo, Raymond Bernard" uniqKey="Pallawo R" first="Raymond Bernard" last="Pallawo">Raymond Bernard Pallawo</name>
<affiliation>
<nlm:aff>NONE</nlm:aff>
</affiliation>
</author>
<author>
<name sortKey="Gutierrez, Giovanna Jaramillo" sort="Gutierrez, Giovanna Jaramillo" uniqKey="Gutierrez G" first="Giovanna Jaramillo" last="Gutierrez">Giovanna Jaramillo Gutierrez</name>
<affiliation>
<nlm:aff>NONE</nlm:aff>
</affiliation>
</author>
<author>
<name sortKey="Milhano, Natacha" sort="Milhano, Natacha" uniqKey="Milhano N" first="Natacha" last="Milhano">Natacha Milhano</name>
<affiliation>
<nlm:aff>NONE</nlm:aff>
</affiliation>
<affiliation>
<nlm:aff>NONE</nlm:aff>
</affiliation>
</author>
<author>
<name sortKey="Roger, Isabelle" sort="Roger, Isabelle" uniqKey="Roger I" first="Isabelle" last="Roger">Isabelle Roger</name>
<affiliation>
<nlm:aff>NONE</nlm:aff>
</affiliation>
</author>
<author>
<name sortKey="Williams, Christopher J" sort="Williams, Christopher J" uniqKey="Williams C" first="Christopher J" last="Williams">Christopher J. Williams</name>
<affiliation>
<nlm:aff>NONE</nlm:aff>
</affiliation>
<affiliation>
<nlm:aff>NONE</nlm:aff>
</affiliation>
</author>
<author>
<name sortKey="Yattara, Facinet" sort="Yattara, Facinet" uniqKey="Yattara F" first="Facinet" last="Yattara">Facinet Yattara</name>
<affiliation>
<nlm:aff>NONE</nlm:aff>
</affiliation>
</author>
<author>
<name sortKey="Lewandowski, Kuiama" sort="Lewandowski, Kuiama" uniqKey="Lewandowski K" first="Kuiama" last="Lewandowski">Kuiama Lewandowski</name>
<affiliation>
<nlm:aff>NONE</nlm:aff>
</affiliation>
</author>
<author>
<name sortKey="Taylor, Jamie" sort="Taylor, Jamie" uniqKey="Taylor J" first="Jamie" last="Taylor">Jamie Taylor</name>
<affiliation>
<nlm:aff>NONE</nlm:aff>
</affiliation>
</author>
<author>
<name sortKey="Rachwal, Philip" sort="Rachwal, Philip" uniqKey="Rachwal P" first="Philip" last="Rachwal">Philip Rachwal</name>
<affiliation>
<nlm:aff>NONE</nlm:aff>
</affiliation>
</author>
<author>
<name sortKey="Turner, Daniel" sort="Turner, Daniel" uniqKey="Turner D" first="Daniel" last="Turner">Daniel Turner</name>
<affiliation>
<nlm:aff>NONE</nlm:aff>
</affiliation>
</author>
<author>
<name sortKey="Pollakis, Georgios" sort="Pollakis, Georgios" uniqKey="Pollakis G" first="Georgios" last="Pollakis">Georgios Pollakis</name>
<affiliation>
<nlm:aff>NONE</nlm:aff>
</affiliation>
<affiliation>
<nlm:aff>NONE</nlm:aff>
</affiliation>
</author>
<author>
<name sortKey="Hiscox, Julian A" sort="Hiscox, Julian A" uniqKey="Hiscox J" first="Julian A." last="Hiscox">Julian A. Hiscox</name>
<affiliation>
<nlm:aff>NONE</nlm:aff>
</affiliation>
<affiliation>
<nlm:aff>NONE</nlm:aff>
</affiliation>
</author>
<author>
<name sortKey="Matthews, David A" sort="Matthews, David A" uniqKey="Matthews D" first="David A." last="Matthews">David A. Matthews</name>
<affiliation>
<nlm:aff>NONE</nlm:aff>
</affiliation>
</author>
<author>
<name sortKey="O Hea, Matthew K" sort="O Hea, Matthew K" uniqKey="O Hea M" first="Matthew K." last="O Hea">Matthew K. O Hea</name>
<affiliation>
<nlm:aff>NONE</nlm:aff>
</affiliation>
<affiliation>
<nlm:aff>NONE</nlm:aff>
</affiliation>
</author>
<author>
<name sortKey="Johnston, Andrew Mcd" sort="Johnston, Andrew Mcd" uniqKey="Johnston A" first="Andrew Mcd" last="Johnston">Andrew Mcd Johnston</name>
<affiliation>
<nlm:aff>NONE</nlm:aff>
</affiliation>
</author>
<author>
<name sortKey="Wilson, Duncan" sort="Wilson, Duncan" uniqKey="Wilson D" first="Duncan" last="Wilson">Duncan Wilson</name>
<affiliation>
<nlm:aff>NONE</nlm:aff>
</affiliation>
</author>
<author>
<name sortKey="Hutley, Emma" sort="Hutley, Emma" uniqKey="Hutley E" first="Emma" last="Hutley">Emma Hutley</name>
<affiliation>
<nlm:aff>NONE</nlm:aff>
</affiliation>
</author>
<author>
<name sortKey="Smit, Erasmus" sort="Smit, Erasmus" uniqKey="Smit E" first="Erasmus" last="Smit">Erasmus Smit</name>
<affiliation>
<nlm:aff>NONE</nlm:aff>
</affiliation>
</author>
<author>
<name sortKey="Di Caro, Antonino" sort="Di Caro, Antonino" uniqKey="Di Caro A" first="Antonino" last="Di Caro">Antonino Di Caro</name>
<affiliation>
<nlm:aff>NONE</nlm:aff>
</affiliation>
</author>
<author>
<name sortKey="Woelfel, Roman" sort="Woelfel, Roman" uniqKey="Woelfel R" first="Roman" last="Woelfel">Roman Woelfel</name>
<affiliation>
<nlm:aff>NONE</nlm:aff>
</affiliation>
