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National Academy of Sciences, Proceedings of the National Academy of Sciences, 9(118), 2021

DOI: 10.1073/pnas.2012008118

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The origin and early spread of SARS-CoV-2 in Europe

This paper is made freely available by the publisher.
This paper is made freely available by the publisher.

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Abstract

Significance We estimate the origin and spread of SARS-CoV-2 in Europe prior to spring 2020 border closures based on viral genome sequences using a phylodynamic model with geographic structure. We confirm that the predominant European outbreak most likely started in Italy and spread from there. This outbreak was probably seeded by a transmission event in either Hubei, China or Germany. In particular, we find that before the first border closures in Europe, the rate of new cases occurring from within-country transmission was within or exceeded the estimated bounds on the rate of new migration cases.