Tracking SARS-CoV-2 lineage B.1.1.7 dissemination: insights from nationwide spike gene target failure (SGTF) and spike gene late detection (SGTL) data, Portugal, week 49 2020 to week 3 2021
V?tor Borges1,2
, Carlos Sousa2,3 , Lu?s Menezes4 , Ant?nio Maia Gon?alves5 , Miguel Pic?o6 , Jos? Pedro Almeida7 , Margarida Vieita7 , Rafael Santos7 , Ana Rita Silva3 , Mariana Costa3 , Lu?s Carneiro3 , Pedro Casaca8 , Pedro Pinto-Leite8 , Andr? Peralta-Santos8 , Joana Isidro1
, S?lvia Duarte9 , Lu?s Vieira9 , Raquel Guiomar10 , Susana Silva11 , Baltazar Nunes11 , Jo?o P Gomes
We show that the SARS-CoV-2 B.1.1.7 lineage is highly disseminated in Portugal, with the odds of B.1.1.7 proportion increasing at an estimated 89% (95% confidence interval: 83?95%) per week until week 3 2021. RT-PCR spike gene target late detection (SGTL) can constitute a useful surrogate to track B.1.1.7 spread, besides the spike gene target failure (SGTF) proxy. SGTL/SGTF samples were associated with statistically significant higher viral loads, but not with substantial shift in age distribution compared to non-SGTF/SGTL cases.
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V?tor Borges1,2


We show that the SARS-CoV-2 B.1.1.7 lineage is highly disseminated in Portugal, with the odds of B.1.1.7 proportion increasing at an estimated 89% (95% confidence interval: 83?95%) per week until week 3 2021. RT-PCR spike gene target late detection (SGTL) can constitute a useful surrogate to track B.1.1.7 spread, besides the spike gene target failure (SGTF) proxy. SGTL/SGTF samples were associated with statistically significant higher viral loads, but not with substantial shift in age distribution compared to non-SGTF/SGTL cases.
full article