Gage Moreno
@gagekmoreno.bsky.social
1K followers 340 following 18 posts
Postdoc in the Sabeti Lab. Interested in the genomic epidemiology, evolution, and pathogenicity of RNA viruses 🦠🏳️‍🌈
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gagekmoreno.bsky.social
I’m thrilled to share our latest preprint! We analyzed >130,000 SARS-CoV-2 genomes from MA to investigate complex transmission dynamics—from statewide patterns, within specific facilities, and at the individual level 🦠🧬

Check out the preprint here ⬇️
www.medrxiv.org/content/10.1...
Geospatial and demographic patterns of SARS-CoV-2 spread in Massachusetts from over 130,000 genomes
Despite intensive study, gaps remain in our understanding of SARS-CoV-2 transmission patterns during the COVID-19 pandemic, in part due to limited contextual metadata accompanying most large genomic s...
www.medrxiv.org
gagekmoreno.bsky.social
This study illustrates that the combination of genomic and demographic data can yield a much more detailed understanding of the complexity of transmission patterns as they unfold across different geographic scales than either type of data alone
gagekmoreno.bsky.social
While we recognize the scale of SARS-CoV-2 genomic surveillance is no longer feasible, sequencing 500/wk was enough to detect emerging lineages and identify growth earliest. However, sequencing 50/wk was enough to detect lineages along the same timeline as we would have otherwise
gagekmoreno.bsky.social
While qualitative, we saw a sharp drop in infections among 5–11-year-olds after vaccines became available to that group. This decline—seen in both school and public testing—suggests substantial short-term protection from infection.
gagekmoreno.bsky.social
Across two genomic methods we found that more recent vaccination and booster doses reduced the likelihood of transmission. Boosted individuals ~35% less likely to initiate transmission than unvaccinated people.
gagekmoreno.bsky.social
In schools, colleges, and SNFs, we found much stronger evidence of within-facility transmission among student and resident-aged than among staff-aged. Staff-aged individuals had lower viral relatedness to their facility, suggesting more involvement in community transmission
gagekmoreno.bsky.social
We then examined within-facility transmission across colleges, schools, SNFs, and workplaces. Facilities overall had 2.7x more closely related virus pairs (within 2 mutations from each other) than community samples—evidence of sustained transmission in these settings.
gagekmoreno.bsky.social
Across three major Omicron lineages, new variants reached 50% frequency in college settings 4–13 days earlier than elsewhere. This early rise wasn’t observed in when colleges were out of session (during BA.5*), suggesting unique features of colleges that accelerate spread.
gagekmoreno.bsky.social
We leveraged demographic information (age + facility) in our dataset to explore how different settings shaped SARS-CoV-2 transmission. Colleges, in particular, emerged as early indicators of new variant spread—often detecting variant growth days before other sectors.
gagekmoreno.bsky.social
We also show that SARS-CoV-2 moved more quickly between metro areas than it did to the primarily rural areas between them. Overall, we find that viruses diffuse throughout the entire state in about 2 months
gagekmoreno.bsky.social
New variants became prevalent more quickly in the Boston suburbs than in other regional cities, despite more frequent external introductions into the latter—highlighting the role of local transmission from initial introductions into Boston in driving early variant spread.
gagekmoreno.bsky.social
Using high-resolution spatial and temporal data, we tracked the introduction and spread of six Omicron lineages across Massachusetts. Urban areas played a central role—both as entry points for new lineages and as key drivers of their dissemination.
gagekmoreno.bsky.social
Our analyses fall into 4 main categories:
1) How do viruses enter and move within MA?
2) What are the demographic drivers of transmission?
3) How did vaccination/boosting work against infection and transmission?
4) How much sequencing did we need to detect lineages?
gagekmoreno.bsky.social
The Broad Clinical Labs generated >130k SC2 genomes 🧬 between Nov 2021 and Jan 2023. We were able to match >85k individuals to metadata like age, sex, city of residence, facility of collection, and vaccination status
gagekmoreno.bsky.social
I’m thrilled to share our latest preprint! We analyzed >130,000 SARS-CoV-2 genomes from MA to investigate complex transmission dynamics—from statewide patterns, within specific facilities, and at the individual level 🦠🧬

