1
|
Oprea M, Njamkepo E, Cristea D, Zhukova A, Clark CG, Kravetz AN, Monakhova E, Ciontea AS, Cojocaru R, Rauzier J, Damian M, Gascuel O, Quilici ML, Weill FX. The seventh pandemic of cholera in Europe revisited by microbial genomics. Nat Commun 2020; 11:5347. [PMID: 33093464 PMCID: PMC7582136 DOI: 10.1038/s41467-020-19185-y] [Citation(s) in RCA: 11] [Impact Index Per Article: 2.8] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/15/2020] [Accepted: 09/30/2020] [Indexed: 01/09/2023] Open
Abstract
In 1970, the seventh pandemic of cholera (7 P) reached both Africa and Europe. Between 1970 and 2011, several European countries reported cholera outbreaks of a few to more than 2,000 cases. We report here a whole-genome analysis of 1,324 7 P V. cholerae El Tor (7 PET) isolates, including 172 from autochthonous sporadic or outbreak cholera cases occurring between 1970 and 2011 in Europe, providing insight into the spatial and temporal spread of this pathogen across Europe. In this work, we show that the 7 PET lineage was introduced at least eight times into two main regions: Eastern and Southern Europe. Greater recurrence of the disease was observed in Eastern Europe, where it persisted until 2011. It was introduced into this region from Southern Asia, often circulating regionally in the countries bordering the Black Sea, and in the Middle East before reaching Eastern Africa on several occasions. In Southern Europe, the disease was mostly seen in individual countries during the 1970s and was imported from North and West Africa, except in 1994, when cholera was imported into Albania and Italy from the Black Sea region. These results shed light on the geographic course of cholera during the seventh pandemic and highlight the role of humans in its global dissemination.
Collapse
Affiliation(s)
- Mihaela Oprea
- Cantacuzino National Medico-Military Institute for Research and Development, 050096, Bucharest, Romania
| | - Elisabeth Njamkepo
- Institut Pasteur, Unité des Bactéries Pathogènes Entériques, Paris, 75015, France
| | - Daniela Cristea
- Cantacuzino National Medico-Military Institute for Research and Development, 050096, Bucharest, Romania
| | - Anna Zhukova
- Unité Bioinformatique Evolutive, USR3756 (C3BI/DBC), Institut Pasteur & CNRS, Paris, France
- Hub Bioinformatique et Biostatistique, USR3756 (C3BI/DBC), Institut Pasteur, Paris, France
| | - Clifford G Clark
- National Microbiology Laboratory, Public Health Agency of Canada, Winnipeg, MN, Canada
| | - Anatoly N Kravetz
- Kiev Research Institute of Epidemiology and Infectious Diseases, Protasiv Yar Uzuiz, Ukraine
| | - Elena Monakhova
- Rostov-on-Don Research Anti-Plague Institute, Rostov-on-Don, Russia, 344002
| | - Adriana S Ciontea
- Cantacuzino National Medico-Military Institute for Research and Development, 050096, Bucharest, Romania
| | - Radu Cojocaru
- National Centre for Public Health, Chisinau, Republic of Moldova
| | - Jean Rauzier
- Institut Pasteur, Unité des Bactéries Pathogènes Entériques, Paris, 75015, France
| | - Maria Damian
- Cantacuzino National Medico-Military Institute for Research and Development, 050096, Bucharest, Romania
| | - Olivier Gascuel
- Unité Bioinformatique Evolutive, USR3756 (C3BI/DBC), Institut Pasteur & CNRS, Paris, France
| | - Marie-Laure Quilici
- Institut Pasteur, Unité des Bactéries Pathogènes Entériques, Paris, 75015, France
| | | |
Collapse
|
2
|
Weill FX, Domman D, Njamkepo E, Tarr C, Rauzier J, Fawal N, Keddy KH, Salje H, Moore S, Mukhopadhyay AK, Bercion R, Luquero FJ, Ngandjio A, Dosso M, Monakhova E, Garin B, Bouchier C, Pazzani C, Mutreja A, Grunow R, Sidikou F, Bonte L, Breurec S, Damian M, Njanpop-Lafourcade BM, Sapriel G, Page AL, Hamze M, Henkens M, Chowdhury G, Mengel M, Koeck JL, Fournier JM, Dougan G, Grimont PAD, Parkhill J, Holt KE, Piarroux R, Ramamurthy T, Quilici ML, Thomson NR. Genomic history of the seventh pandemic of cholera in Africa. Science 2017; 358:785-789. [DOI: 10.1126/science.aad5901] [Citation(s) in RCA: 188] [Impact Index Per Article: 26.9] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/26/2017] [Accepted: 10/10/2017] [Indexed: 11/02/2022]
Abstract
The seventh cholera pandemic has heavily affected Africa, although the origin and continental spread of the disease remain undefined. We used genomic data from 1070 Vibrio cholerae O1 isolates, across 45 African countries and over a 49-year period, to show that past epidemics were attributable to a single expanded lineage. This lineage was introduced at least 11 times since 1970, into two main regions, West Africa and East/Southern Africa, causing epidemics that lasted up to 28 years. The last five introductions into Africa, all from Asia, involved multidrug-resistant sublineages that replaced antibiotic-susceptible sublineages after 2000. This phylogenetic framework describes the periodicity of lineage introduction and the stable routes of cholera spread, which should inform the rational design of control measures for cholera in Africa.
