RT Journal A1 Maurano, Matthew T. A1 Ramaswami, Sitharam A1 Zappile, Paul A1 Dimartino, Dacia A1 Boytard, Ludovic A1 Ribeiro-dos-Santos, André M. A1 Vulpescu, Nicholas A. A1 Westby, Gael A1 Shen, Guomiao A1 Feng, Xiaojun A1 Hogan, Megan S. A1 Ragonnet-Cronin, Manon A1 Geidelberg, Lily A1 Marier, Christian A1 Meyn, Peter A1 Zhang, Yutong A1 Cadley, John A1 Ordoñez, Raquel A1 Luther, Raven A1 Huang, Emily A1 Guzman, Emily A1 Arguelles-Grande, Carolina A1 Argyropoulos, Kimon V. A1 Black, Margaret A1 Serrano, Antonio A1 Call, Melissa E. A1 Kim, Min Jae A1 Belovarac, Brendan A1 Gindin, Tatyana A1 Lytle, Andrew A1 Pinnell, Jared A1 Vougiouklakis, Theodore A1 Chen, John A1 Lin, Lawrence H. A1 Rapkiewicz, Amy A1 Raabe, Vanessa A1 Samanovic, Marie I. A1 Jour, George A1 Osman, Iman A1 Aguero-Rosenfeld, Maria A1 Mulligan, Mark J. A1 Volz, Erik M. A1 Cotzia, Paolo A1 Snuderl, Matija A1 Heguy, Adriana T1 Sequencing identifies multiple early introductions of SARS-CoV-2 to the New York City region JF Genome Research JO Genome Research YR 2020 FD December 01 VO 30 IS 12 SP 1781 OP 1788 DO 10.1101/gr.266676.120 UL http://genome.cshlp.org/content/30/12/1781.abstract AB Effective public response to a pandemic relies upon accurate measurement of the extent and dynamics of an outbreak. Viral genome sequencing has emerged as a powerful approach to link seemingly unrelated cases, and large-scale sequencing surveillance can inform on critical epidemiological parameters. Here, we report the analysis of 864 SARS-CoV-2 sequences from cases in the New York City metropolitan area during the COVID-19 outbreak in spring 2020. The majority of cases had no recent travel history or known exposure, and genetically linked cases were spread throughout the region. Comparison to global viral sequences showed that early transmission was most linked to cases from Europe. Our data are consistent with numerous seeds from multiple sources and a prolonged period of unrecognized community spreading. This work highlights the complementary role of genomic surveillance in addition to traditional epidemiological indicators.