<affiliation>
<nlm:aff>NONE</nlm:aff>
</affiliation>
</author>
<author>
<name sortKey="Stoecker, Kilian" sort="Stoecker, Kilian" uniqKey="Stoecker K" first="Kilian" last="Stoecker">Kilian Stoecker</name>
<affiliation>
<nlm:aff>NONE</nlm:aff>
</affiliation>
<affiliation>
<nlm:aff>NONE</nlm:aff>
</affiliation>
</author>
<author>
<name sortKey="Fleischmann, Erna" sort="Fleischmann, Erna" uniqKey="Fleischmann E" first="Erna" last="Fleischmann">Erna Fleischmann</name>
<affiliation>
<nlm:aff>NONE</nlm:aff>
</affiliation>
<affiliation>
<nlm:aff>NONE</nlm:aff>
</affiliation>
</author>
<author>
<name sortKey="Gabriel, Martin" sort="Gabriel, Martin" uniqKey="Gabriel M" first="Martin" last="Gabriel">Martin Gabriel</name>
<affiliation>
<nlm:aff>NONE</nlm:aff>
</affiliation>
<affiliation>
<nlm:aff>NONE</nlm:aff>
</affiliation>
</author>
<author>
<name sortKey="Weller, Simon A" sort="Weller, Simon A" uniqKey="Weller S" first="Simon A." last="Weller">Simon A. Weller</name>
<affiliation>
<nlm:aff>NONE</nlm:aff>
</affiliation>
</author>
<author>
<name sortKey="Koivogui, Lamine" sort="Koivogui, Lamine" uniqKey="Koivogui L" first="Lamine" last="Koivogui">Lamine Koivogui</name>
<affiliation>
<nlm:aff>NONE</nlm:aff>
</affiliation>
</author>
<author>
<name sortKey="Diallo, Boubacar" sort="Diallo, Boubacar" uniqKey="Diallo B" first="Boubacar" last="Diallo">Boubacar Diallo</name>
<affiliation>
<nlm:aff>NONE</nlm:aff>
</affiliation>
</author>
<author>
<name sortKey="Keita, Sakoba" sort="Keita, Sakoba" uniqKey="Keita S" first="Sakoba" last="Keita">Sakoba Keita</name>
<affiliation>
<nlm:aff>NONE</nlm:aff>
</affiliation>
</author>
<author>
<name sortKey="Rambaut, Andrew" sort="Rambaut, Andrew" uniqKey="Rambaut A" first="Andrew" last="Rambaut">Andrew Rambaut</name>
<affiliation>
<nlm:aff>NONE</nlm:aff>
</affiliation>
<affiliation>
<nlm:aff>NONE</nlm:aff>
</affiliation>
<affiliation>
<nlm:aff>NONE</nlm:aff>
</affiliation>
</author>
<author>
<name sortKey="Formenty, Pierre" sort="Formenty, Pierre" uniqKey="Formenty P" first="Pierre" last="Formenty">Pierre Formenty</name>
<affiliation>
<nlm:aff>NONE</nlm:aff>
</affiliation>
</author>
<author>
<name sortKey="Gunther, Stephan" sort="Gunther, Stephan" uniqKey="Gunther S" first="Stephan" last="Gunther">Stephan Gunther</name>
<affiliation>
<nlm:aff>NONE</nlm:aff>
</affiliation>
<affiliation>
<nlm:aff>NONE</nlm:aff>
</affiliation>
</author>
<author>
<name sortKey="Carroll, Miles W" sort="Carroll, Miles W" uniqKey="Carroll M" first="Miles W." last="Carroll">Miles W. Carroll</name>
<affiliation>
<nlm:aff>NONE</nlm:aff>
</affiliation>
<affiliation>
<nlm:aff>NONE</nlm:aff>
</affiliation>
<affiliation>
<nlm:aff>NONE</nlm:aff>
</affiliation>
<affiliation>
<nlm:aff>NONE</nlm:aff>
</affiliation>
</author>
</titleStmt>
<publicationStmt>
<idno type="wicri:source">PMC</idno>
<idno type="pmid">26840485</idno>
<idno type="pmc">4817224</idno>
<idno type="url">http://www.ncbi.nlm.nih.gov/pmc/articles/PMC4817224</idno>
<idno type="RBID">PMC:4817224</idno>
<idno type="doi">10.1038/nature16996</idno>
<date when="2016">2016</date>
<idno type="wicri:Area/Pmc/Corpus">000675</idno>
<idno type="wicri:Area/Pmc/Curation">000675</idno>
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<idno type="wicri:Area/Ncbi/Merge">000707</idno>
<idno type="wicri:Area/Ncbi/Curation">000707</idno>
<idno type="wicri:Area/Ncbi/Checkpoint">000707</idno>
<idno type="wicri:doubleKey">0028-0836:2016:Quick J:real:time:portable</idno>
<idno type="wicri:Area/Main/Merge">000018</idno>
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<sourceDesc>
<biblStruct>
<analytic>
<title xml:lang="en" level="a" type="main">Real-time, portable genome sequencing for Ebola surveillance</title>
<author>
<name sortKey="Quick, Joshua" sort="Quick, Joshua" uniqKey="Quick J" first="Joshua" last="Quick">Joshua Quick</name>
<affiliation>
<nlm:aff>NONE</nlm:aff>
</affiliation>
</author>
<author>
<name sortKey="Loman, Nicholas J" sort="Loman, Nicholas J" uniqKey="Loman N" first="Nicholas J." last="Loman">Nicholas J. Loman</name>
<affiliation>
<nlm:aff>NONE</nlm:aff>
</affiliation>
</author>
<author>
<name sortKey="Duraffour, Sophie" sort="Duraffour, Sophie" uniqKey="Duraffour S" first="Sophie" last="Duraffour">Sophie Duraffour</name>
<affiliation>
<nlm:aff>NONE</nlm:aff>
</affiliation>
<affiliation>
