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<?covid-19-tdm?>
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  <front>
    <journal-meta>
      <journal-id journal-id-type="publisher-id">JMIRxMed</journal-id>
      <journal-id journal-id-type="nlm-ta">JMIRx Med</journal-id>
      <journal-title>JMIRx Med</journal-title>
      <issn pub-type="epub">2563-6316</issn>
      <publisher>
        <publisher-name>JMIR Publications</publisher-name>
        <publisher-loc>Toronto, Canada</publisher-loc>
      </publisher>
    </journal-meta>
    <article-meta>
      <article-id pub-id-type="publisher-id">v2i3e32299</article-id>
      <article-id pub-id-type="pmid"/>
      <article-id pub-id-type="doi">10.2196/32299</article-id>
      <article-categories>
        <subj-group subj-group-type="heading">
          <subject>Peer-Review Report</subject>
        </subj-group>
        <subj-group subj-group-type="article-type">
          <subject>Peer-Review Report</subject>
        </subj-group>
      </article-categories>
      <title-group>
        <article-title>Peer Review of “Emergence of the First Strains of SARS-CoV-2 Lineage B.1.1.7 in Romania: Genomic Analysis”</article-title>
      </title-group>
      <contrib-group>
        <contrib contrib-type="editor">
          <name>
            <surname>Meinert</surname>
            <given-names>Edward</given-names>
          </name>
        </contrib>
      </contrib-group>
      <contrib-group>
        <contrib id="contrib1" contrib-type="author" corresp="no">
          <name name-style="western">
            <surname>Guo</surname>
            <given-names>Lei</given-names>
          </name>
          <degrees>MA, MS</degrees>
          <xref rid="aff1" ref-type="aff">1</xref>
          <ext-link ext-link-type="orcid">https://orcid.org/0000-0003-2055-7618</ext-link>
        </contrib>
      </contrib-group>
      <aff id="aff1">
        <label>1</label>
        <institution>Washington University School of Medicine in St. Louis</institution>
        <addr-line>St Louis, MO</addr-line>
        <country>United States</country>
      </aff>
      <pub-date pub-type="collection">
        <season>Jul-Sep</season>
        <year>2021</year>
      </pub-date>
      <pub-date pub-type="epub">
        <day>13</day>
        <month>8</month>
        <year>2021</year>
      </pub-date>
      <volume>2</volume>
      <issue>3</issue>
      <elocation-id>e32299</elocation-id>
      <history>
        <date date-type="received">
          <day>21</day>
          <month>7</month>
          <year>2021</year>
        </date>
        <date date-type="accepted">
          <day>21</day>
          <month>7</month>
          <year>2021</year>
        </date>
      </history>
      <copyright-statement>©Lei Guo. Originally published in JMIRx Med (https://med.jmirx.org), 13.08.2021.</copyright-statement>
      <copyright-year>2021</copyright-year>
      <license license-type="open-access" xlink:href="https://creativecommons.org/licenses/by/4.0/">
        <p>This is an open-access article distributed under the terms of the Creative Commons Attribution License (https://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work, first published in JMIRx Med, is properly cited. The complete bibliographic information, a link to the original publication on https://med.jmirx.org/, as well as this copyright and license information must be included.</p>
      </license>
      <self-uri xlink:href="https://med.jmirx.org/2021/3/e32299" xlink:type="simple"/>
      <related-article related-article-type="companion" id="preprint21250643" ext-link-type="doi" xlink:href="10.1101/2021.01.29.21250643" vol="1" page="21250643" xlink:title="Preprint (medRxiv):" xlink:type="simple">https://www.medrxiv.org/content/10.1101/2021.01.29.21250643v1</related-article>
      <related-article related-article-type="companion" id="preprint28049" ext-link-type="doi" xlink:href="https://doi.org/10.2196/preprints.28049" vol="2" page="e28049" xlink:title="Preprint (JMIR Preprints):" xlink:type="simple">https://preprints.jmir.org/preprint/28049</related-article>
      <related-article related-article-type="companion" id="v2i3e23393" ext-link-type="doi" xlink:href="10.2196/23393" vol="2" page="e23393" xlink:title="Authors' Response to Peer-Review Reports:" xlink:type="simple">https://med.jmirx.org/2021/3/e23393/</related-article>
      <related-article related-article-type="companion" id="v2i3e28049" ext-link-type="doi" xlink:href="10.2196/28049" vol="2" page="e28049" xlink:title="Published Article:" xlink:type="simple">https://med.jmirx.org/2021/3/e28049/</related-article>
      <kwd-group>
        <kwd>infectious disease</kwd>
        <kwd>COVID-19</kwd>
