Discussion: The major P.1+ lineages circulating outside the Amazonas state were P.1.7 (P.1+
P681H), which probably arose in the state of Sao Paulo around mid-February 2021 and is currently detected in at least 10 different states from all country regions; and P.1.8 (P.1+
P681R), that probably arose in the state of Rio de Janeiro in early May 2021 and spread to the Southern (Santa Catarina) and Northern (Amazonas) regions.