SARS-CoV-2 seroprevalence among the general population and healthcare workers in India, December 2020-January 2021

被引:85
作者
Murhekar, Manoj, V [1 ]
Bhatnagar, Tarun [1 ]
Thangaraj, Jeromie Wesley Vivian [1 ]
Saravanakumar, V [1 ]
Kumar, Muthusamy Santhosh [1 ]
Selvaraju, Sriram [2 ]
Rade, Kiran [3 ]
Kumar, C. P. Girish [1 ]
Sabarinathan, R. [1 ]
Turuk, Alka [4 ]
Asthana, Smita [5 ]
Balachandar, Rakesh [6 ]
Bangar, Sampada Dipak [7 ]
Bansal, Avi Kumar [8 ]
Chopra, Vishal [9 ]
Das, Dasarathi [10 ]
Deb, Alok Kumar [11 ]
Devi, Kangjam Rekha [12 ]
Dhikav, Vikas [13 ]
Dwivedi, Gaurav Raj [14 ]
Khan, S. Muhammad Salim [15 ]
Kumar, M. Sunil [16 ]
Laxmaiah, Avula [17 ]
Madhukar, Major [18 ]
Mahapatra, Amarendra [10 ]
Rangaraju, Chethana [19 ]
Turuk, Jyotirmayee [10 ]
Yadav, Rajiv [20 ]
Andhalkar, Rushikesh [2 ]
Arunraj, K. [2 ]
Bharadwaj, Dinesh Kumar [17 ]
Bharti, Pravin [20 ]
Bhattacharya, Debdutta [10 ]
Bhat, Jyothi [20 ]
Chahal, Ashrafjit S. [9 ]
Chakraborty, Debjit [11 ]
Chaudhury, Anshuman [2 ]
Deval, Hirawati [14 ]
Dhatrak, Sarang [6 ]
Dayal, Rakesh [21 ]
Elantamilan, D. [13 ]
Giridharan, Prathiksha [2 ]
Haq, Inaamul [15 ]
Hudda, Ramesh Kumar [13 ]
Jagjeevan, Babu [17 ]
Kalliath, Arshad [16 ]
Kanungo, Srikanta [10 ]
Krishnan, Nivethitha N. [2 ]
Kshatri, Jaya Singh [10 ]
Kumar, Alok [2 ]
机构
[1] ICMR Natl Inst Epidemiol, Chennai 600077, Tamil Nadu, India
[2] ICMR Natl Inst Res TB, Chennai, Tamil Nadu, India
[3] Who Country Off India, New Delhi, India
[4] Indian Council Med Res, New Delhi, India
[5] ICMR Natl Inst Canc Prevent & Res, Noida, Uttar Pradesh, India
[6] ICMR Natl Inst Occupat Hlth, Ahmadabad, Gujarat, India
[7] ICMR Natl AIDS Res Inst, Pune, Maharashtra, India
[8] ICMR Natl JALMA Inst Leprosy & Other Mycobacteria, Agra, Uttar Pradesh, India
[9] State TB Training & Demonstrat Ctr, Patiala, Punjab, India
[10] ICMR Reg Med Res Ctr, Bhubaneswar, Odisha, India
[11] ICMR Natl Inst Cholera & Enter Dis, Kolkata, W Bengal, India
[12] ICMR Reg Med Res Ctr, Dibrugarh, Assam, India
[13] ICMR Natl Inst Implementat Res Noncommunicable Di, Jodhpur, Rajasthan, India
[14] ICMR Reg Med Res Ctr, Gorakhpur, Uttar Pradesh, India
[15] Govt Med Coll Srinagar, Jammu, Jammu & Kashmir, India
[16] State TB Training & Demonstrat Ctr, Thiruvananthapuram, Kerala, India
[17] ICMR Natl Inst Nutr, Hyderabad, Telangana, India
[18] ICMR Rajendra Mem Res Inst Med Sci, Patna, Bihar, India
[19] Bangalore & Lady Willingdon State TB Ctr, Natl TB Inst, Bengaluru, Karnataka, India
[20] ICMR Natl Inst Res Tribal Hlth, Jabalpur, Madhya Pradesh, India
[21] State TB Training & Demonstrat Ctr, Ranchi, Bihar, India
[22] State TB Off, Hyderabad, Andhra Pradesh, India
[23] State TB Training & Demonstrat Ctr, Raipur, Madhya Pradesh, India
关键词
SARS-CoV-2; COVID-19; IgG; Seroprevalence; India; PREVALENCE;
D O I
10.1016/j.ijid.2021.05.040
中图分类号
R51 [传染病];
学科分类号
100401 ;
摘要
Background: Earlier serosurveys in India revealed seroprevalence of severe acute respiratory syndrome coronavirus-2 (SARS-CoV-2) of 0.73% in May-June 2020 and 7.1% in August-September 2020. A third serosurvey was conducted between December 2020 and January 2021 to estimate the seroprevalence of SARS-CoV-2 infection among the general population and healthcare workers (HCWs) in India. Methods: The third serosurvey was conducted in the same 70 districts as the first and second serosurveys. For each district, at least 400 individuals aged >10 years from the general population and 100 HCWs from subdistrict-level health facilities were enrolled. Serum samples from the general population were tested for the presence of immunoglobulin G (IgG) antibodies against the nucleocapsid (N) and spike (S1-RBD) proteins of SARS-CoV-2, whereas serum samples from HCWs were tested for anti-S1-RBD. Weighted seroprevalence adjusted for assay characteristics was estimated. Results: Of the 28,598 serum samples from the general population, 4585 (16%) had IgG antibodies against the N protein, 6647 (23.2%) had IgG antibodies against the S1-RBD protein, and 7436 (26%) had IgG antibodies against either the N protein or the S1-RBD protein. Weighted and assay-characteristic adjusted seroprevalence against either of the antibodies was 24.1% [95% confidence interval (CI) 23.0- 25.3%]. Among 7385 HCWs, the seroprevalence of anti-S1-RBD IgG antibodies was 25.6% (95% CI 23.5- 27.8%). Conclusions: Nearly one in four individuals aged >10 years from the general population as well as HCWs in India had been exposed to SARS-CoV-2 by December 2020. (c) 2021 The Author(s). Published by Elsevier Ltd on behalf of International Society for Infectious Diseases. This is an open access article under the CC BY-NC-ND license (http://creativecommons.org/licenses/by-ncnd/4.0/).
