Insights into SARS-CoV-2 in Angola during the COVID-19 Peak: Molecular
Epidemiology and Genome Surveillance
Abstract
Background: In Angola, COVID-19 cases have been reported in all
provinces, resulting in >105,000 cases and
>1,900 deaths. However, no detailed genomic surveillance
into the introduction and spread of the SARS-CoV-2 virus has been
conducted in Angola. We aimed to investigate the emergence, and epidemic
progression during the peak of the COVID-19 pandemic in Angola. Methods:
We generated 1,210 whole-genome SARS-CoV-2 sequences, contributing West
African data to the global context, that were phylogenetically compared
against global strains. Viral movement events were inferred using
ancestral state reconstruction. Results: The epidemic in Angola was
marked by four distinct waves of infection, dominated by 12 viral
lineages, including VOCs, VOIs, and the VUM C.16, which was unique to
Southwestern Africa and circulated for an extended period within the
region. Viral exchanges occurred between Angola and its neighboring
countries, and strong links with Brazil and Portugal reflected the
historical and cultural ties shared between these countries. The first
case likely originated from southern Africa. Conclusion: A lack of a
robust genome surveillance network and strong dependence on
out-of-country sequencing limit real-time data generation to achieve
timely disease outbreak responses, which remains of the utmost
importance to mitigate future disease outbreaks in Angola.