Skip directly to site content Skip directly to page options Skip directly to A-Z link Skip directly to A-Z link Skip directly to A-Z link
Volume 29, Number 5—May 2023
Dispatch

Spatiotemporal Evolution of SARS-CoV-2 Alpha and Delta Variants during Large Nationwide Outbreak of COVID-19, Vietnam, 2021

Nguyen Thi Tam1, Nguyen To Anh1Comments to Author , Trinh Son Tung1, Pham Ngoc Thach, Nguyen Thanh Dung, Van Dinh Trang, Le Manh Hung, Trinh Cong Dien, Nghiem My Ngoc, Le Van Duyet, Phan Manh Cuong, Hoang Vu Mai Phuong, Pham Quang Thai, Nguyen Le Nhu Tung, Dinh Nguyen Huy Man, Nguyen Thanh Phong, Vo Minh Quang, Pham Thi Ngoc Thoa, Nguyen Thanh Truong, Tran Nguyen Phuong Thao, Dao Phuong Linh, Ngo Tan Tai, Ho The Bao, Vo Trong Vuong, Huynh Thi Kim Nhung, Phan Nu Dieu Hong, Le Thi Phuoc Hanh, Le Thanh Chung, Nguyen Thi Thanh Nhan, Ton That Thanh, Do Thai Hung, Huynh Kim Mai, Trinh Hoang Long, Nguyen Thu Trang, Nguyen Thi Hong Thuong, Nguyen Thi Thu Hong, Le Nguyen Truc Nhu, Nguyen Thi Han Ny, Cao Thu Thuy, Le Kim Thanh, Lam Anh Nguyet, Le Thi Quynh Mai, Tang Chi Thuong, Le Hong Nga, Tran Tan Thanh, Guy Thwaites, H. Rogier van Doorn, Nguyen Van Vinh Chau, Thomas Kesteman, Le Van TanComments to Author , and for the OUCRU COVID-19 Research Group2
Author affiliations: Oxford University Clinical Research Unit, Hanoi, Vietnam (N.T. Tam, T.S. Tung, N.T. Trang, N.T.H. Thuong, T. Kesteman, H. R. van Doorn); National Hospital for Tropical Diseases, Hanoi (P.N. Thach, V.D. Trang, L.V. Duyet, P.M. Cuong); Vietnam Military Medical University, Hanoi (T.C. Dien); National Institute of Hygiene and Epidemiology, Hanoi (H.V.M. Phuong, L.T.Q. Mai, P.Q. Thai); Hue National Hospital, Hue, Vietnam (P.N.D. Hong, L.T.P. Hanh); Da Nang Center for Disease Control, Da Nang, Vietnam (L.T. Chung, N.T.T. Nhan, T.T. Thanh); Pasteur Institute, Nha Trang, Khanh Hoa, Vietnam (D.T. Hung, H.K. Mai, T.H. Long); Oxford University Clinical Research Unit, Ho Chi Minh City, Vietnam (N.T. Anh, N.T.T. Hong, L.N.T. Nhu, N.T.H. Ny, T.T. Thanh, C.T. Thuy, L.K. Thanh, L.A. Nguyet, G. Thwaites, L.V. Tan); Hospital for Tropical Diseases, Ho Chi Minh City (N.T. Dung, L.M. Hung, N.L.N. Tung, D.N.H. Man, N.M. Ngoc, N.T. Phong, V.M. Quang, P.T.N. Thoa, N.T. Truong, T.N.P. Thao, D.P. Linh, N.T. Tam, H.T. Bao, V.T. Vuong, H.T.K. Nhung); Department of Health, Ho Chi Minh City, (N.V.V. Chau, T.C. Thuong); Ho Chi Minh City Center for Disease Control, Ho Chi Minh City (L.H. Nga); University of Oxford, Oxford, UK (H.R. van Doorn, G. Thwaites, L.V. Tan)

Main Article

Table

Demographics of study participants for spatiotemporal evolution of SARS-CoV-2 Alpha and Delta variants during large nationwide outbreak of COVID-19, Vietnam, 2021*

Characteristic No. sequences, n = 1,303 Alpha, n = 74 AY.57, n = 1,212
Age, y
Median (Q1‒Q3) 43 (29‒61) 35 (30–55) 44 (29‒61)
Missing
38 (2.9)
31 (41.9)
2 (0.2)
Sex
M 689 (52.9) 22 (29.7) 661 (54.5)
F 578 (44.4) 21 (28.4) 551 (45.5)
Unknown
36 (2.8)
31 (41.9)

Region
Central 120 (9.2) 24 (32.4) 94 (7.8)
Northern 504 (38.7) 44 (59.5) 450 (37.1)
Southern 679 (52.1) 6 (8.1) 668 (55.1)

*Values are no. (%) unless indicated otherwise. Characteristics of A.23.1 variant‒infected cases were previously reported (7). Q, quartile.