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页码:145 / 155
页数:11
相关论文
共 28 条
[1]   SARS-CoV-2 Seroprevalence Survey Estimates Are Affected by Anti-Nucleocapsid Antibody Decline [J].
Bolotin, Shelly ;
Tran, Vanessa ;
Osman, Selma ;
Brown, Kevin A. ;
Buchan, Sarah A. ;
Joh, Eugene ;
Deeks, Shelley L. ;
Allen, Vanessa G. .
JOURNAL OF INFECTIOUS DISEASES, 2021, 223 (08) :1334-1338
[2]  
Center for Devices and Radiological Health, 2021, EUA AUTH SER TEST PE
[3]   Genomic characterization of the 2019 novel human-pathogenic coronavirus isolated from a patient with atypical pneumonia after visiting Wuhan [J].
Chan, Jasper Fuk-Woo ;
Kok, Kin-Hang ;
Zhu, Zheng ;
Chu, Hin ;
To, Kelvin Kai-Wang ;
Yuan, Shuofeng ;
Yuen, Kwok-Yung .
EMERGING MICROBES & INFECTIONS, 2020, 9 (01) :221-236
[4]  
Chen XH, 2021, LANCET GLOB HEALTH, V9, pE598, DOI [10.1016/S2214-109X(21)00026-7, 10.1101/2020.09.11.20192773]
[5]  
FETP Network-Chennai India, 2021, COVID 19 RES CTR EP
[6]  
Galanis P, J HOSP INFECT, V108, P120
[7]   Laboratory surveillance for SARS-CoV-2 in India: Performance of testing & descriptive epidemiology of detected COVID-19, January 22-April 30, 2020 [J].
Abraham P. ;
Aggarwal N. ;
Babu G.R. ;
Barani S. ;
Bhargava B. ;
Bhatnagar T. ;
Dhama A.S. ;
Gangakhedkar R.R. ;
Giri S. ;
Gupta N. ;
Kurup K.K. ;
Murhekar M. ;
Potdar V. ;
Praharaj I. ;
Rade K. ;
Reddy D.C.S. ;
Saravanakumar V. ;
Shah N. ;
Singh H. ;
Thangaraj J.W.V. ;
Yadav N. .
INDIAN JOURNAL OF MEDICAL RESEARCH, 2020, 151 (05) :424-437
[8]  
Indian Council of Medical Research, 2017, NAT ETH GUID BIOM RE
[9]   Evaluation of four commercial, fully automated SARS-CoV-2 antibody tests suggests a revision of the Siemens SARS-CoV-2 IgG assay [J].
Irsara, Christian ;
Egger, Alexander E. ;
Prokop, Wolfgang ;
Nairz, Manfred ;
Loacker, Lorin ;
Sahanic, Sabina ;
Pizzini, Alex ;
Sonnweber, Thomas ;
Mayer, Wolfgang ;
Schennach, Harald ;
Loeffler-Ragg, Judith ;
Bellmann-Weiler, Rosa ;
Tancevski, Ivan ;
Weiss, Guenter ;
Anliker, Markus ;
Griesmacher, Andrea ;
Hoermann, Gregor .
CLINICAL CHEMISTRY AND LABORATORY MEDICINE, 2021, 59 (06) :1143-1154
[10]   COVID-19: Challenges and its consequences for rural health care in India [J].
Kumar, Anant ;
Nayar, K. Rajasekharan ;
Koya, Shaffi Fazaludeen .
PUBLIC HEALTH IN PRACTICE, 2020, 1