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                  <mods:dateAccessioned encoding="iso8601">2022-07-20T11:54:42Z</mods:dateAccessioned>
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                  <mods:dateIssued encoding="iso8601">2021-06</mods:dateIssued>
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               <mods:identifier type="citation">Emerg Infect Dis. 2021 Jun;27(6):1616-1626.</mods:identifier>
               <mods:identifier type="doi">10.3201/eid2706.203096</mods:identifier>
               <mods:identifier type="e-issn">1080-6059</mods:identifier>
               <mods:identifier type="journal">Emerging Infectious Diseases</mods:identifier>
               <mods:identifier type="pubmedID">34013874</mods:identifier>
               <mods:identifier type="uri">http://hdl.handle.net/20.500.12105/14756</mods:identifier>
               <mods:abstract>In 2018, an upsurge in echovirus 30 (E30) infections was reported in Europe. We conducted a large-scale epidemiologic and evolutionary study of 1,329 E30 strains collected in 22 countries in Europe during 2016-2018. Most E30 cases affected persons 0-4 years of age (29%) and 25-34 years of age (27%). Sequences were divided into 6 genetic clades (G1-G6). Most (53%) sequences belonged to G1, followed by G6 (23%), G2 (17%), G4 (4%), G3 (0.3%), and G5 (0.2%). Each clade encompassed unique individual recombinant forms; G1 and G4 displayed >2 unique recombinant forms. Rapid turnover of new clades and recombinant forms occurred over time. Clades G1 and G6 dominated in 2018, suggesting the E30 upsurge was caused by emergence of 2 distinct clades circulating in Europe. Investigation into the mechanisms behind the rapid turnover of E30 is crucial for clarifying the epidemiology and evolution of these enterovirus infections.</mods:abstract>
               <mods:language>
                  <mods:languageTerm authority="rfc3066">eng</mods:languageTerm>
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               <mods:accessCondition type="useAndReproduction"/>
               <mods:subject>
                  <mods:topic>Europe</mods:topic>
               </mods:subject>
               <mods:subject>
                  <mods:topic>European Non-Polio Enterovirus Network</mods:topic>
               </mods:subject>
               <mods:subject>
                  <mods:topic>Molecular epidemiology</mods:topic>
               </mods:subject>
               <mods:subject>
                  <mods:topic>Nextstrain; echovirus 30</mods:topic>
               </mods:subject>
               <mods:subject>
                  <mods:topic>Enterovirus</mods:topic>
               </mods:subject>
               <mods:subject>
                  <mods:topic>Epidemiological monitoring</mods:topic>
               </mods:subject>
               <mods:subject>
                  <mods:topic>Evolutionary trajectory</mods:topic>
               </mods:subject>
               <mods:subject>
                  <mods:topic>Genetic recombination</mods:topic>
               </mods:subject>
               <mods:subject>
                  <mods:topic>Meningitis/encephalitis</mods:topic>
               </mods:subject>
               <mods:subject>
                  <mods:topic>Neurological manifestations</mods:topic>
               </mods:subject>
               <mods:subject>
                  <mods:topic>Viruses</mods:topic>
               </mods:subject>
               <mods:subject>
                  <mods:topic>Whole-genome sequencing</mods:topic>
               </mods:subject>
               <mods:titleInfo>
                  <mods:title>Molecular Epidemiology and Evolutionary Trajectory of Emerging Echovirus 30, Europe</mods:title>
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               <mods:genre>research article</mods:genre>
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