Molecular Epidemiology of SARS-CoV-2 in Tunisia (North Africa) through Several Successive Waves of COVID-19
2022
Anissa Chouikha | Wasfi Fares | Asma Laamari | Sondes Haddad-Boubaker | Zeineb Belaiba | Kais Ghedira | Wafa Kammoun Rebai | Kaouther Ayouni | Marwa Khedhiri | Samar Ben Halima | Henda Krichen | Henda Touzi | Imen Ben Dhifallah | Fatma Z. Guerfali | Chiraz Atri | Saifeddine Azouz | Oussema Khamessi | Monia Ardhaoui | Mouna Safer | Nissaf Ben Alaya | Ikram Guizani | Rym Kefi | Mariem Gdoura | Henda Triki
Documenting the circulation dynamics of SARS-CoV-2 variants in different regions of the world is crucial for monitoring virus transmission worldwide and contributing to global efforts towards combating the pandemic. Tunisia has experienced several waves of COVID-19 with a significant number of infections and deaths. The present study provides genetic information on the different lineages of SARS-CoV-2 that circulated in Tunisia over 17 months. Lineages were assigned for 1359 samples using whole-genome sequencing, partial S gene sequencing and variant-specific real-time RT-PCR tests. Forty-eight different lineages of SARS-CoV-2 were identified, including variants of concern (VOCs), variants of interest (VOIs) and variants under monitoring (VUMs), particularly Alpha, Beta, Delta, A.27, Zeta and Eta. The first wave, limited to imported and import-related cases, was characterized by a small number of positive samples and lineages. During the second wave, a large number of lineages were detected; the third wave was marked by the predominance of the Alpha VOC, and the fourth wave was characterized by the predominance of the Delta VOC. This study adds new genomic data to the global context of COVID-19, particularly from the North African region, and highlights the importance of the timely molecular characterization of circulating strains.
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