<nlm:aff>NONE</nlm:aff>
</affiliation>
</author>
<author>
<name sortKey="Simpson, Jared T" sort="Simpson, Jared T" uniqKey="Simpson J" first="Jared T." last="Simpson">Jared T. Simpson</name>
<affiliation>
<nlm:aff>NONE</nlm:aff>
</affiliation>
<affiliation>
<nlm:aff>NONE</nlm:aff>
</affiliation>
</author>
<author>
<name sortKey="Severi, Ettore" sort="Severi, Ettore" uniqKey="Severi E" first="Ettore" last="Severi">Ettore Severi</name>
<affiliation>
<nlm:aff>NONE</nlm:aff>
</affiliation>
</author>
<author>
<name sortKey="Cowley, Lauren" sort="Cowley, Lauren" uniqKey="Cowley L" first="Lauren" last="Cowley">Lauren Cowley</name>
<affiliation>
<nlm:aff>NONE</nlm:aff>
</affiliation>
</author>
<author>
<name sortKey="Bore, Joseph Akoi" sort="Bore, Joseph Akoi" uniqKey="Bore J" first="Joseph Akoi" last="Bore">Joseph Akoi Bore</name>
<affiliation>
<nlm:aff>NONE</nlm:aff>
</affiliation>
</author>
<author>
<name sortKey="Koundouno, Raymond" sort="Koundouno, Raymond" uniqKey="Koundouno R" first="Raymond" last="Koundouno">Raymond Koundouno</name>
<affiliation>
<nlm:aff>NONE</nlm:aff>
</affiliation>
</author>
<author>
<name sortKey="Dudas, Gytis" sort="Dudas, Gytis" uniqKey="Dudas G" first="Gytis" last="Dudas">Gytis Dudas</name>
<affiliation>
<nlm:aff>NONE</nlm:aff>
</affiliation>
</author>
<author>
<name sortKey="Mikhail, Amy" sort="Mikhail, Amy" uniqKey="Mikhail A" first="Amy" last="Mikhail">Amy Mikhail</name>
<affiliation>
<nlm:aff>NONE</nlm:aff>
</affiliation>
</author>
<author>
<name sortKey="Ouedraogo, Nobila" sort="Ouedraogo, Nobila" uniqKey="Ouedraogo N" first="Nobila" last="Ouédraogo">Nobila Ouédraogo</name>
<affiliation>
<nlm:aff>NONE</nlm:aff>
</affiliation>
</author>
<author>
<name sortKey="Afrough, Babak" sort="Afrough, Babak" uniqKey="Afrough B" first="Babak" last="Afrough">Babak Afrough</name>
<affiliation>
<nlm:aff>NONE</nlm:aff>
</affiliation>
<affiliation>
<nlm:aff>NONE</nlm:aff>
</affiliation>
</author>
<author>
<name sortKey="Bah, Amadou" sort="Bah, Amadou" uniqKey="Bah A" first="Amadou" last="Bah">Amadou Bah</name>
<affiliation>
<nlm:aff>NONE</nlm:aff>
</affiliation>
<affiliation>
<nlm:aff>NONE</nlm:aff>
</affiliation>
</author>
<author>
<name sortKey="Baum, Jonathan Hj" sort="Baum, Jonathan Hj" uniqKey="Baum J" first="Jonathan Hj" last="Baum">Jonathan Hj Baum</name>
<affiliation>
<nlm:aff>NONE</nlm:aff>
</affiliation>
</author>
<author>
<name sortKey="Becker Ziaja, Beate" sort="Becker Ziaja, Beate" uniqKey="Becker Ziaja B" first="Beate" last="Becker-Ziaja">Beate Becker-Ziaja</name>
<affiliation>
<nlm:aff>NONE</nlm:aff>
</affiliation>
<affiliation>
<nlm:aff>NONE</nlm:aff>
</affiliation>
</author>
<author>
<name sortKey="Boettcher, Jan Peter" sort="Boettcher, Jan Peter" uniqKey="Boettcher J" first="Jan-Peter" last="Boettcher">Jan-Peter Boettcher</name>
<affiliation>
<nlm:aff>NONE</nlm:aff>
</affiliation>
<affiliation>
<nlm:aff>NONE</nlm:aff>
</affiliation>
</author>
<author>
<name sortKey="Cabeza Cabrerizo, Mar" sort="Cabeza Cabrerizo, Mar" uniqKey="Cabeza Cabrerizo M" first="Mar" last="Cabeza-Cabrerizo">Mar Cabeza-Cabrerizo</name>
<affiliation>
<nlm:aff>NONE</nlm:aff>
</affiliation>
<affiliation>
<nlm:aff>NONE</nlm:aff>
</affiliation>
</author>
<author>
<name sortKey="Camino Sanchez, Alvaro" sort="Camino Sanchez, Alvaro" uniqKey="Camino Sanchez A" first="Alvaro" last="Camino-Sanchez">Alvaro Camino-Sanchez</name>
<affiliation>
<nlm:aff>NONE</nlm:aff>
</affiliation>
</author>
<author>
<name sortKey="Carter, Lisa L" sort="Carter, Lisa L" uniqKey="Carter L" first="Lisa L." last="Carter">Lisa L. Carter</name>
<affiliation>
<nlm:aff>NONE</nlm:aff>
</affiliation>
<affiliation>
<nlm:aff>NONE</nlm:aff>
</affiliation>
</author>
<author>
<name sortKey="Doerrbecker, Juiliane" sort="Doerrbecker, Juiliane" uniqKey="Doerrbecker J" first="Juiliane" last="Doerrbecker">Juiliane Doerrbecker</name>
<affiliation>
<nlm:aff>NONE</nlm:aff>
</affiliation>
<affiliation>
<nlm:aff>NONE</nlm:aff>
</affiliation>
</author>
<author>
<name sortKey="Enkirch, Theresa" sort="Enkirch, Theresa" uniqKey="Enkirch T" first="Theresa" last="Enkirch">Theresa Enkirch</name>
<affiliation>
<nlm:aff>NONE</nlm:aff>
</affiliation>
<affiliation>
<nlm:aff>NONE</nlm:aff>
</affiliation>
</author>
<author>
<name sortKey="Dorival, Isabel Graciela Garcia" sort="Dorival, Isabel Graciela Garcia" uniqKey="Dorival I" first="Isabel Graciela García" last="Dorival">Isabel Graciela García Dorival</name>
