Year: 2025
Type: article
Abstract: Genomic surveillance has been crucial in monitoring the evolution and spread of SARS-CoV-2. In Andalusia (Spain), a coordinated genomic surveillance circuit was established to systematically sequence and analyze viral genomes across the region. This initiative organizes sample collection through 27 hospitals, which act as regional hubs within their respective health districts. Sequencing is performed at three reference laboratories, with downstream data analysis and reporting centralized at a bioinformatics platform. From 2021 to 2025, over 42,500 SARS-CoV-2 genomes were sequenced, enabling the identification of major variants and their evolutionary dynamics. The circuit tracked the transition from Alpha and Delta to successive Omicron waves, including both recombinant and non-recombinant clades. The integration of genomic and epidemiological data facilitated rapid variant detection, outbreak investigation, and public health decision making. This surveillance framework at a regional granularity demonstrates the feasibility of large-scale sequencing within a decentralized healthcare system and has expanded to monitor other pathogens, reinforcing its value for epidemic preparedness. Continued investment in genomic surveillance is critical for tracking viral evolution, guiding interventions, and mitigating future public health threats.
Source: Microorganisms
Authors: Carlos S. Casimiro-Soriguer, Maria Lara, Andrea Aguado, Carlos Loucera, Francisco M. Ortuño, Nicola Lorusso, Jose M. Navarro-Marí, Sara Sanbonmatsu-Gámez, Pedro Camacho-Martinez, Laura Merino-Diaz, Adolfo de Salazar, Ana Fuentes, The Andalusian COVID-19 Sequencing Initiative, Jose A. Lepe, Federico García, Joaquín Dopazo, Javier Perez-Florido
Institutions: Fundación Progreso y Salud, Instituto de Biomedicina de Sevilla, Hospital Universitario Virgen del Rocío, Universidad de Sevilla, Universidad de Granada, Consejería de Salud y Consumo, Junta de Andalucía, Instituto de Investigación Biosanitaria de Granada, Hospital Universitario Virgen de las Nieves, Instituto de Salud Carlos III, Centro de Investigación Biomédica en Red, Centro de Investigación Biomédica en Red Enfermedades Infecciosas
Language: English
Subfield: Infectious Diseases
Field: Medicine
Domain: Health Sciences
Open Access status: gold
Estimated APC paid: $3,258
Awards: G1119903982, G1698937710, G2384008507, G2432222214, G2628364946, G2872175397, G3218553755, G387358683, G4073286805, G4937468798, G5040315192, G5711111066, ELIXIR-EXCELERATE: Fast-track ELIXIR implementation and drive early user exploitation across the life-sciences., G6906671272, G7535289602, G7964842205, G8824911526
OpenAlex ID: W4409507794
