Figure 1.

Circuit for COVID19 genomic surveillance. (A) Two reference Hospitals, San Cecilio and Virgen del Rocio, collect SARS-CoV-2 samples from Eastern and Western Andalusia, respectively. (B) Samples are sent to GENYO or IBIS sequencing facilities. (C) Sequencing data are sent to the Bioinformatics Area for processing and (D) linking to metadata from the COVID registry, (E) previously collected from the Hospitals. (F) Bioinformatics reports relevant epidemiological information to the COVID registry and (G) information on lineages and variants to the Hospitals for supporting clinical decisions. (H) Clinical data on COVID-19 patients recorded in the Hospitals is stored in the BPS. (I) Viral genomes are also stored in BPS linked to the rest of the patient’s clinical data for further secondary use.