<affiliation>
<nlm:aff>NONE</nlm:aff>
</affiliation>
<affiliation>
<nlm:aff>NONE</nlm:aff>
</affiliation>
</author>
<author>
<name sortKey="Hetzelt, Nicole" sort="Hetzelt, Nicole" uniqKey="Hetzelt N" first="Nicole" last="Hetzelt">Nicole Hetzelt</name>
<affiliation>
<nlm:aff>NONE</nlm:aff>
</affiliation>
<affiliation>
<nlm:aff>NONE</nlm:aff>
</affiliation>
</author>
<author>
<name sortKey="Hinzmann, Julia" sort="Hinzmann, Julia" uniqKey="Hinzmann J" first="Julia" last="Hinzmann">Julia Hinzmann</name>
<affiliation>
<nlm:aff>NONE</nlm:aff>
</affiliation>
<affiliation>
<nlm:aff>NONE</nlm:aff>
</affiliation>
</author>
<author>
<name sortKey="Holm, Tobias" sort="Holm, Tobias" uniqKey="Holm T" first="Tobias" last="Holm">Tobias Holm</name>
<affiliation>
<nlm:aff>NONE</nlm:aff>
</affiliation>
<affiliation>
<nlm:aff>NONE</nlm:aff>
</affiliation>
</author>
<author>
<name sortKey="Kafetzopoulou, Liana Eleni" sort="Kafetzopoulou, Liana Eleni" uniqKey="Kafetzopoulou L" first="Liana Eleni" last="Kafetzopoulou">Liana Eleni Kafetzopoulou</name>
<affiliation>
<nlm:aff>NONE</nlm:aff>
</affiliation>
<affiliation>
<nlm:aff>NONE</nlm:aff>
</affiliation>
</author>
<author>
<name sortKey="Koropogui, Michel" sort="Koropogui, Michel" uniqKey="Koropogui M" first="Michel" last="Koropogui">Michel Koropogui</name>
<affiliation>
<nlm:aff>NONE</nlm:aff>
</affiliation>
<affiliation>
<nlm:aff>NONE</nlm:aff>
</affiliation>
</author>
<author>
<name sortKey="Kosgey, Abigail" sort="Kosgey, Abigail" uniqKey="Kosgey A" first="Abigail" last="Kosgey">Abigail Kosgey</name>
<affiliation>
<nlm:aff>NONE</nlm:aff>
</affiliation>
<affiliation>
<nlm:aff>NONE</nlm:aff>
</affiliation>
</author>
<author>
<name sortKey="Kuisma, Eeva" sort="Kuisma, Eeva" uniqKey="Kuisma E" first="Eeva" last="Kuisma">Eeva Kuisma</name>
<affiliation>
<nlm:aff>NONE</nlm:aff>
</affiliation>
<affiliation>
<nlm:aff>NONE</nlm:aff>
</affiliation>
</author>
<author>
<name sortKey="Logue, Christopher H" sort="Logue, Christopher H" uniqKey="Logue C" first="Christopher H" last="Logue">Christopher H. Logue</name>
<affiliation>
<nlm:aff>NONE</nlm:aff>
</affiliation>
<affiliation>
<nlm:aff>NONE</nlm:aff>
</affiliation>
</author>
<author>
<name sortKey="Mazzarelli, Antonio" sort="Mazzarelli, Antonio" uniqKey="Mazzarelli A" first="Antonio" last="Mazzarelli">Antonio Mazzarelli</name>
<affiliation>
<nlm:aff>NONE</nlm:aff>
</affiliation>
<affiliation>
<nlm:aff>NONE</nlm:aff>
</affiliation>
</author>
<author>
<name sortKey="Meisel, Sarah" sort="Meisel, Sarah" uniqKey="Meisel S" first="Sarah" last="Meisel">Sarah Meisel</name>
<affiliation>
<nlm:aff>NONE</nlm:aff>
</affiliation>
<affiliation>
<nlm:aff>NONE</nlm:aff>
</affiliation>
</author>
<author>
<name sortKey="Mertens, Marc" sort="Mertens, Marc" uniqKey="Mertens M" first="Marc" last="Mertens">Marc Mertens</name>
<affiliation>
<nlm:aff>NONE</nlm:aff>
</affiliation>
<affiliation>
<nlm:aff>NONE</nlm:aff>
</affiliation>
</author>
<author>
<name sortKey="Michel, Janine" sort="Michel, Janine" uniqKey="Michel J" first="Janine" last="Michel">Janine Michel</name>
<affiliation>
<nlm:aff>NONE</nlm:aff>
</affiliation>
<affiliation>
<nlm:aff>NONE</nlm:aff>
</affiliation>
</author>
<author>
<name sortKey="Ngabo, Didier" sort="Ngabo, Didier" uniqKey="Ngabo D" first="Didier" last="Ngabo">Didier Ngabo</name>
<affiliation>
<nlm:aff>NONE</nlm:aff>
</affiliation>
<affiliation>
<nlm:aff>NONE</nlm:aff>
</affiliation>
</author>
<author>
<name sortKey="Nitzsche, Katja" sort="Nitzsche, Katja" uniqKey="Nitzsche K" first="Katja" last="Nitzsche">Katja Nitzsche</name>
<affiliation>
<nlm:aff>NONE</nlm:aff>
</affiliation>
<affiliation>
<nlm:aff>NONE</nlm:aff>
</affiliation>
</author>
<author>
<name sortKey="Pallash, Elisa" sort="Pallash, Elisa" uniqKey="Pallash E" first="Elisa" last="Pallash">Elisa Pallash</name>
<affiliation>
<nlm:aff>NONE</nlm:aff>
</affiliation>
<affiliation>
<nlm:aff>NONE</nlm:aff>
</affiliation>
</author>
<author>
<name sortKey="Patrono, Livia Victoria" sort="Patrono, Livia Victoria" uniqKey="Patrono L" first="Livia Victoria" last="Patrono">Livia Victoria Patrono</name>
<affiliation>
<nlm:aff>NONE</nlm:aff>
</affiliation>
<affiliation>
<nlm:aff>NONE</nlm:aff>
</affiliation>
</author>
<author>
