Genomic surveillance reveals age-structured SARS-CoV-2 transmission across demographics and settings
By analyzing over 85,000 SARS-CoV-2 genomes linked to epidemiological data from Massachusetts, this study reveals that viral transmission is highly structured by age and setting—particularly concentrated in schools, colleges, and nursing facilities with young adults acting as key drivers of spread—while also demonstrating the impact of vaccination and providing guidelines for effective genomic surveillance.