Encompassing regions that were amongst the first inhabited by humans following the out-of-Africa expansion, hosting populations with the highest levels of archaic hominid introgression, and including Pacific islands that are the most isolated inhabited locations on the planet, Oceania has a rich, but understudied, human genomic landscape. Here we describe the first region-wide analysis of genome-wide data from population groups spanning Oceania and its surroundings, from island and peninsular southeast Asia to Papua New Guinea, east across the Pacific through Melanesia, Micronesia, and Polynesia, and west across the Indian Ocean to related island populations in the Andamans and Madagascar. In total we generate and analyze genome-wide data from 981 individuals from 92 different populations, 58 separate islands, and 30 countries, representing the most expansive study of Pacific genetics to date. In each sample we disentangle the Papuan and more recent Austronesian ancestries, which have admixed in various proportions across this region, using ancestry-specific analyses, and characterize the distinct patterns of settlement, migration, and archaic introgression separately in these two ancestries. We also focus on the patterns of clinically relevant genetic variation across Oceania--a landscape rippled with strong founder effects and island-specific genetic drift in allele frequencies--providing an atlas for the development of precision genetic health strategies in this understudied region of the world.

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