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                  <mods:namePart>Garrine, Marcelino</mods:namePart>
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                  <mods:namePart>Mandomando, Inácio</mods:namePart>
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                  <mods:namePart>Almeida, Mathieu</mods:namePart>
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                  <mods:namePart>Domman, Daryl</mods:namePart>
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                  <mods:namePart>Thomson, Nicholas R.</mods:namePart>
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                  <mods:namePart>Stine, Oscar C.</mods:namePart>
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                  <mods:dateIssued encoding="iso8601">2017-07-06T12:24:57Z2017-07-06T12:24:57Z2017-06-162017-06-21T18:00:33Z</mods:dateIssued>
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               <mods:abstract>Although cholera is a major public health concern in Mozambique,&#xd;
                its transmission patterns remain unknown. We surveyed the&#xd;
                genetic relatedness of 75 Vibrio cholerae isolates from patients&#xd;
                at Manhica District Hospital between 2002-2012 and 3 isolates&#xd;
                from river using multilocus variable-number tandem-repeat&#xd;
                analysis (MLVA) and whole genome sequencing (WGS). MLVA revealed&#xd;
                22 genotypes in two clonal complexes and four unrelated&#xd;
                genotypes. WGS revealed i) the presence of recombination, ii) 67&#xd;
                isolates descended monophyletically from a single source&#xd;
                connected to Wave 3 of the Seventh Pandemic, and iii) four&#xd;
                clinical isolates lacking the cholera toxin gene. This Wave 3&#xd;
                strain persisted for at least eight years in either an&#xd;
                environmental reservoir or circulating within the human&#xd;
                population. Our data raises important questions related to where&#xd;
                these isolates persist and how identical isolates can be&#xd;
                collected years apart despite our understanding of high change&#xd;
                rate of MLVA loci and the V. cholerae molecular clock.</mods:abstract>
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               <mods:subject>
                  <mods:topic>Còlera</mods:topic>
               </mods:subject>
               <mods:subject>
                  <mods:topic>Moçambic</mods:topic>
               </mods:subject>
               <mods:subject>
                  <mods:topic>Cholera</mods:topic>
               </mods:subject>
               <mods:subject>
                  <mods:topic>Mozambique</mods:topic>
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                  <mods:title>Minimal genetic change in Vibrio cholerae in Mozambique over&#xd;
                time: Multilocus variable number tandem repeat analysis and&#xd;
                whole genome sequencing</mods:title>
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