Tracking SARS-CoV-2 VOC 202012/01 (lineage B.1.1.7) dissemination in Portugal: insights from nationwide RT-PCR Spike gene drop out data

Update information including data from week 3, 2020

Weekly proportion of SGTF and SGTL positive samples among all TaqPath positive samples detected, between week 49 (2020) and week 3 (2021), by a large laboratory distributed throughout the Portuguese territory (n = 36651 TaqPath positive samples).

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Figure notes

SGTF (S gene target failure) = positive test with non-detectable S gene and <=30 Cycle threshold (Ct) for N and ORF1ab targets; SGTL (S gene target late detection) = positive test having Ct values for S gene >5 units higher than the maximum Ct value obtained for the other two targets (N and ORF1ab) of the assay (exclusively includes positive samples with <=30 Ct for N and ORF1ab targets). The mean Ct difference between S gene and N/ORF genes for SGTL samples was consistently around 5-8 Ct values (median=6.60, IQR=5.79-7.59)

Forecast for weeks 4 to 6 (2021) of the estimated proportion of SGTF/SGTL and B.1.1.7 cases

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Figure notes

Given that the increase SGTF/SGTF and B.1.1.7 frequency likely tends to plateau (i.e., the increasing rate tends to reduce with time), we opted to model the weekly trend of the SGTF/SGTF and B.1.1.7 frequency with a logistic model (instead of log-binomial model used at week 2). The proportion of SGTF/SGTL cases that are B.1.1.7 was estimated as 0.918 (0.845 to 0.964, CI 95%) based on a sub-sample of sequencing cases (90 B.1.1.7 cases in 98 known SGTF/SGTL sequenced samples analysed so far).