Whole-Genome Sequencing and Social-Network Analysis of a Tuberculosis Outbreak

An outbreak of tuberculosis occurred over a 3-year period in a medium-size community in British Columbia, Canada. The results of mycobacterial interspersed repetitive unit–variable-number tandem-repeat (MIRU-VNTR) genotyping suggested the outbreak was clonal. Traditional contact tracing did not id...

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Veröffentlicht in:The New England journal of medicine 2011-02, Vol.364 (8), p.730-739
Hauptverfasser: Gardy, Jennifer L, Johnston, James C, Sui, Shannan J. Ho, Cook, Victoria J, Shah, Lena, Brodkin, Elizabeth, Rempel, Shirley, Moore, Richard, Zhao, Yongjun, Holt, Robert, Varhol, Richard, Birol, Inanc, Lem, Marcus, Sharma, Meenu K, Elwood, Kevin, Jones, Steven J.M, Brinkman, Fiona S.L, Brunham, Robert C, Tang, Patrick
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container_issue 8
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container_title The New England journal of medicine
container_volume 364
creator Gardy, Jennifer L
Johnston, James C
Sui, Shannan J. Ho
Cook, Victoria J
Shah, Lena
Brodkin, Elizabeth
Rempel, Shirley
Moore, Richard
Zhao, Yongjun
Holt, Robert
Varhol, Richard
Birol, Inanc
Lem, Marcus
Sharma, Meenu K
Elwood, Kevin
Jones, Steven J.M
Brinkman, Fiona S.L
Brunham, Robert C
Tang, Patrick
description An outbreak of tuberculosis occurred over a 3-year period in a medium-size community in British Columbia, Canada. The results of mycobacterial interspersed repetitive unit–variable-number tandem-repeat (MIRU-VNTR) genotyping suggested the outbreak was clonal. Traditional contact tracing did not identify a source. We used whole-genome sequencing and social-network analysis in an effort to describe the outbreak dynamics at a higher resolution. Mycobacterium tuberculosis is an important infectious disease even in developed countries with extensive control programs. This is the case in British Columbia, Canada, where the 2007 incidence rate of 6.4 cases per 100,000 population exceeded the national average of 4.7 cases per 100,000 population. 1 In May 2006, a case of smear-negative pleural tuberculosis was diagnosed in an adult in a medium-size community in British Columbia. A second case, manifested as disseminated tuberculosis, was reported in an infant in July 2006. Reverse contact tracing identified nine additional cases between August and October 2006, when the British Columbia Centre for Disease Control . . .
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Ho ; Cook, Victoria J ; Shah, Lena ; Brodkin, Elizabeth ; Rempel, Shirley ; Moore, Richard ; Zhao, Yongjun ; Holt, Robert ; Varhol, Richard ; Birol, Inanc ; Lem, Marcus ; Sharma, Meenu K ; Elwood, Kevin ; Jones, Steven J.M ; Brinkman, Fiona S.L ; Brunham, Robert C ; Tang, Patrick</creator><creatorcontrib>Gardy, Jennifer L ; Johnston, James C ; Sui, Shannan J. Ho ; Cook, Victoria J ; Shah, Lena ; Brodkin, Elizabeth ; Rempel, Shirley ; Moore, Richard ; Zhao, Yongjun ; Holt, Robert ; Varhol, Richard ; Birol, Inanc ; Lem, Marcus ; Sharma, Meenu K ; Elwood, Kevin ; Jones, Steven J.M ; Brinkman, Fiona S.L ; Brunham, Robert C ; Tang, Patrick</creatorcontrib><description>An outbreak of tuberculosis occurred over a 3-year period in a medium-size community in British Columbia, Canada. The results of mycobacterial interspersed repetitive unit–variable-number tandem-repeat (MIRU-VNTR) genotyping suggested the outbreak was clonal. Traditional contact tracing did not identify a source. 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Ho ; Cook, Victoria J ; Shah, Lena ; Brodkin, Elizabeth ; Rempel, Shirley ; Moore, Richard ; Zhao, Yongjun ; Holt, Robert ; Varhol, Richard ; Birol, Inanc ; Lem, Marcus ; Sharma, Meenu K ; Elwood, Kevin ; Jones, Steven J.M ; Brinkman, Fiona S.L ; Brunham, Robert C ; Tang, Patrick</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c528t-1ca9644653caeaa489f759452a9286673814cfb55cc961396c963576a8eff85f3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2011</creationdate><topic>Adult</topic><topic>Bacterial diseases</topic><topic>Biological and medical sciences</topic><topic>British Columbia - epidemiology</topic><topic>Cocaine-Related Disorders - complications</topic><topic>Contact Tracing</topic><topic>Disease Outbreaks</topic><topic>Female</topic><topic>General aspects</topic><topic>Genome, Bacterial</topic><topic>Genomes</topic><topic>Genotype</topic><topic>Human bacterial diseases</topic><topic>Humans</topic><topic>Incidence</topic><topic>Infectious diseases</topic><topic>Male</topic><topic>Medical sciences</topic><topic>Middle Aged</topic><topic>Miscellaneous</topic><topic>Mycobacterium tuberculosis - genetics</topic><topic>Mycobacterium tuberculosis - isolation &amp; purification</topic><topic>Phylogeny</topic><topic>Polymorphism, Single Nucleotide</topic><topic>Public health</topic><topic>Public health. 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subjects Adult
Bacterial diseases
Biological and medical sciences
British Columbia - epidemiology
Cocaine-Related Disorders - complications
Contact Tracing
Disease Outbreaks
Female
General aspects
Genome, Bacterial
Genomes
Genotype
Human bacterial diseases
Humans
Incidence
Infectious diseases
Male
Medical sciences
Middle Aged
Miscellaneous
Mycobacterium tuberculosis - genetics
Mycobacterium tuberculosis - isolation & purification
Phylogeny
Polymorphism, Single Nucleotide
Public health
Public health. Hygiene
Public health. Hygiene-occupational medicine
Risk Factors
Sequence Analysis, DNA
Social Support
Surveys and Questionnaires
Tuberculosis
Tuberculosis - epidemiology
Tuberculosis - microbiology
Tuberculosis - transmission
Tuberculosis and atypical mycobacterial infections
Young Adult
title Whole-Genome Sequencing and Social-Network Analysis of a Tuberculosis Outbreak
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