A comparative analysis of COVID-19 seroprevalence rates, observed infection rates, and infection-related mortality

ObjectivesThe COVID-19 pandemic highlighted the need for data-driven decision making in managing public health crises. This study aims to extend previous research by incorporating infection-related mortality (IRM) to evaluate the discrepancies between seroprevalence data and infection rates reported...

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Main Authors: Eric W. Ford, Kunal N. Patel, Holly Ann Baus, Shannon Valenti, Jennifer A. Croker, Robert P. Kimberly, Steven E. Reis, Matthew J. Memoli
Format: Article
Language:English
Published: Frontiers Media S.A. 2025-01-01
Series:Frontiers in Public Health
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Online Access:https://www.frontiersin.org/articles/10.3389/fpubh.2025.1504524/full
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author Eric W. Ford
Kunal N. Patel
Holly Ann Baus
Shannon Valenti
Jennifer A. Croker
Robert P. Kimberly
Steven E. Reis
Matthew J. Memoli
author_facet Eric W. Ford
Kunal N. Patel
Holly Ann Baus
Shannon Valenti
Jennifer A. Croker
Robert P. Kimberly
Steven E. Reis
Matthew J. Memoli
author_sort Eric W. Ford
collection DOAJ
description ObjectivesThe COVID-19 pandemic highlighted the need for data-driven decision making in managing public health crises. This study aims to extend previous research by incorporating infection-related mortality (IRM) to evaluate the discrepancies between seroprevalence data and infection rates reported to the Centers for Disease Control and Prevention (CDC), and to assess the implications for public health policy.Study designWe conducted a comparative analysis of seroprevalence data collected as part of an NIH study and CDC-reported infection rates across ten U.S. regions, focusing on their correlation with IRM calculations.MethodsThe analysis includes a revision of prior estimates of IRM using updated seroprevalence rates. Correlations were calculated and their statistical relevance assessed.ResultsFindings indicate that COVID-19 is approximately 2.7 times more prevalent than what CDC infection data suggest. Utilizing the lower CDC-reported rates to calculate IRM leads to a significant overestimation by a factor of 2.7. When both seroprevalence and CDC infection data are combined, the overestimation of IRM increases to a factor of 3.79.ConclusionThe study highlights the importance of integrating multiple data dimensions to accurately understand and manage public health emergencies. The results suggest that public health agencies should enhance their capacity for collecting and analyzing seroprevalence data regularly, given its stronger correlation with IRM than other estimates. This approach will better inform policy decisions and direct effective interventions.
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spelling doaj-art-7313b0f4216242f69f333170862d18fa2025-01-28T06:41:29ZengFrontiers Media S.A.Frontiers in Public Health2296-25652025-01-011310.3389/fpubh.2025.15045241504524A comparative analysis of COVID-19 seroprevalence rates, observed infection rates, and infection-related mortalityEric W. Ford0Kunal N. Patel1Holly Ann Baus2Shannon Valenti3Jennifer A. Croker4Robert P. Kimberly5Steven E. Reis6Matthew J. Memoli7School of Public Health, University of Alabama at Birmingham, Birmingham, AL, United StatesCollege of Health and Human Sciences, Northern Illinois University, Dekalb, IL, United StatesClinical Studies Unit, Laboratory of Infectious Diseases, National Institute of Allergy and Infectious Diseases, National Institutes of Health, Bethesda, MD, United StatesClinical and Translational Science Institute, University of Pittsburgh, Pittsburgh, PA, United StatesCenter for Clinical and Translational Science, School of Medicine, University of Alabama at Birmingham, Birmingham, AL, United StatesCenter for Clinical and Translational Science, School of Medicine, University of Alabama at Birmingham, Birmingham, AL, United StatesClinical and Translational Science Institute, University of Pittsburgh, Pittsburgh, PA, United StatesClinical Studies Unit, Laboratory of Infectious Diseases, National Institute of Allergy and Infectious Diseases, National Institutes of Health, Bethesda, MD, United StatesObjectivesThe COVID-19 pandemic highlighted the need for data-driven decision making in managing public health crises. This study aims to extend previous research by incorporating infection-related mortality (IRM) to evaluate the discrepancies between seroprevalence data and infection rates reported to the Centers for Disease Control and Prevention (CDC), and to assess the implications for public health policy.Study designWe conducted a comparative analysis of seroprevalence data collected as part of an NIH study and CDC-reported infection rates across ten U.S. regions, focusing on their correlation with IRM calculations.MethodsThe analysis includes a revision of prior estimates of IRM using updated seroprevalence rates. Correlations were calculated and their statistical relevance assessed.ResultsFindings indicate that COVID-19 is approximately 2.7 times more prevalent than what CDC infection data suggest. Utilizing the lower CDC-reported rates to calculate IRM leads to a significant overestimation by a factor of 2.7. When both seroprevalence and CDC infection data are combined, the overestimation of IRM increases to a factor of 3.79.ConclusionThe study highlights the importance of integrating multiple data dimensions to accurately understand and manage public health emergencies. The results suggest that public health agencies should enhance their capacity for collecting and analyzing seroprevalence data regularly, given its stronger correlation with IRM than other estimates. This approach will better inform policy decisions and direct effective interventions.https://www.frontiersin.org/articles/10.3389/fpubh.2025.1504524/fullCOVID-19 surveillanceseroprevalenceCOVID-19 mortality riskCOVID-19 disparitiesCOVID-19 regional differences
spellingShingle Eric W. Ford
Kunal N. Patel
Holly Ann Baus
Shannon Valenti
Jennifer A. Croker
Robert P. Kimberly
Steven E. Reis
Matthew J. Memoli
A comparative analysis of COVID-19 seroprevalence rates, observed infection rates, and infection-related mortality
Frontiers in Public Health
COVID-19 surveillance
seroprevalence
COVID-19 mortality risk
COVID-19 disparities
COVID-19 regional differences
title A comparative analysis of COVID-19 seroprevalence rates, observed infection rates, and infection-related mortality
title_full A comparative analysis of COVID-19 seroprevalence rates, observed infection rates, and infection-related mortality
title_fullStr A comparative analysis of COVID-19 seroprevalence rates, observed infection rates, and infection-related mortality
title_full_unstemmed A comparative analysis of COVID-19 seroprevalence rates, observed infection rates, and infection-related mortality
title_short A comparative analysis of COVID-19 seroprevalence rates, observed infection rates, and infection-related mortality
title_sort comparative analysis of covid 19 seroprevalence rates observed infection rates and infection related mortality
topic COVID-19 surveillance
seroprevalence
COVID-19 mortality risk
COVID-19 disparities
COVID-19 regional differences
url https://www.frontiersin.org/articles/10.3389/fpubh.2025.1504524/full
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