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Molecular epidemiology of Human Rhinoviruses in children in Hong Kong, 2020-2021
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  • Shreya Gurung,
  • Kimberly Edwards,
  • Eunice Chan,
  • Leo Poon,
  • So-Lun Lee,
  • Susan Chiu,
  • Benjamin Cowling,
  • Vijaykrishna Dhanasekaran
Shreya Gurung
The University of Hong Kong Li Ka Shing Faculty of Medicine
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Kimberly Edwards
The University of Hong Kong Li Ka Shing Faculty of Medicine
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Eunice Chan
The University of Hong Kong Li Ka Shing Faculty of Medicine
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Leo Poon
The University of Hong Kong Li Ka Shing Faculty of Medicine
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So-Lun Lee
The University of Hong Kong Li Ka Shing Faculty of Medicine
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Susan Chiu
The University of Hong Kong Li Ka Shing Faculty of Medicine
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Benjamin Cowling
The University of Hong Kong Li Ka Shing Faculty of Medicine
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Vijaykrishna Dhanasekaran
The University of Hong Kong Li Ka Shing Faculty of Medicine

Corresponding Author:[email protected]

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Abstract

Background COVID-19 related public health and social measures (PHSMs) worldwide have influenced respiratory virus epidemiology. In Hong Kong, paediatric hospitalisations associated with non-COVID-19 respiratory viruses declined in 2020. As PHSMs eased, rhinoviruses/enteroviruses became the primary detected respiratory viruses. This study examines the genetic diversity in resurgent human rhinovirus (HRV) cases. Methods We sequenced rhinovirus/enterovirus samples from children at Queen Mary Hospital, Hong Kong, between August 2020 and October 2021 to estimate changes in HRV genotypes and describe their epidemic characteristics. Whole genome sequencing was performed on the three most prevalent HRV genotypes to infer patterns of virus introduction and persistence. Results Despite reduced respiratory virus circulation, HRV type A and C infections persisted in children, with sporadic detection of HRV B and other respiratory viruses. A resurgence of HRV A cases in November 2020, dominated by genotypes A47 and A101, was observed during the relaxation of PHSMs between the third and fourth waves of COVID-19. Strict PHSMs implemented during the fourth wave, including school closures, substantially reduced respiratory virus circulation, though overall diversity increased due to heightened vigilance. HRV genotype A49 became predominant in May 2021 upon relaxation of control measures, with phylogenetic analysis suggesting persistence of multiple transmission lineages despite strict PHSMs. Genotypes A49 and A47 were frequently associated with upper respiratory tract infections, highlighting their epidemic potential. Conclusion This study underscores the impact of control measures on HRV genetic diversity and highlights the need for continuous surveillance and sequencing to inform public health interventions.
10 Jul 2023Submitted to Influenza and other respiratory viruses
17 Jul 2023Assigned to Editor
17 Jul 2023Submission Checks Completed
04 Aug 2023Reviewer(s) Assigned
19 Aug 2023Review(s) Completed, Editorial Evaluation Pending
03 Sep 2023Editorial Decision: Revise Major