Scientific Reports (Dec 2023)

Genomic surveillance of SARS-CoV-2 reveals highest severity and mortality of delta over other variants: evidence from Cameroon

  • Joseph Fokam,
  • Rene Ghislain Essomba,
  • Richard Njouom,
  • Marie-Claire A. Okomo,
  • Sara Eyangoh,
  • Celestin Godwe,
  • Bryan Tegomoh,
  • John O. Otshudiema,
  • Julius Nwobegahay,
  • Lucy Ndip,
  • Blaise Akenji,
  • Desire Takou,
  • Mohamed M. M. Moctar,
  • Cleophas Kahtita Mbah,
  • Valantine Ngum Ndze,
  • Martin Maidadi-Foudi,
  • Charles Kouanfack,
  • Sandrine Tonmeu,
  • Dorine Ngono,
  • John Nkengasong,
  • Nicaise Ndembi,
  • Anne-Cecile Z. K. Bissek,
  • Christian Mouangue,
  • Chanceline B. Ndongo,
  • Emilienne Epée,
  • Nadia Mandeng,
  • Sandrine Kamso Belinga,
  • Ahidjo Ayouba,
  • Nicolas Fernandez,
  • Marcel Tongo,
  • Vittorio Colizzi,
  • Gregory-Edie Halle-Ekane,
  • Carlo-Federico Perno,
  • Alexis Ndjolo,
  • Clement B. Ndongmo,
  • Judith Shang,
  • Linda Esso,
  • Oliviera de-Tulio,
  • Moussa Moise Diagne,
  • Yap Boum,
  • Georges A. E. Mballa,
  • Louis R. Njock,
  • Genomic Surveillance Study Group

DOI
https://doi.org/10.1038/s41598-023-48773-3
Journal volume & issue
Vol. 13, no. 1
pp. 1 – 10

Abstract

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Abstract While the SARS-CoV-2 dynamic has been described globally, there is a lack of data from Sub-Saharan Africa. We herein report the dynamics of SARS-CoV-2 lineages from March 2020 to March 2022 in Cameroon. Of the 760 whole-genome sequences successfully generated by the national genomic surveillance network, 74% were viral sub-lineages of origin and non-variants of concern, 15% Delta, 6% Omicron, 3% Alpha and 2% Beta variants. The pandemic was driven by SARS-CoV-2 lineages of origin in wave 1 (16 weeks, 2.3% CFR), the Alpha and Beta variants in wave 2 (21 weeks, 1.6% CFR), Delta variants in wave 3 (11 weeks, 2.0% CFR), and omicron variants in wave 4 (8 weeks, 0.73% CFR), with a declining trend over time (p = 0.01208). Even though SARS-CoV-2 heterogeneity did not seemingly contribute to the breadth of transmission, the viral lineages of origin and especially the Delta variants appeared as drivers of COVID-19 severity in Cameroon.