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Marie Curie Actions: Inspiring Researchers - Imdea

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that the accused medical personnel were not responsible forthe HIV and hepatitis C virus (HCV) outbreak at the Al-FatehHospital in Libya.The path to NatureThe path to the Nature paper began in October 2006 whenDr Giovanni Rezza and Dr Massimo Ciccozzi from the InstitutoSuperiore di Sanità (ISS) invited Dr de Oliveira to Rome todiscuss the potential analysis of HIV-1 sequence data isolatedfrom 37 of the 418 children who were infected in an outbreak ofthe virus at the Libyan hospital. There he met Professor VittorioColizzi who gave him access to the genetic sequences of theHIV and HCV genetic sequences from the Libyan children.Dr de Oliveira’s goal was to determine the origins of theoutbreaks. He began by analysing the HIV and HCV sequencesusing evolutionary techniques developed in Oxford. Initial resultsshowed that one HIV-1 strain and three HCV strains wereresponsible for the infections. The origin of the HIV strain wasmapped to West Africa and the HCV strains to West Africa andEgypt. A worldwide HCV strain was also detected.The next, crucial step was to apply molecular-clock techniques todetermine when the outbreaks started. Together with Dr Pybus,Dr Rambaut and Italian researchers, he applied various modelsof evolution to the data. The results revealed that both outbreaksbegan before March 1998 – the date the accused medicalstaff arrived in Libya. The fi ndings were submitted to Natureand underwent a rigorous peer review process. In December2006, the paper was published and, along with internationalpressure from human rights and medical organisations andinterventions from high-ranking politicians, it eventually helpedto secure the release of the medics in July 2007.To Africa, where it all started‘In many respects, <strong>Marie</strong> <strong>Curie</strong> contributed to my careerdevelopment. It gave me the opportunity to receive in-depthtraining on virus evolution, establish a solid network ofcollaborators and publish papers and software applications,’explains Dr de Oliveira. ‘It also showed me how scientistscan work together to answer questions that are importantfor everyday life. The fellowship and its results allowed mycareer to advance to a more senior academic position.’198

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