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COVID-19 antibody seroprevalence in Santa Clara County, California.

作者信息

Bendavid Eran, Mulaney Bianca, Sood Neeraj, Shah Soleil, Bromley-Dulfano Rebecca, Lai Cara, Weissberg Zoe, Saavedra-Walker Rodrigo, Tedrow Jim, Bogan Andrew, Kupiec Thomas, Eichner Daniel, Gupta Ribhav, Ioannidis John P A, Bhattacharya Jay

机构信息

Department of Medicine, Stanford University School of Medicine, Stanford, CA, USA.

Stanford University School of Medicine, Stanford, CA, USA.

出版信息

Int J Epidemiol. 2021 May 17;50(2):410-419. doi: 10.1093/ije/dyab010.


DOI:10.1093/ije/dyab010
PMID:33615345
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC7928865/
Abstract

BACKGROUND: Measuring the seroprevalence of antibodies to Severe Acute Respiratory Syndrome Coronavirus 2 (SARS-CoV-2) is central to understanding infection risk and fatality rates. We studied Coronavirus Disease 2019 (COVID-19)-antibody seroprevalence in a community sample drawn from Santa Clara County. METHODS: On 3 and 4 April 2020, we tested 3328 county residents for immunoglobulin G (IgG) and immunoglobulin M (IgM) antibodies to SARS-CoV-2 using a rapid lateral-flow assay (Premier Biotech). Participants were recruited using advertisements that were targeted to reach county residents that matched the county population by gender, race/ethnicity and zip code of residence. We estimate weights to match our sample to the county by zip, age, sex and race/ethnicity. We report the weighted and unweighted prevalence of antibodies to SARS-CoV-2. We adjust for test-performance characteristics by combining data from 18 independent test-kit assessments: 14 for specificity and 4 for sensitivity. RESULTS: The raw prevalence of antibodies in our sample was 1.5% [exact binomial 95% confidence interval (CI) 1.1-2.0%]. Test-performance specificity in our data was 99.5% (95% CI 99.2-99.7%) and sensitivity was 82.8% (95% CI 76.0-88.4%). The unweighted prevalence adjusted for test-performance characteristics was 1.2% (95% CI 0.7-1.8%). After weighting for population demographics, the prevalence was 2.8% (95% CI 1.3-4.2%), using bootstrap to estimate confidence bounds. These prevalence point estimates imply that 53 000 [95% CI 26 000 to 82 000 using weighted prevalence; 23 000 (95% CI 14 000-35 000) using unweighted prevalence] people were infected in Santa Clara County by late March-many more than the ∼1200 confirmed cases at the time. CONCLUSION: The estimated prevalence of SARS-CoV-2 antibodies in Santa Clara County implies that COVID-19 was likely more widespread than indicated by the number of cases in late March, 2020. At the time, low-burden contexts such as Santa Clara County were far from herd-immunity thresholds.

摘要
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/ac4e/8128457/0e850013755e/dyab010f1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/ac4e/8128457/0e850013755e/dyab010f1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/ac4e/8128457/0e850013755e/dyab010f1.jpg

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本文引用的文献

[1]
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[2]
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Prevalence of SARS-CoV-2 antibodies in a large nationwide sample of patients on dialysis in the USA: a cross-sectional study.

Lancet. 2020-10-24

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Diagn Microbiol Infect Dis. 2020-7-21

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Lancet Infect Dis. 2020-7

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Lancet Infect Dis. 2020-3-30

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