RT Journal Article SR Electronic T1 Epidemic establishment and cryptic transmission of Zika virus in Brazil and the Americas JF bioRxiv FD Cold Spring Harbor Laboratory SP 105171 DO 10.1101/105171 A1 N. R. Faria A1 J. Quick A1 I. Morales A1 J. Thézé A1 J.G. Jesus A1 M. Giovanetti A1 M. U. G. Kraemer A1 S. C. Hill A1 A. Black A1 A. C. da Costa A1 L.C. Franco A1 S. P. Silva A1 C.-H. Wu A1 J. Raghwani A1 S. Cauchemez A1 L. du Plessis A1 M. P. Verotti A1 W. K. de Oliveira A1 E. H. Carmo A1 G. E. Coelho A1 A. C. F. S. Santelli A1 L. C. Vinhal A1 C. M. Henriques A1 J. T. Simpson A1 M. Loose A1 K. G. Andersen A1 N. D. Grubaugh A1 S. Somasekar A1 C. Y. Chiu A1 J. E. Muñoz-Medina A1 C. R. Gonzalez-Bonilla A1 C. F. Arias A1 L. L. Lewis-Ximenez A1 S.A. Baylis A1 A. O. Chieppe A1 S. F. Aguiar A1 C. A. Fernandes A1 P. S. Lemos A1 B. L. S. Nascimento A1 H. A. O. Monteiro A1 I. C. Siqueira A1 M. G. de Queiroz A1 T. R. de Souza A1 J. F. Bezerra A1 M. R. Lemos A1 G. F. Pereira A1 D. Loudal A1 L. C. Moura A1 R. Dhalia A1 R. F. França A1 T. Magalhães A1 E. T. Marques, Jr. A1 T. Jaenisch A1 G. L. Wallau A1 M. C. de Lima A1 V. Nascimento A1 E. M. de Cerqueira A1 M. M. de Lima A1 D. L. Mascarenhas A1 J. P. Moura Neto A1 A. S. Levin A1 T. R. Tozetto-Mendoza A1 S. N. Fonseca A1 M. C. Mendes-Correa A1 F.P. Milagres A1 A. Segurado A1 E. C. Holmes A1 A. Rambaut A1 T. Bedford A1 M. R. T. Nunes A1 E. C. Sabino A1 L. C. J. Alcantara A1 N. Loman A1 O. G. Pybus YR 2017 UL http://biorxiv.org/content/early/2017/03/27/105171.abstract AB Zika virus (ZIKV) transmission in the Americas was first confirmed in May 2015 in Northeast Brazil1. Brazil has the highest number of reported ZIKV cases worldwide (>200,000 by 24 Dec 20162) as well as the greatest number of cases associated with microcephaly and other birth defects (2,366 confirmed cases by 31 Dec 20162). Following the initial detection of ZIKV in Brazil, 47 countries and territories in the Americas have reported local ZIKV transmission, with 24 of these reporting ZIKV-associated severe disease3. Yet the origin and epidemic history of ZIKV in Brazil and the Americas remain poorly understood, despite the value of such information for interpreting past and future trends in reported microcephaly. To address this we generated 54 complete or partial ZIKV genomes, mostly from Brazil, and report data generated by the ZiBRA project – a mobile genomics lab that travelled across Northeast (NE) Brazil in 2016. One sequence represents the earliest confirmed ZIKV infection in Brazil. Joint analyses of viral genomes with ecological and epidemiological data estimate that ZIKV epidemic was present in NE Brazil by March 2014 and likely disseminated from there, both nationally and internationally, before the first detection of ZIKV in the Americas. Estimated dates of the international spread of ZIKV from Brazil indicate the duration of pre-detection cryptic transmission in recipient regions. NE Brazil’s role in the establishment of ZIKV in the Americas is further supported by geographic analysis of ZIKV transmission potential and by estimates of the virus’ basic reproduction number.One Sentence Summary Virus genomes reveal the establishment of Zika virus in Brazil and the Americas, and provide an appropriate timeframe for baseline (pre-Zika) microcephaly in different regions.