<name sortKey="Portmann, Jasmine" sort="Portmann, Jasmine" uniqKey="Portmann J" first="Jasmine" last="Portmann">Jasmine Portmann</name>
<affiliation>
<nlm:aff>NONE</nlm:aff>
</affiliation>
<affiliation>
<nlm:aff>NONE</nlm:aff>
</affiliation>
</author>
<author>
<name sortKey="Repits, Johanna Gabriella" sort="Repits, Johanna Gabriella" uniqKey="Repits J" first="Johanna Gabriella" last="Repits">Johanna Gabriella Repits</name>
<affiliation>
<nlm:aff>NONE</nlm:aff>
</affiliation>
<affiliation>
<nlm:aff>NONE</nlm:aff>
</affiliation>
</author>
<author>
<name sortKey="Rickett, Natasha Yasmin" sort="Rickett, Natasha Yasmin" uniqKey="Rickett N" first="Natasha Yasmin" last="Rickett">Natasha Yasmin Rickett</name>
<affiliation>
<nlm:aff>NONE</nlm:aff>
</affiliation>
<affiliation>
<nlm:aff>NONE</nlm:aff>
</affiliation>
<affiliation>
<nlm:aff>NONE</nlm:aff>
</affiliation>
</author>
<author>
<name sortKey="Sachse, Andrea" sort="Sachse, Andrea" uniqKey="Sachse A" first="Andrea" last="Sachse">Andrea Sachse</name>
<affiliation>
<nlm:aff>NONE</nlm:aff>
</affiliation>
<affiliation>
<nlm:aff>NONE</nlm:aff>
</affiliation>
</author>
<author>
<name sortKey="Singethan, Katrin" sort="Singethan, Katrin" uniqKey="Singethan K" first="Katrin" last="Singethan">Katrin Singethan</name>
<affiliation>
<nlm:aff>NONE</nlm:aff>
</affiliation>
<affiliation>
<nlm:aff>NONE</nlm:aff>
</affiliation>
</author>
<author>
<name sortKey="Vitoriano, Ines" sort="Vitoriano, Ines" uniqKey="Vitoriano I" first="Inês" last="Vitoriano">Inês Vitoriano</name>
<affiliation>
<nlm:aff>NONE</nlm:aff>
</affiliation>
<affiliation>
<nlm:aff>NONE</nlm:aff>
</affiliation>
</author>
<author>
<name sortKey="Yemanaberhan, Rahel L" sort="Yemanaberhan, Rahel L" uniqKey="Yemanaberhan R" first="Rahel L" last="Yemanaberhan">Rahel L. Yemanaberhan</name>
<affiliation>
<nlm:aff>NONE</nlm:aff>
</affiliation>
<affiliation>
<nlm:aff>NONE</nlm:aff>
</affiliation>
</author>
<author>
<name sortKey="Zekeng, Elsa G" sort="Zekeng, Elsa G" uniqKey="Zekeng E" first="Elsa G" last="Zekeng">Elsa G. Zekeng</name>
<affiliation>
<nlm:aff>NONE</nlm:aff>
</affiliation>
<affiliation>
<nlm:aff>NONE</nlm:aff>
</affiliation>
<affiliation>
<nlm:aff>NONE</nlm:aff>
</affiliation>
</author>
<author>
<name sortKey="Trina, Racine" sort="Trina, Racine" uniqKey="Trina R" first="Racine" last="Trina">Racine Trina</name>
<affiliation>
<nlm:aff>NONE</nlm:aff>
</affiliation>
</author>
<author>
<name sortKey="Bello, Alexander" sort="Bello, Alexander" uniqKey="Bello A" first="Alexander" last="Bello">Alexander Bello</name>
<affiliation>
<nlm:aff>NONE</nlm:aff>
</affiliation>
</author>
<author>
<name sortKey="Sall, Amadou Alpha" sort="Sall, Amadou Alpha" uniqKey="Sall A" first="Amadou Alpha" last="Sall">Amadou Alpha Sall</name>
<affiliation>
<nlm:aff>NONE</nlm:aff>
</affiliation>
</author>
<author>
<name sortKey="Faye, Ousmane" sort="Faye, Ousmane" uniqKey="Faye O" first="Ousmane" last="Faye">Ousmane Faye</name>
<affiliation>
<nlm:aff>NONE</nlm:aff>
</affiliation>
</author>
<author>
<name sortKey="Faye, Oumar" sort="Faye, Oumar" uniqKey="Faye O" first="Oumar" last="Faye">Oumar Faye</name>
<affiliation>
<nlm:aff>NONE</nlm:aff>
</affiliation>
</author>
<author>
<name sortKey="Magassouba, N Aly" sort="Magassouba, N Aly" uniqKey="Magassouba N" first="N Aly" last="Magassouba">N Aly Magassouba</name>
<affiliation>
<nlm:aff>NONE</nlm:aff>
</affiliation>
</author>
<author>
<name sortKey="Williams, Cecelia V" sort="Williams, Cecelia V" uniqKey="Williams C" first="Cecelia V." last="Williams">Cecelia V. Williams</name>
<affiliation>
<nlm:aff>NONE</nlm:aff>
</affiliation>
<affiliation>
<nlm:aff>NONE</nlm:aff>
</affiliation>
</author>
<author>
<name sortKey="Amburgey, Victoria" sort="Amburgey, Victoria" uniqKey="Amburgey V" first="Victoria" last="Amburgey">Victoria Amburgey</name>
<affiliation>
<nlm:aff>NONE</nlm:aff>
</affiliation>
<affiliation>
<nlm:aff>NONE</nlm:aff>
</affiliation>
</author>
<author>
<name sortKey="Winona, Linda" sort="Winona, Linda" uniqKey="Winona L" first="Linda" last="Winona">Linda Winona</name>
<affiliation>
<nlm:aff>NONE</nlm:aff>
</affiliation>
<affiliation>
<nlm:aff>NONE</nlm:aff>
</affiliation>
</author>
<author>
<name sortKey="Davis, Emily" sort="Davis, Emily" uniqKey="Davis E" first="Emily" last="Davis">Emily Davis</name>
<affiliation>
<nlm:aff>NONE</nlm:aff>
</affiliation>
<affiliation>
