학술논문

Implementation of California COVIDNet – a multi-sector collaboration for statewide SARS-CoV-2 genomic surveillance
Document Type
article
Author
Debra A. WadfordNikki BaumrindElizabeth F. BaylisJohn M. BellEllen L. BouchardMegan CrumplerEric M. FooteSabrina GilliamCarol A. GlaserJill K. HackerKatya LedinSharon L. MessengerChristina MoralesEmily A. SmithJoel R. SevinskyRussell B. Corbett-DetigJoseph DeRisiKathleen Jacobsonthe COVIDNet ConsortiumSummer AdamsPhacharee ArunleungMatthew BacinskasCynthia BernasRicardo BerumenBrandon BrownTeal BullickLyndsey ChailleAlice ChenGiorgio CosentinoYocelyn CruzNick D’AngeloMojgan DeldariAlex EspinosaAmbar EspinozaShiffen GetabechaMadeleine GlennBianca GonzagaYdelita GonzalesMelanie GreengardHugo GuevaraKim HansardApril HatadaMonica HawThalia HuynhChantha KathPaul B. KimseyDeidra LemoineRuth LopezBlanca MolinarSamantha MunozRobert NakamuraNichole OsugiTasha PadillaChao-Yang PanMayuri V. PanditraoChris PreasWill ProbertAlexa QuintanaMaria Uribe-FuentesMayra RamirezClarence ReyesEstela SaguarMaria SalasIoana SeritanBrandon StavigHilary TamnanchitSerena TingCindy WongChelsea WrightShigeo YagiVenice ServellitaAlicia Sotomayor-GonzalezCharles Y. ChiuIsabel BjorkJoshua KappAnouk van den BoutEllen KephartMawadda AlnaeeliHau-Ling PoonScott TopperMarzieh ShafiiSara SowkoStephanie TrammellErik WolfsohnPatrick AyscueAmy KistlerEmily CrawfordCristina TatoValeria ArboledazEleazar EskinLaila M. SatheJacek SkarbinskiAbigail DuqueJeffrey SchapiroIvy YeungRama GhattiZahra Shajani-YiJacob M. GarriguesNicole GreenPeera HemarajataCarlos AnayaDonna FergusonBeatrix KapuszinskyFavian RamirezFelipe Sta AguedaJulia WolfeDavid HausslerMarc PerryJakob McBroomeNhi DuongDeborah ForesterAnthony GonzalezMaria J. VictorioAnna Liza M. ManlutacJeremy CorriganNicholas S. RhoadesLina CastroGodfred MasindeHarmeet KaurMonica Paniagua-AlexanderKatrina G. ErwinGlen MillerFrances N. SidhuMorris JonesSangita KothariChristopher NgoBrandon BoninDaniel CastilloRensen KhoshabianKristian AndersenMark ZellerLisa CritchettCarlos GonzalezIryna V. GoraichukRachel ReesFrank AmbrosioCurtis J. KapsakKevin G. LibuitMichelle R. ScribnerSage M. WrightVanessa B. CadizDenise LopezMatthew RosmanBryan BachStacia WymanCharlotte AcharyaRyan DavisRichard MichelmoreMelanie OakesSuzanne SandmeyerKathy BorkovichClay H. ClarkHolly ClarkBrandon LePeter De HoffKristen JepsenRob KnightLouise C. LaurentZack AralisCarolina AriasVaruzhan BalasanyanMark DuhonXinmin LiEric ChowNicole LeungDelsy MartinezTyler T. MiyasakiAshlee ClowJared HoffmanThomas Rush
Source
Frontiers in Public Health, Vol 11 (2023)
Subject
SARS-CoV-2
genomic surveillance
COVID-19
whole genome sequencing
cloud-based computing
data management
Public aspects of medicine
RA1-1270
Language
English
ISSN
2296-2565
Abstract
IntroductionThe SARS-CoV-2 pandemic represented a formidable scientific and technological challenge to public health due to its rapid spread and evolution. To meet these challenges and to characterize the virus over time, the State of California established the California SARS-CoV-2 Whole Genome Sequencing (WGS) Initiative, or “California COVIDNet”. This initiative constituted an unprecedented multi-sector collaborative effort to achieve large-scale genomic surveillance of SARS-CoV-2 across California to monitor the spread of variants within the state, to detect new and emerging variants, and to characterize outbreaks in congregate, workplace, and other settings.MethodsCalifornia COVIDNet consists of 50 laboratory partners that include public health laboratories, private clinical diagnostic laboratories, and academic sequencing facilities as well as expert advisors, scientists, consultants, and contractors. Data management, sample sourcing and processing, and computational infrastructure were major challenges that had to be resolved in the midst of the pandemic chaos in order to conduct SARS-CoV-2 genomic surveillance. Data management, storage, and analytics needs were addressed with both conventional database applications and newer cloud-based data solutions, which also fulfilled computational requirements.ResultsRepresentative and randomly selected samples were sourced from state-sponsored community testing sites. Since March of 2021, California COVIDNet partners have contributed more than 450,000 SARS-CoV-2 genomes sequenced from remnant samples from both molecular and antigen tests. Combined with genomes from CDC-contracted WGS labs, there are currently nearly 800,000 genomes from all 61 local health jurisdictions (LHJs) in California in the COVIDNet sequence database. More than 5% of all reported positive tests in the state have been sequenced, with similar rates of sequencing across 5 major geographic regions in the state.DiscussionImplementation of California COVIDNet revealed challenges and limitations in the public health system. These were overcome by engaging in novel partnerships that established a successful genomic surveillance program which provided valuable data to inform the COVID-19 public health response in California. Significantly, California COVIDNet has provided a foundational data framework and computational infrastructure needed to respond to future public health crises.