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COVID-19 in Amazonas, Brazil, was driven by the persistence of endemic lineages and P.1 emergence

F. Naveca,V. Nascimento,26 Authors,G. Bello

2021 · DOI: 10.1038/s41591-021-01378-7
Nature Medicine · 322 Citations

TLDR

Analysis of circulating SARS-CoV-2 viruses during the first and second waves of COVID-19 in Amazonas, Brazil, shows successive lineage replacements led to predominance of the variant of concern P.1.1 and are associated with variable levels of social distancing.