<nlm:aff>NONE</nlm:aff>
</affiliation>
</author>
<author>
<name sortKey="Gerlach, Jon" sort="Gerlach, Jon" uniqKey="Gerlach J" first="Jon" last="Gerlach">Jon Gerlach</name>
<affiliation>
<nlm:aff>NONE</nlm:aff>
</affiliation>
<affiliation>
<nlm:aff>NONE</nlm:aff>
</affiliation>
</author>
<author>
<name sortKey="Washington, Franck" sort="Washington, Franck" uniqKey="Washington F" first="Franck" last="Washington">Franck Washington</name>
<affiliation>
<nlm:aff>NONE</nlm:aff>
</affiliation>
<affiliation>
<nlm:aff>NONE</nlm:aff>
</affiliation>
</author>
<author>
<name sortKey="Monteil, Vanessa" sort="Monteil, Vanessa" uniqKey="Monteil V" first="Vanessa" last="Monteil">Vanessa Monteil</name>
<affiliation>
<nlm:aff>NONE</nlm:aff>
</affiliation>
</author>
<author>
<name sortKey="Jourdain, Marine" sort="Jourdain, Marine" uniqKey="Jourdain M" first="Marine" last="Jourdain">Marine Jourdain</name>
<affiliation>
<nlm:aff>NONE</nlm:aff>
</affiliation>
</author>
<author>
<name sortKey="Bererd, Marion" sort="Bererd, Marion" uniqKey="Bererd M" first="Marion" last="Bererd">Marion Bererd</name>
<affiliation>
<nlm:aff>NONE</nlm:aff>
</affiliation>
</author>
<author>
<name sortKey="Camara, Alimou" sort="Camara, Alimou" uniqKey="Camara A" first="Alimou" last="Camara">Alimou Camara</name>
<affiliation>
<nlm:aff>NONE</nlm:aff>
</affiliation>
</author>
<author>
<name sortKey="Somlare, Hermann" sort="Somlare, Hermann" uniqKey="Somlare H" first="Hermann" last="Somlare">Hermann Somlare</name>
<affiliation>
<nlm:aff>NONE</nlm:aff>
</affiliation>
</author>
<author>
<name sortKey="Camara, Abdoulaye" sort="Camara, Abdoulaye" uniqKey="Camara A" first="Abdoulaye" last="Camara">Abdoulaye Camara</name>
<affiliation>
<nlm:aff>NONE</nlm:aff>
</affiliation>
</author>
<author>
<name sortKey="Gerard, Marianne" sort="Gerard, Marianne" uniqKey="Gerard M" first="Marianne" last="Gerard">Marianne Gerard</name>
<affiliation>
<nlm:aff>NONE</nlm:aff>
</affiliation>
</author>
<author>
<name sortKey="Bado, Guillaume" sort="Bado, Guillaume" uniqKey="Bado G" first="Guillaume" last="Bado">Guillaume Bado</name>
<affiliation>
<nlm:aff>NONE</nlm:aff>
</affiliation>
</author>
<author>
<name sortKey="Baillet, Bernard" sort="Baillet, Bernard" uniqKey="Baillet B" first="Bernard" last="Baillet">Bernard Baillet</name>
<affiliation>
<nlm:aff>NONE</nlm:aff>
</affiliation>
</author>
<author>
<name sortKey="Delaune, Deborah" sort="Delaune, Deborah" uniqKey="Delaune D" first="Déborah" last="Delaune">Déborah Delaune</name>
<affiliation>
<nlm:aff>NONE</nlm:aff>
</affiliation>
<affiliation>
<nlm:aff>NONE</nlm:aff>
</affiliation>
</author>
<author>
<name sortKey="Nebie, Koumpingnin Yacouba" sort="Nebie, Koumpingnin Yacouba" uniqKey="Nebie K" first="Koumpingnin Yacouba" last="Nebie">Koumpingnin Yacouba Nebie</name>
<affiliation>
<nlm:aff>NONE</nlm:aff>
</affiliation>
</author>
<author>
<name sortKey="Diarra, Abdoulaye" sort="Diarra, Abdoulaye" uniqKey="Diarra A" first="Abdoulaye" last="Diarra">Abdoulaye Diarra</name>
<affiliation>
<nlm:aff>NONE</nlm:aff>
</affiliation>
</author>
<author>
<name sortKey="Savane, Yacouba" sort="Savane, Yacouba" uniqKey="Savane Y" first="Yacouba" last="Savane">Yacouba Savane</name>
<affiliation>
<nlm:aff>NONE</nlm:aff>
</affiliation>
</author>
<author>
<name sortKey="Pallawo, Raymond Bernard" sort="Pallawo, Raymond Bernard" uniqKey="Pallawo R" first="Raymond Bernard" last="Pallawo">Raymond Bernard Pallawo</name>
<affiliation>
<nlm:aff>NONE</nlm:aff>
</affiliation>
</author>
<author>
<name sortKey="Gutierrez, Giovanna Jaramillo" sort="Gutierrez, Giovanna Jaramillo" uniqKey="Gutierrez G" first="Giovanna Jaramillo" last="Gutierrez">Giovanna Jaramillo Gutierrez</name>
<affiliation>
<nlm:aff>NONE</nlm:aff>
</affiliation>
</author>
<author>
<name sortKey="Milhano, Natacha" sort="Milhano, Natacha" uniqKey="Milhano N" first="Natacha" last="Milhano">Natacha Milhano</name>
<affiliation>
<nlm:aff>NONE</nlm:aff>
</affiliation>
<affiliation>
<nlm:aff>NONE</nlm:aff>
</affiliation>
</author>
<author>
<name sortKey="Roger, Isabelle" sort="Roger, Isabelle" uniqKey="Roger I" first="Isabelle" last="Roger">Isabelle Roger</name>
<affiliation>
<nlm:aff>NONE</nlm:aff>
</affiliation>
</author>
<author>
<name sortKey="Williams, Christopher J" sort="Williams, Christopher J" uniqKey="Williams C" first="Christopher J" last="Williams">Christopher J. Williams</name>
