Omicron waves in Argentina: dynamics of SARS-CoV-2 lineages BA.1, BA.2 and the emerging BA.2.12.1 and BA.4/BA.5
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The COVID-19 pandemic has lately been driven by Omicron. This work aimed to study
the dynamics of SARS-CoV-2 Omicron lineages during the third and fourth waves of COVID-19
in Argentina. Molecular surveillance was performed on 3431 samples from Argentina, between
EW44/2021 and EW31/2022. Sequencing, phylogenetic and phylodynamic analyses were performed.
A differential dynamic between the Omicron waves was found. The third wave was associated with
lineage BA.1, characterized by a high number of cases, very fast displacement of Delta, doubling times
of 3.3 days and a low level of lineage diversity and clustering. In contrast, the fourth wave was longer
but associated with a lower number of cases, initially caused by BA.2, and later by BA.4/BA.5, with
doubling times of about 10 days. Several BA.2 and BA.4/BA.5 sublineages and introductions were
detected, although very few clusters with a constrained geographical distribution were observed,
suggesting limited transmission chains. The differential dynamic could be due to waning immunity
and an increase in population gatherings in the BA.1 wave, and a boosted population (for vaccination
or recent prior immunity for BA.1 infection) in the wave caused by BA2/BA.4/BA.5, which may have
limited the establishment of the new lineages.
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