{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,2]],"date-time":"2026-07-02T20:19:19Z","timestamp":1783023559399,"version":"3.54.6"},"reference-count":43,"publisher":"Wiley","issue":"4","license":[{"start":{"date-parts":[[2026,3,29]],"date-time":"2026-03-29T00:00:00Z","timestamp":1774742400000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0\/"},{"start":{"date-parts":[[2026,3,29]],"date-time":"2026-03-29T00:00:00Z","timestamp":1774742400000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Health Science Reports"],"published-print":{"date-parts":[[2026,4]]},"abstract":"<jats:title>ABSTRACT<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Context and Objective<\/jats:title>\n                    <jats:p>SARS\u2010CoV\u20102 is an RNA virus that emerged in Wuhan, China. Adaptive mutations in its genome can influence the virus's pathogenicity, enhance its ability to evade the host immune system, and complicate vaccine development. This study aimed to identify the circulating SARS\u2010CoV\u20102 variants in Burkina Faso and trace their origin.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methodology<\/jats:title>\n                    <jats:p>Two study populations were included. The first comprised 287 individuals, both asymptomatic and symptomatic, who tested positive for COVID\u201019. The second consisted of 318 individuals from the general population without clinical symptoms who were tested for serological evidence of SARS\u2010CoV\u20102 exposure. The study was carried out between January 2021 and December 2022. Sequencing was performed only on the 287 positive samples. Viral RNA was extracted from these clinical specimens, amplified by RT\u2010PCR, and subsequently sequenced. Phylogenetic analysis was conducted using Nextclade v3.8.2 software, with the Wuhan\u2010Hu\u20101\/2019 strain as the reference genome sequence.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>The identified variants were Omicron (47.91%), Delta (29.41%), 19B (10.92%), 20A (5.88%), 20B (4.20%), and 19A (1.68%). Most of these variants (84.04%) were detected in travelers, and 88.24% were identified from naso\u2010oro\u2010pharyngeal samples. Among the variants, Omicron was the most prevalent and exhibited the highest number of mutations. Complementary serological testing revealed that approximately 22.7% of the general population had been exposed to SARS\u2010CoV\u20102 during the study period.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>These findings suggest that multiple introductions of SARS\u2010CoV\u20102 into Burkina Faso occurred mainly through international travel, with Omicron rapidly becoming dominant. Despite evidence of widespread viral circulation, COVID\u201019 mortality in Burkina Faso has remained relatively low, according to data from the Ministry of Health. Rather than providing definitive explanations for this paradox, our findings generate hypotheses regarding potential protective factors, including demographic characteristics, host genetics, cross\u2010reactive immunity, and the possibility of underreporting that warrant further investigation guiding responses to future emerging infectious diseases.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1002\/hsr2.72159","type":"journal-article","created":{"date-parts":[[2026,3,29]],"date-time":"2026-03-29T09:19:38Z","timestamp":1774775978000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["A Cross\u2010Sectional Study Shows Emergence of the Delta, 19B, 20A, 20B, 19A, and Omicron Variants of SARS\u2010CoV\u20102 in Burkina Faso: A Conundrum Within a Conundrum"],"prefix":"10.1002","volume":"9","author":[{"given":"Tatiana Doriane","family":"Lallogo","sequence":"first","affiliation":[{"name":"Laboratoire de Biologie Mol\u00e9culaire et de G\u00e9n\u00e9tique (LABIOGENE) Universit\u00e9 Joseph KI\u2010ZERBO Ouagadougou Burkina Faso"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-4719-380X","authenticated-orcid":false,"given":"Lassina","family":"Traore","sequence":"additional","affiliation":[{"name":"Laboratoire de Biologie Mol\u00e9culaire et de G\u00e9n\u00e9tique (LABIOGENE) Universit\u00e9 Joseph KI\u2010ZERBO Ouagadougou Burkina Faso"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ezeckiel B.","family":"TIBIRI","sequence":"additional","affiliation":[{"name":"Laboratoire de Biologie Mol\u00e9culaire et de G\u00e9n\u00e9tique (LABIOGENE) Universit\u00e9 Joseph KI\u2010ZERBO Ouagadougou Burkina Faso"},{"name":"Laboratoire de Virologie et de Biotechnologies V\u00e9g\u00e9tales Institut de l'Environnement et de Recherches Agricoles (INERA) Ouagadougou Burkina Faso"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"P. Abel","family":"Sorgho","sequence":"additional","affiliation":[{"name":"Laboratoire de Biologie Mol\u00e9culaire et de G\u00e9n\u00e9tique (LABIOGENE) Universit\u00e9 Joseph KI\u2010ZERBO Ouagadougou Burkina Faso"},{"name":"Centre de Recherche Biomol\u00e9culaire Pietro Annigoni (CERBA) Ouagadougou Burkina Faso"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Prosper","family":"Bado","sequence":"additional","affiliation":[{"name":"Laboratoire de Biologie Mol\u00e9culaire et de G\u00e9n\u00e9tique (LABIOGENE) Universit\u00e9 Joseph KI\u2010ZERBO Ouagadougou Burkina Faso"},{"name":"Centre de Recherche Biomol\u00e9culaire Pietro Annigoni (CERBA) Ouagadougou Burkina Faso"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"T. 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