Check out the preprint here ⬇️
www.medrxiv.org/content/10.1...
Geospatial and demographic patterns of SARS-CoV-2 spread in Massachusetts from over 130,000 genomes
Despite intensive study, gaps remain in our understanding of SARS-CoV-2 transmission patterns during the COVID-19 pandemic, in part due to limited contextual metadata accompanying most large genomic s...
www.medrxiv.org
Reposted by Gage Moreno
medrxivpreprint.bsky.social
Geospatial and demographic patterns of SARS-CoV-2 spread in Massachusetts from over 130,000 genomes https://www.medrxiv.org/content/10.1101/2025.04.04.25324273v1
gagekmoreno.bsky.social
Excited to have played a small role in this one! Outbreak reconstruction tool that incorporates within-host variants, models missing data, and scales to large, sparsely sampled datasets. Check it out ⬇️
medrxivpreprint.bsky.social
JUNIPER: Reconstructing Transmission Events from Next-Generation Sequencing Data at Scale https://www.medrxiv.org/content/10.1101/2025.03.02.25323192v1
Reposted by Gage Moreno
sabetilab.bsky.social
🐦‍⬛🔬Bird Flu (H5N1) – what’s the deal? 🤔
@pardissabeti.bsky.social joined @scishow.bsky.social
to break it all down—its origins, where it stands today, and why it matters. 🦠🐦 Here’s a sneak peek! 👀 Want the full story? Head to the SciShow's YouTube channel: youtu.be/5CyVi4UzKxE?... 🎥✨
Reposted by Gage Moreno
lhmoncla.bsky.social
I agree with Scott. This is important because:

1. This shows that cattle are susceptible to other H5N1 viruses, not just B3.13.
2. D1.1 viruses are currently transmitting really efficiently through wild birds in North America, and are very widespread.
...
scottehensley.bsky.social
This is big because:
1. This is evidence of a 2nd avian-->cattle H5N1 introduction.
2. The D1.1 genotype was found in the severe case in British Columbia and the deadly case in Louisiana. It is possible that this genotype has an easier time adapting to human cells.

www.statnews.com/2025/02/05/u...
USDA milk testing shows different strain of H5N1 bird flu in Nevada dairy herds
The USDA said four Nevada dairy herds were infected with an H5N1 bird flu strain that has circulated in wild birds, making prospects for containment in cows appear dim.
www.statnews.com
Reposted by Gage Moreno
sabetilab.bsky.social
🎉 Huge congrats to Dr. Jon Arizti Sanz for winning the 2025 Imperial Alumni Award from his alma mater, @imperialcollegeldn.bsky.social! 👏 This award honors game-changers & problem-solvers, and Jon has been just that in the Sabeti Lab & beyond! Read more ->🔗 bit.ly/4htWbhD
Jon Arizti Sanz
Imperial alumnus Jon Arizti Sanz is revolutionising the field of infectious disease diagnostics and pandemic prevention.
bit.ly
Reposted by Gage Moreno
broadlyepi.com
🧪 #PublicHealth is under attack in the US, and among those to fall may be a mainstay of #EpiSky and #MedSky : The CDC's MMWR. We at Broadly Epi want to introduce an open, searchable MMWR database as a response. It's a work in progress, but we will keep at it. www.broadlyepi.com/broadly-epi-...
Broadly Epi MMWR Archive Database - Broadly Epi
Explore Public Health Records with the Broadly Epi MMWR Archive Database What is the Broadly Epi MMWR Archive Database? Created as a collaborative effort among…
www.broadlyepi.com
Reposted by Gage Moreno
scottgottliebmd.bsky.social
Robust disease surveillance for novel pathogens isn’t just a matter of public health preparedness, but also national security, and need to guard against deliberate threats. As the tools for engineering dangerous pathogens become more ubiquitous, threats increase

My essay in @statnews.com
Continuing surveillance of emerging disease threats is vital for public health, national security
“Basic public health protections help augment our national security protections,” particularly when it comes to emerging disease threats, write Scott Gottlieb and Mark B. McClellan.
www.statnews.com