Collapse
Affiliation(s)
- François-Xavier Weill
- Institut Pasteur, Unité des Bactéries Pathogènes Entériques, Paris, 75015, France
- Wellcome Trust Sanger Institute, Wellcome Trust Genome Campus, Hinxton CB10 1SA, UK
| | - Daryl Domman
- Wellcome Trust Sanger Institute, Wellcome Trust Genome Campus, Hinxton CB10 1SA, UK
| | - Elisabeth Njamkepo
- Institut Pasteur, Unité des Bactéries Pathogènes Entériques, Paris, 75015, France
| | - Cheryl Tarr
- Centers for Disease Control and Prevention, Escherichia and Shigella Reference Unit, Atlanta, GA 30333, USA
| | - Jean Rauzier
- Institut Pasteur, Unité des Bactéries Pathogènes Entériques, Paris, 75015, France
| | - Nizar Fawal
- Institut Pasteur, Unité des Bactéries Pathogènes Entériques, Paris, 75015, France
| | - Karen H. Keddy
- Centre for Enteric Diseases, National Institute for Communicable Diseases, Johannesburg 2131, South Africa
- Faculty of Health Sciences, University of the Witwatersrand, Johannesburg 2193, South Africa
| | - Henrik Salje
- Institut Pasteur, Mathematical Modelling of Infectious Diseases, Paris, 75015, France
- Johns Hopkins Bloomberg School of Public Health, Baltimore, MD 21205, USA
| | - Sandra Moore
- Laboratoire de Parasitologie-Mycologie, CHU Timone, Université de la Méditerranée, Marseille, 13385, France
| | - Asish K. Mukhopadhyay
- National Institute of Cholera and Enteric Diseases (NICED), Kolkata, West Bengal 700010, India
| | - Raymond Bercion
- Institut Pasteur de Bangui, BP 923, Bangui, Central African Republic
- Institut Pasteur de Dakar, BP 220, Dakar, Senegal
| | | | | | - Mireille Dosso
- Bacteriology and Virology Department, Institut Pasteur, Abidjan, Côte d'Ivoire
| | - Elena Monakhova
- Rostov-on-Don Research Institute for Plague Control, Rostov-on-Don, 344022, Russia
| | - Benoit Garin
- Institut Pasteur de Dakar, BP 220, Dakar, Senegal
| | | | - Carlo Pazzani
- University of Bari “A. Moro”, Department of Biology, Bari, 70126, Italy
| | - Ankur Mutreja
- Department of Medicine, University of Cambridge, Addenbrooke’s Hospital, Cambridge CB2 0SP, UK
- Translational Health Science and Technology Institute (THSTI), Faridabad, Haryana 121001, India
| | | | - Fati Sidikou
- Centre de Recherche Medicale et Sanitaire (CERMES), BP 10887, Niamey, Niger
| | | | - Sébastien Breurec
- Institut Pasteur de Bangui, BP 923, Bangui, Central African Republic
| | - Maria Damian
- Cantacuzino National Institute of Research-Development for Microbiology and Immunology, Bucharest, Romania
| | | | - Guillaume Sapriel
- Université de Versailles Saint-Quentin-en-Yvelines, UFR des sciences de la santé Simone Veil, Montigny-le-Bretonneux, 78180, France
- Atelier de Bioinformatique, ISYEB, UMR 7205, Paris, 75005, France
| | | | - Monzer Hamze
- Laboratoire Microbiologie Santé et Environnement (LMSE), EDST-FSP, Université Libanaise, Tripoli, Lebanon
| | | | - Goutam Chowdhury
- National Institute of Cholera and Enteric Diseases (NICED), Kolkata, West Bengal 700010, India
| | - Martin Mengel
- Agence de Médecine Préventive (AMP), Paris, 75015, France
| | - Jean-Louis Koeck
- Centre Hospitalier des Armées Bouffard, Djibouti, Republic of Djibouti
| | | | - Gordon Dougan
- Wellcome Trust Sanger Institute, Wellcome Trust Genome Campus, Hinxton CB10 1SA, UK
- Department of Medicine, University of Cambridge, Addenbrooke’s Hospital, Cambridge CB2 0SP, UK
| | - Patrick A. D. Grimont
- Institut Pasteur, Unité Biodiversité des Bactéries Pathogènes Emergentes, Paris, 75015, France
| | - Julian Parkhill
- Wellcome Trust Sanger Institute, Wellcome Trust Genome Campus, Hinxton CB10 1SA, UK
| | - Kathryn E. Holt
- Department of Biochemistry and Molecular Biology, Bio21 Molecular Science and Biotechnology Institute, University of Melbourne, Parkville, Victoria 3010, Australia
| | - Renaud Piarroux
- Laboratoire de Parasitologie-Mycologie, CHU Timone, Université de la Méditerranée, Marseille, 13385, France
| | | | - Marie-Laure Quilici
- Institut Pasteur, Unité des Bactéries Pathogènes Entériques, Paris, 75015, France
- Institut Pasteur, Unité du Choléra et des Vibrions, Paris, 75015, France
| | - Nicholas R. Thomson
- Wellcome Trust Sanger Institute, Wellcome Trust Genome Campus, Hinxton CB10 1SA, UK
- London School of Hygiene and Tropical Medicine, London WC1E 7HT, UK
| |
Collapse
|