Main Article

References
  1. Van Tan  L. COVID-19 control in Vietnam. Nat Immunol. 2021;22:261. DOIPubMedGoogle Scholar
  2. World Health Organization. COVID-19 in Viet Nam Situation report 101, 2022 [cited 2022 Oct 24]. https://www.who.int/vietnam/internal-publications-detail/covid-19-in-viet-nam-situation-report-101
  3. Attwood  SW, Hill  SC, Aanensen  DM, Connor  TR, Pybus  OG. Phylogenetic and phylodynamic approaches to understanding and combating the early SARS-CoV-2 pandemic. Nat Rev Genet. 2022;23:54762. DOIPubMedGoogle Scholar
  4. du Plessis  L, McCrone  JT, Zarebski  AE, Hill  V, Ruis  C, Gutierrez  B, et al.; COVID-19 Genomics UK (COG-UK) Consortium. Establishment and lineage dynamics of the SARS-CoV-2 epidemic in the UK. Science. 2021;371:70812. DOIPubMedGoogle Scholar
  5. da Silva Filipe  A, Shepherd  JG, Williams  T, Hughes  J, Aranday-Cortes  E, Asamaphan  P, et al.; COVID-19 Genomics UK (COG-UK) Consortium. Genomic epidemiology reveals multiple introductions of SARS-CoV-2 from mainland Europe into Scotland. Nat Microbiol. 2021;6:11222. DOIPubMedGoogle Scholar
  6. Lemey  P, Ruktanonchai  N, Hong  SL, Colizza  V, Poletto  C, Van den Broeck  F, et al. Untangling introductions and persistence in COVID-19 resurgence in Europe. Nature. 2021;595:7137. DOIPubMedGoogle Scholar
  7. Chau  NVV, Hong  NTT, Ngoc  NM, Anh  NT, Trieu  HT, Nhu  LNT, et al.; for OUCRU COVID-19 research group. Rapid whole-genome sequencing to inform COVID-19 outbreak response in Vietnam. J Infect. 2021;82:276316. DOIPubMedGoogle Scholar
  8. Github. Co-lineages/pangolin [cited 2023 Mar 7]. https://github.com/cov-lineages/pangoli
  9. Spectrum  COV. Detect and analyze variants of SARS-CoV-2 [cited 2023 Mar 7]. https://cov-spectrum.org/explore/Vietnam/AllSamples/Past6M
  10. Eales  O, Page  AJ, de Oliveira Martins  L, Wang  H, Bodinier  B, Haw  D, et al.; COVID-19 Genomics UK (COG-UK) Consortium. SARS-CoV-2 lineage dynamics in England from September to November 2021: high diversity of Delta sub-lineages and increased transmissibility of AY.4.2. BMC Infect Dis. 2022;22:647. DOIPubMedGoogle Scholar
  11. McCrone  JT, Hill  V, Bajaj  S, Pena  RE, Lambert  BC, Inward  R, et al.; COVID-19 Genomics UK (COG-UK) Consortium. Context-specific emergence and growth of the SARS-CoV-2 Delta variant. Nature. 2022;610:15460. DOIPubMedGoogle Scholar
  12. Our World in Data. Vietnam: coronavirus pandemic country profile [cited 2023 Mar 7]. https://ourworldindata.org/coronavirus/country/vietnam
  13. Duerr  R, Dimartino  D, Marier  C, Zappile  P, Levine  S, Francois  F, et al. Clinical and genomic signatures of SARS-CoV-2 Delta breakthrough infections in New York. EBioMedicine. 2022;82:104141. DOIPubMedGoogle Scholar

Main Article

1These authors contributed equally to this article.

2Members of the working group are shown at the end of this article.

Page created: March 08, 2023
Page updated: April 19, 2023
Page reviewed: April 19, 2023
The conclusions, findings, and opinions expressed by authors contributing to this journal do not necessarily reflect the official position of the U.S. Department of Health and Human Services, the Public Health Service, the Centers for Disease Control and Prevention, or the authors' affiliated institutions. Use of trade names is for identification only and does not imply endorsement by any of the groups named above.
file_external