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Smallpox, malaria, and other highly contagious Old World diseases likely arrived along the same route that Euroamerican cultigens followed into the region

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Proteomics 18 , 233240 (2021)

Based on this substantial genetic variation, the viral sequences are categorized into eight major genotypes (denoted by numbers, sharing 60% to 70% sequence similarity) and over 86 subtypes (designated with lowercase letters, with sequence similarity ranging from 77% to 80%) [1214]