RT Journal Article T1 The first wave of the COVID-19 epidemic in Spain was associated with early introductions and fast spread of a dominating genetic variant. A1 López, Mariana G A1 Chiner-Oms, Álvaro A1 García de Viedma, Darío A1 Ruiz-Rodriguez, Paula A1 Bracho, Maria Alma A1 Cancino-Muñoz, Irving A1 D'Auria, Giuseppe A1 de Marco, Griselda A1 García-González, Neris A1 Goig, Galo Adrian A1 Gómez-Navarro, Inmaculada A1 Jiménez-Serrano, Santiago A1 Martinez-Priego, Llúcia A1 Ruiz-Hueso, Paula A1 Ruiz-Roldán, Lidia A1 Torres-Puente, Manuela A1 Alberola, Juan A1 Albert, Eliseo A1 Aranzamendi Zaldumbide, Maitane A1 Bea-Escudero, María Pilar A1 Boga, Jose Antonio A1 Bordoy, Antoni E A1 Canut-Blasco, Andrés A1 Carvajal, Ana A1 Cilla Eguiluz, Gustavo A1 Cordón Rodríguez, Maria Luz A1 Costa-Alcalde, José J A1 de Toro, María A1 de Toro Peinado, Inmaculada A1 Del Pozo, Jose Luis A1 Duchêne, Sebastián A1 Fernández-Pinero, Jovita A1 Fuster Escrivá, Begoña A1 Gimeno Cardona, Concepción A1 González Galán, Verónica A1 Gonzalo Jiménez, Nieves A1 Hernáez Crespo, Silvia A1 Herranz, Marta A1 Lepe, José Antonio A1 López-Causapé, Carla A1 López-Hontangas, José Luis A1 Martín, Vicente A1 Martró, Elisa A1 Milagro Beamonte, Ana A1 Montes Ros, Milagrosa A1 Moreno-Muñoz, Rosario A1 Navarro, David A1 Navarro-Marí, José María A1 Not, Anna A1 Oliver, Antonio A1 Palop-Borrás, Begoña A1 Parra Grande, Mónica A1 Pedrosa-Corral, Irene A1 Pérez González, Maria Carmen A1 Pérez-Lago, Laura A1 Pérez-Ruiz, Mercedes A1 Piñeiro Vázquez, Luis A1 Rabella, Nuria A1 Rezusta, Antonio A1 Robles Fonseca, Lorena A1 Rodríguez-Villodres, Ángel A1 Sanbonmatsu-Gámez, Sara A1 Sicilia, Jon A1 Soriano, Alex A1 Tirado Balaguer, María Dolores A1 Torres, Ignacio A1 Tristancho, Alexander A1 Marimón, José María A1 SeqCOVID-Spain consortium, A1 Coscolla, Mireia A1 González-Candelas, Fernando A1 Comas, Iñaki AB The coronavirus disease 2019 (COVID-19) pandemic has affected the world radically since 2020. Spain was one of the European countries with the highest incidence during the first wave. As a part of a consortium to monitor and study the evolution of the epidemic, we sequenced 2,170 samples, diagnosed mostly before lockdown measures. Here, we identified at least 500 introductions from multiple international sources and documented the early rise of two dominant Spanish epidemic clades (SECs), probably amplified by superspreading events. Both SECs were related closely to the initial Asian variants of SARS-CoV-2 and spread widely across Spain. We inferred a substantial reduction in the effective reproductive number of both SECs due to public-health interventions (Re  YR 2021 FD 2021-09-30 LK https://hdl.handle.net/10668/26458 UL https://hdl.handle.net/10668/26458 LA en DS RISalud RD Apr 12, 2025