Discussion: Importantly, we show that the
G190A mutation has spread in Gondar by rapid transmission within local clusters.
Discussion: In the present study, we identified one cluster with the
G190A mutation with onward transmissions of this DRM for at least 8 years (2003-2010).
Discussion: The
G190A mutation represents a slowly reverting HIVDR mutation and when such mutations are present in a population with frequent transmission it might persist and expand.