%0 Journal Article %9 ACL : Articles dans des revues avec comité de lecture répertoriées par l'AERES %A Keita, A. K. %A Koundouno, F. R. %A Faye, M. %A Dux, A. %A Hinzmann, J. %A Diallo, H. %A Ayouba, Ahidjo %A Le Marcis, Frédéric %A Soropogui, B. %A Ifono, K. %A Diagne, M. M. %A Sow, M. S. %A Bore, J. A. %A Calvignac-Spencer, S. %A Vidal, Nicole %A Camara, J. %A Keita, M. B. %A Renevey, A. %A Diallo, A. %A Soumah, A. K. %A Millimono, S. L. %A Mari-Saez, A. %A Diop, M. %A Dore, A. %A Soumah, F. Y. %A Kourouma, K. %A Vielle, N. J. %A Loucoubar, C. %A Camara, I. %A Kourouma, K. %A Annibaldis, G. %A Bah, A. %A Thielebein, A. %A Pahlmann, M. %A Pullan, S. T. %A Carroll, M. W. %A Quick, J. %A Formenty, P. %A Legand, A. %A Pietro, K. %A Wiley, M. R. %A Tordo, N. %A Peyrefitte, C. %A McCrone, J. T. %A Rambaut, A. %A Sidibe, Y. %A Barry, M. D. %A Kourouma, M. %A Saouromou, C. D. %A Conde, M. %A Balde, M. %A Povogui, M. %A Keita, S. %A Diakite, M. %A Bah, M. S. %A Sidibe, A. %A Diakite, D. %A Sako, F. B. %A Traore, F. A. %A Ki-Zerbo, G. A. %A Lemey, P. %A Gunther, S. %A Kafetzopoulou, L. E. %A Sall, A. A. %A Delaporte, E. %A Duraffour, S. %A Faye, O. %A Leendertz, F. H. %A Peeters, Martine %A Toure, A. %A Magassouba, N. F. %T Resurgence of Ebola virus in 2021 in Guinea suggests a new paradigm for outbreaks %D 2021 %L fdi:010082824 %G ENG %J Nature %@ 0028-0836 %K GUINEE %M ISI:000696175300014 %N 7877 %P 539-545 %R 10.1038/s41586-021-03901-9 %U https://www.documentation.ird.fr/hor/fdi:010082824 %> https://horizon.documentation.ird.fr/exl-doc/pleins_textes/2022-09/010082824.pdf %V 597 %W Horizon (IRD) %X Seven years after the declaration of the first epidemic of Ebola virus disease in Guinea, the country faced a new outbreak-between 14 February and 19 June 2021-near the epicentre of the previous epidemic(1,2). Here we use next-generation sequencing to generate complete or near-complete genomes of Zaire ebolavirus from samples obtained from 12 different patients. These genomes form a well-supported phylogenetic cluster with genomes from the previous outbreak, which indicates that the new outbreak was not the result of a new spillover event from an animal reservoir. The 2021 lineage shows considerably lower divergence than would be expected during sustained human-to-human transmission, which suggests a persistent infection with reduced replication or a period of latency. The resurgence of Zaire ebolavirus from humans five years after the end of the previous outbreak of Ebola virus disease reinforces the need for long-term medical and social care for patients who survive the disease, to reduce the risk of re-emergence and to prevent further stigmatization. %$ 052 ; 050