학술논문

SARS-CoV-2 seroprevalence among the general population and healthcare workers in India, December 2020–January 2021
Document Type
article
Author
Manoj V. MurhekarTarun BhatnagarJeromie Wesley Vivian ThangarajV. SaravanakumarMuthusamy Santhosh KumarSriram SelvarajuKiran RadeC.P. Girish KumarR. SabarinathanAlka TurukSmita AsthanaRakesh BalachandarSampada Dipak BangarAvi Kumar BansalVishal ChopraDasarathi DasAlok Kumar DebKangjam Rekha DeviVikas DhikavGaurav Raj DwivediS. Muhammad Salim KhanM. Sunil KumarAvula LaxmaiahMajor MadhukarAmarendra MahapatraChethana RangarajuJyotirmayee TurukRajiv YadavRushikesh AndhalkarK. ArunrajDinesh Kumar BharadwajPravin BhartiDebdutta BhattacharyaJyothi BhatAshrafjit S. ChahalDebjit ChakrabortyAnshuman ChaudhuryHirawati DevalSarang DhatrakRakesh DayalD. ElantamilanPrathiksha GiridharanInaamul HaqRamesh Kumar HuddaBabu JagjeevanArshad KalliathSrikanta KanungoNivethitha N. KrishnanJaya Singh KshatriAlok KumarNiraj KumarV.G. Vinoth KumarG.G.J. Naga LakshmiGanesh MehtaNandan Kumar MishraAnindya MitraK. NagbhushanamArlappa NimmathotaA.R. NirmalaAshok Kumar PandeyGanta Venkata PrasadMariya Amin QurieshiSirasanambatti Devarajulu ReddyAby RobinsonSeema SahayRochak SaxenaKrithikaa SekarVijay Kumar ShuklaHari Bhan SinghPrashant Kumar SinghPushpendra SinghRajeev SinghNivetha SrinivasanDantuluri Sheethal VarmaAnkit ViramgamiVimith Cheruvathoor WilsonSurabhi YadavSuresh YadavKamran ZamanAmit ChakrabartiAparup DasR.S. DhaliwalShanta DuttaRajni KantA.M. KhanKanwar NarainSomashekar NarasimhaiahChandrasekaran PadmapriyadarshiniKrishna PandeySanghamitra PatiShripad PatilHemalatha RajkumarTekumalla RamaraoY.K. SharmaShalini SinghSamiran PandaD.C.S. ReddyBalram BhargavaTanu AnandGiridhara R. BabuHimanshu ChauhanTanzin DikidRaman R. GangakhedkarShashi KantSanket KulkarniJ.P. MuliyilRavindra Mohan PandeySwarup SarkarNaman ShahAakash ShrivastavaSujeet K. SinghSanjay ZodpeAnusha HindupurP.R. AsishM. ChellakumarD. ChokkalingamSauvik DasguptaM.M.E. GowthamAnnamma JoseK. KalaiyarasiN.N. KarthikT. KarunakaranG. KiruthikaH. Dinesh KumarS. Sarath KumarM.P. Sarath KumarE. MichaelrajJosephine PradhanE.B. Arun PrasathD. Gladys Angelin RachelSudha RaniAmanda RozarioR. SivakumarP. Gnana SoundariK. SujeethaArya Vinod
Source
International Journal of Infectious Diseases, Vol 108, Iss , Pp 145-155 (2021)
Subject
SARS-CoV-2
COVID-19
IgG
Seroprevalence
India
Infectious and parasitic diseases
RC109-216
Language
English
ISSN
1201-9712
Abstract
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.