<affiliation>
<nlm:aff>NONE</nlm:aff>
</affiliation>
<affiliation>
<nlm:aff>NONE</nlm:aff>
</affiliation>
</author>
<author>
<name sortKey="Yattara, Facinet" sort="Yattara, Facinet" uniqKey="Yattara F" first="Facinet" last="Yattara">Facinet Yattara</name>
<affiliation>
<nlm:aff>NONE</nlm:aff>
</affiliation>
</author>
<author>
<name sortKey="Lewandowski, Kuiama" sort="Lewandowski, Kuiama" uniqKey="Lewandowski K" first="Kuiama" last="Lewandowski">Kuiama Lewandowski</name>
<affiliation>
<nlm:aff>NONE</nlm:aff>
</affiliation>
</author>
<author>
<name sortKey="Taylor, Jamie" sort="Taylor, Jamie" uniqKey="Taylor J" first="Jamie" last="Taylor">Jamie Taylor</name>
<affiliation>
<nlm:aff>NONE</nlm:aff>
</affiliation>
</author>
<author>
<name sortKey="Rachwal, Philip" sort="Rachwal, Philip" uniqKey="Rachwal P" first="Philip" last="Rachwal">Philip Rachwal</name>
<affiliation>
<nlm:aff>NONE</nlm:aff>
</affiliation>
</author>
<author>
<name sortKey="Turner, Daniel" sort="Turner, Daniel" uniqKey="Turner D" first="Daniel" last="Turner">Daniel Turner</name>
<affiliation>
<nlm:aff>NONE</nlm:aff>
</affiliation>
</author>
<author>
<name sortKey="Pollakis, Georgios" sort="Pollakis, Georgios" uniqKey="Pollakis G" first="Georgios" last="Pollakis">Georgios Pollakis</name>
<affiliation>
<nlm:aff>NONE</nlm:aff>
</affiliation>
<affiliation>
<nlm:aff>NONE</nlm:aff>
</affiliation>
</author>
<author>
<name sortKey="Hiscox, Julian A" sort="Hiscox, Julian A" uniqKey="Hiscox J" first="Julian A." last="Hiscox">Julian A. Hiscox</name>
<affiliation>
<nlm:aff>NONE</nlm:aff>
</affiliation>
<affiliation>
<nlm:aff>NONE</nlm:aff>
</affiliation>
</author>
<author>
<name sortKey="Matthews, David A" sort="Matthews, David A" uniqKey="Matthews D" first="David A." last="Matthews">David A. Matthews</name>
<affiliation>
<nlm:aff>NONE</nlm:aff>
</affiliation>
</author>
<author>
<name sortKey="O Hea, Matthew K" sort="O Hea, Matthew K" uniqKey="O Hea M" first="Matthew K." last="O Hea">Matthew K. O Hea</name>
<affiliation>
<nlm:aff>NONE</nlm:aff>
</affiliation>
<affiliation>
<nlm:aff>NONE</nlm:aff>
</affiliation>
</author>
<author>
<name sortKey="Johnston, Andrew Mcd" sort="Johnston, Andrew Mcd" uniqKey="Johnston A" first="Andrew Mcd" last="Johnston">Andrew Mcd Johnston</name>
<affiliation>
<nlm:aff>NONE</nlm:aff>
</affiliation>
</author>
<author>
<name sortKey="Wilson, Duncan" sort="Wilson, Duncan" uniqKey="Wilson D" first="Duncan" last="Wilson">Duncan Wilson</name>
<affiliation>
<nlm:aff>NONE</nlm:aff>
</affiliation>
</author>
<author>
<name sortKey="Hutley, Emma" sort="Hutley, Emma" uniqKey="Hutley E" first="Emma" last="Hutley">Emma Hutley</name>
<affiliation>
<nlm:aff>NONE</nlm:aff>
</affiliation>
</author>
<author>
<name sortKey="Smit, Erasmus" sort="Smit, Erasmus" uniqKey="Smit E" first="Erasmus" last="Smit">Erasmus Smit</name>
<affiliation>
<nlm:aff>NONE</nlm:aff>
</affiliation>
</author>
<author>
<name sortKey="Di Caro, Antonino" sort="Di Caro, Antonino" uniqKey="Di Caro A" first="Antonino" last="Di Caro">Antonino Di Caro</name>
<affiliation>
<nlm:aff>NONE</nlm:aff>
</affiliation>
</author>
<author>
<name sortKey="Woelfel, Roman" sort="Woelfel, Roman" uniqKey="Woelfel R" first="Roman" last="Woelfel">Roman Woelfel</name>
<affiliation>
<nlm:aff>NONE</nlm:aff>
</affiliation>
<affiliation>
<nlm:aff>NONE</nlm:aff>
</affiliation>
</author>
<author>
<name sortKey="Stoecker, Kilian" sort="Stoecker, Kilian" uniqKey="Stoecker K" first="Kilian" last="Stoecker">Kilian Stoecker</name>
<affiliation>
<nlm:aff>NONE</nlm:aff>
</affiliation>
<affiliation>
<nlm:aff>NONE</nlm:aff>
</affiliation>
</author>
<author>
<name sortKey="Fleischmann, Erna" sort="Fleischmann, Erna" uniqKey="Fleischmann E" first="Erna" last="Fleischmann">Erna Fleischmann</name>
<affiliation>
<nlm:aff>NONE</nlm:aff>
</affiliation>
<affiliation>
<nlm:aff>NONE</nlm:aff>
</affiliation>
</author>
<author>
<name sortKey="Gabriel, Martin" sort="Gabriel, Martin" uniqKey="Gabriel M" first="Martin" last="Gabriel">Martin Gabriel</name>
<affiliation>
<nlm:aff>NONE</nlm:aff>
</affiliation>
<affiliation>
<nlm:aff>NONE</nlm:aff>
</affiliation>
</author>
<author>
<name sortKey="Weller, Simon A" sort="Weller, Simon A" uniqKey="Weller S" first="Simon A." last="Weller">Simon A. Weller</name>
<affiliation>
<nlm:aff>NONE</nlm:aff>
