Sydney: My colleagues and I published the most detailed studies of the earliest events in the COVID-19 pandemic last month in the journal Science. Together, these papers paint a coherent evidence-based picture of what took place in the city of Wuhan during the latter part of 2019.
The take-home message is the COVID pandemic probably did begin where the first cases were detected at the Huanan Seafood Wholesale Market. At the same time this lays to rest the idea that the virus escaped from a laboratory. Huanan market was the pandemic epicentre.
An analysis of the geographic locations of the earliest known COVID cases dating to December 2019 revealed a strong clustering around the Huanan market. This was true not only for people who worked at or visited the market, but also for those who had no links to it. Although there will be many missing cases, there's no evidence of widespread sampling bias: the first COVID cases were not identified simply because they were linked to the Huanan market.
The Huanan market was the pandemic epicentre. From its origin there, the SARS-CoV-2 virus rapidly spread to other locations in Wuhan in early 2020 and then to the rest of the world. The Huanan market is an indoor space about the size of two soccer fields. The word seafood in its name leaves a misleading impression of its function. When I visited the market in 2014, a variety of live wildlife was for sale including raccoon dogs and muskrats.
At the time I suggested to my Chinese colleagues that we sample these market animals for viruses. Instead, they set up a virological surveillance study at the nearby Wuhan Central Hospital, which later cared for many of the earliest COVID patients. Wildlife were also on sale in the Huanan market in 2019. After the Chinese authorities closed the market on January 1 2020, investigative teams swabbed surfaces, door handles, drains, frozen animals and so on.
Most of the samples that later tested positive for SARS-CoV-2 were from the south-western corner of the market. The wildlife I saw for sale on my visit in 2014 were in the south-western corner. This establishes a simple and plausible pathway for the virus to jump from animals to humans.
Animal Spillover:
SARS-CoV-2 has evolved into an array of lineages, some familiar to us as the variants of concern (what we call Delta, Omicron and so on). The first split in the SARS-CoV-2 family tree between the A and B lineages occurred very early in the pandemic. Both lineages have an epicentre at the market and both were detected there.
Further analyses suggest the A and B lineages were the products of separate jumps from animals. This simply means there was a pool of infected animals in the Huanan market, fuelling multiple exposure events. Reconstructing the history of mutations in the SARS-CoV-2 genome sequence through time showed the B lineage was the first to jump to humans. It was followed, perhaps a few weeks later, by the A lineage.
All these events are estimated to have occurred no earlier than late October 2019. Claims that the virus was spreading before this date can be dismissed. What's missing, of course, is that we don't yet know exactly which animals were involved in the transfer of SARS-CoV-2 to humans. Live wildlife were removed from the Huanan market before the investigative team entered, increasing public safety but hampering origin hunting.
The opportunity to find the direct animal host has probably passed. As the virus likely rapidly spread through its animal reservoir, it's overly optimistic to think it would still be circulating in these animals today. The absence of a definitive animal source has been taken as tacit support for counter claims that SARS-CoV-2 in fact leaked from a scientific laboratory the Wuhan Institute of Virology.