        <kwd>strain</kwd>
        <kwd>virus</kwd>
        <kwd>Romania</kwd>
        <kwd>transmission</kwd>
        <kwd>spread</kwd>
        <kwd>mutation</kwd>
        <kwd>impact</kwd>
        <kwd>case study</kwd>
        <kwd>genome</kwd>
        <kwd>sequencing</kwd>
        <kwd>genetics</kwd>
        <kwd>epidemiology</kwd>
        <kwd>variant</kwd>
        <kwd>virology</kwd>
        <kwd>lineage</kwd>
      </kwd-group>
    </article-meta>
  </front>
  <body>
    <p>
      <italic>This is a peer-review report submitted for the paper “Emergence of the First Strains of SARS-CoV-2 Lineage B.1.1.7 in Romania: Genomic Analysis.”</italic>
    </p>
    <sec>
      <title>Round 1 Review</title>
      <sec>
        <title>General Comments</title>
        <p>First of all, the authors presented an important work about the new UK variant of COVID in Romania [<xref ref-type="bibr" rid="ref1">1</xref>]. I have the following questions.</p>
      </sec>
      <sec>
        <title>Specific Comments</title>
        <sec>
          <title>Major Comments</title>
          <list list-type="order">
            <list-item>
              <p>In the Methods section, the authors mentioned that “Twenty samples, collected from patients in the cities of Cluj, Craiova and Suceava counties from Romania were selected for analysis, including patients with possible contacts with UK infected individuals.” In the Introduction section, the authors also described the first few possible UK variant cases in Romania.</p>
              <p>Are these 20 cases sequenced by authors related to those cases mentioned in the Introduction? If not, can authors provide some details about the subjects' past travel history? For example, did they stay in UK for more than 2 weeks before they traveled to Romania? And when were these samples collected? The timeline is important to understand how the disease spread and whether they are the first strains of B.1.1.7 in Romania.</p>
            </list-item>
            <list-item>
              <p>The authors claimed that “the Romanian strains bearing the particular ORF8 mutations described above clearly originated in the UK, which is also supported by the fact that the patient from Suceava county arrived in Romania from the UK.” I have a similar question about the travel details of the patient as well as the timeline.</p>
            </list-item>
            <list-item>
              <p>From a public health standpoint, how did the authors deal with the “news” of the new variant? Was there any communication with local officials or support for contact tracing?</p>
            </list-item>
            <list-item>
              <p>In the Discussion section, the authors described that “Many European countries, including Romania, lag in genomic sequencing”. Can the authors provide more details about why Romania lags in genomic sequencing for COVID? For example, cost, equipment, access to labs/institutes. This can help readers and other researchers to understand the issue.</p>
            </list-item>
          </list>
        </sec>
      </sec>
    </sec>
  </body>
  <back>
    <app-group/>
    <fn-group>
      <fn fn-type="conflict">
        <p>None declared.</p>
      </fn>
    </fn-group>
    <ref-list>
      <ref id="ref1">
        <label>1</label>
        <nlm-citation citation-type="journal">
          <person-group person-group-type="author">
            <name name-style="western">
              <surname>Lobiuc</surname>
              <given-names>A</given-names>
            </name>
            <name name-style="western">
              <surname>Dimian</surname>
              <given-names>M</given-names>
            </name>
            <name name-style="western">
              <surname>Sturdza</surname>
              <given-names>O</given-names>
            </name>
            <name name-style="western">
              <surname>Filip</surname>
              <given-names>R</given-names>
            </name>
            <name name-style="western">
              <surname>Covasa</surname>
              <given-names>M</given-names>
            </name>
          </person-group>
          <article-title>Emergence of the First Strains of SARS-CoV-2 Lineage B.1.1.7 in Romania: Genomic Analysis</article-title>
          <source>JMIRx Med</source>
          <year>2021</year>
          <month>8</month>
          <volume>2</volume>
          <issue>3</issue>
          <fpage>e28049</fpage>
          <comment>
            <ext-link ext-link-type="uri" xlink:type="simple" xlink:href="https://med.jmirx.org/2021/3/e28049/"/>
          </comment>
          <pub-id pub-id-type="doi">10.2196/28049</pub-id>
        </nlm-citation>
      </ref>
    </ref-list>
  </back>
</article>