</affiliation>
</author>
<author>
<name sortKey="Koivogui, Lamine" sort="Koivogui, Lamine" uniqKey="Koivogui L" first="Lamine" last="Koivogui">Lamine Koivogui</name>
<affiliation>
<nlm:aff>NONE</nlm:aff>
</affiliation>
</author>
<author>
<name sortKey="Diallo, Boubacar" sort="Diallo, Boubacar" uniqKey="Diallo B" first="Boubacar" last="Diallo">Boubacar Diallo</name>
<affiliation>
<nlm:aff>NONE</nlm:aff>
</affiliation>
</author>
<author>
<name sortKey="Keita, Sakoba" sort="Keita, Sakoba" uniqKey="Keita S" first="Sakoba" last="Keita">Sakoba Keita</name>
<affiliation>
<nlm:aff>NONE</nlm:aff>
</affiliation>
</author>
<author>
<name sortKey="Rambaut, Andrew" sort="Rambaut, Andrew" uniqKey="Rambaut A" first="Andrew" last="Rambaut">Andrew Rambaut</name>
<affiliation>
<nlm:aff>NONE</nlm:aff>
</affiliation>
<affiliation>
<nlm:aff>NONE</nlm:aff>
</affiliation>
<affiliation>
<nlm:aff>NONE</nlm:aff>
</affiliation>
</author>
<author>
<name sortKey="Formenty, Pierre" sort="Formenty, Pierre" uniqKey="Formenty P" first="Pierre" last="Formenty">Pierre Formenty</name>
<affiliation>
<nlm:aff>NONE</nlm:aff>
</affiliation>
</author>
<author>
<name sortKey="Gunther, Stephan" sort="Gunther, Stephan" uniqKey="Gunther S" first="Stephan" last="Gunther">Stephan Gunther</name>
<affiliation>
<nlm:aff>NONE</nlm:aff>
</affiliation>
<affiliation>
<nlm:aff>NONE</nlm:aff>
</affiliation>
</author>
<author>
<name sortKey="Carroll, Miles W" sort="Carroll, Miles W" uniqKey="Carroll M" first="Miles W." last="Carroll">Miles W. Carroll</name>
<affiliation>
<nlm:aff>NONE</nlm:aff>
</affiliation>
<affiliation>
<nlm:aff>NONE</nlm:aff>
</affiliation>
<affiliation>
<nlm:aff>NONE</nlm:aff>
</affiliation>
<affiliation>
<nlm:aff>NONE</nlm:aff>
</affiliation>
</author>
</analytic>
<series>
<title level="j">Nature</title>
<idno type="ISSN">0028-0836</idno>
<idno type="eISSN">1476-4687</idno>
<imprint>
<date when="2016">2016</date>
</imprint>
</series>
</biblStruct>
</sourceDesc>
</fileDesc>
<profileDesc>
<textClass></textClass>
</profileDesc>
</teiHeader>
<front>
<div type="abstract" xml:lang="en">
<p id="P3">The Ebola virus disease (EVD) epidemic in West Africa is the largest on record, responsible for >28,599 cases and >11,299 deaths
<sup>
<xref rid="R1" ref-type="bibr">1</xref>
</sup>
. Genome sequencing in viral outbreaks is desirable in order to characterize the infectious agent to determine its evolutionary rate, signatures of host adaptation, identification and monitoring of diagnostic targets and responses to vaccines and treatments. The Ebola virus genome (EBOV) substitution rate in the Makona strain has been estimated at between 0.87 × 10
<sup>−3</sup>
to 1.42 × 10
<sup>−3</sup>
mutations per site per year. This is equivalent to 16 to 27 mutations in each genome, meaning that sequences diverge rapidly enough to identify distinct sub-lineages during a prolonged epidemic
<sup>
<xref rid="R2" ref-type="bibr">2</xref>
-
<xref rid="R7" ref-type="bibr">7</xref>
</sup>
. Genome sequencing provides a high-resolution view of pathogen evolution and is increasingly sought-after for outbreak surveillance. Sequence data may be used to guide control measures, but only if the results are generated quickly enough to inform interventions
<sup>
<xref rid="R8" ref-type="bibr">8</xref>
</sup>
. Genomic surveillance during the epidemic has been sporadic due to a lack of local sequencing capacity coupled with practical difficulties transporting samples to remote sequencing facilities
<sup>
<xref rid="R9" ref-type="bibr">9</xref>
</sup>
. In order to address this problem, we devised a genomic surveillance system that utilizes a novel nanopore DNA sequencing instrument. In April 2015 this system was transported in standard airline luggage to Guinea and used for real-time genomic surveillance of the ongoing epidemic. Here we present sequence data and analysis of 142 Ebola virus (EBOV) samples collected during the period March to October 2015. We were able to generate results in less than 24 hours after receiving an Ebola positive sample, with the sequencing process taking as little as 15-60 minutes. We show that real-time genomic surveillance is possible in resource-limited settings and can be established rapidly to monitor outbreaks.</p>
</div>
</front>
<back>
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