In Germany, Eastern regions had a mild first wave of coronavirus disease 2019 (COVID-19) from March to May 2020, but were badly hit by a second wave later in autumn and winter. It is unknown how the second wave was initiated and developed in Eastern Germany where the number of COVID-19 cases was close to zero in June and July 2020. We used genomic epidemiology to investigate the dynamic of severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) lineage development across the first and second waves in Eastern Germany. With detailed phylogenetic analyses we could show that SARS-CoV-2 lineages prevalent in the first and second waves in Eastern Germany were different, with several new variants including four predominant lineages in the second wave, having been introduced into Eastern Germany between August and October 2020. The results indicate that the major driving force behind the second wave was the introduction of new variants.
【저자키워드】 SARS-CoV-2, Phylogenetic analysis, second wave, 【초록키워드】 COVID-19, coronavirus disease, Coronavirus disease 2019, coronavirus, Epidemiology, variant, severe acute respiratory syndrome Coronavirus, variants, Phylogenetic analysis, Region, Germany, Lineage, Mild, second wave, Winter, respiratory, genomic, First wave, acute respiratory syndrome, acute respiratory syndrome coronavirus, acute respiratory syndrome coronavirus 2, COVID-19 case, driving, SARS-CoV-2 lineage, prevalent, introduced, initiated, predominant, 【제목키워드】 Analysis, SARS-CoV-2 lineage,