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Microbes & Immunity                                  Comprehensive genomic surveillance analysis of SARS-CoV-2



            daily submission rates of SARS-CoV-2 genomes for   America, Oceania, and South America were 119 (median:
            each  continent,  categorized according to  various VOCs/  66; 95% CI: 4 – 382), 80 (median: 56; 95% CI: 3 – 244), 30
            VOIs, are detailed in Figure S1. The Alpha, Beta, Gamma,   (median: 15; 95% CI: 3 – 113), 67 (median: 29; 95% CI: 3 –
            Delta, Omicron, Epsilon, Iota, and Other genomes were   284), 52 (median: 28; 95% CI: 1 – 188), and 99 (median: 58;
            mainly distributed throughout Europe (641,985/924,692;   95% CI: 1 – 336), respectively (Figure S2A). A comparison
            69.43%), Europe (13,076/26,118; 50.07%), South America   of submission lag times for the different VOCs/VOIs also
            (53,829/92,904; 57.94%), Europe (1,691,805/3,139,228;   showed significant differences in the means (p<0.0001).
            53.89%), Europe (324,571/462,017; 70.25%), North   Notably, the mean submission lag times for Alpha, Beta,
            America (45,887/46,290; 99.13%), North America     Gamma, Delta, Omicron, Epsilon, Iota, and Others were
            (23,581/24,238; 97.29%), and Europe (347,473/814,751;   43 (median: 22; 95% CI: 2 – 151), 72 (median: 43; 95% CI:
            42.65%), respectively. These findings suggest that there   1 – 223), 87 (median: 57; 95% CI: 4 – 258), 32 (median:
            may be considerable geographic variation among VOCs/  19; 95% CI: 1 – 109), 24 (median: 15; 95% CI: 3 – 76), 116
            VOIs on a continental level, notably with VOIs Epsilon and   (median: 55; 95% CI: 1 – 423), 43 (median: 21; 95% CI: 4
            Iota.
                                                               – 178), and 126 (median: 59; 95% CI: 3 – 483), respectively
              The mean sequencing turnaround time (submission   (Figure  S2B).  Submission  lag  times  relative  to  the
            lag from sample collection to sequence submission) for   collection dates across different continents and for various
            this dataset was 49 days (median: 22 days; 95% confidence   VOCs/VOIs are presented in Figure 3A and B, respectively.
            interval [CI]: 1 – 199 days). A comparison of submission   Further details on submission lag times against collection
            lag times for the six continents showed significant   dates for each continent and each VOC/VOI are illustrated
            differences in the means (P < 0.0001). Notably, the mean   in  Figure  S3A  and B,  respectively.  The  overall  trends
            submission lag times for Africa, Asia, Europe, North

                                                                A
            A
















                                                                B
            B

















                                                               Figure  3.  Submission lag times of SARS-CoV-2 genomes against
            Figure 2. Number of SARS-CoV-2 genomes over time. Number of SARS-  collection date. Submission lag times of SARS-CoV-2 genomes against
            CoV-2 genomes (as of September 30, 2022), colored by continent (A) and   collection date (as of September 30, 2022), colored by continent (A) and
            variants of concern/interest (B). Data were obtained from the GISAID   variants of concern/interest (B). Data were obtained from the GISAID
            platform. 5                                        platform. 5


            Volume 1 Issue 1 (2024)                        108                               doi: 10.36922/mi.2294
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